Laporan Persediaan Obat Juni 2022

LAPORAN PERSEDIAAN OBAT
DATA PERSEDIAAN PUSKESMAS PER 31 JUNI2022

478 490 495 634 645 646 654 708 709 720 721
OBAT VAKSIN TOTAL BAHAN
BAKU OBAT
NO NAMA PUSKESMAS TOTAL OBAT TOTAL VAKSIN TOTAL
TRADISIONAL
APBD APBD (BTT II) APBD (BTT III) APBN DONASI APBD APBN (APBD)
47 RANCABALI 33,780,487.00 - - 26,308,635.00 - 60,089,122.00 - 8,189,307.00 8,189,307.00 - 68,278,429.00 C U
TOTAL 33,780,487.00 - - 26,308,635.00 - 60,089,122.00 - 8,189,307.00 8,189,307.00 - 68,278,429.00
Soreang, 30 Juni 2022

Menyetujui
Kepala Dinas Kesehatan Pengurus Barang Pengguna
Kabupaten Bandung Subag Keuangan dan Penatagunaan
Aset
drg. GRACE MEDIANA PURNAMI, M.Kes Ina Agustina Eka Suswanti, SKM
NIP. 19621214 198803 2 004 NIP. 19800821 201001 2 008
RINTAHAN KABUPATEN BANDUNG
PERSEDIAAN PUSKESMAS PER 31 JUNI 2022
NAMA SKPD : PUSKESMAS / UPTD PELAYANAN KESEHATAN

NAMA UPB : DINAS KESEHATAN
SUMBER ANGGARAN : APBD/APBD (BTT I)/APBD (BTT II)/APBD (BTT III)/ APBD (DID)/APBD Provinsi/APBN/DONASI
TAHUN PENGADAAN HARGA SATUAN JUMLAH PERSEDIAAN

NO Nama Barang/Jenis Barang SATUAN BARANG
(Rp) RANCABALI Jumlah Nilai Perolehan
OBAT
APBD
1 Acetylcystein 200 mg APBD (DAK) 2020 kapsul 382.00 - -
2 Acetylcystein 200 mg APBD (DAK) 2021 tablet 301.00 - -
3 Alopurinol tablet 100 mg APBD (DAK) 2021 tablet 87.00 5,900.00 513,300.00
4 Alopurinol tablet 100 mg APBD (DAK) 2022 tablet 87.79 - -
5 Aminofillin 200 mg tablet APBD (DAK) 2019 tablet 95.00 - -
6 Aminofillin Inj 24 mg/ml APBD (DAK) 2021 ampul 2,704.00 10 27,040.00
7 Amitriptilin tablet 25 mg APBD (DAK) 2018 tablet 167.00 - -
8 Amlodipine Tab 10 mg APBD (DAK) 2020 tablet 99.00 - -
10 Amlodipine Tab 10 mg APBD 2020 tablet 99.00 7,270 719,730.00
12 Amlodipine Tab 5 mg APBD (DAK) 2021 tablet 53.00 9,000 477,000.00
13 Amlodipine Tab 5 mg APBD 2020 tablet 75.00 - -
14 Amlodipine Tab 5 mg APBD 2021 tablet 53.00 - -
15 Amoksisilin kaplet 500 mg APBD (DAK) 2020 tablet 249.00 - -
16 Amoksisilin kaplet 500 mg APBD (DAK) 2021 tablet 201.00 21,400 4,301,400.00
17 Amoksisilin kapsul 250 mg APBD (DAK) 2019 kapsul 196.00 - -
18 Amoksisilin Sirup 125 mg / 5 ml APBD (DAK) 2021 botol 2,050.00 240 492,000.00
19 Amoksisilin Sirup Forte 250 mg / 5 ml APBD (DAK) 2019 botol 3,628.00 - -
20 Antasida DOEN suspensi APBD (DAK) 2020 botol 2,129.00 - -
21 Antasida DOEN suspensi APBD (DAK) 2021 botol 1,679.00 384 644,736.00
22 Antasida DOEN suspensi APBD 2020 botol 2,129.00 - -
23 Antasida DOEN tablet APBD (DAK) 2020 tablet 58.00 5,300 307,400.00
24 Antasida DOEN tablet APBD (DAK) 2021 tablet 54.00 - -
25 Antifungi Doen APBD (DAK) 2019 pot 4,496.00 21 94,416.00
26 Antifungi Doen APBD (DAK) 2020 pot 4,798.00 - -
27 Antifungi Doen APBD (DAK) 2021 pot 3,477.00 - -
28 Antihemoroid Supp APBD (DAK) 2020 supp 3,167.00 - -
29 Antihemoroid Supp APBD (DAK) 2021 supp 3,250.00 250 812,500.00
30 Aquabidest (Aqua Pro Inject) 20 ml APBD (DAK) 2020 ampul 2,449.00 140 342,860.00
31 Aquabidest (Aqua Pro Inject) 20 ml APBD (DAK) 2021 vial 1,932.00 - -
32 Asam Asetil Salisilat (Asetosal) Tablet 80 mg APBD (DAK) 2019 tablet 105.00 - -
35 Asam Askorbat (Vit. C) tablet 50 mg APBD (DAK) 2020 tablet 105.00 - -
36 Asam Askorbat (Vit. C) tablet 50 mg APBD (DAK) 2021 tablet 42.00 11,600 487,200.00
Asam Askorbat (Vit. C) tablet 500 mg (Ramvit-
37 APBD (DAK) 2021 tablet 225.00 2,300 517,500.00
C 500 mg)
38 Asam Folat 1 mg tablet APBD (DAK) 2020 tablet 75.00 - -
39 Asam Folat 1 mg tablet APBD (DAK) 2021 tablet 56.00 - -
40 Asam Mefenamat tablet 500 mg APBD (DAK) 2021 tablet 111.00 - -
41 Asam Mefenamat tablet 500 mg APBD 2019 tablet 321.20 - -
42 Asam Mefenamat tablet 500 mg APBD 2019 tablet 405.00 - -
43 Asam Mefenamat tablet 500 mg APBD (DAK) 2022 tablet 112.01 - -
44 Asiklovir tablet 400 mg APBD (DAK) 2020 tablet 405.00 1,250 506,250.00
45 Asiklovir tablet 400 mg APBD (DAK) 2021 tablet 407.00 - -
46 Atropin injeksi 0,25 mg/ml APBD (DAK) 2021 tablet 1,718.00 - -
47 Atropin injeksi 0,25 mg/ml APBD 2020 ampul 1,639.00 - -
48 Azitromisin tablet 500 mg APBD (DAK) 2020 tablet 1,778.00 - -
49 Azitromisin tablet 500 mg APBD (DAK) 2021 tablet 1,250.00 300 375,000.00
50 Azitromisin tablet 500 mg APBD 2019 tablet 1,778.00 - -
51 Bedak Salisil APBD 2019 kotak 4,510.00 - -
52 Betametason krim 0.1 % APBD (DAK) 2020 tube 1,430.00 - -
53 Betametason krim 0.1 % APBD (DAK) 2021 tube 1,540.00 65 100,100.00
54 Cefadroxil Dry Syrup 125 mg/5 ml APBD (DAK) 2021 botol 3,800.00 - -
55 Cefadroxil Dry Syrup 125 mg/5 ml APBD 2020 botol 5,549.00 - -
56 Cetirizin tablet 10 mg APBD (DAK) 2021 tablet 49.00 - -
57 Deksametason Injeksi 5 mg/ml APBD (DAK) 2019 ampul 1,097.00 7.00 7,679.00
58 Deksametason Injeksi 5 mg/ml APBD (DAK) 2021 ampul 924.00 80 73,920.00
59 Deksametason tablet 0,5 mg APBD 2019 tablet 74.80 - -
60 Diazepam Injeksi 5 mg/ml APBD (DAK) 2020 ampul 1,735.00 10 17,350.00
61 Diazepam Rectal 10 mg APBD (DAK) 2020 Supp 18,279.00 - -
62 Diazepam Rectal 10 mg APBD 2020 tube 18,279.00 - -
63 Diazepam Rectal 5 mg APBD (DAK) 2020 Supp 12,573.00 6 75,438.00
64 Diazepam tablet 2 mg APBD (DAK) 2020 tablet 86.00 200.00 17,200.00
65 Diazepam tablet 2 mg APBD (DAK) 2021 tablet 70.00 - -
66 Digoksin tablet 0,25 mg APBD 2020 tablet 104.00 - -
67 Diphenydramin HCl Inj APBD (DAK) 2019 ampul 1,095.00 - -
68 Diphenydramin HCl Inj APBD (DAK) 2020 ampul 1,095.00 - -
69 Diptheria Antitoxin Serum (ADS 10.000 UI) APBD (DAK) 2020 vial 2,618,264.47 - -
70 Doksisiklin Kapsul 100 mg APBD (DAK) 2020 kapsul 280.00 - -
73 Domperidon Syr 5 mg/5 ml APBD (DAK) 2021 botol 2,296.00 - -
74 Domperidon tablet 10 mg APBD (DAK) 2020 tablet 91.00 1,200 109,200.00
75 Domperidon tablet 10 mg APBD (DAK) 2021 tablet 71.00 - -
76 Epinefrin HCl injeksi 0,1% - 1 ml APBD 2020 ampul 1,408.00 - -
77 Ergotamin Kofein tab APBD 2018 tablet 173.00 - -
Eritromisin Syr 200 mg (Trovilon Sirup
78 APBD 2019 botol 12,870.00 - -
Kering) 60 ml
79 Eritromisin Syr 200 mg/5ml - 60 ml APBD (DAK) 2021 botol 6,462.00 - -
80 Eritromisin kapsul 250 mg APBD 2019 kapsul 583.00 - -
81 Etanol larutan 70 % - 1000 ml APBD (DAK) 2020 botol 18,700.00 2 37,400.00
82 Etanol larutan 70 % - 1000 ml APBD (DAK) 2022 botol 23,595.00 - -
83 Eugenol 10 ml APBD (DAK) 2019 btl 20,087.00 - -
84 Eugenol 10 ml APBD (DAK) 2021 btl 20,150.00 - -
85 Extradine 5 L APBD 2019 Galon 475,200.00 - -
86 Fenobarbital injeksi 50 mg/ ml APBD 2020 ampul 1,982.00 - -
87 Fenobarbital tablet 30 mg APBD (DAK) 2019 tablet 171.00 - -
88 Fenobarbital tablet 30 mg APBD (DAK) 2021 tablet 182.00 138 25,116.00
89 Fenol Gliserol 10% Tetes Telinga APBD (DAK) 2021 botol 3,300.00 - -
90 Fenol Gliserol 10% Tetes Telinga APBD 2019 botol 2,764.00 - -
91 Fitomenadion ( Vit K) injeksi 2 mg/ml APBD (DAK) 2020 ampul 3,682.00 - -
92 Fitomenadion ( Vit K) injeksi 2 mg/ml APBD (DAK) 2021 ampul 1,386.00 120 166,320.00
93 Fitomenadion (Vit. K) tablet 10 mg APBD (DAK) 2020 tablet 758.00 - -
94 Fitomenadion (Vit. K) tablet 10 mg APBD (DAK) 2021 tablet 748.00 300 224,400.00
95 Fitomenadion (Vit. K) tablet 10 mg APBD 2020 tablet 758.00 - -
96 Flukonazol tablet 150 mg APBD 2019 tablet 18,720.00 - -
97 Furosemid 40 mg APBD (DAK) 2019 tablet 77.00 - -
98 Furosemid 40 mg APBD 2018 tablet 77.00 - -
99 Furosemid 40 mg APBD 2020 tablet 82.00 200 16,400.00
100 Garam Oralit APBD (DAK) 2020 sachet 274.00 - -
101 Garam Oralit APBD 2019 sase 257.00 - -
102 Gentamisin salep mata APBD (DAK) 2019 tube 2,675.00 - -
105 Gentamisin Sulfat Salep Kulit APBD 2019 tube 3,905.00 - -
106 Gentamisin tetes mata APBD (DAK) 2021 tube 4,520.00 - -
107 Gentamisin tetes mata APBD 2018 tube 4,232.00 - -
108 Glibenclamide 5 mg tablet APBD (DAK) 2019 tablet 119.00 1,000 119,000.00
109 Glibenclamide 5 mg tablet APBD (DAK) 2021 tablet 83.00 - -
110 Glimepirid 1 mg APBD (DAK) 2021 tablet 93.00 - -
111 Glimepirid 1 mg APBD 2020 tablet 174.00 - -
112 Glimepirid 2 mg APBD 2020 tablet 207.00 1,000 207,000.00
113 Glimepirid 2 mg APBD (DAK) 2022 tablet 124.12 2,300 285,476.46
114 Gluconas calcicus 10% - 10 ml APBD (DAK) 2019 ampul 10,351.00 - -
116 Gluconas calcicus 10% - 10 ml APBD (DAK) 2021 ampul 5,723.00 120 686,760.00
118 Glukosa infus 5% - 500 ml APBD (DAK) 2021 botol 6,627.00 40 265,080.00
119 Griseofulvin 125 mg APBD (DAK) 2020 tablet 224.00 - -
120 Griseofulvin 125 mg APBD (DAK) 2021 tablet 210.00 - -
121 Griseofulvin 125 mg APBD 2019 tablet 224.00 - -
122 Haloperidol tablet 0,5 mg APBD 2020 tablet 55.00 - -
123 Haloperidol tablet 1.5 mg APBD (DAK) 2020 tablet 59.00 199 11,741.00
124 Haloperidol tablet 1.5 mg APBD 2020 tablet 59.00 - -
125 Haloperidol tablet 5 mg APBD (DAK) 2021 tablet 54.00 - -
126 Haloperidol tablet 5 mg APBD 2020 tablet 60.00 60.00 3,600.00
127 Hidroklortiazid tablet 25 mg APBD (DAK) 2020 table 155.00 900 139,500.00
128 Hidroklortiazid tablet 25 mg APBD (DAK) 2021 tablet 148.00 - -
129 Hidrokortison krim 2,5% APBD (DAK) 2019 tube 2,475.00 - -
130 Hidrokortison krim 2,5% APBD (DAK) 2020 tube 2,475.00 243 601,425.00
131 Hidrokortison krim 2,5% APBD (DAK) 2021 tube 2,325.00 - -
132 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml APBD (DAK) 2021 botol 3,200.00 48 153,600.00
133 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml APBD 2018 botol 4,465.00 - -
134 Imunodilator (Stimuno Forte Kapsul) APBD 2021 kapsul 1,763.00 - -
135 Imunodilator (Stimuno Forte Kapsul) APBD 2021 kapsul 1,939.30 - -
136 Imunodilator (Stimuno Forte Kapsul) APBD (DAK) 2022 kapsul 1,958.00 - -
137 Imunodilator sirup (Stimuno Sirup) APBD (DAK) 2022 kapsul 28,374.00 - -
138 Isoniazid tablet 300 mg APBD (DAK) 2021 tablet 150.00 - -
139 Isosorbid Dinitrat tablet 5 mg APBD (DAK) 2021 tablet 86.00 - -
140 Kalsium lactat 500 mg APBD (DAK) 2021 tablet 60.00 8,600 516,000.00
141 Kalsium lactat 500 mg APBD 2020 tablet 63.00 5,000 315,000.00
142 Kaptopril tablet 12.5 mg APBD (DAK) 2018 tablet 62.00 4,800 297,600.00
143 Kaptopril tablet 12.5 mg APBD (DAK) 2019 tablet 62.00 - -
144 Kaptopril tablet 12.5 mg APBD (DAK) 2019 tablet 66.00 - -
145 Kaptopril tablet 25 mg APBD (DAK) 2021 tablet 75.00 - -
146 Karbamazepin 200 mg tablet APBD (DAK) 2021 tablet 189.00 4,900 926,100.00
147 Karbamazepin 200 mg tablet APBD 2020 tablet 245.00 - -
148 Ketoconazole 200 mg APBD (DAK) 2020 tablet 288.00 - -
151 Ketokonazol krim 2% APBD (DAK) 2020 tube 2,515.61 - -
152 Klindamisin kapsul 150 mg APBD (DAK) 2020 kapsul 759.00 - -
153 Klindamisin kapsul 300 mg APBD (DAK) 2021 kapsul 522.00 - -
154 Kloramfenikol 1% Salep Mata APBD (DAK) 2020 tube 2,007.00 - -
155 Kloramfenikol 2% Salep Kulit (Bufacetin) APBD (DAK) 2020 tube 3,242.00 - -
156 Kloramfenikol 2% Salep Kulit (Bufacetin) APBD 2019 tube 3,038.00 - -
157 Kloramfenikol Suspensi 125 mg/5 ml APBD (DAK) 2019 botol 5,015.00 - -
158 Klorfeniramin maleat (CTM) tablet 4 mg APBD (DAK) 2019 tablet 23.00 - -
159 Klorheksidin 0,2% Perio Kin Spray APBD 2020 botol 124,355.00 - -
160 Klorpromazin 100 mg APBD (DAK) 2019 tablet 157.00 - -
161 Klorpromazin 100 mg APBD 2017 tablet 144.00 - -
162 Klorpromazin 100 mg APBD 2020 tablet 181.00 - -
163 Klorpromazin 25 mg APBD (DAK) 2021 tablet 181.00 220 39,820.00
164 Kolekalsiferol (Vit. D3) 400 unit tablet APBD 2019 tablet 2,731.67 150 409,750.00
165 Kolekalsiferol (Vit. D3) 400 unit/5 ml syr APBD 2019 botol 32,890.00 - -
166 Kotrimoksazol susp. 120 mg/5 ml - 60ml APBD (DAK) 2019 botol 2,052.00 - -
167 Kotrimoksazol susp. 120 mg/5 ml - 60ml APBD (DAK) 2020 botol 2,190.00 103 225,570.00
168 Kotrimoksazol susp. 120 mg/5 ml - 60ml APBD (DAK) 2021 botol 2,100.00 - -
169 Kotrimosazol tablet 480 mg APBD (DAK) 2019 tablet 125.00 - -
170 Kotrimosazol tablet 480 mg APBD (DAK) 2020 tablet 133.00 700 93,100.00
171 Kotrimosazol tablet 480 mg APBD (DAK) 2021 tablet 126.00 - -
172 Lidocain HCl injeksi 2% APBD (DAK) 2021 ampul 847.00 - -
173 Lidocain HCl injeksi 2% APBD 2019 ampul 1,221.00 90 109,890.00
174 Lidocain komp. injeksi 2 % - ml APBD (DAK) 2020 ampul 1,229.00 - -
175 Lidocain komp. injeksi 2 % - ml APBD (DAK) 2021 ampul 803.00 - -
176 Loratadin 10 mg tablet APBD (DAK) 2021 tablet 109.00 - -
177 Loratadin 10 mg tablet APBD 2020 tablet 131.00 1,950 255,450.00
178 Loratadin 10 mg tablet APBD (DAK) 2022 tablet 109.99 - -
179 Magnesium sulfat injeksi 20% - 25 ml APBD (DAK) 2020 vial 3,328.00 - -
181 Magnesium sulfat injeksi 20% - 25 ml APBD 2019 vial 3,328.00 - -
183 Magnesium sulfat injeksi 40% - 25 ml APBD (DAK) 2021 vial 4,090.00 120 490,800.00
184 Metformin tablet 500 mg APBD (DAK) 2021 tablet 77.00 - -
185 Metformin tablet 500 mg APBD 2020 tablet 102.00 10,390.00 1,059,780.00
187 Metildopa (Dopamet) 250mg APBD (DAK) 2021 tablet 985.00 500 492,500.00
188 Metildopa (Dopamet) 250mg APBD 2020 tablet 946.00 - -
189 Metildopa (Dopamet) 250mg APBD (DAK) 2022 tablet 993.95 - -
Metilergometrin maleat (Metergin) tablet salut
190 APBD (DAK) 2020 tablet 224.00 - -
0,125 mg
Metilergometrin maleat (Metergin) tablet salut
191 APBD 2020 tablet 224.00 - -
0,125 mg
192 Metilergometrin maleat injeksi 0,2 mg/ml APBD (DAK) 2020 ampul 2,959.00 - -
193 Metilergometrin maleat injeksi 0,2 mg/ml APBD (DAK) 2021 ampul 1,023.00 25 25,575.00
194 Metilprednisolon 4 mg tablet APBD (DAK) 2022 tablet 102.93 800 82,344.24
195 Metoklorpramid 10 mg tablet APBD (DAK) 2020 tablet 85.00 400 34,000.00
196 Metoklorpramid 10 mg tablet APBD (DAK) 2021 tablet 66.00 - -
197 Metronidazole 500 mg APBD (DAK) 2021 tablet 133.00 - -
198 Metronidazole 500 mg APBD 2019 tablet 233.20 - -
199 Metronidazole Syrup APBD (DAK) 2019 btl 3,950.00 - -
200 Metronidazole Syrup APBD (DAK) 2020 botol 3,950.00 - -
201 Mikonazol krim 2 % APBD (DAK) 2020 tube 3,414.00 190 648,660.00
202 Mikonazol krim 2 % APBD (DAK) 2021 tube 1,900.00 - -
203 Multivitamin Syr 60 ml APBD 2020 botol 17,365.70 - -
204 Multivitamin Syrup (Lyscavit Syr 60 ml) APBD 2021 botol 7,738.50 - -
205 Multivitamin Tablet (Arkavit C + DEZ) APBD 2021 tablet 1,316.66 - -
206 Multivitamin Tablet (Pehavral) APBD 2020 tablet 982.82 - -
207 Multivitamin Tablet (Pritavit) APBD 2020 tablet 990.00 - -
208 Natrium Diklofenak 50 mg APBD (DAK) 2020 tablet 123.00 2,300 282,900.00
209 Natrium Diklofenak 50 mg APBD (DAK) 2021 tablet 99.00 - -
210 Natrium Diklofenak 50 mg APBD (DAK) 2022 tablet 99.90 - -
211 Natrium Klorida larutan infus 0,9% - 500 ml APBD (DAK) 2021 botol 6,800.00 120 816,000.00
212 Natrium Klorida larutan infus 0,9% - 500 ml APBD 2020 botol 6,840.00 - -
213 Nistatin tablet 500.000 IU APBD (DAK) 2020 tablet 843.00 500 421,500.00
214 Nistatin tablet 500.000 IU APBD (DAK) 2021 tablet 825.00 - -
215 Nistatin tablet 500.000 IU APBD 2019 tablet 843.00 - -
216 Nistatin tablet vaginal 100.000 IU APBD (DAK) 2020 tablet vaginal 598.00 - -
217 Nistatin tablet vaginal 100.000 IU APBD (DAK) 2021 tablet vaginal 550.00 240 132,000.00
218 Obat Antidiare Nonspesifik Tablet 600 mg APBD 2020 tablet 220.00 - -
219 Obat Antidiare Nonspesifik Tablet 600 mg (AkitAPBD 2021 tablet 275.00 - -
220 Obat Flu Syrup APBD 2021 botol 9,812.00 - -
221 Obat Flu Syrup (Calorex Syr) 60 ml APBD 2020 botol 11,000.00 - -
222 Obat Flu Tablet (Flutamol) APBD 2020 tablet 440.00 - -
223 Obat Flu Tablet (Molex Flu) APBD 2019 tablet 440.00 - -
224 Obat Flu Tablet (Molexflu) APBD 2021 tablet 799.54 - -
225 Oksitetrasiklin Salep Kulit APBD 2020 tube 1,813.90 - -
226 Oksitetrasiklin Salep Mata 1% APBD (DAK) 2018 tube 2,500.00 - -
227 Oksitetrasiklin Salep Mata 1% APBD (DAK) 2021 tube 3,500.00 - -
228 Oksitosin injeksi 10 IU/ml APBD (DAK) 2020 ampul 1,199.00 - -
229 Oksitosin injeksi 10 IU/ml APBD (DAK) 2021 tablet 1,126.00 200 225,200.00
230 Oksitosin injeksi 10 IU/ml APBD 2020 ampul 1,199.00 - -
231 Omeprazol kapsul 20 mg APBD (DAK) 2021 kapsul 129.00 - -
232 Parasetamol Drops 100 mg/ml - 15 ml APBD (DAK) 2021 botol 4,976.00 21 104,496.00
233 Parasetamol sirup 120 mg / 5 ml APBD (DAK) 2020 botol 1,181.00 915 1,080,615.00
234 Parasetamol sirup 120 mg/ 5 ml APBD (DAK) 2019 botol 1,107.00 - -
236 Parasetamol tablet 500 mg APBD (DAK) 2019 tablet 113.30 - -
237 Parasetamol tablet 500 mg APBD 2021 tablet 143.00 14,800 2,116,400.00
238 Parasetamol tablet 500 mg (Metamol tablet) APBD 2020 tablet 200.20 - -
239 Permetrin Krim 5% APBD (DAK) 2022 tablet 11,351.97 90 1,021,677.30
240 Piridoksin 10 mg tablet APBD (DAK) 2020 tablet 131.00 5,700 746,700.00
241 Povidon iodida 10% larutan - 30 ml APBD (DAK) 2020 botol 2,862.50 - -
242 Povidon iodida 10% larutan - 30 ml APBD 2019 botol 2,900.00 - -
243 Povidon iodida 10% larutan - 60 ml APBD 2020 botol 4,510.00 - -
244 Povidon iodida 10% larutan - 1.000 ml APBD (DAK) 2022 botol 56,277.00 - -
245 Prednison 5mg APBD (DAK) 2020 tablet 73.00 - -
247 Premetrin 5% krim APBD (DAK) 2021 tube 11,351.97 - -
248 Propanolol tablet 10 mg APBD (DAK) 2018 tablet 54.00 - -
249 Propanolol tablet 10 mg APBD (DAK) 2021 tablet 56.00 370 20,720.00
250 Ranitidine 25 mg/ ml Injeksi APBD (DAK) 2020 ampul 1,188.00 - -
251 Ranitidine tablet 150 mg APBD (DAK) 2019 tablet 112.00 - -
253 Ranitidine tablet 150 mg APBD (DAK) 2021 tablet 85.00 6,100 518,500.00
255 Retinol kapsul lunak 100.000 IU APBD (DAK) 2019 kapsul 288.00 - -
256 Ringer Laktat larutan infus - 500 ml APBD (DAK) 2020 botol 7,630.00 62 473,060.00
257 Ringer Laktat larutan infus - 500 ml APBD (DAK) 2020 botol 7,632.81 - -
258 Ringer Laktat larutan infus - 500 ml APBD (DAK) 2021 botol 7,630.00 - -
259 Riperidone tablet 1 mg APBD (DAK) 2021 tablet 102.00 - -
260 Riperidone tablet 1 mg APBD (Dak) 2022 tablet 102.93 - -
262 Riperidone tablet 2 mg APBD 2018 tablet 273.00 - -
263 Riperidone tablet 2 mg APBD 2020 tablet 287.00 - -
265 Sabun Cuci Tangan 5 L APBD (DAK) 2021 botol 344,320.00 - -
266 Sabun Cuci Tangan 500 ml APBD (DAK) 2021 botol 37,932.00 20 758,640.00
267 Salbutamol 2 mg tablet APBD (DAK) 2019 tablet 67.00 2,900 194,300.00
268 Salbutamol 2 mg tablet APBD (DAK) 2020 tablet 67.00 - -
269 Salbutamol 2 mg tablet APBD (DAK) 2021 tablet 48.00 - -
270 Salbutamol 2 mg tablet APBD 2019 tablet 67.00 - -
271 Salbutamol 4 mg tablet APBD (DAK) 2021 tablet 63.00 400 25,200.00
272 Salbutamol Nebules 2,5mg (Combivent) APBD (DAK) 2020 ampul 4,550.00 - -
273 Salbutamol Nebules 1ml / 2,5mg APBD (DAK) 2022 ampul 4,843.64 - -
Salep 2-4 kombinasi : Asam Salisilat 2% +
274 APBD (DAK) 2020 pot 2,797.00 - -
Belerang
Salep 2-4endap 4% : Asam Salisilat 2% +
kombinasi
275 APBD (DAK) 2021 pot 1,410.00 - -
Belerang endap 4%
276 Scabimite Cream (Premetrin 5% krim) APBD 2020 tube 11,825.00 - -
277 Serum Anti Bisa Ular (ABU) I Injeksi APBD (DAK) 2021 ampul 517,132.00 - -
278 Serum Anti Tetanus (ATS) 1.500 IU APBD (DAK) 2019 vial 130,999.00 - -
280 Sianokobalamin (Vit. B12) 50 mcg tablet APBD (DAK) 2020 tablet 49.00 1,800 88,200.00
281 Sianokobalamin (Vit. B12) 50 mcg tablet APBD (DAK) 2021 tablet 43.00 - -
282 Sianokobalamin (Vit. B12) 50 mcg tablet APBD 2019 tablet 49.00 - -
283 Sianokobalamin (Vit. B12) 50 mcg/ml inj APBD (DAK) 2019 tablet 1,104.00 90 99,360.00
284 Sianokobalamin (Vit. B12) 50 mcg/ml inj APBD (DAK) 2021 ampul 969.00 - -
285 Simvastatin tablet 10 mg APBD (DAK) 2021 tablet 68.00 1,600 108,800.00
286 Simvastatin tablet 10 mg APBD 2020 tablet 117.00 - -
287 Simvastatin tablet 10 mg APBD (DAK) 2022 tablet 68.62 - -
288 Siprofloksasin tablet 500 mg APBD (DAK) 2021 tablet 248.00 4,100 1,016,800.00
289 Siprofloksasin tablet 500 mg APBD 2019 tablet 453.20 - -
290 Siprofloksasin tablet 500 mg APBD (DAK) 2022 tablet 250.25 - -
291 Softanol 5 Liter APBD (DAK) 2021 botol 550,000.00 - -
292 Softanol 5 Liter APBD 2019 botol 550,000.00 - -
293 Softanol 500 ML APBD (DAK) 2021 botol 55,000.00 - -
294 Softanol 500 ML APBD 2019 botol 55,000.00 - -
295 Sterald-3D 5 L APBD (DAK) 2021 Galon 396,000.00 2 792,000.00
296 Sterald-3D 5 L APBD 2019 Galon 396,000.00 - -
297 Stericide 5 L APBD 2019 Galon 752,400.00 - -
298 Stericide 500 ml APBD (DAK) 2021 botol 87,120.00 15 1,306,800.00
299 Stericide-3 5 L APBD (DAK) 2021 Galon 1,098,900.00 - -
300 Stericide-3 5 L APBD 2019 Galon 1,098,900.00 - -
301 Sterizyme 5 L APBD (DAK) 2021 Galon 712,800.00 2 1,425,600.00
302 Sterizyme 5 L APBD 2019 Galon 712,800.00 - -
303 Sulfadiazine Silver Cream 1 % APBD 2020 tube 20,700.00 - -
304 Tetrasiklin 500 mg kapsul APBD (DAK) 2020 kapsul 323.00 - -
305 Thiamin Hcl (Vit B1) APBD (DAK) 2018 tablet 85.00 - -
306 Thiamin Hcl (Vit B1) APBD (DAK) 2019 tablet 91.00 - -
307 Trihexifenidril Hidroksida tablet 2 mg APBD (DAK) 2019 tablet 91.00 - -
308 Trihexifenidril Hidroksida tablet 2 mg APBD (DAK) 2021 tablet 63.00 334 21,042.00
309 Vitamin B Kompleks tablet APBD (DAK) 2019 tablet 89.00 - -
312 Zink Syr 60ml APBD (DAK) 2020 botol 3,171.00 - -
313 Zink Syr 60ml APBD (DAK) 2021 tablet 2,489.00 - -
314 Glukosa larutan steril (infus) 5% APBD (DAK) 2020 botol 7,475.50 - -
315 Hidroklortiazid tablet 25 mg APBD 2016 tablet 149.00 - -
316 Nistatin tablet vaginal 100.000 IU APBD (DAK) 2019 tablet vaginal 560.00 - -
317 Karbamazepin 200 mg tablet APBD (DAK) 2019 tablet 230.00 - -
318 Metilprednisolon 4 mg tablet APBD (DAK) 2021 tablet 102.00 - -
319 Diazepam Rectal 5 mg APBD (DAK) 2022 Supp 13,669.15 - -
320 Domperidon Syr 5 mg/5 ml APBD (DAK) 2022 botol 2,296.00 - -
321 Parasetamol Drops 100 mg/ml - 15 ml APBD (DAK) 2022 botol 4,976.00 - -
322 Asam Askorbat (Vit. C) tablet 250 mg APBD (DAK) 2022 tablet 123.00 - -
324 Nistatin tablet 500.000 IU APBD (DAK) 2022 tablet 825.00 - -
325 Antihemoroid Supp APBD (DAK) 2022 supp 3,250.00 - -
326 Eritromisin Syr 200 mg/5ml - 60 ml APBD (DAK) 2022 botol 6,462.00 - -
327 Haloperidol tablet 1.5 mg APBD (DAK) 2022 tablet 51.00 - -
Salep 2-4 kombinasi : Asam Salisilat 2% +
329 APBD (DAK) 2022 pot 2,333.00 - -
Belerang endap 4%
333 Cetirizin tablet 10 mg APBD (DAK) 2022 tablet 49.00 - -
334 Domperidon tablet 10 mg APBD (DAK) 2022 tablet 71.00 - -
339 Curcuma Tablet APBD (DAK) 2022 tablet 48,202.00 - -
340 Amoksisilin kaplet 500 mg APBD (DAK) 2022 tablet 202.83 - -
342 Sabun Cuci Tangan 5000 ml APBD (DAK) 2022 Galon 344,320.00 - -
343 Detergent Desinfectant Spray 20 L APBD (DAK) 2022 Galon 2,724,244.00 - -
344 Etakridin (Rivanol) 0,1% APBD (DAK) 2022 botol 7,221.00 - -
345 Etanol larutan 70 % - 100 ml APBD (DAK) 2022 botol 3,256.00 - -
346 Sabun Cuci Tangan 5000 ml (Fresco) APBD (DAK) 2022 Galon 552,200.00 - -
347 Sabun Cuci Tangan 500 ml (Fresco) APBD (DAK) 2022 botol 99,000.00 - -
Enzymax Instrument Cleaner 1000 ml
348 APBD (DAK) 2022 botol 368,500.00 - -
(Fresco)
349 Furosemid inj APBD (DAK) 2022 ampul 931.39 - -
350 - -
351 - -
352 - -
353 - -
354 - -
355 - -
356 - -
357 - -
358 - -
359 - -
360 - -
361 - -
362 - -
363 - -
364 - -
365 - -
366 - -
367 - -
368 - -
369 - -
370 - -
371 - -
372 - -
373 - -
374 - -
375 - -
376 - -
377 - -
378 - -
379 - -
380 - -
381 - -
382 - -
383 - -
384 - -
385 - -
386 - -
387 - -
388 - -
389 - -
390 - -
391 - -
392 - -
393 - -
394 - -
395 - -
396 - -
397 - -
398 - -
399 - -
400 - -
401 - -
402 - -
403 - -
404 - -
405 - -
406 - -
407 - -
408 - -
409 - -
410 - -
411 - -
412 - -
413 - -
414 - -
415 - -
416 - -
417 - -
418 - -
419 - -
420 - -
421 - -
422 - -
423 - -
424 - -
425 - -
426 - -
427 - -
428 - -
429 - -
430 - -
431 - -
432 - -
433 - -
434 - -
435 - -
436 - -
437 - -
438 - -
439 - -
440 - -
441 - -
442 - -
443 - -
444 - -
445 - -
446 - -
447 - -
448 - -
449 - -
450 - -
451 - -
452 - -
453 - -
454 - -
455 - -
456 - -
457 - -
458 - -
459 - -
460 - -
461 - -
462 - -
463 - -
464 - -
465 - -
-
TOTAL HARGA OBAT (APBD) 33,780,487.00
APBD (BTT II)

1 Azitromisin 500 mg tablet APBD (BTT II) 2021 Tablet 1,136.00 - -
2 Multivitamin Tablet (Imusive CD Zink) APBD (BTT II) 2021 Tablet 983.33 - -
3 Obat Batuk Syrup 100 ml (Herbakof) APBD (BTT II) 2021 Botol 12,975.45 - -
4 Obat Flu Tablet (Fluanza Tablet) APBD (BTT II) 2021 Tablet 49.00 - -
5 Remdesivir Inj 100 mg APBD (BTT II) 2021 Vial 290,000.00 - -
6 - -
7 - -
8 - -
-
TOTAL HARGA OBAT (APBD BTT II) -
APBD (BTT III)

1 Multivitamin Tablet (Zegavit) APBD (BTT III) 2020 Tablet 1,800.00 - -
-
TOTAL HARGA OBAT (APBD BTT III) -
APBN
1 Albendazol 400 mg tablet APBN 2021 tablet 431.00 100.00 43,100.00
2 Albendazol 400 mg tablet APBN 2021 tablet 367.00 - -
3 Albendazol 400 mg tablet APBN 2020 tablet 430.00 - -
4 Albendazol Susp 200 mg/5 ml APBN 2021 botol 4,000.00 - -
7 Aluvia (Lovinapir 200 mg / Ritonavir) APBN 2020 tablet 6,600.00 - -
8 Ampisilin Serb Inj 1.000 mg APBN 2022 vial 8,591.00 - -
9 Asam Askorbat (Vit. C) tablet 500 mg APBN 2021 tablet 198.00 - -
10 Asam Askorbat (Vit. C) tablet 500 mg APBN 2020 tablet 198.00 - -
11 Azitromisin tablet 500 mg APBN 2021 tablet 1,778.00 - -
12 Azitromisin tablet 500 mg APBN 2021 tablet 1,250.00 - -
13 Besi kombinasi asam folat tablet APBN 2021 tablet 226.00 70,300 15,887,800.00
14 Besi kombinasi asam folat tablet APBN 2020 tablet 353.00 - -
15 Besi kombinasi asam folat tablet APBN 2022 tablet 226.00 - -
16 Cefixime + Azitromisin Kombipak APBN 2021 paket 31,231.00 - -
17 Cefixime + Azitromisin Kombipak APBN 2020 paket 30,030.00 - -
18 Diptheria Antitoxin Serum (ADS 10.000 UI) APBN 2021 vial 2,618,264.47 - -
19 Duviral (ZDV 300 mg + 3TC 150 mg) APBN 2021 tablet 3,848.00 - -
20 Dizepam Injeksi 5mg/ml APBN 2022 ampul 1,545.00 - -
21 Efavirenz 200 mg (EFV 1) APBN 2020 tablet 3,202.00 - -
25 Epinefrin HCl injeksi 0,1% - 1 ml APBN 2021 ampul 1,515.00 - -
26 Favipiravir tablet 200 mg APBN 2021 tablet 18,260.00 - -
29 Favipiravir tablet 200 mg APBN 2022 tablet 4,333.00 400.00 1,733,200.00
FDC (TDF 300 mg + 3TC 300 mg + DTG 50
30 APBN 2021 tablet 2,794.00 - -
mg)
FDC (TDF 300 mg + 3TC 300 mg + DTG 50
31 APBN 2022 tablet 3,499.00 - -
mg)
FDC (TDF 300 mg + 3TC 300 mg + EFV 600
32 APBN 2021 tablet 6,800.00 - -
mg)
33 FDC (TDF 300 mg + 3TC 300 mg + EFV 600 mgAPBN 2020 tablet 6,800.00 - -
FDC (TDF 300 mg + 3TC 300 mg + EFV 600
34 APBN 2022 tablet 6,800.00 - -
mg)
35 FDC Anak (ABC 120 mg + 3TC 60 mg) APBN 2021 tablet 1,689.00 - -
FDC Anak (ZDV 60 mg + 3TC 30 mg + NVF 50
36 APBN 2020 tablet 741.00 - -
mg)
FDC Anak (ZDV 60 mg + 3TC 30 mg + NVF 50
37 APBN 2019 tablet 741.00 - -
mg)
38 Fenobarbital injeksi 50 mg/ ml APBN 2021 ampul 1,700.00 - -
39 Fenobarbital injeksi 50 mg/ ml APBN 2022 ampul 1,700.00 - -
40 Flukonazol tablet 150 mg APBN 2021 tablet 18,720.00 - -
43 Fluphenazine Decanoat Inj 25 mg/ml APBN 2021 tablet 63,813.00 - -
44 Garam Oralit APBN 2021 sase 257.00 - -
45 Garam Oralit APBN 2020 sase 257.00 5,200.00 1,336,400.00
46 Haloperidol Decanoat Inj 50 mg/ml APBN 2021 tablet 109,000.00 - -
47 Isoniazid tablet 100 mg APBN 2021 tablet 231.00 - -
51 Kotrimosazol tablet 960 mg APBN 2021 tablet 325.00 - -
54 Kolekasiferol (Vitamin D3 1000) APBN 2022 tablet 1,001.00 300.00 300,300.00
55 Kolekasiferol (Vitamin D3 1000) APBN 2022 tablet 634.00 - -
56 Lamivudine 150 mg (3TC) APBN 2021 tablet 1,560.00 - -
57 Lamivudine 150 mg (3TC) APBN 2020 tablet 1,500.00 - -
58 Multivitamin Tablet (Sivit-Zink) APBN 2021 tablet 585.00 - -
59 Natrium Klorida larutan infus 0,9% - 100 ml APBN 2021 botol 7,390.00 - -
60 Nevirapine 200 mg (NVP) APBN 2021 tablet 3,058.00 - -
63 Metronidazol Inf 5mg/ml APBN 2022 botol 5,885.00 - -
64 Obat antituberkulosa FDC kat dosis harian APBN 2021 paket 409,461.00 - -
68 Obat antituberkulosa FDC kat dosis harian APBN 2022 paket -
398,365.00 -
70 Obat antituberkulosa FDC kat. 1 APBN 2021 paket -

415,469.00 -
71 Obat antituberkulosa FDC kat. 1 APBN 2021 paket 415,721.00 - -
72 Obat antituberkulosa FDC kat. 1 APBN 2022 paket 416,696.00 - -

415,721.00 -

1,384,977.00 -
75 Obat antituberkulosa FDC kat. 2 APBN 2020 paket 1,384,977.00 5.00 6,924,885.00
76 Obat antituberkulosa FDC kat. Anak APBN 2021 paket 248,120.00 - -
80 Obat antituberkulosa FDC Kombipak kat. 1 APBN 2019 paket 317,018.00 - -
81 Oseltamivir kapsul APBN 2021 kapsul 8,943.00 - -
87 Piridoksin 25 mg tablet APBN 2021 tablet 222.00 - -
88 Piridoksin 25 mg tablet APBN 2022 tablet 222.00 - -
89 Primetamine Tablet APBN 2021 tablet 26,000.00 - -
90 Remdesivir Inj 100 mg APBN 2021 vial 314,400.00 - -
93 Retinol kapsul lunak 100.000 IU APBN 2021 kapsul 307.00 - -
99 Retinol kapsul lunak 200.000 IU APBN 2022 kapsul 553.00 150.00 82,950.00
100 Suplemen Rhea APBN 2021 botol 275,000.00 - -
101 Diptheria Antitoxin Serum (ADS 10.000 UI) APBN 2022 vial 1,208,000.00 - -
102 Tenofovir 300 mg (TDF) APBN 2021 tablet 8,424.00 - -
105 Trihexifenidril Hidroksida tablet 2 mg APBN 2021 tablet 91.00 - -
106 Zidovudine 100 mg (ZDV) APBN 2021 tablet 1,768.00 - -
110 Zink tablet 200 mg dispersible APBN 2021 tablet 524.00 - -
111 Zink tablet 200 mg dispersible APBN 2020 tablet 524.00 - -
Rifampisin tablet 75 mg + Isoniazid tablet 50
112 APBN 2022 tablet 799.00 - -
mg
Isoniazid tablet 300 mg + Rifapentin tablet
113 APBN 2022 tablet 6,524.00 - -
300 mg
115 - -
116 - -
117 - -
118 - -
119 - -
120 - -
121 - -
122 - -
123 - -
124 - -
125 - -
126 - -
127 - -
128 - -
129 - -
130 - -
131 - -
132 - -
133 - -
134 - -
135 - -
-
TOTAL HARGA OBAT (APBN) 26,308,635.00
DONASI
1 Ambroxol Hydrochloride Tab DONASI 2020 Tablet 137.70 - -
2 Asam Askorbat (Vit. C) 250 mg tablet DONASI 2021 Tablet 120.00 - -
3 Etadryl Expectorant Syr DONASI 2020 Botol 4,640.00 - -
4 Metilprednisolon 4 mg tablet DONASI 2020 Tablet 143.00 - -
5 - -
6 - -
7 - -
-
TOTAL HARGA OBAT (DONASI) -
TOTAL HARGA OBAT 60,089,122.00
VAKSIN
APBD
1 Vaksin Anti Rabies (VAR) Verorab APBD 2020 vial 165,000.00 - -
2 Vaksin Rabies Inj 2,5 iu APBD (DAK) 2021 vial 153,000.00 - -
3 - -
-
TOTAL HARGA VAKSIN (APBD) -
APBN
1 Vaksin BCG APBN 2020 vial 66,154.00 - -
2 Vaksin BCG APBN 2021 vial 66,154.00 11 727,694.00
4 Vaksin DPT HIB APBN 2020 vial 84,282.00 - -
6 Vaksin DPT HIB APBN 2021 vial 85,103.00 18 1,531,854.00
9 Vaksin DT APBN 2019 vial 19,195.00 - -
10 Vaksin DT APBN 2021 vial 19,195.00 - -
11 Vaksin HB Uniject APBN 2020 vial 25,597.00 - -
14 Vaksin HB Uniject APBN 2022 vial 25,839.00 33 852,687.00
15 Vaksin Hepatitis B Immunoglobulin (HBIg) APBN 2020 vial 1,325,000.00 - -
18 Vaksin Meningitis APBN 2020 vial 135,000.00 - -
19 Vaksin Meningitis APBN 2021 vial 135,000.00 - -
20 Vaksin Meningitis APBN 2022 vial - - -
21 Vaksin MR APBN 2020 vial 166,265.00 - -
22 Vaksin MR APBN 2021 vial 166,265.00 18 2,992,770.00
23 Vaksin MR APBN 2022 vial 167,860.00 - -
24 Vaksin PCV APBN 2021 vial 3,400,000.00 - -
25 Vaksin Polio (BOPV) APBN 2020 vial 21,285.00 - -
27 Vaksin Polio (BOPV) APBN 2021 vial 21,494.00 23 494,362.00
29 Vaksin Polio (IPV 5 ds) APBN 2020 vial 144,540.00 - -
30 Vaksin Polio (IPV 5 ds) APBN 2021 vial 144,540.00 - -
31 Vaksin Polio (IPV 5 ds) APBN 2022 vial 158,994.00 10 1,589,940.00
32 Vaksin TD APBN 2020 vial 18,128.00 - -
36 Vaksin Tuberkulin APBN 2021 vial 625,800.00 - -
37 Vaksin Tuberkulin APBN 2022 vial 625,800.00 - -
38 Vaksin VAR APBN 2021 vial 165,000.00 - -
39 Vaksin VAR APBN 2022 vial 153,000.00 - -
41 - -
42 - -
43 - -
44 - -
45 - -
46 - -
47 - -
48 - -
49 - -
50 - -
-
TOTAL HARGA VAKSIN (APBN) 8,189,307.00
JUMLAH TOTAL HARGA VAKSIN 8,189,307.00
BAHAN BAKU OBAT TRADISIONAL

APBD
1 Daun Seledri APBD 2021 kg 24,970.00 - -
2 Jahe Merah APBD 2021 kg 68,750.00 - -
3 Kencur APBD 2021 kg 80,960.00 - -
4 Kunyit APBD 2021 kg 9,955.00 - -
5 Plastik Pengemas (Obat Tradisional) APBD 2021 kg 55,000.00 - -
6 Temulawak APBD 2021 kg 29,975.00 - -
JUMLAH HARGA BAHAN BAKU OBAT

-
TRADISIONAL (APBD)
JUMLAH TOTAL HARGA 68,278,429.00

LAPORAN PERSEDIAAN OBAT & PERBEKKES
PUSKESMAS RANCABALI
PER 30 MEI 2022
Nama Barang/Jenis Barang Stok Akhir April 2022 Penggunaan Barang Sisa Barang
NO Satuan Barang Tahun Pengadaan /Pembelian Ket
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga
1 2 3 4 5 6 7 = (5 x 6) 8 9 10 = (8 x 9) 11 = (5 + 8) 12 = (7 + 10) 13 14 15 = (13 x 14) 16 = (11 - 13) 17 = (12 -15) 18
OBAT
APBD
1 Acetylcystein 200 mg kapsul APBD (DAK) 2020 382.00 - 382.00 - - - 382.00 - - -
2 Acetylcystein 200 mg tablet APBD (DAK) 2021 301.00 - 301.00 - - - 301.00 - - -
3 Alopurinol tablet 100 mg tablet APBD (DAK) 2021 4,500 87.00 391,500.00 2,000 87.00 174,000.00 6,500 565,500.00 200 87.00 17,400.00 6,300 548,100.00
4 Alopurinol tablet 100 mg tablet APBD (DAK) 2022 87.79 - 87.79 - - - 87.79 - - -
5 Aminofillin 200 mg tablet tablet APBD (DAK) 2019 95.00 - 95.00 - - - 95.00 - - -
6 Aminofillin Inj 24 mg/ml ampul APBD (DAK) 2021 10 2,704.00 27,040.00 2,704.00 - 10 27,040.00 2,704.00 - 10 27,040.00
7 Amitriptilin tablet 25 mg tablet APBD (DAK) 2018 167.00 - 167.00 - - - 167.00 - - -
8 Amlodipine Tab 10 mg tablet APBD (DAK) 2020 99.00 - 99.00 - - - 99.00 - - -
10 Amlodipine Tab 10 mg tablet APBD 2020 9,000 99.00 891,000.00 5,400 99.00 534,600.00 14,400 1,425,600.00 6,000 99.00 594,000.00 8,400 831,600.00
12 Amlodipine Tab 5 mg tablet APBD (DAK) 2021 5,100 53.00 270,300.00 6,000 53.00 318,000.00 11,100 588,300.00 1,200 53.00 63,600.00 9,900 524,700.00
13 Amlodipine Tab 5 mg tablet APBD 2020 75.00 - 75.00 - - - 75.00 - - -
15 Amoksisilin kaplet 500 mg tablet APBD (DAK) 2020 249.00 - 249.00 - - - 249.00 - - -
16 Amoksisilin kaplet 500 mg tablet APBD (DAK) 2021 15,500 201.00 3,115,500.00 12,000 201.00 2,412,000.00 27,500 5,527,500.00 5,300 201.00 1,065,300.00 22,200 4,462,200.00
17 Amoksisilin kapsul 250 mg kapsul APBD (DAK) 2019 196.00 - 196.00 - - - 196.00 - - -
18 Amoksisilin Sirup 125 mg / 5 ml botol APBD (DAK) 2021 250 2,050.00 512,500.00 400 2,050.00 820,000.00 650 1,332,500.00 210 2,050.00 430,500.00 440 902,000.00
19 Amoksisilin Sirup Forte 250 mg / 5 ml botol APBD (DAK) 2019 3,628.00 - 3,628.00 - - - 3,628.00 - - -
20 Antasida DOEN suspensi botol APBD (DAK) 2020 100 2,129.00 212,900.00 2,129.00 - 100 212,900.00 81 2,129.00 172,449.00 19 40,451.00
21 Antasida DOEN suspensi botol APBD (DAK) 2021 1,679.00 - 400 1,679.00 671,600.00 400 671,600.00 1,679.00 - 400 671,600.00
22 Antasida DOEN suspensi botol APBD 2020 2,129.00 - 2,129.00 - - - 2,129.00 - - -
23 Antasida DOEN tablet tablet APBD (DAK) 2020 2,000 58.00 116,000.00 6,000 58.00 348,000.00 8,000 464,000.00 58.00 - 8,000 464,000.00
24 Antasida DOEN tablet tablet APBD (DAK) 2021 54.00 - 54.00 - - - 54.00 - - -
25 Antifungi Doen pot APBD (DAK) 2019 24 4,496.00 107,904.00 4,496.00 - 24 107,904.00 4,496.00 - 24 107,904.00
26 Antifungi Doen pot APBD (DAK) 2020 4,798.00 - 4,798.00 - - - 4,798.00 - - -
28 Antihemoroid Supp supp APBD (DAK) 2020 3,167.00 - 3,167.00 - - - 3,167.00 - - -
29 Antihemoroid Supp supp APBD (DAK) 2021 60 3,250.00 195,000.00 100 3,250.00 325,000.00 160 520,000.00 30 3,250.00 97,500.00 130 422,500.00
30 Aquabidest (Aqua Pro Inject) 20 ml ampul APBD (DAK) 2020 140 2,449.00 342,860.00 2,449.00 - 140 342,860.00 2,449.00 - 140 342,860.00
31 Aquabidest (Aqua Pro Inject) 20 ml vial APBD (DAK) 2021 1,932.00 - 1,932.00 - - - 1,932.00 - - -
32 Asam Asetil Salisilat (Asetosal) Tablet 80 mg tablet APBD (DAK) 2019 105.00 - 105.00 - - - 105.00 - - -
34 Asam Asetil Salisilat (Asetosal) Tablet 80 mg tablet APBD (DAK) 2021 89.00 - 100 89.00 8,900.00 100 8,900.00 89.00 - 100 8,900.00
35 Asam Askorbat (Vit. C) tablet 50 mg tablet APBD (DAK) 2020 105.00 - 105.00 - - - 105.00 - - -
36 Asam Askorbat (Vit. C) tablet 50 mg tablet APBD (DAK) 2021 13,600 42.00 571,200.00 42.00 - 13,600 571,200.00 42.00 - 13,600 571,200.00
37 tablet APBD (DAK) 2021 1,900 225.00 427,500.00 2,000 225.00 450,000.00 3,900 877,500.00 1,600 225.00 360,000.00 2,300 517,500.00
38 Asam Folat 1 mg tablet tablet APBD (DAK) 2020 75.00 - 75.00 - - - 75.00 - - -
40 Asam Mefenamat tablet 500 mg tablet APBD (DAK) 2021 111.00 - 111.00 - - - 111.00 - - -
41 Asam Mefenamat tablet 500 mg tablet APBD 2019 321.20 - 321.20 - - - 321.20 - - -
44 Asiklovir tablet 400 mg tablet APBD (DAK) 2020 1,750 405.00 708,750.00 405.00 - 1,750 708,750.00 400 405.00 162,000.00 1,350 546,750.00
45 Asiklovir tablet 400 mg tablet APBD (DAK) 2021 407.00 - 407.00 - - - 407.00 - - -
46 Atropin injeksi 0,25 mg/ml tablet APBD (DAK) 2021 1,718.00 - 1,718.00 - - - 1,718.00 - - -
47 Atropin injeksi 0,25 mg/ml ampul APBD 2020 1,639.00 - 1,639.00 - - - 1,639.00 - - -
48 Azitromisin tablet 500 mg tablet APBD (DAK) 2020 1,778.00 - 1,778.00 - - - 1,778.00 - - -
49 Azitromisin tablet 500 mg tablet APBD (DAK) 2021 320 1,250.00 400,000.00 1,250.00 - 320 400,000.00 20 1,250.00 25,000.00 300 375,000.00
50 Azitromisin tablet 500 mg tablet APBD 2019 1,778.00 - 1,778.00 - - - 1,778.00 - - -
51 Bedak Salisil kotak APBD 2019 20 4,510.00 90,200.00 4,510.00 - 20 90,200.00 4,510.00 - 20 90,200.00
52 Betametason krim 0.1 % tube APBD (DAK) 2020 1,430.00 - 1,430.00 - - - 1,430.00 - - -
53 Betametason krim 0.1 % tube APBD (DAK) 2021 75 1,540.00 115,500.00 150 1,540.00 231,000.00 225 346,500.00 104 1,540.00 160,160.00 121 186,340.00
54 Cefadroxil Dry Syrup 125 mg/5 ml botol APBD (DAK) 2021 3,800.00 - 3,800.00 - - - 3,800.00 - - -
55 Cefadroxil Dry Syrup 125 mg/5 ml botol APBD 2020 5,549.00 - 5,549.00 - - - 5,549.00 - - -
56 Cetirizin tablet 10 mg tablet APBD (DAK) 2021 49.00 - 49.00 - - - 49.00 - - -
57 Deksametason Injeksi 5 mg/ml ampul APBD (DAK) 2019 20 1,097.00 21,940.00 1,097.00 - 20 21,940.00 10 1,097.00 10,970.00 10 10,970.00
58 Deksametason Injeksi 5 mg/ml ampul APBD (DAK) 2021 80 924.00 73,920.00 924.00 - 80 73,920.00 924.00 - 80 73,920.00
59 Deksametason tablet 0,5 mg tablet APBD 2019 74.80 - 74.80 - - - 74.80 - - -
60 Diazepam Injeksi 5 mg/ml ampul APBD (DAK) 2020 1,735.00 - 10 1,735.00 17,350.00 10 17,350.00 1,735.00 - 10 17,350.00
61 Diazepam Rectal 10 mg Supp APBD (DAK) 2020 18,279.00 - 18,279.00 - - - 18,279.00 - - -
62 Diazepam Rectal 10 mg tube APBD 2020 9 18,279.00 164,511.00 18,279.00 - 9 164,511.00 18,279.00 - 9 164,511.00
63 Diazepam Rectal 5 mg Supp APBD (DAK) 2020 6 12,573.00 75,438.00 12,573.00 - 6 75,438.00 12,573.00 - 6 75,438.00
64 Diazepam tablet 2 mg tablet APBD (DAK) 2020 200 86.00 17,200.00 86.00 - 200 17,200.00 86.00 - 200 17,200.00
65 Diazepam tablet 2 mg tablet APBD (DAK) 2021 70.00 - 70.00 - - - 70.00 - - -
66 Digoksin tablet 0,25 mg tablet APBD 2020 104.00 - 104.00 - - - 104.00 - - -
67 Diphenydramin HCl Inj ampul APBD (DAK) 2019 62 1,095.00 67,890.00 1,095.00 - 62 67,890.00 2 1,095.00 2,190.00 60 65,700.00
68 Diphenydramin HCl Inj ampul APBD (DAK) 2020 1,095.00 - 1,095.00 - - - 1,095.00 - - -
69 Diptheria Antitoxin Serum (ADS 10.000 UI) vial APBD (DAK) 2020 2,618,264.47 - 2,618,264.47 - - - 2,618,264.47 - - -
70 Doksisiklin Kapsul 100 mg kapsul APBD (DAK) 2020 280.00 - 280.00 - - - 280.00 - - -
73 Domperidon Syr 5 mg/5 ml botol APBD (DAK) 2021 2,296.00 - 2,296.00 - - - 2,296.00 - - -
74 Domperidon tablet 10 mg tablet APBD (DAK) 2020 1,700 91.00 154,700.00 91.00 - 1,700 154,700.00 91.00 - 1,700 154,700.00
75 Domperidon tablet 10 mg tablet APBD (DAK) 2021 71.00 - 71.00 - - - 71.00 - - -
76 Epinefrin HCl injeksi 0,1% - 1 ml ampul APBD 2020 1,408.00 - 1,408.00 - - - 1,408.00 - - -
77 Ergotamin Kofein tab tablet APBD 2018 173.00 - 173.00 - - - 173.00 - - -
78 botol APBD 2019 12,870.00 - 12,870.00 - - - 12,870.00 - - -
79 Eritromisin Syr 200 mg/5ml - 60 ml botol APBD (DAK) 2021 6,462.00 - 6,462.00 - - - 6,462.00 - - -
80 Eritromisin kapsul 250 mg kapsul APBD 2019 583.00 - 583.00 - - - 583.00 - - -
81 Etanol larutan 70 % - 1000 ml botol APBD (DAK) 2020 10 18,700.00 187,000.00 18,700.00 - 10 187,000.00 8 18,700.00 149,600.00 2 37,400.00
82 Etanol larutan 70 % - 1000 ml botol APBD (DAK) 2022 23,595.00 - 23,595.00 - - - 23,595.00 - - -
83 Eugenol 10 ml btl APBD (DAK) 2019 20,087.00 - 20,087.00 - - - 20,087.00 - - -
85 Extradine 5 L Galon APBD 2019 475,200.00 - 475,200.00 - - - 475,200.00 - - -
86 Fenobarbital injeksi 50 mg/ ml ampul APBD 2020 1,982.00 - 1,982.00 - - - 1,982.00 - - -
87 Fenobarbital tablet 30 mg tablet APBD (DAK) 2019 171.00 - 171.00 - - - 171.00 - - -
88 Fenobarbital tablet 30 mg tablet APBD (DAK) 2021 140 182.00 25,480.00 182.00 - 140 25,480.00 182.00 - 140 25,480.00
89 Fenol Gliserol 10% Tetes Telinga botol APBD (DAK) 2021 3,300.00 - 3,300.00 - - - 3,300.00 - - -
90 Fenol Gliserol 10% Tetes Telinga botol APBD 2019 2,764.00 - 2,764.00 - - - 2,764.00 - - -
91 Fitomenadion ( Vit K) injeksi 2 mg/ml ampul APBD (DAK) 2020 3,682.00 - 3,682.00 - - - 3,682.00 - - -
92 Fitomenadion ( Vit K) injeksi 2 mg/ml ampul APBD (DAK) 2021 1,386.00 - 120 1,386.00 166,320.00 120 166,320.00 1,386.00 - 120 166,320.00
93 Fitomenadion (Vit. K) tablet 10 mg tablet APBD (DAK) 2020 758.00 - 758.00 - - - 758.00 - - -
94 Fitomenadion (Vit. K) tablet 10 mg tablet APBD (DAK) 2021 600 748.00 448,800.00 748.00 - 600 448,800.00 300 748.00 224,400.00 300 224,400.00
95 Fitomenadion (Vit. K) tablet 10 mg tablet APBD 2020 758.00 - 758.00 - - - 758.00 - - -
96 Flukonazol tablet 150 mg tablet APBD 2019 18,720.00 - 18,720.00 - - - 18,720.00 - - -
97 Furosemid 40 mg tablet APBD (DAK) 2019 77.00 - 77.00 - - - 77.00 - - -
98 Furosemid 40 mg tablet APBD 2018 77.00 - 77.00 - - - 77.00 - - -
99 Furosemid 40 mg tablet APBD 2020 1,000 82.00 82,000.00 82.00 - 1,000 82,000.00 600 82.00 49,200.00 400 32,800.00
100 Garam Oralit sachet APBD (DAK) 2020 300 274.00 82,200.00 274.00 - 300 82,200.00 300 274.00 82,200.00 - -
101 Garam Oralit sase APBD 2019 257.00 - 257.00 - - - 257.00 - - -
102 Gentamisin salep mata tube APBD (DAK) 2019 78 2,675.00 208,650.00 2,675.00 - 78 208,650.00 2,675.00 - 78 208,650.00
103 Gentamisin salep mata tube APBD (DAK) 2020 2,675.00 - 2,675.00 - - - 2,675.00 - - -
105 Gentamisin Sulfat Salep Kulit tube APBD 2019 3,905.00 - 3,905.00 - - - 3,905.00 - - -
106 Gentamisin tetes mata tube APBD (DAK) 2021 4,520.00 - 4,520.00 - - - 4,520.00 - - -
107 Gentamisin tetes mata tube APBD 2018 4,232.00 - 4,232.00 - - - 4,232.00 - - -
108 Glibenclamide 5 mg tablet tablet APBD (DAK) 2019 2,100 119.00 249,900.00 119.00 - 2,100 249,900.00 1,100 119.00 130,900.00 1,000 119,000.00
109 Glibenclamide 5 mg tablet tablet APBD (DAK) 2021 83.00 - 83.00 - - - 83.00 - - -
110 Glimepirid 1 mg tablet APBD (DAK) 2021 93.00 - 93.00 - - - 93.00 - - -
111 Glimepirid 1 mg tablet APBD 2020 174.00 - 174.00 - - - 174.00 - - -
112 Glimepirid 2 mg tablet APBD 2020 6,000 207.00 1,242,000.00 207.00 - 6,000 1,242,000.00 207.00 - 6,000 1,242,000.00
113 Glimepirid 2 mg tablet APBD (DAK) 2022 124.12 - 3,000 124.12 372,360.60 3,000 372,360.60 700 124.12 86,884.14 2,300 285,476.46
114 Gluconas calcicus 10% - 10 ml ampul APBD (DAK) 2019 10,351.00 - 10,351.00 - - - 10,351.00 - - -
116 Gluconas calcicus 10% - 10 ml ampul APBD (DAK) 2021 168 5,723.00 961,464.00 5,723.00 - 168 961,464.00 48 5,723.00 274,704.00 120 686,760.00
118 Glukosa infus 5% - 500 ml botol APBD (DAK) 2021 20 6,627.00 132,540.00 20 6,627.00 132,540.00 40 265,080.00 6,627.00 - 40 265,080.00
119 Griseofulvin 125 mg tablet APBD (DAK) 2020 224.00 - 224.00 - - - 224.00 - - -
121 Griseofulvin 125 mg tablet APBD 2019 224.00 - 224.00 - - - 224.00 - - -
122 Haloperidol tablet 0,5 mg tablet APBD 2020 55.00 - 55.00 - - - 55.00 - - -
123 Haloperidol tablet 1.5 mg tablet APBD (DAK) 2020 209 59.00 12,331.00 59.00 - 209 12,331.00 59.00 - 209 12,331.00
124 Haloperidol tablet 1.5 mg tablet APBD 2020 59.00 - 59.00 - - - 59.00 - - -
125 Haloperidol tablet 5 mg tablet APBD (DAK) 2021 54.00 - 54.00 - - - 54.00 - - -
126 Haloperidol tablet 5 mg tablet APBD 2020 120 60.00 7,200.00 60.00 - 120 7,200.00 60.00 - 120 7,200.00
127 Hidroklortiazid tablet 25 mg table APBD (DAK) 2020 1,200 155.00 186,000.00 155.00 - 1,200 186,000.00 300 155.00 46,500.00 900 139,500.00
128 Hidroklortiazid tablet 25 mg tablet APBD (DAK) 2021 148.00 - 148.00 - - - 148.00 - - -
129 Hidrokortison krim 2,5% tube APBD (DAK) 2019 2,475.00 - 2,475.00 - - - 2,475.00 - - -
130 Hidrokortison krim 2,5% tube APBD (DAK) 2020 120 2,475.00 297,000.00 268 2,475.00 663,300.00 388 960,300.00 109 2,475.00 269,775.00 279 690,525.00
132 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml botol APBD (DAK) 2021 38 3,200.00 121,600.00 60 3,200.00 192,000.00 98 313,600.00 37 3,200.00 118,400.00 61 195,200.00
133 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml botol APBD 2018 4,465.00 - 4,465.00 - - - 4,465.00 - - -
134 Imunodilator (Stimuno Forte Kapsul) kapsul APBD 2021 1,763.00 - 1,763.00 - - - 1,763.00 - - -
135 Imunodilator (Stimuno Forte Kapsul) kapsul APBD 2021 120 1,939.30 232,716.00 1,939.30 - 120 232,716.00 60 1,939.30 116,358.00 60 116,358.00
136 Imunodilator (Stimuno Forte Kapsul) kapsul APBD (DAK) 2022 1,763.96 - 1,763.96 - - - 1,763.96 - - -
137 Imunodilator sirup (Stimuno Sirup) kapsul APBD (DAK) 2022 25,562.00 - 25,562.00 - - - 25,562.00 - - -
138 Isoniazid tablet 300 mg tablet APBD (DAK) 2021 150.00 - 150.00 - - - 150.00 - - -
139 Isosorbid Dinitrat tablet 5 mg tablet APBD (DAK) 2021 86.00 - 86.00 - - - 86.00 - - -
140 Kalsium lactat 500 mg tablet APBD (DAK) 2021 9,500 60.00 570,000.00 60.00 - 9,500 570,000.00 100 60.00 6,000.00 9,400 564,000.00
141 Kalsium lactat 500 mg tablet APBD 2020 63.00 - 5,000 63.00 315,000.00 5,000 315,000.00 63.00 - 5,000 315,000.00
142 Kaptopril tablet 12.5 mg tablet APBD (DAK) 2018 5,900 62.00 365,800.00 62.00 - 5,900 365,800.00 62.00 - 5,900 365,800.00
143 Kaptopril tablet 12.5 mg tablet APBD (DAK) 2019 62.00 - 62.00 - - - 62.00 - - -
145 Kaptopril tablet 25 mg tablet APBD (DAK) 2021 75.00 - 75.00 - - - 75.00 - - -
146 Karbamazepin 200 mg tablet tablet APBD (DAK) 2021 4,360 189.00 824,040.00 1,000 189.00 189,000.00 5,360 1,013,040.00 460 189.00 86,940.00 4,900 926,100.00
147 Karbamazepin 200 mg tablet tablet APBD 2020 245.00 - 245.00 - - - 245.00 - - -
148 Ketoconazole 200 mg tablet APBD (DAK) 2020 288.00 - 288.00 - - - 288.
192 tablet APBD (DAK) 2022 102.93 - 102.93 - - - 102.93 - - -
193 Metilergometrin maleat injeksi 0,2 mg/ml ampul APBD (DAK) 2020 2,959.00 - 2,959.00 - - - 2,959.00 - - -
194 Metilergometrin maleat injeksi 0,2 mg/ml ampul APBD (DAK) 2021 1,023.00 - 25 1,023.00 25,575.00 25 25,575.00 1,023.00 - 25 25,575.00
195 Metilprednisolon 4 mg tablet tablet APBD (DAK) 2022 200 102.93 20,586.06 3,000 102.93 308,790.90 3,200 329,376.96 2,400 102.93 247,032.72 800 82,344.24
196 Metoklorpramid 10 mg tablet tablet APBD (DAK) 2020 600 85.00 51,000.00 85.00 - 600 51,000.00 100 85.00 8,500.00 500 42,500.00
197 Metoklorpramid 10 mg tablet tablet APBD (DAK) 2021 66.00 - 66.00 - - - 66.00 - - -
198 Metronidazole 500 mg tablet APBD (DAK) 2021 133.00 - 133.00 - - - 133.00 - - -
199 Metronidazole 500 mg tablet APBD 2019 233.20 - 233.20 - - - 233.20 - - -
200 Metronidazole Syrup btl APBD (DAK) 2019 3,950.00 - 3,950.00 - - - 3,950.00 - - -
201 Metronidazole Syrup botol APBD (DAK) 2020 3,950.00 - 3,950.00 - - - 3,950.00 - - -
202 Mikonazol krim 2 % tube APBD (DAK) 2020 216 3,414.00 737,424.00 3,414.00 - 216 737,424.00 13 3,414.00 44,382.00 203 693,042.00
203 Mikonazol krim 2 % tube APBD (DAK) 2021 1,900.00 - 1,900.00 - - - 1,900.00 - - -
204 Multivitamin Syr 60 ml botol APBD 2020 17,365.70 - 17,365.70 - - - 17,365.70 - - -
205 Multivitamin Syrup (Lyscavit Syr 60 ml) botol APBD 2021 7,738.50 - 7,738.50 - - - 7,738.50 - - -
206 Multivitamin Tablet (Arkavit C + DEZ) tablet APBD 2021 1,316.66 - 1,316.66 - - - 1,316.66 - - -
207 Multivitamin Tablet (Pehavral) tablet APBD 2020 982.82 - 982.82 - - - 982.82 - - -
208 Multivitamin Tablet (Pritavit) tablet APBD 2020 990.00 - 990.00 - - - 990.00 - - -
209 Natrium Diklofenak 50 mg tablet APBD (DAK) 2020 2,000 123.00 246,000.00 2,000 123.00 246,000.00 4,000 492,000.00 1,300 123.00 159,900.00 2,700 332,100.00
210 Natrium Diklofenak 50 mg tablet APBD (DAK) 2021 99.00 - 99.00 - - - 99.00 - - -
212 Natrium Klorida larutan infus 0,9% - 500 ml botol APBD (DAK) 2021 80 6,800.00 544,000.00 40 6,800.00 272,000.00 120 816,000.00 6,800.00 - 120 816,000.00
213 Natrium Klorida larutan infus 0,9% - 500 ml botol APBD 2020 6,840.00 - 6,840.00 - - - 6,840.00 - - -
214 Nistatin tablet 500.000 IU tablet APBD (DAK) 2020 500 843.00 421,500.00 843.00 - 500 421,500.00 843.00 - 500 421,500.00
215 Nistatin tablet 500.000 IU tablet APBD (DAK) 2021 825.00 - 825.00 - - - 825.00 - - -
216 Nistatin tablet 500.000 IU APBD 2019 843.00 - 843.00 - - - 843.00 - - -
217 Nistatin tablet vaginal 100.000 IU tablet vaginal APBD (DAK) 2020 598.00 - 598.00 - - - 598.00 - - -
218 Nistatin tablet vaginal 100.000 IU tablet vaginal APBD (DAK) 2021 240 550.00 132,000.00 550.00 - 240 132,000.00 550.00 - 240 132,000.00
219 Obat Antidiare Nonspesifik Tablet 600 mg tablet APBD 2020 220.00 - 220.00 - - - 220.00 - - -
220 Obat Antidiare Nonspesifik Tablet 600 mg (Akita) tablet APBD 2021 275.00 - 275.00 - - - 275.00 - - -
221 Obat Flu Syrup botol APBD 2021 9,812.00 - 9,812.00 - - - 9,812.00 - - -
222 Obat Flu Syrup (Calorex Syr) 60 ml botol APBD 2020 11,000.00 - 11,000.00 - - - 11,000.00 - - -
223 Obat Flu Tablet (Flutamol) tablet APBD 2020 440.00 - 440.00 - - - 440.00 - - -
224 Obat Flu Tablet (Molex Flu) tablet APBD 2019 440.00 - 440.00 - - - 440.00 - - -
225 Obat Flu Tablet (Molexflu) tablet APBD 2021 799.54 - 799.54 - - - 799.54 - - -
226 Oksitetrasiklin Salep Kulit tube APBD 2020 1,813.90 - 1,813.90 - - - 1,813.90 - - -
227 Oksitetrasiklin Salep Mata 1% tube APBD (DAK) 2018 2,500.00 - 2,500.00 - - - 2,500.00 - - -
229 Oksitosin injeksi 10 IU/ml ampul APBD (DAK) 2020 1,199.00 - 1,199.00 - - - 1,199.00 - - -
230 Oksitosin injeksi 10 IU/ml tablet APBD (DAK) 2021 100 1,126.00 112,600.00 100 1,126.00 112,600.00 200 225,200.00 1,126.00 - 200 225,200.00
231 Oksitosin injeksi 10 IU/ml ampul APBD 2020 1,199.00 - 1,199.00 - - - 1,199.00 - - -
232 Omeprazol kapsul 20 mg kapsul APBD (DAK) 2021 474 129.00 61,146.00 129.00 - 474 61,146.00 474 129.00 61,146.00 - -
233 Parasetamol Drops 100 mg/ml - 15 ml botol APBD (DAK) 2021 40 4,976.00 199,040.00 4,976.00 - 40 199,040.00 16 4,976.00 79,616.00 24 119,424.00
234 Parasetamol sirup 120 mg / 5 ml botol APBD (DAK) 2020 300 1,181.00 354,300.00 1,000 1,181.00 1,181,000.00 1,300 1,535,300.00 1,181.00 - 1,300 1,535,300.00
235 Parasetamol sirup 120 mg/ 5 ml botol APBD (DAK) 2019 1,107.00 - 1,107.00 - - - 1,107.00 - - -
237 Parasetamol tablet 500 mg tablet APBD (DAK) 2019 113.30 - 113.30 - - - 113.30 - - -
238 Parasetamol tablet 500 mg tablet APBD 2021 13,000 143.00 1,859,000.00 10,000 143.00 1,430,000.00 23,000 3,289,000.00 7,000 143.00 1,001,000.00 16,000 2,288,000.00
239 Parasetamol tablet 500 mg (Metamol tablet) tablet APBD 2020 - 200.20 - - - 200.20 - - -
200.20
240 Permetrin Krim 5% tablet APBD (DAK) 2022 90 11,351.97 1,021,677.30 11,351.97 - 90 1,021,677.30 11,351.97 - 90 1,021,677.30
241 Piridoksin 10 mg tablet tablet APBD (DAK) 2020 6,000 131.00 786,000.00 131.00 - 6,000 786,000.00 300 131.00 39,300.00 5,700 746,700.00
242 Povidon iodida 10% larutan - 30 ml botol APBD (DAK) 2020 2,862.50 - 2,862.50 - - - 2,862.50 - - -
243 Povidon iodida 10% larutan - 30 ml botol APBD 2019 2,900.00 - 2,900.00 - - - 2,900.00 - - -
245 Povidon iodida 10% larutan - 1.000 ml botol APBD (DAK) 2022 1 56,277.00 56,277.00 56,277.00 - 1 56,277.00 56,277.00 - 1 56,277.00
246 Prednison 5mg tablet APBD (DAK) 2020 73.00 - 73.00 - - - 73.00 - - -
248 Premetrin 5% krim tube APBD (DAK) 2021 11,351.97 - 11,351.97 - - - 11,351.97 - - -
249 Propanolol tablet 10 mg tablet APBD (DAK) 2018 54.00 - 54.00 - - - 54.00 - - -
250 Propanolol tablet 10 mg tablet APBD (DAK) 2021 370 56.00 20,720.00 56.00 - 370 20,720.00 56.00 - 370 20,720.00
251 Ranitidine 25 mg/ ml Injeksi ampul APBD (DAK) 2020 1,188.00 - 1,188.00 - - - 1,188.00 - - -
252 Ranitidine tablet 150 mg tablet APBD (DAK) 2019 112.00 - 112.00 - - - 112.00 - - -
254 Ranitidine tablet 150 mg tablet APBD (DAK) 2021 2,000 85.00 170,000.00 5,000 85.00 425,000.00 7,000 595,000.00 85.00 - 7,000 595,000.00
256 Retinol kapsul lunak 100.000 IU kapsul APBD (DAK) 2019 288.00 - 288.00 - - - 288.00 - - -
257 Ringer Laktat larutan infus - 500 ml botol APBD (DAK) 2020 80 7,630.00 610,400.00 60 7,630.00 457,800.00 140 1,068,200.00 60 7,630.00 457,800.00 80 610,400.00
258 Ringer Laktat larutan infus - 500 ml botol APBD (DAK) 2020 7,632.81 - 7,632.81 - - - 7,632.81 - - -
260 Riperidone tablet 1 mg tablet APBD (DAK) 2021 102.00 - 102.00 - - - 102.00 - - -
261 Riperidone tablet 1 mg tablet APBD (Dak) 2022 113.22 - 113.22 - - - 113.22 - - -
263 Riperidone tablet 2 mg tablet APBD 2018 273.00 - 273.00 - - - 273.00 - - -
266 Sabun Cuci Tangan 5 L botol APBD (DAK) 2021 344,320.00 - 344,320.00 - - - 344,320.00 - - -
267 Sabun Cuci Tangan 500 ml botol APBD (DAK) 2021 21 37,932.00 796,572.00 37,932.00 - 21 796,572.00 37,932.00 - 21 796,572.00
268 Salbutamol 2 mg tablet tablet APBD (DAK) 2019 3,290 67.00 220,430.00 67.00 - 3,290 220,430.00 390 67.00 26,130.00 2,900 194,300.00
269 Salbutamol 2 mg tablet tablet APBD (DAK) 2020 67.00 - 67.00 - - - 67.00 - - -
271 Salbutamol 2 mg tablet tablet APBD 2019 67.00 - 67.00 - - - 67.00 - - -
272 Salbutamol 4 mg tablet tablet APBD (DAK) 2021 400 63.00 25,200.00 63.00 - 400 25,200.00 63.00 - 400 25,200.00
273 Salbutamol Nebules 2,5mg (Combivent) ampul APBD (DAK) 2020 4,550.00 - 4,550.00 - - - 4,550.00 - - -
274 Salbutamol Nebules 1ml / 2,5mg ampul APBD (DAK) 2022 5,328.00 - 5,328.00 - - - 5,328.00 - - -
275 pot APBD (DAK) 2020 2,797.00 - 2,797.00 - - - 2,797.00 - - -
276 pot APBD (DAK) 2021 1,410.00 - 1,410.00 - - - 1,410.00 - - -
277 Scabimite Cream (Premetrin 5% krim) tube APBD 2020 23 11,825.00 271,975.00 11,825.00 - 23 271,975.00 23 11,825.00 271,975.00 - -
278 Serum Anti Bisa Ular (ABU) I Injeksi ampul APBD (DAK) 2021 517,132.00 - 517,132.00 - - - 517,132.00 - - -
279 Serum Anti Tetanus (ATS) 1.500 IU vial APBD (DAK) 2019 130,999.00 - 130,999.00 - - - 130,999.00 - - -
280 Serum Anti Tetanus (ATS) 1.500 IU ampul APBD (DAK) 2020 130,999.00 - 130,999.00 - - - 130,999.00 - - -
281 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD (DAK) 2020 1,100 49.00 53,900.00 1,500 49.00 73,500.00 2,600 127,400.00 400 49.00 19,600.00 2,200 107,800.00
282 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD (DAK) 2021 43.00 - 43.00 - - - 43.00 - - -
283 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD 2019 49.00 - 49.00 - - - 49.00 - - -
284 Sianokobalamin (Vit. B12) 50 mcg/ml inj tablet APBD (DAK) 2019 90 1,104.00 99,360.00 1,104.00 - 90 99,360.00 1,104.00 - 90 99,360.00
285 Sianokobalamin (Vit. B12) 50 mcg/ml inj ampul APBD (DAK) 2021 969.00 - 969.00 - - - 969.00 - - -
286 Simvastatin tablet 10 mg tablet APBD (DAK) 2021 800 68.00 54,400.00 2,000 68.00 136,000.00 2,800 190,400.00 1,100 68.00 74,800.00 1,700 115,600.00
287 Simvastatin tablet 10 mg tablet APBD 2020 117.00 - 117.00 - - - 117.00 - - -
288 Simvastatin tablet 10 mg tablet APBD (DAK) 2022 68.62 - 68.62 - - - 68.62 - - -
289 Siprofloksasin tablet 500 mg tablet APBD (DAK) 2021 5,000 248.00 1,240,000.00 248.00 - 5,000 1,240,000.00 900 248.00 223,200.00 4,100 1,016,800.00
290 Siprofloksasin tablet 500 mg tablet APBD 2019 453.20 - 453.20 - - - 453.20 - - -
291 Siprofloksasin tablet 500 mg tablet APBD (DAK) 2022 250.25 - 250.25 - - - 250.25 - - -
292 Softanol 5 Liter botol APBD (DAK) 2021 550,000.00 - 550,000.00 - - - 550,000.00 - - -
293 Softanol 5 Liter botol APBD 2019 550,000.00 - 550,000.00 - - - 550,000.00 - - -
294 Softanol 500 ML botol APBD (DAK) 2021 55,000.00 - 55,000.00 - - - 55,000.00 - - -
295 Softanol 500 ML botol APBD 2019 55,000.00 - 55,000.00 - - - 55,000.00 - - -
296 Sterald-3D 5 L Galon APBD (DAK) 2021 396,000.00 - 396,000.00 - - - 396,000.00 - - -
297 Sterald-3D 5 L Galon APBD 2019 396,000.00 - 396,000.00 - - - 396,000.00 - - -
298 Stericide 5 L Galon APBD 2019 752,400.00 - 752,400.00 - - - 752,400.00 - - -
299 Stericide 500 ml botol APBD (DAK) 2021 15 87,120.00 1,306,800.00 87,120.00 - 15 1,306,800.00 87,120.00 - 15 1,306,800.00
300 Stericide-3 5 L Galon APBD (DAK) 2021 1,098,900.00 - 1,098,900.00 - - - 1,098,900.00 - - -
301 Stericide-3 5 L Galon APBD 2019 1,098,900.00 - 1,098,900.00 - - - 1,098,900.00 - - -
302 Sterizyme 5 L Galon APBD (DAK) 2021 1 712,800.00 712,800.00 712,800.00 - 1 712,800.00 712,800.00 - 1 712,800.00
303 Sterizyme 5 L Galon APBD 2019 712,800.00 - 712,800.00 - - - 712,800.00 - - -
304 Sulfadiazine Silver Cream 1 % tube APBD 2020 20,700.00 - 20,700.00 - - - 20,700.00 - - -
305 Tetrasiklin 500 mg kapsul kapsul APBD (DAK) 2020 200 323.00 64,600.00 323.00 - 200 64,600.00 200 323.00 64,600.00 - -
306 Thiamin Hcl (Vit B1) tablet APBD (DAK) 2018 200 85.00 17,000.00 85.00 - 200 17,000.00 200 85.00 17,000.00 - -
307 Thiamin Hcl (Vit B1) tablet APBD (DAK) 2019 91.00 - 91.00 - - - 91.00 - - -
308 Trihexifenidril Hidroksida tablet 2 mg tablet APBD (DAK) 2019 91.00 - 91.00 - - - 91.00 - - -
309 Trihexifenidril Hidroksida tablet 2 mg tablet APBD (DAK) 2021 160 63.00 10,080.00 200 63.00 12,600.00 360 22,680.00 63.00 - 360 22,680.00
310 Vitamin B Kompleks tablet tablet APBD (DAK) 2019 89.00 - 89.00 - - - 89.00 - - -
311 Vitamin B Kompleks tablet tablet APBD (DAK) 2020 3,400 89.00 302,600.00 89.00 - 3,400 302,600.00 3,000 89.00 267,000.00 400 35,600.00
313 Zink Syr 60ml botol APBD (DAK) 2020 3,171.00 - 3,171.00 - - - 3,171.00 - - -
314 Zink Syr 60ml tablet APBD (DAK) 2021 2,489.00 - 2,489.00 - - - 2,489.00 - - -
- -
TOTAL HARGA OBAT (APBD) 31,853,241.36 - 14,532,636.50 46,385,877.86 - 9,802,491.86 36,583,386.00
- -
APBD (BTT II) - -
1 Azitromisin 500 mg tablet Tablet APBD (BTT II) 2021 1,136.00 - 1,136.00 - - - 1,136.00 - - -
2 Multivitamin Tablet (Imusive CD Zink) Tablet APBD (BTT II) 2021 983.33 - 983.33 - - - 983.33 - - -
3 Obat Batuk Syrup 100 ml (Herbakof) Botol APBD (BTT II) 2021 - 12,975.45 - - - 12,975.45 - - -
12,975.45
4 Obat Flu Tablet (Fluanza Tablet) Tablet APBD (BTT II) 2021 49.00 - 49.00 - - - 49.00 - - -
5 Remdesivir Inj 100 mg Vial APBD (BTT II) 2021 290,000.00 - 290,000.00 - - - 290,000.00 - - -
- -
JUMLAH HARGA TOTAL OBAT (APBD - BTT II) - - - - - - -

- -
APBD (BTT III) - -
1 Multivitamin Tablet (Zegavit) Tablet APBD (BTT III) 2020 1,800.00 - 1,800.00 - - - 1,800.00 - - -
- -
JUMLAH HARGA TOTAL OBAT (APBD - BTT III) - - - - - - -
- -
APBN - -
1 Albendazol 400 mg tablet tablet APBN 2021 100 431.00 43,100.00 431.00 - 100 43,100.00 431.00 - 100 43,100.00
2 Albendazol 400 mg tablet tablet APBN 2021 367.00 - 367.00 - - - 367.00 - - -
3 Albendazol 400 mg tablet tablet APBN 2020 430.00 - 430.00 - - - 430.00 - - -
4 Albendazol Susp 200 mg/5 ml botol APBN 2021 4,000.00 - 4,000.00 - - - 4,000.00 - - -
7 Aluvia (Lovinapir 200 mg / Ritonavir) tablet APBN 2020 6,600.00 - 6,600.00 - - - 6,600.00 - - -
8 Ampisilin Serb Inj 1.000 mg vial APBN 2022 8,591.00 - 8,591.00 - - - 8,591.00 - - -
9 Asam Askorbat (Vit. C) tablet 500 mg tablet APBN 2021 198.00 - 198.00 - - - 198.00 - - -
10 Asam Askorbat (Vit. C) tablet 500 mg tablet APBN 2020 198.00 - 198.00 - - - 198.00 - - -
11 Azitromisin tablet 500 mg tablet APBN 2021 1,778.00 - 1,778.00 - - - 1,778.00 - - -
12 Azitromisin tablet 500 mg tablet APBN 2021 1,250.00 - 1,250.00 - - - 1,250.00 - - -
13 Besi kombinasi asam folat tablet tablet APBN 2021 86,600 226.00 19,571,600.00 226.00 - 86,600 19,571,600.00 226.00 - 86,600 19,571,600.00
14 Besi kombinasi asam folat tablet tablet APBN 2020 353.00 - 353.00 - - - 353.00 - - -
15 Besi kombinasi asam folat tablet tablet APBN 2022 226.00 - 226.00 - - - 226.00 - - -
16 Cefixime + Azitromisin Kombipak paket APBN 2021 31,231.00 - 31,231.00 - - - 31,231.00 - - -
17 Cefixime + Azitromisin Kombipak paket APBN 2020 30,030.00 - 30,030.00 - - - 30,030.00 -
56 Lamivudine 150 mg (3TC) tablet APBN 2021 1,560.00 - 1,560.00 - - - 1,560.00 - - -
58 Multivitamin Tablet (Sivit-Zink) tablet APBN 2021 585.00 - 585.00 - - - 585.00 - - -
59 Natrium Klorida larutan infus 0,9% - 100 ml botol APBN 2021 7,390.00 - 7,390.00 - - - 7,390.00 - - -
60 Nevirapine 200 mg (NVP) tablet APBN 2021 3,058.00 - 3,058.00 - - - 3,058.00 - - -
63 Metronidazol Inf 5mg/ml botol APBN 2022 5,885.00 - 5,885.00 - - - 5,885.00 - - -
64 Obat antituberkulosa FDC kat dosis harian paket APBN 2021 409,461.00 - 409,461.00 - - - 409,461.00 - - -
70 Obat antituberkulosa FDC kat. 1 paket APBN 2021 415,469.00 - 415,469.00 - - - 415,469.00 - - -
74 Obat antituberkulosa FDC kat. 2 paket APBN 2021 1,384,977.00 - 1,384,977.00 - - - 1,384,977.00 - - -
75 Obat antituberkulosa FDC kat. 2 paket APBN 2020 5 1,384,977.00 6,924,885.00 1,384,977.00 - 5 6,924,885.00 1,384,977.00 - 5 6,924,885.00
76 Obat antituberkulosa FDC kat. Anak paket APBN 2021 248,120.00 - 248,120.00 - - - 248,120.00 - - -
80 Obat antituberkulosa FDC Kombipak kat. 1 paket APBN 2019 317,018.00 - 317,018.00 - - - 317,018.00 - - -
81 Oseltamivir kapsul kapsul APBN 2021 8,943.00 - 8,943.00 - - - 8,943.00 - - -
87 Piridoksin 25 mg tablet tablet APBN 2021 222.00 - 222.00 - - - 222.00 - - -
89 Primetamine Tablet tablet APBN 2021 26,000.00 - 26,000.00 - - - 26,000.00 - - -
90 Remdesivir Inj 100 mg vial APBN 2021 314,400.00 - 314,400.00 - - - 314,400.00 - - -
93 Retinol kapsul lunak 100.000 IU kapsul APBN 2021 307.00 - 307.00 - - - 307.00 - - -
97 Retinol kapsul lunak 200.000 IU kapsul APBN 2021 350 553.00 193,550.00 553.00 - 350 193,550.00 200 553.00 110,600.00 150 82,950.00
100 Suplemen Rhea botol APBN 2021 275,000.00 - 275,000.00 - - - 275,000.00 - - -
101 Diptheria Antitoxin Serum (ADS 10.000 UI) vial APBN 2022 1,208,000.00 - 1,208,000.00 - - - 1,208,000.00 - - -
102 Tenofovir 300 mg (TDF) tablet APBN 2021 8,424.00 - 8,424.00 - - - 8,424.00 - - -
105 Trihexifenidril Hidroksida tablet 2 mg tablet APBN 2021 91.00 - 91.00 - - - 91.00 - - -
106 Zidovudine 100 mg (ZDV) tablet APBN 2021 1,768.00 - 1,768.00 - - - 1,768.00 - - -
110 Zink tablet 200 mg dispersible tablet APBN 2021 524.00 - 524.00 - - - 524.00 - - -
111 Zink tablet 200 mg dispersible tablet APBN 2020 600 524.00 314,400.00 524.00 - 600 314,400.00 524.00 - 600 314,400.00
- -
TOTAL HARGA OBAT (APBN) 30,006,235.00 - 462,600.00 30,468,835.00 - 136,300.00 30,332,535.00
- -
DONASI - -
1 Ambroxol Hydrochloride Tab Tablet DONASI 2020 137.70 - 137.70 - - - 137.70 - - -
2 Asam Askorbat (Vit. C) 250 mg tablet Tablet DONASI 2021 - 120.00 - - - 120.00 - - -
120.00
3 Etadryl Expectorant Syr Botol DONASI 2020 4,640.00 - 4,640.00 - - - 4,640.00 - - -
4 Metilprednisolon 4 mg tablet Tablet DONASI 2020 143.00 - 143.00 - - - 143.00 - - -
- -
JUMLAH HARGA TOTAL OBAT (DONASI) - - - - - - -
JUMLAH HARGA TOTAL OBAT 61,859,476.36 - 14,995,236.50 76,854,712.86 - 9,938,791.86 66,915,921.00

- -
VAKSIN - -
APBD - -
1 Vaksin Anti Rabies (VAR) Verorab vial APBD 2020 165,000.00 - 165,000.00 - - - 165,000.00 - - -
2 Vaksin Rabies Inj 2,5 iu vial APBD (DAK) 2021 153,000.00 - 153,000.00 - - - 153,000.00 - - -
- -
TOTAL HARGA VAKSIN (APBD) - - - - - - -
- -
APBN - -
1 Vaksin BCG vial APBN 2020 66,154.00 - 66,154.00 - - - 66,154.00 - - -
2 Vaksin BCG vial APBN 2021 7 66,154.00 463,078.00 15 66,154.00 992,310.00 22 1,455,388.00 10 66,154.00 661,540.00 12 793,848.00
4 Vaksin DPT HIB vial APBN 2020 84,282.00 - 84,282.00 - - - 84,282.00 - - -
6 Vaksin DPT HIB vial APBN 2021 20 85,103.00 1,702,060.00 60 85,103.00 5,106,180.00 80 6,808,240.00 44 85,103.00 3,744,532.00 36 3,063,708.00
9 Vaksin DT vial APBN 2019 19,195.00 - 19,195.00 - - - 19,195.00 - - -
11 Vaksin HB Uniject vial APBN 2020 25,597.00 - 25,597.00 - - - 25,597.00 - - -
14 Vaksin HB Uniject vial APBN 2022 25,839.00 - 40 25,839.00 1,033,560.00 40 1,033,560.00 23 25,839.00 594,297.00 17 439,263.00
15 Vaksin Hepatitis B Immunoglobulin (HBIg) vial APBN 2020 1,325,000.00 - 1,325,000.00 - - - 1,325,000.00 - - -
18 Vaksin Meningitis vial APBN 2020 135,000.00 - 135,000.00 - - - 135,000.00 - - -
19 Vaksin Meningitis vial APBN 2021 3 135,000.00 405,000.00 135,000.00 - 3 405,000.00 135,000.00 - 3 405,000.00
20 Vaksin Meningitis vial APBN 2022 - - - - - - - - - -
21 Vaksin MR vial APBN 2020 166,265.00 - 166,265.00 - - - 166,265.00 - - -
22 Vaksin MR vial APBN 2021 20 166,265.00 3,325,300.00 30 166,265.00 4,987,950.00 50 8,313,250.00 31 166,265.00 5,154,215.00 19 3,159,035.00
24 Vaksin PCV vial APBN 2021 3,400,000.00 - 50 3,400,000.00 170,000,000.00 50 170,000,000.00 41 3,400,000.00 139,400,000.00 9 30,600,000.00
25 Vaksin Polio (BOPV) vial APBN 2020 21,285.00 - 21,285.00 - - - 21,285.00 - - -
27 Vaksin Polio (BOPV) vial APBN 2021 50 21,494.00 1,074,700.00 30 21,494.00 644,820.00 80 1,719,520.00 50 21,494.00 1,074,700.00 30 644,820.00
29 Vaksin Polio (IPV 5 ds) vial APBN 2020 144,540.00 - 144,540.00 - - - 144,540.00 - - -
32 Vaksin TD vial APBN 2020 18,128.00 - 18,128.00 - - - 18,128.00 - - -
36 Vaksin Tuberkulin vial APBN 2021 625,800.00 - 625,800.00 - - - 625,800.00 - - -
38 Vaksin VAR vial APBN 2021 165,000.00 - 165,000.00 - - - 165,000.00 - - -
- -
TOTAL HARGA VAKSIN (APBN) 6,970,138.00 - 182,764,820.00 189,734,958.00 - 150,629,284.00 39,105,674.00
JUMLAH TOTAL HARGA VAKSIN 6,970,138.00 - 182,764,820.00 189,734,958.00 - 150,629,284.00 39,105,674.00
- -
BAHAN BAKU OBAT TRADISIONAL - -
APBD - -
1 Daun Seledri kg APBD 2021 24,970.00 - 24,970.00 - - - 24,970.00 - - -
2 Jahe Merah kg APBD 2021 68,750.00 - 68,750.00 - - - 68,750.00 - - -
3 Kencur kg APBD 2021 80,960.00 - 80,960.00 - - - 80,960.00 - - -
4 Kunyit kg APBD 2021 9,955.00 - 9,955.00 - - - 9,955.00 - - -
5 Plastik Pengemas (Obat Tradisional) kg APBD 2021 55,000.00 - 55,000.00 - - - 55,000.00 - - -
6 Temulawak kg APBD 2021 29,975.00 - 29,975.00 - - - 29,975.00 - - -
JUMLAH HARGA BAHAN BAKU OBAT

- - - - -
TRADISIONAL (APBD)
JUMLAH TOTAL HARGA 68,829,614.36 197,760,056.50 266,589,670.86 160,568,075.86 106,021,595.00
Rancabali, 30 Mei 2022
Diverifikasi Oleh Dibuat Oleh

Akuntan Apoteker
Purwa Nugraha, S.E Lianda Rosmawati, S.Farm., Apt.

NRP. 873.06.02.018 NRP. 873.3204.04.02.010
Diketahui Oleh
Kepala Puskesmas Rancabali
dr Hj. Yuniar Sri Maulani

NIP. 19710603 200212 2 006
LAPORAN PERSEDIAAN OBAT & PERBEKKES
PUSKESMAS RANCABALI
PER 30 JUNI 2022
Nama Barang/Jenis Barang Stok Akhir Mei 2022 Penggunaan Barang Sisa Barang
NO Ket
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga
1 2 3 4 5 6 7 = (5 x 6) 8 9 10 = (8 x 9) 11 = (5 + 8) 12 = (7 + 10) 13 14 15 = (13 x 14) 16 = (11 - 13) 17 = (12 -15) 18
OBAT
APBD
1 Acetylcystein 200 mg kapsul APBD (DAK) 2020 382.00 - 382.00 - - - 382.00 - - -
2 Acetylcystein 200 mg tablet APBD (DAK) 2021 301.00 - 301.00 - - - 301.00 - - -
3 Alopurinol tablet 100 mg tablet APBD (DAK) 2021 6,300 87.00 548,100.00 87.00 - 6,300 548,100.00 400 87.00 34,800.00 5,900 513,300.00
4 Alopurinol tablet 100 mg tablet APBD (DAK) 2022 87.79 - 87.79 - - - 87.79 - - -
5 Aminofillin 200 mg tablet tablet APBD (DAK) 2019 95.00 - 95.00 - - - 95.00 - - -
6 Aminofillin Inj 24 mg/ml ampul APBD (DAK) 2021 10 2,704.00 27,040.00 2,704.00 - 10 27,040.00 2,704.00 - 10 27,040.00
7 Amitriptilin tablet 25 mg tablet APBD (DAK) 2018 167.00 - 167.00 - - - 167.00 - - -
10 Amlodipine Tab 10 mg tablet APBD 2020 8,400 99.00 831,600.00 99.00 - 8,400 831,600.00 1,130 99.00 111,870.00 7,270 719,730.00
12 Amlodipine Tab 5 mg tablet APBD (DAK) 2021 9,900 53.00 524,700.00 53.00 - 9,900 524,700.00 900 53.00 47,700.00 9,000 477,000.00
15 Amoksisilin kaplet 500 mg tablet APBD (DAK) 2020 249.00 - 249.00 - - - 249.00 - - -
16 Amoksisilin kaplet 500 mg tablet APBD (DAK) 2021 22,200 201.00 4,462,200.00 201.00 - 22,200 4,462,200.00 800 201.00 160,800.00 21,400 4,301,400.00
17 Amoksisilin kapsul 250 mg kapsul APBD (DAK) 2019 196.00 - 196.00 - - - 196.00 - - -
18 Amoksisilin Sirup 125 mg / 5 ml botol APBD (DAK) 2021 440 2,050.00 902,000.00 2,050.00 - 440 902,000.00 200 2,050.00 410,000.00 240 492,000.00
19 Amoksisilin Sirup Forte 250 mg / 5 ml botol APBD (DAK) 2019 3,628.00 - 3,628.00 - - - 3,628.00 - - -
20 Antasida DOEN suspensi botol APBD (DAK) 2020 19 2,129.00 40,451.00 2,129.00 - 19 40,451.00 19 2,129.00 40,451.00 - -
21 Antasida DOEN suspensi botol APBD (DAK) 2021 400 1,679.00 671,600.00 1,679.00 - 400 671,600.00 16 1,679.00 26,864.00 384 644,736.00
22 Antasida DOEN suspensi botol APBD 2020 2,129.00 - 2,129.00 - - - 2,129.00 - - -
23 Antasida DOEN tablet tablet APBD (DAK) 2020 8,000 58.00 464,000.00 58.00 - 8,000 464,000.00 2,700 58.00 156,600.00 5,300 307,400.00
24 Antasida DOEN tablet tablet APBD (DAK) 2021 54.00 - 54.00 - - - 54.00 - - -
25 Antifungi Doen pot APBD (DAK) 2019 24 4,496.00 107,904.00 4,496.00 - 24 107,904.00 3 4,496.00 13,488.00 21 94,416.00
28 Antihemoroid Supp supp APBD (DAK) 2020 3,167.00 - 3,167.00 - - - 3,167.00 - - -
29 Antihemoroid Supp supp APBD (DAK) 2021 130 3,250.00 422,500.00 120 3,250.00 390,000.00 250 812,500.00 3,250.00 - 250 812,500.00
30 Aquabidest (Aqua Pro Inject) 20 ml ampul APBD (DAK) 2020 140 2,449.00 342,860.00 2,449.00 - 140 342,860.00 2,449.00 - 140 342,860.00
31 Aquabidest (Aqua Pro Inject) 20 ml vial APBD (DAK) 2021 1,932.00 - 1,932.00 - - - 1,932.00 - - -
34 Asam Asetil Salisilat (Asetosal) Tablet 80 mg tablet APBD (DAK) 2021 100 89.00 8,900.00 89.00 - 100 8,900.00 100 89.00 8,900.00 - -
36 Asam Askorbat (Vit. C) tablet 50 mg tablet APBD (DAK) 2021 13,600 42.00 571,200.00 42.00 - 13,600 571,200.00 2,000 42.00 84,000.00 11,600 487,200.00
37 Asam Askorbat (Vit. C) tablet 500 mg (Ramvit-C 500 mg) tablet APBD (DAK) 2021 2,300 225.00 517,500.00 225.00 - 2,300 517,500.00 225.00 - 2,300 517,500.00
44 Asiklovir tablet 400 mg tablet APBD (DAK) 2020 1,350 405.00 546,750.00 405.00 - 1,350 546,750.00 100 405.00 40,500.00 1,250 506,250.00
45 Asiklovir tablet 400 mg tablet APBD (DAK) 2021 407.00 - 407.00 - - - 407.00 - - -
46 Atropin injeksi 0,25 mg/ml tablet APBD (DAK) 2021 1,718.00 - 1,718.00 - - - 1,718.00 - - -
47 Atropin injeksi 0,25 mg/ml ampul APBD 2020 1,639.00 - 1,639.00 - - - 1,639.00 - - -
48 Azitromisin tablet 500 mg tablet APBD (DAK) 2020 1,778.00 - 1,778.00 - - - 1,778.00 - - -
49 Azitromisin tablet 500 mg tablet APBD (DAK) 2021 300 1,250.00 375,000.00 1,250.00 - 300 375,000.00 1,250.00 - 300 375,000.00
50 Azitromisin tablet 500 mg tablet APBD 2019 1,778.00 - 1,778.00 - - - 1,778.00 - - -
51 Bedak Salisil kotak APBD 2019 20 4,510.00 90,200.00 4,510.00 - 20 90,200.00 20 4,510.00 90,200.00 - -
52 Betametason krim 0.1 % tube APBD (DAK) 2020 1,430.00 - 1,430.00 - - - 1,430.00 - - -
53 Betametason krim 0.1 % tube APBD (DAK) 2021 121 1,540.00 186,340.00 1,540.00 - 121 186,340.00 56 1,540.00 86,240.00 65 100,100.00
54 Cefadroxil Dry Syrup 125 mg/5 ml botol APBD (DAK) 2021 3,800.00 - 3,800.00 - - - 3,800.00 - - -
55 Cefadroxil Dry Syrup 125 mg/5 ml botol APBD 2020 5,549.00 - 5,549.00 - - - 5,549.00 - - -
56 Cetirizin tablet 10 mg tablet APBD (DAK) 2021 49.00 - 49.00 - - - 49.00 - - -
57 Deksametason Injeksi 5 mg/ml ampul APBD (DAK) 2019 10 1,097.00 10,970.00 1,097.00 - 10 10,970.00 3 1,097.00 3,291.00 7 7,679.00
58 Deksametason Injeksi 5 mg/ml ampul APBD (DAK) 2021 80 924.00 73,920.00 924.00 - 80 73,920.00 924.00 - 80 73,920.00
59 Deksametason tablet 0,5 mg tablet APBD 2019 74.80 - 74.80 - - - 74.80 - - -
60 Diazepam Injeksi 5 mg/ml ampul APBD (DAK) 2020 10 1,735.00 17,350.00 1,735.00 - 10 17,350.00 1,735.00 - 10 17,350.00
62 Diazepam Rectal 10 mg tube APBD 2020 9 18,279.00 164,511.00 18,279.00 - 9 164,511.00 9 18,279.00 164,511.00 - -
63 Diazepam Rectal 5 mg Supp APBD (DAK) 2020 6 12,573.00 75,438.00 12,573.00 - 6 75,438.00 12,573.00 - 6 75,438.00
64 Diazepam tablet 2 mg tablet APBD (DAK) 2020 200 86.00 17,200.00 86.00 - 200 17,200.00 86.00 - 200 17,200.00
65 Diazepam tablet 2 mg tablet APBD (DAK) 2021 70.00 - 70.00 - - - 70.00 - - -
66 Digoksin tablet 0,25 mg tablet APBD 2020 104.00 - 104.00 - - - 104.00 - - -
67 Diphenydramin HCl Inj ampul APBD (DAK) 2019 60 1,095.00 65,700.00 1,095.00 - 60 65,700.00 60 1,095.00 65,700.00 - -
68 Diphenydramin HCl Inj ampul APBD (DAK) 2020 1,095.00 - 1,095.00 - - - 1,095.00 - - -
69 Diptheria Antitoxin Serum (ADS 10.000 UI) vial APBD (DAK) 2020 2,618,264.47 - 2,618,264.47 - - - 2,618,264.47 - - -
74 Domperidon tablet 10 mg tablet APBD (DAK) 2020 1,700 91.00 154,700.00 91.00 - 1,700 154,700.00 500 91.00 45,500.00 1,200 109,200.00
75 Domperidon tablet 10 mg tablet APBD (DAK) 2021 71.00 - 71.00 - - - 71.00 - - -
76 Epinefrin HCl injeksi 0,1% - 1 ml ampul APBD 2020 1,408.00 - 1,408.00 - - - 1,408.00 - - -
77 Ergotamin Kofein tab tablet APBD 2018 173.00 - 173.00 - - - 173.00 - - -
78 Eritromisin Syr 200 mg (Trovilon Sirup Kering) 60 ml botol APBD 2019 12,870.00 - 12,870.00 - - - 12,870.00 - - -
79 Eritromisin Syr 200 mg/5ml - 60 ml botol APBD (DAK) 2021 6,462.00 - 6,462.00 - - - 6,462.00 - - -
80 Eritromisin kapsul 250 mg kapsul APBD 2019 583.00 - 583.00 - - - 583.00 - - -
81 Etanol larutan 70 % - 1000 ml botol APBD (DAK) 2020 2 18,700.00 37,400.00 18,700.00 - 2 37,400.00 18,700.00 - 2 37,400.00
82 Etanol larutan 70 % - 1000 ml botol APBD (DAK) 2022 23,595.00 - 23,595.00 - - - 23,595.00 - - -
85 Extradine 5 L Galon APBD 2019 475,200.00 - 475,200.00 - - - 475,200.00 - - -
86 Fenobarbital injeksi 50 mg/ ml ampul APBD 2020 1,982.00 - 1,982.00 - - - 1,982.00 - - -
87 Fenobarbital tablet 30 mg tablet APBD (DAK) 2019 171.00 - 171.00 - - - 171.00 - - -
88 Fenobarbital tablet 30 mg tablet APBD (DAK) 2021 140 182.00 25,480.00 182.00 - 140 25,480.00 2 182.00 364.00 138 25,116.00
89 Fenol Gliserol 10% Tetes Telinga botol APBD (DAK) 2021 3,300.00 - 3,300.00 - - - 3,300.00 - - -
90 Fenol Gliserol 10% Tetes Telinga botol APBD 2019 2,764.00 - 2,764.00 - - - 2,764.00 - - -
91 Fitomenadion ( Vit K) injeksi 2 mg/ml ampul APBD (DAK) 2020 3,682.00 - 3,682.00 - - - 3,682.00 - - -
92 Fitomenadion ( Vit K) injeksi 2 mg/ml ampul APBD (DAK) 2021 120 1,386.00 166,320.00 1,386.00 - 120 166,320.00 1,386.00 - 120 166,320.00
93 Fitomenadion (Vit. K) tablet 10 mg tablet APBD (DAK) 2020 758.00 - 758.00 - - - 758.00 - - -
94 Fitomenadion (Vit. K) tablet 10 mg tablet APBD (DAK) 2021 300 748.00 224,400.00 748.00 - 300 224,400.00 748.00 - 300 224,400.00
95 Fitomenadion (Vit. K) tablet 10 mg tablet APBD 2020 758.00 - 758.00 - - - 758.00 - - -
96 Flukonazol tablet 150 mg tablet APBD 2019 18,720.00 - 18,720.00 - - - 18,720.00 - - -
97 Furosemid 40 mg tablet APBD (DAK) 2019 77.00 - 77.00 - - - 77.00 - - -
98 Furosemid 40 mg tablet APBD 2018 77.00 - 77.00 - - - 77.00 - - -
99 Furosemid 40 mg tablet APBD 2020 400 82.00 32,800.00 82.00 - 400 32,800.00 200 82.00 16,400.00 200 16,400.00
100 Garam Oralit sachet APBD (DAK) 2020 274.00 - 274.00 - - - 274.00 - - -
101 Garam Oralit sase APBD 2019 257.00 - 257.00 - - - 257.00 - - -
102 Gentamisin salep mata tube APBD (DAK) 2019 78 2,675.00 208,650.00 2,675.00 - 78 208,650.00 78 2,675.00 208,650.00 - -
105 Gentamisin Sulfat Salep Kulit tube APBD 2019 3,905.00 - 3,905.00 - - - 3,905.00 - - -
106 Gentamisin tetes mata tube APBD (DAK) 2021 4,520.00 - 4,520.00 - - - 4,520.00 - - -
107 Gentamisin tetes mata tube APBD 2018 4,232.00 - 4,232.00 - - - 4,232.00 - - -
108 Glibenclamide 5 mg tablet tablet APBD (DAK) 2019 1,000 119.00 119,000.00 119.00 - 1,000 119,000.00 - 119.00 - 1,000 119,000.00
109 Glibenclamide 5 mg tablet tablet APBD (DAK) 2021 83.00 - 83.00 - - - 83.00 - - -
110 Glimepirid 1 mg tablet APBD (DAK) 2021 93.00 - 93.00 - - - 93.00 - - -
111 Glimepirid 1 mg tablet APBD 2020 174.00 - 174.00 - - - 174.00 - - -
112 Glimepirid 2 mg tablet APBD 2020 6,000 207.00 1,242,000.00 207.00 - 6,000 1,242,000.00 5,000 207.00 1,035,000.00 1,000 207,000.00
113 Glimepirid 2 mg tablet APBD (DAK) 2022 2,300 124.12 285,476.46 124.12 - 2,300 285,476.46 124.12 - 2,300 285,476.46
116 Gluconas calcicus 10% - 10 ml ampul APBD (DAK) 2021 120 5,723.00 686,760.00 5,723.00 - 120 686,760.00 5,723.00 - 120 686,760.00
118 Glukosa infus 5% - 500 ml botol APBD (DAK) 2021 40 6,627.00 265,080.00 6,627.00 - 40 265,080.00 6,627.00 - 40 265,080.00
121 Griseofulvin 125 mg tablet APBD 2019 224.00 - 224.00 - - - 224.00 - - -
122 Haloperidol tablet 0,5 mg tablet APBD 2020 55.00 - 55.00 - - - 55.00 - - -
123 Haloperidol tablet 1.5 mg tablet APBD (DAK) 2020 209 59.00 12,331.00 59.00 - 209 12,331.00 10 59.00 590.00 199 11,741.00
124 Haloperidol tablet 1.5 mg tablet APBD 2020 59.00 - 59.00 - - - 59.00 - - -
125 Haloperidol tablet 5 mg tablet APBD (DAK) 2021 54.00 - 54.00 - - - 54.00 - - -
126 Haloperidol tablet 5 mg tablet APBD 2020 120 60.00 7,200.00 60.00 - 120 7,200.00 60 60.00 3,600.00 60 3,600.00
127 Hidroklortiazid tablet 25 mg table APBD (DAK) 2020 900 155.00 139,500.00 155.00 - 900 139,500.00 155.00 - 900 139,500.00
128 Hidroklortiazid tablet 25 mg tablet APBD (DAK) 2021 148.00 - 148.00 - - - 148.00 - - -
130 Hidrokortison krim 2,5% tube APBD (DAK) 2020 279 2,475.00 690,525.00 2,475.00 - 279 690,525.00 36 2,475.00 89,100.00 243 601,425.00
132 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml botol APBD (DAK) 2021 61 3,200.00 195,200.00 3,200.00 - 61 195,200.00 13 3,200.00 41,600.00 48 153,600.00
133 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml botol APBD 2018 4,465.00 - 4,465.00 - - - 4,465.00 - - -
134 Imunodilator (Stimuno Forte Kapsul) kapsul APBD 2021 1,763.00 - 1,763.00 - - - 1,763.00 - - -
135 Imunodilator (Stimuno Forte Kapsul) kapsul APBD 2021 60 1,939.30 116,358.00 1,939.30 - 60 116,358.00 60 1,939.30 116,358.00 - -
136 Imunodilator (Stimuno Forte Kapsul) kapsul APBD (DAK) 2022 1,958.00 - 1,958.00 - - - 1,958.00 - - -
137 Imunodilator sirup (Stimuno Sirup) kapsul APBD (DAK) 2022 28,374.00 - 28,374.00 - - - 28,374.00 - - -
138 Isoniazid tablet 300 mg tablet APBD (DAK) 2021 150.00 - 150.00 - - - 150.00 - - -
139 Isosorbid Dinitrat tablet 5 mg tablet APBD (DAK) 2021 86.00 - 86.00 - - - 86.00 - - -
140 Kalsium lactat 500 mg tablet APBD (DAK) 2021 9,400 60.00 564,000.00 60.00 - 9,400 564,000.00 800 60.00 48,000.00 8,600 516,000.00
141 Kalsium lactat 500 mg tablet APBD 2020 5,000 63.00 315,000.00 63.00 - 5,000 315,000.00 63.00 - 5,000 315,000.00
142 Kaptopril tablet 12.5 mg tablet APBD (DAK) 2018 5,900 62.00 365,800.00 62.00 - 5,900 365,800.00 1,100 62.00 68,200.00 4,800 297,600.00
145 Kaptopril tablet 25 mg tablet APBD (DAK) 2021 75.00 - 75.00 - - - 75.00 - - -
146 Karbamazepin 200 mg tablet tablet APBD (DAK) 2021 4,900 189.00 926,100.00 189.00 - 4,900 926,100.00 189.00 - 4,900 926,100.00
147 Karbamazepin 200 mg tablet tablet APBD 2020 245.00 - 245.00 - - - 245.00 - - -
148 Ketoconazole 200 mg tablet APBD (DAK) 2020 288.00 - 288.00 - - - 288.00 - - -
151 Ketokonazol krim 2% tube APBD (DAK) 2020 2,515.61 - 2,515.61 - - - 2,515.61 - - -
152 Klindamisin kapsul 150 mg kapsul APBD (DAK) 2020 759.00 - 759.00 - - - 759.00 - - -
153 Klindamisin kapsul 300 mg kapsul APBD (DAK) 2021 - 522.00 - 522.00 - - - 522.00 - - -
154 Kloramfenikol 1% Salep Mata tube APBD (DAK) 2020 48 2,007.00 96,336.00 2,007.00 - 48 96,336.00 48 2,007.00 96,336.00 - -
155
170 Kotrimosazol tablet 480 mg tablet APBD (DAK) 2020 1,400 133.00 186,200.00 133.00 - 1,400 186,200.00 700 133.00 93,100.00 700 93,100.00
171 Kotrimosazol tablet 480 mg tablet APBD (DAK) 2021 126.00 - 126.00 - - - 126.00 - - -
172 Lidocain HCl injeksi 2% ampul APBD (DAK) 2021 847.00 - 847.00 - - - 847.00 - - -
173 Lidocain HCl injeksi 2% ampul APBD 2019 90 1,221.00 109,890.00 1,221.00 - 90 109,890.00 1,221.00 - 90 109,890.00
174 Lidocain komp. injeksi 2 % - ml ampul APBD (DAK) 2020 1,229.00 - 1,229.00 - - - 1,229.00 - - -
175 Lidocain komp. injeksi 2 % - ml ampul APBD (DAK) 2021 803.00 - 803.00 - - - 803.00 - - -
176 Loratadin 10 mg tablet tablet APBD (DAK) 2021 109.00 - 109.00 - - - 109.00 - - -
177 Loratadin 10 mg tablet tablet APBD 2020 2,054 131.00 269,074.00 131.00 - 2,054 269,074.00 104 131.00 13,624.00 1,950 255,450.00
178 Loratadin 10 mg tablet tablet APBD (DAK) 2022 109.99 - 109.99 - - - 109.99 - - -
179 Magnesium sulfat injeksi 20% - 25 ml vial APBD (DAK) 2020 3,328.00 - 3,328.00 - - - 3,328.00 - - -
181 Magnesium sulfat injeksi 20% - 25 ml vial APBD 2019 3,328.00 - 3,328.00 - - - 3,328.00 - - -
183 Magnesium sulfat injeksi 40% - 25 ml vial APBD (DAK) 2021 120 4,090.00 490,800.00 4,090.00 - 120 490,800.00 4,090.00 - 120 490,800.00
184 Metformin tablet 500 mg tablet APBD (DAK) 2021 77.00 - 77.00 - - - 77.00 - - -
185 Metformin tablet 500 mg tablet APBD 2020 11,200 102.00 1,142,400.00 102.00 - 11,200 1,142,400.00 810 102.00 82,620.00 10,390 1,059,780.00
186 Metformin tablet 500 mg tablet APBD (DAK) 2022 77.70 - 77.70 - - - 77.70 - - -
187 Metildopa (Dopamet) 250mg tablet APBD (DAK) 2021 500 985.00 492,500.00 985.00 - 500 492,500.00 985.00 - 500 492,500.00
188 Metildopa (Dopamet) 250mg tablet APBD 2020 946.00 - 946.00 - - - 946.00 - - -
189 Metildopa (Dopamet) 250mg tablet APBD (DAK) 2022 993.95 - 993.95 - - - 993.95 - - -
190 Metilergometrin maleat (Metergin) tablet salut 0,125 mg tablet APBD (DAK) 2020 224.00 - 224.00 - - - 224.00 - - -
191 Metilergometrin maleat (Metergin) tablet salut 0,125 mg tablet APBD 2020 100 224.00 22,400.00 224.00 - 100 22,400.00 100 224.00 22,400.00 - -
192 Metilergometrin maleat injeksi 0,2 mg/ml ampul APBD (DAK) 2020 2,959.00 - 2,959.00 - - - 2,959.00 - - -
193 Metilergometrin maleat injeksi 0,2 mg/ml ampul APBD (DAK) 2021 25 1,023.00 25,575.00 1,023.00 - 25 25,575.00 1,023.00 - 25 25,575.00
194 Metilprednisolon 4 mg tablet tablet APBD (DAK) 2022 800 102.93030 82,344.24 102.93 - 800 82,344.24 102.93 - 800 82,344.24
195 Metoklorpramid 10 mg tablet tablet APBD (DAK) 2020 500 85.00 42,500.00 85.00 - 500 42,500.00 100 85.00 8,500.00 400 34,000.00
196 Metoklorpramid 10 mg tablet tablet APBD (DAK) 2021 66.00 - 66.00 - - - 66.00 - - -
197 Metronidazole 500 mg tablet APBD (DAK) 2021 133.00 - 133.00 - - - 133.00 - - -
198 Metronidazole 500 mg tablet APBD 2019 233.20 - 233.20 - - - 233.20 - - -
199 Metronidazole Syrup btl APBD (DAK) 2019 3,950.00 - 3,950.00 - - - 3,950.00 - - -
200 Metronidazole Syrup botol APBD (DAK) 2020 3,950.00 - 3,950.00 - - - 3,950.00 - - -
201 Mikonazol krim 2 % tube APBD (DAK) 2020 203 3,414.00 693,042.00 3,414.00 - 203 693,042.00 13 3,414.00 44,382.00 190 648,660.00
202 Mikonazol krim 2 % tube APBD (DAK) 2021 1,900.00 - 1,900.00 - - - 1,900.00 - - -
203 Multivitamin Syr 60 ml botol APBD 2020 17,365.70 - 17,365.70 - - - 17,365.70 - - -
204 Multivitamin Syrup (Lyscavit Syr 60 ml) botol APBD 2021 7,738.50 - 7,738.50 - - - 7,738.50 - - -
205 Multivitamin Tablet (Arkavit C + DEZ) tablet APBD 2021 1,316.66 - 1,316.66 - - - 1,316.66 - - -
206 Multivitamin Tablet (Pehavral) tablet APBD 2020 982.82 - 982.82 - - - 982.82 - - -
207 Multivitamin Tablet (Pritavit) tablet APBD 2020 990.00 - 990.00 - - - 990.00 - - -
208 Natrium Diklofenak 50 mg tablet APBD (DAK) 2020 2,700 123.00 332,100.00 123.00 - 2,700 332,100.00 400 123.00 49,200.00 2,300 282,900.00
211 Natrium Klorida larutan infus 0,9% - 500 ml botol APBD (DAK) 2021 120 6,800.00 816,000.00 6,800.00 - 120 816,000.00 6,800.00 - 120 816,000.00
212 Natrium Klorida larutan infus 0,9% - 500 ml botol APBD 2020 6,840.00 - 6,840.00 - - - 6,840.00 - - -
213 Nistatin tablet 500.000 IU tablet APBD (DAK) 2020 500 843.00 421,500.00 843.00 - 500 421,500.00 843.00 - 500 421,500.00
215 Nistatin tablet 500.000 IU tablet APBD 2019 843.00 - 843.00 - - - 843.00 - - -
217 Nistatin tablet vaginal 100.000 IU tablet vaginal APBD (DAK) 2021 240 550.00 132,000.00 550.00 - 240 132,000.00 550.00 - 240 132,000.00
218 Obat Antidiare Nonspesifik Tablet 600 mg tablet APBD 2020 220.00 - 220.00 - - - 220.00 - - -
219 Obat Antidiare Nonspesifik Tablet 600 mg (Akita) tablet APBD 2021 275.00 - 275.00 - - - 275.00 - - -
220 Obat Flu Syrup botol APBD 2021 9,812.00 - 9,812.00 - - - 9,812.00 - - -
221 Obat Flu Syrup (Calorex Syr) 60 ml botol APBD 2020 11,000.00 - 11,000.00 - - - 11,000.00 - - -
222 Obat Flu Tablet (Flutamol) tablet APBD 2020 440.00 - 440.00 - - - 440.00 - - -
223 Obat Flu Tablet (Molex Flu) tablet APBD 2019 440.00 - 440.00 - - - 440.00 - - -
224 Obat Flu Tablet (Molexflu) tablet APBD 2021 799.54 - 799.54 - - - 799.54 - - -
225 Oksitetrasiklin Salep Kulit tube APBD 2020 1,813.90 - 1,813.90 - - - 1,813.90 - - -
228 Oksitosin injeksi 10 IU/ml ampul APBD (DAK) 2020 1,199.00 - 1,199.00 - - - 1,199.00 - - -
229 Oksitosin injeksi 10 IU/ml tablet APBD (DAK) 2021 200 1,126.00 225,200.00 1,126.00 - 200 225,200.00 1,126.00 - 200 225,200.00
230 Oksitosin injeksi 10 IU/ml ampul APBD 2020 1,199.00 - 1,199.00 - - - 1,199.00 - - -
231 Omeprazol kapsul 20 mg kapsul APBD (DAK) 2021 129.00 - 129.00 - - - 129.00 - - -
232 Parasetamol Drops 100 mg/ml - 15 ml botol APBD (DAK) 2021 24 4,976.00 119,424.00 4,976.00 - 24 119,424.00 3 4,976.00 14,928.00 21 104,496.00
233 Parasetamol sirup 120 mg / 5 ml botol APBD (DAK) 2020 1,300 1,181.00 1,535,300.00 1,181.00 - 1,300 1,535,300.00 385 1,181.00 454,685.00 915 1,080,615.00
236 Parasetamol tablet 500 mg tablet APBD (DAK) 2019 113.30 - 113.30 - - - 113.30 - - -
237 Parasetamol tablet 500 mg tablet APBD 2021 16,000 143.00 2,288,000.00 - 143.00 - 16,000 2,288,000.00 1,200 143.00 171,600.00 14,800 2,116,400.00
238 Parasetamol tablet 500 mg (Metamol tablet) tablet APBD 2020 200.20 - 200.20 - - - 200.20 - - -
239 Permetrin Krim 5% tablet APBD (DAK) 2022 90 11,351.97 1,021,677.30 11,351.97 - 90 1,021,677.30 11,351.97 - 90 1,021,677.30
240 Piridoksin 10 mg tablet tablet APBD (DAK) 2020 5,700 131.00 746,700.00 131.00 - 5,700 746,700.00 131.00 - 5,700 746,700.00
241 Povidon iodida 10% larutan - 30 ml botol APBD (DAK) 2020 2,862.50 - 2,862.50 - - - 2,862.50 - - -
244 Povidon iodida 10% larutan - 1.000 ml botol APBD (DAK) 2022 1 56,277.00 56,277.00 56,277.00 - 1 56,277.00 1 56,277.00 56,277.00 - -
247 Premetrin 5% krim tube APBD (DAK) 2021 11,351.97 - 11,351.97 - - - 11,351.97 - - -
248 Propanolol tablet 10 mg tablet APBD (DAK) 2018 54.00 - 54.00 - - - 54.00 - - -
249 Propanolol tablet 10 mg tablet APBD (DAK) 2021 370 56.00 20,720.00 56.00 - 370 20,720.00 56.00 - 370 20,720.00
250 Ranitidine 25 mg/ ml Injeksi ampul APBD (DAK) 2020 1,188.00 - 1,188.00 - - - 1,188.00 - - -
253 Ranitidine tablet 150 mg tablet APBD (DAK) 2021 7,000 85.00 595,000.00 85.00 - 7,000 595,000.00 900 85.00 76,500.00 6,100 518,500.00
255 Retinol kapsul lunak 100.000 IU kapsul APBD (DAK) 2019 288.00 - 288.00 - - - 288.00 - - -
256 Ringer Laktat larutan infus - 500 ml botol APBD (DAK) 2020 80 7,630.00 610,400.00 7,630.00 - 80 610,400.00 18 7,630.00 137,340.00 62 473,060.00
260 Riperidone tablet 1 mg tablet APBD (Dak) 2022 102.93 - 102.93 - - - 102.93 - - -
265 Sabun Cuci Tangan 5 L botol APBD (DAK) 2021 344,320.00 - 344,320.00 - - - 344,320.00 - - -
266 Sabun Cuci Tangan 500 ml botol APBD (DAK) 2021 21 37,932.00 796,572.00 37,932.00 - 21 796,572.00 1 37,932.00 37,932.00 20 758,640.00
267 Salbutamol 2 mg tablet tablet APBD (DAK) 2019 2,900 67.00 194,300.00 67.00 - 2,900 194,300.00 67.00 - 2,900 194,300.00
270 Salbutamol 2 mg tablet tablet APBD 2019 67.00 - 67.00 - - - 67.00 - - -
271 Salbutamol 4 mg tablet tablet APBD (DAK) 2021 400 63.00 25,200.00 63.00 - 400 25,200.00 63.00 - 400 25,200.00
272 Salbutamol Nebules 2,5mg (Combivent) ampul APBD (DAK) 2020 4,550.00 - 4,550.00 - - - 4,550.00 - - -
273 Salbutamol Nebules 1ml / 2,5mg ampul APBD (DAK) 2022 4,843.64 - 4,843.64 - - - 4,843.64 - - -
274 pot APBD (DAK) 2020 2,797.00 - 2,797.00 - - - 2,797.00 - - -
275 pot APBD (DAK) 2021 1,410.00 - 1,410.00 - - - 1,410.00 - - -
276 Scabimite Cream (Premetrin 5% krim) tube APBD 2020 11,825.00 - 11,825.00 - - - 11,825.00 - - -
277 Serum Anti Bisa Ular (ABU) I Injeksi ampul APBD (DAK) 2021 517,132.00 - 517,132.00 - - - 517,132.00 - - -
280 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD (DAK) 2020 2,200 49.00 107,800.00 49.00 - 2,200 107,800.00 400 49.00 19,600.00 1,800 88,200.00
281 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD (DAK) 2021 43.00 - 43.00 - - - 43.00 - - -
282 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD 2019 49.00 - 49.00 - - - 49.00 - - -
283 Sianokobalamin (Vit. B12) 50 mcg/ml inj tablet APBD (DAK) 2019 90 1,104.00 99,360.00 1,104.00 - 90 99,360.00 1,104.00 - 90 99,360.00
284 Sianokobalamin (Vit. B12) 50 mcg/ml inj ampul APBD (DAK) 2021 969.00 - 969.00 - - - 969.00 - - -
285 Simvastatin tablet 10 mg tablet APBD (DAK) 2021 1,700 68.00 115,600.00 68.00 - 1,700 115,600.00 100 68.00 6,800.00 1,600 108,800.00
286 Simvastatin tablet 10 mg tablet APBD 2020 117.00 - 117.00 - - - 117.00 - - -
287 Simvastatin tablet 10 mg tablet APBD (DAK) 2022 68.62 - 68.62 - - - 68.62 - - -
288 Siprofloksasin tablet 500 mg tablet APBD (DAK) 2021 4,100 248.00 1,016,800.00 248.00 - 4,100 1,016,800.00 248.00 - 4,100 1,016,800.00
289 Siprofloksasin tablet 500 mg tablet APBD 2019 453.20 - 453.20 - - - 453.20 - - -
290 Siprofloksasin tablet 500 mg tablet APBD (DAK) 2022 250.25 - 250.25 - - - 250.25 - - -
291 Softanol 5 Liter botol APBD (DAK) 2021 550,000.00 - 550,000.00 - - - 550,000.00 - - -
292 Softanol 5 Liter botol APBD 2019 550,000.00 - 550,000.00 - - - 550,000.00 - - -
293 Softanol 500 ML botol APBD (DAK) 2021 55,000.00 - 55,000.00 - - - 55,000.00 - - -
294 Softanol 500 ML botol APBD 2019 55,000.00 - 55,000.00 - - - 55,000.00 - - -
295 Sterald-3D 5 L Galon APBD (DAK) 2021 396,000.00 - 2 396,000.00 792,000.00 2 792,000.00 396,000.00 - 2 792,000.00
296 Sterald-3D 5 L Galon APBD 2019 396,000.00 - 396,000.00 - - - 396,000.00 - - -
297 Stericide 5 L Galon APBD 2019 752,400.00 - - 752,400.00 - - - 752,400.00 - - -
298 Stericide 500 ml botol APBD (DAK) 2021 15 87,120.00 1,306,800.00 87,120.00 - 15 1,306,800.00 87,120.00 - 15 1,306,800.00
299 Stericide-3 5 L Galon APBD (DAK) 2021 1,098,900.00 - 1,098,900.00 - - - 1,098,900.00 - - -
300 Stericide-3 5 L Galon APBD 2019 1,098,900.00 - - 1,098,900.00 - - - 1,098,900.00 - - -
301 Sterizyme 5 L Galon APBD (DAK) 2021 1 712,800.00 712,800.00 1 712,800.00 712,800.00 2 1,425,600.00 712,800.00 - 2 1,425,600.00
302 Sterizyme 5 L Galon APBD 2019 712,800.00 - 712,800.00 - - - 712,800.00 - - -
303 Sulfadiazine Silver Cream 1 % tube APBD 2020 20,700.00 - 20,700.00 - - - 20,700.00 - - -
304 Tetrasiklin 500 mg kapsul kapsul APBD (DAK) 2020 323.00 - 323.00 - - - 323.00 - - -
307 Trihexifenidril Hidroksida tablet 2 mg tablet APBD (DAK) 2019 91.00 - 91.00 - - - 91.00 - - -
308 Trihexifenidril Hidroksida tablet 2 mg tablet APBD (DAK) 2021 360 63.00 22,680.00 63.00 - 360 22,680.00 26 63.00 1,638.00 334 21,042.00
310 Vitamin B Kompleks tablet tablet APBD (DAK) 2020 400 89.00 35,600.00 89.00 - 400 35,600.00 400 89.00 35,600.00 - -
312 Zink Syr 60ml botol APBD (DAK) 2020 3,171.00 - 3,171.00 - - - 3,171.00 - - -
313 Zink Syr 60ml tablet APBD (DAK) 2021 2,489.00 - 2,489.00 - - - 2,489.00 - - -
314 Glukosa larutan steril (infus) 5% botol APBD (DAK) 2020 7,475.50 - 7,475.50 - - - 7,475.50 - - -
315 Hidroklortiazid tablet 25 mg tablet APBD 2016 149.00 - 149.00 - - - 149.00 - - -
317 Karbamazepin 200 mg tablet tablet APBD (DAK) 2019 230.00 - 230.00 - - - 230.00 - - -
318 Metilprednisolon 4 mg tablet tablet APBD (DAK) 2021 102.00 - 102.00 - - - 102.00 - - -
321 Parasetamol Drops 100 mg/ml - 15 ml botol APBD (DAK) 2022 4,976.00 - 4,976.00 - - - 4,976.00 - - -
325 Antihemoroid Supp supp APBD (DAK) 2022 3,250.00 - 3,250.00
347 Sabun Cuci Tangan 500 ml (Fresco) botol APBD (DAK) 2022 99,000.00 - 99,000.00 - - - 99,000.00 - - -
348 Enzymax Instrument Cleaner 1000 ml (Fresco) botol APBD (DAK) 2022 368,500.00 - 368,500.00 - - - 368,500.00 - - -
349 Furosemid inj ampul APBD (DAK) 2022 931.39 - 931.39 - - - 931.39 - - -
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408 - - - - - - - - - - - - -
409 - - - - - - - - - - - - -
410 - - - - - - - - - - - - -
411 - - - - - - - - - - - - -
412 - - - - - - - - - - - - -
413 - - - - - - - - - - - - -
414 - - - - - - - - - - - - -
415 - - - - - - - - - - - - -
416 - - - - - - - - - - - - -
417 - - - - - - - - - - - - -
418 - - - - - - - - - - - - -
419 - - - - - - - - - - - - -
420 - - - - - - - - - - - - -
421 - - - - - - - - - - - - -
422 - - - - - - - - - - - - -
423 - - - - - - - - - - - - -
424 - - - - - - - - - - - - -
425 - - - - - - - - - - - - -
426 - - - - - - - - - - - - -
427 - - - - - - - - - - - - -
428 - - - - - - - - - - - - -
429 - - - - - - - - - - - - -
430 - - - - - - - - - - - - -
431 - - - - - - - - - - - - -
432 - - - - - - - - - - - - -
433 - - - - - - - - - - - - -
434 - - - - - - - - - - - - -
435 - - - - - - - - - - - - -
436 - - - - - - - - - - - - -
437 - - - - - - - - - - - - -
438 - - - - - - - - - - - - -
439 - - - - - - - - - - - - -
440 - - - - - - - - - - - - -
441 - - - - - - - - - - - - -
442 - - - - - - - - - - - - -
443 - - - - - - - - - - - - -
444 - - - - - - - - - - - - -
445 - - - - - - - - - - - - -
446 - - - - - - - - - - - - -
447 - - - - - - - - - - - - -
448 - - - - - - - - - - - - -
449 - - - - - - - - - - - - -
450 - - - - - - - - - - - - -
451 - - - - - - - - - - - - -
452 - - - - - - - - - - - - -
453 - - - - - - - - - - - - -
454 - - - - - - - - - - - - -
455 - - - - - - - - - - - - -
456 - - - - - - - - - - - - -
457 - - - - - - - - - - - - -
458 - - - - - - - - - - - - -
459 - - - - - - - - - - - - -
460 - - - - - - - - - - - - -
461 - - - - - - - - - - - - -
462 - - - - - - - - - - - - -
463 - - - - - - - - - - - - -
464 - - - - - - - - - - - - -
465 - - - - - - - - - - - - -
TOTAL HARGA OBAT (APBD) 36,583,386.00 1,894,800.00 38,478,186.00 4,697,699.00 33,780,487.00
APBD (BTT II)

1 Azitromisin 500 mg tablet Tablet APBD (BTT II) 2021 1,136.00 - 1,136.00 - - - 1,136.00 - -
36 FDC Anak (ZDV 60 mg + 3TC 30 mg + NVF 50 mg) tablet APBN 2020 741.00 - 741.00 - - - 741.00 - - -
37 FDC Anak (ZDV 60 mg + 3TC 30 mg + NVF 50 mg) tablet APBN 2019 741.00 - 741.00 - - - 741.00 - - -
38 Fenobarbital injeksi 50 mg/ ml ampul APBN 2021 1,700.00 - 1,700.00 - - - 1,700.00 - - -
39 Fenobarbital injeksi 50 mg/ ml ampul APBN 2022 1,700.00 - 1,700.00 - - - 1,700.00 - - -
40 Flukonazol tablet 150 mg tablet APBN 2021 18,720.00 - 18,720.00 - - - 18,720.00 - - -
43 Fluphenazine Decanoat Inj 25 mg/ml tablet APBN 2021 63,813.00 - 63,813.00 - - - 63,813.00 - - -
44 Garam Oralit sase APBN 2021 257.00 - 257.00 - - - 257.00 - - -
45 Garam Oralit sase APBN 2020 5,300 257.00 1,362,100.00 257.00 - 5,300 1,362,100.00 100 257.00 25,700.00 5,200 1,336,400.00
46 Haloperidol Decanoat Inj 50 mg/ml tablet APBN 2021 109,000.00 - 109,000.00 - - - 109,000.00 - - -
47 Isoniazid tablet 100 mg tablet APBN 2021 231.00 - 231.00 - - - 231.00 - - -
51 Kotrimosazol tablet 960 mg tablet APBN 2021 325.00 - 325.00 - - - 325.00 - - -
54 Kolekasiferol (Vitamin D3 1000) tablet APBN 2022 300 1,001.00 300,300.00 1,001.00 - 300 300,300.00 1,001.00 - 300 300,300.00
55 Kolekasiferol (Vitamin D3 1000) tablet APBN 2022 634.00 - 634.00 - - - 634.00 - - -
58 Multivitamin Tablet (Sivit-Zink) tablet APBN 2021 585.00 - 585.00 - - - 585.00 - - -
59 Natrium Klorida larutan infus 0,9% - 100 ml botol APBN 2021 7,390.00 - 7,390.00 - - - 7,390.00 - - -
63 Metronidazol Inf 5mg/ml botol APBN 2022 5,885.00 - 5,885.00 - - - 5,885.00 - - -
74 Obat antituberkulosa FDC kat. 2 paket APBN 2021 1,384,977.00 - 1,384,977.00 - - - 1,384,977.00 - - -
75 Obat antituberkulosa FDC kat. 2 paket APBN 2020 5 1,384,977.00 6,924,885.00 1,384,977.00 - 5 6,924,885.00 1,384,977.00 - 5 6,924,885.00
80 Obat antituberkulosa FDC Kombipak kat. 1 paket APBN 2019 317,018.00 - 317,018.00 - - - 317,018.00 - - -
89 Primetamine Tablet tablet APBN 2021 26,000.00 - 26,000.00 - - - 26,000.00 - - -
99 Retinol kapsul lunak 200.000 IU kapsul APBN 2022 150 553.00 82,950.00 553.00 - 150 82,950.00 - 553.00 - 150 82,950.00
100 Suplemen Rhea botol APBN 2021 275,000.00 - 275,000.00 - - - 275,000.00 - - -
101 Diptheria Antitoxin Serum (ADS 10.000 UI) vial APBN 2022 1,208,000.00 - 1,208,000.00 - - - 1,208,000.00 - - -
105 Trihexifenidril Hidroksida tablet 2 mg tablet APBN 2021 91.00 - 91.00 - - - 91.00 - - -
110 Zink tablet 200 mg dispersible tablet APBN 2021 524.00 - 524.00 - - - 524.00 - - -
111 Zink tablet 200 mg dispersible tablet APBN 2020 600 524.00 314,400.00 524.00 - 600 314,400.00 600 524.00 314,400.00 - -
112 Rifampisin tablet 75 mg + Isoniazid tablet 50 mg tablet APBN 2022 799.00 - 799.00 - - - 799.00 - - -
113 Isoniazid tablet 300 mg + Rifapentin tablet 300 mg tablet APBN 2022 6,524.00 - 6,524.00 - - - 6,524.00 - - -
115 - - - - - - - - - - - - -
116 - - - - - - - - - - - - -
117 - - - - - - - - - - - - -
118 - - - - - - - - - - - - -
119 - - - - - - - - - - - - -
120 - - - - - - - - - - - - -
121 - - - - - - - - - - - - -
122 - - - - - - - - - - - - -
123 - - - - - - - - - - - - -
124 - - - - - - - - - - - - -
125 - - - - - - - - - - - - -
126 - - - - - - - - - - - - -
127 - - - - - - - - - - - - -
128 - - - - - - - - - - - - -
129 - - - - - - - - - - - - -
130 - - - - - - - - - - - - -
131 - - - - - - - - - - - - -
132 - - - - - - - - - - - - -
133 - - - - - - - - - - - - -
134 - - - - - - - - - - - - -
135 - - - - - - - - - - - - -
TOTAL HARGA OBAT (APBN) 30,332,535.00 - 30,332,535.00 4,023,900.00 26,308,635.00
DONASI
1 Ambroxol Hydrochloride Tab Tablet DONASI 2020 137.70 - 137.70 - - - 137.70 - - -
2 Asam Askorbat (Vit. C) 250 mg tablet Tablet DONASI 2021 120.00 - 120.00 - - - 120.00 - - -
3 Etadryl Expectorant Syr Botol DONASI 2020 4,640.00 - 4,640.00 - - - 4,640.00 - - -
4 Metilprednisolon 4 mg tablet Tablet DONASI 2020 143.00 - 143.00 - - - 143.00 - - -
5 - - - - - - - - - - - - -
6 - - - - - - - - - - - - -
7 - - - - - - - - - - - - -
TOTAL HARGA OBAT (DONASI) - - - - -

TOTAL HARGA OBAT 66,915,921.00 1,894,800.00 68,810,721.00 8,721,599.00 60,089,122.00
VAKSIN
APBD
1 Vaksin Anti Rabies (VAR) Verorab vial APBD 2020 165,000.00 - 165,000.00 - - - 165,000.00 - - -
2 Vaksin Rabies Inj 2,5 iu vial APBD (DAK) 2021 153,000.00 - 153,000.00 - - - 153,000.00 - - -
3 - - - - - - - - - - - - -
TOTAL HARGA VAKSIN (APBD) - - - - -
APBN
2 Vaksin BCG vial APBN 2021 12 66,154.00 793,848.00 10 66,154.00 661,540.00 22 1,455,388.00 11 66,154.00 727,694.00 11 727,694.00
6 Vaksin DPT HIB vial APBN 2021 36 85,103.00 3,063,708.00 40 85,103.00 3,404,120.00 76 6,467,828.00 58 85,103.00 4,935,974.00 18 1,531,854.00
14 Vaksin HB Uniject vial APBN 2022 17 25,839.00 439,263.00 45 25,839.00 1,162,755.00 62 1,602,018.00 29 25,839.00 749,331.00 33 852,687.00
18 Vaksin Meningitis vial APBN 2020 135,000.00 - 135,000.00 - - - 135,000.00 - - -
19 Vaksin Meningitis vial APBN 2021 3 135,000.00 405,000.00 135,000.00 - 3 405,000.00 3 135,000.00 405,000.00 - -
20 Vaksin Meningitis vial APBN 2022 - - - - - - - - - -
22 Vaksin MR vial APBN 2021 19 166,265.00 3,159,035.00 166,265.00 - 19 3,159,035.00 1 166,265.00 166,265.00 18 2,992,770.00
24 Vaksin PCV vial APBN 2021 9 3,400,000.00 30,600,000.00 3,400,000.00 - 9 30,600,000.00 9 3,400,000.00 30,600,000.00 - -
27 Vaksin Polio (BOPV) vial APBN 2021 30 21,494.00 644,820.00 20 21,494.00 429,880.00 50 1,074,700.00 27 21,494.00 580,338.00 23 494,362.00
31 Vaksin Polio (IPV 5 ds) vial APBN 2022 158,994.00 - 30 158,994.00 4,769,820.00 30 4,769,820.00 20 158,994.00 3,179,880.00 10 1,589,940.00
41 - - - -
BAHAN BAKU OBAT TRADISIONAL
APBD
1 Daun Seledri kg APBD 2021 24,970.00 - 24,970.00 - - - 24,970.00 - - -
2 Jahe Merah kg APBD 2021 68,750.00 - 68,750.00 - - - 68,750.00 - - -
3 Kencur kg APBD 2021 80,960.00 - 80,960.00 - - - 80,960.00 - - -
4 Kunyit kg APBD 2021 9,955.00 - 9,955.00 - - - 9,955.00 - - -
5 Plastik Pengemas (Obat Tradisional) kg APBD 2021 55,000.00 - 55,000.00 - - - 55,000.00 - - -
6 Temulawak kg APBD 2021 29,975.00 - 29,975.00 - - - 29,975.00 - - -
JUMLAH HARGA BAHAN BAKU OBAT TRADISIONAL

- - - - -
(APBD)
JUMLAH TOTAL HARGA 106,021,595.00 12,322,915.00 118,344,510.00 50,066,081.00 68,278,429.00
Rancabali, 30 Juni 2022
Diverifikasi Oleh Dibuat Oleh

Akuntan Apoteker
Purwa Nugraha, S.E apt. Lianda Rosmawati,S.Farm

NRP. 873.06.02.018 NRP. 873.3204.04.02.010
Diketahui Oleh
Kepala Puskesmas Rancabali
dr HJ. Yuniar Sri Maulani

NIP. 19710603 200212 2 006

Laporan Persediaan Obat Juni 2022

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LAPORAN PERSEDIAAN OBAT

DATA PERSEDIAAN PUSKESMAS PER 31 JUNI2022

TOTAL 33,780,487.00 - - 26,308,635.00 - 60,089,122.00 - 8,189,307.00 8,189,307.00 - 68,278,429.00

Soreang, 30 Juni 2022

NAMA SKPD : PUSKESMAS / UPTD PELAYANAN KESEHATAN

TAHUN PENGADAAN HARGA SATUAN JUMLAH PERSEDIAAN

TOTAL HARGA OBAT (APBD) 33,780,487.00

APBD (BTT II)

TOTAL HARGA OBAT (APBD BTT II) -

APBD (BTT III)

TOTAL HARGA OBAT (APBD BTT III) -

70 Obat antituberkulosa FDC kat. 1 APBN 2021 paket -

72 Obat antituberkulosa FDC kat. 1 APBN 2022 paket 416,696.00 - -

73 Obat antituberkulosa FDC kat. 1 APBN 2022 paket -

74 Obat antituberkulosa FDC kat. 2 APBN 2021 paket -

TOTAL HARGA OBAT (APBN) 26,308,635.00

TOTAL HARGA OBAT (DONASI) -

TOTAL HARGA OBAT 60,089,122.00

TOTAL HARGA VAKSIN (APBD) -

TOTAL HARGA VAKSIN (APBN) 8,189,307.00

JUMLAH TOTAL HARGA VAKSIN 8,189,307.00

BAHAN BAKU OBAT TRADISIONAL

JUMLAH HARGA BAHAN BAKU OBAT

JUMLAH TOTAL HARGA 68,278,429.00

JUMLAH HARGA TOTAL OBAT (APBD - BTT II) - - - - - - -

JUMLAH HARGA TOTAL OBAT (DONASI) - - - - - - -

JUMLAH HARGA TOTAL OBAT 61,859,476.36 - 14,995,236.50 76,854,712.86 - 9,938,791.86 66,915,921.00

JUMLAH TOTAL HARGA VAKSIN 6,970,138.00 - 182,764,820.00 189,734,958.00 - 150,629,284.00 39,105,674.00

JUMLAH HARGA BAHAN BAKU OBAT

Rancabali, 30 Mei 2022

Diverifikasi Oleh Dibuat Oleh

Purwa Nugraha, S.E Lianda Rosmawati, S.Farm., Apt.

dr Hj. Yuniar Sri Maulani

TOTAL HARGA OBAT (APBD) 36,583,386.00 1,894,800.00 38,478,186.00 4,697,699.00 33,780,487.00

APBD (BTT II)

TOTAL HARGA OBAT (APBN) 30,332,535.00 - 30,332,535.00 4,023,900.00 26,308,635.00

TOTAL HARGA OBAT (DONASI) - - - - -

TOTAL HARGA VAKSIN (APBD) - - - - -

JUMLAH HARGA BAHAN BAKU OBAT TRADISIONAL

Rancabali, 30 Juni 2022

Diverifikasi Oleh Dibuat Oleh

Purwa Nugraha, S.E apt. Lianda Rosmawati,S.Farm

dr HJ. Yuniar Sri Maulani

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