Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian

Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
5 KALLISTA PRIMA Azithromycin
6 BSP/BINA SAN PRIMA, PT Dexamethasone (tunggal)
7 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
8 EVA SURYA PRATAMA Dexamethasone (tunggal)
9 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
10 MBS/MENSA BINA SUKSES Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 TEMPO Dexamethasone (tunggal)
13 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
14 KEBAYORAN FARMA Dexamethasone (tunggal)
15 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
16 PARIT PADANG Dexamethasone (tunggal)
17 KIMIA FARMA Dexamethasone (tunggal)
18 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
19 MEDIKA AKSES INVESTAMA, PT Favipiravir
20 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
21 EVA SURYA PRATAMA Oseltamivir
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nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 98 21G0554

AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 756 eef220b
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 220 bd2113
INDEXON 0.5MG TAB 100S DOS 10 22024
KALMETHASONE 0.5MG TAB 200S DOS 628 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 130 231053
MOLACORT 0.5MG TAB 100S DOS 120 MO4DUO11
MOLACORT 0.75MG TAB 200S DOS 100 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3596 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 694 1085048
DEXA M 0.75MG TAB 500S DOS 429 52B0460
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 3810 TPG50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 3 D00273B
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4285 00720G0090
AVIGAN 200MG TAB 100S DOS 859 hh2251a
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 21IV2100
NOCOVIR 75MG CAP 10S DOS 362 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2025-Nov-01 Tablet
2023-May-01 Tablet
2023-Sep-30 Tablet
2026-Jun-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-Feb-01 Tablet
2023-Jun-06 Tablet
2025-Nov-14 Tablet
2024-Jul-31 Tablet
2030-Aug-30 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
5 KALLISTA PRIMA Azithromycin
6 BSP/BINA SAN PRIMA, PT Dexamethasone (tunggal)
7 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
8 EVA SURYA PRATAMA Dexamethasone (tunggal)
9 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
10 MBS/MENSA BINA SUKSES Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 TEMPO Dexamethasone (tunggal)
13 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
14 KEBAYORAN FARMA Dexamethasone (tunggal)
15 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
16 PARIT PADANG Dexamethasone (tunggal)
17 KIMIA FARMA Dexamethasone (tunggal)
18 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
19 MEDIKA AKSES INVESTAMA, PT Favipiravir
20 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
21 EVA SURYA PRATAMA Oseltamivir
20
21
22
23
24
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 98 21G0554

AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 887 eef220b
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 190 bd2113
INDEXON 0.5MG TAB 100S DOS 10 22024
KALMETHASONE 0.5MG TAB 200S DOS 608 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 50 231053
MOLACORT 0.5MG TAB 100S DOS 120 MO4DUO11
MOLACORT 0.75MG TAB 200S DOS 60 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3496 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 644 1085048
DEXA M 0.75MG TAB 500S DOS 419 52B0460
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 3760 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 3 D00273B
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4285 00720G0090
AVIGAN 200MG TAB 100S DOS 749 hh2251a
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 21IV2100
NOCOVIR 75MG CAP 10S DOS 352 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2025-Nov-01 Tablet
2023-May-01 Tablet
2023-Sep-30 Tablet
2026-Jun-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-Feb-01 Tablet
2023-Jun-06 Tablet
2025-Nov-14 Tablet
2024-Jul-31 Tablet
2030-Aug-30 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir ha

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 MBS/MENSA BINA SUKSES Dexamethasone (tunggal)
12 KEBAYORAN FARMA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27

28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 98

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 300
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 977
AZOMEP KMKES 500MG FC CAPL 6S Dos 41
CORTIDEX 0.5MG TAB 100S DOS 480
INDEXON 0.5MG TAB 100S DOS 110
KALMETHASONE 0.5MG TAB 200S DOS 608
LANADEXON 0.5MG CAPL 100S DOS 130
MOLACORT 0.5MG TAB 100S DOS 120
MOLACORT 0.75MG TAB 200S DOS 660
SCANDEXON 0.5MG TAB 100S DOS 110
DEXAHARSEN 0.5MG CAPL 200S DOS 3436
DEXAHARSEN 0.75MG CAPL 200S DOS 624
DEXA M 0.75MG TAB 500S DOS 419
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 3440
DEXAMETHASONE KF 0.5MG TAB 100S DOS 3
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4285
AVIGAN 200MG TAB 100S DOS 1949
IVERMECTIN IF 12MG TAB 20S BTL DOS 75
NOCOVIR 75MG CAP 10S DOS 352
ar periode tersebut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

BATCH * TANGGAL EXPIRED * SATUAN * KETERANGAN

21G0554 2023-Jul-31 Tablet

TSH53450 2025-Jul-01 Tablet
BTSF03050 2025-May-31 Tablet
bskn04948 2022-May-31 Botol
eef220b 2023-Jun-01 Tablet
A1C816 2023-Mar-30 Tablet
BD2113 2023-Apr-01 Tablet
T031K010 2026-May-01 Tablet
KTKMED13206 2023-May-01 Tablet
24D069 2024-Apr-01 Tablet
MO4DUO11 2026-Jun-30 Tablet
m05d0092 2023-Jun-01 Tablet
30271 2024-Mar-01 Tablet
104102970 2024-Jul-01 Tablet
1085048 2024-Dec-16 Tablet
52B0460 2023-Feb-01 Tablet
tpg50350 2023-Jun-06 Tablet
D00273B 2025-Nov-14 Tablet
00720G0090 2024-Jul-31 Tablet
HG2101A 2023-Jul-01 Tablet
21IV2100 2022-Jan-31 Tablet
BOS2021A 2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 MBS/MENSA BINA SUKSES Dexamethasone (tunggal)
12 KEBAYORAN FARMA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
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nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 98 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 290 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 950 eef220b
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 432 BD2113
INDEXON 0.5MG TAB 100S DOS 110 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 588 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 130 231053
MOLACORT 0.5MG TAB 100S DOS 110 MO4DUO11
MOLACORT 0.75MG TAB 200S DOS 650 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3386 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 584 1085048
DEXA M 0.75MG TAB 500S DOS 389 52B0460
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 3290 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 3 D00273B
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4285 00720G0090
AVIGAN 200MG TAB 100S DOS 1869 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 21IV2100
NOCOVIR 75MG CAP 10S DOS 342 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2023-Sep-30 Tablet
2026-Jun-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-Feb-01 Tablet
2023-Jun-06 Tablet
2025-Nov-14 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 98 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 290 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 939 eef220b
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 382 BD2113
INDEXON 0.5MG TAB 100S DOS 110 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 578 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 120 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 640 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3296 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 574 1085048
DEXA M 0.75MG TAB 500S DOS 389 52B0460
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 3270 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 3 D00273B
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4275 00720G0090
AVIGAN 200MG TAB 100S DOS 1829 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 21IV2100
NOCOVIR 75MG CAP 10S DOS 342 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-Feb-01 Tablet
2023-Jun-06 Tablet
2025-Nov-14 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 290 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 927 eef220b
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 372 BD2113
INDEXON 0.5MG TAB 100S DOS 100 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 558 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 120 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 620 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3266 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 554 1085048
DEXA M 0.75MG TAB 500S DOS 389 52B0460
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 3260 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 3 D00273B
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4265 00720G0090
AVIGAN 200MG TAB 100S DOS 1749 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 55 21IV2100
NOCOVIR 75MG CAP 10S DOS 322 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-Feb-01 Tablet
2023-Jun-06 Tablet
2025-Nov-14 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
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nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 275 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 905 eef220b
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 372 BD2113
INDEXON 0.5MG TAB 100S DOS 90 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 518 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 120 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 620 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3206 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 524 1085048
DEXA M 0.75MG TAB 500S DOS 289 52B0460
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 3230 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 203 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4245 00720G0090
AVIGAN 200MG TAB 100S DOS 1689 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 55 21IV2100
NOCOVIR 75MG CAP 10S DOS 322 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-Feb-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 275 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 897 eef220b
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 342 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 508 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 120 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 620 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3196 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 464 1085048
DEXA M 0.75MG TAB 500S DOS 249 52B0460
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 2900 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S 9/4/21 9/4/21 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4245 00720G0090
AVIGAN 200MG TAB 100S DOS 1689 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 55 21IV2100
NOCOVIR 75MG CAP 10S DOS 322 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-Feb-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 275 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 860 eef220b
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 332 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 448 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 100 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 600 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3146 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 444 1085048
DEXA M 0.75MG TAB 500S DOS 229 52B0460
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 2750 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 203 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4205 00720G0090
AVIGAN 200MG TAB 100S DOS 1689 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 55 21IV2100
NOCOVIR 75MG CAP 10S DOS 322 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-Feb-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
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49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 270 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 919 EEF220B
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 332 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 478 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 100 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 600 M05D083
SCANDEXON 0.5MG TAB 100S DOS 110 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 3066 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 9/4/21 1085048
DEXA M 0.75MG TAB 500S DOS 709 52g0711
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 2040 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 203 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4205 00720G0090
AVIGAN 200MG TAB 100S DOS 1579 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 55 21IV2100
NOCOVIR 75MG CAP 10S DOS 322 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-May-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 230 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 906 EEF220B
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 292 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 458 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 100 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 590 M05D083
SCANDEXON 0.5MG TAB 100S DOS 100 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 2946 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 394 1085048
DEXA M 0.75MG TAB 500S DOS 689 52g0711
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 2030 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 163 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4205 00720G0090
AVIGAN 200MG TAB 100S DOS 1409 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 211V2100
NOCOVIR 75MG CAP 10S DOS 312 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-May-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 169 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 906 EEF220B
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 282 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 458 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 100 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 580 M05D083
SCANDEXON 0.5MG TAB 100S DOS 100 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 2896 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 384 1085048
DEXA M 0.75MG TAB 500S DOS 679 52g0711
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 1990 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 163 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4205 00720G0090
AVIGAN 200MG TAB 100S DOS 1169 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 211V2100
NOCOVIR 75MG CAP 10S DOS 312 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-May-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
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nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 169 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 906 EEF220B
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 282 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 458 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 100 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 570 M05D083
SCANDEXON 0.5MG TAB 100S DOS 100 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 2806 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 284 1085048
DEXA M 0.75MG TAB 500S DOS 669 52g0711
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 1780 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 163 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4195 00720G0090
AVIGAN 200MG TAB 100S DOS 1169 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 211V2100
NOCOVIR 75MG CAP 10S DOS 312 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-May-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 169 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 901 EEF220B
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 272 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 458 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 50 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 560 M05D083
SCANDEXON 0.5MG TAB 100S DOS 100 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 2766 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 284 1085048
DEXA M 0.75MG TAB 500S DOS 609 52g0711
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 1780 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 163 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4195 00720G0090
AVIGAN 200MG TAB 100S DOS 1169 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 211V2100
NOCOVIR 75MG CAP 10S DOS 302 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2024-Dec-16 Tablet
2023-May-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 KDE JAKARTA Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 169 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 876 EEF220B
AZOMEP KMKES 500MG FC CAPL 6S Dos 41 A1C816
CORTIDEX 0.5MG TAB 100S DOS 552 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 448 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 150 24a089
MOLACORT 0.5MG TAB 100S DOS 110 M04DA009
MOLACORT 0.75MG TAB 200S DOS 560 M05D083
SCANDEXON 0.5MG TAB 100S DOS 100 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 2631 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 854 1085060
DEXA M 0.75MG TAB 500S DOS 599 52g0711
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 1680 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 143 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4195 00720G0090
AVIGAN 200MG TAB 100S DOS 1169 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 211V2100
NOCOVIR 75MG CAP 10S DOS 302 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2025-Jan-01 Tablet
2023-May-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/4/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 KDE JAKARTA Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
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nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 169 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 848 EEF220B
AZOMEP KMKES 500MG FC CAPL 6S Dos 32 A1C816
CORTIDEX 0.5MG TAB 100S DOS 532 BD2113
INDEXON 0.5MG TAB 100S DOS 80 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 388 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 120 24a089
MOLACORT 0.5MG TAB 100S DOS 100 M04DA009
MOLACORT 0.75MG TAB 200S DOS 520 M05D083
SCANDEXON 0.5MG TAB 100S DOS 100 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 2601 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 824 1085060
DEXA M 0.75MG TAB 500S DOS 459 52g0711
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 1630 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 133 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4185 00720G0090
AVIGAN 200MG TAB 100S DOS 1129 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 211V2100
NOCOVIR 75MG CAP 10S DOS 292 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2025-Jan-01 Tablet
2023-May-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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Berikut Format Template Pelaporan untuk Obat EUA di Sarana Pelayanan Kefarmasian
Silahkan untuk mendownload dan pelaporan dilakukan melalui email laporeuasaryan@gmail.com setiap akhir hari (

JENIS SARANA * Apotik

NAMA SARANA * Apotek K24 Bintang Farma
PROVINSI * Jawa Barat
KABUPATEN/KOTA * BEKASI
TANGGAL PELAPORAN 9/1/21

NO * SUMBER PENGADAAN * NAMA ZAT AKTIF

1 MBS/MENSA BINA SUKSES Azithromycin

2 PARIT PADANG Azithromycin
3 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
4 MUP/MERAPI UTAMA PHARMA, PT Azithromycin
5 AMS/ANTAR MITRA SEMBADA, PT Azithromycin
6 KALLISTA PRIMA Azithromycin
7 KDE JAKARTA Dexamethasone (tunggal)
8 ENSEVAL PUTRA MEGATRADING TBK, PT Dexamethasone (tunggal)
9 EVA SURYA PRATAMA Dexamethasone (tunggal)
10 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
11 KEBAYORAN FARMA Dexamethasone (tunggal)
12 KDE JAKARTA Dexamethasone (tunggal)
13 TEMPO Dexamethasone (tunggal)
14 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
15 KEBAYORAN FARMA Dexamethasone (tunggal)
16 BINTANG MEDIKA BEKASI FARMA, PT Dexamethasone (tunggal)
17 PARIT PADANG Dexamethasone (tunggal)
18 KIMIA FARMA Dexamethasone (tunggal)
19 MUP/MERAPI UTAMA PHARMA, PT Dexamethasone (tunggal)
20 MEDIKA AKSES INVESTAMA, PT Favipiravir
21 IGM/INDOFARMA GLOBAL MEDIKA Ivermectin
22 EVA SURYA PRATAMA Oseltamivir
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
nan Kefarmasian
poreuasaryan@gmail.com setiap akhir hari (untuk periode Juli - September) dan di luar periode tersebut dilaporkan setiap 2 (du

Format tanggal m/d/Y

NAMA OBAT * KEMASAN * STOK AKHIR * BATCH *

AZITHROMYCIN KMKES OTTO 500MG TAB 6S Dos 86 21G0554

AZITHROMYCIN KMKES BERNO 500MG FC CAPL 100S Dos 169 TSH53450
AZITHROMYCIN KMKES INFION 500MG FC CAPL 30S Dos 6 BTSF03050
 AZITHROMYCIN INFION 200MG/5ML D SYR 15ML Botol 6 bskn04948
AZITHROMYCIN KMKES NOVELL 500MG TAB 30S Dos 848 EEF220B
AZOMEP KMKES 500MG FC CAPL 6S Dos 32 A1C816
CORTIDEX 0.5MG TAB 100S DOS 502 BD2113
INDEXON 0.5MG TAB 100S DOS 70 T031K010
KALMETHASONE 0.5MG TAB 200S DOS 338 KTKMED13206
LANADEXON 0.5MG CAPL 100S DOS 120 24a089
MOLACORT 0.5MG TAB 100S DOS 100 M04DA009
MOLACORT 0.75MG TAB 200S DOS 520 M05D083
SCANDEXON 0.5MG TAB 100S DOS 100 30271
DEXAHARSEN 0.5MG CAPL 200S DOS 2521 104102970
DEXAHARSEN 0.75MG CAPL 200S DOS 824 1085060
DEXA M 0.75MG TAB 500S DOS 479 52g0711
DEXAMETHASONE BERNO 0.5MG TAB 100S DOS 1460 tpg50350
DEXAMETHASONE KF 0.5MG TAB 100S DOS 123 l00658b
DEXAMETHASONE PROMED 0.5MG TAB 100S DOS 4195 00720G0090
AVIGAN 200MG TAB 100S DOS 1059 HG2101A
IVERMECTIN IF 12MG TAB 20S BTL DOS 75 211V2100
NOCOVIR 75MG CAP 10S DOS 292 BOS2021A
ut dilaporkan setiap 2 (dua) minggu sekali untuk EUA dan 3 bulan sekali untuk Obat Keras

TANGGAL EXPIRED * SATUAN * KETERANGAN

2023-Jul-31 Tablet
2025-Jul-01 Tablet
2025-May-31 Tablet
2022-May-31 Botol
2023-Jun-01 Tablet
2023-Mar-30 Tablet
2023-Apr-01 Tablet
2026-May-01 Tablet
2023-May-01 Tablet
2024-Jan-31 Tablet
2026-Apr-30 Tablet
2023-May-31 Tablet
2024-Mar-01 Tablet
2024-Jul-01 Tablet
2025-Jan-01 Tablet
2023-May-01 Tablet
2023-Jun-06 Tablet
2025-Nov-17 Tablet
2024-Jul-31 Tablet
2023-Jul-01 Tablet
2022-Jan-31 Tablet
2022-Jul-01 Kapsul
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