1.

SATUAN KERJA ADALAH NAMA APOTEK, FKTP, FKRTL atau DINKES PROVINSI dan KAB/KOTA
2. SISA STOK PER 31 DESEMBER 2021 ADALAH SISA STOK PER 31 DESEMBER 2021 DI SATUAN KERJA
3. PREDIKSI PENGADAAN TAHUN 2021 ADALAH PREDIKSI JUMLAH YANG DIRENCANAKAN UNTUK DIADAKAN TAHUN 2022
4. PEMAKAIAN RATA-RATA PER BULAN SELAMA 2021 ADALAH PEMAKAIAN RATA-RATA PER BULAN DI SATKER SELAMA TA
5. PREDIKSI SISA STOK 31 DESEMBER 2022 ADALAH SISA STOK PER 31 DESEMBER 2021 DITAMBAH PREDIKSI PENGADAAN
6. JUMLAH KEBUTUHAN TAHUN 2023 ADALAH PEMAKAIAN RATA-RATA PER BULAN SELAMA 2021 DIKALI 18 BULAN DALAM
7. RENCANA KEBUTUHAN TAHUN 2023 ADALAH JUMLAH KEBUTUHAN YANG DIHITUNG BERDASARKAN METODE KONSUM
8. RENCANA PENGADAAN TAHUN 2023 ADALAH RENCANA UNTUK PENGADAAN DI TAHUN 2023 DALAM SATUAN TERKECI
9. RENCANA PENGADAAN TAHUN 2022 ADALAH OTOMATIS TERISI DARI SISTEM JIKA SATKER TELAH MENGIRIMKAN PELAP
10. REALISASI PENGADAAN TAHUN 2021 ADALAH REALISASI PENGADAAN OBAT JKN BAIK E-PURCHASING MAUPUN MANU

RENCANA KEBUTUHAN OBAT PADA FASILITAS KESEHATAN TINGKAT PERTAMA (FK

SATUAN KERJA : Dinas Kesehatan Kab. Minahasa Selatan

NO NAMA OBAT SATUAN

1 Air untuk injeksi Botol 100 ml

2 Air untuk injeksi Botol 250 ml
3 Air untuk injeksi ampul/vial/botol 1
4 Air untuk injeksi amp 20 ml ampul/vial/botol
5 Air untuk injeksi amp 25 ml ampul/vial/botol 2
6 Albendazol susp 200 mg/5 ml Botol
7 Albendazol tab 400 mg tablet/kapsul/kapl
8 Alopurinol tab 100 mg Tab
9 Alopurinol tab 300 mg tablet/kapsul/kapl
10 Aminofilin inj 24 mg/ml ampul/vial 10 ml
11 Aminofilin tab 150 mg tablet/kapsul/kapl
12 Aminofilin Tab 200 mg tablet/kapsul/kapl
13 Amitriptilin tab sal 25 mg tablet/kapsul/kapl
14 Amlodipin tab 10 mg tablet/kapsul/kapl
15 Amlodipin tab 5 mg tablet/kapsul/kapl
16 Amoksisilin drops 100 mg/ml Botol @20 ml
17 Amoksisilin drops 100 mg/ml Botol @10 ml
18 Amoksisilin drops 100 mg/ml Botol @15 ml
19 Amoksisilin sir forte 250 mg/5 ml botol 60 ml
20 Amoksisilin sir kering 125 mg/5 ml Botol
21 Amoksisilin tab 250 mg tablet/kapsul/kapl
22 Amoksisilin tab 500 mg tablet/kapsul/kapl
23 Ampisilin serb inj 1000 mg/vial ampul/vial
24 Ampisilin serb inj 250 mg/vial Vial
25 Anestetik lokal gigi kombinasi : lidokain hcl 2% + epinefrin 1 : 80.000 inj 2 ampul/vial
ml
26 Antasida, kombinasi : aluminium hidroksida 200 mg + magnesium tablet/kapsul/kapl
hidroksida 200 mg
27 Antasida, kombinasi : aluminium hidroksida 200 mg + magnesium botol 60 ml
hidroksida 200 mg
28 Anti Parkinson kombinasi : benzerasid 25 mg + levodopa 100 mg Kaps
29 Antifungi salep, kombinasi : asam benzoat 6%+ asam salisilat 3% pot 30 g
30 Antihemoroid, kombinasi: bismut subgalat 150 mg + heksaklorofen 2,5 Suppositoria
mg + lidokain lidokain 10 mg+ seng oksida 120 mg + sup ad 2 g

31 Aquadest cairan 500 ml Botol 500 ml

32 Artesunat serb inj 60 mg/ml (i.v./i.m.) ampul/vial
33 Articulating paper kertas warna penanda oklusi Kertas warna penan
34 Asam asetat tetes telinga 2% Botol
35 Asam asetilsalisilat (asetosal) tab 80 mg tablet/kapsul/kapl
36 Asam askorbat (vitamin C) tab 250 mg Tab
37 Asam askorbat (vitamin C) tab 50 mg tablet/kapsul/kapl
38 Asam folat tab 0,4 mg tablet/kapsul/kapl
39 Asam folat tab 1 mg tablet/kapsul/kapl
40 Asam folat tab 5 mg Tab
41 Asam mefenamat kaps 250 mg tablet/kapsul/kapl
42 Asam mefenamat kaps 500 mg tablet/kapsul/kapl
43 Asam retinoat krim 0,05% Tube/pot
44 Asam retinoat krim 0,1% Tube @ 10 gram
45 Asam retinoat krim 0,1% Tube @ 20 gram
46 Asam salisilat lar 0,1% Botol
47 Asam salisilat salep 10% Tube
48 Asam salisilat salep 2% Tube
49 Asam salisilat salep 5% Tube
50 Asiklovir tab 200 mg tablet/kapsul/kapl
51 Asiklovir tab 400 mg tablet/kapsul/kapl
52 Atapulgit 600 mg tablet/kapsul/kapl
53 Atapulgit tab 630 mg tablet/kapsul/kapl
54 Atapulgit tablet 650 mg tablet/kapsul/kapl
55 Atapulgit tablet 750 mg Tab
56 Atenolol tab 100 mg tablet/kapsul/kapl
57 Atenolol tab 50 mg tablet/kapsul/kapl
58 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
59 Atropin tab 0,5 mg Tab
60 Bahan tumpatan sementara lar, serb Botol
61 Bedak salisil serb 2% Dus/Sachet/Plastik
62 Betahistin tab 6 mg tablet/kapsul/kapl
63 Betametason krim 0,1% tube 5 gram
64 Betametason krim 0,5 mg/g Tube
65 Betametason salep 0,1% tube 5 gram
66 Betametason tts mata 1 mg/ml catchcover, botol
67 Betametason tts mata 1 mg/ml botol @5 ml
68 Bisakodil sup 10 mg Suppositoria
69 Bisakodil sup 5 mg Suppositoria
 70 Bisakodil tab sal 5 mg tablet/kapsul/kapl
71 Budesonid cairan ih 0,25mg/ml Botol @ 4 ml
72 Budesonid cairan ih 0,25mg/ml, respoules 2 ml respoules
73 Budesonid cairan ih 0,5 mg/ml Botol @ 4 ml
74 Budesonid cairan ih 0,5 mg/ml, respoules 2 ml respoules
75 Budesonid serb ih 100 mcg/dosis Botol
76 Budesonid serb ih 200 mcg/dosis 200 dosis
77 Budesonid serb ih 200 mcg/dosis 100 dosis
78 Copper T set/buah
79 Deksametason inj 5 mg/ml (i.v./i.m.) ampul/vial
80 Deksametason tab 0,5 mg tablet/kapsul/kapl
81 Diazepam enema 10 mg/2,5 ml tube @ 2,5 mL
82 Diazepam enema 5 mg/2,5 ml tube @ 2,5 mL
83 Diazepam inj 5 mg/ml (i.v./i.m.) ampul/vial
84 Diazepam tab 2 mg tablet/kapsul/kapl
85 Diazepam tab 5 mg tablet/kapsul/kapl
86 Dietilkarbamazin tab 100 mg tablet/kapsul/kapl
87 Difenhidramin inj 10 mg/ml (i.v./i.m.) ampul/vial
88 Digoksin tab 0,25 mg tablet/kapsul/kapl
89 Diltiazem kaps SR 100 mg Kapsul lepas lamba
90 Diltiazem kaps SR 200 mg Kapsul lepas lamba
91 Dimenhidrinat tab 50 mg tablet/kapsul/kapl
92 Doksisiklin kaps 100 mg tablet/kapsul/kapl
93 Dolutegravir tab 50 mg tablet/kapsul/kapl
94 Domperidon susp 5 mg/5 ml botol @60 ml
95 Domperidon tab 10 mg tablet/kapsul/kapl
96 Efavirenz tab 200 mg Tablet
97 Efavirenz tab sal 600 mg tablet salut selapu
98 Epinefrin (adrenalin) inj 1 mg/ml Ampul
99 Ergotamin tab 1 mg Tab
100 Eritromisin kaps 250 mg tablet/kapsul/kapl
101 Eritromisin sir 200 mg/5 ml Botol @ 60 ml
102 Eritromisin tab 500 mg tablet/kapsul/kapl
103 Estrogen terkonjugasi tab sal 0,625 mg tablet salut gula/ka
104 Etambutol tab 400 mg tablet/kapsul/kapl
105 Etanol 70% cairan 70% Botol
106 Etil klorida semprot 100 ml Botol
107 Etonogestrel implan 68 mg Set
108 Eugenol Botol
109 Fenitoin Na inj 50 mg/ml (100 mg/ 2 mL) ampul @ 2 ml
110 Fenitoin Na kaps 100 mg Kaps
111 Fenitoin Na kaps 30 mg Kaps
112 Fenobarbital tab 100 mg Tab
113 Fenobarbital tab 30 mg tablet/kapsul/kapl
114 Fenoksimetil penisilin (penisilin V) tab 250 mg Tab
115 Fenoksimetil penisilin (penisilin V) tab 500 mg Tab
116 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) ampul/vial
117 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal
118 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) tablet salut gula/ka
119 Fluoksetin kaps 10 mg tablet/kapsul/kapl
120 Fluoksetin kaps 20 mg tablet/kapsul/kapl
121 Fluor kapl 1 mg Kaplet
122 Fluor sediaan topikal Tube
123 Formokresol Botol
124 Framisetin Sulfat Tulle 1% Patch
125 Furosemid inj 10 mg/ml (i.v./i.m.) ampul/vial
126 Furosemid tab 40 mg tablet/kapsul/kaple
127 Galactose microparticle 200-400 mg micropart/ml Vial
128 Garam Fe, setara dengan Fe elemental 15 mg/5 mL Botol
129 Garam Fe, setara dengan Fe elemental 60 mg Botol
130 Garam Fe, setara dengan Fe elemental 60 mg Sachet
131 Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida 0,30 g + sachet
trinatrium sitrat 0,58 g + glukosa anhidrat 2,7 g
132 Gentamisin salep mata 0,3% Tube
133 Gentamisin tts mata 0,3% Botol
134 Glass ionomer ART (Atraumatic Restorative Treatment) cocoa butter 5 g Sachet

135 Glass ionomer ART (Atraumatic Restorative Treatment) lar Botol

136 Glass ionomer ART (Atraumatic Restorative Treatment) serb Vial
137 Glibenklamid tab 2,5 mg tablet/kapsul/kaple
138 Glibenklamid tab 5 mg tablet/kapsul/kaple
139 Glikuidon tab 30 mg tablet/kapsul/kaple
140 Glimepirid tab 1 mg tablet/kapsul/kaple
141 Glimepirid tab 2 mg tablet/kapsul/kaple
142 Glipizid tab 5 mg tablet/kapsul/kaple
143 Gliseril trinitrat tab 0,5 mg tablet/kapsul/kapl
144 Gliserin tts 100 mg/ml Botol
145 Glukosa Larutan Infus 10% steril 100 ml Botol
146 Glukosa Larutan Infus 10% steril 250 ml Botol
147 Glukosa Larutan Infus 10% steril 500 ml Botol
148 Glukosa Larutan Infus 40% Ampul @25 ml
149 Glukosa Larutan Infus 5% steril 100 ml Botol
150 Glukosa Larutan Infus 5% steril 250 ml Botol
151 Glukosa Larutan Infus 5% steril 500 ml Botol
152 Griseofulvin (micronized) tab 125 mg tablet/kapsul/kapl
153 Griseofulvin (micronized) tab scored 250 mg tablet/kapsul/kapl
154 Gutta percha dan paper points 15 - 40 mm Roll
155 Gutta percha dan paper points 45 - 80 mm Roll
156 Haloperidol inj 5 mg/ml (i.m.) Vial
157 Haloperidol tab 0,5 mg tablet/kapsul/kapl
158 Haloperidol tab 1,5 mg tablet/kapsul/kapl
159 Haloperidol tab 2 mg tablet/kapsul/kapl
160 Haloperidol tab 5 mg tablet/kapsul/kapl
161 Haloperidol tts 2 mg/ml botol
162 Hepatitis B imunoglobulin (human) inj 150 IU/1,5 ml Ampul
163 Hidrogen peroksida cairan 3% Botol
164 Hidroklorotiazid tab 25 mg tablet/kapsul/kapl
165 Hidrokortison krim 2,5% tube @ 5 g
166 Hidrokortison serb inj 100 mg Vial
167 Hiosina butilbromida tab 10 mg tablet/kapsul/kapl
168 Human tetanus imunoglobulin inj 250 UI (i.m.) Ampul
169 Human tetanus imunoglobulin inj 500 UI (i.m.) Ampul
170 Ibuprofen sir 100 mg/5 ml botol @ 60 ml
171 Ibuprofen sir 200 mg/5 ml botol @ 60 ml
172 Ibuprofen tab 200 mg tablet/kapsul/kapl
173 Ibuprofen tab 400 mg tablet/kapsul/kapl
174 Ipratropium bromida aerosol 20 mcg/semprot Botol
175 Ipratropium bromida cairan ih 0,025% Botol
176 Isoniazid tab 100 mg Tab
177 Isoniazid tab 300 mg Tab
178 Isosorbid dinitrat tab 5 mg tablet/kapsul/kapl
179 IUD Cu T 380 A Set
180 IUD Levonorgestrel Set
181 Kalamin Tube
182 Kalsium glukonat inj 100 mg/ml ampul/vial
183 Kalsium hidroksida bubuk, pasta Tube
184 Kalsium karbonat tab 500 mg tablet/kapsul/kapl
185 Kalsium laktat (kalk) tab 500 mg tablet/kapsul/kapl
186 Kaptopril tab 12,5 mg tablet/kaplet
187 Kaptopril tab 25 mg tablet/kaplet
188 Kaptopril tab 50 mg tablet/kaplet
189 Karbamazepin sir 100 mg/5 ml Botol
190 Karbamazepin Tab 200 mg Tablet
191 Karbogliserin tts telinga 10 % Botol
192 Ketokonazol tab 200 mg tablet/kapsul/kapl
193 Klindamisin kaps 150 mg Kaps
194 Klindamisin kaps 300 mg tablet/kapsul/kapl
195 Klofazimin, micronized kaps 50 mg Kapsul
196 Klofazimin, micronizedkaps 100 mg kapsul
197 Klonidin tab 0,15 mg tablet/kapsul/kapl
198 Kloramfenikol kaps 250 mg tablet/kapsul/kapl
199 Kloramfenikol salep mata 1% tube @ 5 gram
200 Kloramfenikol serb inj 1.000 mg/ml vial/ampul
201 Kloramfenikol susp 125 mg/5 ml botol 60 ml
202 Kloramfenikol tetes telinga 3% Botol
203 Kloramfenikol tts mata 0,5% botol
204 Kloramfenikol tts mata 1% Botol
205 Klorfeniramin tab 4 mg tablet/kapsul/kapl
206 Klorfenol kamfer mentol (CHKM) Botol
207 Klorheksidin lar 0,2% Botol
208 Klorheksidin lar 15% Botol
209 Klorpromazin inj 25 mg/ml (i.m.) ampul/vial
210 Klorpromazin inj 5 mg/ml (i.m.) ampul/vial
211 Klorpromazin tab sal 100 mg tablet salut selapu
212 Klorpromazin tab sal 25 mg Tab sal
213 Klortalidon tab 50 mg Tab
214 Klozapin tab 100 mg tablet
215 Klozapin tab 25 mg tablet
216 Kodein tab 10 mg tablet/kapsul/kapl
217 Komb: Deksametason 0,1% Thymol 5% Paraklorphenol 30 Botol
218 Kombinasi (DHP) : dihidroartemisin 40 mg + Piperakuin 320 mg tab sal tablet salut selapu
selaput
219 Kombinasi : (Zidovudin 60 mg + Lamivudin 30 mg + Nevirapin 50 mg) Ped Tab dispersible
Triple FDC
220 Kombinasi : artemether 20 mg + lumefantrin 120 mg tablet/kapsul/kapl
221 Kombinasi : Desogestrel 150 mcg Etinilestradiol 30 mcg Tab
222 Kombinasi : ergotamin 1 mg+ kafein 50 mg tablet/kapsul/kapl
223 Kombinasi : Ferro fumarat 60 mg + asam folat 0,4 mg tab salut tablet salut gula
224 Kombinasi : levonorgestrel 150 mcg + etinilestradiol 30 mcg tab salut gula
225 Kombinasi : Tenofovir 300 mg + Emtrisitabin 200 mg Tab
226 Kombinasi : Tenofovir 300 mg + Lamivudin 300 mg + Efavirenz 600 mg Tab

227 Kombinasi : zidovudin 300 mg +lamivudin 150 mg Tab

228 Kombinasi: Ipratropium bromida 0,5 mg + Salbutamol 2,5 mg, cairan ih Ampul/vial

229 Kombinasi: kaolin 550 mg + pektin 20 mg Tab

230 Kombinasi: lopinavir 200 mg + ritonavir (LVP) 50 mg, tab 250 mg Tab
231 Kombinasi: Tenofovir 300 mg + Lamivudin 300 mg + Dolutegravir 50 mg, Tablet/kapsul/kapl
tablet
232 Komibinasi: lidokain + medisinal creosote phenol + eugenol + benzil Botol
alkohol, cairan
233 Komposit resin Set
234 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg+ tab/kaptab
trimetoprim 80 mg
235 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 800 mg+ tab/kaptab
trimetoprim 160 mg
236 Kotrimoksazol kombinasi tiap 5 ml suspensi : sulfametoksazol 200 mg + botol 60 mL
trimetoprim 40 mg
237 Kuinin inj 25% (i.v.) Vial
238 Kuinin tab 200 mg tablet/kapsul/kapl
239 Laktulosa sir 3,335 g/5 ml botol @ 60 mL
240 Lamivudin (3TC) tab 150 mg tablet/kapsul/kapl
241 Larutan mengandung elektrolit (CaCl2H2O 0,165 gr, KCl 0,15 gr, NaCl 4,3 Botol plastik @500
gr)
242 Larutan mengandung Elektrolit (Kalium Klorida) Botol
243 Larutan mengandung Elektrolit (KCl 0,15%, NaCL 0,9%) (KN1) Botol
244 Larutan mengandung Elektrolit (KCl 0,3%,NaCl 0,9%) (KN2) Botol
245 Larutan mengandung Elektrolit (Na 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3 Softbag @ 500 ml
mEq, Asetat 28 mEq) Ringer Asetat
246 Larutan mengandung Elektrolit (Na 130 mEq, K 4 mEq, Cl 109 mEq, Ca 3 Botol plastik @ 50
mEq, Asetat 28 mEq) Ringer Asetat
247 Larutan mengandung Elektrolit (Sodium Lactate sol (50%) 113 gr/L, Botol
Potassium Chloride 0.3 gr/L, Calcium Chloride 0.2 gr/L, elektrolit)

248 Larutan mengandung Elektrolit (Tiap 1000 ml mengandung electrolit: Botol

Sodium 145 mmol/l, Potassium 4.0 mmol/l, Calcium 2.5 mmol/l,
Magnesium 1.0 mmol/l, Chloride 118 mmol/l, Acetate 24 mmol/l, Malate
5.0 mmol/l)

249 Larutan mengandung Karbohidrat (Fructose 120 g, glucose 66 g, Xylitol 60 Botol

g/ L)
250 Larutan mengandung Karbohidrat (Fructose 15 mg, glucose monohydrate softbag
30 mg, xylitol 15 mg)
251 Larutan mengandung Karbohidrat (Fructose 200 g, glucose 110 g, Xylitol Botol
100 g/ L)
252 Larutan mengandung Karbohidrat (Fructose 60 g, glucose 33 g, Xylitol 30 Botol
g/ L)
253 Larutan mengandung Karbohidrat (Maltose 10%) Botol
254 Larutan mengandung Karbohidrat + Elektrolit (25.00g dextrose anhidrat, Botol plastik @500
3.00 g sodium chloride, 0.15 g potassium chloride, 0.10 g calcium chloride
dihydrate dan 1.55 g sodium lactate)

255 Larutan mengandung Karbohidrat + Elektrolit (25.00g maltose, 3.00 g Botol plastik @500
sodium chloride, 0.15 g potassium chloride, 0.10 g calcium chloride
dihydrate dan 1.55 g sodium lactate)

256 Larutan mengandung Karbohidrat + Elektrolit (Acetate, Na, K, Cl, Ca, Mg, Botol
Sorbitol 50 gr/L)
257 Larutan mengandung Karbohidrat + Elektrolit (Dextrose 5%, NaCL 0,45%, Botol
KCl) (HSD)
258 Larutan mengandung Karbohidrat + Elektrolit (Fructose 120 g, glucose 66 Botol
g, Xylitol 60 g/ L + elektrolit)
259 Larutan mengandung Karbohidrat + Elektrolit (Glukosa 25 g, NaCl 2,0 g, Botol
KCl 1,3 g, Natrium Laktat 3,1 g, air untuk injeksi ad 1000 ml)
260 Larutan mengandung Karbohidrat + Elektrolit (Glukosa 55 g ; Natrium Botol
Chloride 9 g, air untuk injeksi ad 1000 ml) (D5-NS)
261 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 110.0 g; NaCl: botol/softbag
1.80 g) (D10-1/5NS)
262 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 Botol
g)
263 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 botol/softbag @ 5
g) (D5-1/4NS)
264 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 2.25 botol/softbag @ 1
g) (D5-1/4NS)
265 Larutan mengandung Karbohidrat + Elektrolit (Glukosa: 55.0 g; NaCl: 4.5 Botol
g) (D5-1/2NS)
266 Larutan mengandung Karbohidrat + Elektrolit (Larutan nutrisi kombinasi Botol
infus per L: Na. 100mEQ, K 18mEQ, Ca. 4mEQ, Mg 6mEQ, Cl 90mEQ,
Asetat 38mEQ, Sorbitol 50g)

267 Larutan mengandung Karbohidrat + Elektrolit (Larutan Ringer & Glukosa Botol
5%)
268 Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.125 gr, Dekstrosa Botol
18.75 gr) (KA EN 1B)
269 Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Botol
Glukosa 100 gr)
270 Larutan mengandung Karbohidrat + Elektrolit (NaCl 1.75 g, KCL 1.5g, Na Botol
Lactate 2.24 g, Glukosa 100 gr)
271 Larutan mengandung Karbohidrat + Elektrolit (Nacl 1.75 gr, KCl 1.5 gr, Na Botol
Lactat 2.24 gr, Dekstrosa 27 gr) (KA EN 3B)
272 Larutan mengandung Karbohidrat + Elektrolit (Nacl 2.34 gr, Na Laktat Botol
2.24 gr, KCL 0.75 gr Dekstrosa 27 gr) (KA EN 3A)
273 Levonorgestrel implan 2 rods, 75 mg (3-4 tahun) pack/ sachet/ set
274 Lidokain gel 2% syringe/syringe pla
275 Lidokain inj 2% (infiltr/p.v.) ampul/vial
276 Lidokain salep 5% Tube
277 Lidokain spray oral 10% botol
278 Linestrenol tab 0,5 mg tablet/kapsul/kapl
279 Liquor carbonis detergens lar 5% Botol
280 Loperamid tab 2 mg Tab
281 Lopinavir 100 mg + Ritonavir 25 mg tab sal selaput
282 Loratadin tab 10 mg tablet/kapsul/kapl
283 Lorazepam tab 0,5 mg tablet/kapsul/kapl
284 Lorazepam tab 1 mg tablet/kapsul/kapl
285 Lorazepam tab sal 2 mg Tab sal
286 Magnesium sulfat inj 20% ampul/vial @25 ml
287 Magnesium sulfat inj 20% ampul/vial
288 Magnesium sulfat inj 40% ampul/vial
289 Magnesium sulfat inj 40% ampul/vial @25 ml
290 Magnesium sulfat serb, ktg 30 g Sachet
291 Manitol lar infus 20% Botol @ 100 ml
292 Manitol lar infus 20% Botol @ 250 ml
293 Manitol lar infus 20% Botol @ 500 ml
294 Mebendazol sir 100 mg/5 ml Botol
295 Mebendazol tab 100 mg Tan
296 Mebendazol tab 500 mg tablet/kapsul/kapl
297 Medroksi progesteron asetat inj 150 mg/ml ampul/vial
298 Metenamin mandelat (heksamin mandelat) tab salut enterik 500 mg Tab salut

299 Metformin tab 500 mg tablet/kapsul/kapl

300 Metformin tab 850 mg tablet/kapsul/kapl
301 Metilergometrin inj 0,2 mg/ml ampul/vial
302 Metilergometrin tab salut 0,125 mg tablet/kaplet salut
303 Metilprednisolon inj 125 mg/2 ml ampul/vial
304 Metoklopramid inj 5 mg/ml ampul/vial
305 Metoklopramid tab 10 mg tablet/kapsul/kapl
306 Metoklopramid tab 5 mg tablet/kapsul/kapl
307 Metronidazol lar inf 5 mg/ml botol
308 Metronidazol susp 125 mg/5 ml Botol @ 60 ml
309 Metronidazol susp 125 mg/5 ml Botol @ 100 ml
310 Metronidazol tab 250 mg tablet/kapsul/kapl
311 Metronidazol tab 500 mg tablet/kapsul/kapl
312 Mikonazol krim 2% tube
313 Mikonazol serb 2% botol / sachet
314 Mineral Mix (Bismuth Subcitrate Tripotasium, Copper sulfate, Magnesium Sachet
Chloride Anhydrous, Potassium Chloride, Zinc Acetate)

315 N-asetil sistein kaps 200 mg tablet/kapsul/kapl

316 NaCl 0,9% Larutan Botol @25 ml
317 NaCl 0,9% Larutan Botol @500 ml
318 NaCl 0,9% Larutan Botol @100 ml
319 NaCl 0,9% Larutan Botol @1.000 mL
320 NaCl 0,9% Larutan Botol @250 ml
321 NaCl 0,9% Larutan Ampul/botol @ 10
322 NaCl 3% Larutan Botol plastik @500
323 Natrium diklofenak tab 25 mg tablet salut enteri
324 Natrium diklofenak tab 50 mg tablet salut enteri
325 Natrium Diklofenak Tetes Mata 1 mg/ml botol 5 mL
326 Natrium hipoklorit cairan konsentrat 5% Botol
327 Natrium tiosulfat inj 25% (i.v.) Ampul
328 Nevirapin tab 200 mg tablet/kapsul/kapl
329 Nifedipin kaps 10 mg tablet/kapsul/kapl
330 Nistatin susp 100.000 UI/ml botol/vial
331 Nistatin tab salut 500.000 UI tablet salut gula/ka
332 Nistatin tab vaginal 100.000 UI tablet/kaplet
333 Norepinefrin inj 1 mg/ml ampul/vial
334 Obat Anti Tuberculosis FDC Kategori Anak paket
335 Obat Anti Tuberculosis FDC Kategori I paket
336 Obat Anti Tuberculosis FDC Kategori II paket
337 Obat Anti Tuberculosis FDC Kategori Sisipan paket
338 Obat Anti Tuberculosis Kombipak Anak Paket
339 Obat Anti Tuberculosis Kombipak Dewasa paket
340 Oksigen ih, gas dlm tabung Botol
341 Oksimetazolin tts hidung 0,025% botol @ 10 mL
342 Oksimetazolin tts hidung 0,050% botol @ 10 mL
343 Oksitetrasiklin 1% Salep Mata tube
344 Oksitosin inj 10 UI/ml ampul/vial
345 Olopatadin tts mata 0,1% Botol
346 Omeprazol inj 40 mg/10 ml ampul/vial
347 Omeprazol kaps 20 mg tablet/kapsul/kapl
348 Paraformaldehid tab 1 g Tab
349 Parasetamol sir 120 mg/5 ml botol @ 60 mL
350 Parasetamol tab 500 mg tablet/kapsul/kapl
351 Parasetamol tts 60 mg/0,6 ml botol @ 15 mL
352 Pasta devitalisasi (non arsen) Tube
353 Pasta pengisi saluran akar (pasta) Tube
354 Perak nitrat lar 20% Botol
355 Perak sulfadiazin krim 1% Tube
356 Permetrin krim 5 % Tube 10 g
357 Permetrin krim 5 % Tube 30 g
358 Permetrin krim 5 % Tube 15 g
359 Pirantel pamoat susp 125 mg/5 ml Botol
360 Pirantel pamoat tab 500 mg Tab
361 Pirantel pamoat tab scored 125 mg tablet/kapsul/kapl
362 Pirantel pamoat tab scored 250 mg Tab
363 Piridoksin (vitamin B6) inj 100 mg/ml Ampul
364 Piridoksin (vitamin B6) tab 10 mg tab/kap/kapl
365 Piridoksin (vitamin B6) tab 25 mg tablet/kapsul/kapl
366 Povidon iodin lar 100 mg/ml botol 30 mL
367 Povidon iodin lar 100 mg/ml botol @ 60 mL
368 Povidon iodin lar 100 mg/ml Botol 300 ml
369 Povidon iodin lar 100 mg/ml botol @ 1.000 mL
370 Povidon iodin lar obat kumur 1% Botol
371 Povidon iodin tts mata 2,5% botol/strip
372 Prednison tab 5 mg tablet/kapsul/kapl
373 Primakuin tab 15 mg Tab
374 Probenesid tab 500 mg tablet/kapsul/kapl
375 Prokain benzilpenisilin serb inj 3 juta UI/vial (i.m.) ampul/vial
376 Propiltiourasil tab 100 mg tablet/kapsul/kapl
377 Propranolol tab 10 mg tablet/kapsul/kapl
378 Ranitidin tab 150 mg tablet/kapsul/kapl
379 Retinol (vitamin A) kaps lunak 100.000 UI kaps lunak
380 Retinol (vitamin A) kaps lunak 200.000 UI kaps lunak
381 Rifampisin kaps 300 mg tablet/kapsul/kapl
382 Rifapentin tablet 150 mg Tablet/kapsul/kapl
383 Ringer Laktat Larutan Botol
384 Risperidon tab sal 1 mg tablet/kapsul/kapl
385 Risperidon tab sal 2 mg tablet/kapsul/kapl
386 Salbutamol cairan ih 1 mg/mL ampul/vial/botol
387 Salbutamol sir 2 mg/5 ml Botol
388 Salbutamol tab 2 mg tablet/kapsul/kapl
389 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 % pot 30 gram
390 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 % pot 15 gram
391 Sefadroksil kaps 250 mg tablet/kapsul/kapl
392 Sefadroksil kaps/tab 500 mg tablet/kapsul/kapl
393 Sefadroksil sir kering 125 mg/5 ml botol @ 60 mL
394 Sefadroksil sir kering 250 mg/5 ml botol @ 60 mL
395 Serum anti bisa ular : A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.) Vial

396 Serum anti bisa ular :A.B.U.II (khusus ular dari Papua) inj (i.m./i.v.) Vial

397 Serum antidifteri (A.D.S) inj (i.m./i.v.) Inj i.m 10.000 UI/ Vial
398 Serum antirabies inj 100 UI/ml Vial
399 Serum antirabies inj 200 UI/ml Vial
400 Serum antitetanus (A.T.S) (i.m.) Inj 10.000 UI/vial (i.m /i.v.) Vial
401 Serum antitetanus (A.T.S) inj 1500 UI/amp (i.m.) Ampul
402 Serum antitetanus (A.T.S) inj 20.000 UI/vial (i.m /i.v.) Vial
403 Serum antitetanus (A.T.S) inj 5.000 IU/mL (i.m) Ampul/vial
404 Setirizin sir 5 mg/5 ml. botol @ 60 mL
405 Sianokobalamin (vitamin B12) inj 500 mcg/ml ampul/vial
406 Sianokobalamin (vitamin B12) tab 50 mcg tablet/kapsul/kapl
407 Simvastatin tab sal 10 mg tablet/kapsul/kaple
408 Simvastatin tab sal 20 mg tablet/kapsul/kaple
409 Simvastatin tab sal selaput 40 mg Tab sal
410 Siprofloksasin tab scored 500 mg tablet salut selapu
411 Spironolakton tab 25 mg tablet/kapsul/kapl
412 Stannous pyrophosphate 27,6 mg sodium pyrophosphate/vial Vial
413 Streptomisin serb inj 1.000 mg/vial ampul/vial
414 Surgical ginggival pack Tube
415 Tenofovir tab 300 mg tablet salut selapu
416 Terbutalin cairan ih 2,5 mg/ml Botol
417 Terbutalin inj 0,5 mg/ml ampul/vial
418 Tetanus toxoid inj Ampul
419 Tetrakain tts mata 0,5% Botol
420 Tetrasiklin kaps 250 mg tablet/kapsul/kapl
421 Tetrasiklin kaps 500 mg tablet/kapsul/kapl
422 Tetrasiklin Salep Mata 1% Tube
423 Tiamin (vitamin B1) tab 50 mg tablet/kapsul/kapl
424 Timolol tts mata 0,25% botol @ 5 mL
425 Timolol tts mata 0,5% botol @ 5 mL
426 Tropikamid tts mata 1% Botol @ 5 ml
427 Tropikamid tts mata 1% Botol @ 0,6 ml
428 Urea krim 10 % Tube/pot
429 Urea krim 20 % Tube/pot
430 Vaksin BCG inj (i.k) Vial
431 Vaksin bivalen OPV (b-OPV) drops 10 dosis Vial
432 Vaksin Hepatitis Rekombinan Inj Prefilled Injection Device (Uniject) 0,5 ml Vial
(i.m)
433 Vaksin HPV (Human Papilloma Virus), vial 0,5 mL Ampul/vial
434 Vaksin Influenza Vial
435 Vaksin Japanese Enchepalitis (J.E) Vial
436 Vaksin jerap difteri tetanus (DT) Vial
437 Vaksin jerap difteri tetanus (Td) Vial
438 Vaksin kombinasi DPT-HB-Hib Vial
439 Vaksin measless rubella (MR) Inj 0,5 mL (s.k) Vial
440 Vaksin Meningitis Meningokokus Vial
441 Vaksin polio IPV inj 0,5 ml Vial
442 Vaksin rabies, untuk manusia serb inj (s.k./i.k) + booster Vial
443 Vaksin rabies, untuk manusia serb Inj 2,5 IU Vial
444 Vaksin Yellow Fever Vial
445 Valproat sir 250 mg/5 ml botol @ 120 ml
446 Valproat tab lepas lambat 250 mg tabet lepas lambat
447 Valproat tab lepas lambat 500 mg tabet lepas lambat
448 Valproat tab sal enterik 250 mg tablet salut enterik
449 Vitamin B kompleks tablet
450 Vitamin C 500 mg minimal non acidic 250 mg Tablet/kapsul/kaple
451 Zidovudin kaps 100 mg tablet/kapsul/kapl
452 Zinc drops 10 mg/ml Botol
453 Zinc sir 20 mg/5 ml botol
454 Zinc tab disp 20 mg tablet dispersible
TUAN KERJA
N UNTUK DIADAKAN TAHUN 2022
PER BULAN DI SATKER SELAMA TAHUN 2021
DITAMBAH PREDIKSI PENGADAAN TAHUN 2022 DIKURANGI (12 x PEMAKAIAN RATA-RATA PER BULAN TAHUN 2021)
AMA 2021 DIKALI 18 BULAN DALAM SATUAN TERKECIL SEPERTI : TABLET / KAPSUL / KAPLET / BOTOL / AMPUL / VIAL / TUBE / SACCHE
BERDASARKAN METODE KONSUMSI DIKURANGI DENGAN PREDIKSI SISA STOK PER 31 DESEMBER 2022
UN 2023 DALAM SATUAN TERKECIL SEPERTI: TABLET / KAPSUL / KAPLET / BOTOL / AMPUL / VIAL / TUBE / SACCHET / PUFF YANG AKAN
TKER TELAH MENGIRIMKAN PELAPORAN RKO TAHUN 2022
IK E-PURCHASING MAUPUN MANUAL SELAMA TAHUN 2023

TINGKAT PERTAMA (FKTP) TAHUN 2023

SISA STOK PER 31 PREDIKSI PEMAKAIAN PREDIKSI SISA STOK 31 JUMLAH

DESEMBER 2021 PENGADAAN RATA-RATA PER DESEMBER 2022 KEBUTUHAN
TAHUN 2022 BULAN SELAMA TAHUN 2023
2021

(a) (b) (c) (d) = (a)+(b)-(12x(c)) (e) = (c) x 18

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
27 100 5 67 90
0 0 0 0 0
0 6000 200 3600 3600
700 9000 400 4900 7200
0 2000 200 0 3600
48 0 0 48 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3700 18000 1500 3700 27000
300 18000 1500 300 27000
0 100 30 0 540
0 0 0 0 0
0 100 30 0 540
0 400 30 40 540
0 400 50 0 900
0 4000 500 0 9000
1200 20000 1500 3200 27000
0 0 0 0 0
0 0 0 0 0
0 30 0 30 0
1400 20000 1000 9400 18000

65 400 30 105 540

0 0 0 0 0
24 450 24 186 432
40 50 10 0 180

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
800 30000 2000 6800 36000
600 30000 2000 6600 36000
0 0 0 0 0
0 5000 300 1400 5400
0 5000 300 1400 5400
0 5000 500 0 9000
3700 20000 1000 11700 18000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 30 0 30 0
0 30 0 30 0
0 30 0 30 0
0 0 0 0 0
1450 3000 100 3250 1800
0 0 0 0 0
0 0 0 0 0
0 2500 100 1300 1800
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 200 10 80 180
0 2000 100 800 1800
50 500 25 250 450
0 500 25 200 450
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 200 10 80 180
0 200 10 80 180
 0 2000 100 800 1800
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
209 0 0 209 0
0 20000 2000 0 36000
0 50 3 14 54
0 50 5 0 90
0 0 0 0 0
0 500 30 140 540
0 500 30 140 540
0 0 0 0 0
18 0 0 18 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
200 0 0 200 0
0 0 0 0 0
0 100 10 0 180
0 2000 100 800 1800
0 0 0 0 0
0 0 0 0 0
88 30 2 94 36
0 0 0 0 0
0 0 0 0 0
0 100 10 0 180
0 100 10 0 180
0 0 0 0 0
0 0 0 0 0
2 50 2 28 36
1 30 2 7 36
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
300 0 0 300 0
0 0 0 0 0
0 0 0 0 0
0 30 2 6 36
0 500 50 0 900
 2 30 2 8 36
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
600 0 0 600 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
200 2000 100 1000 1800

0 50 5 0 90
0 50 5 0 90
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3000 0 0 3000 0
0 0 0 0 0
100 0 0 100 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
700 2000 100 1500 1800
0 2000 100 800 1800
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 200 0 0 200 0
24 400 25 124 450
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
70 200 20 30 360
0 200 20 0 360
0 10000 1000 0 18000
400 10000 600 3200 10800
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1200 18000 1000 7200 18000
3400 2000 100 4200 1800
0 2000 100 800 1800
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 2000 300 0 5400
0 5000 300 1400 5400
0 5000 300 1400 5400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 2000 100 800 1800
29 150 5 119 90
0 0 0 0 0
10 200 10 90 180
30 100 5 70 90
23 100 6 51 108
0 100 6 28 108
800 20000 1500 2800 27000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
100 0 0 100 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
1300 5000 200 3900 3600

0 0 0 0 0

50 200 20 10 360

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
 0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
0 200 5 140 90
100 200 5 240 90
0 100 5 40 90
0 200 5 140 90
0 0 0 0 0
0 0 0 0 0
0 2000 100 800 1800
0 0 0 0 0
0 2000 300 0 5400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
22 30 2 28 36
0 0 0 0 0
0 0 0 0 0
24 30 2 30 36
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 2000 100 800 1800

0 0 0 0 0
0 50 2 26 36
0 300 100 0 1800
0 0 0 0 0
0 0 0 0 0
0 200 200 0 3600
0 200 100 0 1800
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 0 2000 200 0 3600
0 2000 300 0 5400
24 200 15 44 270
48 200 15 68 270
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
20 100 5 60 90
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
450 10000 500 4450 9000
0 10000 500 4000 9000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
100 200 10 180 180
0 0 0 0 0
0 5 1 0 18
0 10 2 0 36
0 5 1 0 18
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 200 4 152 72
0 200 4 152 72
0 0 0 0 0
0 0 0 0 0
0 10000 300 6400 5400
0 0 0 0 0
53 200 20 13 360
200 20000 2000 0 36000
91 200 10 171 180
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 400 100 0 1800
0 400 100 0 1800
0 400 100 0 1800
0 0 0 0 0
0 0 0 0 0
800 5000 1500 0 27000
0 0 0 0 0
0 50 4 2 72
0 50 4 2 72
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 5000 200 2600 3600
0 500 20 260 360
0 0 0 0 0
0 0 0 0 0
400 0 0 400 0
800 0 0 800 0
2100 15000 1000 5100 18000
0 10000 200 7600 3600
0 10000 200 7600 3600
0 0 0 0 0
0 0 0 0 0
10 50 4 12 72
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 10 3 0 54
800 1000 100 600 1800
48 50 10 0 180
0 50 15 0 270
0 10000 300 6400 5400
0 10000 300 6400 5400
0 200 10 80 180
0 200 10 80 180
0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
0 50 5 0 90
0 0 0 0 0
0 0 0 0 0
20000 2000 500 16000 9000
0 10000 300 6400 5400
0 0 0 0 0
200 2000 100 1000 1800
200 0 0 200 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 100 10 0 180
0 100 10 0 180
0 0 0 0 0
0 0 0 0 0
0 50 10 0 180
0 5000 0 5000 0
0 30 4 0 72
0 30 4 0 72
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 150 10 30 180
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 150 10 30 180
0 150 10 30 180
0 150 10 30 180
0 85 4 37 72
0 0 0 0 0
0 150 10 30 180
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1000 20000 2000 0 36000
0 20000 1500 2000 27000
0 0 0 0 0
0 50 10 0 180
0 100 15 0 270
500 5000 500 0 9000
AN TAHUN 2021)
L / AMPUL / VIAL / TUBE / SACCHET / PUFF

TUBE / SACCHET / PUFF YANG AKAN DIADAKAN TAHUN 2022 BERDASARKAN

RENCANA RENCANA RENCANA REALISASI

KEBUTUHAN PENGADAAN PENGADAAN PENGADAAN
TAHUN 2023 TAHUN 2023 TAHUN 2022 TAHUN 2021

(f) = (e) - (d) (g) (h) (i)

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
23 0 0 20
0 0 0 0
0 0 0 0
2300 0 200000 2000
3600 0 50000 3000
-48 0 100 40
0 0 0 0
0 0 0 0
0 0 0 0
23300 0 100000 20000
26700 0 300000 20000
540 0 0 500
0 0 1000 0
540 0 0 500
500 0 500 500
900 0 1000 500
9000 0 135000 10000
23800 0 350000 20000
0 0 0 0
0 0 0 0
-30 0 600 30
8600 0 300000 8000

435 0 3000 400

0 0 0 0
246 0 500 200
180 0 0 100

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
29200 0 100000 20000
29400 0 250000 20000
0 0 0 0
4000 0 0 4000
4000 0 0 4000
9000 0 0 9000
6300 0 210000 6000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-30 0 0 30
-30 0 0 30
-30 0 0 30
0 0 15000 0
-1450 0 50000 1000
0 0 6000 0
0 0 0 0
500 0 0 500
0 0 0 0
0 0 0 0
0 0 0 0
0 0 340 0
0 0 0 0
0 0 50 0
100 0 500 100
1000 0 4000 1000
200 0 500 200
250 0 300 200
0 0 0 0
0 0 0 0
0 0 0 0
100 0 0 100
100 0 0 100
 1000 0 0 1000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-209 0 1800 200
36000 0 350000 30000
40 0 400 40
90 0 0 90
0 0 0 0
400 0 0 400
400 0 0 400
0 0 0 0
-18 0 300 20
0 0 50000 0
0 0 0 0
0 0 0 0
0 0 0 0
-200 0 0 200
0 0 0 0
180 0 700 200
1000 0 235400 1000
0 0 0 0
0 0 0 0
-58 0 100 60
0 0 0 0
0 0 100000 0
180 0 0 200
180 0 0 200
0 0 0 0
0 0 0 0
8 0 15000 10
29 0 500 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-300 0 2000 300
0 0 0 0
0 0 0 0
30 0 500 30
900 0 2000 1000
 28 0 1000 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-600 0 20000 600
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
800 0 600 1000

90 0 350 100
90 0 350 100
0 0 0 0

0 0 0 0
0 0 0 0
0 0 20000 0
-3000 0 35000 3000
0 0 17000 0
-100 0 15000 100
0 0 11000 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
300 0 100000 300
1000 0 0 1000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 1800 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 -200 0 15000 200
326 0 500 350
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
330 0 2300 350
360 0 0 400
18000 0 50000 20000
7600 0 300000 8000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 10000 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10800 0 150000 11000
-2400 0 0 2500
1000 0 117000 1000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5400 0 100000 5500
4000 0 150000 4000
4000 0 20000 4000
0 0 0 0
0 0 0 0
0 0 0 0
1000 0 100000 1000
-29 0 500 30
0 0 0 0
90 0 0 100
20 0 0 20
57 0 600 60
80 0 0 100
24200 0 350000 20000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 2000 0
0 0 0 0
0 0 0 0
0 0 0 0
-100 0 0 100
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0
-300 0 100000 300

0 0 0 0

350 0 500 400

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
-50 0 400 50
-150 0 0 200
50 0 350 50
-50 0 500 50
0 0 0 0
0 0 0 0
1000 0 10000 1000
0 0 0 0
5400 0 102000 5500
0 0 0 0
0 0 0 0
0 0 0 0
8 0 60 10
0 0 60 0
0 0 120 0
6 0 0 10
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

1000 0 200000 1000

0 0 0 0
10 0 600 0
1800 0 7500 2000
0 0 0 0
0 0 0 0
3600 0 0 4000
1800 0 0 2000
0 0 0 0
0 0 0 0
0 0 0 0
3600 0 0 4000
5400 0 0 5500
226 0 500 300
202 0 0 250
0 0 0 0

0 0 10000 0
0 0 0 0
30 0 400 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4550 0 100000 5000
5000 0 50000 5000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 10000 0
0 0 0 0
0 0 0 0
0 0 100 0
0 0 0 0
18 0 0 20
36 0 0 40
18 0 0 20
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-80 0 500 100
-80 0 500 100
0 0 0 0
0 0 0 0
-1000 0 60000 1000
0 0 0 0
347 0 700 350
36000 0 350000 36000
9 0 2000 10
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
1800 0 0 2000
1800 0 0 2000
1800 0 0 2000
0 0 0 0
0 0 0 0
27000 0 200000 25000
0 0 0 0
70 0 2000 100
70 0 16000 100
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1000 0 50000 1000
100 0 0 100
0 0 0 0
0 0 0 0
-400 0 50000 500
-800 0 0 1000
12900 0 250000 13000
-4000 0 0 4000
-4000 0 0 4000
0 0 0 0
0 0 0 0
60 0 200 100
0 0 0 0
0 0 0 0
0 0 0 0
54 0 0 60
1200 0 50000 1500
180 0 0 200
270 0 0 300
-1000 0 0 1000
-1000 0 200000 1000
100 0 500 100
100 0 500 100
0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
90 0 1000 100
0 0 0 0
0 0 50000 0
-7000 0 150000 7000
-1000 0 210000 1000
0 0 0 0
800 0 205000 1000
-200 0 20000 200
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
180 0 0 200
180 0 0 200
0 0 0 0
0 0 50000 0
180 0 350 200
-5000 0 200000 5000
72 0 0 80
72 0 350 80
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
150 0 0 200
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
150 0 0 200
150 0 0 200
150 0 0 200
35 0 0 40
0 0 0 0
150 0 0 200
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
36000 0 250000 36000
25000 0 250000 25000
0 0 0 0
180 0 500 200
270 0 0 300
9000 0 10000 9000
KETERANGAN

(j)