RENCANA KEBUTUHAN OBAT TAHUN 2016

PUSKESMAS ..

HARGA USULAN JUMLAH

KODE NAMA OBAT SATUAN
SATUAN KEBUTUHAN HARGA
1 2 3 4 5 6

1 0101 AIR RAKSA DENT. BTL 170,000.00

2 0102 AL.SUNT.SP 1ML SET 794.12
3 0103 AL.SUNT.SP 2,5ML SET 1,064.25
4 0104 AL.SUNT.SP 5ML SET 1,294.70
5 0105 ALBENDAZOL 400MG TAB 304.50
6 0106 ALOPURINOL 100 MG TAB TAB 109.58
7 0107 AMINOFILLIN TAB TAB 87.15
8 0108 AMINOFILLIN INJ AMP 3,240.00
9 0109 AMITRIPTILLIN TAB TAB 102.00
10 0110 AMOKS. SYRP KERING BTL 2,300.00
11 0111 AMOKS. 250 MG CAPS KAP 244.88
12 0112 AMOKS. 500 MG KAP KAPL 220.00
13 0116 ANTALGIN 500MG TAB 145.00
14 0118 ANTASIDA DOEN TAB 30.53
15 0119 ANTI BAKT.DOEN TUBE 2,491.00
16 0120 ANTI HEMOR.DOEN SUPP 875.00
17 0121 ANTIFUNGI DOEN POT 1,904.40
18 0124 AQUA PRO INJ. AMP 5,000.00
19 0126 AS.ASCORB.250MG TAB TAB 74.00
20 0127 AS.ASCORB.50MG TAB TAB 18.64
21 0130 ASETOSAL 100MG TAB TAB 100.00
22 0131 ASETOSAL 500MG TAB TAB 99.62
23 0204 BETAMET. KRIM TUBE 1,800.00
24 0301 CATGUT 2/0-3/0 SAC 8,896.88
25 0402 DEKSAMET.INJ AMP 1,400.00
26 0403 DEKSAMET. 0,5 MG TAB TAB 68.98
27 0407 DEVITALISASI PAST POT 475.45
28 0408 DIAZEPAM INJ. AMP 831.03
29 0409 DIAZEPAM 2MG TAB TAB 35.00
30 0410 DIAZEPAM 5MG TAB TAB 32.80
31 0412 DIFENHIDRAMIN INJ AMP 960.00
32 0413 DIGOKSIN TAB TAB 91.00
33 0501 EFEDRIN TAB TAB 37.47
34 0503 EPINEFRIN INJ AMP 1,500.00
35 0504 ETAKRIDINA 0,1% BTL 2,212.16
36 0506 ETANOL 70% BTL 25,245.00
37 0508 ETIL KLORID BTL 186,945.00
38 0509 EUGENOL BTL 3,177.00
39 0604 FENOBARB.INJ AMP 352.73
40 0605 FENOBARB.100MG TAB TAB 42.34
41 0606 FENOBARB.30MG TAB TAB 62.00
42 0610 FITOMENADION INJ AMP 977.67
43 0611 FITOMENADION TAB TAB 579.00
44 0612 FLUOR TAB TAB 35.20
45 0613 FUROSEMID 40 TAB TAB 76.99
46 0703 GARAM ORALIT 200ML SAC 304.56
47 0704 GENTIAN VIOLET BTL 900.00
48 0705 GLAS IONOMER C BTL 811,745.00
49 0706 GLIBENKLAMID 5 TAB TAB 68.19
50 0707 GLISERIL.GUAIACOLAT 150 MG TAB 29.92
51 0711 GLUCOSA 5 % BTL 3,821.00
52 0712 GRISEOFULVIN 125 MG TAB TAB 138.75
53 0801 HALOPERIDOL 0,5MG TAB TAB 67.93
54 0802 HALOPERIDOL 1,5MG TAB TAB 73.00
55 0803 HIDROKLORTHIAZID 25 MG TAB TAB 17.00
56 0804 HIDROKORT.2,5 % KRIM TUBE 2,541.00
57 0901 IBUPROF 200 MG TAB TAB 73.36
58 0902 IBUPROF 400 MG TAB TAB 144.00
59 0903 INFUS SET ANAK SET 13,970.00
60 0904 INFUS SET DWS SET 7,920.00
61 0906 IODIOL KAP LUNAK KAP 930.05
62 0908 ISONIAZID 300MG TAB TAB 28.08
63 0909 I.S.D.N. 5 MG TAB TAB 73.33
64 1001 JARUM JAHIT BEDAH BIJI 4,675.00
65 1101 KALIUM PERM.SERBUK POT 312.35
66 1102 KALS.HIDR.PASTA SET 151,745.00
67 1103 KALSIUM LAKTAT 500 MG TAB TAB 44.21
68 1104 KAPAS BERLEMAK ROL 13,800.00
69 1105 KAPAS PEMBALUT ROL 11,401.00
70 1106 KARBAMAZEPIN TAB TAB 243.00
71 1107 KASA HDR.40/40 ROL 1,393.00
72 1108 KASA HIDR.2X80 ROL 8,799.00
73 1109 KASA PEMB.4X15 ROL 3,373.00
74 1110 KASA PEMB. 3X4 ROL 733.00
75 1113 KLORAMF. 250MG CAPS KAP 227.00
76 1114 KLORAMF.SM 1% TUBE 1,562.00
77 1115 KLORAMF.TT 3% TUBE 1,599.00
78 1116 KLORFEN. M 4MG TAB 26.00
79 1117 KLOROQUIN TAB TAB 80.43
80 1118 KLORPROMAZIN 1ML AMP 1,021.00
81 1119 KLORPROMAZIN 2ML AMP 293.30
82 1120 KLORPROMAZIN 25MG TAB TAB 24.31
83 1121 KLORPR. 100MG TAB TAB 133.00
84 1125 KOTRIMOKS.120MG TAB TAB 61.50
85 1126 KOTRIMOKS.SUSP BTL 3,700.00
86 1127 KOTRIMOKS.480MG TAB TAB 140.00
87 1128 KUININ DIHIDR.INJ AMP 1,166.67
88 1129 KUININ DIHDR. 222MG TAB TAB 249.17
89 1201 LAR.BENEDCT BTL 23,112.00
90 1202 LAR.EOSIN 2% BTL 31,530.00
91 1203 LAR.ETANOL ASAM BTL 24,000.00
92 1204 LAR.GIEMSA STAIN BTL 39,596.00
93 1205 LAR.KARBOL FUKSIN BTL 65,000.00
94 1206 LAR.METILEN BIRU BTL 40,500.00
95 1207 LAR.TURK BTL 10,852.00
96 1208 LIDOCAIN COMP.INJ AMP 1,295.00
97 1209 LISOL BTL 49,862.00
98 1301 Mg.SULFAT INJ 20% AMP 1,466.50
99 1302 Mg SULFAT INJ.40% AMP 1,855.10
100 1303 MEBENDASOL SIRUP BTL 2,400.00
101 1304 MEBENDASOL TAB TAB 146.67
102 1305 METANOL BTL 19,217.00
103 1306 METIL ERGOMETR.TAB TAB 120.68
104 1307 METIL ERGOMETR.INJ AMP 9,993.50
105 1308 METRONIDASOL 250 MG TAB TAB 163.74
106 1310 MUMMIFYING PASTA BTL 137,856.00
107 1403 Na.KLORIDA 0,9% BTL 4,900.00
108 1405 NISTATIN VAG.TAB SUPP 407.00
109 1406 NISTATIN TAB.SALUT TAB 640.00
110 1501 OAT 1 & 3 ( FDC 2 & 4 ) PKT 236,000.00
111 1502 OAT 2 FDC PKT
112 1503 OB.ANTI TB KAT.3 PKT 154,000.00
113 1504 OB.ANTI TB SISIPAN PKT 159,898.00
114 1505 OB. ANTI TB ANAK PKT 214,950.00
115 1506 OBH INDOPLUS BTL 6,930.00
116 1508 OKSITETR. INJ VIAL 3,335.00
117 1509 OKSITETR. SK.3% TUBE 1,529.00
118 1510 OKSITETR.SM 1% TUBE 1,600.00
119 1511 OKSITOSIN INJ AMP 681.83
120 1601 PARAFORMALDEHID TAB 57.00
121 1602 PARACETAMOL SIRUP BTL 1,318.90
122 1603 PARASET. TAB 100MG TAB 25.69
123 1604 PARASET.TAB.500MG TAB 83.93
124 1610 PIRANTEL P 125MG TAB 203.68
125 1611 PIRIDOKSIN 10MG TAB 10.00
126 1612 PLESTER 2X5 ROL 31,900.00
127 1613 POLIKRESULEN (ALBOTHYL) BTL 14,475.00
128 1616 PREDNISON 5 MG TAB TAB 38.10
129 1617 PRIMAQUIN 15MG TAB 30.00
130 1619 PTU TAB TAB 264.00
131 1620 PROPANOLOL TAB TAB 108.00
132 1703 RESERPIN 0,25MG TAB 103.00
133 1704 RETINOL 100.000 IU KAP 242.00
134 1705 RETINOL 200.000 IU KAP 431.54
135 1709 RINGER LAKTAT INF BTL 5,200.00
136 1801 SALBUTAMOL 2MG TAB 59.82
137 1802 SALEP 2-4 POT 1,800.00
138 1805 SEMEN SENG PHOSP. SET 200,145.00
139 1806 SERUM ABU I VIAL 70,790.00
140 1809 SER.ATS 1500 IU AMP 91,575.00
141 1811 SIANOKOBALAMIN INJ AMP 916.00
142 1812 SILK 3/0 SAC 5,743.86
143 1813 SILVER AMALGAM BTL 266,200.00
144 1814 SPONS GELATIN BIJI 15,165.58
145 1817 SULFADIMIDIN TAB TAB 87.99
146 1818 SULFASETAMID TM BTL 3,226.00
147 1901 TABL.TAMBAH DARAH DRAG 27.30
148 1902 TEMP.STOPING FLETC. SET 6,862.00
149 1903 TETRACAIN TM BTL 3,396.42
150 1904 TETRASIKLIN 250MG KAP 206.00
151 1905 TETRASIKLIN 500MG KAP 185.94
152 1906 THIAMIN INJ AMP 456.73
153 1907 THIAMIN 50MG TAB TAB 23.88
154 1909 THP TAB. 2MG TAB 40.00
155 2003 YODIUM POV.10ML BTL 2,000.00
156 2004 YODIUM POV.300ML BTL 14,000.00
157 A1 ABATE KG 2803750
158 A4 ACYCLOVIR SALEP KLT TUBE 2152
159 A5 ACYCLOVIR TAB 200 MG TAB 350
160 A6 ALBENDAZOL SYRP BTL 3811
161 A7 ALINAMIN F INJ AMP
162 A9 AMBROXOL SYRP BTL
163 A11 AMOXICILLIN + AS.KLAFULANAT KAP 4550
164 A12 ANTASIDA SYR BTL 1865.93
165 A13 ANTIMALARIA TAB 478
166 A14 AS.MEFEN. 500MG KAP 95
167 A15 ASAM ASKORBAT 25 MG TAB
168 A16 ASAM FOLAT TAB 44.87
169 B3 BIO 2000 KTK
170 B4 BIOPLACENTON YELLI TUBE 11935
171 B5 BOOR GIGI BIJI 172645
172 B7 BUFACOMB TUBE
173 C1 CAPTOPRIL 12,5 MG TAB TAB
174 C2 CAPTOPRIL 25 MG TAB 88
175 C3 CATGUT CHROMIC 3/0 BKS
176 C4 CATGUT PLAN 3/0 BKS
177 C5 CEFADROXYL CAPS CAPS 510
178 C7 CIMETIDIN TAB TAB
179 C8 CO AMOXICLAV 625 MG TAB 4550
180 C9 COROVIT SYRUP BTL 16995
181 C10 COTTON ROLL NO.2 PAK 49445
182 C11 CRESOPHEN BTL 619245
183 C12 CURCUMA PLUS SYR BTL
184 C13 CYPROFLOX. KAPL. KAP 250
185 D3 DENTORIT BIJI
186 D4 DERMANIOS BTL
187 D5 DERMASIN TAB TUBE
188 D6 DIMENHIDRINAT TAB TAB 95
189 D7 DOMPERIDON 10 MG TAB TAB 176
190 D8 DOXYCYCLINE CAPS CAPS
191 D9 DULCOLAX TAB TAB
192 D10 DURADRYL INJ VIAL
193 E1 ERYTHROMISIN 500 MG KAP KAP
194 E2 ETHER ALKOHOL BTL 64790
195 F1 FEHLING A BTL
196 F2 FEHLING B BTL
197 F3 FILE BIJI
198 F4 FOLEY CATH. BIJI
199 G1 GC. FUJI FARNISH BTL 921745
200 G2 GUTTA PERCA BIJI
201 G3 GEMFIBROZIL TAB TAB 272
202 H2 HALOPERIDOL 5 MG
203 H3 HAND SCHOEN BIJI
204 H4 HAND SCHOEN TISUE BIJI
205 H5 HANDSCOEN STERIL BIJI
206 H6 HEXON 8 MG TAB
207 I1 IBUPROFEN SYR BTL
208 I2 IMERSION OIL BTL
209 I4 INTRAVENOUS CAT NO 18 BIJI 389290
210 I5 INTRAVENOUS CAT NO.20 BIJI
211 I6 INTRAVENOUS CAT NO 22 BIJI 389290
212 I7 INTRAVENOUS CAT NO.24 BIJI 389290
213 J1 JARUM JAHIT KULIT BIJI
214 K1 KALIUM DIKLOFENAK 50MG TAB 425
215 K4 KALOBA TAB 5421.4
216 K5 KALSIUM GLUKONAT AMP
217 K6 KASA HIDROFIL 16X16 KTK
218 K7 KASA HIDROFIL 18X22 KTK
219 K8 KASA HIDROFIL 36 X 80 cm KTK
220 K9 KASA HIDROFIL 4 X 10 cm
221 K11 KETOKONAZOLE TAB200MG TAB 267
222 K12 KHLORAMFENIKOL SUSP BTL
223 K13 KHLORAMFENIKOL TM BTL 5445
224 L4 LISOL PROTEKTOR BTL 13255
225 L5 LIVRON B PLEX TAB 220
226 L6 LORATADIN TAB 10MG TAB 160
227 L7 LOPERAMIDE TAB TAB 90
228 M1 MASKER BIJI
229 M2 MELOXICAM 7,5 MG TAB 234
230 M3 METFORMIN TAB TAB
231 M4 METIL PREDNISON TAB 4MG TAB 295.83
232 M5 METHERGIN INJ AMP 9993.5
233 M6 METOCHLORPRAMIDE TAB TAB 99
234 M7 MIKONAZOL SALEP 2% TUBE 3000
235 M8 MINERAL MIX SAC
236 M9 MISOPROSTOL / GASTRUL TAB
237 M10 MOLAGIT TAB TAB
238 M11 MOLANEURON TAB TAB 440
239 M12 MOLEXDRYL SYR BTL 4400
240 M14 MULTIVIT SIRUP BTL
241 N1 MY JELLY TUBE 24915
242 N2 NALD DISP SET
243 N3 NATRIUM DIKLOFENAK 50MG TAB 210
244 N6 NEVRADIN INJ VIAL
245 N7 NICHOLIN 250 MG AMP
246 N8 NIFEDIPIN TAB TAB 112
247 N9 NOVALGIN INJ VIAL
248 O1 OAT E 400 PAK
249 O3 OBH TROPICAL SYRP BTL 8415
250 O4 OMEPRAZOLE CAP CAPS 265
251 O5 OREGAN TETES MATA BTL
252 P3 PIRACETAM 400 MG TAB 194
253 P6 PIROKSIKAM 20 MG TAB
254 P7 PRIMPERAN INJ AMP
255 R1 RANITIDIN INJ 25MG/ML AMP 1928
256 R2 RANITIDIN TAB 150MG TAB TAB 105
257 R3 REAGEN WIDAL SET 754952
258 R4 RECO SALEP MATA BTL
259 R5 RECOFIT SYR BTL
260 R7 RINGER ACETAT/ASERING KOLF 15840
261 R8 ROOT CANAL FILLING
262 S1 SEFOTAKSIM SERBUK INJ 1G
263 S2 SIDE BIJI
264 S3 SLIDE / OBJECT GLASS BIJI
265 S4 SPIRITUS BTL
266 S5 SPUIT BCG 0.05 SET
267 S6 SPUTUM POT BIJI
268 S7 SUPRA LIVRON TAB TAB
269 S8 SYNTOCYNON INJ AMP
270 T1 TABURIA SAC
271 T2 TES URIN KTK 306900
272 T3 TEMP.RESTORATIVE(CITODOER) FLES 169950
273 T4 TENSIGARD CAPS TAB
274 T5 THIAMPHENICOL 500 MG KAP 431
275 T6 TRAMADOL INJ AMP
276 T7 TRANFUSION SET SET 25960
277 T8 TRANSAMIN INJ AMP
278 T9 TRENTAL INJ AMP
279 T10 TRIFLUOPERAZINE 4 MG TAB
280 U1 ULSIKUR INJ AMP
281 U2 URINE BAG BIJI
282 V1 VENTOLIN NEBUL 2,5 MG AMP 9999
283 V2 VICAL SYR BTL
284 V3 VICCILLIN 1 GR VIAL
285 V4 VIT K INFANT 2 MG / 1 ML INJ AMP 8244.5
286 W1 WIDA RL BTL
287 X1 XYLOMIDON INJ VIAL
288 Z1 ZINC TAB TAB 440
289 Z2 ZINK KIDD SYRP BTL 22495
290 Z3 ZOLACORT SALEP KULIT TUBE
291
292
293
294
295
296
297
298
299
300
301
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Ngawi,
MENGETAHUI,
KEPALA PUSKESMAS .. PENGELOLA OBAT

( ............................. ) ( ............................ )
6

KETERANGAN
7
 RENCANA KEBUTUHAN OBAT TAHUN 2015
PUSKESMAS ..

HARGA USULAN JUMLAH

KODE NAMA OBAT SATUAN KETERANGAN
SATUAN KEBUTUHAN HARGA
1 2 3 4 5 6 7

0101 AIR RAKSA DENT. BTL 170,000.00

0102 AL.SUNT.SP 1ML SET 794.12
0103 AL.SUNT.SP 2,5ML SET 1,064.25
0104 AL.SUNT.SP 5ML SET 1,294.70
0105 ALBENDAZOL 400MG TAB 304.50
0106 ALOPURINOL 100 MG TAB TAB 109.58
0107 AMINOFILLIN TAB TAB 87.15
0108 AMINOFILLIN INJ AMP 3,240.00
0109 AMITRIPTILLIN TAB TAB 102.00
0110 AMOKS. SYRP KERING BTL 2,300.00
0111 AMOKS. 250 MG CAPS KAP 244.88
0112 AMOKS. 500 MG KAP KAPL 220.00
0113 AMPISILIN 250 MG KAP KAPL 210.00
0114 AMPISILIN 500 MG KAP KAPL 335.00
0115 AMPISILIN SYRP KERING BTL 2,932.00
0116 ANTALGIN 500MG TAB 145.00
0117 ANTALGIN INJ. AMP 331.00
0118 ANTASIDA DOEN TAB 30.53
0119 ANTI BAKT.DOEN TUBE 2,491.00
0120 ANTI HEMOR.DOEN SUPP 875.00
0121 ANTIFUNGI DOEN POT 1,904.40
0122 ANTI PARKINSON TAB 813.92
0123 ANTI MIGRAIN TAB TAB 93.46
0124 AQUA PRO INJ. AMP 5,000.00
0125 AQUA DEST.STER. BTL 3,500.00
0126 AS.ASCORB.250MG TAB TAB 74.00
0127 AS.ASCORB.50MG TAB TAB 18.64
0128 AS.KLORDA 0,1% BTL 9,532.00
0129 AS.SULF.SAL.20% BTL 23,464.00
0130 ASETOSAL 100MG TAB TAB 100.00
0131 ASETOSAL 500MG TAB TAB 99.62
0132 ATR.SULFAT INJ AMP 375.80
0133 ATR.SULF.TAB TAB 24.00
0134 ATR.SULF.T.M. BTL 2,800.67
0201 BENZ.BENL.P 1,2JUTA INJ VIAL -
0202 BENZ.BENL P 2,4JUTA INJ VIAL 4,875.00
0203 BESI SIRUP BTL 3,886.00
0204 BETAMET. KRIM TUBE 1,800.00
0301 CATGUT 2/0-3/0 SAC 8,896.88
0401 DAPSON TAB TAB 17.78
0402 DEKSAMET.INJ AMP 1,400.00
0403 DEKSAMET. 0,5 MG TAB TAB 68.98
0404 DEXTRAN 70 INF. BTL 37,396.00
0405 DEXTOMET.SYRP BTL 1,378.85
0406 DEXTROMET.15 MG TAB TAB 90.00
0407 DEVITALISASI PAST POT 475.45
0408 DIAZEPAM INJ. AMP 831.03
0409 DIAZEPAM 2MG TAB TAB 35.00
0410 DIAZEPAM 5MG TAB TAB 32.80
0411 DIET.KARB.SITR. TAB 64.77
0412 DIFENHIDRAMIN INJ AMP 960.00
0413 DIGOKSIN TAB TAB 91.00
0501 EFEDRIN TAB TAB 37.47
0502 EXTR.BELLADON TAB TAB 17.89
0503 EPINEFRIN INJ AMP 1,500.00
0504 ETAKRIDINA 0,1% BTL 2,212.16
0505 ETHAMBUTOL 250 TAB TAB 166.44
0506 ETANOL 70% BTL 25,245.00
0507 ETER ANESTETIK BTL 8,066.00
0508 ETIL KLORID BTL 186,945.00
0509 EUGENOL BTL 3,177.00
0601 FENIT.Na.INJ. AMP 2,771.73
0602 FENIT.Na.KAP.30MG KAP 63.84
0603 FENIT.Na.100MG KAP 121.00
0604 FENOBARB.INJ AMP 352.73
0605 FENOBARB.100MG TAB TAB 42.34
0606 FENOBARB.30MG TAB TAB 62.00
0607 FENOKSI M.P. 250MG TAB TAB 223.03
0608 FENOKSI M.P.500MG TAB TAB 381.91
0609 FENOL GLIS. TT BTL 1,008.00
0610 FITOMENADION INJ AMP 977.67
0611 FITOMENADION TAB TAB 579.00
0612 FLUOR TAB TAB 35.20
0613 FUROSEMID 40 TAB TAB 76.99
0701 GAMEKSAN EMULSI BTL 2,200.00
0702 GARAM ORALIT 1 L SAC -
0703 GARAM ORALIT 200ML SAC 304.56
0704 GENTIAN VIOLET BTL 900.00
0705 GLAS IONOMER C BTL 811,745.00
0706 GLIBENKLAMID 5 TAB TAB 68.19
0707 GLISERIL.GUAIACOLAT 150 MG TAB 29.92
0708 GLISERIN BTL 4,180.00
0709 GLUCOSA 10 % BTL 3,905.00
0710 GLUCOSA 40 % BTL 1,040.00
0711 GLUCOSA 5 % BTL 3,821.00
0712 GRISEOFULVIN 125 MG TAB TAB 138.75
0801 HALOPERIDOL 0,5MG TAB TAB 67.93
0802 HALOPERIDOL 1,5MG TAB TAB 73.00
0803 HIDROKLORTHIAZID 25 MG TAB TAB 17.00
0804 HIDROKORT.2,5 % KRIM TUBE 2,541.00
0901 IBUPROF 200 MG TAB TAB 73.36
0902 IBUPROF 400 MG TAB TAB 144.00
0903 INFUS SET ANAK SET 13,970.00
0904 INFUS SET DWS SET 7,920.00
0905 INSULIN REGULER INJ VIAL -
0906 IODIOL KAP LUNAK KAP 930.05
0907 IPEKA SIRUP BTL 3,900.00
0908 ISONIAZID 300MG TAB TAB 28.08
0909 I.S.D.N. 5 MG TAB TAB 73.33
1001 JARUM JAHIT BEDAH BIJI 4,675.00
1101 KALIUM PERM.SERBUK POT 312.35
1102 KALS.HIDR.PASTA SET 151,745.00
1103 KALSIUM LAKTAT 500 MG TAB TAB 44.21
1104 KAPAS BERLEMAK ROL 13,800.00
1105 KAPAS PEMBALUT ROL 11,401.00
1106 KARBAMAZEPIN TAB TAB 243.00
1107 KASA HDR.40/40 ROL 1,393.00
1108 KASA HIDR.2X80 ROL 8,799.00
1109 KASA PEMB.4X15 ROL 3,373.00
1110 KASA PEMB. 3X4 ROL 733.00
1111 KETAMIN INJ VIAL -
1112 KLOFAZIMIN TAB TAB -
1113 KLORAMF. 250MG CAPS KAP 227.00
1114 KLORAMF.SM 1% TUBE 1,562.00
1115 KLORAMF.TT 3% TUBE 1,599.00
1116 KLORFEN. M 4MG TAB 26.00
1117 KLOROQUIN TAB TAB 80.43
1118 KLORPROMAZIN 1ML AMP 1,021.00
1119 KLORPROMAZIN 2ML AMP 293.30
1120 KLORPROMAZIN 25MG TAB TAB 24.31
1121 KLORPR. 100MG TAB TAB 133.00
1122 KLORPROPAMID TAB TAB 52.08
1123 KODEIN PH. 10MG TAB 387.20
1124 KOMB. PIR.+ SULF. TAB 344.63
1125 KOTRIMOKS.120MG TAB TAB 61.50
1126 KOTRIMOKS.SUSP BTL 3,700.00
1127 KOTRIMOKS.480MG TAB TAB 140.00
1128 KUININ DIHIDR.INJ AMP 1,166.67
1129 KUININ DIHDR. 222MG TAB TAB 249.17
1201 LAR.BENEDCT BTL 23,112.00
1202 LAR.EOSIN 2% BTL 31,530.00
1203 LAR.ETANOL ASAM BTL 24,000.00
1204 LAR.GIEMSA STAIN BTL 39,596.00
1205 LAR.KARBOL FUKSIN BTL 65,000.00
1206 LAR.METILEN BIRU BTL 40,500.00
1207 LAR.TURK BTL 10,852.00
1208 LIDOCAIN COMP.INJ AMP 1,295.00
1209 LISOL BTL 49,862.00
1301 Mg.SULFAT INJ 20% AMP 1,466.50
1302 Mg SULFAT INJ.40% AMP 1,855.10
1303 MEBENDASOL SIRUP BTL 2,400.00
1304 MEBENDASOL TAB TAB 146.67
1305 METANOL BTL 19,217.00
1306 METIL ERGOMETR.TAB TAB 120.68
1307 METIL ERGOMETR.INJ AMP 9,993.50
1308 METRONIDASOL 250 MG TAB TAB 163.74
1309 MONOKLOR KAMF.M BTL 48,762.00
1310 MUMMIFYING PASTA BTL 137,856.00
1311 MORPHIN INJ. AMP 1,500.00
1401 Na.BICARBONAT TAB 9.03
1402 Na.FLUORESCIN TM BTL 3,925.67
1403 Na.KLORIDA 0,9% BTL 4,900.00
1404 Na.TIOSULFAT 25% AMP 1,047.80
1405 NISTATIN VAG.TAB SUPP 407.00
1406 NISTATIN TAB.SALUT TAB 640.00
1501 OAT 1 & 3 ( FDC 2 & 4 ) PKT 236,000.00
1502 OAT 2 FDC PKT
1503 OB.ANTI TB KAT.3 PKT 154,000.00
1504 OB.ANTI TB SISIPAN PKT 159,898.00
1505 OB. ANTI TB ANAK PKT 214,950.00
1506 OBH INDOPLUS BTL 6,930.00
1507 OKSIGEN GAS TBG -
1508 OKSITETR. INJ VIAL 3,335.00
1509 OKSITETR. SK.3% TUBE 1,529.00
1510 OKSITETR.SM 1% TUBE 1,600.00
1511 OKSITOSIN INJ AMP 681.83
1601 PARAFORMALDEHID TAB 57.00
1602 PARACETAMOL SIRUP BTL 1,318.90
1603 PARASET. TAB 100MG TAB 25.69
1604 PARASET.TAB.500MG TAB 83.93
1605 PEMB.GIPS ROL 6,071.00
1606 PERFENASIN 16MG TAB -
1607 PERFENASIN 4MG TAB -
1608 PETHIDIN INJ. AMP 1,642.20
1609 PILOKARPIN TM BTL -
1610 PIRANTEL P 125MG TAB 203.68
1611 PIRIDOKSIN 10MG TAB 10.00
1612 PLESTER 2X5 ROL 31,900.00
1613 POLIKRESULEN (ALBOTHYL) BTL 14,475.00
1614 POLIPEPTIDA INF BTL -
1615 PRAZIKUANTEL TAB TAB -
1616 PREDNISON 5 MG TAB TAB 38.10
1617 PRIMAQUIN 15MG TAB 30.00
1618 PPC 3JUTA INJ VIAL -
1619 PTU TAB TAB 264.00
1620 PROPANOLOL TAB TAB 108.00
1701 RABIES IMMUN GLOB. VIAL -
1702 RESERPIN 0,1MG TAB 6.50
1703 RESERPIN 0,25MG TAB 103.00
1704 RETINOL 100.000 IU KAP 242.00
1705 RETINOL 200.000 IU KAP 431.54
1706 RIFAMPISIN 600MG KAPL -
1707 RIFAMPISIN 450MG KAP -
1708 RIFAMPISIN 300MG KAP -
1709 RINGER LAKTAT INF BTL 5,200.00
1801 SALBUTAMOL 2MG TAB 59.82
1802 SALEP 2-4 POT 1,800.00
1803 SALISIL BEDAK POT 1,120.00
1804 SALISIL SPIRIT. 10% BTL 1,114.60
1805 SEMEN SENG PHOSP. SET 200,145.00
1806 SERUM ABU I VIAL 70,790.00
1807 SERUM ABU II VIAL -
1808 SERUM ADS VIAL -
1809 SER.ATS 1500 IU AMP 91,575.00
1810 SER.ATS 20000IU VIAL -
1811 SIANOKOBALAMIN INJ AMP 916.00
1812 SILK 3/0 SAC 5,743.86
1813 SILVER AMALGAM BTL 266,200.00
1814 SPONS GELATIN BIJI 15,165.58
1815 STREPTO. 1500MG VIAL -
1816 STREPTO 1000MG VIAL -
1817 SULFADIMIDIN TAB TAB 87.99
1818 SULFASETAMID TM BTL 3,226.00
1819 SUSP.SENG INSULIN INJ VIAL -
1901 TABL.TAMBAH DARAH DRAG 27.30
1902 TEMP.STOPING FLETC. SET 6,862.00
1903 TETRACAIN TM BTL 3,396.42
1904 TETRASIKLIN 250MG KAP 206.00
1905 TETRASIKLIN 500MG KAP 185.94
1906 THIAMIN INJ AMP 456.73
1907 THIAMIN 50MG TAB TAB 23.88
1908 TIOPENTAL Na.SERB. AMP 63,767.00
1909 THP TAB. 2MG TAB 40.00
1910 TRIKRESOL FORMALIN TAB BTL 46,195.00
2001 VAKS.RABIES VERO INJ VIAL -
2002 VIT.B KOMPLEX TAB TAB 22.20
2003 YODIUM POV.10ML BTL 2,000.00
2004 YODIUM POV.300ML BTL 14,000.00
A1 ABATE KG 2803750
A2 ACT ( ARTESDIAQUINE ) TAB
A3 ACTIVON TAB TAB
A4 ACYCLOVIR SALEP KLT TUBE 2152
A5 ACYCLOVIR TAB 200 MG TAB 350
A6 ALBENDAZOL SYRP BTL 3811
A7 ALINAMIN F INJ AMP
A8 AMALGAM POWDER BTL
A9 AMBROXOL SYRP BTL
A10 AMPICILLIN 1 GR INJ VIAL 2887.4
A11 AMOXICILLIN + AS.KLAFULANAT KAP 4550
A12 ANTASIDA SYR BTL 1865.93
A13 ANTIMALARIA TAB 478
A14 AS.MEFEN. 500MG KAP 95
A15 ASAM ASKORBAT 25 MG TAB
A16 ASAM FOLAT TAB 44.87
B1 BASITRASIN+POLIMIKSIN SALF 2491
B2 BETASON N CREAM TUBE
B3 BIO 2000 KTK
B4 BIOPLACENTON YELLI TUBE 11935
B5 BOOR GIGI BIJI 172645
B6 BORAX GLISERIN TAB BTL
B7 BUFACOMB TUBE
B8 BUSCOPAN INJ AMP
C1 CAPTOPRIL 12,5 MG TAB TAB
C2 CAPTOPRIL 25 MG TAB 88
C3 CATGUT CHROMIC 3/0 BKS
C4 CATGUT PLAN 3/0 BKS
C5 CEFADROXYL CAPS CAPS 510
C6 CHLORHEXIDINE GLUCONAT 4 %
C7 CIMETIDIN TAB TAB
C8 CO AMOXICLAV 625 MG TAB 4550
C9 COROVIT SYRUP BTL 16995
C10 COTTON ROLL NO.2 PAK 49445
C11 CRESOPHEN BTL 619245
C12 CURCUMA PLUS SYR BTL
C13 CYPROFLOX. KAPL. KAP 250
D1 D5%+0,25 SALIN BTL
D2 D5%+0,45 SALIN BTL
D3 DENTORIT BIJI
D4 DERMANIOS BTL
D5 DERMASIN TAB TUBE
D6 DIMENHIDRINAT TAB TAB 95
D7 DOMPERIDON 10 MG TAB TAB 176
D8 DOXYCYCLINE CAPS CAPS
D9 DULCOLAX TAB TAB
D10 DURADRYL INJ VIAL
E1 ERYTHROMISIN 500 MG KAP KAP
E2 ETHER ALKOHOL BTL 64790
F1 FEHLING A BTL
F2 FEHLING B BTL
F3 FILE BIJI
F4 FOLEY CATH. BIJI
G1 GC. FUJI FARNISH BTL 921745
G2 GUTTA PERCA BIJI
G3 GEMFIBROZIL TAB TAB 272
H1 H2O2 3% BTL
H2 HALOPERIDOL 5 MG
H3 HAND SCHOEN BIJI
H4 HAND SCHOEN TISUE BIJI
H5 HANDSCOEN STERIL BIJI
H6 HEXON 8 MG TAB
I1 IBUPROFEN SYR BTL
I2 IMERSION OIL BTL
I3 INSEKTISIDA 100 MG TAB
I4 INTRAVENOUS CAT NO 18 BIJI 389290
I5 INTRAVENOUS CAT NO.20 BIJI
I6 INTRAVENOUS CAT NO 22 BIJI 389290
I7 INTRAVENOUS CAT NO.24 BIJI 389290
I8 ISONIAZID 100MG TAB
J1 JARUM JAHIT KULIT BIJI
K1 KALIUM DIKLOFENAK 50MG TAB 425
K2 KALNEX INJ AMP
K3 KALNEX TAB TAB
K4 KALOBA TAB 5421.4
K5 KALSIUM GLUKONAT AMP
K6 KASA HIDROFIL 16X16 KTK
K7 KASA HIDROFIL 18X22 KTK
K8 KASA HIDROFIL 36 X 80 cm KTK
K9 KASA HIDROFIL 4 X 10 cm
K10 KEMICETIN INJ VIAL
K11 KETOKONAZOLE TAB200MG TAB 267
K12 KHLORAMFENIKOL SUSP BTL
K13 KHLORAMFENIKOL TM BTL 5445
K14 KLORAMPHECORT H TUBE
L1 L MULFIT SYRP BTL
L2 LASIX INJ AMP
L3 LEUCOPLAST 7,5CMX4,5M ROLL
L4 LISOL PROTEKTOR BTL 13255
L5 LIVRON B PLEX TAB 220
L6 LORATADIN TAB 10MG TAB 160
L7 LOPERAMIDE TAB TAB 90
M1 MASKER BIJI
M2 MELOXICAM 7,5 MG TAB 234
M3 METFORMIN TAB TAB
M4 METIL PREDNISON TAB 4MG TAB 295.83
M5 METHERGIN INJ AMP 9993.5
M6 METOCHLORPRAMIDE TAB TAB 99
M7 MIKONAZOL SALEP 2% TUBE 3000
M8 MINERAL MIX SAC
M9 MISOPROSTOL / GASTRUL TAB
M10 MOLAGIT TAB TAB
M11 MOLANEURON TAB TAB 440
M12 MOLEXDRYL SYR BTL 4400
M13 MORTIR & STAMPER BIJI
M14 MULTIVIT SIRUP BTL
N1 MY JELLY TUBE 24915
N2 NALD DISP SET
N3 NATRIUM DIKLOFENAK 50MG TAB 210
N4 NEO K INJ AMP
N5 NEUROVIT E CAPS TAB
N6 NEVRADIN INJ VIAL
N7 NICHOLIN 250 MG AMP
N8 NIFEDIPIN TAB TAB 112
N9 NOVALGIN INJ VIAL
O1 OAT E 400 PAK
O2 OBAT BATUK PUTIH SYRP BTL
O3 OBH TROPICAL SYRP BTL 8415
O4 OMEPRAZOLE CAP CAPS 265
O5 OREGAN TETES MATA BTL
O6 OREZINK SAC
P1 PAPAVERIN TAB TAB
P2 PEHAVRAL KAP TAB
P3 PIRACETAM 400 MG TAB 194
P4 PIRACETAM 1200 MG TAB
P5 PIRAZINAMID TAB TAB
P6 PIROKSIKAM 20 MG TAB
P7 PRIMPERAN INJ AMP
R1 RANITIDIN INJ 25MG/ML AMP 1928
R2 RANITIDIN TAB 150MG TAB TAB 105
R3 REAGEN WIDAL SET 754952
R4 RECO SALEP MATA BTL
R5 RECOFIT SYR BTL
R6 REVISOL BTL
R7 RINGER ACETAT/ASERING KOLF 15840
R8 ROOT CANAL FILLING
S1 SEFOTAKSIM SERBUK INJ 1G
S2 SIDE BIJI
S3 SLIDE / OBJECT GLASS BIJI
S4 SPIRITUS BTL
S5 SPUIT BCG 0.05 SET
S6 SPUTUM POT BIJI
S7 SUPRA LIVRON TAB TAB
S8 SYNTOCYNON INJ AMP
T1 TABURIA SAC
T2 TES URIN KTK 306900
T3 TEMP.RESTORATIVE(CITODOER) FLES 169950
T4 TENSIGARD CAPS TAB
T5 THIAMPHENICOL 500 MG KAP 431
T6 TRAMADOL INJ AMP
T7 TRANFUSION SET SET 25960
T8 TRANSAMIN INJ AMP
T9 TRENTAL INJ AMP
T10 TRIFLUOPERAZINE 4 MG TAB
U1 ULSIKUR INJ AMP
U2 URINE BAG BIJI
V1 VENTOLIN NEBUL 2,5 MG AMP 9999
V2 VICAL SYR BTL
V3 VICCILLIN 1 GR VIAL
V4 VIT K INFANT 2 MG / 1 ML INJ AMP 8244.5
V5 VITALEX KAPLET KAPS
W1 WIDA RL BTL
X1 XYLOMIDON INJ VIAL
Z1 ZINC TAB TAB 440
Z2 ZINK KIDD SYRP BTL 22495
Z3 ZOLACORT SALEP KULIT TUBE
 Ngawi,
MENGETAHUI,
KEPALA PUSKESMAS .. PENGELOLA OBAT

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