DAFTAR OBAT DAN BMHP YANG DIMUSNAHKAN TAHUN 2020

NO. NAMA BARANG JUMLAH

1 AKARBOSE 50 MG TABLET 748

2 ALBENDAZOL 200 MG/5ML SUSPENSI 49
3 ALBENDAZOL 400 MG TABLET 935
4 ALBUFORCE PLUS SIRUP 148
5 ALOPURINOL 300 MG TABLET 2080
6 ALPENTIN - GABAPENTIN 100 MG KAPSUL 1374
7 AMINOFUSIN HEPAR 1
8 AMOKSISILIN 125 mg/5 TRIHIDRAT SIRUP 346
9 AMOKSISILIN 250 MG/5ML SIRUP KERING 821
10 APIDRA PEN SOLOSTAR 10
11 ASAM MEFENAMAT 500 MG TABLET 100
12 ASAM TRANEKSAMAT 50 MG/ML INJEKSI 266
13 ATORVASTATIN 20 MG TABLET 26
14 AZITROMYCIN SIRUP 1
15 BEROTEC 0,1% LARUTAN 1
16 BISAKODIL 5 MG TABLET 212
17 BONEVELL - AS. IBANDRONAT 1MG/ML 2
18 CELEBREX 100 MG KAPSUL 20
19 CENDO P-PRED 400
20 CENDO STATROL 495
21 CLINOLEIC 20% 250 ML 68
22 COMAFUSIN HEPAR 500 ML 3
23 CORTAMIN SYRUP 51
24 DEKSKETOPROFEN 25 MG TABLET 4
25 DIGOKSIN 0,25 MG TABLET 126
26 DOBUTAMIN 50 MG/ML INJEKSI 15
27 DOPAMET 250 MG TABLET 158
28 DOPAMET 250 MG TABLET 158
29 DULCOLAX 5 MG SUPPO 8
30 EAS PFRIMMER 250 ML 14
31 ESOMEPRAZOL 40 MG INJEKSI 65
32 FARSORBID 10 MG INJEKSI 17
33 FARSORBID 10 MG/10 ML INJEKSI 4
34 FARSORBID 10 MGTABLET 997
35 FASIDOL DROP 3
36 FETIK 100 MG SUPPOSITORIA 18
37 FLEET PHOSPHOSODA 1
38 GEMFIBROZIL 600 MG KAPSUL 1000
39 GENTAMISIN 40 MG/ML INJEKSI 3
40 GLIMEPIRIDE 2 MG TABLET 148
41 HALDOL DECANOAS 50 MG/ML INJEKSI 28
42 HERBESSER 200 MG KAPSUL SR 34
43 HERBESSER100 MG KAPSUL SR 357
44 HUMALOG KWIKPEN 3 ML 100IU/ML 438
45 HYDROMAL 500 ML 143
46 HYOCINE-N-BUTYLBROMIDE INJEKSI 87
47 IBUPROFEN 200 mg/5 SUSPENSI 207
48 INFUSAN D5 100 ML SOFT BAG 98
49 INFUSAN D5 250 ML SOFT BAG 99
50 INTERZOL SS 2% 18
51 INTERZOL SS 2% 15
52 IRBESARTAN 150 MG TABLET 18
53 IRBESARTAN 150 MG TABLET 53
54 IRBESARTAN 300 MG KAPLET 1
55 IVANES 100 MG/ML INJEKSI 490
56 KABIVEN PERIPHERAL 1440 ML 3
57 KALIPAR TABLET 972
58 KALIUM DIKLOFENAK 50MG TABLET 1500
59 KANDESARTAN 16 MG TABLET 44
60 KARBAMAZEPIN 200 MG TABLET 148
61 KARBOGLISERIN 10% TETES TELINGA 189
62 KETOCONAZOLE 2% 192
63 KIDMIN 200 ML 120
64 KIDMIN 200 ML 22
65 KOTRIMOKSAZOL 240 MG SIRUP 85
66 LANZOX (BOTULINUM TOKSIN) 50IU 2
67 LARUTAN GLUKOSA 10% 500 ML INFUS 3
68 LEUCOVORIN 50 MG INJEKSI 30
69 LEVEMIR 100 IU FLEXPEN 119
70 LIPOMED 20% 250 ML 18
71 LODOMER 5 MG TABLET 21
72 LORATADINE 10 MG TABLET 261
73 MARCAIN PDF 0.50 % INJEKSI 4
74 MAXIFLON 174
75 MELAVITA 0,1% KRIM 118
76 MEROPENEM 500 MG INJEKSI 434
77 METFORMIN 500 MG TABLET 3
78 METHOTREXATE 50 MG/2 ML 37
79 METIL ERGOMETRIN INJEKSI 0.2MG 744
80 METOKLOPRAMID 10 MG TABLET 152
81 METRONIDAZOL 125 MG/5 ML SIRUP 254
82 MIDAZOLAM-HAMELN 19
83 MORFIN 10 MG/ML INJ 41
84 MYORES 80
 85 NACL 0,9% 500 ML INFUS 6
86 NEO TABLET TAMBAH DARAH 5704
87 NEOSMA 2,5 MG TABLET 1000
88 NEOSTIGMINE 0.5MG/ML 5
89 NEURONTIN-GABAPENTIN 300 MG KAPSUL 67
90 NIMOTOP 30 MG TABLET SALUT SELAPUT 1796
91 NITROKAF FORTE 5 MG KAPSUL LEPAS LAMBAT 120
92 NOREPINEPHRINE BITARTRAT INJEKSI 2
93 NOTRIXUM 25 MG/2.5 ML INJEKSI 13
94 NUTRIFLEX LIPID SPECIAL 625 26
95 OTSU NS - NACL 0.9% 25ML 71
96 OXTIN 30 MG TABLET 150
97 PIOGLITAZONE 15 MG TABLET 210
98 PIOGLITAZONE 30 MG TABLET 540
99 PLASBUMIN 25% 20 ML INJEKSI 1
100 PLASBUMIN 25% 50 ML INJEKSI 1
101 PRADAXA 110 MG KAPSUL 89
102 PROFOLAT 0,4 MG TABLET-ASAM FOLAT 604
103 PROPRANOLOL 10 MG TABLET 48
104 RAMIPRIL 2,5 MG TABLET 50
105 REGIVEL-BUPIVAKAIN 5
106 REQUIP PD 8 MG TABLET LEPAS LAMBAT 140
107 RINGER FUNDIN 9
108 RINGER FUNDIN 500 ML 2
109 RISPERIDON 3 MG TABLET 1000
110 ROKURONIUM INJEKSI 10MG/ML 18
111 SALBUTAMOL 2 MG/5 SIRUP 157
112 SALBUTAMOL SYRUP 200
113 SEFTAZIDIM 1000 MG SERBUK INJ 31
114 SELOXY AA TABLET 1680
115 SEROQUEL XR 300 MG TABLET @10 100
116 SPIRONOLAKTON 100 MG TABLET 1063
117 STESOLID RECTAL TUBE 10 MG 1
118 STESOLID RECTAL TUBE 5 MG 2
119 TAMOFEN Tamoksifen 10 MG TABLET 870
120 TELFAST OD 120 MG 1400
121 TELFAST OD 120 MG TABLET 185
122 TELFAST PLUS 200
123 TEMIRAL SALEM MATA 50
124 TOTILAC 250 ML 20
125 TRIHEKSIFENIDIL 2 MG TABLET 170
126 TROVENSIS-ONDANSENTRON 4 MG TABLET 4
127 TYGACIL 50 MG SERBUK INJEKSI 4
128 URSODEOXYCHOLIC 250 MG KAPSUL 29
129 VALDIMEX INJEKSI 26
130 VALPROAT 250 MG/5ML SIRUP 339
131 VENTOLIN ROTAHALER 22
132 VITAMIN K 2 MG/ML INJEKSI 23
133 VITAMIN K1 2 MG/ML INJEKSI 10
134 WIDA 2A 500 ML 78
135 WIDA HSD 500 ML 20
136 XYLOCAIN 2% JELLY 2
137 ZINNAT 250MG TABLET 10
138 ZOTER 12 TABLET 345
139 alco drop 15
140 alprazolam 0.5 mg 155
141 aminofluid 1000 ml 380
142 amiodaron 150 mg/3ml hcl injeksi 35
143 ANTASIDA DOEN I TABLET KUNYAH 171
145 LISINOPRIL 10 MG TABLET 770
146 METFORMIN HCL 850 MG TABLET 6
147 MST CONTINUS 10 MG TABLET 1
148 NUTRIFLEX LIPID PERI 1250 2
149 SEFADROXIL 250 mg/5 SIRUP KERING 4
150 WIDA D5 1/2 NS 6
151 ALKOHOL SWAB (ONEMED) 300
152 ALPHAMED ELECTROSURGERY GROUNDING PAD DEWASA 15
153 ASKINA SOFT CLEAR 9 X 15 4
154 ASKINA SOFT CLEAR 9 X 20 CM 21
155 BESMED GUEDEL AIRWAY,110 MM (ONEMED) 15
156 BRAUNODERM UNCOLORED 1000 ML (BBRAUN) 2
157 CUTICELL CLASSIC 10 CM X 10 CM (BSN) 171
158 CYSTOFIX F10 8 CM 5
159 DELTA CAST PRINT 5 CM X 3.6 M 5
160 DELTA LITE 5 INCH 3
161 DUODERM CGF DRESSING 4 X4 3
162 ETT REG PLAIN UNCUFF 3.5 MM 2
163 ETT REG PLAIN UNCUFF 4 MM 1
164 FEEDING TUBE 5 40 CM 1
165 FLURESIN INJECTION 9
166 FOLLEY CATHETER 3-WAY 20FR (ESKAMED) 292
167 FOLLEY CATHETER 3-WAY 22FR (ESKAMED) 292
168 GYPSONA BSN 15 CM 7
169 GYPSONA BSN 7.5 CM 19
170 HEXAQUART PLUS 7
171 LARYNGEAL MASK,DISPOSIBLE, NO.5.0 5
172 MESS AESCULAP NO 18 200
173 MONOCRYL UND 4/0 70 CM 35
174 PD ALKOHOL SWAB 300
175 PEDIATRIC-NEONATAL CLOSED SUCTION SYSTEM 8FR-DAR 2
176 PLAIN GUT 3-0 75 CM GG322 2
177 PLAIN GUT 3-0 75CM 29
178 SOFT CLUTH TAPE N LINER 5 CM 12
179 TEGADERM PAD 5 X 7 CM 719
180 TERUFUSION BLOOD SET FOR PUMP 40
181 TERUFUSION SOLUTION AMD SET FOR PEDIATRIC (TERUMO) 1
182 TRACHEOSTOMY TUBE 14F (SUCTION PRO 72) 20
183 WING NEEDLE 25G (ONEMED) 2
184 ENDOTRACHEAL TUBE 10F (SUCTION PRO 72) 5
185 ENDOTRACHEAL TUBE 12F (SUCTION PRO 72) 14
186 NEEDLE 20GX38MM-AGANI (TERUMO) 207
187 NEEDLE 21GX38MM-AGANI (TERUMO) 332
188 TERUFUSION BLOOD ADM SET-TB*U800L (TERUMO) 1
TOTAL
AHUN 2020

HARGA
TOTAL HARGA
SATUAN
549.41 410,958.94
3,817.19 187,042.16
402.01 375,882.02
93,338.67 13,814,122.67
219.47 456,497.84
1,044.96 1,435,769.54
74,360.00 74,360.00
1,881.00 650,826.00
2,455.22 2,015,731.93
86,999.88 869,998.80
102.88 10,287.62
1,453.18 386,546.62
61,815.56 1,607,204.54
23,448.00 23,448.00
129,610.87 129,610.87
300.00 63,600.00
901,416.67 1,802,833.33
12,760.00 255,200.00
5,559.20 2,223,680.00
2,335.20 1,155,924.00
145,600.01 9,900,800.51
56,670.62 170,011.85
33,028.48 1,684,452.73
1,979.36 7,917.45
104.00 13,104.00
11,675.01 175,125.15
911.00 143,938.00
2,464.00 389,312.00
5,999.95 47,999.59
52,947.01 741,258.16
27,467.65 1,785,397.02
39,600.00 673,200.00
31,890.00 127,560.00
198.00 197,406.00
11,550.00 34,650.00
2,632.05 47,376.93
86,790.00 86,790.00
767.41 767,409.35
3,506.46 10,519.38
 231.00 34,188.00
68,928.57 1,930,000.00
3,688.98 125,425.40
4,034.07 1,440,162.92
87,000.28 38,106,124.37
45,773.50 6,545,611.18
7,480.00 650,760.00
2,945.67 609,754.23
6,383.50 625,582.84
6,332.90 626,956.94
26,366.01 474,588.12
89,100.00 1,336,500.00
407.90 7,342.24
785.40 41,626.20
720.00 720.00
3,841.67 1,882,416.67
319,886.16 959,658.49
672.00 653,184.00
593.71 890,560.79
892.18 39,255.90
229.96 34,034.35
2,273.54 429,698.81
6,513.89 1,250,666.67
50,683.57 6,082,028.73
50,696.80 1,115,329.60
2,285.80 194,293.00
1,513,000.00 3,026,000.00
7,499.92 22,499.77
42,944.34 1,288,330.35
71,198.95 8,472,674.85
119,045.52 2,142,819.31
2,255.00 47,355.00
299.77 78,240.49
79,421.09 317,684.37
18,424.44 3,205,853.33
5,512.71 650,500.00
22,646.06 9,828,389.30
95.87 287.60
38,502.18 1,424,580.66
2,955.96 2,199,234.64
88.05 13,383.11
3,731.32 947,756.30
7,886.99 149,852.74
39,476.15 1,618,522.29
3,379.93 270,394.31
 6,409.81 38,458.88
354.00 2,019,222.33
96.00 95,997.00
7,271.00 36,355.00
11,025.90 738,735.54
3,719.77 6,680,715.32
2,375.89 285,107.32
25,839.00 51,678.00
35,145.00 456,885.00
481,365.87 12,515,512.59
5,101.52 362,208.14
4,645.30 696,795.00
2,750.00 577,500.00
3,731.67 2,015,100.00
387,733.64 387,733.64
764,353.46 764,353.46
8,694.44 773,805.56
54.83 33,118.46
53.65 2,575.29
291.61 14,580.50
66,000.00 330,000.00
4,428.56 619,997.80
11,000.00 99,000.00
10,990.06 21,980.13
558.41 558,410.35
70,714.29 1,272,857.14
4,254.07 667,888.67
4,100.00 820,000.00
11,257.56 348,984.38
7,059.52 11,860,000.00
9,943.50 994,350.00
698.20 742,186.78
45,950.67 45,950.67
28,556.00 57,112.00
1,232.68 1,072,428.07
8,685.05 12,159,070.00
7,400.00 1,369,000.00
3,550.00 710,000.00
15,283.61 764,180.35
64,920.52 1,298,410.35
81.06 13,779.90
14,850.00 59,400.00
968,000.00 3,872,000.00
2,139.00 62,031.00
10,875.34 282,758.90
 19,027.28 6,450,248.39
6,550.00 144,100.00
3,772.00 86,755.91
3,673.44 36,734.40
7,938.00 619,164.00
7,850.00 157,000.00
41,588.40 83,176.80
3,371.43 33,714.29
8,700.36 3,001,624.70
63,425.34 951,380.09
89.10 13,809.81
123,303.61 46,855,370.48
8,699.66 304,488.02
58.00 9,917.84
275.47 212,114.16
161.00 966.00
13,402.71 13,402.71
103,327.23 206,654.45
4,358.22 17,432.86
9,706.68 58,240.10
102.00 30,600.00
15,800.00 237,000.00
20,600.00 82,400.00
29,300.00 615,300.00
12,674.39 190,115.85
185,499.60 370,999.20
4,985.21 852,471.60
450,000.20 2,250,001.00
78,655.50 393,277.50
236,500.00 709,500.00
140,250.00 420,750.00
17,590.00 35,180.00
17,046.25 17,046.25
42,350.00 42,350.00
82,500.00 742,500.00
44,333.33 12,945,333.33
44,333.33 12,945,333.33
64,460.00 451,220.00
34,980.00 664,620.00
329,922.34 2,309,456.38
138,267.31 691,336.54
3,000.00 600,000.00
112,872.58 3,950,540.44
102.00 30,600.00
261,000.00 522,000.00
 48,820.25 97,640.50
48,820.33 1,415,789.63
72,625.16 871,501.95
5,375.21 3,864,774.84
42,700.06 1,708,002.56
19,800.00 19,800.00
240,262.00 4,805,240.00
1,428.00 2,856.00
233,631.20 1,168,156.00
304,928.99 4,269,005.90
148.36 30,711.09
330.00 109,560.00
13,976.00 13,976.00
335,126,035.27