Laporan Pengelolaan Perbekalan Farmasi Jan-Feb

LAPORAN PENGELOLAAN PERBEKALAN FARMASI
DI UNIT UPT PUSKESMAS PUJON

BULAN JANUARI TAHUN 2022
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PENGELUARAN SISA AKHIR
OBAT GENERIK 0
a. Tablet/Kapsul
1 Adalat Oros 20 mg Tablet - 0
Adalat Oros 20 mg Tablet - 0
2 Alopurinol 100 mg Tablet - 0
Alopurinol 100 mg Tablet - 0
Alopurinol 100 mg Tablet 1,900.00 190 1710
Alopurinol 100 mg Tablet 0
4 Ambroxol 30 mg Tablet - 0
Ambroxol 30 mg Tablet 0
5 Amlodipin 5 mg Tablet - 0
Amlodipin 5 mg Tablet - 0
Amlodipin 5 mg Tablet 321.00 321 0
Amlodipin 5 mg Tablet 18,000.00 564 17436
6 Aminofilina 200 mg Tablet - 0
Aminofilina 200 mg Tablet - 0
7 Amoksilin 250 mg Tablet - 0
Amoksilin 250 mg Tablet - 0
Amoksilin 500 mg Tablet 26,874.00 2508 24366
9 Antalgin 500 mg Tablet - 0
10 Antasida (MgOH 200mg+AlOH 200mg) Tablet - 0
Antasida (MgOH 200mg+AlOH 200mg) Tablet 33,600.00 1144 32456
Antasida (MgOH 200mg+AlOH 200mg) Tablet 988.00 988 0
Anti Hemoroid (Bismut subgallat 150 mg
11 +Heksaklorofen 2,5mg) Supp
- 0
Anti Hemoroid (Bismut subgallat 150 mg Supp
+Heksaklorofen 2,5mg) - 0
+Heksaklorofen 2,5mg) 50.00 10 40
12 Antimigran (Ergotamin Tartrat 1mg + Kofein Tablet
50mg) - 0
Antimigran (Ergotamin Tartrat 1mg + Kofein
50mg) Tablet
- 0
13 Asam Askorbat ( Vit C ) 50 mg Tablet - 0
Asam Askorbat ( Vit C ) 50 mg Tablet - 0
14 Asam Askorbat (Vit C) 250 mg Tablet - 0
Asam Askorbat (Vit C) 250 mg Tablet 9,625.00 580 9045
15 Asam askorbat (vit C) 500 mg Tablet - 0
16 Asam folat 1 mg Tablet - 0
Asam folat 1 mg Tablet - 0
17 Asam mefenamat 500mg Tablet - 0
Asam mefenamat 500mg Tablet - 0
Asam mefenamat 500mg Tablet 3,875.00 1495 2380
Asam mefenamat 500mg Tablet 21,000.00 21000
18 Asetosal 100 mg Tablet - 0
Asetosal 100 mg Tablet - 0
19 Asiklovir 200mg Tablet - 0
Asiklovir 400mg Tablet 27.00 27 0
21 Betahistin mesilat 5 mg Tablet - 0
Betahistin mesilat 5 mg Tablet - 0

Betahistin mesilat 5 mg Tablet 485.00 390 95
22 Bisoprolol tablet 5 mg Tablet - 0
Bisoprolol tablet 5 mg Tablet - 0
23 Bisoprolol tablet 5 mg (concor) Tablet - 0
Bisoprolol/CONCOR 2,5 Tablet - 0
24 Cetirizin 10mg Tablet - 0
Cetirizin 10mg Tablet - 0
Cetirizin 10mg Tablet 297.00 297 0
Cetirizin 10mg Tablet 40,000.00 18 39982
25 Deksametason 0,5 mg Tablet - 0
Deksametason 0,5 mg Tablet - 0
Deksametason 0,5 mg Tablet 453.00 309 144
26 Digoksin 0,25 mg Tablet - 0
Digoksin 0,25 mg Tablet - 0
27 Diltiazem 30 mg Tablet - 0
28 Dimenhidrinat tablet 50mg Tablet 494.00 30 464
Dimenhidrinat tablet 50mg Tablet - 0
Dimenhidrinat tablet 50mg Tablet 200.00 200
Dimenhidrinat tablet 50mg Tablet 0
29 Doksisiklin 100mg Tablet - 0
30 Domperidon tablet 10 mg Tablet - 0
Domperidon tablet 10 mg Tablet - 0
Domperidon tablet 10 mg Tablet 4,954.00 266 4688
31 Efedrin HCL 25 mg Tablet - 0
32 Eritromisin 500mg Tablet - 0
Eritromisin 500mg Tablet - 0
33 Fitomenadion (Vit K1) 10mg Tablet - 0
Fitomenadion (Vit K1) 10mg Tablet - 0
34 Furosemid 40 mg Tablet - 0
Furosemid 40 mg Tablet - 0
Furosemid 40 mg Tablet 226.00 35 191
35 Glibenklamid 5 mg Tablet - 0
Glibenklamid 5 mg Tablet - 0
Glibenklamid 5 mg Tablet 4,658.00 360 4298
36 Glimepiride tablet 2 mg Tablet - 0
Glimepiride tablet 2 mg Tablet - 0
Glimepiride tablet 2 mg Tablet 1,500.00 10 1490
37 Gliseril Guaiakolat 100 mg Tablet - 0
38 Griseofulvin 125 mg Tablet - 0
39 Hidroklorotiazid (HCT) 25 mg Tablet 82.00 82
Hidroklorotiazid (HCT) 25 mg Tablet - 0
Hidroklorotiazid (HCT) 25 mg Tablet 975.00 975
40 Hyosin N Butilbromida 10mg Tablet - 0
41 Ibuprofen 400 mg Tablet - 0
Ibuprofen 400 mg Tablet 9,635.00 9635 0
Ibuprofen 200 mg Tablet - 0
43 Isosorbid Dinitrat sublingual 5 mg Tablet - 0
Isosorbid Dinitrat sublingual 5 mg Tablet 92.00 92
44 Kalium Diklofenac 50mg Tablet - 0
45 Kalsium Laktat (Kalk) 500 mg Tablet - 0
Kalsium Laktat (Kalk) 500 mg Tablet - 0
Kalsium Laktat (Kalk) 500 mg Tablet 3,390.00 395 2995
Kalsium Laktat (Kalk) 500 mg Tablet - 2000 2000
46 Kaptopril 25 mg Tablet - 0
Kaptopril 25 mg Tablet 5,929.00 1089 4840
Kaptopril 25 mg Tablet 11,000.00 11000
47 Kaptopril 12,5 mg Tablet - 0
Kaptopril 12,5 mg Tablet 3,434.00 30 3404
48 Ketokonazol 200mg tablet Tablet - 0
Ketokonazol 200mg tablet Tablet - 0
Ketokonazol 200mg tablet Tablet 190.00 7 183
49 Klindamisin kapsul 150 mg Tablet - 0
Klindamisin kapsul 150 mg Tablet - 0
50 Klopidogrel Tablet - 0
Klopidogrel Tablet - 0
Klopidogrel Tablet 92.00 92
51 Kloramfenikol kapsul 250 mg Tablet - 0
52 Klorfeniramin Maleat (CTM) 4 mg Tablet - 0
Klorfeniramin Maleat (CTM) 4 mg Tablet 3,992.00 1451 2541
53 Klorokuin tablet 150 mg Tablet - 0
54 Klorpropamid tablet 100 mg Tablet - 0
55 Kotrimoksazol anak Tablet

(Sulfametoksazol100mg+Trimetoprim20mg)
- 0
56 Kotrimoksazol dewasa kombinasi : Tablet
Sulfametoksazol400mg+Trimetoprim80mg - 0
Kotrimoksazol dewasa kombinasi :
Sulfametoksazol400mg+Trimetoprim80mg Tablet
1,607.00 140 1467
0
57 Levofloksasin 500 mg Tablet - 0
Levofloksasin 500 mg Tablet - 0
58 Lisinopril 5mg tablet Tablet - 0
59 Loratadin tablet 10 mg Tablet - 0
Loratadin tablet 10 mg Tablet - 0
60 Mebendazol tablet 100 mg Tablet - 0
61 Meloksikam tablet 7,5 mg Tablet - 0
62 Metformin 500mg tablet Tablet - 0
Metformin 500mg tablet Tablet - 0
Metformin 500mg tablet Tablet 2,502.00 420 2082
63 Metil Prednisolon 4 mg Tablet - 0
Metil Prednisolon 4 mg Tablet - 0
Metil Prednisolon 4 mg Tablet 805.00 726 79
Metil Prednisolon 4 mg Tablet 16,000.00 16000
64 Metilergometrin Maleat 0,125 mg Tablet - 0
Metilergometrin Maleat 0,125 mg Tablet - 0
Metilergometrin Maleat 0,125 mg Tablet 230.00 500 80 650
65 Metoklopramid 5mg Tablet - 0
Metoklopramid 5mg Tablet - 0
66 Metronidazol 250 mg Tablet - 0
67 Metronidazol 500mg Tablet - 0
Metronidazol 500mg Tablet 2,201.00 126 2075
68 Natrium Diklofenac 25 mg Tablet - 0
Natrium Diklofenac 50 mg Tablet - 0
Natrium Diklofenac 50 mg Tablet 4,943.00 7200 1464 10679
70 Nifedipin 10 mg tablet Tablet - 0
71 Nistatin tablet vaginal 100.000 IU/g Tablet - 0

Nistatin tablet vaginal 100.000 IU/g Tablet - 0
Nistatin tablet vaginal 100.000 IU/g Tablet 143.00 143
72 Omeprazole 20mg Tablet - 0
Omeprazole 20mg Tablet - 0
Omeprazole 20mg Tablet 123.00 100 23
Omeprazole 20mg Tablet - 6000 6000
73 Parasetamol 100 mg Tablet - 0
Parasetamol 500 mg Tablet - 0
Parasetamol 500 mg Tablet 7,229.00 2540 4689
75 Pirantel 125 mg Tablet - 0
Pirantel 125 mg Tablet - 0
76 Pirasetam 800 mg tablet Tablet - 0
77 Piridoksin HCL (Vit B6) tablet 10 mg Tablet - 0
Piridoksin HCL (Vit B6) tablet 10 mg Tablet - 0
Piridoksin HCL (Vit B6) tablet 25 mg (HIV) Tablet 0
78 Prednison tablet 5 mg Tablet - 0
Prednison tablet 5 mg Tablet - 0
79 Propanolol HCL tablet 10 mg Tablet - 0
80 Propiltiourasil tablet 100 mg Tablet - 0
81 Ranitidin tablet 150 mg Tablet - 0
Ranitidin tablet 150 mg Tablet - 0
Ranitidin tablet 150 mg Tablet 2,390.00 631 1759
Ranitidin tablet 150 mg Tablet - 2000 2000
82 Salbutamol tablet 2 mg Tablet - 0
Salbutamol tablet 2 mg Tablet - 0
Salbutamol tablet 2 mg Tablet 1,463.00 140 1323
Salbutamol tablet 2 mg Tablet 0
83 Salbutamol tablet 4 mg Tablet 1,370.00 371 999
84 Simvastatin 10 mg Tablet 1,433.00 332 1101
Simvastatin 10 mg Tablet - 0
Simvastatin 10 mg Tablet 1,500.00 2000 3500
85 Siprofloksazin tablet 500 mg Tablet - 0
Siprofloksazin tablet 500 mg Tablet - 0
Siprofloksazin tablet 500 mg Tablet 7,930.00 260 7670
Tablet Tambah Darah Kombinasi : Besi sulfat
86 200mg+Asam folat 0,25mg Tablet
- 0
200mg+Asam folat 0,25mg Tablet
- 0
Tablet Tambah Darah Kombinasi : Besi sulfat Tablet
200mg+Asam folat 0,25mg 116,493.00 116493
200mg+Asam folat 0,25mg 53,212.00 3315 49897
200mg+Asam folat 0,25mg 119,850.00 119850
87 Tetrasiklin HCL kapsul 250 mg Tablet - 0
89 Thiamfenikol 500mg kapsul Tablet - 0
90 Tiamin HCL (VitB1) 50 mg Tablet - 0
Tiamin HCL (VitB1) 50 mg Tablet - 0
Tiamin HCL (VitB1) 50 mg Tablet 2,214.00 285 1929
91 Vitamin B Kompleks Tablet - 0
Vitamin B Kompleks Tablet - 0
Vitamin B Kompleks Tablet 2,946.00 2323 623
92 Zinc 10 mg Tablet 2,387.00 406 1981
Zinc 10 mg Tablet - 0
93 Acarbose 100 mg Tablet - 0

94 Spironolactone 25mg Tablet - 0
95 Ondansetron 4 mg Tablet - 0
Ondansetron 4 mg Tablet - 0
96 Irbesartan 150 mg Tablet - 0
97 Loperamid 2 mg Tablet - 0
98 Candesartan 8 mg Tablet - 0
99 Cefadroxil 500mg Tablet - 0
Cefadroxil 500mg Tablet 1,236.00 200 1036
100 asetil sistein Tablet - 0
asetil sistein Tablet - 0
asetil sistein Tablet 1,114.00 335 779
101 Clindamycin 300mg Tablet - 0
102 Gemfibrozil 600mg Tablet - 0
104 Metformin 850 mg tablet Tablet - 0
105 Metoklopramid 10 mg Tablet 2,435.00 110 2325
106 Ketoprofen (SUPRAFENID) supp 100 mg Supp 30.00 2 28
B Injeksi - 0
1 Aminofilina 24 mg/ml - 10 ml Ampul - 0
Aminofilina 24 mg/ml - 10 ml Ampul - 0
2 Amoksisilin 1000mg Vial - 0
Amoksisilin 1000mg Vial - 0
3 Ampisillin im/iv 1000mg/ml Vial - 0
4 Antalgin 250 mg/ml - 2 ml Ampul - 0
5 Atropin sulfat 0,25mg/ml-1 ml Ampul - 0
Atropin sulfat 0,25mg/ml-1 ml Ampul - 0
6 Calsium Gluconas injeksi 10 % Ampul - 0
Calsium Gluconas injeksi 10 % Ampul - 0
7 Ceftriaxone 1 gr injeksi Vial - 0
8 Deksametason injeksi 5 mg/ml-1ml Ampul 233.00 233 0
Deksametason injeksi 5 mg/ml-1ml Ampul - 0
Deksametason injeksi 5 mg/ml-1ml Ampul - 100 100
9 Difenhidramin HCL Inj 10mg/ml-1 ml Ampul - 0
Difenhidramin HCL Inj 10mg/ml-1 ml Ampul - 0
Difenhidramin HCL Inj 10mg/ml-1 ml Ampul 75.00 5 70
10 Epinefrin injeksi Ampul - 0
Epinefrin injeksi Ampul - 0
11 Fitomenadion (Vit K1)inj 10mg/ml-1ml Ampul - 0
Fitomenadion (Vit K1)inj infant Ampul - 0
Fitomenadion injeksi 2 mg/ml Ampul 24.00 13 11
Fitomenadion injeksi 2 mg/ml Ampul 150.00 150
12 Furosemid injeksi Ampul 23.00 23
Furosemid injeksi Ampul - 0
13 Gentamisin injeksi Ampul - 0
14 Hyosin n butilbromid inj 250mg/ml Ampul - 0
15 Kloramfenikol injeksi Ampul - 0
Lidokain komp injeksi,Kombinasi:Lidokain
16 HCl2%+Epinefrin1:80000-2ml Ampul
- 0
Lidokain komp injeksi,Kombinasi:Lidokain Ampul
HCl2%+Epinefrin1:80000-2ml 188.00 78 110
HCl2%+Epinefrin1:80000-2ml 450.00 450
HCl2%+Epinefrin1:80000-2ml 0
17 Magnesium sulfat injeksi (IV) 20 % - 25 ml Flash - 0
Magnesium sulfat injeksi (IV) 20 % - 25 ml Flash 1.00 1

19 Metilergometrin Maleat inj. 0,200mg-1ml Ampul - 0
Metilergometrin Maleat inj. 0,200mg-1ml Ampul - 0
Metilergometrin Maleat inj. 0,200mg-1ml Ampul 100.00 11 89
20 Metoklopramid inj. 5mg / ml Ampul - 0
Metoklopramid inj. 5mg / ml Ampul - 0
Metoklopramid inj. 5mg / ml Ampul 75.00 9 66
21 Natrium Tiosulfat injeksi 25 % - 10 ml Ampul - 0
22 Neurobion Injeksi Ampul 38.00 38
23 Oksitetrasiklin HCL inj. i.m 50mg/ml-10ml Ampul - 0
24 Oksitosin injeksi 10 IU/ml - 1 ml Ampul - 0
Oksitosin injeksi 10 IU/ml - 1 ml Ampul - 0
Oksitosin injeksi 10 IU/ml - 1 ml Ampul 259.00 17 242
25 Ondansetron injeksi Ampul - 0
26 Piracetam injeksi 1 gr / 5 ml Ampul - 0
28 Ranitidin injeksi 25mg/2ml Ampul - 0
Ranitidin injeksi 25mg/2ml Ampul - 0
29 Sefotaksim injeksi 1 gram Vial - 0
Sefotaksim injeksi 1 gram Vial - 0
30 Sianokobalamin(VitB12)inj.500mcg/ml-1ml Ampul - 0
31 Streptomisin serbuk injeksi iv 1000mg/ml Ampul - 0
32 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml Ampul - 0
33 Vitamin B Kompleks injeksi Ampul - 0
34 Omeprazol injeksi 40mg/ml +pelarut Vial - 0
Omeprazol injeksi 40mg/ml +pelarut Vial - 0
Omeprazol injeksi 40mg/ml Vial 269.00 83 186
35 Asam traneksamat 250 mg/5ml Ampul - 0
36 Procain Benzil Penisilin inj 3 jt iu Ampul - 0
C Salep - 0
1 Antifungi (As. Benzoat6%+As. salisilat 3%) Tube - 0
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube - 0
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube 22.00 22
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube 0
2 Asiklovir krim 5% Tube - 0
Asiklovir krim 5% Tube - 0
3 Basitrasin Polimixin B SK Tube - 0
Basitrasin Polimixin B SK Tube - 0
4 Betametason krim 0,1 % Tube - 0
Betametason krim 0,1 % Tube - 0
Betametason krim 0,05 % Tube 111.00 17 94
6 Gameksan emulsi 1 % 30ml Tube - 0
7 Gentamisin salep kulit 0.1%-5gr Tube - 0
Gentamisin salep kulit 0.1%-5gr Tube - 0
8 Gentamisin salep mata 0,3% Tube - 0
Gentamisin salep mata 0,3% Tube 26.00 3 23
9 Hidrokortison krim 2,5 % Tube 85.00 2 83
Hidrokortison krim 2,5 % Tube - 0
Hidrokortison krim 2,5 % Tube - 72 72
10 Ketokonazol krim 2% Tube - 0
Ketokonazol krim 2% Tube - 0
11 Kloramfenikol salep mata 1 % Tube - 0

Kloramfenikol salep mata 1 % Tube - 0
Kloramfenikol salep mata 1 % Tube 34.00 2 32
12 Miconazol cream 2 % Tube - 0
Miconazol cream 2 % Tube 64.00 2 62
Miconazol cream 2 % Tube 0
13 Oksitetrasiklin HCL 1 % salep mata Tube - 0
Oksitetrasiklin HCL 1 % salep mata Tube - 0
14 Oksitetrasiklin HCL salep 3 % Tube - 0
15 Salep 2-4 Komb: As salisilat2%+Belerang Pot
endap4% - 0
Salep 2-4 Komb: As salisilat2%+Belerang Pot
endap4% 71.00 15 56
Salep 2-4 Komb: As salisilat2%+Belerang
endap4% Pot
- 48 48
16 Sulfadiazin salep Tube - 0
D Serbuk - 0
1 Garam oralit untuk 200 ml air Sachet - 0
Garam oralit untuk 200 ml air Sachet 16,765.00 919 15846
2 Salisil Bedak 2 % Pot - 0
Salisil Bedak 2 % Pot 104.00 8 96
E Sirup - 0
1 Amoksilin 125mg/5ml Botol - 0
Amoksilin 125mg/5ml Botol - 0
Amoksilin 125mg/5ml Botol 240.00 19 221
Amoksilin 125mg/5ml Botol 520.00 520
2 Antasida syr (MgOH 200mg/5ml+AlOH Botol
200mg/5ml) - 0
Antasida syr (MgOH 200mg/5ml+AlOH Botol
200mg/5ml) - 0
Antasida syr (MgOH 200mg/5ml+AlOH
200mg/5ml) Botol
- 0
200mg/5ml) Botol
117.00 66 51
3 Cetirizin syr Botol - 0
Cetirizin syr Botol - 0
Cetirizin syr Botol 246.00 246
4 Decolgen syr Botol 122.00 122
5 Dekstrometorfan 10 mg / 5 ml Botol - 0
6 Domperidon sirup 5 mg/5ml Botol 50.00 50
7 Eritromisin sirup Botol - 0
8 Ibuprofen suspensi 100mg/5ml Botol - 0
Ibuprofen suspensi 100mg/5ml Botol - 0
Ibuprofen suspensi 100mg/5ml Botol 83.00 6 77
9 Kloramfenikol suspensi 125mg/5ml Botol - 0
Kloramfenikol suspensi 125mg/5ml Botol - 0
Kloramfenikol suspensi 125mg/5ml Botol 138.00 1 137
Kotrimoksazol Suspensi komb:
10 Sulfametoksazol Botol
200mg+Trimetoprim40mg/5ml - 0
Sulfametoksazol Botol
200mg+Trimetoprim40mg/5ml 245.00 7 238

200mg+Trimetoprim40mg/5ml 400.00 400
11 Mebendazol sirup 100 mg/5ml Botol - 0
12 Obat Batuk Hitam ( O B H ) Botol - 0
Obat Batuk Hitam ( O B H ) molex syr Botol 80.00 42 38
13 Obat flu anak (febrinex) Botol 150.00 150
14 Parasetamol sirup 120mg/5ml Botol - 0
Parasetamol sirup 120mg/5ml Botol - 0
Parasetamol sirup 120mg/5ml Botol 300.00 300
15 Pro EM-1 (Probiotik) Covid-19 Botol 10.00 10
16 Sukralfate syr Botol - 0
17 Thiamfenikol syr Botol - 0
18 Metronidazol syrup Botol - 0
19 Zink sirup Botol - 0
Zink sirup Botol - 0
F Tetes - 0
1 Fenol Gliserol tetes telinga 10 % Botol - 0
Fenol Gliserol tetes telinga 10 % Botol - 0
Fenol Gliserol tetes telinga 10 % Botol 14.00 6 8
2 Gentamisin tetes mata 0.3% Botol - 0
Gentamisin tetes mata 0.3% Botol 48.00 48
Gentamisin tetes mata 0.3% Botol 23.00 1 22
3 Gentian violet larutan 1 % Botol - 0
4 Kloramfenikol tetes mata Botol - 0
kloramfenikol tetes mata Botol - 0
5 Kloramfenikol tetes telinga 3 % Botol - 0
6 Parasetamol drop 100mg/ml btl @ 15ml Botol
- 0
Parasetamol drop 100mg/ml btl @ 15ml Botol
- 0
95.00 95
7 Polikresulen Botol - 0
8 Sulfasetamid Natrium tetes mata 15 % Botol - 0
ALKES DAN CAIRAN LUAR - 0
Alat suntik sekali pakai 0,05 ml Pcs 0
1 Alat suntik sekali pakai 0,3 ml Pcs 515.00 25 490
Alat suntik sekali pakai 0,3 ml Pcs 2,898.00 60 2958
Alat suntik sekali pakai 0,3 ml Pcs 0
2 Alat suntik sekali pakai 0,5 ml Pcs - 0
Alat suntik sekali pakai 0,5 ml Pcs - 0
Alat suntik sekali pakai 0,5 ml Pcs 15,939.00 3488 6759 12668
Alat suntik sekali pakai 0,5 ml Pcs - 2105 2105 0
3 Alat suntik sekali pakai 1 ml Pcs - 0
Alat suntik sekali pakai 1 ml Pcs - 0
Alat suntik sekali pakai 1 ml Pcs 451.00 45 406
Alat suntik sekali pakai 3 ml Pcs 8,770.00 167 8603
Alat suntik sekali pakai 3 ml (VAKSIN PFIZER) Pcs
- 0

7 Alkohol literan Liter 10.00 10
8 Alkohol swab Box - 0
Alkohol swab Box - 0
Alkohol swab Box 270.00 270
Alkohol swab Box 25.00 56 60 21
Alkohol swab Box - 2 2 0
9 APD (5 PAKET) Pcs - 0
10 Aqua pro injeksi, bebas pirogen Flash - 0
Aqua pro injeksi, bebas pirogen Flash 120.00 32 88
11 Aquadest steril Flash - 0
12 Blood Tranfusion set Pcs - 0
Blood Tranfusion set Pcs - 0
Blood Tranfusion set Pcs 200.00 200
13 Catgut chromic/benang bedah No. 2/0-3/0 Pcs - 0
Catgut chromic/benang bedah No. 2/0-3/0 Pcs - 0
Catgut chromic/benang bedah No. 2/0-3/0 Pcs 74.00 14 60
14 Catgut plain/benang bedah No. 2/0-3/0 Pcs - 0
Catgut plain/benang bedah No. 2/0-3/1 Pcs - 0
15 Daryantulle/Bioplacenton tulle Pcs - 0
Daryantulle/Bioplacenton tulle Pcs - 0
16 Disinfektan (Prodestan) Botol 40.00 40
17 Etanol 70 % 100 ml Botol - 0
Etanol 70 % 1000 ml Botol - 0
19 Foley Catheter no.16 Pcs 12.00 11 1
Foley Catheter no.16 Pcs - 0
20 Folley cath no. 18 Pcs 18.00 2 16
21 Hanschoen "50 M Box - 0
Hanschoen "50 M Box - 0
22 NITRILE GLOVE M (SUPERCARE) Box - 0
NITRILE GLOVE M (SUPERCARE) Box - 0
23 Hanschoen steril no 6.5 (safeglove surgical Pcs
PF) - 0
24 Hanschoen steril no 6.5 (Uno Lab) Pcs - 0
Hanschoen steril no 6.5 Pcs 94.00 94
25 Hanschoen steril no 7 Safeglove surgical PF) Pcs
- 0
Hanschoen steril no 7 Safeglove surgical PF) Pcs
- 0
- 0
51.00 51
26 Hanschoen steril no 7 (Unolab) Pcs - 0
27 HAZMAT Pcs - 0
HAZMAT (INDEX Protective Suit HS001-UTP) Pcs
500.00 500
HAZMAT (Disposable Protective Cove) Pcs 20.00 20
28 I.V. Catheter No 18 Pcs - 0
I.V. Catheter No 18 Pcs - 0
29 IV Catheter no 18 JELCO Pcs - 0
IV Catheter no 18 JELCO Pcs 177.00 22 155
30 I.V. Catheter No 20 AXIMED Pcs - 0
31 IV Catheter no 20 JELCO Pcs 74.00 16 58
IV Catheter no 20 Pcs 100.00 100

I.V. Catheter No 22 Pcs 99.00 20 79
I.V. Catheter No 22 Pcs 100.00 100
33 I.V. Catheter No 22 JELCO Pcs - 0
36 IV Catheter No 24 Trovensite Safeplus Pcs 76.00 7 69
37 Infusion set anak Pcs 55.00 8 47
Infusion set anak Pcs - 0
38 Infusion set dewasa Pcs - 0
Infusion set dewasa Pcs - 0
Infusion set dewasa Pcs 170.00 33 137
Infusion set dewasa Pcs 4,000.00 4000
39 Kantong mayat Pcs 10.00 10
40 Kapas Pembalut / Absorben 250 gr Pcs - 0
Kapas Pembalut / Absorben 250 gr Pcs - 0
Kapas Pembalut / Absorben 250 gr Pcs 5.00 2 3
Kapas Pembalut / Absorben 250 gr Pcs 0
41 Kasa Pembalut 2 m x 80 cm Pcs 48.00 5 43
42 Kasa Pembalut elastic 3 inchi Pcs - 0
43 Kasa Pembalut Hidrofil 4 m x 15 cm Pcs - 0
Kasa Pembalut Hidrofil 4 m x 3 cm Pcs 3.00 3 0
45 Kasa Steril Pcs - 0
Kasa Steril Pcs 1.00 1 0
46 Lisol, mengandung Kresol tersabun 50% Pcs 2.00 2
47 Masker breathing (+ selang) Pcs - 0
48 Masker non breathing Pcs - 0
49 masker oxygen Pcs - 0
50 Masker N95 (3M) Pcs - 0
Masker N95 (3M) Pcs 39.00 39
51 mi Kit Steril Pcs - 0
52 NGT 7 x 75/80 Pcs - 0
53 One Med H2 O2 3 % Pcs - 0
54 One Med Surgical Blade Pcs - 0
55 Plester 5 yards x 2 inch (MICROPORE) Pcs - 0
56 Plester infus (TEGADERM) Pcs - 0
57 Rivanol larutan 0,1 % 300ml Pcs - 0
58 Silk ( Benang Bedah Sutera ) No. 3/0 Pcs - 0
59 Tensocrepe Pcs - 0
Tensocrepe Pcs 6.00 6
60 Urine Bag Pcs - 0
Urine Bag Pcs 399.00 10 389
61 Wing Needle No. 18 - 27 Pcs - 0
62 Yodium Povidon larutan 10 % 30 ml Botol - 0
65 Policlean handrub 50ml Pcs - 0
66 Polifix 5cmx5m Pcs - 0
67 New DRC 4Y x 80 cm plain Pcs - 0
New DRC 4Y x 80 cm plain Pcs - 0
New DRC 4Y x 80 cm plain Pcs 9.00 10 2 17
68 Nurse cap Pcs - 0
Nurse cap Pcs 3,100.00 3100
Nurse cap (per box) Pcs 100.00 100
69 Surgical gown (M) Pcs - 0
Surgical gown (M) Pcs 30.00 1 29
Surgical gown kit Pcs 0
70 Surgical gown (L) Pcs - 0

71 Glucose protein test Pcs - 0
72 Underpad Pcs 65.00 27 38
Underpad Pcs 150.00 150
73 Nasal kanul L Pcs - 0
Nasal kanul L Pcs - 0
Nasal kanul L Pcs 46.00 14 32
74 Nasal kanul S Pcs 2.00 2 0
Nasal kanul S Pcs 50.00 10 40
75 Nasal kanul XS Pcs - 0
76 Hand sanitizer (aseptik gel) Pcs - 0
77 Umbilical cord Pcs - 0
Umbilical cord Pcs - 0
78 Dermafix T 5x7 Pcs - 0
79 Plesterin Pcs - 0
80 Stomach tube no 16 Pcs - 0
82 Alkazim Pcs - 0
Alkazim Pcs - 0
83 Alkasit Pcs 1.00 1
84 My gell Pcs - 0
85 Poli Wass 500 ml Pcs - 0
86 Policlean 500ml Pcs - 0
87 Kasa 4m x 5cm Pcs - 0
88 Plester infus (e care + pot) Pcs - 0
89 Surgical mask plus 3 ply ( hijab) Box 12.00 12 0
Surgical mask plus 3 ply ( hijab) Box - 0
Surgical mask plus 3 ply ( hijab) Box 160.00 160
Surgical mask plus 3 ply ( hijab) Box 100.00 2 98
90 Sarung tangan obgyn steril Pcs 79.00 79
91 IV Cath no 22 Pcs - 0
IV Cath no 26 Pcs 21.00 21
IV Cath no 26 Pcs 182.00 182
92 IV Cath no 26 trovensite safety Pcs - 0
93 Female cath no 16 Pcs 4.00 4
95 Cavilon film 1ml wipe Pcs - 0
96 One Clean Pcs - 0
97 Hi Oxy Dewasa Pcs - 0
Hi Oxy Dewasa Pcs 59.00 11 48
Hi Oxy Dewasa Pcs - 0
98 Hi Oxy Anak Pcs - 0
Hi Oxy Anak Pcs 17.00 17
99 masker O2 anak NRBM Pcs - 0
100 Nebul Oxy Dewasa Pcs - 0
Nebul Oxy Dewasa Pcs 48.00 48
101 Nebul Oxy Anak Pcs 3.00 3 0
Nebul Oxy Anak Pcs 50.00 3 47
102 Spalk Pcs - 0
103 Leukoplas 2.5 Pcs - 0
104 Hansaplast rol 7.5 Pcs - 0
Leukoplast 7.5 Pcs - 0
106 Masker karet Box - 0
Masker karet Box - 0
107 Masker tali Box - 0
Masker tali Box - 0
Masker tali Box 100.00 100

Masker tali (Headloop) Box 100.00 100
Masker tali (Earloop) Box 100.00 100
108 Masker bedah 3 ply (masker anak) Pcs - 0
109 Hanshcoen L Box - 0
Hanshcoen L Box - 0
Hanshcoen L Box 14.00 1 13
Hanshcoen L Box 30.00 30
110 Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box 60.00 28 32
Hanshcoen M Box - 0
111 Hanshcoen s Box - 0
Hanshcoen s Box - 0
Hanshcoen s Box 9.00 5 4
Hanshcoen s Box 30.00 30
112 Hanshcoen s top glove free powder Pcs - 0
113 Plester kertas aximed 1.25 cm Pcs 12.00 4 8
114 Plester kertas aximed 2.5 cm Pcs 124.00 124
115 Hansaplast rol (5cmx4.5m) Pcs - 0
116 Extradine 5L Pcs 3.00 3
117 Steri Strip Pcs - 0
118 Steroform tali Pcs - 0
119 Steroform Pcs - 0
120 Iodine Test Pcs - 0
121 ID Band Dewasa Pink Pcs 200.00 200
122 ID Band Dewasa Biru Pcs 200.00 200
123 ID Band Dewasa Kuning Pcs - 0
124 ID Band Anak Pink Pcs 200.00 200
125 ID Band Anak Biru Pcs 200.00 200
126 ID Band ANAK Kuning Pcs - 0
127 Aqua gel Pcs - 0
128 Viorex norinse antiseptik spray 2% 5 lt Liter - 0
129 Viorex liquid soap 2% 5L Liter 1.00 1
130 NGT 16 Pcs - 0
131 NGT 18 Pcs - 0
132 leukoplast (2,5 cm x 4,5 cm) Pcs 43.00 5 38
133 Waterone 1L Liter 48.00 48
134 Blood Glucose Test Strip '' 100 Box 35.00 35
INFUS - 0
1 Asering Larutan infus Flash - 0
Asering Larutan infus Flash - 0
2 Glukosa larutan infus 10 % steril Flash 12.00 12
3 Glukosa larutan infus 40 % steril Flash - 0
5 KAEN 3B Flash 59.00 4 55
KAEN 3B Flash - 0
KAEN 4B Flash - 0
6 Metronidazol infus Flash - 0
7 Natrium Klorida larutan infus 0,9 % steril Flash - 0
Natrium Klorida larutan infus 0,9 % steril Flash 294.00 107 187
Natrium Klorida larutan infus 0,9 % steril Flash 1,000.00 1000
8 NaCl 0,9 % 10 ml (VAKSIN PFIZER) Flash - 0
9 Ringer Lactate infus steril Flash - 0
Ringer Lactate infus steril Flash 1,085.00 97 988
10 WIDA-BES aselat ringer Flash - 0
11 WIDA D5-1/4NS Flash - 0

OBAT PATEN - 0
1 Aptil/Albothyl Botol - 0
2 Bioplasenton Jelly Tube - 0
3 Bisakodil suppositoria 10mg/Dulcolax Supp - 0
4 Bufacomb Tube - 0
5 Cendo Lyters tetes mata Botol - 0
6 Cendo Xitrol tetes mata Botol - 0
7 Citicholin inj. 250 mg / 2ml Ampul - 0
8 Fenitoin Natrium 100 mg Kapsul 635.00 160 475
9 Laxadin sirup Botol - 0
10 Lactodiar Sachet - 0
11 Lytamin syrup Botol - 0
12 Mecobion tablet/ BIO ATP Tablet - 0
Mecobion tablet/ BIO ATP Tablet - 0
13 Metamizole injeksi 500mg (Norages) Ampul - 0
14 Microlax Tube - 0
15 Neurotropik injeksi 5000mcg (Mersibion) Ampul - 0
16 Novalgin/Antrain injeksi Ampul - 0
Norages Ampul 100.00 100
17 Noza /Demacolin Tablet - 0
Noza /Demacolin Tablet - 0
Noza Tablet 10,224.00 42 10182
18 Obat Batuk Anak sirup (Babycough) Botol - 0
19 Parasetamol supp Supp - 0
20 Pehacain injeksi Ampul - 0
21 Pehavral Tablet 348.00 348 0
Pehavral Tablet - 2000 70 1930
22 Permetrin/Scabicid krim 5% Tube - 0
Permetrin/Scabicid krim 5% Tube - 0
Permetrin/Scabicid krim 5% Tube 270.00 29 241
23 Salbutamol rotacaps Kapsul - 0
24 Salbutamol rotahaler Kapsul - 0
25 Hiopar Tablet - 0
26 Puralex Tablet - 0
Puralex Tablet 2,973.00 297 2676
28 Ventolin nebuliser Nebul - 0
Ventolin nebuliser Nebul 108.00 5 103
29 Zirkum syr/ Zinkid syr Botol - 0
30 Miniaspi (Asetosal 80mg) Tablet - 0
Miniaspi (Asetosal 80mg) Tablet - 0
31 Ulsidex 500mg Tablet - 0
32 Combiven nebulizer Nebul - 0
Combiven nebulizer Nebul - 0
33 Dulcolax supp 5 mg (anak) Tube - 0
34 Bufacetin salep Tube - 0
Bufacetin salep Tube - 0
35 Pantocain TM Botol - 0
36 Chloramex 500mg Tablet - 0
37 Euthyrox (Levotiroksin 100mcg) Tablet - 0
38 Dionicol 500mg Tablet - 0
39 Sotatic inj (metoclopramid inj) Ampul - 0
40 Gricin Tablet - 0
41 Amoxsan serbuk injeksi Vial - 0
42 Otopain ear drop Botol - 0
43 Caviplex sirup Botol - 0
44 Flurin DMP Tablet - 0
45 Calporosis Tablet - 0
46 Scopma Tablet - 0
Scopma Tablet - 0
47 Reco tetes telinga Botol - 0
48 Dextrofen sirup Botol - 0
49 HerbaKOF sirup Botol - 0
HerbaKOF sirup Botol - 0
50 Thyrosol Tablet - 0
51 Multivitamin (C,B,E,Zink) Tablet - 0
52 Hustab Tablet - 0
53 Molex flu syr Botol 60.00 60
OBAT KHUSUS - 0
Alkes - 0
1 Anisol Pcs - 0
2 Blood lancet Box - 0
Blood lancet Box - 0
Blood lancet Box 19.00 19
3 Blue Tip Pcs - 0
4 Corong Pcs - 0
5 Chlorotulle Pcs 174.00 3 171
6 Kantong mayat Pcs - 0
7 Kertas lensa Pcs - 0
8 Lampu spiritus Pcs - 0
9 masker FFP2NR Pcs 120.00 120
10 Masker KN95 Pcs 100.00 100
11 Ose Pcs - 0
12 Pipet K Pcs - 0
13 Pipet 50 ml Pcs - 0
14 Plester infus (film dressing port) Pcs 2,000.00 2000
15 Rak slide Pcs - 0
16 Safety box 5 l Pcs - 0
Safety box 5 l Pcs - 0
Safety box 5 l Pcs 123.00 36 87
Safety box 5 l Pcs - 1 1 0
Safety box 5 l Pcs 0
17 Sarung tangan no 7 Pcs - 0
18 Sarung tangan no 7.5 Pcs - 0
20 Syringe AD 0,5ml / Soloshot Pcs - 0
21 Syringe AD 5ml / Soloshot Pcs - 0
22 Tabung EDTA Box - 0
23 Tabung serologi Pcs - 0
24 Alat Deteksi Resiko Kehamilan (ADRK) Pcs - 0
Filariasis - 0
1 Albendazol Tablet - 0
Albendazol Tablet - 0
Albendazol Tablet 306.00 306
2 Albendazole suspensi 200 mg/5ml Botol 14.00 14
Albendazole suspensi 200 mg/5ml Botol 0
4 Dietilkarbamazin sitrat 100 mg Tablet - 0
Flu burung - 0
1 Oseltamivir 75 mg Tablet - 0
Gigi - 0
1 Devitalisasi Pasta ( Non Arsen ) Pcs - 0

2 Xylocain spray Pcs - 0
3 Eugenol cairan Pcs 6.00 6
4 Glass Ionomer Cemen ( GC IX ) Pcs - 0
5 Kalsium Hidroksida Pasta Pcs - 0
6 Monoklorkamfer Mentol Cairan Pcs - 0
7 Mummifying Pasta Pcs - 0
8 Semen Seng Fosfat serbuk dan cairan Pcs - 0
9 Silver Amalgam serbuk 65 - 75 % Pcs - 0
Temporary Stopping Fletcher serbuk dan Pcs
10 cairan - 0
11 Trikresol Formalin (TKF) cairan Pcs - 0
Gizi - 0
1 Retinol ( Vit A ) kapsul 100.000 IU Kapsul - 0
Retinil (VIT A) kapsul 100.000 IU Kapsul - 0
Retinol ( Vit A ) kapsul 100.000 IU Kapsul - 0
Retinol ( Vit A ) kapsul 100.000 IU Kapsul 1,100.00 1100
Retinol ( Vit A ) kapsul 100.000 IU Kapsul 228.00 228
Retinol ( Vit A ) kapsul 200.000 IU Kapsul 3,210.00 13 3197
3 Mineral Mix Bungkus - 0
Mineral Mix (Taburia) Bungkus - 0
4 Iodine test Pcs - 0
- 0
Jiwa - 0
1 Amitriptilin HCL 25 mg Tablet - 0
Amitriptilin HCL 25 mg Tablet 327.00 3 324
2 Clobazam 10mg tab Tablet - 0
3 Fenitoin Natrium inj. 50 mg/ml Ampul - 0
4 Fenitoin Natrium 100 mg Tablet - 0
Fenitoin Natrium 100 mg Tablet - 0
6 Haldol decanoat 50mg/ml inj Ampul - 0
7 Haloperidol 1,5 mg Tablet - 0
Haloperidol 1,5 mg Tablet 681.00 681
8 Haloperidol 5 mg Tablet - 0
Haloperidol 5 mg Tablet - 0
Haloperidol 5 mg Tablet 194.00 40 154
Haloperidol 5 mg Tablet 500.00 500
9 Karbamazepin 200 mg Tablet 500.00 500
Karbamazepin 200 mg Tablet 262.00 80 182
10 Klorpromazin HCL injeksi 25 mg/ml - 1 ml Ampul - 0
12 Klorpromazin HCL tablet salut 100 mg Tablet - 0
Klorpromazin HCL tablet salut 100 mg Tablet - 0
Klorpromazin HCL tablet salut 100 mg Tablet 150.00 150
14 Lodomer 5mg/ml inj Ampul - 0
15 Risperidone 2mg Tablet - 0
Risperidone 2mg Tablet 217.00 40 177
Risperidone 2mg Tablet - 0
Risperidone 2mg Tablet 0
16 Sikzonoat/Flufenazin 25mg/ml inj Ampul - 0
17 Trifluoperazin tablet 5 mg Tablet - 0
18 Triheksifenidil Hidroklorida tab 2 mg Tablet - 0

Triheksifenidil Hidroklorida tab 2 mg Tablet - 0
Triheksifenidil Hidroklorida tab 2 mg Tablet 904.00 904
19 Clozapin 25 mg tab Tablet - 0
20 Fluoksetin/Nopres 20 mg Tablet - 0
22 Haloperidol tts 2 mg/ml (Lodomer drop) Botol - 0
23 Stelazin 1 mg Tablet - 0
Kelamin + H I V - 0
1 Alkohol swab Box 0 0
Benzatin Benzil Penisilin inj. 1,2 juta IU/vial Vial
2 - 0
3 - 0
4 Cyprofloxacin 500 mg Tablet - 0
5 Cyre Tube Tube - 0
Diagnostic Kit for HIV (1+2) Antibody Box
6 (Colloidal Gold) V2 (KHB BOX) 14.00 6 8
7 Doxycyclin 100 mg Tablet - 0
DS HIV DIAGNOSTAR (CCHIV-402A) (REAGEN Box
8 HIV 1/2 DS DIAGNOSTAR) 20.00 20
9 Erythromycin 500 mg Tablet - 0
10 Fladex Forte ( Metronidazol ) Tablet - 0
11 Flashback blood coll needle 22Gx1.5 Box 7.00 1 6
12 Fluconazole tab Tablet - 0
13 Kapas Alkohol Box - 0
Kapas Alkohol Box - 0
14 KHB diagnostics (HIV 1&2) (KHB BIJIAN) Box 41.00 41
15 Komb: Cefixim + Azithromycin Tablet - 0
16 Kondom Box 5.00 5
17 Masker bedah 3 ply (px AIDS) Box - 0
18 Masker karet (MI) (px AIDS) Box - 0
19 New HIV 1/2 3 line (FOKUS) Box 23.00 16 7
20 Pehavral Tablet - 0
21 Plesterin Pcs 8.00 1 7
22 Rapid test syphillis Biosensor Box - 0
23 Rapid 1 RDT (Virocheck HIV 1/2) Box 194.00 144 50
24 Reagen Rapid HIV 1/2 Box - 0
Reagen Rapid HIV (REAGEN HIV 1/2 DS
DIAGNOSTAR) Box
25.00 25
25 Safety box 5 l Box - 0
26 Sarung tangan Box - 0
Sarung tangan Box - 0
Sarung tangan Box 14.00 7 7
27 Standard Q syphilis AB Test Box 16.00 10 6
28 Tabung + Jarum Box - 0
29 Tes HBsAg Pcs 300.00 300
Tes HBsAg Pcs 468.00 243 225
Trepocheck syphilis (rapid test syphilis TB-TS Box
30 25:25) BIJI - 0
Trepocheck syphilis (rapid test syphilis TB-TS
Box
25:25) BOX 28.00 28
Vacuntainer pronto quick release needle
Box
31 holder 11.00 11
32 Vacuntainer 3.0 ml Plus K2EDTA (BD) Box 6.00 1 5
33 Zidovudine (ZDV) 100mg Botol - 0
34 Lamivudine 150 mg Botol - 0
Lamivudine 150 mg Botol - 0
35 Efavirenz (EFV) 600 mg Botol - 0
Efavirenz (EFV) 600 mg Botol 6.00 6
36 Nevirapine (NVP) 200mg Botol - 0
Nevirapine (NVP) 200mg Botol - 0

Nevirapine (NVP) 200mg Botol 6.00 8 8 6
Nevirapine (NVP) 200mg Botol 0
37 Tenofovir 300 Botol - 0
Tenofovir 300 Botol 5.00 5
38 Tenofovir 300 + Emcitritabine (FT Botol - 0
Zidovudine(ZDV)300mg+Lamivudine(3TC)150
mg Botol
39 - 0
mg Botol
- 0
mg Botol
6.00 8 8 6
Tenofovir 300 + Lamivudin 300 + Efaviren 600
(Triple FDC) Dewasa Botol
40 - 0
- 0
41 Azithromycin Tablet - 0
Azithromycin Tablet - 0
Azithromycin Tablet 222.00 8 214
42 Cefixim 100mg Kapsul - 0
Kusta - 0
1 Lampren 100 mg Tablet - 0
2 MB Anak Blister - 0
3 MB Dewasa Blister - 0
MB Dewasa Blister - 3 1 2
4 PB Anak Blister - 0
5 PB Dewasa Blister - 0
6 Prednison 5 mg Tablet - 0
7 Prednipac Tablet - 0
Malaria - 0
1 - 0
3 Kuinin dihidroklorida injeksi 25 % - 2 ml Ampul - 0
4 Kuinin ( Kina ) tablet 200 mg Tablet - 0
Komb.(Pirimetamin25mg+Sulfadoksin500mg) Tablet
5 - 0
6 Primakuin tablet 15 mg Tablet - 0
7 Asam Askorbat 250 mg Tablet - 0
ACT (Artesunat+Amodiaquin Hydrochloride) Tablet
8 - 0
9 Artemeter injeksi Ampul - 0
Artesunat injeksi Ampul - 0
10 Tetrasiklin 250 mg Tablet - 0
11 Vit B Komplex tab Tablet - 0
Bacillus Thuringiensis var.israelensis H-14 Box
12 (BTI) 2.00 2
SD Bioline Dengue Duo (Dengue NS1Ag+Ab Box
13 Combo) 2.00 1 1
Psikotropik & Narkotik - 0
1 Diazepam injeksi 5 mg/ml - 2 ml Ampul - 0
Diazepam injeksi 5 mg/ml - 2 ml Ampul 3.00 3
Diazepam injeksi 5 mg/ml - 2 ml Ampul 0
2 Diazepam 2 mg Tablet - 0
Diazepam 2 mg Tablet 600.00 5 595
4 Fenobarbital injeksi 50 mg / ml - 2 ml Ampul - 0
5 Fenobarbital 30 mg Tablet - 0
6 Kodein tablet 10mg Tablet - 0
Kodein tablet 10mg Tablet 160.00 3 157
7 Stesolid rectal supp 5 mg Supp - 0
Stesolid rectal supp 5 mg Supp 8.00 8
8 Alprazolam 1mg Tablet - 0

Stesolid rectal supp 10 mg Supp - 0
Reagen - 0
1 Reagen Alat ( GPT ) Pcs - 0
2 Reagen Alat test gol darah Pcs - 0
3 Reagen ASAT ( GOT ) Pcs - 0
4 Reagen Cell Clean Pcs - 0
5 Reagen Cell Pack D 20 lt Pcs - 0
6 Reagen Cholesterol Pcs - 0
7 Reagen Creatinin Pcs - 0
8 Reagen Glukose GOD Pcs - 0
9 Reagen Pack D 5 lt Pcs - 0
10 Reagen Pack L - 500ml Pcs - 0
11 Reagen Stromalyzer 500ml Pcs - 0
12 Reagen Trigliserid Pcs - 0
13 Reagen Uric acid Pcs - 0
14 Urea FS Pcs - 0
15 Ragen narkoba Pcs - 0
16 Rinse M Pcs - 0
17 Probe Cleanser Mindray Pcs - 0
18 Planotest Pcs - 0
19 G0l darah A Pcs - 0
20 G0l darah B Pcs - 0
21 Gol darah AB Pcs - 0
22 Gol darah Rhesus Pcs - 0
23 S.Thypy O Pcs - 0
24 S.Thypy H Pcs - 0
25 S.Parathypy A Pcs - 0
26 S.Parathypy B Pcs - 0
27 Obyek Glass Pcs - 0
28 Aquadest steril 1 lt Pcs - 0
29 Spiritus bakar Pcs - 0
30 Urine Strip Pcs - 0
31 PH paper Pcs - 0
32 EZ Cleanser Pcs - 0
33 Hemoglobin strip Pcs - 0
34 Protein urine Pcs - 0
35 Lyse Pcs - 0
36 Rapid Diagnosa Tes Antigen Pcs - 0
Serum - 0
Serum Anti Bisa Ular Polivalen inj.5 ml(ABUI) Vial
1 - 0
- 0
Serum Anti Difteri inj. 20.000 IU/vial (ADS) Vial
2 - 0
Serum Anti Tetanus inj. 1.500 IU/ampul Vial
3 (Tetagam) - 0
Vaksin - 0
1 Vaksin ASTRA ZENECA Vial - 0
Vaksin ASTRA ZENECA Vial - 54 54 0
Vaksin ASTRA ZENECA Vial - 7 7 0
Vaksin ASTRA ZENECA Vial 0
Vaksin ASTRA ZENECA Vial 0
2 Vaksin Janssen Vial - 0
3 Vaksin Pfizer Vial - 25 25 0
4 Vaksin Sinovac single dosis (BKKBN) Vial - 0
5 Vaksin Sinovac single dosis Vial - 0
6 Vaksin SINOVAK 10 DOSIS Vial - 0
7 Vaksin SINOFARM Vial - 0
8 Vaksin SINOVAC 2 DOSIS Vial - 890 890 0
9 Vaksin SINOVAC 10 DOSIS Vial - 0

10 Vaksin MODERNA Vial - 0
Vaksin MODERNA Vial 0
11 Vaksin IPV Vial - 65 65 0
Vaksin IPV Vial 0
12 Vaksin BCG Vial - 0
13 Vaksin BOPV Vial - 0
14 Vaksin DPT-HB-HIB Vial - 0
15 Vaksin MR Vial - 0
16 Vaksin Meningitis Vial 0
17 Vaksin HB Unijeck/HB 1 Vial 0
18 Vaksin PCV Vial 0
19 Vaksin HBIG (VAKSIN HEPATITIS) Vial 0
TB Paru - 0
1 Isoniazid (INH) 100mg Tablet - 0
Isoniazid (INH) 100mg Tablet - 0
2 Isoniazid (INH) 300 mg (px HIV) Tablet 190.00 90 100
3 Kombipack Kategori 1 Paket - 0
4 Obat Antituberkulosis Anak Paket - 0
Obat Antituberkulosis Anak Paket - 0
5 Obat Antituberkulosis kategori 2 ( FDC ) Paket - 0
Obat Antituberkulosis kategori 2 ( FDC ) Paket - 0
Obat Antituberkulosis kategori 2 ( FDC ) Paket 1.00 1
6 Obat Antituberkulosis kategori 3 (FDC) Paket - 0
7 Obat Antituberkulosis kategori I ( FDC ) Paket - 0
Obat Antituberkulosis kategori I ( FDC ) Paket - 0
Obat Antituberkulosis kategori I ( FDC ) Paket 6.00 2 4
8 Obat Antituberkulosis Sisipan Paket - 0
9 Obat Antituberkulosis KDT dosis harian Paket 0
10 Cartridge GeneXpert Pcs 57.00 43 14
11 Slide Pcs 14.00 14
Slide Pcs 4.00 4
Slide Pcs 2.00 2
12 Slide box Pcs 4.00 4
13 Sputum pot Pcs - 0
Sputum pot Pcs 1,000.00 1000
Sputum pot Pcs - 0
Sputum pot Pcs 394.00 20 374
14 Sputum Pcs - 0
15 Streptomycin inj./iv 1500 mg/ml Vial - 0
16 Sputum pot steril Pcs - 0
17 Surgical mask plus 3 ply ( hijab) Box 25.00 25
Surgical mask plus 3 ply ( hijab) MASKER Box
(SUPERCARE) 0
18 Masker bedah 3 ply GF AIDS 2020 (ISPA) Box 250.00 250
19 Tuberculin (reagen TB) Vial 0
20 Ziehl nelseen Pcs 7.00 7
Ziehl nelseen Pcs 9.00 9
Ziehl nelseen Pcs 4.00 2 2
Ziehl nelseen Pcs - 0
Mengetahui Malang, 28 April 2022

Atasan Langsung Pembuat Laporan
drg. Angga An Novita Gufron, S. Farm., Apt.

NIP. 197911092007012008 NIP. 199201132019031010
BULAN FEBRUARI TAHUN 2022
OBAT GENERIK 0
a. Tablet/Kapsul
Alopurinol 100 mg Tablet - 3000 3000
Ambroxol 30 mg Tablet - 10800 10800
Antasida (MgOH 200mg+AlOH 200mg) Tablet - 0
- 0
50mg) - 0
50mg) Tablet
- 0
Asam mefenamat 500mg Tablet 21,000.00 21000
Asiklovir 400mg Tablet - 0

Dimenhidrinat tablet 50mg Tablet - 500 500
Glibenklamid 5 mg Tablet 4,298.00 3000 370 6928
Glimepiride tablet 2 mg Tablet 1,490.00 30 1460
Isosorbid Dinitrat sublingual 5 mg Tablet 92.00 92

Ketokonazol 200mg tablet Tablet 183.00 7 176

- 0
Kotrimoksazol dewasa kombinasi : Tablet
Sulfametoksazol400mg+Trimetoprim80mg 1,467.00 190 1277
- 1000 1000
Metil Prednisolon 4 mg Tablet 79.00 79 0
Metil Prednisolon 4 mg Tablet 16,000.00 688 15312
Metilergometrin Maleat 0,125 mg Tablet 650.00 30 620
Metronidazol 500mg Tablet 2,075.00 2075
Natrium Diklofenac 50 mg Tablet 10,679.00 1431 9248

Nistatin tablet vaginal 100.000 IU/g Tablet 143.00 6 137
Omeprazole 20mg Tablet 23.00 23 0
Omeprazole 20mg Tablet 6,000.00 177 5823
Parasetamol 500 mg Tablet 41,600.00 41600
Piridoksin HCL (Vit B6) tablet 25 mg (HIV) Tablet - 0
83 Salbutamol tablet 4 mg Tablet 999.00 884 115
84 Simvastatin 10 mg Tablet 1,101.00 320 781
Simvastatin 10 mg Tablet 3,500.00 3500
86 Tablet Tambah Darah Kombinasi : Besi sulfat Tablet
200mg+Asam folat 0,25mg - 0
200mg+Asam folat 0,25mg - 0
Tablet
200mg+Asam folat 0,25mg 116,493.00 116493
200mg+Asam folat 0,25mg 49,897.00 1424 48473
200mg+Asam folat 0,25mg 119,850.00 119850
Vitamin B Kompleks Tablet 623.00 375 248
92 Zinc 10 mg Tablet 1,981.00 258 1723

Cefadroxil 500mg Tablet 1,036.00 130 906
asetil sistein Tablet 779.00 297 482
106 Ketoprofen (SUPRAFENID) supp 100 mg Supp 28.00 28
B Injeksi - 0
8 Deksametason injeksi 5 mg/ml-1ml Ampul - 0
Deksametason injeksi 5 mg/ml-1ml Ampul 100.00 2 98
Difenhidramin HCL Inj 10mg/ml-1 ml Ampul 70.00 300 11 359
Fitomenadion injeksi 2 mg/ml Ampul 150.00 150
12 Furosemid injeksi Ampul 23.00 23 0
16 Ampul
HCl2%+Epinefrin1:80000-2ml - 0
HCl2%+Epinefrin1:80000-2ml Ampul
110.00 81 29
HCl2%+Epinefrin1:80000-2ml 450.00 450
Magnesium sulfat injeksi (IV) 40 % - 25 ml Flash 8.00 2 6

Metilergometrin Maleat inj. 0,200mg-1ml Ampul 89.00 89
Metoklopramid inj. 5mg / ml Ampul 66.00 6 60
22 Neurobion Injeksi Ampul 38.00 38
Omeprazol injeksi 40mg/ml Vial 186.00 40 146
C Salep - 0
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube 22.00 2 20
Gentamisin salep mata 0,3% Tube 23.00 23
Hidrokortison krim 2,5 % Tube 72.00 72

Miconazol cream 2 % Tube - 0
endap4% - 0
endap4%
Pot
56.00 7 49
endap4% 48.00 48
D Serbuk - 0
E Sirup - 0
200mg/5ml) - 0
200mg/5ml) - 0
200mg/5ml) - 0
200mg/5ml) Botol
51.00 26 25
Cetirizin syr Botol 246.00 4 242
6 Domperidon sirup 5 mg/5ml Botol 50.00 1 49

13 Obat flu anak (febrinex) Botol 150.00 1 149
Parasetamol sirup 120mg/5ml Botol 300.00 30 270
15 Pro EM-1 (Probiotik) Covid-19 Botol 10.00 10 0
F Tetes - 0
Gentamisin tetes mata 0.3% Botol 22.00 13 9
- 0
- 0
95.00 5 90
Alat suntik sekali pakai 0,05 ml Pcs - 100 100
1 Alat suntik sekali pakai 0,3 ml Pcs 490.00 114 376
Alat suntik sekali pakai 0,3 ml Pcs 2,958.00 2958
- 0
7 Alkohol literan Liter 10.00 10

Aqua pro injeksi, bebas pirogen Flash 88.00 33 55
Catgut chromic/benang bedah No. 2/0-3/0 Pcs 60.00 9 51
19 Foley Catheter no.16 Pcs 1.00 1
PF) - 0
Hanschoen steril no 6.5 Pcs 94.00 5 89
- 0
- 0
- 0
51.00 2 49
27 HAZMAT Pcs - 0
500.00 500

Kapas Pembalut / Absorben 250 gr Pcs 3.00 1 2
Kasa Pembalut Hidrofil 4 m x 3 cm Pcs - 0
Kasa Steril Pcs - 0
46 Lisol, mengandung Kresol tersabun 50% Pcs 2.00 1 1
Masker N95 (3M) Pcs 39.00 6 33
52 NGT 7 x 75/80 Pcs - 0
53 One Med H2 O2 3 % Pcs - 0
New DRC 4Y x 80 cm plain Pcs 17.00 17
Nurse cap Pcs 3,100.00 50 3050
Surgical gown kit Pcs - 0

74 Nasal kanul S Pcs - 0
Nasal kanul S Pcs 40.00 2 38
76 Hand sanitizer (aseptik gel) Pcs - 2 2
82 Alkazim Pcs - 0
Alkazim Pcs - 0
84 My gell Pcs - 0
89 Surgical mask plus 3 ply ( hijab) Box - 0
IV Cath no 26 Pcs 182.00 182
Hi Oxy Anak Pcs 17.00 2 15
Nebul Oxy Dewasa Pcs 48.00 48
101 Nebul Oxy Anak Pcs - 0
102 Spalk Pcs - 0
Masker tali Box - 0

Hanshcoen L Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen s Box - 0
Hanshcoen s Box 30.00 30
130 NGT 16 Pcs - 0
131 NGT 18 Pcs - 0
134 Blood Glucose Test Strip '' 100 Box 35.00 35
INFUS - 0
2 Glukosa larutan infus 10 % steril Flash 12.00 12
5 KAEN 3B Flash 55.00 55
KAEN 3B Flash - 0
KAEN 4B Flash - 0
Ringer Lactate infus steril Flash 988.00 63 925
OBAT PATEN - 0
4 Bufacomb Tube - 0
8 Fenitoin Natrium 100 mg Kapsul 475.00 90 385
Noza Tablet 10,182.00 50 10132
Pehavral Tablet 1,930.00 3600 462 5068
Puralex Tablet 2,676.00 2000 266 4410
Scopma Tablet - 0

OBAT KHUSUS - 0
Alkes - 0
1 Anisol Pcs - 0
Blood lancet Box 19.00 19
3 Blue Tip Pcs - 0
4 Corong Pcs - 0
10 Masker KN95 Pcs 100.00 4 96
11 Ose Pcs - 0
12 Pipet K Pcs - 0
Safety box 5 l Pcs 87.00 14 73
Filariasis - 0
Albendazole suspensi 200 mg/5ml Botol - 0
Flu burung - 0
Gigi - 0

Temporary Stopping Fletcher serbuk dan
cairan Pcs
10 - 0
Gizi - 0
Retinol ( Vit A ) kapsul 100.000 IU Kapsul 228.00 600 828
- 0
Jiwa - 0
Klorpromazin HCL tablet salut 100 mg Tablet 150.00 15 135
Triheksifenidil Hidroklorida tab 2 mg Tablet 904.00 40 864

Kelamin + H I V - 0
2 - 0
3 - 0
DS HIV DIAGNOSTAR (CCHIV-402A) (REAGEN
Box
8 HIV 1/2 DS DIAGNOSTAR) 20.00 3 17
11 Flashback blood coll needle 22Gx1.5 Box 6.00 6
14 KHB diagnostics (HIV 1&2) (KHB BIJIAN) Box 41.00 41 0
19 New HIV 1/2 3 line (FOKUS) Box 7.00 7
23 Rapid 1 RDT (Virocheck HIV 1/2) Box 50.00 50
Reagen Rapid HIV (REAGEN HIV 1/2 DS Box
DIAGNOSTAR) 25.00 25
Sarung tangan Box 7.00 1 6
Tes HBsAg Pcs 225.00 25 200
25:25) BIJI Box
30 - 0
25:25) BOX 28.00 28
Vacuntainer pronto quick release needle Box
31 holder 11.00 11
32 Vacuntainer 3.0 ml Plus K2EDTA (BD) Box 5.00 5
Efavirenz (EFV) 600 mg Botol 6.00 1 5
Nevirapine (NVP) 200mg Botol 6.00 10 9 7

mg Botol
39 - 0
mg Botol
- 0
mg Botol
6.00 9 10 5
40 - 0
- 0
Azithromycin Tablet 214.00 214
Kusta - 0
MB Dewasa Blister 2.00 1 1
Malaria - 0
1 200mg+Asam folat 0,25mg - 0
5 - 0
8 - 0
12 (BTI) 2.00 2
13 Combo) 1.00 1 0
Diazepam injeksi 5 mg/ml - 2 ml Ampul 3.00 3
Diazepam injeksi 5 mg/ml - 2 ml Ampul - 0
Kodein tablet 10mg Tablet 157.00 42 115
Reagen - 0
14 Urea FS Pcs - 0
16 Rinse M Pcs - 0
31 PH paper Pcs - 0
35 Lyse Pcs - 0
Serum - 0
1 - 0
- 0
Serum Anti Difteri inj. 20.000 IU/vial (ADS) Vial
2 - 0
3 (Tetagam) - 0
Vaksin - 0
Vaksin ASTRA ZENECA Vial - 0
3 Vaksin Pfizer Vial - 0
Vaksin MODERNA Vial - 1 1 0

11 Vaksin IPV Vial - 0
Vaksin IPV Vial - 0
12 Vaksin BCG Vial - 10 10 0
13 Vaksin BOPV Vial - 50 50 0
14 Vaksin DPT-HB-HIB Vial - 100 100 0
15 Vaksin MR Vial - 20 20 0
16 Vaksin Meningitis Vial - 0
17 Vaksin HB Unijeck/HB 1 Vial - 0
18 Vaksin PCV Vial - 0
19 Vaksin HBIG (VAKSIN HEPATITIS) Vial - 0
TB Paru - 0
2 Isoniazid (INH) 300 mg (px HIV) Tablet 100.00 100 0
Obat Antituberkulosis kategori I ( FDC ) Paket 4.00 10 1 13
9 Obat Antituberkulosis KDT dosis harian Paket - 1 1 0
10 Cartridge GeneXpert Pcs 14.00 100 37 77
11 Slide Pcs 14.00 14
Slide Pcs 4.00 4
Slide Pcs 2.00 1 1
Sputum pot Pcs - 0
14 Sputum Pcs - 0
Surgical mask plus 3 ply ( hijab) MASKER
(SUPERCARE) Box
- 0
19 Tuberculin (reagen TB) Vial - 0


NIP. 197911092007012008 NIP. 199201132019031010
BULAN MARET TAHUN 2022
OBAT GENERIK 0
a. Tablet/Kapsul
Alopurinol 100 mg Tablet 3,000.00 3000
Ambroxol 30 mg Tablet 10,800.00 10800
Antasida (MgOH 200mg+AlOH 200mg) Tablet - 0
- 0
50mg) - 0
50mg) Tablet
- 0
Asam mefenamat 500mg Tablet 384.00 384 0
Asiklovir 400mg Tablet - 0

Glibenklamid 5 mg Tablet 6,928.00 727 6201
Glimepiride tablet 2 mg Tablet 1,460.00 1460
Isosorbid Dinitrat sublingual 5 mg Tablet 92.00 92 0
Kalsium Laktat (Kalk) 500 mg Tablet 4,000.00 4000
Ketokonazol 200mg tablet Tablet 176.00 176

- 0
1,277.00 317 960
1,000.00 1000
Metil Prednisolon 4 mg Tablet 15,312.00 982 14330
Metilergometrin Maleat 0,125 mg Tablet 620.00 30 590
Metronidazol 500mg Tablet 2,075.00 103 1972
Natrium Diklofenac 50 mg Tablet 9,248.00 1585 7663

Nistatin tablet vaginal 100.000 IU/g Tablet 137.00 4 133
Omeprazole 20mg Tablet 5,823.00 443 5380
Piridoksin HCL (Vit B6) tablet 25 mg (HIV) Tablet - 0
Ranitidin tablet 150 mg Tablet 4,000.00 4000
83 Salbutamol tablet 4 mg Tablet 115.00 55 60
84 Simvastatin 10 mg Tablet 781.00 450 331
Simvastatin 10 mg Tablet 3,500.00 3500
- 0
- 0
200mg+Asam folat 0,25mg 116,493.00 116493
200mg+Asam folat 0,25mg 48,473.00 3380 45093
200mg+Asam folat 0,25mg 119,850.00 119850
Vitamin B Kompleks Tablet 248.00 70 178
92 Zinc 10 mg Tablet 1,723.00 278 1445

Cefadroxil 500mg Tablet 906.00 211 695
asetil sistein Tablet 482.00 94 388
106 Ketoprofen (SUPRAFENID) supp 100 mg Supp 28.00 28
B Injeksi - 0
8 Deksametason injeksi 5 mg/ml-1ml Ampul - 0
Deksametason injeksi 5 mg/ml-1ml Ampul 98.00 100 7 191
Difenhidramin HCL Inj 10mg/ml-1 ml Ampul 359.00 26 333
12 Furosemid injeksi Ampul - 0
16 HCl2%+Epinefrin1:80000-2ml Ampul
- 0
HCl2%+Epinefrin1:80000-2ml 29.00 29 0
HCl2%+Epinefrin1:80000-2ml 450.00 219 231

Metilergometrin Maleat inj. 0,200mg-1ml Ampul 89.00 89
Metoklopramid inj. 5mg / ml Ampul 60.00 100 2 158
22 Neurobion Injeksi Ampul 38.00 1 37
Omeprazol injeksi 40mg/ml Vial 146.00 200 41 305
C Salep - 0
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube 20.00 2 18
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube - 24 24
Gentamisin salep mata 0,3% Tube 23.00 1 22
Hidrokortison krim 2,5 % Tube 72.00 48 120

Miconazol cream 2 % Tube - 48 48
endap4% - 0
endap4% 49.00 6 43
endap4% Pot
48.00 48
D Serbuk - 0
E Sirup - 0
200mg/5ml) - 0
200mg/5ml) - 0
200mg/5ml) Botol
- 0
200mg/5ml) Botol
25.00 6 19
Cetirizin syr Botol 242.00 10 232
6 Domperidon sirup 5 mg/5ml Botol 49.00 11 38

13 Obat flu anak (febrinex) Botol 149.00 19 130
Parasetamol sirup 120mg/5ml Botol 270.00 60 210
15 Pro EM-1 (Probiotik) Covid-19 Botol - 0
F Tetes - 0
Gentamisin tetes mata 0.3% Botol 9.00 24 6 27
- 0
- 0
90.00 1 89
Alat suntik sekali pakai 0,05 ml Pcs 100.00 300 400
1 Alat suntik sekali pakai 0,3 ml Pcs 376.00 376
Alat suntik sekali pakai 0,5 ml Pcs - 1420 1420
- 69 69 0

7 Alkohol literan Liter 10.00 1 9
Alkohol swab Box - 9 9 0
Aqua pro injeksi, bebas pirogen Flash 55.00 120 29 146
Catgut chromic/benang bedah No. 2/0-3/0 Pcs 51.00 36 9 78
18 Etanol 70 % 1000 ml Botol - 10 10
19 Foley Catheter no.16 Pcs 1.00 1
PF) - 0
Hanschoen steril no 6.5 Pcs 89.00 89
- 0
- 0
- 0
49.00 49
27 HAZMAT Pcs - 0
500.00 500

Kapas Pembalut / Absorben 250 gr Pcs 2.00 2
Kapas Pembalut / Absorben 250 gr Pcs - 2 2
Kasa Pembalut Hidrofil 4 m x 3 cm Pcs - 0
Kasa Steril Pcs - 0
Kasa Steril Pcs 17.00 50 9 58
46 Lisol, mengandung Kresol tersabun 50% Pcs 1.00 1
Masker N95 (3M) Pcs 33.00 33
52 NGT 7 x 75/80 Pcs - 0
53 One Med H2 O2 3 % Pcs - 0
New DRC 4Y x 80 cm plain Pcs 17.00 2 15
Nurse cap Pcs 3,050.00 3050
Surgical gown kit Pcs - 100 100

74 Nasal kanul S Pcs - 0
Nasal kanul S Pcs 38.00 38
76 Hand sanitizer (aseptik gel) Pcs 2.00 2
82 Alkazim Pcs - 0
Alkazim Pcs - 0
84 My gell Pcs - 0
89 Surgical mask plus 3 ply ( hijab) Box - 0
IV Cath no 26 Pcs 182.00 182
Hi Oxy Anak Pcs 15.00 15
Nebul Oxy Dewasa Pcs 48.00 2 46
101 Nebul Oxy Anak Pcs - 0
102 Spalk Pcs - 0
Masker tali Box - 0

Hanshcoen L Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen M Box - 0
Hanshcoen s Box - 0
Hanshcoen s Box - 0
130 NGT 16 Pcs - 0
131 NGT 18 Pcs - 0
134 Blood Glucose Test Strip '' 100 Box 35.00 35 0
INFUS - 0
2 Glukosa larutan infus 10 % steril Flash 12.00 12 0
5 KAEN 3B Flash 55.00 55
KAEN 3B Flash - 0
KAEN 4B Flash - 0
Ringer Lactate infus steril Flash 925.00 46 879

OBAT PATEN - 0
4 Bufacomb Tube - 0
8 Fenitoin Natrium 100 mg Kapsul 385.00 300 170 515
Noza Tablet 10,132.00 8 10124
Pehavral Tablet 5,068.00 1324 3744
Puralex Tablet 4,410.00 500 3910
Scopma Tablet - 0
OBAT KHUSUS - 0
Alkes - 0
1 Anisol Pcs - 0
Blood lancet Box 19.00 19 0
3 Blue Tip Pcs - 0
4 Corong Pcs - 0
10 Masker KN95 Pcs 96.00 96
11 Ose Pcs - 0
12 Pipet K Pcs - 0
Safety box 5 l Pcs 73.00 73
Filariasis - 0
Albendazole suspensi 200 mg/5ml Botol - 0
Flu burung - 0
Gigi - 0

Temporary Stopping Fletcher serbuk dan Pcs
10 cairan - 0
Gizi - 0
Retinol ( Vit A ) kapsul 100.000 IU Kapsul 828.00 550 278
- 0
Jiwa - 0
Risperidone 2mg Tablet - 300 300

Triheksifenidil Hidroklorida tab 2 mg Tablet 864.00 40 824
Kelamin + H I V - 0
2 - 0
3 - 0
DS HIV DIAGNOSTAR (CCHIV-402A) (REAGEN Box
8 HIV 1/2 DS DIAGNOSTAR) 17.00 17 0
11 Flashback blood coll needle 22Gx1.5 Box 6.00 6
14 KHB diagnostics (HIV 1&2) (KHB BIJIAN) Box - 0
19 New HIV 1/2 3 line (FOKUS) Box 7.00 7
23 Rapid 1 RDT (Virocheck HIV 1/2) Box 50.00 50
Reagen Rapid HIV (REAGEN HIV 1/2 DS
DIAGNOSTAR) Box
25.00 7 18
Sarung tangan Box 6.00 6
Tes HBsAg Pcs 200.00 100 100
30 25:25) BIJI - 0
Box
25:25) BOX 28.00 28
Vacuntainer pronto quick release needle
Box
31 holder 11.00 11
32 Vacuntainer 3.0 ml Plus K2EDTA (BD) Box 5.00 5
Efavirenz (EFV) 600 mg Botol 5.00 1 4

Nevirapine (NVP) 200mg Botol 7.00 7 0
Nevirapine (NVP) 200mg Botol - 10 3 7
mg Botol
39 - 0
mg Botol
- 0
mg Botol
5.00 12 11 6
40 - 0
- 0
Azithromycin Tablet 214.00 24 190
Kusta - 0
MB Dewasa Blister 1.00 9 2 8
Malaria - 0
1 - 0
5 - 0
8 - 0
12 (BTI) 2.00 2
13 Combo) - 0
Diazepam injeksi 5 mg/ml - 2 ml Ampul 3.00 3 0
Diazepam injeksi 5 mg/ml - 2 ml Ampul - 2 2
Kodein tablet 10mg Tablet 115.00 100 30 185

Reagen - 0
14 Urea FS Pcs - 0
16 Rinse M Pcs - 0
31 PH paper Pcs - 0
35 Lyse Pcs - 0
Serum - 0
1 - 0
- 0
2 Serum Anti Difteri inj. 20.000 IU/vial (ADS) Vial - 0
3 (Tetagam) - 0
Vaksin - 0
3 Vaksin Pfizer Vial - 69 69 0

Vaksin MODERNA Vial - 25 25 0
11 Vaksin IPV Vial - 0
Vaksin IPV Vial - 0
12 Vaksin BCG Vial - 30 30 0
13 Vaksin BOPV Vial - 0
14 Vaksin DPT-HB-HIB Vial - 100 100 0
15 Vaksin MR Vial - 30 30 0
16 Vaksin Meningitis Vial - 45 45 0
17 Vaksin HB Unijeck/HB 1 Vial - 50 50 0
18 Vaksin PCV Vial - 0
19 Vaksin HBIG (VAKSIN HEPATITIS) Vial - 0
TB Paru - 0
2 Isoniazid (INH) 300 mg (px HIV) Tablet - 0
Obat Antituberkulosis kategori I ( FDC ) Paket 13.00 1 12
9 Obat Antituberkulosis KDT dosis harian Paket - 0
10 Cartridge GeneXpert Pcs 77.00 57 20
11 Slide Pcs 14.00 14
Slide Pcs 4.00 4
Slide Pcs 1.00 1
Sputum pot Pcs - 0
14 Sputum Pcs - 0
(SUPERCARE) Box
- 0
19 Tuberculin (reagen TB) Vial - 0


NIP. 197911092007012008 NIP. 199201132019031010
Apr-22
NO NAMA OBAT SATUAN STOK AWAL
OBAT GENERIK
a. Tablet/Kapsul
1 Adalat Oros 20 mg Tablet -
Adalat Oros 20 mg Tablet -
2 Alopurinol 100 mg Tablet -
Alopurinol 100 mg Tablet -
Alopurinol 100 mg Tablet 1,395.00
Alopurinol 100 mg Tablet 3,000.00
3 Alopurinol 300 mg Tablet -
Alopurinol 300 mg Tablet -
4 Ambroxol 30 mg Tablet -
Ambroxol 30 mg Tablet 10,800.00
5 Amlodipin 5 mg Tablet -
Amlodipin 5 mg Tablet -
Amlodipin 5 mg Tablet 15,293.00
6 Aminofilina 200 mg Tablet -
Aminofilina 200 mg Tablet -
7 Amoksilin 250 mg Tablet -
Amoksilin 250 mg Tablet -
8 Amoksilin 500 mg Tablet -
Amoksilin 500 mg Tablet -
Amoksilin 500 mg Tablet 18,382.00
9 Antalgin 500 mg Tablet -
10 Antasida (MgOH 200mg+AlOH 200mg) Tablet -
Antasida (MgOH 200mg+AlOH 200mg) Tablet 28,551.00
Antasida (MgOH 200mg+AlOH 200mg) Tablet -
-
+Heksaklorofen 2,5mg) Supp
-
+Heksaklorofen 2,5mg) 19.00
12 50mg) Tablet
-
50mg) Tablet
-
13 Asam Askorbat ( Vit C ) 50 mg Tablet -
Asam Askorbat ( Vit C ) 50 mg Tablet -
Asam Askorbat ( Vit C ) 50 mg Tablet -
14 Asam Askorbat (Vit C) 250 mg Tablet -
Asam Askorbat (Vit C) 250 mg Tablet 7,664.00
15 Asam askorbat (vit C) 500 mg Tablet -
16 Asam folat 1 mg Tablet -
Asam folat 1 mg Tablet -
17 Asam mefenamat 500mg Tablet -
Asam mefenamat 500mg Tablet -
Asam mefenamat 500mg Tablet -
Asam mefenamat 500mg Tablet 18,820.00
18 Asetosal 100 mg Tablet -
Asetosal 100 mg Tablet -
19 Asiklovir 200mg Tablet -
20 Asiklovir 400mg Tablet -
Asiklovir 400mg Tablet -
Asiklovir 400mg Tablet 303.00
21 Betahistin mesilat 5 mg Tablet -
Betahistin mesilat 5 mg Tablet -
Betahistin mesilat 5 mg Tablet 40.00
22 Bisoprolol tablet 5 mg Tablet -
Bisoprolol tablet 5 mg Tablet -
23 Bisoprolol tablet 5 mg (concor) Tablet -
Bisoprolol/CONCOR 2,5 Tablet -
24 Cetirizin 10mg Tablet -
Cetirizin 10mg Tablet -
Cetirizin 10mg Tablet -
Cetirizin 10mg Tablet 38,655.00
25 Deksametason 0,5 mg Tablet -
Deksametason 0,5 mg Tablet -
Deksametason 0,5 mg Tablet 50.00
26 Digoksin 0,25 mg Tablet -
Digoksin 0,25 mg Tablet -
Digoksin 0,25 mg Tablet -
27 Diltiazem 30 mg Tablet -
28 Dimenhidrinat tablet 50mg Tablet 134.00
Dimenhidrinat tablet 50mg Tablet -
Dimenhidrinat tablet 50mg Tablet 200.00
Dimenhidrinat tablet 50mg Tablet 500.00
29 Doksisiklin 100mg Tablet -
30 Domperidon tablet 10 mg Tablet -
Domperidon tablet 10 mg Tablet -
Domperidon tablet 10 mg Tablet -
Domperidon tablet 10 mg Tablet 4,032.00
31 Efedrin HCL 25 mg Tablet -
32 Eritromisin 500mg Tablet -
Eritromisin 500mg Tablet -
Eritromisin 500mg Tablet -
33 Fitomenadion (Vit K1) 10mg Tablet -
Fitomenadion (Vit K1) 10mg Tablet -
34 Furosemid 40 mg Tablet -
Furosemid 40 mg Tablet -
Furosemid 40 mg Tablet 143.00
35 Glibenklamid 5 mg Tablet -
Glibenklamid 5 mg Tablet -
Glibenklamid 5 mg Tablet 6,201.00
36 Glimepiride tablet 2 mg Tablet -
Glimepiride tablet 2 mg Tablet -
Glimepiride tablet 2 mg Tablet -
Glimepiride tablet 2 mg Tablet 1,460.00
37 Gliseril Guaiakolat 100 mg Tablet -
38 Griseofulvin 125 mg Tablet -
39 Hidroklorotiazid (HCT) 25 mg Tablet 82.00
Hidroklorotiazid (HCT) 25 mg Tablet -
Hidroklorotiazid (HCT) 25 mg Tablet 975.00
40 Hyosin N Butilbromida 10mg Tablet -
41 Ibuprofen 400 mg Tablet -
Ibuprofen 400 mg Tablet -
42 Ibuprofen 200 mg Tablet -
43 Isosorbid Dinitrat sublingual 5 mg Tablet -
Isosorbid Dinitrat sublingual 5 mg Tablet -
44 Kalium Diklofenac 50mg Tablet -
45 Kalsium Laktat (Kalk) 500 mg Tablet -
Kalsium Laktat (Kalk) 500 mg Tablet -
Kalsium Laktat (Kalk) 500 mg Tablet 1,431.00
Kalsium Laktat (Kalk) 500 mg Tablet 4,000.00
46 Kaptopril 25 mg Tablet -
Kaptopril 25 mg Tablet 2,715.00
Kaptopril 25 mg Tablet 11,000.00
47 Kaptopril 12,5 mg Tablet -
Kaptopril 12,5 mg Tablet 3,122.00
48 Ketokonazol 200mg tablet Tablet -
Ketokonazol 200mg tablet Tablet -
Ketokonazol 200mg tablet Tablet -
Ketokonazol 200mg tablet Tablet 176.00
49 Klindamisin kapsul 150 mg Tablet -
Klindamisin kapsul 150 mg Tablet -
50 Klopidogrel Tablet -
Klopidogrel Tablet -
Klopidogrel Tablet -
Klopidogrel Tablet 92.00
51 Kloramfenikol kapsul 250 mg Tablet -
52 Klorfeniramin Maleat (CTM) 4 mg Tablet -
Klorfeniramin Maleat (CTM) 4 mg Tablet 586.00
53 Klorokuin tablet 150 mg Tablet -
54 Klorpropamid tablet 100 mg Tablet -

-
Sulfametoksazol400mg+Trimetoprim80mg -
Sulfametoksazol400mg+Trimetoprim80mg 960.00
Sulfametoksazol400mg+Trimetoprim80mg 1,000.00
57 Levofloksasin 500 mg Tablet -
Levofloksasin 500 mg Tablet -
58 Lisinopril 5mg tablet Tablet -
59 Loratadin tablet 10 mg Tablet -
Loratadin tablet 10 mg Tablet -
Loratadin tablet 10 mg Tablet -
60 Mebendazol tablet 100 mg Tablet -
61 Meloksikam tablet 7,5 mg Tablet -
62 Metformin 500mg tablet Tablet -
Metformin 500mg tablet Tablet -
Metformin 500mg tablet Tablet -
Metformin 500mg tablet Tablet 1,109.00
63 Metil Prednisolon 4 mg Tablet -
Metil Prednisolon 4 mg Tablet -
Metil Prednisolon 4 mg Tablet 14,330.00
64 Metilergometrin Maleat 0,125 mg Tablet -
Metilergometrin Maleat 0,125 mg Tablet -
Metilergometrin Maleat 0,125 mg Tablet 590.00
Metilergometrin Maleat 0,125 mg Tablet -
65 Metoklopramid 5mg Tablet -
Metoklopramid 5mg Tablet -
66 Metronidazol 250 mg Tablet -
67 Metronidazol 500mg Tablet -
Metronidazol 500mg Tablet 1,972.00
68 Natrium Diklofenac 25 mg Tablet -
69 Natrium Diklofenac 50 mg Tablet -
Natrium Diklofenac 50 mg Tablet -
Natrium Diklofenac 50 mg Tablet -
Natrium Diklofenac 50 mg Tablet 7,663.00
70 Nifedipin 10 mg tablet Tablet -
71 Nistatin tablet vaginal 100.000 IU/g Tablet -
Nistatin tablet vaginal 100.000 IU/g Tablet -
Nistatin tablet vaginal 100.000 IU/g Tablet 133.00
72 Omeprazole 20mg Tablet -
Omeprazole 20mg Tablet -
Omeprazole 20mg Tablet 5,380.00
73 Parasetamol 100 mg Tablet -
74 Parasetamol 500 mg Tablet -
Parasetamol 500 mg Tablet -
Parasetamol 500 mg Tablet -
Parasetamol 500 mg Tablet 39,665.00
75 Pirantel 125 mg Tablet -
Pirantel 125 mg Tablet -
76 Pirasetam 800 mg tablet Tablet -
77 Piridoksin HCL (Vit B6) tablet 10 mg Tablet -
Piridoksin HCL (Vit B6) tablet 10 mg Tablet -
Piridoksin HCL (Vit B6) tablet 25 mg (HIV) Tablet -
78 Prednison tablet 5 mg Tablet -
Prednison tablet 5 mg Tablet -
Prednison tablet 5 mg Tablet -
79 Propanolol HCL tablet 10 mg Tablet -
80 Propiltiourasil tablet 100 mg Tablet -
81 Ranitidin tablet 150 mg Tablet -
Ranitidin tablet 150 mg Tablet -
Ranitidin tablet 150 mg Tablet 894.00
Ranitidin tablet 150 mg Tablet 4,000.00
82 Salbutamol tablet 2 mg Tablet -
Salbutamol tablet 2 mg Tablet -
Salbutamol tablet 2 mg Tablet 982.00
Salbutamol tablet 2 mg Tablet -
83 Salbutamol tablet 4 mg Tablet 60.00
84 Simvastatin 10 mg Tablet 331.00
Simvastatin 10 mg Tablet -
Simvastatin 10 mg Tablet 3,500.00
85 Siprofloksazin tablet 500 mg Tablet -
Siprofloksazin tablet 500 mg Tablet -
Siprofloksazin tablet 500 mg Tablet -
Siprofloksazin tablet 500 mg Tablet 7,291.00
-
200mg+Asam folat 0,25mg -
200mg+Asam folat 0,25mg 116,493.00
200mg+Asam folat 0,25mg 45,093.00
119,850.00
87 Tetrasiklin HCL kapsul 250 mg Tablet -
88 Tetrasiklin HCL kapsul 500 mg Tablet -
89 Thiamfenikol 500mg kapsul Tablet -
90 Tiamin HCL (VitB1) 50 mg Tablet -
Tiamin HCL (VitB1) 50 mg Tablet -
Tiamin HCL (VitB1) 50 mg Tablet 1,604.00
91 Vitamin B Kompleks Tablet -
Vitamin B Kompleks Tablet -
Vitamin B Kompleks Tablet 178.00
92 Zinc 10 mg Tablet 1,445.00
Zinc 10 mg Tablet -
93 Acarbose 100 mg Tablet -
94 Spironolactone 25mg Tablet -
95 Ondansetron 4 mg Tablet -
Ondansetron 4 mg Tablet -
96 Irbesartan 150 mg Tablet -
97 Loperamid 2 mg Tablet -
98 Candesartan 8 mg Tablet -
99 Cefadroxil 500mg Tablet -
Cefadroxil 500mg Tablet 695.00
100 asetil sistein Tablet -
asetil sistein Tablet -
asetil sistein Tablet 388.00
101 Clindamycin 300mg Tablet -
102 Gemfibrozil 600mg Tablet -
103 Amlodipin 10 mg Tablet -
Amlodipin 10 mg Tablet 13,672.00
104 Metformin 850 mg tablet Tablet -
105 Metoklopramid 10 mg Tablet 2,085.00
106 Ketoprofen (SUPRAFENID) supp 100 mg Supp 28.00
B Injeksi -
1 Aminofilina 24 mg/ml - 10 ml Ampul -
Aminofilina 24 mg/ml - 10 ml Ampul -
2 Amoksisilin 1000mg Vial -
Amoksisilin 1000mg Vial -
3 Ampisillin im/iv 1000mg/ml Vial -
4 Antalgin 250 mg/ml - 2 ml Ampul -
5 Atropin sulfat 0,25mg/ml-1 ml Ampul -
Atropin sulfat 0,25mg/ml-1 ml Ampul -
6 Calsium Gluconas injeksi 10 % Ampul -
Calsium Gluconas injeksi 10 % Ampul -
7 Ceftriaxone 1 gr injeksi Vial -
8 Deksametason injeksi 5 mg/ml-1ml Ampul -
Deksametason injeksi 5 mg/ml-1ml Ampul -
Deksametason injeksi 5 mg/ml-1ml Ampul 191.00
9 Difenhidramin HCL Inj 10mg/ml-1 ml Ampul -
Difenhidramin HCL Inj 10mg/ml-1 ml Ampul -
Difenhidramin HCL Inj 10mg/ml-1 ml Ampul 333.00
10 Epinefrin injeksi Ampul -
Epinefrin injeksi Ampul -
Epinefrin injeksi Ampul -
11 Fitomenadion (Vit K1)inj 10mg/ml-1ml Ampul -
Fitomenadion (Vit K1)inj infant Ampul -
Fitomenadion (Vit K1)inj infant Ampul -
Fitomenadion injeksi 2 mg/ml Ampul -
Fitomenadion injeksi 2 mg/ml Ampul 130.00
12 Furosemid injeksi Ampul -
Furosemid injeksi Ampul -
13 Gentamisin injeksi Ampul -
14 Hyosin n butilbromid inj 250mg/ml Ampul -
15 Kloramfenikol injeksi Ampul -
16 Lidokain komp injeksi,Kombinasi:Lidokain Ampul
HCl2%+Epinefrin1:80000-2ml -
-
231.00
HCl2%+Epinefrin1:80000-2ml -
17 Magnesium sulfat injeksi (IV) 20 % - 25 ml Flash -
Magnesium sulfat injeksi (IV) 20 % - 25 ml Flash 1.00
18 Magnesium sulfat injeksi (IV) 40 % - 25 ml Flash -
Magnesium sulfat injeksi (IV) 40 % - 25 ml Flash 6.00
19 Metilergometrin Maleat inj. 0,200mg-1ml Ampul -
Metilergometrin Maleat inj. 0,200mg-1ml Ampul -
Metilergometrin Maleat inj. 0,200mg-1ml Ampul 89.00
20 Metoklopramid inj. 5mg / ml Ampul -
Metoklopramid inj. 5mg / ml Ampul -
Metoklopramid inj. 5mg / ml Ampul -
Metoklopramid inj. 5mg / ml Ampul 158.00
21 Natrium Tiosulfat injeksi 25 % - 10 ml Ampul -
22 Neurobion Injeksi Ampul 37.00
23 Oksitetrasiklin HCL inj. i.m 50mg/ml-10ml Ampul -
24 Oksitosin injeksi 10 IU/ml - 1 ml Ampul -
Oksitosin injeksi 10 IU/ml - 1 ml Ampul -
Oksitosin injeksi 10 IU/ml - 1 ml Ampul -
Oksitosin injeksi 10 IU/ml - 1 ml Ampul 209.00
25 Ondansetron injeksi Ampul -
26 Piracetam injeksi 1 gr / 5 ml Ampul -
27 Piracetam injeksi 3 gr / 5 ml Ampul -
28 Ranitidin injeksi 25mg/2ml Ampul -
Ranitidin injeksi 25mg/2ml Ampul -
29 Sefotaksim injeksi 1 gram Vial -
Sefotaksim injeksi 1 gram Vial -
Sefotaksim injeksi 1 gram Vial -
30 Sianokobalamin(VitB12)inj.500mcg/ml-1ml Ampul -
31 Streptomisin serbuk injeksi iv 1000mg/ml Ampul -
32 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml Ampul -
33 Vitamin B Kompleks injeksi Ampul -
34 Omeprazol injeksi 40mg/ml +pelarut Vial -
Omeprazol injeksi 40mg/ml +pelarut Vial -
Omeprazol injeksi 40mg/ml Vial 305.00
35 Asam traneksamat 250 mg/5ml Ampul -
36 Procain Benzil Penisilin inj 3 jt iu Ampul -
C Salep -
1 Antifungi (As. Benzoat6%+As. salisilat 3%) Tube -
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube -
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube 18.00
Antifungi (As. Benzoat6%+As. salisilat 3%) Tube 24.00
2 Asiklovir krim 5% Tube -
Asiklovir krim 5% Tube -
3 Basitrasin Polimixin B SK Tube -
Basitrasin Polimixin B SK Tube -
4 Betametason krim 0,1 % Tube -
Betametason krim 0,1 % Tube -
Betametason krim 0,05 % Tube 62.00
6 Gameksan emulsi 1 % 30ml Tube -
7 Gentamisin salep kulit 0.1%-5gr Tube -
Gentamisin salep kulit 0.1%-5gr Tube -
8 Gentamisin salep mata 0,3% Tube -
Gentamisin salep mata 0,3% Tube 22.00
9 Hidrokortison krim 2,5 % Tube 45.00
Hidrokortison krim 2,5 % Tube -
Hidrokortison krim 2,5 % Tube 120.00
10 Ketokonazol krim 2% Tube -
Ketokonazol krim 2% Tube -
11 Kloramfenikol salep mata 1 % Tube -
Kloramfenikol salep mata 1 % Tube -
Kloramfenikol salep mata 1 % Tube 29.00
12 Miconazol cream 2 % Tube -
Miconazol cream 2 % Tube 41.00
Miconazol cream 2 % Tube 48.00
13 Oksitetrasiklin HCL 1 % salep mata Tube -
Oksitetrasiklin HCL 1 % salep mata Tube -
14 Oksitetrasiklin HCL salep 3 % Tube -
endap4% -
endap4% Pot
43.00
endap4% Pot
48.00
16 Sulfadiazin salep Tube -
D Serbuk -
1 Garam oralit untuk 200 ml air Sachet -
Garam oralit untuk 200 ml air Sachet 14,605.00
2 Salisil Bedak 2 % Pot -
Salisil Bedak 2 % Pot 89.00
E Sirup -
1 Amoksilin 125mg/5ml Botol -
Amoksilin 125mg/5ml Botol -
Amoksilin 125mg/5ml Botol 145.00
Amoksilin 125mg/5ml Botol 520.00
2 200mg/5ml) Botol
-
200mg/5ml) -
Botol
200mg/5ml) -
200mg/5ml) Botol
19.00
3 Cetirizin syr Botol -
Cetirizin syr Botol -
Cetirizin syr Botol -
Cetirizin syr Botol 232.00
4 Decolgen syr Botol 122.00
5 Dekstrometorfan 10 mg / 5 ml Botol -
6 Domperidon sirup 5 mg/5ml Botol 38.00
7 Eritromisin sirup Botol -
8 Ibuprofen suspensi 100mg/5ml Botol -
Ibuprofen suspensi 100mg/5ml Botol -
Ibuprofen suspensi 100mg/5ml Botol -
Ibuprofen suspensi 100mg/5ml Botol 67.00
9 Kloramfenikol suspensi 125mg/5ml Botol -
Kloramfenikol suspensi 125mg/5ml Botol -
Kloramfenikol suspensi 125mg/5ml Botol -
Kloramfenikol suspensi 125mg/5ml Botol 128.00
200mg+Trimetoprim40mg/5ml -
200mg+Trimetoprim40mg/5ml 227.00
200mg+Trimetoprim40mg/5ml 400.00
11 Mebendazol sirup 100 mg/5ml Botol -
12 Obat Batuk Hitam ( O B H ) Botol -
Obat Batuk Hitam ( O B H ) molex syr Botol 10.00
13 Obat flu anak (febrinex) Botol 130.00
14 Parasetamol sirup 120mg/5ml Botol -
Parasetamol sirup 120mg/5ml Botol -
Parasetamol sirup 120mg/5ml Botol -
Parasetamol sirup 120mg/5ml Botol 210.00
Parasetamol sirup 120mg/5ml Botol 300.00
15 Pro EM-1 (Probiotik) Covid-19 Botol -
16 Sukralfate syr Botol -
17 Thiamfenikol syr Botol -
18 Metronidazol syrup Botol -
19 Zink sirup Botol -
Zink sirup Botol -
F Tetes -
1 Fenol Gliserol tetes telinga 10 % Botol -
Fenol Gliserol tetes telinga 10 % Botol -
Fenol Gliserol tetes telinga 10 % Botol -
2 Gentamisin tetes mata 0.3% Botol -
Gentamisin tetes mata 0.3% Botol 48.00
Gentamisin tetes mata 0.3% Botol 27.00
3 Gentian violet larutan 1 % Botol -
4 Kloramfenikol tetes mata Botol -
kloramfenikol tetes mata Botol -
5 Kloramfenikol tetes telinga 3 % Botol -
-
-
89.00
7 Polikresulen Botol -
8 Sulfasetamid Natrium tetes mata 15 % Botol -
ALKES DAN CAIRAN LUAR -
Alat suntik sekali pakai 0,05 ml Pcs 400.00
1 Alat suntik sekali pakai 0,3 ml Pcs 376.00
Alat suntik sekali pakai 0,3 ml Pcs 3,510.00
Alat suntik sekali pakai 0,3 ml Pcs -
2 Alat suntik sekali pakai 0,5 ml Pcs -
3 Alat suntik sekali pakai 1 ml Pcs -
Alat suntik sekali pakai 1 ml Pcs -
Alat suntik sekali pakai 1 ml Pcs 109.00
Alat suntik sekali pakai 3 ml Pcs 7,999.00
-
Alat suntik sekali pakai 5 ml Pcs 589.00
7 Alkohol literan Liter 9.00
8 Alkohol swab Box -
Alkohol swab Box -
Alkohol swab Box -
Alkohol swab Box -
Alkohol swab Box -
Alkohol swab Box 208.00
Alkohol swab Box -
Alkohol swab Box -
9 APD (5 PAKET) Pcs -
10 Aqua pro injeksi, bebas pirogen Flash -
Aqua pro injeksi, bebas pirogen Flash 146.00
11 Aquadest steril Flash -
12 Blood Tranfusion set Pcs -
Blood Tranfusion set Pcs -
Blood Tranfusion set Pcs -
Blood Tranfusion set Pcs 200.00
13 Catgut chromic/benang bedah No. 2/0-3/0 Pcs -
Catgut chromic/benang bedah No. 2/0-3/0 Pcs -
Catgut chromic/benang bedah No. 2/0-3/0 Pcs 78.00
14 Catgut plain/benang bedah No. 2/0-3/0 Pcs -
Catgut plain/benang bedah No. 2/0-3/1 Pcs -
15 Daryantulle/Bioplacenton tulle Pcs -
Daryantulle/Bioplacenton tulle Pcs -
16 Disinfektan (Prodestan) Botol 40.00
17 Etanol 70 % 100 ml Botol -
18 Etanol 70 % 1000 ml Botol 10.00
Etanol 70 % 1000 ml Botol -
19 Foley Catheter no.16 Pcs 1.00
Foley Catheter no.16 Pcs -
20 Folley cath no. 18 Pcs 10.00
21 Hanschoen "50 M Box -
Hanschoen "50 M Box -
Hanschoen "50 M Box -
22 NITRILE GLOVE M (SUPERCARE) Box -
NITRILE GLOVE M (SUPERCARE) Box -
Hanschoen steril no 6.5 (safeglove surgical
23 PF) Pcs
-
24 Hanschoen steril no 6.5 (Uno Lab) Pcs -
Hanschoen steril no 6.5 Pcs 89.00
-
-
-
49.00
26 Hanschoen steril no 7 (Unolab) Pcs -
27 HAZMAT Pcs -
500.00
HAZMAT (Disposable Protective Cove) Pcs 20.00
28 I.V. Catheter No 18 Pcs -
I.V. Catheter No 18 Pcs -
29 IV Catheter no 18 JELCO Pcs -
IV Catheter no 18 JELCO Pcs 132.00
30 I.V. Catheter No 20 AXIMED Pcs -
31 IV Catheter no 20 JELCO Pcs 29.00
IV Catheter no 20 Pcs 100.00
I.V. Catheter No 22 Pcs 44.00
I.V. Catheter No 22 Pcs 100.00
33 I.V. Catheter No 22 JELCO Pcs -
I.V. Catheter No 24 Pcs -
35 I.V. Catheter No 24 JELCO Pcs -
36 IV Catheter No 24 Trovensite Safeplus Pcs 65.00
37 Infusion set anak Pcs 44.00
Infusion set anak Pcs -
38 Infusion set dewasa Pcs -
Infusion set dewasa Pcs -
Infusion set dewasa Pcs 81.00
Infusion set dewasa Pcs 4,000.00
39 Kantong mayat Pcs 10.00
40 Kapas Pembalut / Absorben 250 gr Pcs -
Kapas Pembalut / Absorben 250 gr Pcs -
Kapas Pembalut / Absorben 250 gr Pcs 2.00
Kapas Pembalut / Absorben 250 gr Pcs 2.00
41 Kasa Pembalut 2 m x 80 cm Pcs 37.00
42 Kasa Pembalut elastic 3 inchi Pcs -
43 Kasa Pembalut Hidrofil 4 m x 15 cm Pcs -
44 Kasa Pembalut Hidrofil 4 m x 3 cm Pcs -
Kasa Pembalut Hidrofil 4 m x 3 cm Pcs -
45 Kasa Steril Pcs -
Kasa Steril Pcs -
Kasa Steril Pcs 58.00
46 Lisol, mengandung Kresol tersabun 50% Pcs 1.00
47 Masker breathing (+ selang) Pcs -
48 Masker non breathing Pcs -
49 masker oxygen Pcs -
50 Masker N95 (3M) Pcs -
Masker N95 (3M) Pcs 33.00
51 mi Kit Steril Pcs -
52 NGT 7 x 75/80 Pcs -
53 One Med H2 O2 3 % Pcs -
54 One Med Surgical Blade Pcs -
55 Plester 5 yards x 2 inch (MICROPORE) Pcs -
56 Plester infus (TEGADERM) Pcs -
57 Rivanol larutan 0,1 % 300ml Pcs -
58 Silk ( Benang Bedah Sutera ) No. 3/0 Pcs -
59 Tensocrepe Pcs -
Tensocrepe Pcs 6.00
60 Urine Bag Pcs -
Urine Bag Pcs 383.00
61 Wing Needle No. 18 - 27 Pcs -
62 Yodium Povidon larutan 10 % 30 ml Botol -
65 Policlean handrub 50ml Pcs -
66 Polifix 5cmx5m Pcs -
67 New DRC 4Y x 80 cm plain Pcs -
New DRC 4Y x 80 cm plain Pcs -
New DRC 4Y x 80 cm plain Pcs 15.00
68 Nurse cap Pcs -
Nurse cap Pcs 3,050.00
Nurse cap (per box) Pcs 100.00
69 Surgical gown (M) Pcs -
Surgical gown (M) Pcs 19.00
Surgical gown kit Pcs 100.00
70 Surgical gown (L) Pcs -
71 Glucose protein test Pcs -
72 Underpad Pcs 10.00
Underpad Pcs 150.00
73 Nasal kanul L Pcs -
Nasal kanul L Pcs -
Nasal kanul L Pcs -
Nasal kanul L Pcs 25.00
74 Nasal kanul S Pcs -
Nasal kanul S Pcs 38.00
75 Nasal kanul XS Pcs -
76 Hand sanitizer (aseptik gel) Pcs 2.00
77 Umbilical cord Pcs -
Umbilical cord Pcs -
78 Dermafix T 5x7 Pcs -
79 Plesterin Pcs -
80 Stomach tube no 16 Pcs -
81 Stomach tube no 18 Pcs -
82 Alkazim Pcs -
Alkazim Pcs -
83 Alkasit Pcs 1.00
84 My gell Pcs -
85 Poli Wass 500 ml Pcs -
86 Policlean 500ml Pcs -
87 Kasa 4m x 5cm Pcs -
88 Plester infus (e care + pot) Pcs -
89 Surgical mask plus 3 ply ( hijab) Box -
Surgical mask plus 3 ply ( hijab) Box -
Surgical mask plus 3 ply ( hijab) Box 160.00
Surgical mask plus 3 ply ( hijab) Box -
Surgical mask plus 3 ply ( hijab) Box 73.00
90 Sarung tangan obgyn steril Pcs 79.00
91 IV Cath no 22 Pcs -
IV Cath no 26 Pcs 21.00
IV Cath no 26 Pcs 182.00
92 IV Cath no 26 trovensite safety Pcs -
93 Female cath no 16 Pcs 4.00
94 Female cath no 18 Pcs 4.00
95 Cavilon film 1ml wipe Pcs -
96 One Clean Pcs -
97 Hi Oxy Dewasa Pcs -
Hi Oxy Dewasa Pcs 44.00
Hi Oxy Dewasa Pcs -
98 Hi Oxy Anak Pcs -
Hi Oxy Anak Pcs 15.00
99 masker O2 anak NRBM Pcs -
100 Nebul Oxy Dewasa Pcs -
Nebul Oxy Dewasa Pcs 46.00
101 Nebul Oxy Anak Pcs -
Nebul Oxy Anak Pcs 41.00
102 Spalk Pcs -
103 Leukoplas 2.5 Pcs -
104 Hansaplast rol 7.5 Pcs -
105 Leukoplas 7.5 Pcs -
Leukoplast 7.5 Pcs -
106 Masker karet Box -
Masker karet Box -
Masker karet Box -
107 Masker tali Box -
Masker tali Box -
Masker tali Box 100.00
Masker tali (Headloop) Box 100.00
Masker tali (Earloop) Box 100.00
108 Masker bedah 3 ply (masker anak) Pcs -
109 Hanshcoen L Box -
Hanshcoen L Box -
Hanshcoen L Box 9.00
110 Hanshcoen M Box -
Hanshcoen M Box -
Hanshcoen M Box -
Hanshcoen M Box -
Hanshcoen M Box 3.00
Hanshcoen M Box -
111 Hanshcoen s Box -
Hanshcoen s Box -
Hanshcoen s Box -
Hanshcoen s Box 25.00
112 Hanshcoen s top glove free powder Pcs -
113 Plester kertas aximed 1.25 cm Pcs 4.00
114 Plester kertas aximed 2.5 cm Pcs 123.00
115 Hansaplast rol (5cmx4.5m) Pcs -
116 Extradine 5L Pcs 3.00
117 Steri Strip Pcs -
118 Steroform tali Pcs -
119 Steroform Pcs -
120 Iodine Test Pcs -
121 ID Band Dewasa Pink Pcs 200.00
122 ID Band Dewasa Biru Pcs 200.00
123 ID Band Dewasa Kuning Pcs -
124 ID Band Anak Pink Pcs 200.00
125 ID Band Anak Biru Pcs 200.00
126 ID Band ANAK Kuning Pcs -
127 Aqua gel Pcs -
128 Viorex norinse antiseptik spray 2% 5 lt Liter -
129 Viorex liquid soap 2% 5L Liter 1.00
130 NGT 16 Pcs -
131 NGT 18 Pcs -
132 leukoplast (2,5 cm x 4,5 cm) Pcs 29.00
133 Waterone 1L Liter 48.00
134 Blood Glucose Test Strip '' 100 Box -
INFUS -
1 Asering Larutan infus Flash -
Asering Larutan infus Flash -
2 Glukosa larutan infus 10 % steril Flash -
5 KAEN 3B Flash 55.00
KAEN 3B Flash -
KAEN 4B Flash -
6 Metronidazol infus Flash -
7 Natrium Klorida larutan infus 0,9 % steril Flash -
Natrium Klorida larutan infus 0,9 % steril Flash 26.00
Natrium Klorida larutan infus 0,9 % steril Flash 1,000.00
8 NaCl 0,9 % 10 ml (VAKSIN PFIZER) Flash -
9 Ringer Lactate infus steril Flash -
Ringer Lactate infus steril Flash 879.00
10 WIDA-BES aselat ringer Flash -
11 WIDA D5-1/4NS Flash -
12 WIDA D5-1/2NS Flash -
OBAT PATEN -
1 Aptil/Albothyl Botol -
2 Bioplasenton Jelly Tube -
3 Bisakodil suppositoria 10mg/Dulcolax Supp -
4 Bufacomb Tube -
5 Cendo Lyters tetes mata Botol -
6 Cendo Xitrol tetes mata Botol -
7 Citicholin inj. 250 mg / 2ml Ampul -
8 Fenitoin Natrium 100 mg Kapsul 515.00
9 Laxadin sirup Botol -
10 Lactodiar Sachet -
11 Lytamin syrup Botol -
12 Mecobion tablet/ BIO ATP Tablet -
Mecobion tablet/ BIO ATP Tablet -
13 Metamizole injeksi 500mg (Norages) Ampul -
14 Microlax Tube -
15 Neurotropik injeksi 5000mcg (Mersibion) Ampul -
16 Novalgin/Antrain injeksi Ampul -
Norages Ampul 100.00
17 Noza /Demacolin Tablet -
Noza /Demacolin Tablet -
Noza Tablet 10,124.00
18 Obat Batuk Anak sirup (Babycough) Botol -
19 Parasetamol supp Supp -
20 Pehacain injeksi Ampul -
21 Pehavral Tablet -
Pehavral Tablet 3,744.00
22 Permetrin/Scabicid krim 5% Tube -
Permetrin/Scabicid krim 5% Tube -
Permetrin/Scabicid krim 5% Tube 192.00
23 Salbutamol rotacaps Kapsul -
24 Salbutamol rotahaler Kapsul -
25 Hiopar Tablet -
26 Puralex Tablet -
27 Puralex Tablet -
Puralex Tablet 3,910.00
28 Ventolin nebuliser Nebul -
Ventolin nebuliser Nebul 94.00
29 Zirkum syr/ Zinkid syr Botol -
30 Miniaspi (Asetosal 80mg) Tablet -
Miniaspi (Asetosal 80mg) Tablet -
31 Ulsidex 500mg Tablet -
32 Combiven nebulizer Nebul -
Combiven nebulizer Nebul -
Combiven nebulizer Nebul -
33 Dulcolax supp 5 mg (anak) Tube -
34 Bufacetin salep Tube -
Bufacetin salep Tube -
35 Pantocain TM Botol -
36 Chloramex 500mg Tablet -
37 Euthyrox (Levotiroksin 100mcg) Tablet -
38 Dionicol 500mg Tablet -
39 Sotatic inj (metoclopramid inj) Ampul -
40 Gricin Tablet -
41 Amoxsan serbuk injeksi Vial -
42 Otopain ear drop Botol -
43 Caviplex sirup Botol -
44 Flurin DMP Tablet -
45 Calporosis Tablet -
46 Scopma Tablet -
Scopma Tablet -
47 Reco tetes telinga Botol -
48 Dextrofen sirup Botol -
49 HerbaKOF sirup Botol -
HerbaKOF sirup Botol -
50 Thyrosol Tablet -
51 Multivitamin (C,B,E,Zink) Tablet -
52 Hustab Tablet -
53 Molex flu syr Botol 60.00
OBAT KHUSUS -
Alkes -
1 Anisol Pcs -
2 Blood lancet Box -
Blood lancet Box -
Blood lancet Box -
3 Blue Tip Pcs -
4 Corong Pcs -
5 Chlorotulle Pcs 167.00
6 Kantong mayat Pcs -
7 Kertas lensa Pcs -
8 Lampu spiritus Pcs -
9 masker FFP2NR Pcs 120.00
10 Masker KN95 Pcs 96.00
11 Ose Pcs -
12 Pipet K Pcs -
13 Pipet 50 ml Pcs -
14 Plester infus (film dressing port) Pcs 2,000.00
15 Rak slide Pcs -
16 Safety box 5 l Pcs -
Safety box 5 l Pcs -
Safety box 5 l Pcs 73.00
Safety box 5 l Pcs 1.00
17 Sarung tangan no 7 Pcs -
18 Sarung tangan no 7.5 Pcs -
19 Sarung tangan no 8 Pcs -
20 Syringe AD 0,5ml / Soloshot Pcs -
21 Syringe AD 5ml / Soloshot Pcs -
22 Tabung EDTA Box -
23 Tabung serologi Pcs -
24 Alat Deteksi Resiko Kehamilan (ADRK) Pcs -
Filariasis -
1 Albendazol Tablet -
Albendazol Tablet -
Albendazol Tablet 306.00
2 Albendazole suspensi 200 mg/5ml Botol 14.00
Albendazole suspensi 200 mg/5ml Botol -
4 Dietilkarbamazin sitrat 100 mg Tablet -
5 Klorfeniramin Maleat (CTM) 4 mg Tablet -
6 Miconazol cream 2 % Tube -
7 Pirantel 125 mg Tablet -
8 Vitamin B Kompleks Tablet -
Flu burung -
1 Oseltamivir 75 mg Tablet -
Gigi -
1 Devitalisasi Pasta ( Non Arsen ) Pcs -
2 Xylocain spray Pcs -
3 Eugenol cairan Pcs 6.00
4 Glass Ionomer Cemen ( GC IX ) Pcs -
5 Kalsium Hidroksida Pasta Pcs -
6 Monoklorkamfer Mentol Cairan Pcs -
7 Mummifying Pasta Pcs -
8 Semen Seng Fosfat serbuk dan cairan Pcs -
9 Silver Amalgam serbuk 65 - 75 % Pcs -
Temporary Stopping Fletcher serbuk dan
cairan Pcs
10 -
11 Trikresol Formalin (TKF) cairan Pcs -
Gizi -
1 Retinol ( Vit A ) kapsul 100.000 IU Kapsul -
Retinil (VIT A) kapsul 100.000 IU Kapsul -
Retinol ( Vit A ) kapsul 100.000 IU Kapsul -
Retinol ( Vit A ) kapsul 100.000 IU Kapsul 1,100.00
Retinol ( Vit A ) kapsul 100.000 IU Kapsul 278.00
2 Retinol ( Vit A ) kapsul 200.000 IU Kapsul -
Retinol ( Vit A ) kapsul 200.000 IU Kapsul 9,458.00
3 Mineral Mix Bungkus -
Mineral Mix (Taburia) Bungkus -
4 Iodine test Pcs -
-
Jiwa -
1 Amitriptilin HCL 25 mg Tablet -
Amitriptilin HCL 25 mg Tablet 290.00
2 Clobazam 10mg tab Tablet -
3 Fenitoin Natrium inj. 50 mg/ml Ampul -
4 Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 100 mg Tablet -
Fenitoin Natrium 100 mg Tablet -
5 Fenitoin Natrium 30 mg Tablet -
6 Haldol decanoat 50mg/ml inj Ampul -
7 Haloperidol 1,5 mg Tablet -
Haloperidol 1,5 mg Tablet 681.00
8 Haloperidol 5 mg Tablet -
Haloperidol 5 mg Tablet -
Haloperidol 5 mg Tablet 39.00
Haloperidol 5 mg Tablet 500.00
9 Karbamazepin 200 mg Tablet 500.00
Karbamazepin 200 mg Tablet 82.00
10 Klorpromazin HCL injeksi 25 mg/ml - 1 ml Ampul -
11 Klorpromazin HCL injeksi 5 mg/ml - 2 ml Ampul -
12 Klorpromazin HCL tablet salut 100 mg Tablet -
Klorpromazin HCL tablet salut 100 mg Tablet -
Klorpromazin HCL tablet salut 100 mg Tablet 135.00
Klorpromazin HCL tablet salut 100 mg Tablet 500.00
13 Klorpromazin HCL tablet salut 25 mg Tablet -
14 Lodomer 5mg/ml inj Ampul -
15 Risperidone 2mg Tablet -
Risperidone 2mg Tablet 97.00
Risperidone 2mg Tablet -
Risperidone 2mg Tablet -
Risperidone 2mg Tablet 300.00
16 Sikzonoat/Flufenazin 25mg/ml inj Ampul -
17 Trifluoperazin tablet 5 mg Tablet -
18 Triheksifenidil Hidroklorida tab 2 mg Tablet -
Triheksifenidil Hidroklorida tab 2 mg Tablet -
Triheksifenidil Hidroklorida tab 2 mg Tablet 824.00
Triheksifenidil Hidroklorida tab 2 mg Tablet -
19 Clozapin 25 mg tab Tablet -
20 Fluoksetin/Nopres 20 mg Tablet -
21 Haloperidol 0,5 mg Tablet -
22 Haloperidol tts 2 mg/ml (Lodomer drop) Botol -
23 Stelazin 1 mg Tablet -
Kelamin + H I V -
1 Alkohol swab Box -
2 -
3 -
4 Cyprofloxacin 500 mg Tablet -
5 Cyre Tube Tube -
6 (Colloidal Gold) V2 (KHB BOX) 5.00
7 Doxycyclin 100 mg Tablet -
DS HIV DIAGNOSTAR (CCHIV-402A) (REAGEN
HIV 1/2 DS DIAGNOSTAR) Box
8 -
9 Erythromycin 500 mg Tablet -
10 Fladex Forte ( Metronidazol ) Tablet -
11 Flashback blood coll needle 22Gx1.5 Box 6.00
12 Fluconazole tab Tablet -
13 Kapas Alkohol Box -
Kapas Alkohol Box -
14 KHB diagnostics (HIV 1&2) (KHB BIJIAN) Box -
15 Komb: Cefixim + Azithromycin Tablet -
16 Kondom Box 5.00
17 Masker bedah 3 ply (px AIDS) Box -
18 Masker karet (MI) (px AIDS) Box -
19 New HIV 1/2 3 line (FOKUS) Box 7.00
20 Pehavral Tablet -
21 Plesterin Pcs 5.00
22 Rapid test syphillis Biosensor Box -
23 Rapid 1 RDT (Virocheck HIV 1/2) Box 50.00
24 Reagen Rapid HIV 1/2 Box -
Reagen Rapid HIV (REAGEN HIV 1/2 DS Box
DIAGNOSTAR) 18.00
25 Safety box 5 l Box -
26 Sarung tangan Box -
Sarung tangan Box -
Sarung tangan Box 6.00
27 Standard Q syphilis AB Test Box -
28 Tabung + Jarum Box -
29 Tes HBsAg Pcs 300.00
Tes HBsAg Pcs 100.00
30 25:25) BIJI -
25:25) BOX 28.00
Vacuntainer pronto quick release needle Box
31 holder 11.00
32 Vacuntainer 3.0 ml Plus K2EDTA (BD) Box 5.00
33 Zidovudine (ZDV) 100mg Botol -
34 Lamivudine 150 mg Botol -
Lamivudine 150 mg Botol -
35 Efavirenz (EFV) 600 mg Botol -
Efavirenz (EFV) 600 mg Botol 4.00
36 Nevirapine (NVP) 200mg Botol -
Nevirapine (NVP) 200mg Botol -
Nevirapine (NVP) 200mg Botol -
Nevirapine (NVP) 200mg Botol 7.00
37 Tenofovir 300 Botol -
Tenofovir 300 Botol 5.00
38 Tenofovir 300 + Emcitritabine (FT Botol -
mg Botol
39 -
mg Botol
-
mg Botol
6.00
40 -
-
41 Azithromycin Tablet -
Azithromycin Tablet -
Azithromycin Tablet 190.00
42 Cefixim 100mg Kapsul -
Kusta -
1 Lampren 100 mg Tablet -
2 MB Anak Blister -
3 MB Dewasa Blister -
MB Dewasa Blister 8.00
4 PB Anak Blister -
5 PB Dewasa Blister -
6 Prednison 5 mg Tablet -
7 Prednipac Tablet -
Malaria -
1 200mg+Asam folat 0,25mg -
2 Klorokuin tablet 150 mg Tablet -
3 Kuinin dihidroklorida injeksi 25 % - 2 ml Ampul -
4 Kuinin ( Kina ) tablet 200 mg Tablet -
5 -
6 Primakuin tablet 15 mg Tablet -
7 Asam Askorbat 250 mg Tablet -
8 -
9 Artemeter injeksi Ampul -
Artesunat injeksi Ampul -
10 Tetrasiklin 250 mg Tablet -
11 Vit B Komplex tab Tablet -
Bacillus Thuringiensis var.israelensis H-14
(BTI) Box
12 2.00
13 Combo) -
Psikotropik & Narkotik -
1 Diazepam injeksi 5 mg/ml - 2 ml Ampul -
Diazepam injeksi 5 mg/ml - 2 ml Ampul -
Diazepam injeksi 5 mg/ml - 2 ml Ampul 2.00
2 Diazepam 2 mg Tablet -
Diazepam 2 mg Tablet 580.00
3 Diazepam 5 mg Tablet -
4 Fenobarbital injeksi 50 mg / ml - 2 ml Ampul -
5 Fenobarbital 30 mg Tablet -
6 Kodein tablet 10mg Tablet -
Kodein tablet 10mg Tablet 185.00
7 Stesolid rectal supp 5 mg Supp -
Stesolid rectal supp 5 mg Supp 8.00
8 Alprazolam 1mg Tablet -
9 Stesolid rectal supp 10 mg Supp -
Stesolid rectal supp 10 mg Supp -
Reagen -
1 Reagen Alat ( GPT ) Pcs -
2 Reagen Alat test gol darah Pcs -
3 Reagen ASAT ( GOT ) Pcs -
4 Reagen Cell Clean Pcs -
5 Reagen Cell Pack D 20 lt Pcs -
6 Reagen Cholesterol Pcs -
7 Reagen Creatinin Pcs -
8 Reagen Glukose GOD Pcs -
9 Reagen Pack D 5 lt Pcs -
10 Reagen Pack L - 500ml Pcs -
11 Reagen Stromalyzer 500ml Pcs -
12 Reagen Trigliserid Pcs -
13 Reagen Uric acid Pcs -
14 Urea FS Pcs -
15 Ragen narkoba Pcs -
16 Rinse M Pcs -
17 Probe Cleanser Mindray Pcs -
18 Planotest Pcs -
19 G0l darah A Pcs -
20 G0l darah B Pcs -
21 Gol darah AB Pcs -
22 Gol darah Rhesus Pcs -
23 S.Thypy O Pcs -
24 S.Thypy H Pcs -
25 S.Parathypy A Pcs -
26 S.Parathypy B Pcs -
27 Obyek Glass Pcs -
28 Aquadest steril 1 lt Pcs -
29 Spiritus bakar Pcs -
30 Urine Strip Pcs -
31 PH paper Pcs -
32 EZ Cleanser Pcs -
33 Hemoglobin strip Pcs -
34 Protein urine Pcs -
35 Lyse Pcs -
36 Rapid Diagnosa Tes Antigen Pcs -
Serum -
1 -
-
2 Serum Anti Difteri inj. 20.000 IU/vial (ADS) Vial -
Serum Anti Tetanus inj. 1.500 IU/ampul
(Tetagam) Vial
3 -
Vaksin -
1 Vaksin ASTRA ZENECA Vial -
Vaksin ASTRA ZENECA Vial -
2 Vaksin Janssen Vial -
3 Vaksin Pfizer Vial -
4 Vaksin Sinovac single dosis (BKKBN) Vial -
5 Vaksin Sinovac single dosis Vial -
6 Vaksin SINOVAK 10 DOSIS Vial -
7 Vaksin SINOFARM Vial -
8 Vaksin SINOVAC 2 DOSIS Vial -
9 Vaksin SINOVAC 10 DOSIS Vial -
10 Vaksin MODERNA Vial -
Vaksin MODERNA Vial -
11 Vaksin IPV Vial -
Vaksin IPV Vial -
12 Vaksin BCG Vial -
13 Vaksin BOPV Vial -
14 Vaksin DPT-HB-HIB Vial -
15 Vaksin MR Vial -
16 Vaksin Meningitis Vial -
17 Vaksin HB Unijeck/HB 1 Vial -
18 Vaksin PCV Vial -
19 Vaksin HBIG (VAKSIN HEPATITIS) Vial -
TB Paru -
1 Isoniazid (INH) 100mg Tablet -
Isoniazid (INH) 100mg Tablet -
2 Isoniazid (INH) 300 mg (px HIV) Tablet -
3 Kombipack Kategori 1 Paket -
4 Obat Antituberkulosis Anak Paket -
Obat Antituberkulosis Anak Paket -
5 Obat Antituberkulosis kategori 2 ( FDC ) Paket -
Obat Antituberkulosis kategori 2 ( FDC ) Paket -
Obat Antituberkulosis kategori 2 ( FDC ) Paket 1.00
6 Obat Antituberkulosis kategori 3 (FDC) Paket -
7 Obat Antituberkulosis kategori I ( FDC ) Paket -
Obat Antituberkulosis kategori I ( FDC ) Paket -
Obat Antituberkulosis kategori I ( FDC ) Paket 12.00
8 Obat Antituberkulosis Sisipan Paket -
9 Obat Antituberkulosis KDT dosis harian Paket -
10 Cartridge GeneXpert Pcs 20.00
11 Slide Pcs 14.00
Slide Pcs 4.00
Slide Pcs 1.00
12 Slide box Pcs 4.00
13 Sputum pot Pcs -
Sputum pot Pcs 1,000.00
Sputum pot Pcs -
Sputum pot Pcs 346.00
14 Sputum Pcs -
15 Streptomycin inj./iv 1500 mg/ml Vial -
16 Sputum pot steril Pcs -
17 Surgical mask plus 3 ply ( hijab) Box 25.00
(SUPERCARE) Box
-
18 Masker bedah 3 ply GF AIDS 2020 (ISPA) Box 250.00
19 Tuberculin (reagen TB) Vial -
20 Ziehl nelseen Pcs 7.00
Ziehl nelseen Pcs 9.00
Ziehl nelseen Pcs 2.00
Ziehl nelseen Pcs -
Mengetahui
Atasan Langsung
drg. Angga An Novita

NIP. 197911092007012008
RBEKALAN FARMASI
MAS PUJON
PENERIMAAN PENGELUARAN SISA AKHIR
0
0
0
0
1395
2000 5000
0
0
0
10800
0
0
0
0
15293
0
0
0
0
0
0
18382
0
0
28551
0
50 69
0
0
0
0
0
3000 10664
0
0
0
0
0
0
18820
0
0
0
0
0
303
0
0
40
0
0
0
0
0
0
0
38655
0
0
50
0
0
0
0
134
0
200
500
0
0
0
0
4032
0
0
0
0
0
0
0
0
143
0
0
6201
0
0
0
1460
0
0
82
0
975
0
0
0
0
0
0
0
0
0
0
0
1431
2000 6000
0
2715
11000
0
3122
0
0
0
176
0
0
0
0
0
92
0
0
586
0
0
960
1000
0
0
0
0
0
0
0
0
0
0
0
1109
0
0
0
0
14330
0
0
590
0
0
0
0
0
1972
0
0
0
0
7200 14863
0
0
0
133
0
0
0
0
5380
0
0
0
0
39665
0
0
0
0
0
200 200
0
0
0
0
0
0
0
894
4000
0
0
982
2000 2000
60
331
0
3500
0
0
0
7291
116493
45093
119850
0
0
0
0
0
1604
0
0
178
1445
0
0
0
0
0
0
0
0
0
695
0
0
388
0
0
0
0
13672
0
2085
28
0
0
0
0
0
0
0
0
0
0
0
0
0
0
191
0
0
333
0
0
0
0
0
0
0
130
0
0
0
0
0
231
600 600
0
1
0
6
0
0
89
0
0
0
158
0
37
0
0
0
0
209
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
305
0
0
0
0
0
18
24
0
0
0
0
0
0
0
62
0
0
0
0
22
45
0
120
0
0
0
0
29
0
41
48
0
0
0
43
48
0
0
0
14605
0
89
0
0
0
145
520
19
0
0
0
232
122
0
38
0
0
0
0
67
0
0
0
128
227
400
0
0
10
130
0
0
0
210
300
0
0
0
0
0
0
0
0
0
0
0
48
27
0
0
0
0
89
0
0
0
400
376
1300 4810
360 360
0
0
7990
505 505
0
0
2840 4260
0
0
0
160 269
0
0
0
7999
0
0
589
0
0
0
9
0
0
0
0
0
12 220
23 23
0
0
0
146
0
0
0
0
200
0
0
78
0
0
0
0
40
0
10
0
1
0
10
0
0
0
0
0
0
0
89
0
0
49
0
0
500
20
0
0
0
132
0
29
100
0
44
100
0
0
0
0
65
44
0
0
0
81
4000
10
0
0
2
5 7
37
0
0
0
0
0
0
58
1
0
0
0
0
33
0
0
0
0
0
0
0
0
0
6
0
383
0
0
0
0
0
0
0
0
15
0
3050
100
0
19
100
0
0
10
150 300
0
0
0
100 125
0
50 88
0
2
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
160
0
73
79
0
21
182
0
4
4
0
0
0
44
0
0
15
0
0
46
0
41
0
0
0
0
0
0
0
0
0
0
100
100
100
0
0
0
9
30
30
0
0
0
0
3
0
0
0
0
25
0
4
123
0
3
0
0
0
0
200
200
0
200
200
0
0
0
1
0
0
29
48
0
0
0
0
0
0
0
55
0
0
0
0
26
1000
30 30
0
879
0
0
0
0
0
0
0
0
0
0
0
515
0
0
0
0
0
0
0
0
0
100
0
0
10124
0
0
0
0
3744
0
0
192
0
0
0
0
0
3910
0
94
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
60
0
0
0
0
0
0
0
0
167
0
0
0
120
96
0
0
0
2000
0
0
0
73
0
0
0
9 9
5 6
0
0
0
0
0
0
0
0
0
0
0
11000 11306
14
500 500
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
1100
278
0
0
0
0
9458
0
0
0
0
0
0
290
0
0
0
0
0
0
0
0
681
0
0
39
500 1000
500
82
0
0
0
0
135
500
0
0
0
97
0
0
300
0
0
0
0
824
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
6
0
0
0
0
0
5
0
0
7
0
5
0
50
0
18
0
0
0
6
0
0
300
100
28
11
5
0
0
0
0
4
0
0
13 13
13 20
0
5
0
30 36
0
0
0
190
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
580
0
0
0
0
185
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
70 70 0
0
22 22 0
20 20 0
0
30 30 0
0
0
0
0
0
0
0
15 15 0
0
101 101 0
30 30 0
100 100 0
100 100 0
30 30 0
0
0
50 50 0
2 2 0
0
0
0
200 200
0
0
0
0
0
1
0
0
0
12
0
2 2
200 220
14
4
1
4
0
1000
0
346
0
0
0
25
10 10
250
1 1
7
9
2
0
Malang, 28 April 2022

Pembuat Laporan
Gufron, S. Farm., Apt.

NIP. 199201132019031010

Laporan Pengelolaan Perbekalan Farmasi Jan-Feb

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LAPORAN PENGELOLAAN PERBEKALAN FARMASI

DI UNIT UPT PUSKESMAS PUJON

NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PENGELUARAN SISA AKHIR

Betahistin mesilat 5 mg Tablet - 0

55 Kotrimoksazol anak Tablet

71 Nistatin tablet vaginal 100.000 IU/g Tablet - 0

93 Acarbose 100 mg Tablet - 0

18 Magnesium sulfat injeksi (IV) 40 % - 25 ml Flash - 0

11 Kloramfenikol salep mata 1 % Tube - 0

Kotrimoksazol Suspensi komb:

Alat suntik sekali pakai 10 ml Pcs - 0

32 I.V. Catheter No 22 Pcs - 0

70 Surgical gown (L) Pcs - 0

Masker tali Box 100.00 100

12 WIDA D5-1/2NS Flash - 0

1 Devitalisasi Pasta ( Non Arsen ) Pcs - 0

18 Triheksifenidil Hidroklorida tab 2 mg Tablet - 0

Nevirapine (NVP) 200mg Botol - 0

9 Stesolid rectal supp 10 mg Supp - 0

9 Vaksin SINOVAC 10 DOSIS Vial - 0

Mengetahui Malang, 28 April 2022

drg. Angga An Novita Gufron, S. Farm., Apt.

NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PENGELUARAN SISA AKHIR

Betahistin mesilat 5 mg Tablet 95.00 10 85

Kaptopril 25 mg Tablet 4,840.00 975 3865

55 Kotrimoksazol anak Tablet

Nistatin tablet vaginal 100.000 IU/g Tablet - 0

94 Spironolactone 25mg Tablet - 0

Magnesium sulfat injeksi (IV) 40 % - 25 ml Flash 8.00 2 6

Kloramfenikol salep mata 1 % Tube - 0

11 Mebendazol sirup 100 mg/5ml Botol - 0

7 Alkohol literan Liter 10.00 10

I.V. Catheter No 22 Pcs 100.00 100

72 Underpad Pcs 38.00 25 13

Masker tali (Earloop) Box 100.00 100

47 Reco tetes telinga Botol - 0

3 Eugenol cairan Pcs 6.00 6

Triheksifenidil Hidroklorida tab 2 mg Tablet 904.00 40 864

Nevirapine (NVP) 200mg Botol - 0

Vaksin MODERNA Vial - 1 1 0

Mengetahui Malang, 28 April 2022

drg. Angga An Novita Gufron, S. Farm., Apt.

NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PENGELUARAN SISA AKHIR

Betahistin mesilat 5 mg Tablet - 0

55 Kotrimoksazol anak Tablet

71 Nistatin tablet vaginal 100.000 IU/g Tablet - 0

93 Acarbose 100 mg Tablet - 0

18 Magnesium sulfat injeksi (IV) 40 % - 25 ml Flash - 0

11 Kloramfenikol salep mata 1 % Tube - 0

Kotrimoksazol Suspensi komb:

Alat suntik sekali pakai 10 ml Pcs - 0

32 I.V. Catheter No 22 Pcs - 0

70 Surgical gown (L) Pcs - 0

Masker tali Box 100.00 100

12 WIDA D5-1/2NS Flash - 0

1 Devitalisasi Pasta ( Non Arsen ) Pcs - 0

18 Triheksifenidil Hidroklorida tab 2 mg Tablet - 0

Nevirapine (NVP) 200mg Botol - 0

9 Stesolid rectal supp 10 mg Supp - 0