Buku Besar Tahunan

PEMERINTAH KABUPATEN TANA TORAJA
PUSKESMAS KONDORAN
Jalan Sangalla
Pada hari ini, senin tanggal tiga puluh satu bulan desember dua ribu delapan belas telah dilakukan stok opname sisa stok persediaan obat-obatan bertempat di PuskesmasKondorandengan hasil :
Pemakaian
Sisa Awal Jan Penerimaan Sisa Stok 31
No NAMA OBAT SAT
2018
Harga (Rp) Total (Rp)
Tahun 2018
Harga (Rp) Total (Rp) Jan - 31 Des Harga (Rp) Total (Rp)
Des 2018
Harga (Rp) Total (Rp) KET
2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Alat suntik sekali pakai 1 ml 100 Set/Ktk 455.00 1,092.50 497,087.50 400.00 1,092.50 437,000.00 332.00 1,092.50 362,710.00 523.00 1,092.50 571,377.50
2 Alat suntik sekali pakai 2,5 ml 100 Set/Ktk 960.00 1,038.00 996,480.00 500.00 1,038.00 519,000.00 1,060.00 1,038.00 1,100,280.00 400.00 1,038.00 415,200.00
3 Alat suntik sekali pakai 5 ml 100 Set/Ktk 380.00 1,038.00 394,440.00 100.00 1,038.00 103,800.00 82.00 1,038.00 85,116.00 398.00 1,038.00 413,124.00
4 ACT 24 Tab/ktk - 1,444.00 - - 1,444.00 - - 1,444.00 - - 1,444.00 -
5 Albendazole Tab 30 Tab/Ktk 286.00 363.00 103,818.00 150.00 363.00 54,450.00 98.00 363.00 35,574.00 338.00 363.00 122,694.00
6 Allopurinol tablet 100 mg 100 Tab/Ktk 1,000.00 90.00 90,000.00 500.00 90.00 45,000.00 440.00 90.00 39,600.00 1,060.00 90.00 95,400.00
7 Allopurinol tablet 100 mg 100 Tab/Ktk - 106.00 - 106.00 - - 106.00 - - 106.00 -
8 Alprazolam 1 mg 100 Tab/ktk 1,134.00 245.00 277,830.00 600.00 245.00 147,000.00 994.00 245.00 243,530.00 740.00 245.00 181,300.00
9 Alprazolam 0.25 mg 100 Tab/ktk 435.00 - - 435.00 - 435.00 - - 435.00 -
10 Aminophylline tablet 200 mg 100 Tab/Ktk 2,000.00 86.00 172,000.00 - 86.00 - 2,000.00 86.00 172,000.00 - 86.00 -
11 Aminophylline tablet 200 mg 100 Tab/Ktk - 93.31 - 93.31 - - 93.31 - - 93.31 -
12 Aminophylline tablet 200 mg 100 Tab/Ktk 16,825.00 - - 16,825.00 - - 16,825.00 - - 16,825.00 - DBH-CR
13 Aminophylline injeksi 24 mg/ml - 10 ml 30 Amp/Ktk - 4,200.00 - - 4,200.00 - - 4,200.00 - - 4,200.00 -

14 Amitriptyline HCl tablet salut 25 mg 100 Tab/Ktk 300.00 123.00 36,900.00 500.00 123.00 61,500.00 120.00 123.00 14,760.00 680.00 123.00 83,640.00
15 Amitriptyline HCl tablet salut 25 mg 100 Tab/Ktk - 118.00 - 118.00 - - 118.00 - - 118.00 -
16 Amoxicillin sirup kering 125 mg/ 5 ml Btl 256.00 2,560.00 655,360.00 150.00 2,560.00 384,000.00 406.00 2,560.00 1,039,360.00 - 2,560.00 -
17 Amoxicillin sirup kering 125 mg/ 5 ml Btl - 2,511.00 - 2,511.00 - - 2,511.00 - - 2,511.00 -
18 Amoxicillin kapsul 250 mg 120 Tab/Ktk 6,220.00 220.24 1,369,892.80 3,200.00 220.24 704,768.00 5,143.00 220.24 1,132,694.32 4,277.00 220.24 941,966.48
19 Amoxicillin kapsul 250 mg 120 Tab/Ktk 220.00 - - 220.00 - 220.00 - - 220.00 -
20 Amoxicillin kaplet 500 mg 100 Tab/Ktk 15,300.00 292.00 4,467,600.00 17,000.00 292.00 4,964,000.00 23,527.00 292.00 6,869,884.00 8,773.00 292.00 2,561,716.00
21 Amoxicillin kaplet 500 mg 100 Tab/Ktk - 228.00 - 228.00 - - 228.00 - - 228.00 -
22 Amlodipine 5 mg 30 Tab/Ktk 2,100.00 352.00 739,200.00 12,300.00 352.00 4,329,600.00 6,990.00 352.00 2,460,480.00 7,410.00 352.00 2,608,320.00
23 Amlodipine 10 mg 30 Tab/Ktk 3,600.00 197.00 709,200.00 7,340.00 197.00 1,445,980.00 7,190.00 197.00 1,416,430.00 3,750.00 197.00 738,750.00
24 Ambroxol 30 mg tablet 100tab/ktk 5,367.00 379.50 2,036,776.50 10,000.00 379.50 3,795,000.00 11,397.00 379.50 4,325,161.50 3,970.00 379.50 1,506,615.00 DBH-CR
25 Ambroxol Sirup Btl 11,385.00 - - 11,385.00 - - 11,385.00 - - 11,385.00 -

26 Antalgin (metampiron) tablet 500 mg 100 Tab/Ktk - 15,070.00 - - 15,070.00 - - 15,070.00 - - 15,070.00 -
27 Antalgin injeksi 250 mg/ml - 2 ml 30 Amp/Ktk - - - - - - - -
28 Antasida DOEN tablet kombinasi 100 Tab/Ktk 4,620.00 78.00 360,360.00 8,000.00 78.00 624,000.00 9,875.00 78.00 770,250.00 2,745.00 78.00 214,110.00
29 Antasida DOEN tablet kombinasi 100 Tab/Ktk - 73.12 - 73.12 - - 73.12 - - 73.12 -
30 Antasida DOEN syrup btl 147.00 2,300.00 338,100.00 150.00 2,300.00 345,000.00 297.00 2,300.00 683,100.00 - 2,300.00 -
31 Antasida DOEN syrup btl - 2,700.00 - 2,700.00 - - 2,700.00 - - 2,700.00 -
32 Antibakteri DOEN salep kombinasi 25 Tube/Ktk 225.00 2,767.00 622,575.00 475.00 2,767.00 1,314,325.00 700.00 2,767.00 1,936,900.00 - 2,767.00 -
33 Antibakteri DOEN salep kombinasi 25 Tube/Ktk - 2,741.00 - 2,741.00 - - 2,741.00 - - 2,741.00 -
34 Antihemoroid DOEN kombinasi 10 Sup/Ktk 20.00 2,200.00 44,000.00 - 2,200.00 - 20.00 2,200.00 44,000.00 - 2,200.00 -
35 Antifungi DOEN kombinasi 24 Pot/Ktk 47.00 2,096.33 98,527.51 - 2,096.33 - 6.00 2,096.33 12,577.98 41.00 2,096.33 85,949.53
36 Antimigrain DOEN kombinasi 100 Tab/Btl 2,400.00 149.00 357,600.00 - 149.00 - 2,400.00 149.00 357,600.00 - 149.00 -
37 Asam Askorbat (Vit.C) tablet 50 mg 100 Tab/Ktk 14,466.00 105.00 1,518,930.00 16,000.00 105.00 1,680,000.00 22,590.00 105.00 2,371,950.00 7,876.00 105.00 826,980.00
38 Asam Askorbat (Vit.C) tablet 50 mg 100 Tab/Ktk - 352.00 - 352.00 - - 352.00 - - 352.00 -
39 Asam Mefenamat tablet 500 mg 100 Tab/Ktk 7,000.00 122.00 854,000.00 15,000.00 122.00 1,830,000.00 14,730.00 122.00 1,797,060.00 7,270.00 122.00 886,940.00
40 Asam Mefenamat tablet 500 mg 100 Tab/Ktk - 114.84 - 114.84 - - 114.84 - - 114.84 -
41 aciklovir tablet 200mg 100 Tab/Ktk 970.00 251.00 243,470.00 - 251.00 - 130.00 251.00 32,630.00 840.00 251.00 210,840.00
42 aciklovir tablet 400mg 100 Tab/Ktk 500.00 251.00 125,500.00 251.00 - - 251.00 - 500.00 251.00 125,500.00
43 aciklovir Krim Tube 70.00 3,580.00 250,600.00 - 3,580.00 - 52.00 3,580.00 186,160.00 18.00 3,580.00 64,440.00
44 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml Amp 75.00 25,958.00 1,946,850.00 - 25,958.00 - - 25,958.00 - 75.00 25,958.00 1,946,850.00
45 Atropin Sulfat Tab 0,5 mg 100 Tab/ktk 1,200.00 81.00 97,200.00 - 81.00 - 1,200.00 81.00 97,200.00 - 81.00 -
46 Atapulgit tablet 600 mg 50 Tab/ktk 1,700.00 220.00 374,000.00 - 220.00 - - 220.00 - 1,700.00 220.00 374,000.00
47 Antimalaria DOEN Kombinasi 100 Tab/Ktk 4,800.00 570.00 2,736,000.00 - 570.00 - - 570.00 - 4,800.00 570.00 2,736,000.00
48 Antimalaria DOEN Kombinasi 100 Tab/Ktk - 520.30 - 520.30 - - 520.30 - - 520.30 -
49 Betahistin Mesilat tablet 6 mg 30 Tab/Ktk - 33.86 - 6,000.00 33.86 203,160.00 2,000.00 33.86 67,720.00 4,000.00 33.86 135,440.00
50 Betametason krim 0,1% 25 Tube/Ktk 225.00 1,668.00 375,300.00 575.00 1,668.00 959,100.00 718.00 1,668.00 1,197,624.00 82.00 1,668.00 136,776.00
51 Betametason krim 0,1% 25 Tube/Ktk 1,596.00 - - 1,596.00 - 1,596.00 - - 1,596.00 -
52 Bisakodil Suppositoria 10 mg Supp - 6,045.00 - - 6,045.00 - - 6,045.00 - - 6,045.00 -
53 Bromhexine HCL 300tab/ktk 5,540.00 632.50 3,504,050.00 4,000.00 632.50 2,530,000.00 6,490.00 632.50 4,104,925.00 3,050.00 632.50 1,929,125.00 DBH-CR
54 Calcium Lactate (Kalk) tabet 500 mg 1000 Tab/Btl - 57,200.00 - - 57,200.00 - - 57,200.00 - - 57,200.00 -
55 Calcium Lactate (Kalk) tabet 500 mg 6,600.00 76.00 501,600.00 - 76.00 - 6,600.00 76.00 501,600.00 - 76.00 -
56 Captopril 25 mg 100 Tab/Ktk 6,826.00 100.00 682,600.00 1,000.00 100.00 100,000.00 4,816.00 100.00 481,600.00 3,010.00 100.00 301,000.00
57 Captopril 25 mg 100 Tab/Ktk - 94.00 - 94.00 - - 94.00 - - 94.00 -
58 Codein HCL tab. 10 mg 250 Tab/Btl 600.00 550.00 330,000.00 - 550.00 - - 550.00 - 600.00 550.00 330,000.00
59 Codein HCL tab. 10 mg 250 Tab/Btl - 470.01 - 470.01 - - 470.01 - - 470.01 -
60 Carbamazepine tablet 200 mg 100 Tab/Ktk 3,153.00 269.00 848,157.00 2,000.00 269.00 538,000.00 2,253.00 269.00 606,057.00 2,900.00 269.00 780,100.00
61 Carbamazepine tablet 200 mg 100 Tab/Ktk - 269.00 - 269.00 - - 269.00 - - 269.00 -
62 Catgut/benang bedah no.2/0 (plain & chromic) 24 Pcs/Ktk 98.00 29,333.00 2,874,634.00 84.00 29,333.00 2,463,972.00 20.88 29,333.00 612,326.38 161.13 29,333.00 4,726,279.63
63 Catgut/benang bedah no.3/0 (plain & chromic) 24 Pcs/Ktk 70.00 26,630.00 1,864,100.00 48.00 26,630.00 1,278,240.00 56.00 26,630.00 1,491,280.00 62.00 26,630.00 1,651,060.00
64 Chlorampenicol Kapsul 250 mg Kap 980.00 250.00 245,000.00 - 250.00 - 120.00 250.00 30,000.00 860.00 250.00 215,000.00
65 Chlorampenicol Kapsul 250 mg 100tab/ktk 37,950.00 - - 37,950.00 - 37,950.00 - - 37,950.00 -
66 Chlorampenicol Salep Mata 1% Tube 48.00 1,680.00 80,640.00 72.00 1,680.00 120,960.00 71.00 1,680.00 119,280.00 49.00 1,680.00 82,320.00
67 Chlorampenicol Salep Mata 1% Tube - 1,523.00 - 1,523.00 - - 1,523.00 - - 1,523.00 -
68 Chloramphenicol Syrup Btl 100.00 4,050.00 405,000.00 - 4,050.00 - - 4,050.00 - 100.00 4,050.00 405,000.00
69 Chloramphenicol Syrup Btl - 4,016.00 - 4,016.00 - - 4,016.00 - - 4,016.00 -
70 Chloramphenicol Tetes Telinga 3% 24 Tube/Ktk 1,750.00 - - 1,750.00 - - 1,750.00 - - 1,750.00 -
71 Chlorpheniramine Maleat (CTM) tab.4 mg 100 Tab/Btl 5,900.00 23.00 135,700.00 4,000.00 23.00 92,000.00 6,545.00 23.00 150,535.00 3,355.00 23.00 77,165.00
72 Chlorpromazine injeksi 25 mg/ml 30 Amp/Ktk 60.00 1,045.00 62,700.00 - 1,045.00 - - 1,045.00 - 60.00 1,045.00 62,700.00
73 Chlorpromazine HCl injeksi 5 mg/ml 30 Tab/Ktk 60.00 1,155.00 69,300.00 - 1,155.00 - - 1,155.00 - 60.00 1,155.00 69,300.00
74 Chlorpromazine HCl injeksi 5 mg/ml 30 Tab/Ktk - 375.97 - 375.97 - - 375.97 - - 375.97 -
75 Chlorpromazine HCl tablet 100 mg 100 Tab/Btl 3,050.00 165.00 503,250.00 2,000.00 165.00 330,000.00 2,850.00 165.00 470,250.00 2,200.00 165.00 363,000.00
76 Chlorpromazine HCl tablet 100 mg 100 Tab/Btl - 146.00 - 146.00 - - 146.00 - - 146.00 -
77 Chlorpromazine HCl tablet 25 mg 1000Tab/Btl 4,090.00 418.00 1,709,620.00 1,000.00 418.00 418,000.00 1,190.00 418.00 497,420.00 3,900.00 418.00 1,630,200.00
78 Ciprofloxacin 500 mg 100 Tab/Btl 6,660.00 265.00 1,764,900.00 4,000.00 265.00 1,060,000.00 7,840.00 265.00 2,077,600.00 2,820.00 265.00 747,300.00
79 Ciprofloxacin 500 mg 100 Tab/Btl - 241.00 - 241.00 - - 241.00 - - 241.00 -
80 Cotrimoxazole Pediatrik 100 Tab/Btl 1,400.00 79.00 110,600.00 - 79.00 - 1,400.00 79.00 110,600.00 - 79.00 -
81 Cotrimoxazole Pediatrik 100 Tab/Btl 11,385.00 - - 11,385.00 - 11,385.00 - - 11,385.00 -
82 Cotrimoxazole Suspensi Btl 95.00 2,298.00 218,310.00 - 2,298.00 - 5.00 2,298.00 11,490.00 90.00 2,298.00 206,820.00
83 Cotrimoxazole Suspensi Btl - 2,212.94 - 2,212.94 - - 2,212.94 - - 2,212.94 -
84 Cotrimoxazole Dewasa 100 Tab/Btl 10,720.00 152.00 1,629,440.00 - 152.00 - 8,070.00 152.00 1,226,640.00 2,650.00 152.00 402,800.00
85 Cotrimoxazole Dewasa 100 Tab/Btl - 146.24 - 146.24 - - 146.24 - - 146.24 -
86 Cimetidine tablet 200 mg 100 Tab/Btl 800.00 115.52 92,416.00 5,000.00 115.52 577,600.00 3,083.00 115.52 356,148.16 2,717.00 115.52 313,867.84
87 Cimetidine tablet 200 mg 100 Tab/Btl 20,872.00 - - 20,872.00 - 20,872.00 - - 20,872.00 -
88 Clonidine tablet 0,15 mg 100 Tab/Btl 1,000.00 224.00 224,000.00 - 224.00 - - 224.00 - 1,000.00 224.00 224,000.00
89 Clonidine tablet 0,15 mg 100 Tab/Btl - 191.00 - 191.00 - - 191.00 - - 191.00 -
90 Cyanocobalamin (Vit.B12) inj 500 mcg/ml 100 Amp/Ktk 598.00 520.00 310,960.00 100.00 520.00 52,000.00 602.00 520.00 313,040.00 96.00 520.00 49,920.00
91 Chloramphenikol Tetes Mata 24 Tube/Ktk - - - - - - - -
92 Dexamethasone Injeksi 100 Amp/Ktk 200.00 1,738.00 347,600.00 - 1,738.00 - 13.00 1,738.00 22,594.00 187.00 1,738.00 325,006.00
93 Dexamethasone Injeksi 100 Amp/Ktk - 1,750.00 - 1,750.00 - - 1,750.00 - - 1,750.00 -
94 Dexamethasone Kaplet 0,5 mg 100 Tab/Ktk 6,969.00 74.00 515,706.00 30,500.00 74.00 2,257,000.00 31,399.00 74.00 2,323,526.00 6,070.00 74.00 449,180.00
95 Dexamethasone Kaplet 0,5 mg 100 Tab/Ktk - 71.89 - 71.89 - - 71.89 - - 71.89 -
96 Dekstromethorphan HBr sirup 10 mg/5 ml Btl - 1,467.40 - - 1,467.40 - - 1,467.40 - - 1,467.40 -
97 Dekstrometorphan HBr tablet 15 mg 100 Tab/Ktk - 102.00 - - 102.00 - - 102.00 - - 102.00 -
98 Diazepam inj 15 mg/ml - 2 ml 30 Amp/Ktk - 78,147.00 - - 78,147.00 - - 78,147.00 - - 78,147.00 -
99 Diazepam 2 mg 100 Tab/Btl - 39.00 - - 39.00 - - 39.00 - - 39.00 -
100 Diazepam 5 mg 250 tab/btl - - - - - - - -
101 Dietilkarbamin sitrat tablet 100 mg Tab 500.00 - - - - 500.00 - - -
102 Diphenhydramine HCl inj 10 mg/ml-1 ml 30 Amp/Ktk 134.00 1,156.00 154,904.00 - 1,156.00 - 134.00 1,156.00 154,904.00 - 1,156.00 -
103 Diphenhydramine HCl inj 10 mg/ml-1 ml 30 Amp/Ktk - 1,056.00 - 1,056.00 - - 1,056.00 - - 1,056.00 -
104 Digoksin tablet 0,25 mg 100 Tab/Ktk 1,000.00 103.00 103,000.00 - 103.00 - - 103.00 - 1,000.00 103.00 103,000.00
105 Digoksin tablet 0,25 mg 100 Tab/Ktk - 96.48 - 96.48 - - 96.48 - - 96.48 -
106 Diltiazem tab. 30 mg 100 Tab/Ktk 1,500.00 141.00 211,500.00 - 141.00 - 1,500.00 141.00 211,500.00 - 141.00 -
107 Diltiazem tab. 30 mg 100 Tab/Ktk - 129.00 - 129.00 - - 129.00 - - 129.00 -
108 Diltiazem tab. 30 mg 100 Tab/Ktk 15,163.00 - - 15,163.00 - - 15,163.00 - - 15,163.00 - DBH-CR
109 Doksisiklin 100 mg 100 Tab/Ktk - 250.00 - - 250.00 - - 250.00 - - 250.00 -

110 Doksisiklin 100 mg 100 Tab/Ktk 298.00 - - 298.00 - 298.00 - - 298.00 -
111 Domperidone Suspensi 5mg/5ml Btl - 3,490.00 - - 3,490.00 - - 3,490.00 - - 3,490.00 -
112 Domperidone tablet 10 mg Tab 900.00 174.00 156,600.00 - 174.00 - - 174.00 - 900.00 174.00 156,600.00
113 Efedrin HCl tablet 25 mg 250 Tab/Ktk - 14,097.00 - - 14,097.00 - - 14,097.00 - - 14,097.00 -
114 Ekstrak Belladon tablet 10 mg Tab - - - - - - - -
115 Erytromicin syr Btl 120.00 8,090.00 970,800.00 - 8,090.00 - 120.00 8,090.00 970,800.00 - 8,090.00 -
116 Erytromicin tab 250 mg 100 Tab/Ktk 1,000.00 462.00 462,000.00 - 462.00 - 600.00 462.00 277,200.00 400.00 462.00 184,800.00
117 Erytromicin tab 250 mg 100 Tab/Ktk 522.00 - - 522.00 - 522.00 - - 522.00 -
118 Erytromicin tab 500 mg 100 Tab/Ktk 1,500.00 912.94 1,369,410.00 - 912.94 - 1,000.00 912.94 912,940.00 500.00 912.94 456,470.00
119 Erytromicin tab 500 mg 100 Tab/Ktk 1,023.00 - - 1,023.00 - - 1,023.00 - - 1,023.00 -
120 Epinefrin HCl inj 0,1% - 1 ml Amp 272.00 10,371.00 2,820,912.00 - 10,371.00 - 10.00 10,371.00 103,710.00 262.00 10,371.00 2,717,202.00
121 Etakridin(Rivanol) larutan 0,1 % Btl 345.00 2,354.22 812,205.90 - 2,354.22 - 6.00 2,354.22 14,125.32 339.00 2,354.22 798,080.58
122 Ethanol 70% Btl 189.00 2,625.00 496,125.00 36.00 2,625.00 94,500.00 103.00 2,625.00 270,375.00 122.00 2,625.00 320,250.00
123 Etil chlorida semprot Btl - 115,500.00 - - 115,500.00 - - 115,500.00 - - 115,500.00 -
124 Etil chlorida semprot Btl 137,000.00 - 137,000.00 - - 137,000.00 - - 137,000.00 -
125 Eugenol cairan Btl 2.00 60,500.00 121,000.00 - 20.17 - - 60,500.00 - 2.00 60,500.00 121,000.00
126 Fenitoin natrium injeksi 50mg/ml Amp - - - - - - - -
127 Fenobarbital inj. 50mg/ml Amp 90.00 1,980.00 178,200.00 - 1,980.00 - - 1,980.00 - 90.00 1,980.00 178,200.00
128 Fenobarbital inj. 50mg/ml Amp - 670.00 - 670.00 - - 670.00 - - 670.00 -
129 Fenobarbital tab. 30 mg 100 Tab/Ktk 1,000.00 71.39 71,390.00 - 71.39 - - 71.39 - 1,000.00 71.39 71,390.00
130 Fenol gliserol tetes telinga 10 % 24 Tube/Ktk 342.00 1,108.80 379,209.60 48.00 1,108.80 53,222.40 366.00 1,108.80 405,820.80 24.00 1,108.80 26,611.20
131 Fitomenadion (Vit K) inj. 10mg/ml- 1ml Amp 20.00 3,754.00 75,080.00 60.00 3,754.00 225,240.00 32.00 3,754.00 120,128.00 48.00 3,754.00 180,192.00
132 Fitomenadion (Vit K) inj. 2mg/ml- 1ml 3,754.00 - - 3,754.00 - - 3,754.00 - - 3,754.00 -
133 Fitomenadion (Vit K) inj. 10mg/ml- 1ml Amp - 1,914.00 - 1,914.00 - - 1,914.00 - - 1,914.00 -
134 Fitomenadion (Vit K) tab. Salut 10 mg 100 Tab/Btl 400.00 690.00 276,000.00 - 690.00 - 68.00 690.00 46,920.00 332.00 690.00 229,080.00
135 Fitomenadion (Vit K) tab. Salut 10 mg 100 Tab/Btl - 640.59 - 640.59 - - 640.59 - - 640.59 -
136 Fluour tablet 0,5 mg Tab - - - - - - - -
137 Furosemide tab. 40 mg 100 Tab/Ktk 200.00 112.29 22,458.00 - 112.29 - - 112.29 - 200.00 112.29 22,458.00
138 Garam Oralit untuk 200 ml - air 100 Sach/Ktk 400.00 418.00 167,200.00 500.00 418.00 209,000.00 600.00 418.00 250,800.00 300.00 418.00 125,400.00
139 Garam Oralit untuk 200 ml - air 100 Sach/Ktk 317.00 - - 317.00 - - 317.00 - - 317.00 -
140 Gention violet 1 % Btl - 495.00 - - 495.00 - - 495.00 - - 495.00 -
141 Glass ionomer cement (gx ic) Set - 434,500.00 - - 434,500.00 - - 434,500.00 - - 434,500.00 -
142 Glass ionomer cement (gx ic) Set 725,000.00 - - 725,000.00 - 725,000.00 - - 725,000.00 -
143 Glibenklamide tab. 5 mg 100 Tab/Ktk 7,700.00 61.00 469,700.00 500.00 61.00 30,500.00 700.00 61.00 42,700.00 7,500.00 61.00 457,500.00
144 Glibenklamide tab. 5 mg 100 Tab/Ktk - 59.00 - 59.00 - - 59.00 - - 59.00 -
145 Glibenklamide tab. 5 mg 100 Tab/Ktk 18,000.00 - - 18,000.00 - 18,000.00 - - 18,000.00 -
146 Gliseril guayakolat tab. 100 mg 1000 Tab/Btl - 30,690.00 - - 30,690.00 - - 30,690.00 - - 30,690.00 -
147 Gliserin Btl 50.00 5,867.00 293,350.00 - 5,867.00 - - 5,867.00 - 50.00 5,867.00 293,350.00
148 Glukosa larutan infus 10% steril Btl - - - - - - - -
149 Glukosa larutan infus 40% steril Btl - - - - - - - -
150 Glukosa larutan infus 5% steril Btl 68.00 5,720.00 388,960.00 - 5,720.00 - 8.00 5,720.00 45,760.00 60.00 5,720.00 343,200.00
151 Glukosa larutan infus 5% steril Btl - 5,844.00 - 5,844.00 - - 5,844.00 - - 5,844.00 -
152 Griseofulvin tab. 125 mg, micronized 100 Tab/Ktk 1,000.00 241.00 241,000.00 300.00 241.00 72,300.00 900.00 241.00 216,900.00 400.00 241.00 96,400.00
153 Griseofulvin tab. 125 mg, micronized 100 Tab/Ktk - 204.00 - 204.00 - - 204.00 - - 204.00 -
154 Haloperidol tablet 0,5 mg 100 Tab/Ktk 2,540.00 62.00 157,480.00 1,000.00 62.00 62,000.00 910.00 62.00 56,420.00 2,630.00 62.00 163,060.00
155 Haloperidol tablet 0,5 mg 100 Tab/Ktk - 55.70 - 55.70 - - 55.70 - - 55.70 -
156 Haloperidol tablet 1,5 mg 100 Tab/Ktk 4,000.00 76.00 304,000.00 500.00 76.00 38,000.00 770.00 76.00 58,520.00 3,730.00 76.00 283,480.00
157 Haloperidol tablet 0,5 mg 100 Tab/Ktk - 64.43 - 64.43 - - 64.43 - - 64.43 -
158 Haloperidol tablet 5 mg 100 Tab/Ktk 3,250.00 105.00 341,250.00 2,500.00 105.00 262,500.00 5,470.00 105.00 574,350.00 280.00 105.00 29,400.00
159 Haloperidol tablet 5 mg 100 Tab/Ktk - 94.21 - 94.21 - - 94.21 - - 94.21 -
160 Hidroklortiazid (HCT) tablet 25 mg 1000 Tab/Btl - 39.93 - 1,000.00 39.93 39,930.00 - 39.93 - 1,000.00 39.93 39,930.00
161 Hidrokortison krim 2,5% 24 Tube/Ktk 182.00 2,938.00 534,716.00 432.00 2,938.00 1,269,216.00 366.00 2,938.00 1,075,308.00 248.00 2,938.00 728,624.00
162 Hidrokortison krim 2,5% 24 Tube/Ktk - 2,519.00 - 2,519.00 - - 2,519.00 - - 2,519.00 -
163 Hyoscine -n- Butilbromide 100 Tab/Ktk 500.00 330.00 165,000.00 - 330.00 - - 330.00 - 500.00 330.00 165,000.00
164 Handscoen No. 7 50 Set/ktk 200.00 4,675.00 935,000.00 900.00 4,765.00 4,288,500.00 900.00 4,675.00 4,207,500.00 200.00 4,675.00 935,000.00
165 Handscoen No. 7 50 Set/ktk 233,750.00 - 233,750.00 - 233,750.00 - 233,750.00 -
166 Ibuprofen tablet 200 mg / Irgapan 100 Tab/Btl - 121.00 - - 121.00 - - 121.00 - - 121.00 -
167 Ibuprofen tablet 200 mg / Irgapan 100 Tab/Btl - 96.21 - 96.21 - - 96.21 - - 96.21 -
168 Ibuprofen tablet 400 mg 100 Tab/Ktk - 157.00 - - 157.00 - - 157.00 - - 157.00 -
169 Ibuprofen tablet 400 mg 100 Tab/Ktk - 152.50 - 152.50 - - 152.50 - - 152.50 -
170 Infusion set anak Set 50.00 4,400.00 220,000.00 - 4,400.00 - 34.00 4,400.00 149,600.00 16.00 4,400.00 70,400.00
171 Infusion set dewasa Set 70.00 3,850.00 269,500.00 50.00 3,850.00 192,500.00 116.00 3,850.00 446,600.00 4.00 3,850.00 15,400.00
172 I.V. Catheter No. 18 50 Set/ktk - - - - - - - - -
173 I.V. Catheter No. 20 50 Set/ktk - 8,566.00 - 50.00 8,566.00 428,300.00 11.00 8,566.00 94,226.00 39.00 8,566.00 334,074.00
174 I.V. Catheter No. 22 50 Set/ktk 50.00 8,565.00 428,250.00 - 8,565.00 - 18.00 8,565.00 154,170.00 32.00 8,565.00 274,080.00
175 I.V. Catheter No. 24 50 Set/ktk 50.00 8,566.00 428,300.00 - 8,566.00 - 3.00 8,566.00 25,698.00 47.00 8,566.00 402,602.00
176 Isosorbid Dinitrat tablet sublingual 5 mg 100 Tab/Ktk 4,900.00 89.10 436,590.00 - 89.10 - - 89.10 - 4,900.00 89.10 436,590.00
177 Isosorbid Dinitrat tablet sublingual 5 mg 100 Tab/Ktk 98.00 - - 98.00 - 98.00 - - 98.00 -
178 Isosorbid Dinitrat tablet sublingual 5 mg 100 Tab/Ktk 14,457.00 - - 14,457.00 - - 14,457.00 - - 14,457.00 - DBH-CR
179 Kasa kompres 40/40 steril 10 Roll/Bks 100.00 1,393.00 139,300.00 - 1,393.00 - - 1,393.00 - 100.00 1,393.00 139,300.00
180 Kasa pembalut 2 m x 80 cm roll 55.00 8,799.00 483,945.00 160.00 8,799.00 1,407,840.00 165.00 8,799.00 1,451,835.00 50.00 8,799.00 439,950.00
181 Kasa pembalut hidrofil 4 m x 15 cm roll 12.00 3,373.00 40,476.00 - 3,373.00 - 7.00 3,373.00 23,611.00 5.00 3,373.00 16,865.00
182 Kapas pembalut/absorben 250 gram Bks 21.00 8,250.00 173,250.00 - 8,250.00 - - 8,250.00 - 21.00 8,250.00 173,250.00
183 Karbogliserin tetes telinga 10% (Pengganti) Btl - 2,246.00 - - 2,246.00 - - 2,246.00 - - 2,246.00 -
184 Fenol gliserol tetes telinga 10 % 24 Tube/Ktk - 1,108.80 - - 1,108.80 - 1,108.80 - - 1,108.80 -
185 Kalsium Hidroksida pasta 2 Btl/Set - 266,200.00 - - 266,200.00 - - 266,200.00 - - 266,200.00 -
186 Ketoconazole 200 mg 100 Tab/Ktk 1,300.00 320.00 416,000.00 300.00 320.00 96,000.00 300.00 320.00 96,000.00 1,300.00 320.00 416,000.00
187 Ketoconazole 200 mg 100 Tab/Ktk - 267.00 - 267.00 - - 267.00 - - 267.00 -
188 Ketoconazole Cream Tube 89.00 2,697.00 240,033.00 - 2,697.00 - 14.00 2,697.00 37,758.00 75.00 2,697.00 202,275.00
189 Lidokain kompositum injeksi 30 Amp/Ktk 220.00 1,485.00 326,700.00 500.00 310.00 155,000.00 310.00 1,485.00 460,350.00 410.00 1,485.00 608,850.00
190 Loratadine 10 mg Tab - 170.00 - - 170.00 - - 170.00 - - 170.00 -
191 Loperamide tablet 2 mg 100 Tab/ktk 600.00 97.00 58,200.00 3,000.00 97.00 291,000.00 1,995.00 97.00 193,515.00 1,605.00 97.00 155,685.00
192 Mebendazol tablet 100 mg Tab - - - - - - - - -
193 Metilergometrin maleat tablet salut 0,125 mg 100 Tab/Ktk 650.00 133.00 86,450.00 - 133.00 - - 133.00 - 650.00 133.00 86,450.00
194 Metilergometrin maleat tablet salut 0,125 mg 100 Tab/Ktk 19,841.00 - - 19,841.00 - 19,841.00 - - 19,841.00 -
195 Metilergometrin maleat inj. 0,200 mg - 1 ml 30 Amp/Ktk 571.00 1,639.00 935,869.00 - 1,639.00 - 281.00 1,639.00 460,559.00 290.00 1,639.00 475,310.00
196 Metilergometrin maleat inj. 0,200 mg - 1 ml Amp 2,750.00 - - 2,750.00 - - 2,750.00 - - 2,750.00 -
197 Methilprednisolon tablet 4 mg 100 Tab/Ktk 1,000.00 230.00 230,000.00 2,000.00 230.00 460,000.00 2,270.00 230.00 522,100.00 730.00 230.00 167,900.00
198 Methilprednisolon tablet 4 mg 100 Tab/Ktk 48,461.00 - - 48,461.00 - - 48,461.00 - - 48,461.00 - DBH-CR
199 Metronidazol tablet 250 mg 100 Tab/Ktk 2,000.00 169.00 338,000.00 4,000.00 169.00 676,000.00 3,703.00 169.00 625,807.00 2,297.00 169.00 388,193.00
200 Metronidazol tablet 250 mg 100 Tab/Ktk - 183.00 - 183.00 - - 183.00 - - 183.00 -
201 Miconazole cream 10 g Tube 148.00 3,150.00 466,200.00 120.00 3,150.00 378,000.00 209.00 3,150.00 658,350.00 59.00 3,150.00 185,850.00
202 Miconazole cream 10 g Tube - 3,300.00 - 3,300.00 - - 3,300.00 - - 3,300.00 -
203 Metoklopramide HCl tablet 10 mg (Xylastin) 100 Tab/Ktk 110.00 - - 110.00 - - 110.00 - - 110.00 -
204 Metoklopramide Tablet 5 mg 100 Tab/ktk 400.00 113.00 45,200.00 - 113.00 - 400.00 113.00 45,200.00 - 113.00 -
205 Metoklopramide HCl injeksi (Piralen) 6 Amp/Ktk - 11,000.00 - - 11,000.00 - - 11,000.00 - - 11,000.00 -
206 Metoklopramide syrup Btl 2,900.00 - - 2,900.00 - - 2,900.00 - - 2,900.00 -
207 Mineral Mix Set - 2,695.00 - - 2,695.00 - - 2,695.00 - - 2,695.00 -
208 Metformin tablet 500mg 100 Tab/Ktk 4,970.00 118.50 588,945.00 7,200.00 118.50 853,200.00 8,230.00 118.50 975,255.00 3,940.00 118.50 466,890.00
209 Metformin tablet 500mg 100 Tab/Ktk - 105.00 - 105.00 - - 105.00 - - 105.00 -
210 Natrium klorida lar. Infus 0,9% steril Btl 120.00 5,170.00 620,400.00 100.00 5,170.00 517,000.00 103.00 5,170.00 532,510.00 117.00 5,170.00 604,890.00
211 Natrium klorida lar. Infus 0,9% steril Btl - 5,390.00 - 5,390.00 - - 5,390.00 - - 5,390.00 -
212 Nistatin 100.000 iu/g tab vaginal 100 Tab/Ktk 1,195.00 528.00 630,960.00 - 528.00 - 95.00 528.00 50,160.00 1,100.00 528.00 580,800.00
213 Nistatin 100.000 iu/g tab vaginal 100 Tab/Ktk - 28,876.00 - 28,876.00 - - 28,876.00 - - 28,876.00 -
214 Nistatin 500.000 iu tab salut 100 Tab/Ktk - 704.00 - - 704.00 - - 704.00 - - 704.00 -
215 Nifedipin tablet 10 mg 100 Tab/Ktk 1,700.00 127.00 215,900.00 2,000.00 127.00 254,000.00 1,671.00 127.00 212,217.00 2,029.00 127.00 257,683.00
216 Nifedipin tablet 10 mg 100 Tab/Ktk - 118.00 - 118.00 - - 118.00 - - 118.00 -
217 Nifedipin tablet 10 mg 100 Tab/Ktk 18,448.00 - - 18,448.00 - - 18,448.00 - - 18,448.00 -
218 Natrium Diklofenak tablet 50 mg 50 Tab/ktk 2,856.00 193.00 551,208.00 18,000.00 193.00 12,296.00 14,296.00 193.00 2,759,128.00 6,560.00 193.00 1,266,080.00
219 Natrium Diklofenak tablet 50 mg 50 Tab/ktk - 206.00 - 206.00 - - 206.00 - - 206.00 -
220 Obat Batuk Hitam (OBH) cairan Btl 472.00 1,573.00 742,456.00 296 1,573.00 465,608.00 683.00 1,573.00 1,074,359.00 85.00 1,573.00 133,705.00
221 Obat Batuk Hitam (OBH) cairan Btl 2,277.00 - - 2,277.00 - 2,277.00 - - 2,277.00 -
222 Oksitetrasiklin HCl salep mata 24 Tube/Ktk 75.00 3,478.00 260,850.00 50.00 3,478.00 173,900.00 125.00 3,478.00 434,750.00 - 3,478.00 -
223 Oksitetrasiklin HCl salep Kulit 3% 24 Tube/Ktk 50.00 1,646.00 82,300.00 73.00 1,646.00 120,158.00 54.00 1,646.00 88,884.00 69.00 1,646.00 113,574.00
224 Oksitetrasiklin HCl salep Kulit 3% 24 Tube/Ktk 2,513.00 - - 2,513.00 - 2,513.00 - - 2,513.00 -
225 Oksitosin injeksi 10 iu/ml - 1 ml 30 Amp/Ktk 1,452.00 1,963.50 2,851,002.00 - 1,963.50 - 94.00 1,963.50 184,569.00 1,358.00 1,963.50 2,666,433.00
226 Oksitosin injeksi 10 iu/ml - 1 ml Amp - 2,420.00 - - 2,420.00 - - 2,420.00 - - 2,420.00 -
227 Omeprazol kapsul Strip 5,690.00 221.00 1,257,490.00 900.00 221.00 198,900.00 6,590.00 221.00 1,456,390.00 - 221.00 -
228 Paraformaldehid tablet 1 gram Tab - - - - - - - -
229 Parasetamol Drops 15 Btl/dus 76.00 5,720.00 434,720.00 56.00 5,720.00 320,320.00 82.00 5,720.00 469,040.00 50.00 5,720.00 286,000.00
230 Parasetamol Drops 15 Btl/dus - 5,749.00 - 5,749.00 - - 5,749.00 - - 5,749.00 -
231 Parasetamol sirup 120 mg/5 ml Btl 408.00 1,535.00 626,280.00 900.00 1,535.00 1,381,500.00 863.00 1,535.00 1,324,705.00 445.00 1,535.00 683,075.00
232 Parasetamol tablet 100 mg 100 Tab/btl - 34.51 - - 34.51 - - 34.51 - - 34.51 -
233 Parasetamol tablet 500 mg 100 Tab/Ktk 12,700.00 88.00 1,117,600.00 35,000.00 88.00 3,080,000.00 38,520.00 88.00 3,389,760.00 9,180.00 88.00 807,840.00
234 Parasetamol tablet 500 mg 100 Tab/Ktk - 84.80 - 84.80 - - 84.80 - - 84.80 -
235 Pirantel Pamoat tablet 365 mg 100 Tab/Ktk 1,100.00 318.00 349,800.00 - 318.00 - 300.00 318.00 95,400.00 800.00 318.00 254,400.00
236 Pirantel Pamoat tablet 365 mg 100 Tab/Ktk - 343.00 - 343.00 - - 343.00 - - 343.00 -
237 Piridoksin HCl tablet 10 mg 1000 Tab/btl 6,884.00 191.40 1,317,597.60 9,000.00 191.40 1,722,600.00 10,200.00 191.40 1,952,280.00 5,684.00 191.40 1,087,917.60
238 Plester 5 yard x 2 inchi Roll 6.00 23,625.00 141,750.00 15.00 23,625.00 354,375.00 20.00 23,625.00 472,500.00 1.00 23,625.00 23,625.00
239 Prednison tablet 5 mg 1000 Tab/btl 2,555.00 687.50 1,756,562.50 6,000.00 687.50 4,125,000.00 6,751.00 687.50 4,641,312.50 1,804.00 687.50 1,240,250.00
240 Prednison tablet 5 mg 1000 Tab/btl 125.00 - - 125.00 - - 125.00 - - 125.00 -
241 Primakuin tablet 15 mg 1000 Tab/btl - 125.00 - - 125.00 - - 125.00 - - 125.00 -
242 Propiltiourasil tablet 100 mg 100 Tab/Btl 1,500.00 297.00 445,500.00 - 297.00 - 1,500.00 297.00 445,500.00 - 297.00 -
243 Propiltiourasil tablet 100 mg 100 Tab/Btl 351.00 - - 351.00 - 351.00 - - 351.00 -
244 Propanolol HCl tablet 40 mg 100 Tab/btl - 114.00 - - 114.00 - - 114.00 - - 114.00 -
245 Propanolol HCl tablet 40 mg 100 Tab/btl - 119.00 - 119.00 - - 119.00 - - 119.00 -
246 Papaverin tablet 40 mg 1000 Tab/btl - 128.00 - - 128.00 - - 128.00 - - 128.00 -
247 Pembalut Gips 4 inch Roll - 35,750.00 - - 35,750.00 - - 35,750.00 - - 35,750.00 -
248 Pembalut gips 6 inch Roll - 46,200.00 - - 46,200.00 - - 46,200.00 - - 46,200.00 -
249 Piroxicam tablet 20 mg 100 Tab/Ktk 4,200.00 97.99 411,558.00 2,000.00 97.99 195,980.00 1,950.00 97.99 191,080.50 4,250.00 97.99 416,457.50
250 Piroxicam tablet 20 mg 100 Tab/Ktk 35,429.00 - - 35,429.00 - - 35,429.00 - - 35,429.00 -
251 Poly Chateter No. 16 Set - - - - - - - - - -
252 Poly Chateter No. 18 Set - 8,495.00 - - 8,495.00 - - 8,495.00 - - 8,495.00 -
253 Polikresulen Cairan Btl 22.00 18,635.00 409,970.00 - 18,635.00 - 22.00 18,635.00 409,970.00 - 18,635.00 -
254 Quinine dihidroklorida inj. 25% - 2 ml Amp - - - - - - - - -
255 Quinine sulfat tab. 222 mg (7 h2o)l Tab - - - - - - - - -
256 Reserpin tablet 0,25 mg 100 Tab/Ktk - 114.00 - - 114.00 - - 114.00 - - 114.00 -
257 Retinol (Vit.A) kaps 100.000 IU 50 Kap/Btl 845.00 286.00 241,670.00 800.00 286.00 228,800.00 995.00 286.00 284,570.00 650.00 286.00 185,900.00
258 Retinol (Vit.A) kaps 100.000 IU 50 Kap/Btl - 254.00 - 254.00 - - 254.00 - - 254.00 -
259 Retinol (Vit.A) kaps 200.000 IU 50 Kap/Btl 1,100.00 412.00 453,200.00 500.00 412.00 206,000.00 1,500.00 412.00 618,000.00 100.00 412.00 41,200.00
260 Retinol (Vit.A) kaps 200.000 IU 50 Kap/Btl - 505.00 - - 505.00 - - 505.00 - - 505.00 -
261 Ringer Laktat lar infus steril Btl 45.00 5,720.00 257,400.00 60.00 5,720.00 343,200.00 44.00 5,720.00 251,680.00 61.00 5,720.00 348,920.00
262 Ranitidin tab 150 mg 100 Tab/Ktk 2,700.00 132.00 356,400.00 3,000.00 132.00 396,000.00 4,090.00 132.00 539,880.00 1,610.00 132.00 212,520.00
263 Ranitidin tab 150 mg 100 Tab/Ktk - 119.00 - 119.00 - - 119.00 - - 119.00 -
264 Ranitidin injeksi 25mg/2 ml Amp - 1,340.00 - - 1,340.00 - - 1,340.00 - - 1,340.00 -
265 Ranitidin injeksi 25mg/2 ml Amp - 1,157.00 - 1,157.00 - - 1,157.00 - - 1,157.00 -
266 Salbutamol tablet 2 mg 100 Tab/Ktk 3,600.00 99.00 356,400.00 3,000.00 99.00 297,000.00 4,673.00 99.00 462,627.00 1,927.00 99.00 190,773.00
267 Salbutamol tablet 2 mg 100 Tab/Ktk - 70.00 - 70.00 - - 70.00 - - 70.00 -
268 Salbutamol tablet 2 mg 100 Tab/Ktk 65.00 - - 65.00 - 65.00 - - 65.00 -
269 Salbutamol tablet 2 mg 100 Tab/Ktk 9,398.00 - - 9,398.00 - - 9,398.00 - - 9,398.00 - DBH-CR
270 Salep 2-4 kombinasi 24 Pot/Ktk 42.00 1,980.00 83,160.00 96.00 1,980.00 190,080.00 85.00 1,980.00 168,300.00 53.00 1,980.00 104,940.00
271 Salep 2-4 kombinasi 24 Pot/Ktk 2,200.00 - - 2,200.00 - 2,200.00 - - 2,200.00 -
272 Salisil bedak 2% Dus 120.00 1,350.00 162,000.00 120.00 1,350.00 162,000.00 166.00 1,350.00 224,100.00 74.00 1,350.00 99,900.00
273 Salisil bedak 2% Dus - 1,180.00 - 1,180.00 - - 1,180.00 - - 1,180.00 -
274 Simvastatin tablet 100 Tab/Ktk 930.00 177.00 164,610.00 150.00 177.00 26,550.00 1,000.00 177.00 177,000.00 80.00 177.00 14,160.00
275 Simvastatin tablet 100 Tab/Ktk - 161.00 - - 161.00 - - 161.00 - - 161.00 -
276 Serum anti tetanus inj.1.500 iu/ampul ats Amp - 151,220.00 - - 151,220.00 - - 151,220.00 - - 151,220.00 -
277 Serum anti tetanus inj.1.500 iu/ampul ats Amp 145,475.00 - - 145,475.00 - 145,475.00 - - 145,475.00 -
278 Semen seng fosfat serbuk dan cairann set - 102,850.00 - - 102,850.00 - - 102,850.00 - - 102,850.00 -
279 Silk (benang bedah sutera) no. 3/0 36 Pcs/tk 94.00 7,681.00 722,014.00 48.00 7,681.00 368,688.00 90.00 7,681.00 691,290.00 52.00 7,681.00 399,412.00
280 Sulfadimidin tablet 500 mg Tab - - - - - - - - - -
281 Sulfasetamid Natrium tetes mata 15% 24 Tube/Ktk - 90,555.00 - - 90,555.00 - - 90,555.00 - - 90,555.00 -
282 Tablet tambah darah kombinasi 3000 Tab/Ktk 6,460.00 73.33 473,711.80 9,480.00 73.33 695,168.40 8,880.00 73.33 651,170.40 7,060.00 73.33 517,709.80
283 Tablet tambah darah kombinasi 3000 Tab/Ktk 45.00 - - 45.00 - - 45.00 - - 45.00 -
284 Temporary stopping fletcher serbuk /cairan Set - 37,400.00 - - 37,400.00 - - 37,400.00 - - 37,400.00 -
285 Tetrakain HCl tetes mata 24 Tube/Ktk - - - - - - - - -
286 Tetrasiklin HCl kapsul 250 mg 250 Tab/Btl - 162.00 - - 162.00 - - 162.00 - - 162.00 -
287 Tetrasiklin HCl kapsul 250 mg 250 Tab/Btl - 189.00 - 189.00 - - 189.00 - - 189.00 -
288 Tetrasiklin HCl kapsul 500 mg 100 Tab/Ktk - 325.00 - - 325.00 - - 325.00 - - 325.00 -
289 Thiamin (Vit.B1) inj 100 mg/ml - 1 ml 30 Amp/ktk 30.00 730.00 21,900.00 - 730.00 - - 730.00 - 30.00 730.00 21,900.00
290 Thiamin (Vit.B1) tablet 50 mg 1000 Tab/ktk 4,638.00 41.58 192,848.04 2,000.00 41.58 83,160.00 3,868.00 41.58 160,831.44 2,770.00 41.58 115,176.60
291 Thiamin (Vit.B1) tablet 50 mg 1000 Tab/ktk 59,771.00 - - 59,771.00 - - 59,771.00 - - 59,771.00 -
292 Thiamfenikol 500 mg 100 Tab/Ktk 1,000.00 440.00 440,000.00 - 440.00 - - 440.00 - 1,000.00 440.00 440,000.00
293 Thiamfenikol 500 mg 100 Tab/Ktk 105,500.00 - - 105,500.00 - - 105,500.00 - - 105,500.00 -
294 Triheksifenidil tablet 2 mg 100 Tab/Ktk 1,350.00 44.00 59,400.00 5,000.00 44.00 220,000.00 4,720.00 44.00 207,680.00 1,630.00 44.00 71,720.00
295 Triheksifenidil tablet 2 mg 100 Tab/Ktk 115,000.00 - - 115,000.00 - 115,000.00 - - 115,000.00 -
296 Vitamin B Kompleks tablet 100 Tab/Btl 1,567.00 112.00 175,504.00 15,000.00 112.00 1,680,000.00 12,897.00 112.00 1,444,464.00 3,670.00 112.00 411,040.00
297 Vitamin B Kompleks tablet 100 Tab/Btl - 24.24 - 24.24 - - 24.24 - - 24.24 -
298 Vaksin Anti Rabies (VAR-Verorab) Kuur - 746,268.60 - - 746,268.60 - - 746,268.60 - - 746,268.60 -
299 Vaksin Anti Rabies (VAR-Verorab) Kuur 746,268.60 - - 746,268.60 - - 746,268.60 - - 746,268.60 -
300 Yodium Povidon larutan 10% 30 ml Btl - 2,344.00 - 70.00 2,344.00 164,080.00 35.00 2,344.00 82,040.00 35.00 2,344.00 82,040.00
301 Yodium Povidon larutan 10% 30 ml Btl - 2,100.00 - 2,100.00 - - 2,100.00 - - 2,100.00 -
302 Yodium Povidon larutan 10% 300 ml Btl 73.00 15,386.00 1,123,178.00 48.00 15,386.00 738,528.00 88.00 15,386.00 1,353,968.00 33.00 15,386.00 507,738.00
303 Yodium Povidon larutan 10% 300 ml Btl - 14,700.00 - 14,700.00 - - 14,700.00 - - 14,700.00 -
304 Zinc 100 Tab/Ktk 1,200.00 521.00 625,200.00 2,300.00 521.00 1,198,300.00 2,660.00 521.00 1,385,860.00 840.00 521.00 437,640.00
305 Zinc 100 Tab/Ktk - 491.50 - 491.50 - - 491.50 - - 491.50 -
306 ACT Anak Paket - - - - - - - - -
307 FDC Anak Paket - 235,300.00 - - 235,300.00 - - 235,300.00 - - 235,300.00 -
308 FDC Kategori 1 Paket - 395,500.00 - - 395,500.00 - - 395,500.00 - - 395,500.00 -
309 FDC Kategori 2 Paket - 1,317,000.00 - - 1,317,000.00 - - 1,317,000.00 - - 1,317,000.00 -
310 FDC Sisipan Paket - 175,120.00 - - 175,120.00 - - 175,120.00 - - 175,120.00 -
TOTAL HARGA (Rp) 81,082,038.75 67,266,394.80 89,684,554.30 62,632,083.26
Mengetahui,
Kepala Puskesmas Kondoran Pengelolah Obat Puskesmas Kondoran
Kab. Tana Toraja Kab. Tana Toraja
dr. Mardaria Patioran Yulianthi Todingan, AMF

NIP. 197803112014122001 NIP. 198407052010012019
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-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
(60,480)
-
- 1705
-
- -
-
- ###
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
90
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
(1,175)
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-
-
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-
PEMERINTAH KABUPATEN TANA TORAJA
DINAS KESEHATAN
PUSKESMAS KONDORAN
BUKU BESAR PERSEDIAAN OBAT-OBATAN TAHUNAN JANUARI - DESEMBER 2018
Total Pemakaian
Sisa Awal Sisa Stok 31
No NAMA OBAT SAT
Jan 2018
Harga (Rp) Total (Rp) Penerimaan Tahun 2018 Penerimaan Harga (Rp) Total (Rp) Jan - 31 Des Harga (Rp) Total (Rp)
Des 2018
Harga (Rp)
Barang 2018
Triw I Triw II Triw III Triw IV
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 ACT Tablet 432 Rp 1,444.00 623,808.00 48 - - - 480 Rp 1,444.00 Rp 693,120.00 480 Rp 1,444.00 Rp 693,120.00 - Rp 1,444.00
2 Aciklovir tablet 200 mg Tablet 2615 Rp 251.00 656,365.00 1,000 - 1,000 200 4,815 Rp 251.00 Rp 1,208,565.00 225 Rp 251.00 Rp 56,475.00 4,590 Rp 251.00
Aciklovir tablet 200 mg Tablet - Rp 272.00 0 - - - - - Rp 272.00 Rp - - Rp 272.00 Rp - - Rp 272.00
3 Aciklovir tablet 400 mg Tablet 420 Rp 381.00 160,020.00 - - 500 - 920 Rp 381.00 Rp 350,520.00 520 Rp 381.00 Rp 198,120.00 400 Rp 381.00
Aciklovir tablet 400 mg Tablet - - - - - - Rp - - Rp - Rp - - Rp -
4 Aciklovir Krim Tube 86 Rp 2,944.00 253,184.00 - - 50 50 186 Rp 2,944.00 Rp 547,584.00 68 Rp 2,944.00 Rp 200,192.00 118 Rp 2,944.00
Aciklovir Krim Tube - - - - - - - Rp - - Rp - Rp - - Rp -
5 Albendazole tablet 400 mg Tablet 230 Rp 363.00 83,490.00 - - 4,000 - 4,230 Rp 363.00 Rp 1,535,490.00 4,000 Rp 363.00 Rp 1,452,000.00 230 Rp 363.00
Albendazole tablet 400 mg Tablet - Rp 341.00 - - - - - - Rp 341.00 Rp - - Rp 341.00 Rp - - Rp 341.00
6 Allopurinol tablet 100 mg Tablet 10,940 Rp 90.00 984,600.00 500 5,000 3,000 - 19,440 Rp 90.00 Rp 1,749,600.00 9,346 Rp 90.00 Rp 841,140.00 10,094 Rp 90.00
Allopurinol tablet 100 mg Tablet - Rp 95.00 - - - - - - Rp 95.00 Rp - - Rp 95.00 Rp - - Rp 95.00
Allopurinol tablet 100 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
7 Alprazolam tablet 0.25 mg Tablet - Rp 435.00 - 700 - - - 700 Rp 435.00 Rp 304,500.00 700 Rp 435.00 Rp 304,500.00 - Rp 435.00
8 Alprazolam tablet 1 mg Tablet 2,040 Rp 245.00 499,800.00 - - 1,000 1,000 4,040 Rp 245.00 Rp 989,800.00 1,115 Rp 245.00 Rp 273,175.00 2,925 Rp 245.00
9 Ambroxol tablet 30 mg Tablet - Rp 109.00 - 1,000 5,000 5,000 20,000 31,000 Rp 109.00 Rp 3,379,000.00 14,134 Rp 109.00 Rp 1,540,606.00 16,866 Rp 109.00
Ambroxol tablet 30 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
10 Ambroxol sirup Botol - - - - - - - Rp - - Rp - Rp - - Rp -
11 Aminophylline injeksi 24 mg/ml - 10 ml Ampul 148 Rp 4,200.00 621,600.00 90 - - - 238 Rp 4,200.00 Rp 999,600.00 238 Rp 4,200.00 Rp 999,600.00 - Rp 4,200.00
12 Aminophylline tablet 200 mg Tablet 5,550 Rp 86.00 477,300.00 - 1,000 1,000 1,000 8,550 Rp 86.00 Rp 735,300.00 5,544 Rp 86.00 Rp 476,784.00 3,006 Rp 86.00
Aminophylline tablet 200 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
13 Amitriptylline HCl tablet salut 25 mg Tablet 3,800 Rp 123.00 467,400.00 - - 300 - 4,100 Rp 123.00 Rp 504,300.00 2,410 Rp 123.00 Rp 296,430.00 1,690 Rp 123.00
Amitriptylline HCl tablet salut 25 mg Tablet - Rp 165.00 - - - - - - Rp 165.00 Rp - - Rp 165.00 Rp - - Rp 165.00
14 Amlodipine tablet 5 mg Tablet 3,210 Rp 105.00 337,050.00 600 600 1,500 9,000 14,910 Rp 105.00 Rp 1,565,550.00 8,690 Rp 105.00 Rp 912,450.00 6,220 Rp 105.00
Amlodipine tablet 5 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
15 Amlodipine tablet 10 mg Tablet 6,312 Rp 197.00 1,243,464.00 600 1,050 2,400 6,000 16,362 Rp 197.00 Rp 3,223,314.00 11,852 Rp 197.00 Rp 2,334,844.00 4,510 Rp 197.00
Amlodipine tablet 10 mg Tablet - Rp 163.00 - - - - - - Rp 163.00 Rp - - Rp 163.00 Rp - - Rp 163.00
Amlodipine tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
16 Amoxicillin kapsul 250 mg Kapsul 23,652 Rp 220.00 5,203,440.00 - - 4,800 18,000 46,452 Rp 220.00 Rp 10,219,440.00 24,084 Rp 220.00 Rp 5,298,480.00 22,368 Rp 220.00
Amoxicillin kapsul 250 mg Kapsul - Rp 207.00 - - - - - - Rp 207.00 Rp - - Rp 207.00 Rp - - Rp 207.00
Amoxicillin kapsul 250 mg Kapsul - - - - - - - Rp - - Rp - Rp - - Rp -
17 Amoxicillin kaplet 500 mg Kaplet 99,369 Rp 292.00 29,015,748.00 - - 20,000 20,000 139,369 Rp 292.00 Rp 40,695,748.00 70,954 Rp 292.00 Rp 20,718,568.00 68,415 Rp 292.00
Amoxicillin kaplet 500 mg Kaplet - - - - - - - Rp - - Rp - Rp - - Rp -
18 Amoxicillin sirup kering 125 mg/ 5 ml Botol 1,079 Rp 2,200.00 2,373,800.00 - 350 400 450 2,279 Rp 2,200.00 Rp 5,013,800.00 1,241 Rp 2,200.00 Rp 2,730,200.00 1,038 Rp 2,200.00
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Amoxicillin sirup kering 125 mg/ 5 ml Botol - - - - - - - Rp - - Rp - Rp - - Rp -
19 Antalgin injeksi 250 mg/ml - 2 ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
20 Antalgin (metampiron) tablet 500 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
21 Antasida DOEN tablet kombinasi Tablet 25,554 Rp 64.00 1,635,456.00 - 2,000 5,000 5,000 37,554 Rp 64.00 Rp 2,403,456.00 19,001 Rp 64.00 Rp 1,216,064.00 18,553 Rp 64.00
Antasida DOEN tablet kombinasi Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
22 Antasida DOEN sirup Botol 897 Rp 2,300.00 2,063,100.00 200 300 500 600 2,497 Rp 2,300.00 Rp 5,743,100.00 1,694 Rp 2,300.00 Rp 3,896,200.00 803 Rp 2,300.00
Antasida DOEN sirup Botol - Rp 2,106.00 - - - - - - Rp 2,106.00 Rp - - Rp 2,106.00 Rp - - Rp 2,106.00
Antasida DOEN sirup Botol - - - - - - - Rp - - Rp - Rp - - Rp -
23 Antibakteri DOEN salep kombinasi Tube 347 Rp 2,741.00 951,127.00 100 - 500 300 1,247 Rp 2,741.00 Rp 3,418,027.00 779 Rp 2,741.00 Rp 2,135,239.00 468 Rp 2,741.00
Antibakteri DOEN salep kombinasi Tube - - - - - - - Rp - - Rp - Rp - - Rp -
24 Antifungi DOEN kombinasi Pot 148 Rp 4,782.00 707,736.00 - - 72 - 220 Rp 4,782.00 Rp 1,052,040.00 186 Rp 4,782.00 Rp 889,452.00 34 Rp 4,782.00
25 Antihemoroid DOEN kombinasi Supp 490 Rp 3,502.00 1,715,980.00 - - - - 490 Rp 3,502.00 Rp 1,715,980.00 33 Rp 3,502.00 Rp 115,566.00 457 Rp 3,502.00
26 Antimalaria DOEN kombinasi Tablet - Rp 570.00 - - 200 1,000 - 1,200 Rp 570.00 Rp 684,000.00 200 Rp 570.00 Rp 114,000.00 1,000 Rp 570.00
27 Antimigrain DOEN kombinasi Tablet 2,100 Rp 146.00 306,600.00 - - 1,500 1,000 4,600 Rp 146.00 Rp 671,600.00 200 Rp 146.00 Rp 29,200.00 4,400 Rp 146.00
Antimigrain DOEN kombinasi Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
28 Asam Askorbat (Vit.C) tablet 50 mg Tablet 1,739 Rp 120.00 208,680.00 14,000 7,000 30,000 21,600 74,339 Rp 120.00 Rp 8,920,680.00 52,299 Rp 120.00 Rp 6,275,880.00 22,040 Rp 120.00
29 Asam Folat ( Vitamin B9) tablet 400 mc Tablet - - - - 5,000 - 5,000 Rp - 165 Rp - Rp - 4,835 Rp -
30 Asam Mefenamat kaplet 500 mg Kaplet 27,114 Rp 113.00 3,063,882.00 1,000 3,000 10,000 10,000 51,114 Rp 113.00 Rp 5,775,882.00 29,430 Rp 113.00 Rp 3,325,590.00 21,684 Rp 113.00
Asam Mefenamat kaplet 500 mg Kaplet - - - - - - - Rp - - Rp - Rp - - Rp -
31 Asam Traneksamat Tablet - - - - - 200 200 Rp - 70 Rp - Rp - 130 Rp -
32 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml Ampul - Rp 1,672.00 - - - 100 - 100 Rp 1,672.00 Rp 167,200.00 - Rp 1,672.00 Rp - 100 Rp 1,672.00
33 Atropin Sulfat tablet 0,5 mg Tablet 200 Rp 81.00 16,200.00 - - 500 200 900 Rp 81.00 Rp 72,900.00 - Rp 81.00 Rp - 900 Rp 81.00
34 Attapulgit tablet 600 mg Tablet 2,000 Rp 173.00 346,000.00 - - 2,000 500 4,500 Rp 173.00 Rp 778,500.00 2,334 Rp 173.00 Rp 403,782.00 2,166 Rp 173.00
Attapulgit tablet 630 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
35 Betahistin Mesilat tablet 6 mg Tablet - Rp 812.31 - 500 2,000 1,000 600 4,100 Rp 812.31 Rp 3,330,471.00 1,115 Rp 812.31 Rp 905,725.65 2,985 Rp 812.31
Betahistin Mesilat tablet 6 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
36 Betametason krim 0,1% Tube 244 Rp 1,596.00 389,424.00 120 240 256 120 980 Rp 1,596.00 Rp 1,564,080.00 550 Rp 1,596.00 Rp 877,800.00 430 Rp 1,596.00
Betametason krim 0,1% Tube - Rp 1,435.00 - - - - - - Rp 1,435.00 Rp - - Rp 1,435.00 Rp - - Rp 1,435.00
Betametason krim 0,1% Tube - - - - - - - Rp - - Rp - Rp - - Rp -
37 Bisakodil Suppositoria 10 mg Supp 410 - - - - 50 460 Rp - 421 Rp - Rp - 39 Rp -
38 Bisakodil tablet 5 mg Tablet - - - - - 300 300 Rp - 35 Rp - Rp - 265 Rp -
39 Bromhexine HCL tablet 8 mg (Bronex) Tablet - Rp 96.00 - - 1,000 1,000 3,000 5,000 Rp 96.00 Rp 480,000.00 2,030 Rp 96.00 Rp 194,880.00 2,970 Rp 96.00
Bromhexine HCL tablet 8 mg (Bronex) Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
40 Calcium Lactate (Kalk) tabet 500 mg Tablet 20,791 Rp 76.00 1,580,116.00 - 3,000 8,000 - 31,791 Rp 76.00 Rp 2,416,116.00 23,816 Rp 76.00 Rp 1,810,016.00 7,975 Rp 76.00
Calcium Lactate (Kalk) tabet 500 mg Tablet - Rp 75.99 - - - - - - Rp 75.99 Rp - - Rp 75.99 Rp - - Rp 75.99
Calcium Lactate (Kalk) tabet 500 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
41 Captopril tablet 25 mg Tablet 4,800 Rp 100.00 480,000.00 - 1,000 5,000 2,000 12,800 Rp 100.00 Rp 1,280,000.00 5,584 Rp 100.00 Rp 558,400.00 7,216 Rp 100.00
Captopril tablet 25 mg Tablet - Rp 72.00 - - - - - - Rp 72.00 Rp - - Rp 72.00 Rp - - Rp 72.00
Captopril tablet 25 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
42 Carbamazepine kaplet 200 mg Kaplet 18,755 Rp 269.00 5,045,095.00 - - 3,000 10,000 31,755 Rp 269.00 Rp 8,542,095.00 22,425 Rp 269.00 Rp 6,032,325.00 9,330 Rp 269.00
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Carbamazepine kaplet 200 mg Kaplet - - - - - - - Rp - - Rp - Rp - - Rp -
43 Cetirizin tablet 10 mg Tablet - Rp 154.00 - - - 5,000 1,000 6,000 Rp 154.00 Rp 924,000.00 5,471 Rp 154.00 Rp 842,534.00 529 Rp 154.00
Cetirizin tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
44 Chlorampenicol kapsul 250 mg Kapsul 5,015 Rp 379.50 1,903,192.50 1,500 3,000 2,000 2,000 13,515 Rp 379.50 Rp 5,128,942.50 8,140 Rp 379.50 Rp 3,089,130.00 5,375 Rp 379.50
Chlorampenicol kapsul 250 mg Kapsul - Rp 352.00 - - - - - - Rp 352.00 Rp - - Rp 352.00 Rp - - Rp 352.00
45 Chlorampenicol salep Mata 1% Tube 9 - - - - - 9 Rp - 9 Rp - Rp - - Rp -
46 Chloramphenicol sirup 125 mg / 5 ml Botol - Rp 4,000.00 - 200 200 - 400 800 Rp 4,000.00 Rp 3,200,000.00 453 Rp 4,000.00 Rp 1,812,000.00 347 Rp 4,000.00
Chloramphenicol sirup 125 mg / 5 ml Botol - - - - - - - Rp - - Rp - Rp - - Rp -
47 Chloramphenicol Tetes Mata 0,5% (Reco Botol - Rp 7,393.00 - 50 250 375 - 675 Rp 7,393.00 Rp 4,990,275.00 250 Rp 7,393.00 Rp 1,848,250.00 425 Rp 7,393.00
Chloramphenicol Tetes Mata 0,5% (Deca Botol - - - - - - - Rp - - Rp - Rp - - Rp -
48 Chloramphenicol Tetes Telinga 3% Botol - - - - - - - Rp - - Rp - Rp - - Rp -
49 Chlorpheniramine Maleat (CTM) tab.4 Tablet 2,038 Rp 45.00 91,710.00 19,800 19,800 20,000 19,800 81,438 Rp 45.00 Rp 3,664,710.00 49,381 Rp 45.00 Rp 2,222,145.00 32,057 Rp 45.00
Chlorpheniramine Maleat (CTM) tab.4 Tablet - - - - - - Rp - - Rp - Rp - - Rp -
50 Chlorpromazine HCl injeksi 5 mg/ml Ampul 150 - - - 60 - 210 Rp - 150 Rp - Rp - 60 Rp -
51 Chlorpromazine injeksi 25 mg/ml Ampul - Rp 1,425.00 - - - 30 - 30 Rp 1,425.00 Rp 42,750.00 - Rp 1,425.00 Rp - 30 Rp 1,425.00
52 Chlorpromazine HCl tablet 25 mg Tablet 1,910 Rp 170.00 324,700.00 - 500 1,000 - 3,410 Rp 170.00 Rp 579,700.00 170 Rp 170.00 Rp 28,900.00 3,240 Rp 170.00
53 Chlorpromazine HCl tablet 100 mg Tablet 1,496 Rp 179.00 267,784.00 - 3,000 5,000 3,000 12,496 Rp 179.00 Rp 2,236,784.00 7,454 Rp 179.00 Rp 1,334,266.00 5,042 Rp 179.00
Chlorpromazine HCl tablet 100 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
54 Cimetidine tablet 200 mg Tablet 2,530 Rp 136.00 344,080.00 1,000 1,000 2,000 2,000 8,530 Rp 136.00 Rp 1,160,080.00 5,370 Rp 136.00 Rp 730,320.00 3,160 Rp 136.00
Cimetidine tablet 200 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
55 Ciprofloxacin tablet 500 mg Tablet 22,990 Rp 265.00 6,092,350.00 6,900 - 6,900 - 36,790 Rp 265.00 Rp 9,749,350.00 5,985 Rp 265.00 Rp 1,586,025.00 30,805 Rp 265.00
Ciprofloxacin tablet 500 mg Tablet - Rp 298.00 - - - - - - Rp 298.00 Rp - - Rp 298.00 Rp - - Rp 298.00
Ciprofloxacin tablet 500 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
56 Clonidine tablet 0,15 mg Tablet 3,810 Rp 145.00 552,450.00 - - 200 - 4,010 Rp 145.00 Rp 581,450.00 3,810 Rp 145.00 Rp 552,450.00 200 Rp 145.00
Clonidine tablet 0,15 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
57 Codein HCL tablet 10 mg Tablet - Rp 550.00 - - - - - - Rp 550.00 Rp - - Rp 550.00 Rp - - Rp 550.00
Codein HCL tablet 10 mg Tablet - Rp 630.00 - - - - - - Rp 630.00 Rp - - Rp 630.00 Rp - - Rp 630.00
Codein HCL tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
58 Cotrimoxazole Dewasa Tablet 9,634 Rp 158.00 1,522,172.00 4,000 3,000 5,000 7,000 28,634 Rp 158.00 Rp 4,524,172.00 13,355 Rp 158.00 Rp 2,110,090.00 15,279 Rp 158.00
Cotrimoxazole Dewasa Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
59 Cotrimoxazole Pediatrik Tablet - Rp 150.00 - - - 500 - 500 Rp 150.00 Rp 75,000.00 - Rp 150.00 Rp - 500 Rp 150.00
Cotrimoxazole Pediatrik Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
60 Cotrimoxazole Suspensi Botol 686 Rp 2,225.00 1,526,350.00 - 100 250 150 1,186 Rp 2,225.00 Rp 2,638,850.00 577 Rp 2,225.00 Rp 1,283,825.00 609 Rp 2,225.00
Cotrimoxazole Suspensi Botol - - - - - - - Rp - - Rp - Rp - - Rp -
61 Cyanocobalamin (Vit.B12) injeksi 500 mcg/ml Ampul 100 Rp 1,226.00 122,600.00 100 - 500 100 800 Rp 1,226.00 Rp 980,800.00 2 Rp 1,226.00 Rp 2,452.00 798 Rp 1,226.00
Cyanocobalamin (Vit.B12) injeksi 500 mcg/ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
62 Dekstromethorphan HBr sirup 10 mg/5 Botol - - - - - - - Rp - - Rp - Rp - - Rp -
63 Dekstrometorphan HBr tablet 15 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
64 Dexamethasone injeksi 5 mg/ml Ampul 199 Rp 1,738.00 345,862.00 100 - 200 - 499 Rp 1,738.00 Rp 867,262.00 499 Rp 1,738.00 Rp 867,262.00 - Rp 1,738.00
Dexamethasone injeksi 5 mg/ml Ampul - Rp 1,740.00 - - - - - - Rp 1,740.00 Rp - - Rp 1,740.00 Rp - - Rp 1,740.00
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Dexamethasone injeksi 5 mg/ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
65 Dexamethasone tablet 0,5 mg Tablet 3,710 Rp 48.00 178,080.00 16,500 10,000 20,000 16,500 66,710 Rp 48.00 Rp 3,202,080.00 41,235 Rp 48.00 Rp 1,979,280.00 25,475 Rp 48.00
Dexamethasone tablet 0,5 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
66 Diazepam injeksi 5 mg/ml - 2 ml Ampul 12 - - - - - 12 Rp - - Rp - Rp - 12 Rp -
67 Diazepam tablet 2 mg Tablet 6,200 Rp 123.00 762,600.00 1,000 500 - - 7,700 Rp 123.00 Rp 947,100.00 7,651 Rp 123.00 Rp 941,073.00 49 Rp 123.00
68 Diazepam tablet 5 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
69 Diazepam 5 mg/ml Enema Rektal (Stesol Supp - - - - - 50 50 Rp - - Rp - Rp - 50 Rp -
70 Dietilkarbamazin sitrat tablet 100 mg Tablet - Rp 128.00 - - - 500 - 500 Rp 128.00 Rp 64,000.00 - Rp 128.00 Rp - 500 Rp 128.00
71 Digoksin tablet 0,25 mg Tablet 2,200 Rp 103.00 226,600.00 - 300 1,000 - 3,500 Rp 103.00 Rp 360,500.00 2,500 Rp 103.00 Rp 257,500.00 1,000 Rp 103.00
Digoksin tablet 0,25 mg Tablet - Rp 108.00 - - - - - - Rp 108.00 Rp - - Rp 108.00 Rp - - Rp 108.00
Digoksin tablet 0,25 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
72 Diltiazem HCl tablet 30 mg Tablet 1,938 Rp 141.00 273,258.00 1,300 500 1,000 500 5,238 Rp 141.00 Rp 738,558.00 3,548 Rp 141.00 Rp 500,268.00 1,690 Rp 141.00
Diltiazem HCl tablet 30 mg Tablet - Rp 129.00 - - - - - - Rp 129.00 Rp - - Rp 129.00 Rp - - Rp 129.00
Diltiazem HCl tablet 30 mg Tablet - Rp 135.00 - - - - - - Rp 135.00 Rp - - Rp 135.00 Rp - - Rp 135.00
Diltiazem HCl tablet 30 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
73 Diphenhydramine HCl inj 10 mg/ml-1 ml Ampul 30 Rp 1,156.00 34,680.00 - - 150 30 210 Rp 1,156.00 Rp 242,760.00 15 Rp 1,156.00 Rp 17,340.00 195 Rp 1,156.00
Diphenhydramine HCl inj 10 mg/ml-1 ml Ampul - Rp 1,354.00 - - - - - - Rp 1,354.00 Rp - - Rp 1,354.00 Rp - - Rp 1,354.00
Diphenhydramine HCl inj 10 mg/ml-1 ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
74 Doksisiklin kapsul 100 mg Kapsul 400 Rp 250.00 100,000.00 1,200 - 500 1,000 3,100 Rp 250.00 Rp 775,000.00 2,100 Rp 250.00 Rp 525,000.00 1,000 Rp 250.00
Doksisiklin kapsul 100 mg Kapsul - Rp 298.00 - - - - - - Rp 298.00 Rp - - Rp 298.00 Rp - - Rp 298.00
Doksisiklin kapsul 100 mg Kapsul - Rp 309.00 - - - - - - Rp 309.00 Rp - - Rp 309.00 Rp - - Rp 309.00
Doksisiklin kapsul 100 mg Kapsul - - - - - - - Rp - - Rp - Rp - - Rp -
75 Domperidone suspensi 5mg/5ml Botol 47 Rp 3,180.00 149,460.00 50 20 - - 117 Rp 3,180.00 Rp 372,060.00 108 Rp 3,180.00 Rp 343,440.00 9 Rp 3,180.00
76 Domperidone tablet 10 mg Tablet 14,011 Rp 174.00 2,437,914.00 - - 500 - 14,511 Rp 174.00 Rp 2,524,914.00 3,071 Rp 174.00 Rp 534,354.00 11,440 Rp 174.00
Domperidone tablet 10 mg Tablet - Rp 133.00 - - - - - - Rp 133.00 Rp - - Rp 133.00 Rp - - Rp 133.00
Domperidone tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
77 Efedrin HCl tablet 25 mg Tablet - Rp 56.39 - - - - - Rp 56.39 Rp - - Rp 56.39 Rp - - Rp 56.39
78 Ekstrak Belladon tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
79 Epinephrine HCl inj 0,1% - 1 ml Ampul - Rp 2,354.00 - - - 100 - 100 Rp 2,354.00 Rp 235,400.00 100 Rp 2,354.00 Rp 235,400.00 - Rp 2,354.00
Epinephrine HCl inj 0,1% - 1 ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
80 Erythromycin sirup Botol 230 Rp 8,090.00 1,860,700.00 - - 120 - 350 Rp 8,090.00 Rp 2,831,500.00 236 Rp 8,090.00 Rp 1,909,240.00 114 Rp 8,090.00
Erythromycin sirup Botol - Rp 7,039.00 - - - - - - Rp 7,039.00 Rp - - Rp 7,039.00 Rp - - Rp 7,039.00
Erythromycin sirup Botol - - - - - - - Rp - - Rp - Rp - - Rp -
81 Erythromycin kapsul 250 mg Kapsul 190 Rp 522.00 99,180.00 100 - 1,000 400 1,690 Rp 522.00 Rp 882,180.00 160 Rp 522.00 Rp 83,520.00 1,530 Rp 522.00
Erythromycin kapsul 250 mg Kapsul - Rp 651.00 - - - - - - Rp 651.00 Rp - - Rp 651.00 Rp - - Rp 651.00
82 Erythromycin kaplet 500 mg Kaplet 2,470 Rp 766.00 1,892,020.00 - - 300 300 3,070 Rp 766.00 Rp 2,351,620.00 1,270 Rp 766.00 Rp 972,820.00 1,800 Rp 766.00
83 Etakridin laktat 0,1 % (Rivanol) Botol - Rp 5,149.00 - 72 24 120 - 216 Rp 5,149.00 Rp 1,112,184.00 52 Rp 5,149.00 Rp 267,748.00 164 Rp 5,149.00
84 Ethanol 70% (100 ML) Botol 433 Rp 2,625.00 1,136,625.00 - - 100 - 533 Rp 2,625.00 Rp 1,399,125.00 146 Rp 2,625.00 Rp 383,250.00 387 Rp 2,625.00
Ethanol 70% (1000 ML) Botol - - - - - - - Rp - - Rp - Rp - - Rp -
85 Etil chlorida semprot Botol 1 Rp 128,000.00 128,000.00 3 10 10 - 24 Rp 128,000.00 Rp 3,072,000.00 23 Rp 128,000.00 Rp 2,944,000.00 1 Rp 128,000.00
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
86 Eugenol cairan Botol 10 - - - - - 10 Rp - 10 Rp - Rp - - Rp -
87 Fenitoin natrium injeksi 50mg/ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
88 Fluour tablet 0,5 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
89 Furosemide tablet 40 mg Tablet 2,890 Rp 91.00 262,990.00 600 600 1,000 600 5,690 Rp 91.00 Rp 517,790.00 2,610 Rp 91.00 Rp 237,510.00 3,080 Rp 91.00
Furosemide tablet 40 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
90 Garam Oralit untuk 200 ml - air Sachet 3,420 Rp 274.00 937,080.00 - - 1,000 500 4,920 Rp 274.00 Rp 1,348,080.00 1,772 Rp 274.00 Rp 485,528.00 3,148 Rp 274.00
Garam Oralit untuk 200 ml - air Sachet - - - - - - - Rp - - Rp - Rp - - Rp -
91 Gention violet 1 % Botol 278 - - - - - 278 Rp - 69 Rp - Rp - 209 Rp -
92 Glass ionomer cement (gx ic) Set 6 Rp 547,800.00 3,286,800.00 - 8 10 - 24 Rp 547,800.00 Rp 13,147,200.00 14 Rp 547,800.00 Rp 7,669,200.00 10 Rp 547,800.00
Glass ionomer cement (gx ic) Set - - - - - - - Rp - - Rp - Rp - - Rp -
93 Glibenklamide tablet 5 mg Tablet 11,185 Rp 180.00 2,013,300.00 1,000 4,000 5,000 - 21,185 Rp 180.00 Rp 3,813,300.00 10,235 Rp 180.00 Rp 1,842,300.00 10,950 Rp 180.00
Glibenklamide tablet 5 mg Tablet - Rp 101.00 - - - - - - Rp 101.00 Rp - - Rp 101.00 Rp - - Rp 101.00
94 Glyceryl guaiacolate tablet 100 mg Tablet - Rp 33.00 - 3,000 2,000 2,000 1,000 8,000 Rp 33.00 Rp 264,000.00 8,000 Rp 33.00 Rp 264,000.00 - Rp 33.00
95 Gliserin sirup Botol - Rp 5,867.00 - - - - - - Rp 5,867.00 Rp - - Rp 5,867.00 Rp - - Rp 5,867.00
96 Glukosa larutan infus 5% steril Botol 66 Rp 6,900.00 455,400.00 60 40 40 - 206 Rp 6,900.00 Rp 1,421,400.00 47 Rp 6,900.00 Rp 324,300.00 159 Rp 6,900.00
97 Griseofulvin tablet 125 mg, micronized Tablet 3,975 Rp 241.00 957,975.00 - - 1,000 600 5,575 Rp 241.00 Rp 1,343,575.00 1,100 Rp 241.00 Rp 265,100.00 4,475 Rp 241.00
Griseofulvin tablet 125 mg, micronized Tablet - Rp 245.00 - - - - - - Rp 245.00 Rp - - Rp 245.00 Rp - - Rp 245.00
Griseofulvin tablet 125 mg, micronized Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
98 Guaifenisin tablet 100 mg Tablet - - - - - 10,000 10,000 Rp - 4,550 Rp - Rp - 5,450 Rp -
99 Haloperidol tablet 0,5 mg Tablet 1,600 Rp 62.00 99,200.00 - - 1,000 500 3,100 Rp 62.00 Rp 192,200.00 10 Rp 62.00 Rp 620.00 3,090 Rp 62.00
Haloperidol tablet 0,5 mg Tablet - Rp 55.70 - - - - - - Rp 55.70 Rp - - Rp 55.70 Rp - - Rp 55.70
Haloperidol tablet 0,5 mg Tablet - Rp 64.00 - - - - - - Rp 64.00 Rp - - Rp 64.00 Rp - - Rp 64.00
Haloperidol tablet 0,5 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
100 Haloperidol tablet 1,5 mg Tablet 17,591 Rp 74.00 1,301,734.00 - - 5,000 1,000 23,591 Rp 74.00 Rp 1,745,734.00 10,655 Rp 74.00 Rp 788,470.00 12,936 Rp 74.00
Haloperidol tablet 1,5 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
101 Haloperidol tablet 5 mg Tablet 12,800 Rp 105.00 1,344,000.00 - - 2,000 7,000 21,800 Rp 105.00 Rp 2,289,000.00 14,220 Rp 105.00 Rp 1,493,100.00 7,580 Rp 105.00
Haloperidol tablet 5 mg Tablet - Rp 98.00 - - - - - - Rp 98.00 Rp - - Rp 98.00 Rp - - Rp 98.00
Haloperidol tablet 5 mg Tablet - - - - - - Rp - - Rp - Rp - - Rp -
102 Hidroklortiazide (HCT) tablet 25 mg Tablet 2,000 Rp 39.93 79,860.00 - - 1,000 2,000 5,000 Rp 39.93 Rp 199,650.00 3,100 Rp 39.93 Rp 123,783.00 1,900 Rp 39.93
Hidroklortiazide (HCT) tablet 25 mg Tablet - Rp 171.00 - - - - - - Rp 171.00 Rp - - Rp 171.00 Rp - - Rp 171.00
103 Hidrokortison krim 2,5% Tube 539 Rp 2,938.00 1,583,582.00 48 288 504 240 1,619 Rp 2,938.00 Rp 4,756,622.00 1,066 Rp 2,938.00 Rp 3,131,908.00 553 Rp 2,938.00
Hidrokortison krim 2,5% Tube - Rp 2,812.00 - - - - - - Rp 2,812.00 Rp - - Rp 2,812.00 Rp - - Rp 2,812.00
104 Hyoscine -n- Butilbromide Tablet - Rp 1,355.00 - 500 - 100 500 1,100 Rp 1,355.00 Rp 1,490,500.00 335 Rp 1,355.00 Rp 453,925.00 765 Rp 1,355.00
Hyoscine -n- Butilbromide Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
105 Ibuprofen tablet 200 mg Tablet 280 Rp 111.00 31,080.00 1,000 1,000 2,000 1,000 5,280 Rp 111.00 Rp 586,080.00 1,570 Rp 111.00 Rp 174,270.00 3,710 Rp 111.00
Ibuprofen tablet 200 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
106 Ibuprofen tablet 400 mg Tablet 4,180 Rp 133.00 555,940.00 500 3,000 800 3,000 11,480 Rp 133.00 Rp 1,526,840.00 9,245 Rp 133.00 Rp 1,229,585.00 2,235 Rp 133.00
Ibuprofen tablet 400 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
107 Isosorbide Dinitrat tablet sublingual 5 m Tablet 1,700 Rp 98.00 166,600.00 - - - - 1,700 Rp 98.00 Rp 166,600.00 100 Rp 98.00 Rp 9,800.00 1,600 Rp 98.00
Isosorbide Dinitrat tablet sublingual 5 m Tablet - Rp 93.00 - - - - - - Rp 93.00 Rp - - Rp 93.00 Rp - - Rp 93.00
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
108 Kalsium Hidroksida pasta Tube - Rp 242,000.00 - - - 5 - 5 Rp 242,000.00 Rp 1,210,000.00 - Rp 242,000.00 Rp - 5 Rp 242,000.00
Kalsium Hidroksida pasta Tube - - - - - - - Rp - - Rp - Rp - - Rp -
109 Ketoconazole tablet 200 mg Tablet - Rp 320.00 - - - 100 - 100 Rp 320.00 Rp 32,000.00 100 Rp 320.00 Rp 32,000.00 - Rp 320.00
Ketoconazole tablet 200 mg Tablet - Rp 360.00 - - - - - - Rp 360.00 Rp - - Rp 360.00 Rp - - Rp 360.00
Ketoconazole tablet 200 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
110 Ketoconazole Krim Tube 225 Rp 4,400.00 990,000.00 - - 25 - 250 Rp 4,400.00 Rp 1,100,000.00 25 Rp 4,400.00 Rp 110,000.00 225 Rp 4,400.00
111 Lidokain kompositum injeksi Ampul - - - - - 500 500 Rp - 500 Rp - Rp - - Rp -
112 Lidokain injeksi 2% HCl Ampul 9 Rp 875.00 7,875.00 500 500 600 - 1,609 Rp 875.00 Rp 1,407,875.00 1,212 Rp 875.00 Rp 1,060,500.00 397 Rp 875.00
113 Loperamide tablet 2 mg Tablet 4,110 Rp 97.00 398,670.00 - - - 3,000 7,110 Rp 97.00 Rp 689,670.00 4,510 Rp 97.00 Rp 437,470.00 2,600 Rp 97.00
Loperamide tablet 2 mg Tablet - Rp - - - - - - - Rp - Rp - - Rp - Rp - - Rp -
114 Loratadine tablet 10 mg Tablet 4,280 Rp 170.00 727,600.00 - 500 1,000 5,000 10,780 Rp 170.00 Rp 1,832,600.00 5,578 Rp 170.00 Rp 948,260.00 5,202 Rp 170.00
Loratadine tablet 10 mg Tablet - Rp 149.00 - - - - - - Rp 149.00 Rp - - Rp 149.00 Rp - - Rp 149.00
115 Magnesium Sulfat Injeksi 20% Botol - Rp 3,200.00 - - - 60 240 300 Rp 3,200.00 Rp 960,000.00 300 Rp 3,200.00 Rp 960,000.00 - Rp 3,200.00
116 Mebendazol tablet 100 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
117 Metformin tablet 500 mg Tablet 3,815 Rp 115.00 438,725.00 1,000 - 1,000 7,200 13,015 Rp 115.00 Rp 1,496,725.00 8,225 Rp 115.00 Rp 945,875.00 4,790 Rp 115.00
Metformin tablet 500 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
118 Methylergometrin maleat injeksi 0,200 mg - 1 ml Tablet 179 Rp 2,750.00 492,250.00 100 - - - 279 Rp 2,750.00 Rp 767,250.00 53 Rp 2,750.00 Rp 145,750.00 226 Rp 2,750.00
Methylergometrin maleat injeksi 0,200 mg - 1 ml Tablet - Rp 2,684.00 - - - - - - Rp 2,684.00 Rp - - Rp 2,684.00 Rp - - Rp 2,684.00
Methylergometrin maleat injeksi 0,200 mg - 1 ml Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
119 Methyergometrin maleat tablet salut 0,125 mg Tablet 970 Rp 153.64 149,030.80 100 - 300 - 1,370 Rp 153.64 Rp 210,486.80 398 Rp 153.64 Rp 61,148.72 972 Rp 153.64
Methyergometrin maleat tablet salut 0,125 mg Tablet - Rp 303.00 - - - - - - Rp 303.00 Rp - - Rp 303.00 Rp - - Rp 303.00
Methyergometrin maleat tablet salut 0,125 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
120 Methylprednisolon tablet 4 mg Tablet 875 Rp 200.00 175,000.00 1,000 - 500 2,000 4,375 Rp 200.00 Rp 875,000.00 3,282 Rp 200.00 Rp 656,400.00 1,093 Rp 200.00
Methylprednisolon tablet 4 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
121 Metoclopramide HCl injeksi 5 mg/ml Ampul - Rp 4,236.00 - - - 60 - 60 Rp 4,236.00 Rp 254,160.00 - Rp 4,236.00 Rp - 60 Rp 4,236.00
Metoclopramide HCl injeksi 5 mg/ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
122 Metoclopramide sirup Botol 257 Rp 2,900.00 745,300.00 60 - - - 317 Rp 2,900.00 Rp 919,300.00 130 Rp 2,900.00 Rp 377,000.00 187 Rp 2,900.00
123 Metoclopramide tablet 5 mg Tablet 794 Rp 113.00 89,722.00 - - 1,000 2,000 3,794 Rp 113.00 Rp 428,722.00 915 Rp 113.00 Rp 103,395.00 2,879 Rp 113.00
Metoclopramide tablet 5 mg Tablet - Rp 132.00 - - - - - - Rp 132.00 Rp - - Rp 132.00 Rp - - Rp 132.00
124 Metoclopramide HCl tablet 10 mg Tablet 1,543 Rp 100.00 154,300.00 500 800 1,000 500 4,343 Rp 100.00 Rp 434,300.00 2,673 Rp 100.00 Rp 267,300.00 1,670 Rp 100.00
Metoclopramide HCl tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
125 Metronidazole tablet 500 mg Tablet 13,255 Rp 140.00 1,855,700.00 500 - - - 13,755 Rp 140.00 Rp 1,925,700.00 13,415 Rp 140.00 Rp 1,878,100.00 340 Rp 140.00
Metronidazole tablet 500 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
126 Miconazole cream 10 g Tube 276 Rp 3,150.00 869,400.00 - 48 50 - 374 Rp 3,150.00 Rp 1,178,100.00 235 Rp 3,150.00 Rp 740,250.00 139 Rp 3,150.00
Miconazole cream 10 g Tube - Rp 3,737.00 - - - - - - Rp 3,737.00 Rp - - Rp 3,737.00 Rp - - Rp 3,737.00
127 Mineral Mix Sachet - - - - - - - Rp - - Rp - Rp - - Rp -
128 Multivitamin Tablet - - - - - 5,000 5,000 Rp - 1,060 Rp - Rp - 3,940 Rp -
129 Multivitamin sirup Botol - - - - - - - Rp - - Rp - Rp - - Rp -
130 Natrium Chlorida lar. Infus 0,9% steril Botol 240 Rp 5,170.00 1,240,800.00 - - - 100 340 Rp 5,170.00 Rp 1,757,800.00 186 Rp 5,170.00 Rp 961,620.00 154 Rp 5,170.00
Natrium Chlorida lar. Infus 0,9% steril Botol - Rp 6,410.00 - - - - - - Rp 6,410.00 Rp - - Rp 6,410.00 Rp - - Rp 6,410.00
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
131 Natrium Diklofenak tablet 50 mg Tablet 7,613 Rp 161.00 1,225,693.00 2,000 5,600 4,000 6,000 25,213 Rp 161.00 Rp 4,059,293.00 15,541 Rp 161.00 Rp 2,502,101.00 9,672 Rp 161.00
Natrium Diklofenak tablet 50 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
132 Nifedipin tablet 10 mg Tablet 5,599 Rp 127.00 711,073.00 - 3,000 6,000 5,000 19,599 Rp 127.00 Rp 2,489,073.00 12,561 Rp 127.00 Rp 1,595,247.00 7,038 Rp 127.00
Nifedipin tablet 10 mg Tablet - Rp 123.00 - - - - - - Rp 123.00 Rp - - Rp 123.00 Rp - - Rp 123.00
Nifedipin tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
133 Nistatin drops Botol - - - - - 10 10 Rp - 10 Rp - Rp - - Rp -
134 Nistatin 100.000 iu/g tablet vaginal Tablet 643 Rp 528.00 339,504.00 100 - 300 - 1,043 Rp 528.00 Rp 550,704.00 14 Rp 528.00 Rp 7,392.00 1,029 Rp 528.00
Nistatin 100.000 iu/g tablet vaginal Tablet - Rp 602.00 - - - - - - Rp 602.00 Rp - - Rp 602.00 Rp - - Rp 602.00
135 Nistatin 500.000 iu tablet salut Tablet 1,060 Rp 704.00 746,240.00 400 300 2,000 - 3,760 Rp 704.00 Rp 2,647,040.00 2,030 Rp 704.00 Rp 1,429,120.00 1,730 Rp 704.00
Nistatin 500.000 iu tablet salut Tablet - Rp 857.00 - - - - - - Rp 857.00 Rp - - Rp 857.00 Rp - - Rp 857.00
136 Obat Batuk Hitam (OBH) cairan Botol 2 Rp 3,960.00 7,920.00 128 928 480 480 2,018 Rp 3,960.00 Rp 7,991,280.00 1,251 Rp 3,960.00 Rp 4,953,960.00 767 Rp 3,960.00
137 Omeprazole kapsul 20 mg Kapsul 15,769 Rp 221.00 3,484,949.00 - - 900 - 16,669 Rp 221.00 Rp 3,683,849.00 2,220 Rp 221.00 Rp 490,620.00 14,449 Rp 221.00
Omeprazole kapsul 20 mg Kapsul - Rp 164.00 - - - - - - Rp 164.00 Rp - - Rp 164.00 Rp - - Rp 164.00
Omeprazole kapsul 20 mg Kapsul - - - - - - - Rp - - Rp - Rp - - Rp -
138 Oxytetrasiklin HCl salep mata Tube - Rp 3,685.00 - 50 125 50 25 250 Rp 3,685.00 Rp 921,250.00 85 Rp 3,685.00 Rp 313,225.00 165 Rp 3,685.00
Oxytetrasiklin HCl salep mata Tube - - - - - - - Rp - - Rp - Rp - - Rp -
139 Oxytetrasiklin HCl salep Kulit 3% Tube 184 - - - - 300 484 Rp - 269 Rp - Rp - 215 Rp -
140 Oxytocin injeksi 10 iu/ml - 1 ml Ampul 200 Rp 2,420.00 484,000.00 - 200 500 - 900 Rp 2,420.00 Rp 2,178,000.00 287 Rp 2,420.00 Rp 694,540.00 613 Rp 2,420.00
Oxytocin injeksi 10 iu/ml - 1 ml Ampul - Rp 1,900.00 - - - - - - Rp 1,900.00 Rp - - Rp 1,900.00 Rp - - Rp 1,900.00
Oxytocin injeksi 10 iu/ml - 1 ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
141 Papaverin tablet 40 mg Tablet 2,880 Rp 128.00 368,640.00 - - 1,000 - 3,880 Rp 128.00 Rp 496,640.00 526 Rp 128.00 Rp 67,328.00 3,354 Rp 128.00
Papaverin tablet 40 mg Tablet - Rp 208.00 - - - - - - Rp 208.00 Rp - - Rp 208.00 Rp - - Rp 208.00
142 Paraformaldehid tablet 1 gram Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
143 Parasetamol Drops Botol 53 Rp 5,720.00 303,160.00 174 112 112 280 731 Rp 5,720.00 Rp 4,181,320.00 440 Rp 5,720.00 Rp 2,516,800.00 291 Rp 5,720.00
Parasetamol Drops Botol - Rp 5,980.00 - - - - - - Rp 5,980.00 Rp - - Rp 5,980.00 Rp - - Rp 5,980.00
144 Parasetamol sirup 120 mg/5 ml Botol 1,109 Rp 1,535.00 1,702,315.00 - - 400 650 2,159 Rp 1,535.00 Rp 3,314,065.00 1,522 Rp 1,535.00 Rp 2,336,270.00 637 Rp 1,535.00
145 Parasetamol tablet 100 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
146 Parasetamol tablet 500 mg Tablet 44,567 Rp 110.00 4,902,370.00 10,000 10,000 25,000 10,000 99,567 Rp 110.00 Rp 10,952,370.00 78,058 Rp 110.00 Rp 8,586,380.00 21,509 Rp 110.00
Parasetamol tablet 500 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
147 Phenobarbital injeksi 50mg/ml Ampul 28 Rp 1,980.00 55,440.00 60 - 30 - 118 Rp 1,980.00 Rp 233,640.00 - Rp 1,980.00 Rp - 118 Rp 1,980.00
Phenobarbital injeksi 50mg/ml Ampul - Rp 2,265.00 - - - - - - Rp 2,265.00 Rp - - Rp 2,265.00 Rp - - Rp 2,265.00
Phenobarbital injeksi 50mg/ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
148 Phenobarbital tablet 30 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
Phenobarbital tablet 30 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
149 Phenol gliserol tetes telinga 10 % Botol 150 Rp 1,108.80 166,320.00 72 48 360 96 726 Rp 1,108.80 Rp 804,988.80 694 Rp 1,108.80 Rp 769,507.20 32 Rp 1,108.80
Phenol gliserol tetes telinga 10 % (karbog Botol - Rp 2,246.00 - - - - - - Rp 2,246.00 Rp - - Rp 2,246.00 Rp - - Rp 2,246.00
Phenol gliserol tetes telinga 10 % (karbog Botol - Rp 2,500.00 - - - - - - Rp 2,500.00 Rp - - Rp 2,500.00 Rp - - Rp 2,500.00
Phenol gliserol tetes telinga 10 % (karbog Botol - - - - - - - Rp - - Rp - Rp - - Rp -
150 Phytomenadion (Vit K) injeksi 2mg/ml- Ampul - Rp 3,754.00 - - - - - - Rp 3,754.00 Rp - - Rp 3,754.00 Rp - - Rp 3,754.00
Phytomenadion (Vit K) injeksi 2mg/ml- Ampul - Rp 4,083.00 - - - - - - Rp 4,083.00 Rp - - Rp 4,083.00 Rp - - Rp 4,083.00
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
151 Phytomenadion (Vit K) injeksi 10mg/ml- Ampul 10 - - 60 - - 70 Rp - 54 Rp - Rp - 16 Rp -
Phytomenadion (Vit K) injeksi 10mg/ml- Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
152 Phytomenadion (Vit K) tablet 10 mg Tablet 800 Rp 690.00 552,000.00 - - 300 100 1,200 Rp 690.00 Rp 828,000.00 375 Rp 690.00 Rp 258,750.00 825 Rp 690.00
Phytomenadion (Vit K) tablet 10 mg Tablet - Rp 796.00 - - - - - - Rp 796.00 Rp - - Rp 796.00 Rp - - Rp 796.00
Phytomenadion (Vit K) tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
153 Piracetam 800 mg Tablet - - - - - 2,000 2,000 Rp - - Rp - Rp - 2,000 Rp -
154 Pirantel Pamoat tablet 125 mg Tablet 985 Rp 318.00 313,230.00 500 - 2,000 300 3,785 Rp 318.00 Rp 1,203,630.00 1,718 Rp 318.00 Rp 546,324.00 2,067 Rp 318.00
Pirantel Pamoat tablet 125 mg - - - - - - - Rp - - Rp - Rp - - Rp -
Pirantel Pamoat tablet 365 mg Tablet - Rp 318.00 - - - - - - Rp 318.00 Rp - - Rp 318.00 Rp - - Rp 318.00
155 Piridoksin HCl tablet 10 mg Tablet - Rp 136.00 - - 1,000 - 7,000 8,000 Rp 136.00 Rp 1,088,000.00 765 Rp 136.00 Rp 104,040.00 7,235 Rp 136.00
Piridoksin HCl tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
156 Piroxicam tablet 20 mg Tablet 5,100 Rp 93.00 474,300.00 - - 500 1,000 6,600 Rp 93.00 Rp 613,800.00 4,570 Rp 93.00 Rp 425,010.00 2,030 Rp 93.00
157 Polikresulen Cairan Botol 68 Rp 18,635.00 1,267,180.00 - - 60 - 128 Rp 18,635.00 Rp 2,385,280.00 48 Rp 18,635.00 Rp 894,480.00 80 Rp 18,635.00
Polikresulen Cairan Botol - Rp 39,543.00 - - - - - - Rp 39,543.00 Rp - - Rp 39,543.00 Rp - - Rp 39,543.00
Polikresulen Cairan Botol - - - - - - - Rp - - Rp - Rp - - Rp -
158 Prednison tablet 5 mg Tablet 11,278 Rp 125.00 1,409,750.00 1,000 5,000 2,000 - 19,278 Rp 125.00 Rp 2,409,750.00 9,687 Rp 125.00 Rp 1,210,875.00 9,591 Rp 125.00
Prednison tablet 5 mg Tablet - Rp 86.00 - - - - - - Rp 86.00 Rp - - Rp 86.00 Rp - - Rp 86.00
159 Primaquine tablet 15 mg Tablet - - - - - 1,000 1,000 Rp 258.00 Rp 258,000.00 1,000 Rp 258.00 Rp 258,000.00 - Rp 258.00
160 Propanolol HCl tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
161 Propanolol HCl tablet 40 mg Tablet 1,785 Rp 114.00 203,490.00 400 - 1,000 - 3,185 Rp 114.00 Rp 363,090.00 485 Rp 114.00 Rp 55,290.00 2,700 Rp 114.00
Propanolol HCl tablet 40 mg Tablet - Rp 84.00 - - - - - - Rp 84.00 Rp - - Rp 84.00 Rp - - Rp 84.00
Propanolol HCl tablet 40 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
162 Propylthiouracil tablet 100 mg Tablet 1,000 Rp 297.00 297,000.00 - - 400 500 1,900 Rp 297.00 Rp 564,300.00 300 Rp 297.00 Rp 89,100.00 1,600 Rp 297.00
Propylthiouracil tablet 100 mg Tablet - Rp 364.00 - - - - - - Rp 364.00 Rp - - Rp 364.00 Rp - - Rp 364.00
163 Quinine dihidroklorida inj. 25% - 2 ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
164 Quinine sulfat tablet 222 mg (7 h2o)l Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
165 Ranitidin injeksi 25mg/2 ml Ampul - Rp 1,340.00 - 100 - 60 - 160 Rp 1,340.00 Rp 214,400.00 101 Rp 1,340.00 Rp 135,340.00 59 Rp 1,340.00
Ranitidin injeksi 25mg/2 ml Ampul - Rp 1,600.00 - - - - - - Rp 1,600.00 Rp - - Rp 1,600.00 Rp - - Rp 1,600.00
Ranitidin injeksi 25mg/2 ml Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
166 Ranitidin tablet 150 mg Tablet 13,615 Rp 115.00 1,565,725.00 3,000 - - - 16,615 Rp 115.00 Rp 1,910,725.00 7,900 Rp 115.00 Rp 908,500.00 8,715 Rp 115.00
Ranitidin tablet 150 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
167 Reserpin tablet 0,25 mg Tablet - Rp 114.00 - - - - - - Rp 114.00 Rp - - Rp 114.00 Rp - - Rp 114.00
168 Retinol (Vit.A) kapsul 100.000 IU Kapsul - Rp 327.00 - 5,000 - - - 5,000 Rp 327.00 Rp 1,635,000.00 5,000 Rp 327.00 Rp 1,635,000.00 - Rp 327.00
Retinol (Vit.A) kapsul 100.000 IU Kapsul - - - - - - - Rp - - Rp - Rp - - Rp -
169 Retinol (Vit.A) kapsul 200.000 IU Kapsul - Rp 505.00 - 5,000 - 3,000 - 8,000 Rp 505.00 Rp 4,040,000.00 8,000 Rp 505.00 Rp 4,040,000.00 - Rp 505.00
Retinol (Vit.A) kapsul 200.000 IU Kapsul - Rp 484.00 - - - - - - Rp 484.00 Rp - - Rp 484.00 Rp - - Rp 484.00
Retinol (Vit.A) kapsul 200.000 IU Kapsul - - - - - - - Rp - - Rp - Rp - - Rp -
170 Ringer Laktat lar infus steril Botol 76 Rp 7,150.00 543,400.00 40 100 80 80 376 Rp 7,150.00 Rp 2,688,400.00 123 Rp 7,150.00 Rp 879,450.00 253 Rp 7,150.00
171 Salbutamol tablet 2 mg Tablet 6,794 Rp 68.00 461,992.00 - - - - 6,794 Rp 68.00 Rp 461,992.00 3,246 Rp 68.00 Rp 220,728.00 3,548 Rp 68.00
Salbutamol tablet 2 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
172 Salep 2-4 kombinasi Pot 207 Rp 2,200.00 455,400.00 72 - 48 - 327 Rp 2,200.00 Rp 719,400.00 113 Rp 2,200.00 Rp 248,600.00 214 Rp 2,200.00
Salep 2-4 kombinasi Pot - Rp 2,797.00 - - - - - - Rp 2,797.00 Rp - - Rp 2,797.00 Rp - - Rp 2,797.00
173 Salisil bedak 2% Kotak 571 Rp 1,066.00 608,686.00 - 100 100 100 871 Rp 1,066.00 Rp 928,486.00 408 Rp 1,066.00 Rp 434,928.00 463 Rp 1,066.00
Salisil bedak 2% Kotak - - - - - - - Rp - - Rp - Rp - - Rp -
174 Semen seng fosfat serbuk dan cairan Set - Rp 591,800.00 - - - - - - Rp 591,800.00 Rp - - Rp 591,800.00 Rp - - Rp 591,800.00
Semen seng fosfat serbuk dan cairan Set - - - - - - - Rp - - Rp - Rp - - Rp -
175 Serum anti tetanus inj.1.500 iu/ampul a Ampul - - - - - - - Rp - - Rp - Rp - - Rp -
176 Simvastatin tablet 10 mg Tablet 1,320 Rp 135.00 178,200.00 990 2,400 10,000 2,490 17,200 Rp 135.00 Rp 2,322,000.00 8,180 Rp 135.00 Rp 1,104,300.00 9,020 Rp 135.00
Simvastatin tablet 10 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
177 Sulfadimidin tablet 500 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
178 Sulfasetamid Natrium tetes mata 15% Botol - - - - - - - Rp - - Rp - Rp - - Rp -
179 Tablet tambah darah kombinasi Tablet - Rp 835.00 - 12,000 7,200 15,000 43,200 77,400 Rp 835.00 Rp 64,629,000.00 44,060 Rp 835.00 Rp 36,790,100.00 33,340 Rp 835.00
Tablet tambah darah kombinasi Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
180 Temporary stopping fletcher serbuk /cai Set 9 - - - - - 9 Rp - 9 Rp - Rp - - Rp -
181 Tetrakain HCl tetes mata Botol - - - - - - - Rp - - Rp - Rp - - Rp -
182 Tetrasiklin HCl kapsul 250 mg Kapsul 1,625 Rp 174.00 282,750.00 - - 500 - 2,125 Rp 174.00 Rp 369,750.00 1,625 Rp 174.00 Rp 282,750.00 500 Rp 174.00
Tetrasiklin HCl kapsul 250 mg Kapsul - - - - - - - Rp - - Rp - Rp - - Rp -
183 Tetrasiklin HCl kapsul 500 mg Kapsul 1,484 Rp 329.00 488,236.00 - - 500 - 1,984 Rp 329.00 Rp 652,736.00 875 Rp 329.00 Rp 287,875.00 1,109 Rp 329.00
184 Thiamin (Vit.B1) injeksi 100 mg/ml - 1 m Ampul - Rp 1,298.00 - - - - - - Rp 1,298.00 Rp - - Rp 1,298.00 Rp - - Rp 1,298.00
Thiamin (Vit.B1) injeksi 100 mg/ml - 1 m Ampul - - - - - - Rp - - Rp - Rp - - Rp -
185 Thiamin (Vit.B1) tablet 50 mg Tablet 36,731 Rp 59.77 2,195,448.60 - - - - 36,731 Rp 59.77 Rp 2,195,448.60 7,548 Rp 59.77 Rp 451,151.51 29,183 Rp 59.77
Thiamin (Vit.B1) tablet 50 mg Tablet - Rp 91.00 - - - - - - Rp 91.00 Rp - - Rp 91.00 Rp - - Rp 91.00
Thiamin (Vit.B1) tablet 50 mg Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
186 Thiamphenicol kapsul 500 mg Kapsul 3,680 Rp 1,014.00 3,731,520.00 6,000 3,000 1,000 6,000 19,680 Rp 1,014.00 Rp 19,955,520.00 6,935 Rp 1,014.00 Rp 7,032,090.00 12,745 Rp 1,014.00
Thiamphenicol kapsul 500 mg Kapsul - - - - - - - Rp - - Rp - Rp - - Rp -
187 Triheksifenidil tablet 2 mg Tablet - - - - - - Rp - - Rp - Rp - - Rp -
Triheksifenidil tablet 2 mg Tablet - - 1,000 - - 20,000 21,000 Rp 80.00 Rp 1,680,000.00 3,515 Rp 80.00 Rp 281,200.00 17,485 Rp 80.00
188 Vaksin Anti Rabies (VAR-Verorab) Kuur - Rp 697,998.40 - - - - - - Rp 697,998.40 Rp - - Rp 697,998.40 Rp - - Rp 697,998.40
189 Vaksin Jerap Tetanus (Toxoid) Ampul - - - - - 20 20 Rp - 20 Rp - Rp - - Rp -
190 Vitamin B Kompleks tablet Tablet 13,636 Rp 132.00 1,799,952.00 30,000 18,800 30,000 37,600 130,036 Rp 132.00 Rp 17,164,752.00 104,297 Rp 132.00 Rp 13,767,204.00 25,739 Rp 132.00
191 Yodium Povidon larutan 10% 30 ml Botol 114 Rp 2,344.00 267,216.00 - 20 330 - 464 Rp 2,344.00 Rp 1,087,616.00 80 Rp 2,344.00 Rp 187,520.00 384 Rp 2,344.00
Yodium Povidon larutan 10% 30 ml Botol - - - - - - - Rp - - Rp - Rp - - Rp -
192 Yodium Povidon larutan 10% 300 ml Botol 97 Rp 15,386.00 1,492,442.00 - 72 55 - 224 Rp 15,386.00 Rp 3,446,464.00 224 Rp 15,386.00 Rp 3,446,464.00 - Rp 15,386.00
Yodium Povidon larutan 10% 300 ml Botol - - - - - - - Rp - - Rp - Rp - - Rp -
193 Zinc Tablet 6,552 Rp 592.00 3,878,784.00 - - 1,500 500 8,552 Rp 592.00 Rp 5,062,784.00 8,552 Rp 592.00 Rp 5,062,784.00 - Rp 592.00
Zinc Tablet - - - - - - - Rp - - Rp - Rp - - Rp -
0 ALAT KESEHATAN HABIS PAKAI - - - Rp - - Rp - Rp - Rp -
194 Alat suntik sekali pakai 0,05 ml Set - Rp 1,456.00 - - - - 100 100 Rp 1,456.00 Rp 145,600.00 100 Rp 1,456.00 Rp 145,600.00 - Rp 1,456.00
195 Alat suntik sekali pakai 0,5 ml Set - Rp 1,400.00 - - - - 200 200 Rp 1,400.00 Rp 280,000.00 200 Rp 1,400.00 Rp 280,000.00 - Rp 1,400.00
196 Alat suntik sekali pakai 1 ml Set 1,065 - - - - - 1,065 Rp - 1,065 Rp - Rp - - Rp -
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
197 Alat suntik sekali pakai 2,5 ml Set 400 - - - 2,000 1,300 3,700 Rp - 1,640 Rp - Rp - 2,060 Rp -
198 Alat suntik sekali pakai 5 ml Set 978 Rp 1,038.00 1,015,164.00 100 - 300 - 1,378 Rp 1,038.00 Rp 1,430,364.00 1,185 Rp 1,038.00 Rp 1,230,030.00 193 Rp 1,038.00
Alat suntik sekali pakai 5 ml Set - - - - - - - Rp - - Rp - Rp - - Rp -
199 Catgut/benang bedah no.2/0 (plain & c Sachet - Rp 36,018 - 48 12 24 96 180 Rp 36,017.78 Rp 6,483,200.40 72 Rp 36,017.78 Rp 2,593,280.00 108 Rp 36,017.78
Catgut/benang bedah no.2/0 (plain & c Sachet - - - - - - - Rp - - Rp - Rp - - Rp -
200 Catgut/benang bedah no.3/0 (plain & c Sachet 10 Rp 36,017.78 360,177.78 48 12 48 96 214 Rp 36,017.78 Rp 7,707,804.44 55 Rp 36,017.78 Rp 1,980,977.78 159 Rp 36,017.78
Catgut/benang bedah no.3/0 (plain & c Sachet - - - - - - - Rp - - Rp - Rp - - Rp -
201 Foley Chateter No. 16 Piece - Rp 19,116.67 - - - - 10 10 Rp 19,116.67 Rp 191,166.67 - Rp 19,116.67 Rp - 10 Rp 19,116.67
Foley Chateter No. 16 Piece - - - - - - - Rp - - Rp - Rp - - Rp -
202 Foley Chateter No. 18 Piece 15 Rp 18,850.00 282,750.00 - - - 10 25 Rp 18,850.00 Rp 471,250.00 13 Rp 18,850.00 Rp 245,050.00 12 Rp 18,850.00
Foley Chateter No. 18 Piece - - - - - - - Rp - - Rp - Rp - - Rp -
203 Handscoen Piece 7 - - - 500 500 1,007 Rp - 1,000 Rp - Rp - 7 Rp -
204 Infusion set anak Piece - Rp 10,290.63 - 10 - - 10 20 Rp 10,290.63 Rp 205,812.50 6 Rp 10,290.63 Rp 61,743.75 14 Rp 10,290.63
Infusion set anak Piece - - - - - - - Rp - - Rp - Rp - - Rp -
205 Infusion set dewasa Piece 75 Rp 9,498.57 712,392.86 10 - - 200 285 Rp 9,498.57 Rp 2,707,092.86 76 Rp 9,498.57 Rp 721,891.43 209 Rp 9,498.57
Infusion set dewasa Piece - - - - - - - Rp - - Rp - Rp - - Rp -
206 I.V. Catheter No. 18 Piece - - - - - 100 100 Rp - 8 Rp - Rp - 92 Rp -
207 I.V. Catheter No. 20 Piece 310 Rp 8,842.86 2,741,285.71 - - 50 - 360 Rp 8,842.86 Rp 3,183,428.57 102 Rp 8,842.86 Rp 901,971.43 258 Rp 8,842.86
I.V. Catheter No. 20 Piece - - - - - - - Rp - - Rp - Rp - - Rp -
208 I.V. Catheter No. 22 Piece 48 Rp 8,564.54 411,097.92 - - 50 50 148 Rp 8,564.54 Rp 1,267,551.92 8 Rp 8,564.54 Rp 68,516.32 140 Rp 8,564.54
I.V. Catheter No. 22 Piece - Rp 8,842.86 - - - - - - Rp 8,842.86 Rp - - Rp 8,842.86 Rp - - Rp 8,842.86
209 I.V. Catheter No. 24 Piece 17 Rp 8,566.20 145,625.40 - - 50 100 167 Rp 8,566.20 Rp 1,430,555.40 6 Rp 8,566.20 Rp 51,397.20 161 Rp 8,566.20
210 Kapas pembalut/absorben 250 gram Roll 8 Rp 28,370.00 226,960.00 10 10 10 10 48 Rp 28,370.00 Rp 1,361,760.00 29 Rp 28,370.00 Rp 822,730.00 19 Rp 28,370.00
Kapas pembalut/absorben 250 gram Roll - - - - - - - Rp - - Rp - Rp - - Rp -
211 Kasa Hidrofil 2 m x 80 cm Piece 7 Rp 10,307.78 72,154.44 8 8 10 50 83 Rp 10,307.78 Rp 855,545.56 31 Rp 10,307.78 Rp 319,541.11 52 Rp 10,307.78
Kasa Hidrofil 2 m x 80 cm Piece - - - - - - - Rp - - Rp - Rp - - Rp -
212 Kasa Hidrofil 3 yard x 15 cm Roll - - - - - 50 50 Rp - 50 Rp - Rp - - Rp -
213 Kasa Hidrofil 4 m x 15 cm Roll 40 Rp 4,066.00 162,640.00 3 5 - - 48 Rp 4,066.00 Rp 195,168.00 48 Rp 4,066.00 Rp 195,168.00 - Rp 4,066.00
214 Kasa kompres 40 cm x 40 cm steril Piece 11 Rp 1,952.00 21,472.00 6 6 5 50 78 Rp 1,952.00 Rp 152,256.00 30 Rp 1,952.00 Rp 58,560.00 48 Rp 1,952.00
Kasa kompres 40 cm x 40 cm steril Piece - - - - - - - Rp - - Rp - Rp - - Rp -
215 Masker Piece - - - - 10,500 500 11,000 Rp 423.72 Rp 4,660,920.00 10,568 Rp 423.72 Rp 4,477,872.96 432 Rp 423.72
216 Pembalut Gips 4 inch Sak 2 - - - - - 2 Rp - - Rp - Rp - 2 Rp -
217 Pembalut gips 6 inch Sak 8 - - - - - 8 Rp - - Rp - Rp - 8 Rp -
218 Plester 5 yard x 2 inchi Roll 7 - 6 10 - - 23 Rp - 23 Rp - Rp - - Rp -
219 Plester Non Wofen Fixation 5cm x 10 m Roll - - - - - 10 10 Rp 46,919.50 Rp 469,195.00 3 Rp 46,919.50 Rp 140,758.50 7 Rp 46,919.50
220 Plester Polifix 5cm x 5cm Roll - Rp 40,097.00 - - - - - - Rp 40,097.00 Rp - - Rp 40,097.00 Rp - - Rp 40,097.00
221 Silk (benang bedah sutera) no. 3/0 Sachet 14 Rp 20,887.78 292,428.89 12 - 24 48 98 Rp 20,887.78 Rp 2,047,002.22 84 Rp 20,887.78 Rp 1,754,573.33 14 Rp 20,887.78
Silk (benang bedah sutera) no. 3/0 Sachet - - - - - - - Rp - - Rp - Rp - - Rp -
222 Tes Kit Narkoba Set - Rp 79,750.00 - - - - - - Rp 79,750.00 Rp - - Rp 79,750.00 Rp - - Rp 79,750.00
223 Urine Drainage Bag Piece - - - - - - - Rp - - Rp - Rp - - Rp -
Total Pemakaian
No NAMA OBAT SAT
Jan 2018
Des 2018
Harga (Rp)
Barang 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TOTAL HARGA (Rp) 148,701,220.90 Rp 458,102,234.24 Rp 249,839,158.89
Mengetahui,
Kepala Puskesmas Makale Petugas Unit Farmasi
Puskesmas Makale
drg. Benedicta MWS Binter Barapadang, S. Farm,Apt

NIP. 19660307 199312 2 001 NIP. 19820818 200502 2 006
Total (Rp) KET
19 20
Rp -
Rp 1,152,090.00
Rp - -
Rp 152,400.00 -
Rp -
Rp 347,392.00 -
Rp - -
Rp 83,490.00 -
Rp - -
Rp 908,460.00 -
Rp -
Rp - -
Rp -
Rp 716,625.00 -
Rp 1,838,394.00 -
Rp - DBH-CR
Rp - -
Rp - -
Rp 258,516.00 -
Rp -
Rp 207,870.00 -
Rp - -
Rp 653,100.00
Rp - -
Rp 888,470.00 -
Rp -
Rp - -
Rp 4,920,960.00 -
Rp - -
Rp -
Rp 19,977,180.00 -
Rp -
Rp 2,283,600.00 DBH-CR
Total (Rp) KET
19 20
Rp -
Rp -
Rp - -
Rp 1,187,392.00 -
Rp - -
Rp 1,846,900.00 -
Rp -
Rp - -
Rp 1,282,788.00 -
Rp -
Rp 162,588.00 -
Rp 1,600,414.00 -
Rp 570,000.00 -
Rp 642,400.00
Rp - -
Rp 2,644,800.00
Rp - -
Rp 2,450,292.00 -
Rp - -
Rp - -
Rp 167,200.00 -
Rp 72,900.00 -
Rp 374,718.00
Rp - -
Rp 2,424,745.35
Rp -
Rp 686,280.00
Rp - -
Rp -
Rp - -
Rp -
Rp 285,120.00 -
Rp - -
Rp 606,100.00
Rp - -
Rp - -
Rp 721,600.00 -
Rp -
Rp - -
Rp 2,509,770.00
Total (Rp) KET
19 20
Rp -
Rp 81,466.00 -
Rp - DBH-CR
Rp 2,039,812.50
Rp - -
Rp -
Rp 1,388,000.00
Rp - -
Rp 3,142,025.00 -
Rp -
Rp - -
Rp 1,442,565.00 -
Rp -
Rp - -
Rp 42,750.00 -
Rp 550,800.00 -
Rp 902,518.00
Rp - -
Rp 429,760.00
Rp -
Rp 8,163,325.00 -
Rp -
Rp -
Rp 29,000.00 -
Rp - -
Rp - -
Rp - -
Rp -
Rp 2,414,082.00 -
Rp -
Rp 75,000.00 -
Rp -
Rp 1,355,025.00 -
Rp -
Rp 978,348.00 -
Rp - -
Rp - -
Rp - -
Rp -
Rp - -
Total (Rp) KET
19 20
Rp -
Rp 1,222,800.00 -
Rp - -
Rp -
Rp 6,027.00 -
Rp -
Rp - -
Rp 64,000.00 -
Rp 103,000.00
Rp - -
Rp - -
Rp 238,290.00 -
Rp - -
Rp -
Rp -
Rp 225,420.00 -
Rp - -
Rp -
Rp 250,000.00 -
Rp -
Rp - -
Rp - -
Rp 28,620.00 -
Rp 1,990,560.00
Rp - -
Rp - -
Rp -
Rp - -
Rp - -
Rp - -
Rp 922,260.00 -
Rp - -
Rp - -
Rp 798,660.00 -
Rp - -
Rp 1,378,800.00
Rp 844,436.00 -
Rp 1,015,875.00 -
Rp -
Rp 128,000.00 -
Total (Rp) KET
19 20
Rp - -
Rp - DBH-CR
Rp -
Rp 280,280.00 -
Rp -
Rp 862,552.00
Rp - -
Rp -
Rp 5,478,000.00 -
Rp -
Rp 1,971,000.00 -
Rp - -
Rp - -
Rp -
Rp 1,097,100.00 -
Rp 1,078,475.00
Rp -
Rp - -
Rp -
Rp 191,580.00
Rp - -
Rp -
Rp - -
Rp 957,264.00
Rp - -
Rp 795,900.00 -
Rp - -
Rp -
Rp 75,867.00 -
Rp - -
Rp 1,624,714.00 -
Rp - -
Rp 1,036,575.00
Rp - -
Rp 411,810.00 -
Rp - -
Rp 297,255.00
Rp - -
Rp 156,800.00 -
Rp -
Total (Rp) KET
19 20
Rp 1,210,000.00
Rp - -
Rp - -
Rp -
Rp - -
Rp 990,000.00 -
Rp -
Rp 347,375.00 -
Rp 252,200.00
Rp -
Rp 884,340.00 -
Rp - -
Rp -
Rp -
Rp 550,850.00 -
Rp - -
Rp 621,500.00
Rp -
Rp - -
Rp 149,338.08
Rp - -
Rp - -
Rp 218,600.00 -
Rp - -
Rp 254,160.00 -
Rp -
Rp 542,300.00 -
Rp 325,327.00 -
Rp -
Rp 167,000.00 -
Rp - -
Rp 47,600.00
Rp - -
Rp 437,850.00 -
Rp -
Rp - -
Rp - -
Rp -
Rp 796,180.00 -
Rp -
Total (Rp) KET
19 20
Rp 1,557,192.00 -
Rp - -
Rp 893,826.00
Rp - -
Rp -
Rp - -
Rp 543,312.00
Rp - -
Rp 1,217,920.00 -
Rp -
Rp 3,037,320.00 -
Rp 3,193,229.00 -
Rp - -
Rp - -
Rp 608,025.00
Rp - -
Rp -
Rp 1,483,460.00 -
Rp - -
Rp -
Rp 429,312.00 -
Rp -
Rp - -
Rp 1,664,520.00 -
Rp -
Rp 977,795.00 DBH-CR
Rp -
Rp 2,365,990.00 -
Rp -
Rp 233,640.00 -
Rp -
Rp - -
Rp -
Rp - -
Rp 35,481.60
Rp - -
Rp -
Rp - -
Rp - -
Rp -
Total (Rp) KET
19 20
Rp - -
Rp -
Rp 569,250.00 -
Rp -
Rp - -
Rp -
Rp 657,306.00 -
Rp -
Rp - -
Rp 983,960.00 -
Rp -
Rp 188,790.00
Rp 1,490,800.00 -
Rp -
Rp -
Rp 1,198,875.00 -
Rp - DBH-CR
Rp -
Rp - -
Rp 307,800.00 -
Rp -
Rp - -
Rp 475,200.00 -
Rp -
Rp - -
Rp -
Rp 79,060.00 -
Rp -
Rp - -
Rp 1,002,225.00
Rp - -
Rp - -
Rp - -
Rp - -
Rp -
Rp - -
Rp - -
Rp 1,808,950.00
Rp 241,264.00 -
Rp - -
Total (Rp) KET
19 20
Rp 470,800.00
Rp - -
Rp 493,558.00
Rp - -
Rp - -
Rp - DBH-CR
Rp -
Rp 1,217,700.00 -
Rp - -
Rp -
Rp - -
Rp 27,838,900.00
Rp -
Rp - -
Rp -
Rp 87,000.00 -
Rp -
Rp 364,861.00 -
Rp -
Rp -
Rp 1,744,297.09 -
Rp -
Rp - -
Rp 12,923,430.00 -
Rp - -
Rp -
Rp 1,398,800.00 (80)
Rp - -
Rp - -
Rp 3,397,548.00 -
Rp 900,096.00
Rp - -
Rp - -
Rp -
Rp - -
Rp -
Rp - -
Rp -
Rp - -
Rp -
Total (Rp) KET
19 20
Rp -
Rp 200,334.00 -
Rp - -
Rp 3,889,920.00
Rp - -
Rp 5,726,826.67 -
Rp -
Rp 191,166.67 -
Rp -
Rp 226,200.00 -
Rp - -
Rp - -
Rp 144,068.75
Rp -
Rp 1,985,201.43 -
Rp - -
Rp -
Rp 2,281,457.14 -
Rp -
Rp 1,199,035.60 -
Rp - -
Rp 1,379,158.20 -
Rp 539,030.00 -
Rp - -
Rp 536,004.44
Rp - -
Rp -
Rp -
Rp 93,696.00 -
Rp -
Rp 183,047.04 (424)
Rp - -
Rp -
Rp - -
Rp 328,436.50 (46,920)
Rp - -
Rp 292,428.89 -
Rp - -
Rp -
Rp - DBH-CR
Total (Rp) KET
19 20
-
-
-
Rp 208,263,074.95
356,964,296.25
1705
48.00
###

Buku Besar Tahunan

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PEMERINTAH KABUPATEN TANA TORAJA

13 Aminophylline injeksi 24 mg/ml - 10 ml 30 Amp/Ktk - 4,200.00 - - 4,200.00 - - 4,200.00 - - 4,200.00 -

25 Ambroxol Sirup Btl 11,385.00 - - 11,385.00 - - 11,385.00 - - 11,385.00 -

109 Doksisiklin 100 mg 100 Tab/Ktk - 250.00 - - 250.00 - - 250.00 - - 250.00 -

dr. Mardaria Patioran Yulianthi Todingan, AMF

BUKU BESAR PERSEDIAAN OBAT-OBATAN TAHUNAN JANUARI - DESEMBER 2018

TOTAL HARGA (Rp) 148,701,220.90 Rp 458,102,234.24 Rp 249,839,158.89

drg. Benedicta MWS Binter Barapadang, S. Farm,Apt

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