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1 2 3 4 5 6 7=(4+6)-(5x12) 8=(5x18)-(7)
1 Amoksisilin kaplet 250 mg kapsul 216,320 8,500 0 114,320 38,680
2 Amoksilin kaplet 500 mg kaplet 247,700 17,000 0 43,700 262,300
3 Amoksisilin Syrup Kering Forte 250 mg/5 ml botol 9,280 680 0 1,120 11,120
4 Amoksisilin Syrup Kering Forte 125 mg/5 ml botol 23,620 850 10,000 23,420 -8,120
5 Ambroksol tab 30 mg tablet 90,000 13,600 250,000 176,800 68,000
6 Ambroksol sirup 15 mg/ml botol 7,300 850 12,000 9,100 6,200
7 Amlodipine 5 mg tablet 113,700 5,100 195,000 247,500 -155,700
8 Aminophilin tab tablet 0 1,700 90,000 69,600 -39,000
9 Ampicilin syrup botol 0 340 15,000 10,920 -4,800
10 Antalgin inj ampul 0 170 4,000 1,960 1,100
11 Asiklovir 200 mg tablet 198,060 8,500 0 96,060 56,940
12 Asiklovir 400 mg tablet 112,160 5,950 0 40,760 66,340
13 Allopurinol tab 100 mg tablet 28,600 8,500 150,000 76,600 76,400
14 Albendazole tab 400 mg tablet 6,690 2,550 30,000 6,090 39,810
15 Asam Mefenamat 500 mg tablet 222,300 17,000 0 18,300 287,700
16 Asam Ascorbat ( Vit. C ) 50 mg tablet 110,700 10,200 150,000 138,300 45,300
17 Asam Folat 0,4 mg tablet 8,500 3,400 100,000 67,700 -6,500
18 Antasida DOEN suspensi botol 7,300 850 0 -2,900 18,200
19 Antasida DOEN tablet kunyah tablet 300,000 11,900 0 157,200 57,000
20 Atapulgit tablet 50,000 5,100 50,000 38,800 53,000
21 Anti bisa ular vial 100 17 0 -104 410
22 ATS vial 100 17 300 196 110
23 Antalgin tab tablet 16,720 2,550 0 -13,880 59,780
24 Aqua Pro Injeksi botol 0 170 15,000 12,960 -9,900
25 Atropin inj ampul 0 850 13,900 3,700 11,600
26 Betahistin tab tablet 9,000 1,700 0 -11,400 42,000
27 Betametason krim 0,1% tube 1,550 425 0 -3,550 11,200
28 Bufacetin 2 % salep tube 0 170 5,000 2,960 100
29 Cefiksim 100 mg kapsul kapsul 106,800 6,800 42,000 67,200 55,200
30 Cefiksim sirup botol 0 510 10,000 3,880 5,300
31 Cetrizin sirup botol 500 680 15,000 7,340 4,900
32 Cetirizin tab tablet 150,000 8,500 80,000 128,000 25,000
33 Domperidone 10 mg tablet 134,200 6,800 0 52,600 69,800
34 Domperidone suspensi 5 mg/5 ml botol 20,300 1,020 0 8,060 10,300
35 Deksametason injeksi 5mg/ml-1ml ampul 23,900 1,360 0 7,580 16,900
36 Deksametason tab 0,5 mg tablet 231,800 15,300 100,000 148,200 127,200
37 Dextrofen syrup botol 0 170 10,000 7,960 -4,900
38 Difenhidramin injeksi i.m 10 mg/ml (HCl) ampul 31,290 1,530 0 12,930 14,610
39 Digoksin 0,25 mg tab tablet 82,700 3,400 0 41,900 19,300
40 Diazepam inj ampul 0 850 30,000 19,800 -4,500
41 Diklofenac Potasium tablet 0 3,400 50,000 9,200 52,000
42 Dulcolax 5 mg supp inf 6,5 supp 276 102 0 -948 2,784
43 Dulcolax 10 mg supp 50 supp 350 34 2,000 1,942 -1,330
44 Doksisiklin kaps 100 mg kapsul 1,000 850 40,000 30,800 -15,500
45 Eritromisin sirup kering 200 mg/5 ml botol 800 17 0 596 -290
46 Eritromisin tab 500 mg tablet 4,000 3,400 50,000 13,200 48,000
47 Euginol botol 6 51 4,000 3,394 -2,476
48 Epineprin inj ampul 0 850 12,000 1,800 13,500
49 Ferro fumarat tablet 105,000 1,530 0 86,640 -59,100
50 Fenobarbital tab 30 mg tablet 214,000 8,500 0 112,000 41,000
51 Furosemid tab 40 mg tablet 120,300 5,100 0 59,100 32,700
52 Fitomenadion injeksi 10 mg/ml ampul 6,840 680 1,000 -320 12,560
53 Fitomenadion 10 mg tablet salut gula tablet 190,480 8,500 0 88,480 64,520
54 Fenitoin inj ampul 0 170 10,000 7,960 -4,900
55 Garam Oralit sachet 65,900 3,400 0 25,100 36,100
56 Glimepiride 2 mg tablet 12,300 1,700 0 -8,100 38,700
57 Glimepiride 3 mg tablet 10,130 3,400 0 -30,670 91,870
58 Glukosa larutan infus 5% botol 135 510 6,000 15 9,165
59 Griseofulvin 125 mg tab tablet 210,000 8,500 0 108,000 45,000
60 Glibenklamid tab 2,5 mg tablet 0 6,800 150,000 68,400 54,000
61 Haloperidol 0,5 mg tab tablet 22,300 850 0 12,100 3,200
62 Hemafort tab tablet 0 1,700 50,000 29,600 1,000
63 Hidrokortison krim 2,5% tube 14,615 816 0 4,823 9,865
64 Ibuprofen 200 mg kapsul 65,500 1,700 150,000 195,100 -164,500
65 Ibuprofen 400 mg tab tablet 102,500 5,100 0 41,300 50,500
66 Ibuprofen syrup botol 0 340 20,000 15,920 -9,800
67 Isosorbid Dinitrat tab sublingual 5 mg tablet 221,100 3,400 0 180,300 -119,100
68 Kalsium Laktat 500 mg tablet 167,000 8,500 0 65,000 88,000
69 Klindamisin tab tablet 18,500 3,400 0 -22,300 83,500
70 Kotrimoksazol dewasa 480 mg tablet 154,000 6,800 0 72,400 50,000
71 Kotrimoksazol syrup botol 8,800 850 0 -1,400 16,700
72 Kaptopril 25 mg tablet 247,200 10,200 0 124,800 58,800
73 Kaptopril 12,5 mg tablet 43,000 3,400 0 2,200 59,000
74 Kloramfenikol salep mata 1% tube 15,956 850 0 5,756 9,544
75 Klorfeniramin Maleat tab 4 mg tablet 240,900 10,200 0 118,500 65,100
76 Kodein tab 10 mg tablet 209,700 8,500 0 107,700 45,300
77 Karbamazepin tab 100 mg tablet 21,600 1,700 0 1,200 29,400
78 Ketokonazol 200 mg tab tablet 100,000 6,800 50,000 68,400 54,000
79 Lansoprazole 30 mg kapsul kapsul 20,000 3,400 10,000 -10,800 72,000
80 Lidokain injeksi 2% ampul 29,200 1,700 0 8,800 21,800
81 Loperamide tab 2 mg tablet 122,200 6,800 0 40,600 81,800
82 Loratadine 10 mg tab tablet 133,500 6,800 0 51,900 70,500
83 Levofloksasin tablet 149,400 6,800 0 67,800 54,600
84 Metronidazol 500 mg tablet 142,000 6,800 0 60,400 62,000
85 Meloxicam 15 mg tablet 70,000 10,200 150,000 97,600 86,000
86 Metilprednisolon tab 4 mg tablet 134,700 6,800 0 53,100 69,300
87 Metformin HCl tab 500 mg tablet 106,700 6,800 40,000 65,100 57,300
88 Metokloperamide tab 5 mg tablet 245,600 10,200 0 123,200 60,400
89 Methilergometrin inj ampul 0 510 5,000 -1,120 10,300
90 Mikonazol krim/salep 2 % (Nitrat) tube 19,798 816 0 10,006 4,682
91 Mgso4 botol 680 102 6,000 5,456 -3,620
92 Natrium Diklofenak tab 50 mg tablet 135,000 13,600 200,000 171,800 73,000
93 Natrium Klorida larutan infus 0,9% botol 360 340 5,000 1,280 4,840
94 Nistatin tab salut 500.000 IU/g tablet 75,500 5,100 0 14,300 77,500
95 NistatinVaginal Tab 100.000 IU/g tablet 200 170 30,000 28,160 -25,100
96 Nifedipine 10 mg tablet 11,500 1,700 0 -8,900 39,500
97 N-Asetil Sistein ampul 0 170 5,000 2,960 100
98 Ofloxacin 400 mg tablet 61,500 3,400 0 20,700 40,500
99 Oksitosin inj ampul 0 850 1,700 -8,500 23,800
100 Oksitetrasiklin 1 % cream tube 0 425 1,250 -3,850 11,500
101 Oat Kategori 2 paket 0 17 50 -154 460
102 Paracetamol tab 500 mg tablet 171,000 17,000 0 -33,000 339,000
103 Paracetamol syrup botol 20,000 1,360 0 3,680 20,800
104 Paracetamol Drop botol 0 340 25,000 20,920 -14,800
105 Pirantel tab 125 mg tablet 7,000 850 0 -3,200 18,500
106 Povidon Iodida lar. 10% botol 8,650 340 0 4,570 1,550
107 Prednison tab 5 mg kaplet 156,200 10,200 30,000 63,800 119,800
108 Propanolol tablet 2,000 850 0 -8,200 23,500
109 Pehacain inj ampul 0 340 19,000 14,920 -8,800
110 Ringer Laktat larutan infus botol 960 510 8,000 2,840 6,340
111 Ranitidin tab 150 mg tablet 141,800 17,000 300,000 237,800 68,200
112 Ranitidin inj ampul 0 850 50,000 39,800 -24,500
113 Salbutamol tab 2 mg tablet 71,900 1,700 0 51,500 -20,900
114 Salbutamol tab 4 mg tablet 7,000 1,700 0 -13,400 44,000
115 Salisil bedak 2% bungkus 3,910 1,700 0 -16,490 47,090
116 Salap 2-4 pot 4,368 170 3,000 5,328 -2,268
117 Sefadroksil kapsul 500 mg kapsul 173,800 10,200 80,000 131,400 52,200
118 Sefadroksil sirup kering 250 mg/5ml botol 7,680 850 5,000 2,480 12,820
119 Sefadroksil sirup kering 125mg/5ml botol 0 850 5,000 -5,200 20,500
120 Simvastatin 20 mg tablet 21,600 1,700 0 1,200 29,400
121 Simvastatin 10 mg tablet 0 1,700 195,000 174,600 -144,000
122 Sianokobalamin (Vit. B12) inj 500 mcg ampul 59,400 3,400 0 18,600 42,600
123 Siprofloksasin Scored 500 mg tablet 87,000 6,800 50,000 55,400 67,000
124 Siprofloksasin Scored 250 mg tablet 0 1,700 100,000 79,600 -49,000
125 Spironolakton tablet 1,000 850 0 -9,200 24,500
126 Tetrasiklin 250 mg kapsul kapsul 165,000 1,700 0 144,600 -114,000
127 Tetrasiklin 500 mg kapsul kapsul 49,000 1,700 100,000 128,600 -98,000
128 Tramadol inj ampul 2,000 34 0 1,592 -980
129 Thiamin (Vitamin B1)50 mg tab tablet 136,100 6,800 0 54,500 67,900
130 Vitamin B Kompleks tab tablet 154,500 8,500 50,000 102,500 50,500
131 Vitamin B6 (piridoksin) 10 mg tab tablet 22,500 6,800 100,000 40,900 81,500
132 Zinc Tab Dispersible 20 mg tablet 112,100 6,800 40,000 70,500 51,900
133 Zinc sirup 10 mg/ml botol 60 340 12,000 7,980 -1,860
Mengetahui
Kepala Dinas Kesehatan
Kabupaten Labuhanbatu Selatan
Keterangan
1 Nama obat adalah seluruh item obat yang ada di Instalasi Farmasi Kabupaten/Kota
2 Satuan adalah satuan terkecil dari masing-masing item obat
3 Pemakaian rata-rata per bulan adalah pemakaian rata-rata obat di IF selama tahun 2016
4 Sisa stok adalah sisa stok terakhir obat pada 31 Desember 2016, sisa stok yang dihitung adalah sisa stok efektif
5 Pengadaan 2017 adalah pengadaan obat dari berbagai macam sumber anggaran (DAK, APBD II, dst)
6 Jumlah obat adalah sisa stok 31 Desember 2016 ditambah dengan pengadaan tahun 2017
7 Prediksi sisa stok 31 Desember 2017 adalah jumlah obat dikurangi pemakaian rata-rata per bulan dikalikan dengan 12 bulan
8 Ketersediaan adalah jumlah obat dibagi dengan pemakaian rata-rata perbulan
9 Rencana kebutuhan tahun 2018 adalah pemakaian rata-rata perbulan selama tahun 2016 dikalikan dengan 18 bulan dikurangi dengan prediksi sisa stok 31 Des 2017
10 Rencana pengadaan tahun 2018 adalah jumlah obat yang akan diadakan pada tahun 2018
11 Jumlah harga adalah perkalian dari rencana pengadaan tahun 2018 dengan harga satuan untuk masing-masing item obat
12 Total harga adalah jumlah anggaran pengadaan obat dari berbagai macam sumber anggaran
Mengetahui
Kepala Dinas Kesehatan
Kabupaten Labuhanbatu Selatan
Ns. SITI NURSIA TANJUNG, S.Kep
NIP.19730613 199803 2 007
RENCANA TOTAL RENCANA
HARGA SATUAN
PENGADAAN PENGADAAN TAHUN 2019
(Rp)
TAHUN 2019 (Rp)
9 10 11
40,000 201 Rp 8,040,000.00
300,000 245 Rp 73,500,000.00
10,000 3,949 Rp 39,490,000.00
0 6,270 Rp -
60,000 113.28 Rp 6,796,800.00
6,000 11550 Rp 69,300,000.00
0 0 Rp -
0 142 Rp -
0 4,148 Rp -
1,500 2,850 Rp 4,275,000.00
50,000 239 Rp 11,950,000.00
50,000 359 Rp 17,950,000.00
80,000 97 Rp 7,760,000.00
30,000 423 Rp 12,690,000.00
300,000 103 Rp 30,900,000.00
50,000 110 Rp 5,500,000.00
0 58 Rp -
15,000 2,051 Rp 30,765,000.00
60,000 56 Rp 3,360,000.00
50,000 145 Rp 7,250,000.00
30 479,996 Rp 14,399,880.00
30 150,000 Rp 4,500,000.00
50,000 209 Rp 10,450,000.00
0 3,135 Rp -
11,000 1,650 Rp 18,150,000.00
50,000 110 Rp 5,500,000.00
10,000 1,520 Rp 15,200,000.00
0 3,138 Rp -
60,000 843 Rp 50,580,000.00
5,000 5530 Rp 27,650,000.00
5,000 2,907 Rp 14,535,000.00
25,000 94 Rp 2,350,000.00
60,000 86 Rp 5,160,000.00
10,000 3,090 Rp 30,900,000.00
16,000 1,600 Rp 25,600,000.00
100,000 33 Rp 3,300,000.00
0 11,550 Rp -
15,000 1,234 Rp 18,510,000.00
20,000 106 Rp 2,120,000.00
0 1,822 Rp -
50,000 127 Rp 6,350,000.00
3,000 6,000 Rp 18,000,000.00
0 5,900 Rp -
0 264 Rp -
0 6,290 Rp -
0 765 Rp -
0 19,765 Rp -
12,000 1,408 Rp 16,896,000.00
0 370 Rp -
40,000 165 Rp 6,600,000.00
40,000 81 Rp 3,240,000.00
10,000 8,360 Rp 83,600,000.00
50,000 726 Rp 36,300,000.00
0 0 Rp -
30,000 269 Rp 8,070,000.00
0 290 Rp -
75,000 245 Rp 18,375,000.00
6,000 6,900 Rp 41,400,000.00
45,000 245 Rp 11,025,000.00
50,000 125 Rp 6,250,000.00
0 96 Rp -
0 759 Rp -
9,000 2,650 Rp 23,850,000.00
0 108 Rp -
50,000 125 Rp 6,250,000.00
0 2,601 Rp -
0 93 Rp -
56,600 59 Rp 3,339,400.00
50,000 583 Rp 29,150,000.00
50,000 125 Rp 6,250,000.00
15,000 2,052 Rp 30,780,000.00
50,000 71 Rp 3,550,000.00
50,000 63 Rp 3,150,000.00
9,000 1,798 Rp 16,182,000.00
50,000 43 Rp 2,150,000.00
45,000 575 Rp 25,875,000.00
20,000 290 Rp 5,800,000.00
50,000 278 Rp 13,900,000.00
70,000 303 Rp 21,210,000.00
20,000 870 Rp 17,400,000.00
50,000 85 Rp 4,250,000.00
70,000 139 Rp 9,730,000.00
50,000 494 Rp 24,700,000.00
50,000 126 Rp 6,300,000.00
80,000 1090 Rp 87,200,000.00
60,000 202 Rp 12,120,000.00
50,000 99 Rp 4,950,000.00
60,000 120 Rp 7,200,000.00
8,000 3,102 Rp 24,816,000.00
4,992 3,410 Rp 17,022,720.00
0 3,328 Rp -
50,000 127 Rp 6,350,000.00
5,000 6,410 Rp 32,050,000.00
40,000 782 Rp 31,280,000.00
0 590 Rp -
40,000 110 Rp 4,400,000.00
100 10,000 Rp 1,000,000.00
40,000 580 Rp 23,200,000.00
10,000 1,199 Rp 11,990,000.00
10,000 2,600 Rp 26,000,000.00
40 1,238,899 Rp 49,555,960.00
300,000 56 Rp 16,800,000.00
20,000 1,013 Rp 20,260,000.00
0 6,981 Rp -
0 489 Rp -
2,000 6,550 Rp 13,100,000.00
150,000 71 Rp 10,650,000.00
0 66 Rp -
0 3,135 Rp -
6,000 7,150 Rp 42,900,000.00
50,000 627 Rp 31,350,000.00
0 1155 Rp -
0 67 Rp -
40,000 83 Rp 3,320,000.00
20,000 1,046 Rp 20,920,000.00
0 2,554 Rp -
50,000 488 Rp 24,400,000.00
0 5,255 Rp -
0 3,984 Rp -
30,000 110 Rp 3,300,000.00
0 110 Rp -
40,000 1,168 Rp 46,720,000.00
50,000 731 Rp 36,550,000.00
0 0 Rp -
0 244 Rp -
0 168 Rp -
0 303 Rp -
0 1,720 Rp -
60,000 89 Rp 5,340,000.00
55,000 123 Rp 6,765,000.00
53,000 129 Rp 6,837,000.00
50,000 551 Rp 27,550,000.00
0 3,122 Rp -
Rp 1,744,250,760.00
0 28750 Rp -
6,000 28,750 Rp 172,500,000.00
0 7,091 Rp -
0 7,091 Rp -
0 7,091 Rp -
0 8,444 Rp -
0 8,444 Rp -
0 8,444 Rp -
0 9,808 Rp -
0 9,808 Rp -
0 9,808 Rp -
0 1268.50 Rp -
0 1268.50 Rp -
0 1268.50 Rp -
0 9,808 Rp -
0 1268.50 Rp -
0 106,447 Rp -
0 106,447 Rp -
0 66738.1578 Rp -
0 66738.1578 Rp -
10,010 300 Rp 3,003,000.00
0 8,250 Rp -
0 8,250 Rp -
0 9212.50 Rp -
0 7,150 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1,200 37,203 Rp 44,643,600.00
1,200 41828.392157 Rp 50,194,070.59
1,008 37,203 Rp 37,500,624.00
1,200 37,203 Rp 44,643,600.00
0 0 Rp -
0 0 Rp -
0 741.9310554562 Rp -
0 749.51 Rp -
0 749.51 Rp -
0 892.3265034965 Rp -
300 57,600 Rp 17,280,000.00
300 57,750 Rp 17,325,000.00
0 4,818 Rp -
0 5,148 Rp -
0 0 Rp -
100 257,800 Rp 25,780,000.00
100 549,900 Rp 54,990,000.00
100 556,300 Rp 55,630,000.00
0 3,520 Rp -
0 3,850 Rp -
2,000 4,180 Rp 8,360,000.00
2,500 4,180 Rp 10,450,000.00
0 6461.4 Rp -
0 14,668 Rp -
0 1199.30555 Rp -
0 2503.0769 Rp -
0 10466.66666 Rp -
9,000 8,800 Rp 79,200,000.00
0 1,905 Rp -
0 27,080 Rp -
0 0 Rp -
0 0 Rp -
200 54,800 Rp 10,960,000.00
0 0 Rp -
0 0 Rp -
418 3,450 Rp 1,442,100.00
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
430 25,300 Rp 10,879,000.00
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
960 35,077 Rp 33,673,920.00
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Rp 678,454,914.59