PERENCANAAN PENGADAAN OBAT DAN BAHP

RSUD.DR.R.SOEPRAPTO CEPU TAHUN 2017

BULAN : JANUARI 2017

PERENCANAAN
NO NAMA BARANG SATUAN JUMLAH YG
DIBUTUHKAN
A TABLET GENERIK

1 AMINOPHYLIN TAB 2000

2 AMITRIPTILIN TAB 3000

3 AMLODIPIN 5 MG TAB 5000

4 AMLODIPIN 10 MG TAB 10000

5 ASAM MEFENAMAT 500 TAB 5000

6 CANDESARTAN 16 MG TAB 1500

7 CARBAMAZEPIN 200 TAB 1000

8 CEFADROXIL 250 TAB 2000

9 CLINDAMYCINE 300 TAB 2000

10 CTM TAB 1000

11 DIAZEPAM 2 MG TAB 1000

12 DIGOXIN 0,25 TAB 12000

13 DOMPERIDON TAB 3000

14 FENITOIN TAB 5000

15 FUROSEMIDE 40 7000

16 GLIMEPERIDE 4 2000

17 HALOPERIDOL 5 TAB 2000

18 LEVOFLOXACINE 500 TAB 1500

19 MECOBALAMIN 250 TAB 2000

20 MECOBALAMIN 500 TAB 2000

21 MELOXICAM 15 TAB 1000

22 MELOXICAM 7,5 TAB 2000

23 METFORMIN 500 TAB 5000

24 METFORMIN 850 TAB 5000

25 METHYL PREDNISOLON 4 TAB 3000

26 PARACETAMOL STRIP TAB 6000

27 PIRACETAM 400 TAB 1000

28 PROPANOLOL 40 TAB 1000

29 PYRIDOXIN 10 ( VIT B6 ) TAB 1000

30 SALBUTAMOL 4 TAB 500

31 SULFAS FEROSUS TAB 3000

32 TRAMADOL 50 TAB 500

33 TRIHEXYPHENIDIL 2 TAB 15000

34 VITAMIN B COMPLEX TAB 6000

B INJEKSI GENERIK

35 AMINOPHYLLIN AMP 900

36 CEFOTAXIM 1 GR VIAL 2000

37 CEFTRIAXON 1 GR VIAL 600

38 CITICOLIN 250 AMP 500

39 DIAZEPAM AMP 100

40 FUROSEMIDE 500

41 KETOROLAC 30 AMP 2000

42 METHYL PREDNISOLON 125 AMP 100

43 OMEPRAZOLE AMP 500

44 ONDANSETRON 4 MG AMP 500

45 ONDANSETRON 8 MG AMP 500

C SYRUP GENERIK

46 ANTASIDA DOEN FLS 120

47 CO AMOXICLAV FLS 24

48 PARACETAMOL FLS 120

49 PIRACETAM FLS 200

D TOPIKAL GENERIK

50 GENTAMYCIN 0,1% SK 5 G TUBE 50

51 HIDROCORTISON 2,5% SK TUBE 48

E TABLET PATENT

52 ANALSIK TAB 2000

53 BACTESYN TAB 150

54 DULCOLAX TAB 400

55 EUTHYROX TAB 1000

56 HERBESSER CD 200 TAB 1000

57 LYNORAL TAB 500

58 METANEURON TAB 900

59 NUCRAL TAB 1000

60 SEQUEST SACC 200

61 VESTEIN TAB 200

62 VIOXY FM TAB 900

F INJEKSI PATENT

63 CERNEVIT AMP 30

64 HERBESSER 50 MG AMP 100

65 PITOGIN AMP 300

66 PLASBUMIN 20 % 50ML FLS 100

67 RECOFOL AMP 60

68 SEDACUM AMP 300

69 SOJOURN FLS 20

70 VALISANBE AMP 400

71 VICCILIN 1 GR AMP 500

72 VICCILIN 500 AMP 500

H INFUS

73 AMINOFLUID 500 FLS 200

74 D 40% FLS 480

75 METRONIDAZOL FLS 300

76 NACL 1000 ML IV FLS 1500

77 NACL 500 ML (OTSUKA / SANBE ) FLS 3000

78 RL 500 ML ( OTSUKA / SANBE ) FLS 3000

I SYRUP PATENT

79 INPEPSA 100 FLS 200

80 NEO KAOCETIN FLS 24

81 PRATROPIL FLS 120

J TOPIKAL PATENT

82 BETADINE KUMUR 175 ML FLS 100

83 BIOPLACENTON TULLE PCS 600

84 DARYANTULLE PCS 300

85 SANORIN BIRU 200 ML FLS 24

L BAHAN ALKES HABIS PAKAI

86 ANIOSPRAY 29 5 L GLN 5

87 ANIOSYME DDI 5 L GLN 5

88 CANULE O2 DEWASA PCS 500

89 CANULE O2 SUNGKUP PCS 150

90 DOMETECH CHROMIC C 2/0 ( CiODA ) PCS 156

91 E CARE ALCOHOL + CHG 0,5% BOX 50

92 ELASTOMUL 8CM X 4M PCS 20

93 ENDOTRACHEAL TUBE NO 5,5 PCS 20

94 ENDOTRACHEAL TUBE NO 6 PCS 20

95 JARUM NOVOTWIST PCS 500

96 LEUCOMED PCS 200

97 MASKER KARET BOX 100

98 MASKER TALI BOX 75

99 POLYCREPE 4 INCHI PCS 240

100 POLISORB 2-0 PCS 180

101 SUCTION CATHETER 12 PCS 100

102 SUCTION CATHETER 8 PCS 100

103 SUCTION CATHETER 6 PCS 100

104 T. LENE 6-0 45 CM, 16 MM PCS 72

105 T PLAIN 2/0 PCS 72

106 JELLY GALON GALON 10

KEBUTUHAN POLI GIGI

109 ELITE CEMENT PCS 5

110 ARSEN PCS 4

111 EUGENOL PCS 5

112 N2 PCS 5

113 AMALGAM PCS 5

114 GIC PCS 5

 115 TKF PCS 4

116 CAVIT PCS 5

117 CHKM PCS 4

118 SELANG SUCTION ( KECIL ) PCS 300

CEPU 9 JANUARI 2017

MENGETAHUI

KA. INSTALASI FARMASI PENANGGUNGJAWAB PERENCANAAN IFRS

RSUD. DR.R. SOEPRAPTO RSUD. DR.R. SOEPRAPTO

DRA. FIFIEN FINANSIANI, APT. DADANG KUN SEPTIANTO,S.Farm.,APT.

NIP.19600908 198712 2 002 NIP.19820928 201001 1 019

Tembusan kepada Yth :

- Direktur

- Ketua Komite Medis

- Arsip