NO NAMA OBAT SATUAN JUMLAH KETERANGAN

1 2 3 4

ANTI INFEKTIVES

1 AMOKSILIN SYRUP KERING BOTOL 972

2 AMOKSILLIN KAP 500 MG TABLET 39,900

3 AMOXICLAV TAB TABLET -

4 AMPISILIN INJ IM/IV VIAL 245

5 BENZATIN BENZIL PENISILIN VIAL -

6 CIPROFLOAXIN 500 TABLET 3,900

7 DOXICICLIN 100 MG CAPSUL 1,850

8 ERITROMISIN SYRUP 200 BOTOL -

9 ERYTROMISIN 500 MG TABLET 8,500

10 GENTAMISIN INJEKSI 80 AMPUL -

11 KLINDAMYCIN 300 MG CAPSUL 675

12 KLORAMFEENIKOL SUSPENSI BOTOL -

13 KLORAMFENIKOL KAPS 500 MG CAPSUL -

14 KLORAMFENIKOL KAPS 250 MG CAPSUL 5,000

15 KOTRIMOKSAZOL SUSPENSI 60 BTL BOTOL 245

16 KOTRIMOKSAZOL 480 MG TABLET 5,100

17 LEVOFLOKSASIN 500 MG TABLET -

18 LINKOMISIN 500 MG CAPSUL -

19 OFLOXACIN 400 MG TABLET -

20 OKSITETRASIKLIN INJ VIAL -

21 SEFADROKSIL 500 MG CAPSUL 16,050

22 SEFADROXIL SIR 125 MG/5ML BOTOL 240

23 SEFIKSIM 100 MG CAPSUL 1,950

24 SEFOTAKSIM INJEKSI 1GR/VIAL VIA VIAL 425

25 SEFTRIAKSON SERB INJ VIAL -

26 STERPTOMYCIN S 1GR/56 TABLET -

27 SULFADIMIDIN 500 MG CAPSUL -

28 TETRASIKLIN HCL 500 MG TABLET -

29 THYAMPHENICOL 500 TABLET 4,500

ANTI FUNGI

30 ANTIFUNGI DOEN POT -

31 FLUKONAZOL TABLET 150 MG CAP TABLET -

32 GRISEOVULFIN 125 MG TABLET 500

33 KETOKONAZOL 200 MG TABLET 1,950

34 KETOKONAZOL CREAM 2 TUBE -

35 METRONIDASOL 500 MG TABLET 3,800

36 METRONIDAZOL BENZOAT BOTOL -

37 MICONASOL CREAM TUBE 400

38 NISTATIN 100.000 IU TABLET -

39 NISTATIN 500.000 IU TABLET -

ANTIVIRAL

40 ACICLOVIR 200 MG TABLET -

41 ACICLOVIR 400 MG TABLET 4,000

42 ACICLOVIR CREAM TUBE 165

ANTIMALARIA

43 ARTESUNATE INJEKSI AMPUL -

44 ARTESUNATE+AMODIAQUIN TABLET -

45 ARTHEMETER INJEKSI AMPUL -

46 KOMB PIRIMETAMIN 25 TABLET -

47 KUININE Hydrochlorida inj AMPUL -

48 KUNINE 222 MG TABLET -

49 PRIMAKINA 15 MG TABLET -

DERMATOLOGICAL-ANTIINFECTIVES

50 ANTIBAKTERI DOEN TUBE -

51 GENTAMISIN SALEP KULIT TUBE -

52 OKSITETRASIKLIN HCL SK TUBE 125

DERMATOLOGICAL- CORTICOSTEROID

53 BETAMETASON CREAM TUBE 885

54 HIDROKORTISON KRIM 1% TUBE 150

55 HIDROKORTISON KRIM 2,5% TUBE 242

TBC PREPARATION

56 ETAMBUTOL HCL 250 MG TABLET -

57 ETAMBUTOL HCL 500 MG TABLET -

58 ISONIAZIDA 100 MG TABLET -

59 ISONIAZIDA 300 MG TABLET -

60 OAT/FDC KATEGORI ANAK PAKET -

61 OAT/FDC KATEGORI I PAKET 10

62 OAT/FDC KATEGORI II PAKET -

63 OAT/FDC SISIPAN PAKET -

64 OBAT ANTI TUBERKULOSIS PAKET -

65 PIRAZINAMIDA TAB 500 MG TABLET -

66 RIFAMPICIN 450 MG TABLET -

67 RIFAMPISIN 300 MG CAPSUL -

68 RIFAMPISIN 600 MG TABLET -

ANALGETIC-ANTIPIRETIC

69 ACETOSAL 100 MG TABLET 800

70 ANTALGIN 500 MG TABLET 16,000

71 ANTALGIN INJ AMPUL -

72 PARACETAMOL 500 MG TABLET 114,325

73 PARACETAMOL SYR BOTOL 2,100

74 PARASETAMOL DROP BOTOL 188

75 TRAMADOL 50 MG CAPSUL -

76 TRAMADOL INJ AMPUL -

ANTACIDA

77 ANTASIDA DOEN 500 MG TABLET 26,300

78 ANTASIDA DOEN SUPENSI BOTOL 1,325

79 NATRIUM BIKARBONAT 500 MG TABLET -

ANTHELMINTIC

80 ALBENDAZOL TAB 400 MG TABLET 765

81 ALBENDAZOL SUSPENSI 200 MG/5 ML BOTOL -

82 DIETILKARBAMAZEPIN SITRAT TABLET -

83 MEBENDAZOL 100 MG TABLET -

84 MEBENDAZOL SYR BOTOL -

85 PYRANTEL PAMOAT 125 MG TABLET 300

ANTI ANEMIA

86 BESI II SULFAT 300 MG TABLET -

87 TABLET TAMBAH DARAH TABLET 34,830

ANTI ASMATHIC

88 AMBROXOL 30 MG TABLET 25,000

89 AMBROXOL SYRUP 15 MG/ML BOTOL 175

90 AMINOPHYLLIN 200 MG TABLET 1,200

91 AMINOPHYLLIN INJEKSI AMPUL -

92 EPHEDRIN 25 MG TABLET -

93 SALBUTAMOL 2 MG TABLET 10,600

94 SALBUTAMOL 4 MG TABLET 300

95 SALBUTAMOL SYRUP 2 mg/5 ml BOTOL -

ANTI DIABETIC

96 GLIBENKLAMID 5 MG TABLET -

97 GLIMEPIRID 2 MG TABLET 2,500

98
GLIMEPIRIDE 1 MG TABLET 850
99
METFORMIN HCL 500 MG TABLET 8,600
100
METFORMIN HCL 850 MG TABLET -

ANTI KHOLESTEROL

101 SIMVASTATIN 10 MG TABLET 2,300

102 SIMVASTATIN 20 MG TABLET 500

ANTI DIARREHEAL

103 LOPERAMID HCl 2 MG TABLET 1,000

104 ZINC 20 MG TABLET 5,600

ANTI PARKINSONISM

105 ANTI PARKINSON DOEN TABLET -

106 TRIHEXYPENIDRIL 2 MG TABLET -

ANTIHIPERTENSI

TABLET
107 AMLODIPIN 5 MG 7,300
TABLET
108 CAPTOPRIL 12,5 mg 5,800
TABLET
109 CAPTOPRIL 25 mg 950
TABLET
110 CAPTOPRIL 50 MG -
TABLET
111 CLONIDIN 0,15 MG -
TABLET
112 FUROSEMID 40 MG 1,500
AMPUL
113 FUROSEMID INJ -
TABLET
114 HIDROKLOROTIASIDA (HCT) -

115 IRBESARTAN 150 MG TABLET -

CARDIOVARCULAR PREP

116 BISOPROLOL 5 MG TABLET -

117 DIGOKSIN TABLET 500

118 DILTIAZEM HCL 30 MG TABLET -

119 ISOSORBID DINITRAT TABLET -

120 NIFEDIPIN 10 MG TABLET 500

121 RESERPIN TAB 0,25 MG TABLET -

 CORTICOSTEROID

122 DEXAMETHASON 0,5 MG TABLET 28,600

123 DEXAMETHASON 5 MG/ML INJ AMPUL 200

124 METHYLPREDNISOLON 4 MG TABLET 8,100

125 PREDNISON 5 MG TABLET 16,150

ANTI HISTAMINES

126 CETIRIZINE SYRUP 5 MG/5ML BOTOL -

127 CETIRIZINE 10 MG CAPSUL 7,800

128 DIFENHIDRAMIN INJEKSI AMPUL 30

KLORFENIRAMINE MALEAT (CTM 4 MG)
129 TABLET 45,875
LORATADINE 10 MG
130 TABLET 1,000

EXPECTORANT & ANTITUSIVE

131 DEKSTROMETHORPHAN HBr 15 MG TABLET -

132 DEKSTROMETHORPHAN HBr SYR BOTOL -

133 GLYSERIL GUAIAKOLAT 100 MG TABLET 24,150

134 OBAT BATUK HITAM 100 ML BOTOL 1,915

GIT-ANTIEMETIC

135 DIMENHYDRINAT 50 MG TABLET 3,400

136 DOMPERIDONE SUSPENSI 5MG/5ML BOTOL 50

137 DOMPERIDONE TABLET TABLET 9,450

138 IPEKA SYRUP BOTOL -

139 METOCLOPRAMIDE 10 MG TABLET -

140 ONDANSENTRON 4 MG/2 ML INJEKSI AMPUL 400

GIT-ULCER

141 CIMETIDIN 200 MG TABLET -

142 LANZOPRAZOL 30 MG CAPSUL 600

143 OMEPRAZOL 20 MG CAPSUL 11,070

144 RANITIDIN INJEKSI 25 MG AMPUL 1,200

145 RANITIDIN TAB 150 MG TABLET 15,700

GIT-DISORDERS

146 ATROPIN SULFAT INJEKSI AMPUL -

147 ATROPIN SULFAT 0,5 MG TABLET TABLET -

GOUT PREPARATION

148 ALLOPURINOL 100 MG TABLET 1,100

 LOCAL ANAESTHETIC

149 LIDOCAIN COMP INJEKSI KOMB. AMPUL -

150 LIDOKAIN INJ 2% AMPUL 300

NSAID

151 ASAM MEFENAMAT 500 MG TABLET 21,850

152 IBUPROFEN 100 MG/5 ML SUSPENSI BOTOL -

153 IBUPROFEN 200 MG TABLET 7,000

154 IBUPROFEN 200 MG/5 ML SUSPENSI BOTOL -

155 IBUPROFEN 400 MG TABLET 9,050

156 KETOPROFEN INJ 100 MG/2 ML AMPUL -

157 KETOROLAC INJEKSI 30 MG/ML AMPUL 300

158 MELOKSIKAM 15 MG TABLET 9,725

159 NATRIUM DIKLOFENAK 50 MG TABLET 9,975

160 PIROKSIKAM 10 MG TABLET 7,950

161 PIROKSIKAM 20 MG TABLET 500

PSICOTROPICS

162 AMITRIPTILINA 25 MG TABLET -

163 CLORPROMASIN 25 MG TABLET -

164 DIAZEPAM 5 mg TABLET -

165 DIAZEPAM 2 MG TABLET 1,000

166 DIAZEPAM INJ 5 MG/ML AMPUL -

167 HALLOPERIDOL 0,5 MG TABLET -

168 KLORPROMAZIN INJ 5MG/ML-2ML AMPUL -

169 STESOLID RT 5 MG TUBE 20

170 STESOLID RT 10 MG TUBE -

TRANSQUILIZER

171 FENOBARBITAL 30 MG TABLET -

172 FENOBARBITAL INJ AMPUL -

173 PIRACETAM 1200 MG TABLET -

174 PIRACETAM INJ 1 GR AMPUL -

175 PIRACETAM INJEKSI 3 GR AMPUL -

VITAMIN

176 ASAM ASCORBAT 50 MG TABLET 23,450

177 ASAM ASKORBAT 250 MG TABLET -

178 ASAM FOLAT 1 MG TABLET -

179 PIRIDOKSIN (VIT B6) TABLET 7,600

180 PROFOLAT 400 MCG TABLET 2,000

181 THIAMIN HCL INJ 100 MG/ML AMPUL -

182 VITAMIN B 12 INJ 500 MCG/ML AMPUL 500

183 VITAMIN A 100.000 IU CAPSUL -

184 VITAMIN A 200.000 IU CAPSUL -

185 VITAMIN B KOMPLEKS TABLET 12,200

186 VITAMIN B1 TAB 50 MG TABLET 7,550

187 VITAMIN B12 TAB TABLET 10,350

188 VITAMIN K 10 MG TABLET 400

189 VITAMIN K INJ AMPUL 420

OFTAMOLOGIKUM

190 ATROPIN SULFAT TM 0,5% BOTOL -

191 GENOINT SALEP MATA TUBE 96

192 GENTAMISIN SULFAT SM 0,3% BOTOL 96

GENTAMISIN SULFAT TM 0,3% 120

193 KLORAMFENIKOL 1% SALEP MATA TUBE 203

194 KLORAMFENIKOL 0,5% TETES MATA BOTOL 818

195 NATRIUM FLOURESEIN TM 2% BOTOL -

196 OKSITETRASIKLIN 1% SALEP MATA TUBE -

197 PILOKARPIN HCL NITRAT T.M BOTOL -

198 SULFACETAMID TETES MATA BOTOL -

OTOLOGIKUM

199 FENOL GLYSEROL TETES TELINGA 10% BOTOL 108

200 KLORAMFENIKOL 3% TETES TELINGA BOTOL -

ANTI VERTIGO

201 BETAHISTIN MESILAT 6 MG TABLET 9,105

ANTI HEMOROID

202 ANTI HEMOROID SUPPOSITORIA SUPPO 85

ANTI MIGREN

203 ERGOTAMIN CAFFEIN TABLET -

LARUTAN INFUS

204 DEXTRAN 70 LAR BOTOL -

205 GLUKOSA LAR INFUS 10% BOTOL -

206 GLUKOSE 5 % BOTOL 260

207 NATRIUM KLORIDA 0,9% INFUS BOTOL 120

208 RINGER LAKTAT BOTOL 5,600

 OBAT KULIT LAIN

209 2-4 SALEP POT -

210 KALIUM PERMANGANAT SERBUK POT 80

211 LEVERSTAN SALEP POT -

212 SALISIL TALK BOTOL 352

OBAT BISUL

POT
213 ICHTIYOL SALEP -

OKSITOSIKUM

214 METILERGOMETRIN 0,2 MG/ML INJEKSI AMPUL 100

215 METILERGOMETRIN 0,125 MG TABLET -

216 OKSITOSIN 10 IU/ML INJEKSI AMPUL 300

LARUTAN UNTUK LUKA

217 ETANOL 70% BOTOL 25

218 RIVANOL / ETAKRIDIN BOTOL -

219 YODIUM POVIDON 300 ML BOTOL 21

ANTI EPILEPTIKUM/ANTIKONVULSI

220 NATRIUM FENITOIN 30 MG TABLET -

221 NATRIUM FENITOIN 100 MG TABLET -

SERUM

222 ATS 1500 IU AMPUL 1

223 SERUM ABU INJ 5 ML VIAL 1

OBAT SARIAWAN

224 GENTIAN VIOLET POT 60

ORALIT

225 GARAM ORALIT 200 ML AIR SACHET 300

LAIN-LAIN

226 AQUA PRO INJ VIAL 275

227 BISAKODIL TABLET SALUT 5 MG TABLET -

228 CALSIUM GLUCONAS INJEKSI VIAL 72

229 EPINEPRIN INJ AMPUL -

230 EXTRAC BELLADON TABLET -

231 FLOUR TAB 0,5 MG TABLET -

232 GLISEROL /GLISERIL BOTOL -

233 IODIOL KAPSUL LUNAK CAPSUL -

234 KALIUM KLORIDA TABLET -

235 KALSIUM LAKTAT 500 MG TABLET 43,900

236 LISOL BOTOL -

237 MEDICINE PAKET PAK -

238 MgSO 40% BOTOL -

239 MINERAL MIX SACHET -

240 NATRIUM THIOSULFAT INJ 25% 10ML VIAL -

241 PAPAVERIN TABLET TABLET -

242 PARAFORMALDEHID TABLET -

243 PROPILTHIOURACIL 100 MG TABLET -

244 SENDOK OBAT PLASTIK BUA 3,200

245 TABURIA SACHET -

ALAT KESEHATAN

BUAH
246 BISTURI NO.22 100
SACHET
247 CAT GUT NO 2/0 -
SACHET
248 CAT GUT NO. 3/0 -
PCS
249 DISPOSIBLE 3 CC 3,500
PCS
250 DISPOSIBLE SPUIT 1CC 400
PCS
251 DISPOSIBLE SPUIT 2,5 CC -
PCS
252 DISPOSIBLE SPUIT 5 CC 500
BOX
253 FILM X-RAY 24X30 CM -
BOX
254 FILM X-RAY 30X40 CM -
BOX
255 FILM X-RAY 35X35 CM -
SET
256 FIXER DEVELOPER FILM -
PCS
257 FOLEY CATH TWO WAY 16 50
PCS
258 FOLEY CATH TWO WAY 18 -
PCS
259 FOLEY CATH TWO WAY 20 -
PASANG
260 HANDSCOEN uk S 500
PASANG
261 HANDSCOEN NO. 7,5 150
PCS
262 HANDSCOEN NON STERIL LARGE -
PASANG
263 HANNSCOEN NO. 6,5 150
PCS
264 HANDSCOEN NON STERIL MEDIUM 12,750
PASANG
265 HANSCOEN NO.7 150
ROL
266 HYPAFIK 5 CM x 5 M -
ROL
267 HYPAFIK 10 CM x 5 M -
SET
268 INFUSET ANAK 300
SET
269 INFUSET DEWASA 1,158
SET
270 IV CATHETER NO. 18 500
 SET
271 IV CATHETER NO. 20 375
SET
272 IV CATHETER NO. 22 1,000
SET
273 IV CATHETER NO. 24 300
SAK/12
274 JARUM JAHIT NO. 22 DAN 23 15
BIJI
275 JARUM SUNTIK 23 G -
ROL
275 KASA 2 M X 80 CM -
BKS
276 KAPAS 250 GRAM 35
BKS
277 KAPAS BERLEMAK 500 GR -
ROL
278 KASA 5 CM -
ROL
279 KASA 10 CM X 4 M -
ROL
280 KASA 3 X 4 -
BIJI
281 KASA 40 X 40 -
KOTAK
282 KASA HID STERIL UK 18 X 22 CM -
KOTAK
283 KASA HIDR STERIL 16 X 16 -
ROL
284 KASA HIDROFIL UK 36M X 80CM 30
ROL
285 KASA HYDROFIL 4 X 15 50
BOX
286 LANCET 25
PCS
287 MASKER 4,121
PCS
288 MASKER RESPIRATOR N95 -
BOX
289 OBYEK GLASS -
ROL
290 PEMBALUT GIBS -
PCS
291 PENGHISAP LENDIR -
ROL
292 PLESTER 5 YARD X 1 INCHI 10
ROL
293 PLESTER 5 YARDX 2 INCH 80

PLESTERIN ROLL 5 cm x 5 M 50
PASANG
294 SARUNG TANGAN PANJANG -
BUAH
295 SAVETY BOX 150
SACHET
296 SILK 2/0 120
SACHET
297 SILK 3/0 -
PCS
298 SPUIT IMUNISASI 0,5ML 23G -
PCS
299 SPUIT IMUNISASI BCG 0,05 26G -
SPUTUM POT BUAH
300 -
SYRINGE 10ML LL 21 GR PCS
301 50
SYRINGE 20 ML PCS
302 -
PCS
303 URINE BAG 25
BUAH
304 VACCINE CARRIER -
SET
305 WING NEEDLE NO 25G -
SET
306 WING NEEDLE NO. 23 -

OBAT GIGI

307 AIR RAKSA DENTAL USE BOTOL -

308 ALBOTHYL CONCENTRATE BOTOL -

309 BETADINE KUMUR BOTOL -

310 CAVITON / SEMEN SET -

311 CHKM BOTOL -

312 CRESOPHEN / ENDOSEPTON SET -

313 DEVITALISASI PASTA BOTOL -

314 ETHYLKLORIT SEMPROT BOTOL 10

315 EUGENOL CAIRAN 10 ML BOTOL -

316 GLASS ISOMER CEMENT (GC 1 X) SET -

317 KALSIUM HIDROKSIDA PASTA TUBE -

318 MUMFYING PASTA BOTOL -

319 SEMEN SENG POSPAT SER+CA SET -

320 SILVER AMALGAM BOTOL -

321 SPON GELATIN BUAH -

322 TKF SET -

323 TEMPORARY STOPING (Fletcher) SET -

LARUTAN LABORATORIUM

324 AQUABIDEST BOTOL -

325 ASAM KLORIDA 0,1 N BOTOL 3

326 ASAM SULFOSALISILAT BOTOL -

327 GIMSA STAIN BOTOL -

328 KAPORIT BOTOL -

329 LARUTAN BENEDICT BOTOL -

330 LARUTAN EOSIN 2 BOTOL -

331 LARUTAN GABBET BOTOL -

332 LARUTAN KARBON FUSCHIN BOTOL -

333 LARUTAN KINYUON BOTOL -

334 LARUTAN METILEN BIRU BOTOL -

335 LARUTAN TURK BOTOL 3

336 METANOL BOTOL 2

337 OIL IMERSI BOTOL 2

338 PERHYDROL BOTOL -

339 REAGEN ZIEHL NEELSEN SET 4

340 SPIRTUS BOTOL -

OBAT PATEN NON GENERIK

BOTOL
341 BATUGIN ELIXIR -
TUBE
342 DABUR 35G BURNAZIN CREAM TUB -
TUBE
343 DUMIN REKTAL TUBE 125 MG 50
KAPSUL
344 HAEMOROGARD -
 KAPSUL
345 HEMAFORT CAPSUL -
BOTOL
346 KURKUMEX SYRUP 150
KAPSUL
347 KURKUMEX TABLET -
TABLET
348 LAXANA 5 MG -
TABLET
349 MOLAGIT TABLET 225
TABLET
350 MOLEX FLU 6,000
BOTOL
351 MOLEXDRYL SIRUP -
TUBE
352 MOLEXFLU SIRUP -
BOTOL
353 NEOCENTA GEL -
TABLET
354 NEOKAOMINAL SIRUP -
TABLET
355 NEW ANTIDEST 2,100
BOTOL
356 NOPROSTOL TABLET -
TABLET
357 PACDIN VIT CUR SIRUP -
BOTOL
358 PEHAVRAL -
BOTOL
359 RECO EAR DROPS 236
TUBE
360 RECOVIT SIRUP -
TUBE
361 SCABICID CREAM -
TABLET
362 SCABIMITE 180
KAPSUL
363 SELKOM C GOLD -
BOTOL
364 TENSIGARD -
BOTOL
365 ZINKKID SIRUP 300
BLUD
OBAT

AMLODIPIN 10 MG TAB 4,500

METOCLOPRAMIDE INJ AMP -
ALLOPURINOL 300 MG TAB 300
ASAM TRANEXAMAT INJ AMP 15
CAVICUR / CURCUMA TAB 4,000
CAVICUR SIRUP BOTOL 180
COMBIVENT AMP 90
GOM BUAH 72
KALIUM DIKLOFENAK TAB 6,000
VENTOLIN NEBULIZER AMP 120
SUPRAFENID SUPPO 25
FLUNARIZINE 5MG TAB 3,500

BMHP

Aseptic Gel galon 4

Aseptic Gel Dispenser botol 5
Povidon Iodine 30 ml botol 50
Canul O2 bayi pcs 15
Canul O2 anak pcs -
Canul O2 Dewasa pcs 20
Tranfusi set set 500
Underpad pcs 50
Nasal Masker Anak pcs 10
Nasal Masker dewasa pcs 10
Nasal NRM dewasa pcs 10
Nasal NRM anak pcs 10
Pot Salep pcs 450
Kertas Lakmus merah 2
Vacutainer EDTA pcs 650
Vacutainer non EDTA pcs 200
yellow tipe 500

REAGEN
Verify Urinalisis 3 parameter botol 6
Diluent paket 6
Cleaner paket 5
Stik Gula tube 55
Anti A paket 6
Anti B paket 6
Stik Asam Urat box 4
Stik Cholesterol box 22
Lyser paket 2
HCG Strip box 2
Verify Urinalisis 10 parameter 3
Salmonella O 5
Salmonella H 5
Trombosit 3
Anti D 5
Hypocleaner 2