Nama Obat Satuan

Bukateja
STOCK TGL 1 RENCANA RENCANA
PENERIMAAN PEMAKAIAN PEMAKAIAN SISA STOCK TGL. 31
JANUARI
2023 2023 RERATA 2023 DEEMBER 2023
KEBUTUHAN PENGADAAN
2023 2024 2024

ORAL -
1 Acyclovir 200 mg tablet Tablet - - - - - -
2 Acyclovir 400 mg tablet Tablet 1,330 2,500 2,356 196 1,474 1,275 5,000
3 Albendazol 400 mg Tablet - 18,100 15,802 1,317 2,298 16,138
4 Alopurinol 100mg Tablet 7,900 - 1,689 141 6,211 - 4,241 1,500
5 Ambroxol Tablet - 3,000 2,717 226 283 2,887 5,000
6 Ambroxol syrup Botol - - - - - -
7 Aminofilin 200 mg Tablet 983 1,200 736 61 1,447 - 588
8 Amitriptilin HCl 25 mg Tablet 2,788 600 1,296 108 2,092 - 580 500
9 Amlodipin 10mg Tablet 8,200 40,900 36,465 3,039 12,635 29,908 13,000
10 Amoksisilin 250 mg Capsul - - - - - -
11 Amoksisilin 500 mg Caplet 34,455 10,800 42,238 3,520 3,017 46,261 46,000
12 Amoksisilin Srp Krng 125mg/5ml Botol 383 1,000 1,164 97 219 1,139 1,200
13 Amoksisilin Srp Krng 250mg/5ml Boto 60 ml - - - - - -
15 Ampisilin 500 mg Caplet - - - - - -
16 Ampisillin sirup kering 125mg/ml Botol - - - - - -
18 Antasida Doen tab. Tablet 49,630 16,400 64,769 5,397 1,261 74,303 75,000
19 Antasida sirop Botol - 259 201 25 58 294 300
20 Arterakine Dus @ 9tab - - - - - -
21 As. Mefenamat 500 mg Kapsul 4,400 10,800 12,069 1,006 3,131 10,950 10,000
22 Asam Askorbat (Vit.C) tab.50 mg Tablet 6,505 21,700 12,237 1,020 15,968 - 1,692 2,000
23 Asam folat 1mg Tablet 2,927 1,700 3,202 267 1,425 2,311 3,000
24 Asetosal 100 mg Tablet 1,200 8,000 8,874 740 326 10,027 10,000
25 Asetil sistein 200 mg kapsul 11,660 15,120 24,146 2,012 2,634 25,536 30,000
26 Bekarbon Tablet - 120 120 10 - 140 200
27 Betahistin mesilat 6mg Tablet 2,300 6,400 2,952 246 5,748 - 2,304 3,000
28 Bisakodil Kapsul - - - - - -
29 Captopril 12,5 mg Tablet - - - - - -
30 Captopril 25 mg Tablet 8,100 6,800 13,505 1,125 1,395 14,361 16,000
31 Cefadroxil 500 mg Tablet 4,168 3,100 4,210 351 3,058 1,854 5,000
32 Cefadroxil sirup 125 mg/5 ml Botol 60 ml - - - - - -
34 Cimetidin Tablet Tablet - - - - - -
35 Citerizine 10mg Tablet - - - - - -
36 Clonidin Tablet - - - - - -
37 Clozapine 25mg Tablet - - - - - -
38 Cyprofloxacin 500 mg Tablet 1,713 6,300 4,655 466 3,358 3,159 5,000
39 Deksametason tab.0,5 mg Tablet 7,500 47,000 38,283 3,190 16,217 28,447 30,000
40 Dekstromethorphan 10 mg/ 5ml Botol - - - -
41 Dekstrometorfan HBr tab.15 mg Tablet - - - - - -
42 Diazepam tab. 2mg Tablet 214 1,000 235 118 979 666 600
43 Dietyl Carbamazepine Tablet - - - - - -
44 Digoxin 0,25mg Tablet 2,500 500 2,888 241 112 3,257 5,000
45 Dimenhydrinat 50mg Tablet 4,800 5,800 6,207 517 4,393 2,849 5,000
46 Doksisiklin 100 mg Kapsul - - - - - -
47 Donperidon 10mg Tablet 7,050 - 5,532 461 1,518 4,936 5,000
48 Donperidon 5mg/5ml suspensi Botol 173 100 152 19 121 145 150
50 Ergotamin cofein Tablet - - - - - -
53 Erytromicyn sirup Botol - - - - - -
54 Erytromycin 500 mg Capsul 5,468 1,300 6,716 560 52 7,783 8,000
55 Etambutol 500 mg Tablet - - - - - -
56 Famotidin 40 mg Tablet - - - - - -
57 Fenobarbital 30mg Tablet 100 - 100 8 - 117 100
58 Fenoksimetil Penisiline 250 mg Tablet - - - - - -
59 Fenoksimetil Penisiline 500 mg Tablet - - - - - -
61 Fitomenadion Vit K 1 tab.10 mg Tablet 1,031 200 1,105 184 126 2,452 1,000
62 Furosemid tab.40 mg Tablet 5,200 - 4,016 335 1,184 3,501 4,000
63 Garam Oralit 200 ml air Bungkus 700 1,400 1,708 142 392 1,601 1,600
64 Gemfibrozil 300 mg Kapsul 1,152 - 377 63 775 105 500
65 Glibenklamid tab. 5 mg Tablet 1,900 - 1,900 950 - 13,300 -
Glimepirid 2 mg
3,745 8,200 6,331 528 5,614 1,772 5,000
66 Gliseril Guaiakolat tab.100 mg Tablet 2,000 5,000 5,857 488 1,143 5,690 6,000
67 Griseovulvin tab.125 mg Tablet - 2,500 948 79 1,552 - 446 300
68 Haloperidol 1,5 mg Tablet - - - - - -
69 Haloperidol 5 mg Tablet 1,700 2,000 553 69 3,147 - 2,179 3,000
70 Hemorogad Kapsul - - - - - -
71 Hepagard Kapsul - - - - - -
Herbacof, Syr 100ml botol 662 1,824 1,999 167 487 1,845 2,000
Herbacof, kap Kaplet 300 - 300 25 - 350
Herbacold kaplet 600 - 60 10 540 - 400
72 Hidroklorotiazid (HCT) tab. 25mg Tablet 2,746 - 446 74 2,300 - 1,259
Hyosin Butil Bromide Tablet 8,245 2,500 2,430 203 8,315 - 5,480 3,000
 73 Ibuprofen tab.200 mg Tablet - - - - - -
74 Ibuprofen tab.400 mg Tablet 6,490 12,300 12,946 1,079 5,844 9,260 10,000
75 Iburofen suspensi 100mg/5ml Botol 60ml - - - - - -
76 Iburofen suspensi 200mg/5ml Botol 60ml 180 - 1 1 179 - 165
79 Isorbid Dinitrat 5mg Tablet 4,946 - 1,398 117 3,548 - 1,917
80 Kalium diklofenak 50 mg Tablet - - - - - -
81 Kalsium Laktat (Kalk) tab.500 mg Tablet 13,210 16,300 23,005 1,917 6,505 20,334 20,000
82 Kanina/Neo Kaominal sirup Botol 60 ml 85 - 85 7 - 99
83 Ketokonasol 200mg Tablet 1,456 3,200 1,346 112 3,310 - 1,740 1,000
84 Ketoprofen 100 mg Tablet - - - - - -
85 Klindamicyn 300 mg Kapsul - 800 - - 800 - 800
86 Kloramfenikol kap.250 mg Kapsul 600 - 247 21 353 - 65
87 Kloramphenikol suspensi 125mg/5Botol - - - - - -
88 Klorfeneramin Maleat(CTM) 4 mg Tab/Box@10 11,786 66,000 51,008 4,251 26,778 32,731 45,000
89 Klorfeneramin Maleat(CTM) 4 mg (Tab/Klg@10 - - - - - -
90 Klorfeneramin Maleat(CTM) 4 mg (Tab/Klg@10 - - - - - -
91 Klorpromazin HCl 100mg tab. salutTablet 1,741 5,000 2,434 203 4,307 - 1,467
92 Kotrimoksazol Pediatrik tab Komb.Tablet - - - - - -
93 Kotrimoksazol Suspensi Botol 300 - 74 6 226 - 140
94 Kotrimoksazol tab. Dws 480mg Tablet 3,500 1,400 1,254 105 3,646 - 2,183 1,000
98 Loperamid Tablet - - - - - -
99 Loratadin 10mg Tablet - - - - - -
100 Mebendazol sirup 100mg/5ml Botol 30ml - - - - - -
Meloksicam 7,5 mg Tablet - - - - - -
101 Meloksicam 15 mg Tablet - - - - - -
102 Metformin 500mg Tablet 5,099 29,500 21,394 1,783 13,205 11,755 12,000
103 Metil Prednisolon 4mg Tablet 26,620 - 20,972 1,748 5,648 18,819 18,000
104 Metilergometrin Maleat 0,125 mgTablet 74 - 74 6 - 86 200
105 Metoklopropamid 10 mg Tablet 2,007 - 410 34 1,597 - 1,119 500
106 Metoklopropamid sirup Botol - - - - - -
107 Metronidazol 250mg Kapsul - - - - - -
108 Metronidazol 500 mg Tablet 2,121 7,000 3,947 658 5,174 4,036 5,000
109 Mineral mix Sachet - 240 - - 240 - 240
110 Na diklofenak 50 mg Tablet 36,446 - 28,942 2,412 7,504 26,262 26,000
111 Natrium Bicarbonat Tablet 4,142 - 917 76 3,225 - 2,155
112 Natrium Tiroksin 100mcg Tablet - - - - - -
113 Neo Diaform/Stopdiar/molagit Tablet 2,029 - 1,347 112 682 890 2,000
114 Nifedipin 10mg Tablet 2,292 - 1,087 91 1,000 268 2,000
115 Nistatin tablet salut 500.000 IU/grTablet - - - - - -
116 Nodiar Ktk '100tab - - - - - -
117 Obat Anti TBC FDC Anak paket - 8 5 0 3 3
118 Obat Anti TBC Kat Anak (kombipakpaket - - - - - -
119 Obat Anti TBC Kat I (FDC) paket - 24 23 2 1 26
120 Obat Anti TBC Kat I / Kombipak paket - - - - - -
121 Obat Anti TBC Kat II paket - - - - - -
122 Obat Anti TBC Kat 1 Harian paket - - - - - -
123 Obat Batuk Hitam (OBH) cairan Botol - - - - - -
124 Obat Batuk Hitam (OBH) Plus Botol 100ml - - - - - -
125 Ocugard kapsul Tablet - - - - - -
126 Omepazole 20 mg Kapsul 6,759 16,810 12,531 1,253 11,038 6,505 8,000
Omegdiar - - - - - -
127 Papaverin 40 mg Tablet (A) Tab/Box@10 - - - - - -
128 Papaverin 40 mg Tablet (B) Tab/Klg@10 - - - - - -
129 Parasetamol 100 mg Tablet - - - - - -
130 Parasetamol drop Botol 15ml - - - - - -
131 Parasetamol sirup 120 mg/5 ml Botol 1,123 740 1,181 118 682 971 1,000
132 Parasetamol tab. 500 mg Tablet 38,543 87,300 103,980 8,665 21,863 99,447 100,000
133 Pehavral (multivit) tab. Kaplet - - - - - -
134 Phenitoin Natrium 100 mg Kapsul - - - - - -
137 Pirantel Pamoat tab.125 mg Tablet - - - - - -
138 Piridoksin Hcl.(Vit B6) 10 mg Tablet 7,764 13,400 11,899 992 9,265 4,617 5,000
139 Piridoksin Hcl.(Vit B6) 25 mg Tablet - - - - - -
140 Prednison tab.5 mg (A) Tab/Box@10 - - - - - -
141 Prednison tab.5 mg (B) Tab/Klg@10 - - - - - -
142 Primaquin/Kloroquin Tablet - - - - - -
143 Propanolol tab 40 mg Tablet - - - - - -
144 PTU 100mg Tablet - - - - - -
145 Pyrazinamid 500 mg. Tablet - - - - - -
146 Quinin tablet Kotak @ 60 - - - - - -
147 Ranitidin 150mg Tablet - - - - - -
148 Reserpin 0,25mg tablet Tablet - - - - - -
149 Retinol (Vit.A) 100.000 UI tab. Kapsul - 1,400 666 56 734 43
150 Retinol (Vit.A) 200.000 UI tab. Kapsul - 14,600 4,495 375 10,105 - 4,861
151 Rifampisin kapsul 300mg Kapsul - - - - - -
152 Rifampisin kapsul 450 mg Kapsul - - - - - -
153 Risperidone 2 mg Tablet 1,776 2,100 2,727 227 1,149 2,033 4,000
154 Salbutamol 2 mg Tablet - - - - - -
155 Salbutamol 4 mg Tablet 4,862 3,100 7,842 654 120 9,029 5,000
156 Sianocobalamin 50 mg/Vit B12 (A)Tab/Box@10 8,805 2,600 8,443 704 2,962 6,888 5,000
157 Simvastatin 20 mg Tab/Klg@10 - - - - - -
158 Simvastatin 10 mg Tablet 200 1,500 1,411 118 289 1,357 3,000
159 spiramicyn 500mg Tablet - - - - - -
Stimuno Forte, Btl@30 Kapsul 1,556 4,830 5,179 432 1,207 4,835
160 Tablet Tambah Darah Tablet - 464,500 355,240 29,603 109,260 305,187
161 Tensigard Kapsul - - - - - -
162 Tetrasiklin 250mg Tablet - - - - - -
163 Tetrasiklin 500 mg Tablet - - - - - -
164 Thiamin Hcl (Vit.B1)tab.100 mg Tablet - - - - - -
165 Thiamin Hcl (Vit.B1)tab.50 mg (A) Tab/Box@10 7,722 4,500 4,543 379 7,679 - 2,379 10,000
166 Thiamin Hcl (Vit.B1)tab.50 mg (B) Tab/Klg@10 - - - - - -
167 Thiampenicole 500mg Kapsul 5,516 - 1,003 84 4,513 - 3,343
169 Traneksamik Acid 500 mg Kapsul 700 2,300 1,412 118 1,588 59 1,000
170 Trifluoperazine 5mg Tablet salut - - - - - -
171 Triheksifenidil (THP) 2mg Tablet 2,184 1,900 509 42 3,575 - 2,981
172 Truvit (multivit) syr / procurma Botol 60ml - - - - - -
173 Vitamin B Complx tab (A) Tab/Box@10 21,320 12,800 31,897 2,658 2,223 34,990 30,000
174 Vitamin B Complx tab (B) Tab/Klg@10 - - - - - -
175 Zink Tablet Kotak 3,527 5,600 6,489 541 2,638 4,933 5,000
176 Hyosin Butil Bromide bot - 10 8 1 2 7 10
177 Asetil sistein 200 mg -
178 Stimuno -
INJEKSI / LARUTAN INFUS - - - - - -
1 Aminofilina inj. 24 mg/ml -10 ml Ampul 10 - 8 1 2 7 12
2 Amoksisilin Inj 1 gram Vial - - - - - -
3 Ampisilin Injeksi 1 Gram Vial 30 - 30 3 - 35
4 Anti Bio Save (ABU) Vial @5ml - - - - - - 2
5 Aqua Pro inj. Steril Vial 320 220 320 27 220 153 200
Aqua Pro inj. Steril, 1 L Btl@1 L - - - - - -
6 Artemeter inj Dus @ 6 am - - - - - -
7 Artesunate inj Dus @ 8 am - - - - - -
9 Atropin Sulfat Inj 0,25mg/ml-1ml Ampul 10 - 5 0 5 1 10
10 Deksametason inj 5mg/ml-1ml ampul 343 120 312 26 151 213 200
11 Depo Progestin Injeksi Vial - - - - - -
12 Dextran 70% Botol - - - - - -
13 Diazepam inj. 5mg/ml-2ml Ampul 50 - 50 4 - 58 50
14 Difenhidramin HCl inj Ampul 52 - 25 2 27 2 30
15 Ephineprin /Adrenalin inj Ampul 70 - 45 4 25 28 50
17 Fenobarbital Inj. 50 mg /ml--2ml Ampul 30 - - - 30 - 30 30
18 Fitomenadion (Vit. K1) Inj.10mg Ampul - - - - - -
19 Fitomenadion (Vit. K1) Inj.2mg/mlAmpul 450 30 60 5 420 - 350
20 Furosemide inj Ampul - - - - - -
21 Gentamycin inj 40mg/5ml Ampul - - - - - -
22 Glukosa infus 40% Botol 10 - 10 1 - 12 20
23 Glukosa larutan infus 5% steril Botol - 220 100 17 120 113 200
24 Glukosa calsicus 10%steril Ampul 20 ml 16 - 10 1 6 8 20
27 Kloramphenikol Inj 1g/ ColsancetinVial - - - - - -
28 Lidocain Injeksi 2%-2ml Ampul 80 350 371 37 59 460 500
29 Metilergometrin Inj 0,2mg/ml - 1mAmpul 103 100 50 4 153 - 95
30 Metoklopropamid 5mg/ml inj ampul 15 100 115 10 - 134
31 MgSO4 20% Botol 25 ml - - - - - -
32 MgSO4 40 % Botol 25 ml 30 20 37 3 13 30 50
33 Na Cl Infus 0.9% Botol 168 - 101 13 67 110 200
34 Oksitetrasiklin HCl inj Vial - - - - - -
35 Oksitocin inj 10 UI/ml Ampul 490 - 60 5 430 - 360
36 Pehacain / Lidocain comp. Inj Ampul 190 210 400 33 - 467 400
37 Piracetam inj Ampul - - - - - -
38 Ringer Laktat lar. infus steril Botol 1,320 1,900 3,017 251 203 3,317 3,000
39 PPC Inj Vial - - - - - -
41 Ranitidin inj 25mg/2ml Ampul - 1,350 1,350 169 - 2,363 2,500
43 Serum Bisa Ular (ABU) Bio Save Vial @5ml 2 2 2 - 28 4
44 Serum Anti Dipteri (ADS) 20.000 Vial - - - - - -
45 Serum Anti Tetanus 1500 IU/Amp.Ampul - 35 20 2 15 8 30
46 Serum Anti Tetanus20.000IU/Am. Vial - - - - - -
47 Sianocobalamin inj 500mcg Ampul - - - - - -
48 Sikzonoat inj 25 mg/ml Ampul - - - - - -
49 Thiamin inj 100mg/ml Ampul - - - - - -
51 Haloperidol inj 38 45 28 2 55 - 22 20
52 Metronidazol infus Botol - - - - - -
54 pelarut nacl - - - - - -
55 ventolin / Combiven - - - - - -
TOPIKAL - - - - - -
1 Acyclovir 5% Ceam Tube 29 150 166 14 13 181 200
 2 Anti Bakteri DOEN salep Tube - - - - - -
3 Anti Fungi DOEN Kombinasi. Pot 96 - 96 8 - 112 100
4 Antihaemoroid supp Supp 270 240 461 38 49 489 500
5 Betametason krim 0,1% Tube 341 1,425 1,619 135 147 1,742 2,000
6 Bisakodil suppo 10mg Suppo - - - - - -
7 Borak Gliserin (GOM) Botol 10ml - - - - - -
8 Diazepam lar. Rektal 5mg/2,5ml (stTube 2,5ml - 20 10 2 10 13 15
9 Enkasari Botol 120ml - - - - - -
10 Etakridin (Rivanol) larutan 0,1% Botol 300 ml - - - - - -
11 Etanol 70 % Botol 100 ml - - - - - - 50
Etanol 70 % Botol @1 L 103 - 26 2 77 - 47 50
12 Ethyl chlorida spray Botol 2 19 12 1 9 5 10
13 Flusinolon asetonid 0.025% krim Tube - - - - - -
14 Gentamisin Salep Kulit Tube - 400 397 33 3 460 500
15 Gentian Violet larutan 1% Botol - - - - - -
16 Hydrokortison Cream Tube 144 168 171 14 141 59 100
17 Ketokonasole/Solinfec cream Tube 144 36 168 14 12 184 300
18 Ketoprofen supp 100mg/ProtofenSupp - - - - - -
Kloramfenikol Salep Kulit Tube 336 150 486 41 - 567 600
19 Kloramfenikol tetes telinga 3% Botol 104 - 103 9 1 119 100
20 Klorfeson cream Tube 10g - - - - - - -
21 Lisol/kresol tersaponofikasi 50% Botol 1 L 43 20 10 1 53 - 41
22 Minyak kayu putih Botol 30ml - - - - - -
24 Myconazole cream Tube 499 48 547 46 - 638 600
25 Nistatin tablet vagina 100.000 IU Tablet 320 100 320 27 100 273 100
26 Nufasic cream) Tube - - - - - -
27 Oksitetrasiklin Hcl salep Kulit 3% Tube - - - - - -
28 Povidon Iodine 30 ml Botol 20 48 41 3 27 21 50
29 Povidon Iodine 300 ml Botol - - - - - -
30 Povidon Iodine 60 ml Botol - - - - - -
31 Salep 2-4 Kombinasi Pot 100 432 172 14 360 - 159 100
32 Salisil Bedak 2 % Botol 142 85 217 18 10 243 250
33 Scabisid salep kulit Tube 30 3 1 27 - 13
Stericide spray botol 44 30 19 2 55 - 33
Stericide Refile JerryCan 17 7 1
Sterizym 5L JerryCan 25 17 1 8 12 20
35 Viorex sol 500ml Botol - - -
36 Viorex Refile 5 L JerryCan - - -
23 200 223 19 300
OBAT MATA 230 - 230 19 - 268 200
1 Gentamycin tetes mata Botol - - - - -
2 Kloramfenikol salep mata 1% Tube 83 410 267 22 226 86 300
3 Kloramfenikol tetes mata 5ml Botol 5ml 300 - 30 3 270 - 235
4 Kloramfenikol tetes mata 10ml Botol 10ml - - - - -
5 Oksitetrasiklin Hcl salep mata Tube - - - - -
6 Sulfasetamide Na Tes Mata 15% Botol 5ml - - - - -
0 Gentamicin salep mata 0 - - - - -
GIGI - - - - -
1 Asam/efec acid 0 - - - - -
2 Bonding 0 - - - - -
3 Caustinerf rapide pasta 0 - - - - -
4 Champenal 0 - - - - -
5 CHKM 0 - - - - -
6 Cocoa butter 0 - - - - -
7 Devitalisasi pasta (Non Arsen) 0 - -
8 Dentin conitioner 0 - - - - -
9 Eugenol Cairan 0 1 1 1 - 14 14
10 Glass Ionomer Cement ant 0 - - - - -
11 Glass Ionomer Cement post 0 - - - -
12 haemisil 0 - - - - -
13 Hemostal sibivalret raction solition 0 - - - - -
14 Kalsium Hidroksida Pasta 0 - - - - -
15 komposit 0 - - - - -
16 Monoklorkamfer Mentol Cairan Sak - - - - -
17 Mummifying pasta Sak - - - - -
18 Semen Seng Fosfat serbuk cairan 0 - - - - -
19 Silver Amalgam Serbuk 65-75% 0 - - - - -
20 Temporary Filling material/Cavit / Rol - - - - -
21 Temporary Stopping Fletcher Rol - - - - -
22 TKF 0 - - - - -
23 tooth mouse 0 - - -
24 Poliran No 1 0 - - -
25 Alginate -
- - -

ALKES HABIS PAKAI - - - - - -

 1 Alkohol swab Pcs 19,100 1,000 11,400 950 8,700 4,600 5,000
2 Aseptan 500cc + dispenser Botol - - - - - -
3 Blood Tranfusion set Pcs 47 100 147 12 - 172 200
4 Box Slide pcs - - - - - -
5 Catgut/benang bedah 3/0 cromic Pcs 41 12 53 4 - 62 50
6 Catgut/benang bedah 3/0 plain dePcs 12 9 21 2 - 25 30
7 Coverall - -
8 Dressing tulle 10x10 Pcs - - - - - -
9 Foley Cathether No.16 pcs - - - - - -
10 Foley Cathether No.18 pcs -
11 Hanskun non steril S Box@100 10 34 39 3 5 41 50
12 Hanskun non steril L Box@100 21 2 23 2 - 27 50
13 Hanskun non steril M Box@100 18 24 64 5 - 22 97 150
14 Hanskun steril 6,5 200 - 200 17 - 233 300
15 Hanskun steril No. 7 Pasang 150 45 61 5 134 - 63 100
16 Hanskun steril panjang(GynecologPasang 40 5 40 3 5 42 200
17 Hypafix/plester putih non alergen Roll 184 96 157 13 123 60 150
18 Infusion set Anak(PKD 2) Set - 120 62 5 58 51 100
19 Infusion set Dewasa (PKD 1) Set 344 300 539 45 105 524 700
20 Intravena Kateter no 18 Pcs 50 150 150 13 50 125 150
21 Intravena Kateter no 20 Pcs 295 50 292 24 53 288 300
22 Intravena Kateter no 22 Pcs 400 200 344 29 256 145 300
23 Intravena Kateter no 24 Pcs - 250 163 14 87 103 300
24 IV Film Dressing Pcs - - - - - -
25 Jarum Citoject /carpul Pcs - - - - - -
26 Jarum Disposible Pcs - - - - - -
27 Jarum Hecting (remudi) zak @12 ppcs 12 - 12 1 - 14 20
28 Kapas Pembalut 250 mg Gulung 87 - 13 1 74 - 59
29 Kasa Panjang 40 x 80 cm Roll 11 - - - 11 - 11
30 Kasa Pembalut 2m x 80 cm Roll 22 - - - 22 - 22
31 Kasa Pembalut Hidrofil 4m x10cm Roll 271 - - - 271 - 271
32 Kasa Pembalut Hidrofil 4m x3cm Roll 70 - 30 3 40 - 5
33 Kasa steril 16x16 Box 487 50 537 45 - 627 700
34 Masker Earloop Pcs 1,500 1,950 800 67 2,650 - 1,717
35 Masker Hijab Pcs 650 7,350 3,200 267 4,800 - 1,067 3,000
36 Masker tali/tie on Pcs - 1,000 - - 1,000 - 1,000
37 Nasa Canula xs Pcs 20 - - - 20 - 20 20
38 Nasa Canul S pcs - - - - - -
39 Nasa Canula M Pcs 13 50 8 1 55 - 46 100
40 Nasa Canula L Pcs 40 - 19 2 21 112 100
41 Oksigen Mask Adult Pcs - - -
42 Oksigen Mask Paed Pcs -
43 Pembalut Elastis/ tensokrop 7cm Roll - - - - - -
44 Pembalut Gips Roll - - - - - -
45 Plester 5 yards x 1 inc Roll - - - - - -
46 Plester Kertas(Mikrospore)1 inc x Roll - - - - - -
47 Plesterin Pcs 200 400 400 33 200 267 700
48 Pot sputum Pcs 350 800 930 78 220 865
49 Safety box Pcs - 75 - - 75 - 75
50 Silk (Benang Bedah Sutera ) no 3/0Set 2 6 8 1 - 9 20
51 Softband Roll - - - - - -
52 Soloschot Syringe/ADS 0,5 ml Set - 6,000 5,800 483 200 6,567
53 Soloschot syringe/ADS 0,05 ml Set - 500 500 42 - 583
54 Spuit 1ml Set 1,400 1,000 900 75 1,500 - 450 1,000
55 Spuit 3 ml Set 2,000 5,000 4,500 375 2,500 2,750 5,000
Spuit 5 ml Set 3,600 1,600 1,000 83 4,200 - 3,033 1,000
Tes Pack (tes kehamilan) Pcs 100 900 500 42 500 83 1,000
Urine bag Set 110 - - - 110 - 110
56 Wing needle Set - - - - - -
57 Plester (FIXOMULL) Stretch 5cm x 5m -
58 leukomed (steril) pcs -
-
USULAN ITEM OBAT (Non List di Atas) - - - - - -
1 Bioplacenton/Neocenta tube 38 50 50 6 38 50 50
2 Obat batuk sirup Kombinasi botol 116 350 339 42 127 466 400
3 Nistatin Drop drop 59 20 5 39 31 50
4 Salbutamol/ Meprovent nebu amp 10 120 75 8 55 50 50
5 permetrin tube 30 7 1 23 - 11 10
6 ventolin amp - - - -
7 Attapulgit tab 669 5,800 4,598 383 1,871 3,493 4,000
8 Amlodipin 5 mg tab - - - -
9 parasetamol suppo 250 mg suppo - - - -
10 Caviplex/arkavit tab - - - -
11 Herbacof Srup botol 662 1,824 1,999 167 487 1,845 2,000
12 Herbacold Tablet tab 600 - 600 - 600
13 Haloperidol Decanoat inj KESWA Ampul - - - -
14 Hb1g Ampul - - - -
15 Glukosa 10% infus plabot - - - -
16 vitamin syr botol - - - -
17 Tuberkulin inj vial - - - -
18 3HP tab - - - -
19 3HR tab - - - -
20 Heparin Gel SK tube - - - -
21 Kloramfenikol+Hydrokortison Stube - - - -
22 - - - -
23 - - - -
24 - - - -
25 - - - -
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- - - -
- - - -
USULAN ITEM BMHP (Non List di Atas) - - - -
1 Underpad pcs - - - -
2 NUrse cup pcs - - - -
3 Spuit 10 ml pcs 100 15 5 85 - 15
4 Spuit 20 ml pcs 50 10 10 40 100
5 Masker Nebu Anak pcs - - - -
6 Masker Nebu Dewasa pcs - - - -
7 Saliva Ejector Cotisen - - - -
8 Calplus Intro Pack 1x2 g - - - -
9 Articulating Paper Part DC - - - -
10 Bur Carbidge FG Meisinger SQ 018 - - - -
11 Bur Oral Surgery Meisinger HP 1 016 - - - -
12 Fuji IX GP - - - -
13 Caviton White - - - -
14 Masker Nebu Bayi - - - -
15 appron plastik pcs - - - -
16 mami non woven kotak - - - -
17 USG gel Botol 30 15 3 15 20 20
18 Catgut Cromic 2.0 pcs - - - -
19 Bisturi Pcs - - - -
20 Umbilical Cord/ Klem Tali PusatPcs 200 100 17 100 133 200
21 intra vena no. 26 Pcs - - - -
22 Hanskun NItril S Box 30 3 1 27 - 13 20
23 Hanskun Nitril M Box 30 10 3 20 27 20
24 Hanskun Nitril L Box 15 12 4 3 53 20
25 Hanskun Steril No 7,5 150 45 61 10 134 8 30
26 Blood Lancet Pcs - - - -
27 Blue Tip Pcs - - - -
28 Yellow Tip Pcs - - - -
29 Dressing tulle (Cuticel classic) Pcs - - - -
30 Pot Urin onemed reg 2 Pcs - - - -
31 Urinalysis Strip 3 Parameter VerifyPcs - - - -
32 RAPID 1 INDEX VIROCHECK HI pcs - - - -
33 RAPID DUO FASTCLEAR Q HI pcs - - - -
34 handsleek/handsoap derigen 5L - - - -
35 Gelang biru pcs - - - -
36 Feeding tube no.8 pcs - - - -
37 IV film dresing pcs - - - -
38 - - - -
39 - - - -
40 - - - -
41 - - - -
42 - - - -
43 - - - -
44 - - - -
45 - - - -
46 - - - -
47 - - - -
48 - - - -
49 - - - -
50 - - - -
51 - - - -
52 - - - -
53 - - - -
54 - - - -
55 - - - -
 56 - - - -
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60 - - - -
61 - - - -
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Catatan Tambahan ISIKAN di

- - - - BAWAH INI
JML Pasien Umum - - - - 9,606
JML Pasien JKN - - - - 22,185
JML Pasien PRB - - - - 195
JML Pasien Prolanis - - - - 175
Anggaran Obat-Reagen: - - - -
BLUD - - - - 60,000,000
BOP - - - - 71,967,000
- - - -
- - - -
- - - -
CATATAN:
1 Pemakaian Rerata = Jumlah pemakaian / bulan habis dalam satu periode. Misal: Parasetamol 500mg tablet dengan jumlah stok 15.000 t
atau dalam satu tahun (12 bulan) ada 4 (empat) bulan yang mengalami kekosongan, maka pembaginya

2 Pemakaian selama tahun 2023, pemakaian Rerata, Rencana Pengadaan 2024 di isi secara MANUAL dengan mempertimbangkan potensi kebutuhan di tahun 2024
2 KDT/FDC mengandung
2 KDT/FDC mengandung
3 KDT/FDC mengandung:
4 KDT/FDC mengandung
air untuk injeksi
albendazol
alopurinol
Ambroksol
aminofilin
amitriptilin
amitriptilin
amlodipin
amoksisilin
ampisilin
anestetik lokal gigi
antasida
antihemoroid
aquadest
artesunat
articulating paper
asam asetilsalisilat (asetosal
asam askorbat (vitamin C)
asam folat
asam mefenamat
asam retinoat
asam salisilat
Asam Traneksamat
asetazolamid
asiklovir
atapulgit
atenolol
atropin
atropin
atropin
bedak salisil
benzatin benzilpenisilin
betahistin
betametason
bisakodil
bisoprolol
budesonid
Clozapin
dapson
deksametason
Deksametason
Desinfektan enzymatik pengganti Klorin
diazepam
dietilkarbamazin
difenhidramin
Digoksin
dimenhidrinat
doksisiklin
doksisiklin
domperidon
Ekstrak daun kumis kucing
epinefrin (adrenalin)
ergokalsiferol (vitamin D2)
ergotamin
eritromisin
etanol 70%
etil klorida
etil klorida
etonogestrel
eugenol
fenitoin
fenobarbital
fenoksimetil penisilin (penisilin V)
ferrakrilum
ferro sulfat
fitomenadion (vitamin K1)
flufenazin dekanoat
fluoksetin
fluor
flutikason propionat
formokresol
fosfomisin trometamol
framisetin sulfat
furosemid
furosemid
g u tta perc h a dan p aper po i n t s
garam Fe
garam oralit
Gemfibrosil
gentamisin
Gentamisin injeksi
glibenklamid
glimepirid
glipizid
Gliseril Guaikolat
gliseril trinitrat
gliserin
griseofulvin
haloperidol
haloperidol dekanoat
Hemorogard
hidrogen peroksida
hidroklorotiazid
hidroklorotiazid
hidrokortison
hidrokortison
hidrokortison
hiosin butilbromida
ibuprofen*
ipratropium bromida
ipratropium bromida*
isoniazid
isosorbid dinitrat
kalsitriol
kalsium glukonat
kalsium glukonat
kalsium hidroksida
kalsium hipoklorit
kalsium karbonat
kalsium laktat (kalk)
kaptopril
kaptopril
karbamazepin
karbogliserin
Karbonadsorben / Norit tablet
ketokonazol
ketokonazol
Ketoprofen Suppo
Ketoprofen Suppo
klindamisin
klobazam
klofazimin
kloramfenikol
kloramfenikol
kloramfenikol
Kloramfenikol Salep Kulit
klorfeniramin
klorfenol kamfer mentol (CHKM)
klorheksidin
klorheksidin
klorpromazin
klorpromazin
klortalidon
klotrimazol
kodein
kodein
kolkisin
kombinasi KDT/FDC
Kombipak A terdiri dari:
Kombipak B terdiri dari:
Kombipak II terdiri dari:
kotrimoksazol (dewasa)
kotrimoksazol forte (dewasa)
kotrimoksazol syr
kuinin
laktulosa
levonorgestrel
lidokain
linestrenol
liquor carbonis detergens
lisinopril
loratadin
lorazepam
magnesium sulfat
manitol
mebendazol
Meloxicam
Meloxicam
metformin
Metil prednisolon
metildopa
metilergometrin
metilprednisolon
metilprednisolon
metoklopramid
metronidazol
metronidazol
mikonazol
mometason furoat
n-asetil sistein
natrium bikarbonat
natrium bikarbonat
natrium diklofenak
natrium diklofenak
natrium fluoresein
natrium hipoklorit
natrium tiosulfat
Nifedipin
nistatin
nistatin
nistatin
OAT KDT Kategori 1
OAT KDT Kategori 2
OAT KDT Kategori Anak
OAT Kombipak Kategori 1
OAT Kombipak Kategori Anak
Obat Batuk Kombinasi untuk Ekspektoran
ofloksasin
oksigen
oksimetazolin
oksitetrasiklin
oksitetrasiklin
oksitosin
omeprazol
Ondansetron Injeksi
paraformaldehid
parasetamol
perak sulfadiazin
permetrin
pilokarpin
pirantel pamoat
pirazinamid
piridoksin (vitamin B6)
povidon iodin
prazikuantel
prazikuantel
prednison
prednison
primakuin
probenesid
prokain benzilpenisilin
propranolol
propranolol
ranitidin
Ranitidin injeksi
Ranitidin injeksi
retinol (vitamin A)
rifampisin
risperidon
salbutamol
salep 2−4
sefadroksil
serum anti bisa ular
serum antidifteri (A.D.S)
serum antirabies
serum antitetanus (A.T.S)
setirizin
sianokobalamin (vitamin B12)
sianokobalamin (vitamin B12)
simvastatin
siprofloksasin
spironolakton
spironolakton
streptomisin
streptomisin
tablet tambah darah
terbutalin
tetanus toxoid
tetrakain
tetrasiklin
tetrasiklin
Thiamphenikol
tiamin (vitamin B1)
timolol
triamsinolon asetonid
triheksifenidil
tuberkulin pr o t e i n p ur if i ed
vaksin BCG
valproat
vitamin B kompleks
zinc