NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

BP

10

11

12

15

20

10

KIA

10

10

5
10

10

10

Vial

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

P2M

10

LAIN2

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

10

10

10

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

10

Tube
kapsul
Tube

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

10

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110 Loperamid ( Novadium ) tab 2mg

Tablet

10

15

10

10

10

111 Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112 Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113 Magnesiun Sulfat serbuk 30 gr

Botol

114 Mebendazol Sirup 100 mg/5 ml

Botol

115 Mebendazol Tab.100mg

Tablet

116 Mecobalamin 500mcg

Tablet

117 Metil Prednisolon 4mg

Tablet

118 Metilergometrin Inj.0.200mg - 1ml

Ampul

119 Metilergometrin Mal.Tab.0,125mg

Tablet

120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-Flam

Tablet

128 Obat Anti TBC (FDC) Kategori 1

Tablet

129 Obat Anti TBC (FDC) Kategori 2

Tablet

130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/tub

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

135 Oksitetrasiklin Salep Mata 1 %
136 Oksitosin Inj 1ml

10

10

10

Ampul
Tube
Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml 60ml

Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

10

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

10

149 Prednison Tab.5 mg

Tablet

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159 Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

10

10

Vial

170 Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171 Serum Anti Tetanus 20.000 IU Inj.

Vial

172 Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173 Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt15%

Botol

177 Tab.Tambah Darah ( Besi II SO4 )

saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

15

10

10

10

10

10

10

10

OBAT GIGI
186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF )

Botol

190 Glass Ionomer Cement / A R T

Set

191 Kalsium Hidroksida Pasta

Tube

192 Klorfenol Kamf Mentol ( Ch Km )

Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & cairan

Botol

195 Temp Stopping Flecher serbuk & Cairan

Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

205 Silk ( Benang Bedah Sutera )@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

208 Jarum Jahit No. 14

biji
Dosin

209 Kapas Pemb. /Absorben 250 g *)

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211 Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

219 KAEN 3B

botol

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 2 JANUARI 2012

vial

5 BPG

BP

KIA

P2M LAIN

TOTAL

LAIN2

45

45

10

10

100

10

110

100

10

110

10

10

26

26

10

10

10

10

30

30

35

35

20

20

20

20

10

10

10

10

10

10

15

15

30

30

10

10

20

10

30

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

BP

10

10
10

10

10

10

10

11

12

10

10

KIA

10

20

8
10

10

10

10

10

10

Vial
10

10

10

10

10

20

8
10

P2M

10

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

10

20

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

20

10

10

10
5

10

Tube
kapsul

20

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

10

10

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

Ampul
Tube

Set

10

10

20

10

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171

Serum Anti Tetanus 20.000 IU Inj.

Vial

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

Vial

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

10

10

10

10

20

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cairan

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

10

10

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 3 JANUARI 2012

vial

vial

10
4

LAIN2

10

10

10

10

5 BPG

BP

KIA

P2M LAINTOTAL

40

20

60

18

24

42

30

20

10

20

80

10

10

52

20

72

10

10

10

10

10

10

20

40

30

30

12

12

20

20

10

10

20

10

10

15

23

20

20

10

10

22

10

42

20

24

45

19

20 ###

20

10

10

10

20

20

10

10

40

10

50

20

20

10

10

NO

NAMA OBAT
OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10 Amoksillin Kapsul 500 mg

Tablet

11 Amoksillin Sir. Ker. 125 mg/5ml

Botol

12 Amoksillin Serbuk Inj 1000 mg

Vial

13 Ampicillin 500 mg

Tablet

14 Ampicillin Syrup / 60ml

Botol

15 Ampicillin Serbuk Inj 1000 mg

Vial

16 Antalgin Inj.

Vial

17 Antalgin Tab. 500 mg

Tablet

18 Antasida DOEN Tab

Tablet

19 Antasida DOEN Syr

Botol

20 Anti Bak. DOEN /Polimk+ Bast

Tube

21 Anti Hemoroid DOEN/10supp

Supp

22 Antifungi DOEN/Withfil salep

Pot

23

Antimigrain
DOEN/ERGOTAMIN TATRAT

24 Antiparkinson DOEN
25 Aqua Pro Inj.10vial

BPG

SATUAN
2

10

BP

11

12

13

14

15

16

17

18

19

20

10

KIA

10

Tablet

28 Asam Mefenamat 500 Mg

Tablet

29 Asetosal Tab.100mg

Tablet

30 Asetosal Tab.500mg

Tablet

31 Atropin SO4 inj.0.25mg/1ml

Ampul

32 Atropin Sulfat Tab.0,5mg

Tablet

33 Atropin Sulfat tetes mata 0.5%

Botol

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

15

10

10

10

10

10

10

Vial

27 Asam Askorbat Tab.50mg

10

Tablet

Tablet

10

Tablet

26 Asam Askorbat Tab.250mg

15

10

10

P2M

34 Betahistin mesilat tab

Tablet

35 Betametason krim 0.1mg

Tube

36 Captopril Tab 12,5mg

Tablet

37 Captopril Tab 25mg

Tablet

38 Carbamazepin 200mg

Tablet

39 Cefotaxim 1gram / 10ml Inj

Vial

40 Ceftriaxone serbuk inj 1 gr/vial

Vial

41 Deksametason Inj. 5 mg/ml Amp

Ampul

42 Deksametason Inj. 5 mg/ml Vial 10ml/vial

43 Deksametason tablet 0.5mg

Tablet

44 Dekstran70-larutan infus 6% steri

Botol

45 Dekstrometorfan sirup 10 mg

Botol

46 Dekstrometorfan Tablet

Tablet

47 Diazepam inj 5 mg/ml

Ampul

48 Diazepam tablet 2mg

Tablet

49 Diazepam tablet 5 mg

Tablet

50 Difenhidramin HCl.Inj.10 mg/ml

Ampul

51 Digoksin tablet 0.25mg

Tablet

52 Domperidon Tab

Tablet

53 Efedrin HCl tablet 25mg

Tablet

54 Ekstrak Belladon tab 10mg

Tablet

55 Epineprina HCl Bit + Adrenal Inj.

Tablet

56 Eritromisin tablet 500mg

kaplet

57 Erythromycin 250mg

Kapsul

58 Erythromycin Syr / 60ml

Botol

59 Etakridin (Rivanol) larutan 0.1%

Botol

60 Etambutol Tab 250mg

Tablet

61 Etanol 70%

Botol

62 Fenobarbital injeksi 50mg/ml

Ampul

63 Fenobarbital tablet 100mg

Tablet

64 Fenobarbital tablet 30mg

Tablet

65 Fenoksimetil Pen.tablet 500mg

Tablet

66 Fenoksimetil Peni. tablet 250mg

Tablet

67 Fitome (Vit.K1) tab.10mg

Tablet

68 Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69 Furosemid tablet 40mg

Tablet

10

10

10

10

10

10

10

70 Gameksan emulsi 1%

Botol

71 Garam Oralit 200 ml

saset

72 Gentamicyn Inj 80mg/2ml ( Ethyg Ampul

73 Gentamicyn Salep Kulit

Tube

74 Gentamicyn tetes mata 1 %

Botol

75 Gentian Violet larutan 1%

Botol

76 Gilbenklamid tablet 5 mg

Tablet

77 Gliseril Guayakolat tab 100mg

Tablet

78 Gliserin

Botol

79 Glucoce lar Infus 40%/10 .

Botol

80 Glucose 10 % infus

Botol

81 Glucose 5 % infus

Botol

82 Griseofulvin tab.125mg

Tablet

83 Haloperidol tablet 0,5mg

Tablet

84 Haloperidol tablet 1,5mg

Tablet

85 Hidroklorotiazid (HCT) tab 25mg

Tablet

86 Hidrokortison krim 2,5%

Tube

87 Ibuprofen tablet 200mg

Tablet

88 Ibuprofen tablet 400mg

Tablet

89 Isosorbit Dinitrat Tab.5 mg

Tablet

90 Kalium Diklofenak 50 mg

Tablet

91 Kalsium Laktat Tab.500mg

Tablet

92 Ketamin Inj. 10 mg/Ml

Ampul

93 Ketokonazol Cream 2%
94 Kloramfenikol Kap.250 mg

5
10

10

10

Tube
kapsul

95 Kloramfenikol salep mata 1 %

Tube

96 Kloramfenikol tetes telinga 3 %

Botol

97 Klorfe.mal ( C T M ) Tab

Tablet

98 Kloroquin Tab.250mg

Tablet

99 Klorpromazin Inj.25 mg/ml

Ampul

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

10

10

10

10

30

107 Larutan Metil Biru

Botol

108 Larutan Turk

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110 Loperamid ( Novadium ) tab 2mg Tablet

111 Magnesiun Sulfat ( I V ) 20 %-25

Botol

112 Magnesiun Sulfat ( I V ) 40 %-25

Botol

113 Magnesiun Sulfat serbuk 30 gr

Botol

114 Mebendazol Sirup 100 mg/5 ml

Botol

115 Mebendazol Tab.100mg

Tablet

116 Mecobalamin 500mcg

Tablet

117 Metil Prednisolon 4mg

Tablet

118 Metilergometrin Inj.0.200mg - 1ml Ampul

119 Metilergometrin Mal.Tab.0,125m

Tablet

120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-Fl

Tablet

128 Obat Anti TBC (FDC) Kategori 1

Tablet

129 Obat Anti TBC (FDC) Kategori 2

Tablet

130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/tu

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

135 Oksitetrasiklin Salep Mata 1 %

15

10

10

15

Ampul
Tube

136 Oksitosin Inj 1ml

Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml 6

Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

10

10

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

149 Prednison Tab.5 mg

Tablet

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Inj. Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lunak kapsul

159 Retin /Vit.A 200.000 Ui kap.lunak kapsul
160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

10
15

15

Vial

170 Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171 Serum Anti Tetanus 20.000 IU Inj.

Vial

172 Sianobal. (Vit.B12) Inj.500mcg

15
1

Ampul

173 Sianobal. (Vit.B12) Inj.500mcg Vi 8 ml / vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt15% Botol

177 Tab.Tambah Darah ( Besi II SO4

saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

10

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

OBAT GIGI
186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF )

Botol

190 Glass Ionomer Cement / A R T

Set

191 Kalsium Hidroksida Pasta

Tube

192 Klorfenol Kamf Mentol ( Ch Km )

Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & cair

Botol

195 Temp Stopping Flecher serbuk &

Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@

36

206 Jarum disp / Nedle 23 G

207 Medicut No. 20 & 22
208 Jarum Jahit No. 14

biji
biji
biji
Dosin

209 Kapas Pemb. /Absorben 250 g *

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211 Kasa Pemb. Hidrofil 4 m x 15 cm

biji

10

10

20

10

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

219 KAEN 3B

botol

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 4 JANUARI 2012

vial

LAIN2

10

5 BPG

BP

KIA P2M LAINTOTAL

35

35

20

20

10

10

20

100

30

130

90

40

130

10

25

10

45

30

30

60

13

13

20

10

20

25

10

10

20

20

10

35

10

60

30

30

10

10

15

15

35

35

15

20

20

63

15

15

10

10

30

30

10

10

10

10

10

10

50

10

60

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

16

Antalgin Inj.

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

10
10

10

10

10

10

Vial

Vial
Vial

Vial

10

BP

10

11

12

KIA

10

P2M

10

LAIN2

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

Tube
kapsul
Tube

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

Ampul
Tube
Ampul

10

Set

28

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171

Serum Anti Tetanus 20.000 IU Inj.

Vial

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

OBAT GIGI

Vial

14

10

30

186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cairan

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 5 JANUARI 2012

vial

vial

LAIN2

5 BPG

BP

KIA P2M LAIN TOTAL

10

10

30

30

20

20

10

10

10

13

28

28

44

44

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

10

BP

11

12

13

14

15

16

17

18

19

20

KIA

10

10

P2M

15

15
10

10

10

10

10

10

10

10

10

10

10

10
1

10

10

10

10

10

10

10

10

10

10

10

10
10

Vial

10

10

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen

Ampul

73

Gentamicyn Salep Kulit

15

10

10

20

10

Botol

Tube

20

15

10

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

10

15
10

10

10

Tube

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

10

10

kapsul

100 Klorpromazin Tab.100mg

10

1
10

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-Flam

Tablet

128 Obat Anti TBC (FDC) Kategori 1

Tablet

129 Obat Anti TBC (FDC) Kategori 2

Tablet

130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/tub

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

135 Oksitetrasiklin Salep Mata 1 %

20

10

Ampul
Tube

136 Oksitosin Inj 1ml

Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml 60m

Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

10

10

10

10

10

10

20

10

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

149 Prednison Tab.5 mg

Tablet

14

28

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159 Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

10

Vial

170 Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171 Serum Anti Tetanus 20.000 IU Inj.

Vial

172 Sianobal. (Vit.B12) Inj.500mcg Amp

10

Ampul

173 Sianobal. (Vit.B12) Inj.500mcg Vial 8 ml / vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt15%

Botol

177 Tab.Tambah Darah ( Besi II SO4 )

saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

OBAT GIGI

10

15

10

20

10

10

10

10

10

20

10

186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF )

Botol

190 Glass Ionomer Cement / A R T

Set

191 Kalsium Hidroksida Pasta

Tube

192 Klorfenol Kamf Mentol ( Ch Km )

Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & cairan

Botol

195 Temp Stopping Flecher serbuk & Ca

Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

205 Silk ( Benang Bedah Sutera )@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

208 Jarum Jahit No. 14

biji
Dosin

209 Kapas Pemb. /Absorben 250 g *)

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211

biji

Kasa Pemb. Hidrofil 4 m x 15 cm *)

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

219 KAEN 3B

botol

10

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 7 JANUARI 2013

vial

10

LAIN2

10

10

10

5 BPG

BP

KIA P2M LAIN TOTAL

-

20

20

10

15

25

100

20

10

130

10

10

20

90

20

110

10

10

10

10

10

30

35

35

30

30

13

13

35

35

25

25

40

40

10

10

25

10

10

20

40

40

10

10

20

30

10

20

10

10

10

10

30

30

10

10

10

73

30

113

42

42

10

10

10

10

10

10

10

10

15

10

25

- ###

10

120

10

10

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

BP

10

17

18

19

20

KIA

10

10

10

10

10

10

10

10

10

10

10

10
1

10

10

10

10

10

10

10

10

10

10
10

Vial

10

20

P2M

LAIN2

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

10

10

10

10

Botol

10

10

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

Tube
kapsul

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

15

10

10

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Tube
Ampul
Tube

1
10

10

10

Set
Botol

10

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

171

Serum Anti Tetanus 20.000 IU Inj.

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

28

14

28

Vial
Ampul
Vial

10

15

10

10

10

10

20

15

30

15

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cairan

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

botol

10
10

10

10

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 8 JANUARI 2012

vial

vial

BPG

BP

KIA

P2M

LAIN

TOTAL

10

10

60

30

90

60

40

100

10

10

10

20

30

10

10

10

10

20

10

10

10

10

10

10

15

26

10

21

20

25

11

56

70

70

10

10

45

45

10

55

30

95

20

10

30

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

BP

17

18

19

20

20

10

10

KIA

10

15

30
10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

Vial

10

10

10

P2M

10

LAIN2

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

30

10

10

10

10

10

10

10

Botol

10

10

10

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

10

10

Tube
kapsul

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

20

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

10

10

10

Tube
Ampul
Tube

Set
Botol

1
10

10

10

10

10

10

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

171

Serum Anti Tetanus 20.000 IU Inj.

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

10

10

Vial
Ampul
Vial

20
10

10

30
10

10

10

10

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cairan

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

botol

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 9 JANUARI 2012

vial

vial

LAIN2

5 BPG

BP

KIA

P2M LAIN TOTAL

70

70

10

10

70

35

108

70

70

20

20

10

10

30

30

60

62

10

10

10

10

20

20

10

10

10

10

20

20

30

30

50

10

69

10

10

10

10

60

60

30

30

10

10

20

NO

NAMA OBAT

BPG

SATUAN

OBAT
1

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

10

10

10

10

10

10

BP

10

11

KIA

10

10

10

10

Vial
10

10

10

P2M

10

LAIN2

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

Tube
kapsul

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110 Loperamid ( Novadium ) tab 2mg

Tablet

20
1

10

111 Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112 Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113 Magnesiun Sulfat serbuk 30 gr

Botol

114 Mebendazol Sirup 100 mg/5 ml

Botol

115 Mebendazol Tab.100mg

Tablet

116 Mecobalamin 500mcg

Tablet

117 Metil Prednisolon 4mg

Tablet

118 Metilergometrin Inj.0.200mg - 1ml

Ampul

119 Metilergometrin Mal.Tab.0,125mg

Tablet

120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-Flam

Tablet

128 Obat Anti TBC (FDC) Kategori 1

Tablet

129 Obat Anti TBC (FDC) Kategori 2

Tablet

130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/tub

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

135 Oksitetrasiklin Salep Mata 1 %
136 Oksitosin Inj 1ml

Ampul
Tube
Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml 60ml

Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

10

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

1
10

20

20

10

10

10

149 Prednison Tab.5 mg

Tablet

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159 Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

28

Vial

170 Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171 Serum Anti Tetanus 20.000 IU Inj.

Vial

172 Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173 Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt15%

Botol

177 Tab.Tambah Darah ( Besi II SO4 )

saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

100

100

10

20

15

10

10

OBAT GIGI
186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF )

Botol

190 Glass Ionomer Cement / A R T

Set

191 Kalsium Hidroksida Pasta

Tube

192 Klorfenol Kamf Mentol ( Ch Km )

Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & cairan

Botol

195 Temp Stopping Flecher serbuk & Cairan

Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

205 Silk ( Benang Bedah Sutera )@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

biji

208 Jarum Jahit No. 14

Dosin

209 Kapas Pemb. /Absorben 250 g *)

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211 Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

219 KAEN 3B

botol

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 10 JANUARI 2012

vial

1
10
10

LAIN2

5 BPG

BP

KIA

P2M LAIN TOTAL

30

10

40

30

30

20

20

10

10

20

20

20

20

10

10

10

10

53

10

10

73

10

10

28

28

100

100

200

10

10

20

20

15

10

25

10

10

10

10

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

BP

10

18

19

20

KIA

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

10

10

20

10

10

10

10

10

10

10

10

10

10

10

10

10

15

10

1
21

Vial

10

10

P2M

10

LAIN2

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen

Ampul

10

10

10

10

10

20

10

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

10

10

Tube
kapsul
Tube

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

10

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110 Loperamid ( Novadium ) tab 2mg

Tablet

10

30

10

111 Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112 Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113 Magnesiun Sulfat serbuk 30 gr

Botol

114 Mebendazol Sirup 100 mg/5 ml

Botol

115 Mebendazol Tab.100mg

Tablet

116 Mecobalamin 500mcg

Tablet

117 Metil Prednisolon 4mg

Tablet

118 Metilergometrin Inj.0.200mg - 1ml

Ampul

119 Metilergometrin Mal.Tab.0,125mg

Tablet

120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-Flam

Tablet

128 Obat Anti TBC (FDC) Kategori 1

Tablet

129 Obat Anti TBC (FDC) Kategori 2

Tablet

130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/tub

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

135 Oksitetrasiklin Salep Mata 1 %
136 Oksitosin Inj 1ml

Ampul
Tube
Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml 60ml

Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

10

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

10

10

20

15

10

149 Prednison Tab.5 mg

Tablet

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159 Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

Vial

170 Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171 Serum Anti Tetanus 20.000 IU Inj.

Vial

172 Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173 Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt15%

Botol

177 Tab.Tambah Darah ( Besi II SO4 )

saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

10

10

10

10

10

10

OBAT GIGI
186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF )

Botol

190 Glass Ionomer Cement / A R T

Set

191 Kalsium Hidroksida Pasta

Tube

192 Klorfenol Kamf Mentol ( Ch Km )

Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & cairan

Botol

195 Temp Stopping Flecher serbuk & Cai

Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

205 Silk ( Benang Bedah Sutera )@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

biji

208 Jarum Jahit No. 14

Dosin

209 Kapas Pemb. /Absorben 250 g *)

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211 Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

10

219 KAEN 3B

botol

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 11 JANUARI 2012

vial

LAIN2

10

5 BPG

BP

KIA P2M LAIN TOTAL

30

30

10

10

50

45

10

105

40

15

55

10

10

20

10

10

20

25

20

20

20

20

10

10

30

30

20

20

20

10

10

20

30

30

10

10

10

10

10

10

13

45

13

10

81

10

10

10

10

40

10

60

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

BP

10

11

KIA

10

10

10

10

10

10

10

10

10

10

10
1

10

10

10

10

10

10
10

Vial
10

P2M

10

LAIN2

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

Botol

Tube

10

10

10

10

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

10

10

Tube
kapsul

10

10

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

Ampul
Tube

Set

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171

Serum Anti Tetanus 20.000 IU Inj.

Vial

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

OBAT GIGI

Vial

10

10

10

10

10

10

10

10

186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cair

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

biji
Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 12 JANUARI 2013

vial

vial

5 BPG

BP

KIA

P2M LAIN TOTAL

10

10

60

30

90

60

60

10

10

10

10

30

10

40

10

10

30

30

10

10

30

30

20

20

10

10

20

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10 Amoksillin Kapsul 500 mg

10

BP

11

12

13

14

15

16

17

18

19

10

10

Tablet

10

10

10
10

10

10

20

10

Tablet

14 Ampicillin Syrup / 60ml

Botol

15 Ampicillin Serbuk Inj 1000 mg

Vial

16 Antalgin Inj.

Vial

17 Antalgin Tab. 500 mg

Tablet

18 Antasida DOEN Tab

Tablet

19 Antasida DOEN Syr

Botol

Anti Bak. DOEN /Polimk+

Bast

Tube

21 Anti Hemoroid DOEN/10supp

Supp

22 Antifungi DOEN/Withfil salep

Pot

Antimigrain
23
DOEN/ERGOTAMIN TATRAT

Tablet

24 Antiparkinson DOEN

Tablet

20

25 Aqua Pro Inj.10vial

10

10

10

10

10

10

Tablet

27 Asam Askorbat Tab.50mg

Tablet

28 Asam Mefenamat 500 Mg

Tablet

29 Asetosal Tab.100mg

Tablet

30 Asetosal Tab.500mg

Tablet

31 Atropin SO4 inj.0.25mg/1ml

Ampul

32 Atropin Sulfat Tab.0,5mg

Tablet

33 Atropin Sulfat tetes mata 0.5%

Botol

34 Betahistin mesilat tab

Tablet

35 Betametason krim 0.1mg

Tube

10

10

10

10

10

10

10

10

10

10

10

10

10

5
10

10

10

10
1

Vial

26 Asam Askorbat Tab.250mg

10

Vial

13 Ampicillin 500 mg

P2M

10

11 Amoksillin Sir. Ker. 125 mg/5ml Botol

12 Amoksillin Serbuk Inj 1000 mg

KIA

10

10

10

36 Captopril Tab 12,5mg

Tablet

37 Captopril Tab 25mg

Tablet

38 Carbamazepin 200mg

Tablet

39 Cefotaxim 1gram / 10ml Inj

Vial

40 Ceftriaxone serbuk inj 1 gr/vial

Vial

20

41 Deksametason Inj. 5 mg/ml Am Ampul

42 Deksametason Inj. 5 mg/ml Via10ml/via
l
43 Deksametason tablet 0.5mg
Tablet

10

10

10

10

44 Dekstran70-larutan infus 6% ste Botol

45 Dekstrometorfan sirup 10 mg

Botol

46 Dekstrometorfan Tablet

Tablet

47 Diazepam inj 5 mg/ml

Ampul

48 Diazepam tablet 2mg

Tablet

49 Diazepam tablet 5 mg

Tablet

10

10

50 Difenhidramin HCl.Inj.10 mg/ml Ampul

51 Digoksin tablet 0.25mg

Tablet

52 Domperidon Tab

Tablet

53 Efedrin HCl tablet 25mg

Tablet

54 Ekstrak Belladon tab 10mg

Tablet

55 Epineprina HCl Bit + Adrenal Inj Tablet

56 Eritromisin tablet 500mg

kaplet

57 Erythromycin 250mg

Kapsul

58 Erythromycin Syr / 60ml

Botol

59 Etakridin (Rivanol) larutan 0.1% Botol

60 Etambutol Tab 250mg

Tablet

61 Etanol 70%

Botol

62 Fenobarbital injeksi 50mg/ml

Ampul

63 Fenobarbital tablet 100mg

Tablet

64 Fenobarbital tablet 30mg

Tablet

65 Fenoksimetil Pen.tablet 500mg Tablet

66 Fenoksimetil Peni. tablet 250m Tablet
67 Fitome (Vit.K1) tab.10mg

Tablet

68 Fitome (Vit.K1) Inj 10 mg/ml inj Ampul

69 Furosemid tablet 40mg

Tablet

70 Gameksan emulsi 1%

Botol

71 Garam Oralit 200 ml

saset

72 Gentamicyn Inj 80mg/2ml ( Eth Ampul

73 Gentamicyn Salep Kulit

Tube

20

20

10

10

74 Gentamicyn tetes mata 1 %

Botol

75 Gentian Violet larutan 1%

Botol

76 Gilbenklamid tablet 5 mg

Tablet

77 Gliseril Guayakolat tab 100mg Tablet

78 Gliserin

Botol

79 Glucoce lar Infus 40%/10 .

Botol

80 Glucose 10 % infus

Botol

81 Glucose 5 % infus

Botol

82 Griseofulvin tab.125mg

Tablet

83 Haloperidol tablet 0,5mg

Tablet

84 Haloperidol tablet 1,5mg

Tablet

85 Hidroklorotiazid (HCT) tab 25

Tablet

86 Hidrokortison krim 2,5%

Tube

87 Ibuprofen tablet 200mg

Tablet

88 Ibuprofen tablet 400mg

Tablet

89 Isosorbit Dinitrat Tab.5 mg

Tablet

90 Kalium Diklofenak 50 mg

Tablet

91 Kalsium Laktat Tab.500mg

Tablet

92 Ketamin Inj. 10 mg/Ml

Ampul

93 Ketokonazol Cream 2%
94 Kloramfenikol Kap.250 mg
95 Kloramfenikol salep mata 1 %

10

10

Tube
kapsul
Tube

96 Kloramfenikol tetes telinga 3 % Botol

97 Klorfe.mal ( C T M ) Tab

Tablet

98 Kloroquin Tab.250mg

Tablet

99 Klorpromazin Inj.25 mg/ml

Ampul

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110 Loperamid ( Novadium ) tab 2

Tablet

111 Magnesiun Sulfat ( I V ) 20 %-

Botol

10

10

112 Magnesiun Sulfat ( I V ) 40 %-

Botol

113 Magnesiun Sulfat serbuk 30 gr Botol

114 Mebendazol Sirup 100 mg/5 ml Botol
115 Mebendazol Tab.100mg

Tablet

116 Mecobalamin 500mcg

Tablet

117 Metil Prednisolon 4mg

Tablet

118 Metilergometrin Inj.0.200mg - 1 Ampul

119 Metilergometrin Mal.Tab.0,125 Tablet
120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-

Tablet

10

15

128 Obat Anti TBC (FDC) Kategori Tablet

129 Obat Anti TBC (FDC) Kategori Tablet
130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/ Tube

134 Oksitetrasiklin Inj. 50 mg/ml

Ampul

135 Oksitetrasiklin Salep Mata 1 % Tube

136 Oksitosin Inj 1ml

Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

1
3

10

10

15

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

149 Prednison Tab.5 mg

Tablet

10

15

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. InAmpul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.luna kapsul

159 Retin /Vit.A 200.000 Ui kap.lun kapsul
160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

10

Vial

170 Serum Anti Tetanus 1.500 Iu Inj Ampul

171 Serum Anti Tetanus 20.000 IU In Vial
172 Sianobal. (Vit.B12) Inj.500mc

Ampul

173 Sianobal. (Vit.B12) Inj.500mcg

8 ml /
vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt1

Botol

10

177 Tab.Tambah Darah ( Besi II SO4 saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

OBAT GIGI

10

186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF ) Botol

190 Glass Ionomer Cement / A R T
191 Kalsium Hidroksida Pasta

Set
Tube

192 Klorfenol Kamf Mentol ( Ch Km Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & ca Botol

195 Temp Stopping Flecher serbuk Botol
196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

Silk ( Benang Bedah Sutera )

205
@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

208 Jarum Jahit No. 14

biji
Dosin

209 Kapas Pemb. /Absorben 250 g

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211 Kasa Pemb. Hidrofil 4 m x 15 c

biji

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

219 KAEN 3B

botol

10

220 KAEN 4B
221 Kanamycin inj

botol
ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 13 JANUARI 2013

vial

1
10

10
10

10
3
4

P2M

LAIN2

1 BPG

BP

10

20

30

30

30

90

30

120

10

10

20

105

10

14

24

30

10

40

###
14

KIA P2M LAIN TOTAL

20

20

33

10

43

14

19

10

10

20

20

40

10

15

25

10

10

10

10

10

10

23

14

14

10

15

21

25

25

35

38

15

10

98

10

36

46

10

10

10

14

10

10

10

10

20

10

10

24

24

10

10

10

10

10

10

20

10

40

10

13

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

BP

10

11

KIA

15

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

Vial
10

10

10

10

P2M

10

LAIN2

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

10

10

10

10

10

10

10

20

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

10

Tube
kapsul

20

Tube

Botol

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

Ampul
Tube
Ampul

Set

10

10

15

10

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171

Serum Anti Tetanus 20.000 IU Inj.

Vial

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

Vial

10

10

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cairan

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

10

10

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 15 JANUARI 2013

vial

vial

10

LAIN2

10

5 BPG

BP

KIA

P2M LAIN TOTAL

10

10

100

55

155

90

90

10

10

10

10

60

63

20

20

10

10

20

20

10

10

10

40

20

79

10

10

10

10

30

10

10

20

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

BP

10

11

10
10

10

10

KIA

10

10

10

10

10

10

10

10

10

10

10

Vial
10

10

10

P2M

10

LAIN2

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

10

10

Botol

Tube

10

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

10

10

10

10
20

Tube
kapsul

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

10

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-Flam

Tablet

128 Obat Anti TBC (FDC) Kategori 1

Tablet

129 Obat Anti TBC (FDC) Kategori 2

Tablet

130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/tub

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

135 Oksitetrasiklin Salep Mata 1 %

10

10

10

10

10

Ampul
Tube

136 Oksitosin Inj 1ml

Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml 60ml

Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

10

10

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

149 Prednison Tab.5 mg

Tablet

10

21

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159 Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

Vial

170 Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171 Serum Anti Tetanus 20.000 IU Inj.

Vial

172 Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173 Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt15%

Botol

177 Tab.Tambah Darah ( Besi II SO4 )

saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

OBAT GIGI

1
10

10

15

10

186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF )

Botol

190 Glass Ionomer Cement / A R T

Set

191 Kalsium Hidroksida Pasta

Tube

192 Klorfenol Kamf Mentol ( Ch Km )

Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & cairan

Botol

195 Temp Stopping Flecher serbuk & Cair

Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

205 Silk ( Benang Bedah Sutera )@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

208 Jarum Jahit No. 14

biji
Dosin

209 Kapas Pemb. /Absorben 250 g *)

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211

biji

Kasa Pemb. Hidrofil 4 m x 15 cm *)

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

219 KAEN 3B

botol

10

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 16 JANUARI 2013

vial

10

BPG

BP

KIA

P2M

LAIN

TOTAL

20

20

30

10

20

60

16

16

46

10

10

66

10

10

10

10

10

10

16

16

18

18

10

15

10

10

20

10

10

10

10

20

20

10

10

10

10

30

30

35

23

58

10

21

31

10

10

10

15

25

15

20

10

10

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

16

Antalgin Inj.

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

BP

10

11

KIA

10

P2M

10

LAIN2

10
5

8
10

10

10

10

10

10

10

10
1

Vial
10

15

Vial
Vial
10

10

10

10

10

10

10

10

10
15

Vial
10

10

10

10

10

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

10

10

10

10

Botol

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

10

5
1

10

Tube
kapsul

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

10

Tube
Ampul
Tube

Set

1
10

10

10

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

171

Serum Anti Tetanus 20.000 IU Inj.

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

10

Vial
Ampul
Vial

10

10

10

10

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cairan

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

10

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 17 JANUARI 2013

vial

vial

10

10

4
1

LAIN2

5 BPG

BP

KIA

P2M LAIN TOTAL

10

10

18

18

60

10

70

10

15

25

80

10

90

15

15

10

10

20

10

10

40

20

20

20

24

15

15

10

10

10

10

13

10

23

10

10

10

10

10

10

20

10

30

10

10

20

20

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain
DOEN/ERGOTAMIN TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

10

BP

11

12

13

14

15

16

17

18

19

20

KIA

10

10

10

10

10

10

10
10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10
10

10

10

10

Vial

10

10

P2M

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

42

Deksametason Inj. 5 mg/ml Vial 10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethyg Ampul

10

10

Ampul

10

10

10

10

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

109

Lidocain Comp. 2 % Inj

110

Loperamid ( Novadium ) tab 2mg Tablet

10

10

10

Tube
kapsul
Tube

Botol
Ampul

111

Magnesiun Sulfat ( I V ) 20 %-25

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml Ampul

119

Metilergometrin Mal.Tab.0,125m

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Fl

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tu

Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 6

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

10

10

10

Ampul
Tube
Ampul

Set

10

10

10

10

10

10

10

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj. Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171

Serum Anti Tetanus 20.000 IU Inj.

Vial

172

Sianobal. (Vit.B12) Inj.500mcg

173

Sianobal. (Vit.B12) Inj.500mcg Vi 8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15% Botol

177

Tab.Tambah Darah ( Besi II SO4

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

10

28

10

10

Vial

Ampul

3
1
10

10

15

10

10

10

10

10

15

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cair

Botol

195

Temp Stopping Flecher serbuk &

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@

36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

10

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 18JANUARI 2013

vial

vial

10

LAIN2

5 BPG

BP

KIA P2M LAIN TOTAL

-

10

10

40

16

56

50

20

70

50

50

20

120

30

30

10

10

20

###

20

20

36

15

51

20

20

10

10

10

10

10

10

10

20

10

10

33

45

10

88

10

10

10

28

38

10

10

20

10

10

10

10

15

15

20

20

10

15

20

85

10

10

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

BP

10

11

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

20

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

KIA

10

6
10

Vial

10

10

10

10

10

10

10

10

10

10

10

10

P2M

10

LAIN2

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

10

10

10

10

10

10

Botol

10

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

10

Tube
kapsul

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

10

20

10

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

10

Tube
Ampul
Tube

Set
Botol

10

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

171

Serum Anti Tetanus 20.000 IU Inj.

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

20

17

Vial
Ampul
Vial

10

10

10

10

10

30

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cai

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

botol

10

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 19 JANUARI 2013

vial

vial

LAIN2

5 BPG

BP

KIA

P2M

LAIN TOTAL

20

20

50

10

60

40

20

60

10

10

20

20

22

10

32

10

10

10

10

10

10

10

20

30

10

10

10

10

10

13

37

37

10

10

20

12

20

30

62

10

10

NO

NAMA OBAT
OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5

Botol

12

Amoksillin Serbuk Inj 1000 m

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 m

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+

Bast

Tube

21

Anti Hemoroid DOEN/10supp Supp

22

24

Antifungi DOEN/Withfil salep Pot

Antimigrain
Tablet
DOEN/ERGOTAMIN
TATRAT
Antiparkinson DOEN
Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

23

BPG

SATUAN
2

10

BP

11

12

13

14

15

16

17

18

19

20

KIA

10

10

10

P2M

10
10

10

10
10

10

10

10
10

10

10

10

10

10

10

10

10

10

15

10

10

10

15

10

10

10

10

10

10

10

10

10

10

10

15

Vial
10

10

10

10

10

20

15

15

15

15

10

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vi

Vial

41

Deksametason Inj. 5 mg/ml A Ampul

42

Deksametason Inj. 5 mg/ml V 10ml/vial

43

Deksametason tablet 0.5mg

44

Dekstran70-larutan infus 6% s Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal I Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500m Tablet

66

Fenoksimetil Peni. tablet 25

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml i Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( E Ampul

73

Gentamicyn Salep Kulit

Tablet

10

10

10

10

10

10

Botol

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100m Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 2

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 % Tube

96

Kloramfenikol tetes telinga 3

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

10

10

15

10

10

Tube
kapsul

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110 Loperamid ( Novadium ) tab

Tablet

111 Magnesiun Sulfat ( I V ) 20

Botol

10

10

10

112 Magnesiun Sulfat ( I V ) 40

Botol

113 Magnesiun Sulfat serbuk 30

Botol

114 Mebendazol Sirup 100 mg/5 m Botol

115 Mebendazol Tab.100mg

Tablet

116 Mecobalamin 500mcg

Tablet

117 Metil Prednisolon 4mg

Tablet

10
10

10

118 Metilergometrin Inj.0.200mg - Ampul

119 Metilergometrin Mal.Tab.0,1

Tablet

120 Metformin 500mg

Tablet

10

121 Metoclopramide Inj 5 mg / ml Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

10

126 Natium Klorida Infus 0,9 %/bt Botol

127 Natrium Dkilofenat 25 mg / X Tablet
128 Obat Anti TBC (FDC) Kategor Tablet
129 Obat Anti TBC (FDC) Kategor Tablet
130 Obat Anti TBC Kategori anak Tablet
131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

Ampul

135 Oksitetrasiklin Salep Mata 1

Tube

136 Oksitosin Inj 1ml

Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5

Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

10

10

10

10

10

143 Piridoksin HCl (vit. B6) 10mg Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

149 Prednison Tab.5 mg

Tablet

10

15

13

15

10

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lu kapsul

159 Retin /Vit.A 200.000 Ui kap.l

kapsul

160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

10

15
10

Vial

170 Serum Anti Tetanus 1.500 Iu I Ampul

171 Serum Anti Tetanus 20.000 IU

Vial

172 Sianobal. (Vit.B12) Inj.500m

Ampul

173 Sianobal. (Vit.B12) Inj.500mc

8 ml /
vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts m

Botol

10

177 Tab.Tambah Darah ( Besi II S saset

10

178 Tetrasiklin HCl kapsul 250mg kapsul

179 Tetrasiklin HCl kapsul 500mg kapsul
180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100m

Ampul

182 Tiamin HCl (Vit.B1) tablet 50

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

OBAT GIGI

10

10

10

10

10

10

10

10

186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF Botol

190 Glass Ionomer Cement / A R
191 Kalsium Hidroksida Pasta

Set
Tube

192 Klorfenol Kamf Mentol ( Ch K Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk &

Botol

195 Temp Stopping Flecher serbu Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

Silk ( Benang Bedah Sutera

205
)@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

208 Jarum Jahit No. 14

biji
Dosin

209 Kapas Pemb. /Absorben 250 g biji

210 Kasa Pembalut 2 m x 80 cm

biji

211 Kasa Pemb. Hidrofil 4 m x 15

biji

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

219 KAEN 3B

botol

10

10

10

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan pl

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 21 JANUARI 2013

vial

10
1
4
1

P2M

LAIN2

2 BPG

BP

KIA P2M LAINTOTAL

-

10

10

30

30

20

20

30

10

10

50

70

50

- ###

30

40

70

60

10

70

15

15

30

10

40

20

70

90

60

60

20

20

15

15

20

20

10

10

10

10

10

10

20

20

15

10

28

10

20

20

20

20

10

10

10

10

15

15

55

20

18

25

25

28

28

20 ###

10

10

10

10

25

10

35

10

10

10

10

10

10

10

10

20

20

50

18

10

98

20

10

30

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

10

BP

10

11

10

10

10

KIA

10

P2M

10

10

15

10

10

Vial

10

10

10

LAIN2

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen

Ampul

10

10

10

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

10

10

Tube
kapsul

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

10

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110 Loperamid ( Novadium ) tab 2mg

Tablet

20
1

10

111 Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112 Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113 Magnesiun Sulfat serbuk 30 gr

Botol

114 Mebendazol Sirup 100 mg/5 ml

Botol

115 Mebendazol Tab.100mg

Tablet

116 Mecobalamin 500mcg

Tablet

117 Metil Prednisolon 4mg

Tablet

118 Metilergometrin Inj.0.200mg - 1ml

Ampul

119 Metilergometrin Mal.Tab.0,125mg

Tablet

120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-Flam

Tablet

128 Obat Anti TBC (FDC) Kategori 1

Tablet

129 Obat Anti TBC (FDC) Kategori 2

Tablet

130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/tub

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

135 Oksitetrasiklin Salep Mata 1 %
136 Oksitosin Inj 1ml

Ampul
Tube
Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml 60ml

Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

10

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

10

10

10

10

149 Prednison Tab.5 mg

Tablet

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159 Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

21

14

10

Vial

170 Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171 Serum Anti Tetanus 20.000 IU Inj.

Vial

172 Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173 Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt15%

Botol

177 Tab.Tambah Darah ( Besi II SO4 )

saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

10

10

10

10

10

14

10

10

OBAT GIGI
186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF )

Botol

190 Glass Ionomer Cement / A R T

Set

191 Kalsium Hidroksida Pasta

Tube

192 Klorfenol Kamf Mentol ( Ch Km )

Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & cairan

Botol

195 Temp Stopping Flecher serbuk & Ca

Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

205 Silk ( Benang Bedah Sutera )@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

biji

208 Jarum Jahit No. 14

Dosin

209 Kapas Pemb. /Absorben 250 g *)

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211 Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

10

219 KAEN 3B

botol

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 22 JANUARI 2013

vial

12

5 BPG

P2M

LAIN

TOTAL

BP
-

KIA
-

20

20

20

10

30

15

15

20

20

10

20

30

10

10

10

10

20

10

10

10

10

10

10

20

20

10

10

10

10

20

20

46

35

35

10

10

10

10

10

14

24

36

10

10

56

10

10

12

12

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

BP

10

11

10

10

KIA

10

10

10

10
10

10

10

10

10

10

10

10

10

10

10

10

10

10

10
10

Vial

10

10

10

10

P2M

10

LAIN2

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

10

10

10

10

10

10

10

10

Botol

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

10

10

Tube
kapsul

10

10

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

10

10

Ampul
Tube

1
10

10

10

10

10

Set

10

1
1

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171

Serum Anti Tetanus 20.000 IU Inj.

Vial

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

OBAT GIGI

1
10

10

Vial

10

10

30

10

10

186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cair

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

biji
Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

10

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 23 JANUARI 2013

vial

vial

10

LAIN2

5 BPG

BP

KIA

P2M

LAIN TOTAL

10

10

20

40

60

40

10

50

60

20

80

20

20

20

10

30

10

10

40

10

50

20

20

10

10

20

20

26

10

10

10

10

10

40

10

61

10

10

10

10

10

16

26

10

10

10

30

40

80

10

10

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

BP

10

11

12

15

10

KIA

10

8
10

10

10

10

10

10

10

10

10

15

10

10
1

10

10

10
10

10

10

10

10

10

10

10

Vial

10

10

P2M

10

LAIN2

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

Botol

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

Botol

10

10

10

10

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

10

Tube
kapsul

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

10

10

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

10

Tube

Ampul
Tube

Set
Botol

10

10

10

10

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

171

Serum Anti Tetanus 20.000 IU Inj.

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

10

15

10

Vial
Ampul
Vial

10

10

10

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cairan

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

Dosin

OBAT PENUNJANG
213

Aquadest steril

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

botol

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 25 JANUARI 2013

vial

vial

1
10

LAIN2

5 BPG

BP

KIA P2M LAIN TOTAL

35

35

10

18

100

35

135

80

80

20

20

30

10

44

10

10

10

10

10

20

20

10

10

10

20

24

10

60

10

10

10

10

10

10

25

25

10

10

10

10

10

10

40

40

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

BP

10

11

12

KIA

10

10
10

10

10

10

10

10

10

Vial
3

P2M

10

LAIN2

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen )

Ampul

73

Gentamicyn Salep Kulit

10

10

10

10

Botol

Tube

10

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

10
5

Tube
kapsul

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Flam

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tub

Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 60ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

10

Ampul
Tube

Set

10

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171

Serum Anti Tetanus 20.000 IU Inj.

Vial

172

Sianobal. (Vit.B12) Inj.500mcg Amp

Ampul

173

Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15%

Botol

177

Tab.Tambah Darah ( Besi II SO4 )

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

OBAT GIGI

10

Vial

10

10

10

10

186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cairan

Botol

195

Temp Stopping Flecher serbuk & Cairan

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *)

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm *)

biji

212

Plester 5 yards x 2 inch *)

biji

biji
Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

10

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 26 JANUARI 2013

vial

vial

10
4

LAIN2

5 BPG

BP

KIA P2M LAIN TOTAL

10

10

30

30

30

10

40

30

10

40

10

15

20

10

10

20

20

10

10

10

15

10

10

10

10

10

10

15

20

45

10

10

10

10

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain
DOEN/ERGOTAMIN TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

10

BP

11

12

13

14

15

16

17

18

19

20

KIA

10

P2M

15

15

10

10
10

10

10

10

10

10

10

10

10

10

10

10

15

10

10
1

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10

10
10

Vial

10

10

10

10

10

15

LAIN2

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp Ampul

42

Deksametason Inj. 5 mg/ml Vial 10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% ster

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethyg Ampul

73

Gentamicyn Salep Kulit

10

10

10

10

10

Botol

Tube

10

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25

15

10

10

10
10

10

Tube
kapsul

Botol

30

112

Magnesiun Sulfat ( I V ) 40 %-25

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1m Ampul

119

Metilergometrin Mal.Tab.0,125m

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-Fl

Tablet

128

Obat Anti TBC (FDC) Kategori 1

Tablet

129

Obat Anti TBC (FDC) Kategori 2

Tablet

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/tu

Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

Ampul

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml 6

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

149

Prednison Tab.5 mg

Tablet

Ampul
Tube

1
6

10

15

Set

28

21

150

Primakuin Tab.15mg

151

Prokain Benzil Penisilina 3 Jt. Inj Ampul

152

Propanolol HCl tablet 40mg

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.lunak kapsul

159

Retin /Vit.A 200.000 Ui kap.lunak kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj. Ampul

171

Serum Anti Tetanus 20.000 IU Inj

172

Sianobal. (Vit.B12) Inj.500mcg

173

Sianobal. (Vit.B12) Inj.500mcg Vi 8 ml / vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15

Botol

177

Tab.Tambah Darah ( Besi II SO4

saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

OBAT GIGI

Tablet

Tablet

10

Vial

Vial
Ampul

10

10

10

10

10

186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km )

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cai

Botol

195

Temp Stopping Flecher serbuk &

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )@

36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g *

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm

biji

212

Plester 5 yards x 2 inch *)

biji

biji
Dosin

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

219

KAEN 3B

botol

10

10

10

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 28 JANUARI 2013

vial

vial

LAIN2

5 BPG

BP

KIA P2M LAIN TOTAL

-

15

15

15

15

30

20

10

30

125

35

160

40

10

10

60

130

130

10

10

20

30

15

65

30

30

30

35

10

10

20

20

20

20

10

10

10

10

20

30

30

10

10

16

16

15

15

56

56

10

10

10

10

10

20

20

10

20

42

30

30

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

BP

10

11

12

13

19

20

KIA

10

P2M

10

15
15

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml

Botol

12

Amoksillin Serbuk Inj 1000 mg

Vial

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

10

18

Antasida DOEN Tab

Tablet

10

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain DOEN/ERGOTAMIN
TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

35

Betametason krim 0.1mg

Tube

10
10

10

10

10

10

10

10

10

10

15

10

10

15

10

Vial

15

15

10

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp

Ampul

42

Deksametason Inj. 5 mg/ml Vial

10ml/vial

43

Deksametason tablet 0.5mg

Tablet

44

Dekstran70-larutan infus 6% steri

Botol

45

Dekstrometorfan sirup 10 mg

Botol

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml

Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj.

Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.1%

Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg

Tablet

66

Fenoksimetil Peni. tablet 250mg

Tablet

67

Fitome (Vit.K1) tab.10mg

Tablet

68

Fitome (Vit.K1) Inj 10 mg/ml inj

Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethygen Ampul

73

Gentamicyn Salep Kulit

10

10

10

10

Botol

Tube

10

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25mg

Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

Tube

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

10

10
1

15

10
10

10

Tube
kapsul

100 Klorpromazin Tab.100mg

Tablet

101 Klorpromazin Tab.25mg

Tablet

102 Kodein Phospat Tab. 10 mg

Tablet

103 Kotrimoksazol Susp

Botol

104 Kotrimoksazol Tab.120mg

Tablet

105 Kotrimoksazol Tab.480 mg

Tablet

106 L I s o l

Botol

107 Larutan Metil Biru

Botol

108 Larutan Turk

Botol

109 Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2mg

Tablet

111

Magnesiun Sulfat ( I V ) 20 %-25 ml

Botol

10

10

10

112

Magnesiun Sulfat ( I V ) 40 %-25 ml

Botol

113

Magnesiun Sulfat serbuk 30 gr

Botol

114

Mebendazol Sirup 100 mg/5 ml

Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1ml

Ampul

119

Metilergometrin Mal.Tab.0,125mg

Tablet

120 Metformin 500mg

Tablet

121 Metoclopramide Inj 5 mg / ml

Ampul

122 Metoclopramide Syr.60ml

Botol

123 Metoclopramide tab.5mg

Tablet

124 Metronidazol Tab.250mg

Tablet

125 Metronidazol Tab.500mg

Tablet

126 Natium Klorida Infus 0,9 %/btl

Botol

127 Natrium Dkilofenat 25 mg / X-Flam

Tablet

128 Obat Anti TBC (FDC) Kategori 1

Tablet

129 Obat Anti TBC (FDC) Kategori 2

Tablet

130 Obat Anti TBC Kategori anak

Tablet

131 Obat Anti TBC Kategori I

Tablet

132 Obat Anti TBC Sisipan Dws.

Tablet

133 Oksitetracyclin Salep Kulit 3%/tub

Tube

134 Oksitetrasiklin Inj. 50 mg/ml

135 Oksitetrasiklin Salep Mata 1 %

15

10

Ampul
Tube

136 Oksitosin Inj 1ml

Ampul

137 Papaverin 40 mg tab

Tablet

138 Papaverin Inj.

Ampul

139 Parasetamol Tab.100mg

Tablet

140 Parasetamol sirup 120 mg/5ml 60ml Botol

141 Parasetamol Tab.500mg

Tablet

142 Piracetam 400mg

Tablet

143 Piridoksin HCl (vit. B6) 10mg

Tablet

144 Piroksicam 10 mg tab

Tablet

145 Piroksicam 20 mg tab

Botol

146 Poly Chateter

10

10

10

Set

147 Povidon Iodida 10%/300 ml

Botol

148 Povidon Iodida 10%/30 ml

Botol

149 Prednison Tab.5 mg

Tablet

10

10

21

20

150 Primakuin Tab.15mg

Tablet

151 Prokain Benzil Penisilina 3 Jt. Inj.

Ampul

152 Propanolol HCl tablet 40mg

Tablet

153 Propiltiourasil tablet 100mg

Tablet

154 Ranitidin Inj 25 mg/2 ml

Ampul

155 Ranitidin 150mg

Tablet

156 Reserpin tablet 0.10mg

Tablet

157 Reserpin tablet 0.25mg

Tablet

158 Retin /Vit.A 100.000 Ui kap.lunak

kapsul

159 Retin /Vit.A 200.000 Ui kap.lunak

kapsul

160 Rifampicin 450 mg

Tablet

161 Rifampisin 300 mg

kapsul

162 Ringer Laktat Infus 500ml

Botol

163 SABU I Inj.5 ml ( ABU I )

Ampul

164 Salbutamol 2mg

Tablet

165 Salep 2-4, Kombinasi

pot

166 Salisil Bedak 2%

Dos

167 Siproloksasin tab 500mg

Tablet

168 Sefadroxil Cap 500mg

kapsul

169 Serum A D S Inj.20.000IU

10

Vial

170 Serum Anti Tetanus 1.500 Iu Inj.

Ampul

171 Serum Anti Tetanus 20.000 IU Inj.

Vial

172 Sianobal. (Vit.B12) Inj.500mcg Amp Ampul

173 Sianobal. (Vit.B12) Inj.500mcg Vial

8 ml /
vial

174 Simvastatin 10mg tab

Tablet

175 Simetidin tabl 200mg

Tablet

176 Sulfasetamida Natrium tts mt15%

Botol

177 Tab.Tambah Darah ( Besi II SO4 )

saset

178 Tetrasiklin HCl kapsul 250mg

kapsul

179 Tetrasiklin HCl kapsul 500mg

kapsul

180 Thiamfenicol 500mg

Tablet

181 Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182 Tiamin HCl (Vit.B1) tablet 50mg

Tablet

183 Tramadol Inj

Ampul

184 Tramadol tab

Tablet

185 Vitamin B Kompleks

Tablet

OBAT GIGI

15
15

10

10

14

10

10

20

186 Air Raksa dental use

Botol

187 Devitalisasi Pasta

Botol

188 Etil Klorida Semprot

Botol

189 Formokresol ( pengganti TKF )

Botol

190 Glass Ionomer Cement / A R T

Set

191 Kalsium Hidroksida Pasta

Tube

192 Klorfenol Kamf Mentol ( Ch Km )

Botol

193 Mummiying Pasta

Botol

194 Semen seng fosfat serbuk & cairan

Botol

195 Temp Stopping Flecher serbuk & Ca Botol

196 Silver Amalgam serbuk

Botol

197 Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198 Alat suntik sekali pakai 1 ml

biji

199 Alat suntik sekali pakai 2,5 ml

biji

200 Alat suntik sekali pakai 3 ml

biji

201 Alat suntik sekali pakai 5 ml

biji

202 Catgut Benang Bedah

biji

203 Infusion Set anak

biji

204 Infusion Set dewasa

biji

205 Silk ( Benang Bedah Sutera )@ 36

biji

206 Jarum disp / Nedle 23 G

biji

207 Medicut No. 20 & 22

208 Jarum Jahit No. 14

biji
Dosin

209 Kapas Pemb. /Absorben 250 g *)

biji

210 Kasa Pembalut 2 m x 80 cm *)

biji

211

biji

Kasa Pemb. Hidrofil 4 m x 15 cm *)

212 Plester 5 yards x 2 inch *)

biji

OBAT PENUNJANG
213 Aquadest steril

botol

214 Aminofluid Infus

botol

215 Becefort Tab

tablet

216 Berofit CE tab

tablet

217 Dormicom

tablet

218 Fitomen (Neo K) inj 2 mg

ampul

219 KAEN 3B

botol

10

10

220 KAEN 4B

botol

221 Kanamycin inj

ampul

222 Lytamin Syr

botol

223 Mirabion Tab

tablet

224 Molagit Tab

tablet

226 Noza Tab

tablet

227 Obat Batuk Hitam cairan plus

botol

228 Optixitrol Tetes Mata

botol

229 Pehadoxin tab

tablet

230 Ponflu Syr 60ml

botol

231 Procain Penicillina Injeksi

vial

232 Scaneuron Kapl

kaplet

233 Scantoma Tab

tablet

234 Stezolid Suppositoria

supp

235 Triomin E

tablet

236 Xylomidon Injeksi

TANGGAL : 29 JANUARI 2013

vial

4
1

LAIN2

5 BPG

BP

KIA P2M LAIN TOTAL

-

15

15

15

15

30

10

24

34

30

55

89

40

35

75

10

10

30

30

10

20

30

10

16

26

10

10

10

10

10

10

10

10

15

15

30

10

10

10

10

20

20

20

20

10

30

10

44

10

15

15

10

10

20

20

10

55

20

41

61

10

10

20

15

15

15

15

20

20

14

14

10

10

20

40

20

20

NO

NAMA OBAT

BPG

SATUAN

OBAT

Acyclovir Cream 5%/tub

Tube

Acyclovir Tab 400 mg

Tablet

Albendazol Tab.400 mg

Tablet

Alopurinol Tab.

Tablet

Ambroxol 30 mg

Tablet

Aminofillin Inj. 24 mg/ml

Ampul

Aminofillin Tab.200mg

Tablet

Amitriptillin Tab.25mg

Tablet

Amoksillin Kap.250 mg

Kapsul

10

Amoksillin Kapsul 500 mg

Tablet

11

Amoksillin Sir. Ker. 125 mg/5ml Botol

12

Amoksillin Serbuk Inj 1000 mg

13

Ampicillin 500 mg

Tablet

14

Ampicillin Syrup / 60ml

Botol

15

Ampicillin Serbuk Inj 1000 mg

Vial

16

Antalgin Inj.

Vial

17

Antalgin Tab. 500 mg

Tablet

18

Antasida DOEN Tab

Tablet

19

Antasida DOEN Syr

Botol

20

Anti Bak. DOEN /Polimk+ Bast

Tube

21

Anti Hemoroid DOEN/10supp

Supp

22

Antifungi DOEN/Withfil salep

Pot

23

Antimigrain
DOEN/ERGOTAMIN TATRAT

Tablet

24

Antiparkinson DOEN

Tablet

25

Aqua Pro Inj.10vial

26

Asam Askorbat Tab.250mg

Tablet

27

Asam Askorbat Tab.50mg

Tablet

28

Asam Mefenamat 500 Mg

Tablet

29

Asetosal Tab.100mg

Tablet

30

Asetosal Tab.500mg

Tablet

31

Atropin SO4 inj.0.25mg/1ml

Ampul

32

Atropin Sulfat Tab.0,5mg

Tablet

33

Atropin Sulfat tetes mata 0.5%

Botol

34

Betahistin mesilat tab

Tablet

10

10

BP

11

12

13

14

15

16

17

18

19

20

KIA

10

10

10

10

10

10

10

10

10

Vial

10
10

10

10

10

Vial

10

10

10

P2M

10

35

Betametason krim 0.1mg

Tube

36

Captopril Tab 12,5mg

Tablet

37

Captopril Tab 25mg

Tablet

38

Carbamazepin 200mg

Tablet

39

Cefotaxim 1gram / 10ml Inj

Vial

40

Ceftriaxone serbuk inj 1 gr/vial

Vial

41

Deksametason Inj. 5 mg/ml Amp Ampul

42
43

Deksametason Inj. 5 mg/ml Vial 10ml/via

l
Deksametason tablet 0.5mg
Tablet

44

Dekstran70-larutan infus 6% ste Botol

45

Dekstrometorfan sirup 10 mg

46

Dekstrometorfan Tablet

Tablet

47

Diazepam inj 5 mg/ml

Ampul

48

Diazepam tablet 2mg

Tablet

49

Diazepam tablet 5 mg

Tablet

50

Difenhidramin HCl.Inj.10 mg/ml Ampul

51

Digoksin tablet 0.25mg

Tablet

52

Domperidon Tab

Tablet

53

Efedrin HCl tablet 25mg

Tablet

54

Ekstrak Belladon tab 10mg

Tablet

55

Epineprina HCl Bit + Adrenal Inj Tablet

56

Eritromisin tablet 500mg

kaplet

57

Erythromycin 250mg

Kapsul

58

Erythromycin Syr / 60ml

59

Etakridin (Rivanol) larutan 0.1% Botol

60

Etambutol Tab 250mg

Tablet

61

Etanol 70%

Botol

62

Fenobarbital injeksi 50mg/ml

Ampul

63

Fenobarbital tablet 100mg

Tablet

64

Fenobarbital tablet 30mg

Tablet

65

Fenoksimetil Pen.tablet 500mg Tablet

66

Fenoksimetil Peni. tablet 250mg Tablet

67

Fitome (Vit.K1) tab.10mg

68

Fitome (Vit.K1) Inj 10 mg/ml inj Ampul

69

Furosemid tablet 40mg

Tablet

70

Gameksan emulsi 1%

Botol

71

Garam Oralit 200 ml

saset

72

Gentamicyn Inj 80mg/2ml ( Ethy Ampul

10

10

10

10

10

Botol

Botol

Tablet

73

Gentamicyn Salep Kulit

Tube

74

Gentamicyn tetes mata 1 %

Botol

75

Gentian Violet larutan 1%

Botol

76

Gilbenklamid tablet 5 mg

Tablet

77

Gliseril Guayakolat tab 100mg

Tablet

78

Gliserin

Botol

79

Glucoce lar Infus 40%/10 .

Botol

80

Glucose 10 % infus

Botol

81

Glucose 5 % infus

Botol

82

Griseofulvin tab.125mg

Tablet

83

Haloperidol tablet 0,5mg

Tablet

84

Haloperidol tablet 1,5mg

Tablet

85

Hidroklorotiazid (HCT) tab 25m Tablet

86

Hidrokortison krim 2,5%

Tube

87

Ibuprofen tablet 200mg

Tablet

88

Ibuprofen tablet 400mg

Tablet

89

Isosorbit Dinitrat Tab.5 mg

Tablet

90

Kalium Diklofenak 50 mg

Tablet

91

Kalsium Laktat Tab.500mg

Tablet

92

Ketamin Inj. 10 mg/Ml

Ampul

93

Ketokonazol Cream 2%

94

Kloramfenikol Kap.250 mg

95

Kloramfenikol salep mata 1 %

96

Kloramfenikol tetes telinga 3 %

Botol

97

Klorfe.mal ( C T M ) Tab

Tablet

98

Kloroquin Tab.250mg

Tablet

99

Klorpromazin Inj.25 mg/ml

Ampul

100

Klorpromazin Tab.100mg

Tablet

101

Klorpromazin Tab.25mg

Tablet

102

Kodein Phospat Tab. 10 mg

Tablet

103

Kotrimoksazol Susp

Botol

104

Kotrimoksazol Tab.120mg

Tablet

105

Kotrimoksazol Tab.480 mg

Tablet

106

LIsol

Botol

107

Larutan Metil Biru

Botol

108

Larutan Turk

Botol

109

Lidocain Comp. 2 % Inj

Ampul

110

Loperamid ( Novadium ) tab 2m Tablet

10

Tube
kapsul
Tube

111

Magnesiun Sulfat ( I V ) 20 %-2 Botol

112

Magnesiun Sulfat ( I V ) 40 %-2 Botol

113

Magnesiun Sulfat serbuk 30 gr

114

Mebendazol Sirup 100 mg/5 ml Botol

115

Mebendazol Tab.100mg

Tablet

116

Mecobalamin 500mcg

Tablet

117

Metil Prednisolon 4mg

Tablet

118

Metilergometrin Inj.0.200mg - 1 Ampul

119

Metilergometrin Mal.Tab.0,125

Tablet

120

Metformin 500mg

Tablet

121

Metoclopramide Inj 5 mg / ml

Ampul

122

Metoclopramide Syr.60ml

Botol

123

Metoclopramide tab.5mg

Tablet

124

Metronidazol Tab.250mg

Tablet

125

Metronidazol Tab.500mg

Tablet

126

Natium Klorida Infus 0,9 %/btl

Botol

127

Natrium Dkilofenat 25 mg / X-F Tablet

128

Obat Anti TBC (FDC) Kategori 1 Tablet

129

Obat Anti TBC (FDC) Kategori

130

Obat Anti TBC Kategori anak

Tablet

131

Obat Anti TBC Kategori I

Tablet

132

Obat Anti TBC Sisipan Dws.

Tablet

133

Oksitetracyclin Salep Kulit 3%/t Tube

134

Oksitetrasiklin Inj. 50 mg/ml

135

Oksitetrasiklin Salep Mata 1 %

136

Oksitosin Inj 1ml

137

Papaverin 40 mg tab

Tablet

138

Papaverin Inj.

Ampul

139

Parasetamol Tab.100mg

Tablet

140

Parasetamol sirup 120 mg/5ml

Botol

141

Parasetamol Tab.500mg

Tablet

142

Piracetam 400mg

Tablet

143

Piridoksin HCl (vit. B6) 10mg

Tablet

144

Piroksicam 10 mg tab

Tablet

145

Piroksicam 20 mg tab

Botol

146

Poly Chateter

147

Povidon Iodida 10%/300 ml

Botol

148

Povidon Iodida 10%/30 ml

Botol

Botol

Tablet

Ampul
Tube
Ampul

Set

10

10

15

10

10

149

Prednison Tab.5 mg

Tablet

150

Primakuin Tab.15mg

Tablet

151

Prokain Benzil Penisilina 3 Jt. In Ampul

152

Propanolol HCl tablet 40mg

Tablet

153

Propiltiourasil tablet 100mg

Tablet

154

Ranitidin Inj 25 mg/2 ml

Ampul

155

Ranitidin 150mg

Tablet

156

Reserpin tablet 0.10mg

Tablet

157

Reserpin tablet 0.25mg

Tablet

158

Retin /Vit.A 100.000 Ui kap.luna kapsul

159

Retin /Vit.A 200.000 Ui kap.luna kapsul

160

Rifampicin 450 mg

Tablet

161

Rifampisin 300 mg

kapsul

162

Ringer Laktat Infus 500ml

Botol

163

SABU I Inj.5 ml ( ABU I )

Ampul

164

Salbutamol 2mg

Tablet

165

Salep 2-4, Kombinasi

pot

166

Salisil Bedak 2%

Dos

167

Siproloksasin tab 500mg

Tablet

168

Sefadroxil Cap 500mg

kapsul

169

Serum A D S Inj.20.000IU

170

Serum Anti Tetanus 1.500 Iu Inj Ampul

171

Serum Anti Tetanus 20.000 IU In Vial

172

Sianobal. (Vit.B12) Inj.500mcg

173

Sianobal. (Vit.B12) Inj.500mcg V

8 ml /
vial

174

Simvastatin 10mg tab

Tablet

175

Simetidin tabl 200mg

Tablet

176

Sulfasetamida Natrium tts mt15 Botol

177

Tab.Tambah Darah ( Besi II SO4 saset

178

Tetrasiklin HCl kapsul 250mg

kapsul

179

Tetrasiklin HCl kapsul 500mg

kapsul

180

Thiamfenicol 500mg

Tablet

181

Tiamin HCl (Vit.B1) Inj.100mg

Ampul

182

Tiamin HCl (Vit.B1) tablet 50mg Tablet

183

Tramadol Inj

Ampul

184

Tramadol tab

Tablet

185

Vitamin B Kompleks

Tablet

10

10

Vial

Ampul

10

10

OBAT GIGI
186

Air Raksa dental use

Botol

187

Devitalisasi Pasta

Botol

188

Etil Klorida Semprot

Botol

189

Formokresol ( pengganti TKF )

Botol

190

Glass Ionomer Cement / A R T

Set

191

Kalsium Hidroksida Pasta

Tube

192

Klorfenol Kamf Mentol ( Ch Km

Botol

193

Mummiying Pasta

Botol

194

Semen seng fosfat serbuk & cai Botol

195

Temp Stopping Flecher serbuk

Botol

196

Silver Amalgam serbuk

Botol

197

Eugenol cairan/12 btl *)

botol

ALAT KESEHATAN
198

Alat suntik sekali pakai 1 ml

biji

199

Alat suntik sekali pakai 2,5 ml

biji

200

Alat suntik sekali pakai 3 ml

biji

201

Alat suntik sekali pakai 5 ml

biji

202

Catgut Benang Bedah

biji

203

Infusion Set anak

biji

204

Infusion Set dewasa

biji

205

Silk ( Benang Bedah Sutera )

@ 36

biji

206

Jarum disp / Nedle 23 G

biji

207

Medicut No. 20 & 22

biji

208

Jarum Jahit No. 14

209

Kapas Pemb. /Absorben 250 g

biji

210

Kasa Pembalut 2 m x 80 cm *)

biji

211

Kasa Pemb. Hidrofil 4 m x 15 cm biji

212

Plester 5 yards x 2 inch *)

Dosin

biji

OBAT PENUNJANG
213

Aquadest steril

botol

214

Aminofluid Infus

botol

215

Becefort Tab

tablet

216

Berofit CE tab

tablet

217

Dormicom

tablet

218

Fitomen (Neo K) inj 2 mg

ampul

10

10

10

219

KAEN 3B

botol

220

KAEN 4B

botol

221

Kanamycin inj

ampul

222

Lytamin Syr

botol

223

Mirabion Tab

tablet

224

Molagit Tab

tablet

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 30 JANUARI 2013

vial

vial

P2M

LAIN2

1 BPG

BP

KIA P2M LAINTOTAL

-

20

20

40

30

10

40

30

10

40

20

20

10

40

50

30

30

20

28

30

36

10

10

26

28

30

87

10

10

20

20

10

10

10

13

35

35

10

10

226

Noza Tab

tablet

227

Obat Batuk Hitam cairan plus

botol

228

Optixitrol Tetes Mata

botol

229

Pehadoxin tab

tablet

230

Ponflu Syr 60ml

botol

231

Procain Penicillina Injeksi

232

Scaneuron Kapl

kaplet

233

Scantoma Tab

tablet

234

Stezolid Suppositoria

supp

235

Triomin E

tablet

236

Xylomidon Injeksi
TANGGAL : 31 JANUARI 2013

vial

vial