EVALUASI KETERSEDIAAN OBAT

PUSKESMAS MASARAN II TAHUN 2017

NO NAMA OBAT SATUAN Jumlah

A Obat Generik
1 Acetosal 500 mg tab Tablet 100
2 Albendasol Tablet 6450
3 Allopurinol 100 mg tab Tablet 2700
7 Aminofilin inj. Ampul 10
8 Aminofilin tab 200 mg Tablet 1000
10 Amlodipin 5mg Tablet 3000
12 Amoksisilin injeksi Vial 240
13 Amoksisilin kab 500 mg Tablet 21500
15 Amoksisilin Sirup 125 mg Botol 492
16 Ampisilin injeksi 1 gram Vial 990
18 Antalgin tab 500 mg Tablet 16500
19 Antasida Doen tab Tablet 11200
20 Antasida sirup Botol 250
21 Anti Bacteri Doen salep kulit Tube 25
22 Anti Hemoroid suppo Suppo 20
23 Antifungi Kombinasi salep kulit Pot 34
26 Asam Askorbat tab 50 mg tab Tablet 3000
27 Asam Mefenamat kap 500 mg Kaplet 5500
31 Atropin Sulfas inj Ampul 10
33 Besi II Sulfat Tablet + asam folat Tablet 8400 1
34 Betahistin mesilat tab Tablet 2500
35 Betamethason salep kulit Tube 125
38 Deksametason tab 0,5 mg Tablet 10000
42 Diazepam tab 2 mg Tablet 100
44 Difenhydramin HCl inj Ampul 30
45 Digoxin tab 0,25 mg Tablet 100
46 Dimenhydrinat tab Tablet 100
48 Domperidon suspensi Botol 100
49 Domperidon tab 10 mg Tablet 1700
51 Efinefrin ( Adrenalin inj ) Ampul 10
54 Erytromicin kap 500 mg Kapsul 200 1
55 Erytromicin sirup Botol 30
56 Etakridin Lakt. ( Rivanol ) Botol 5
62 Fitomenadion inj Ampul 60
63 Fitomenadion tab 10 mg Tablet 100
64 Furosemide tab 40 mg Tablet 300
67 Garam Oralit 200ml Sak 1200
 68 Gentamicin tetes mata 0,3 % Botol 74
71 Gentian Violet Botol 44
72 Glibenklamide tab 5 mg Tablet 700
73 Gliseril guaiakolat tab Tablet 14000
74 Glukonas kalsikus Ampul 5
78 Griseofulvin tab 125 mg Tablet 600 1
82 Hidrokortison salep kulit Tube 144
83 Hiosine-N- butilbromide tablet 10 mg Tablet 1000
84 Ibuprofen tab 200 mg Tablet 2700
90 Kalsium Laktat tab 500 mg Tablet 6000
91 Kaptopril tab 25 mg Tablet 1000
100 Klorafeniramin ( CTM ) tab Tablet 29000
101 Kloramfenikol inj Vial 150
102 Kloramfenikol salep mata 1 % Tube 72
103 Kloramfenikol sirup Botol 50 1
104 Kloramfenikol tetes mata 0,5 % Tube 455
112 Kotrimoksazol suspensi Botol 50
114 Kotrimoksazol tab 480 mg Tablet 1100
116 Loperamid Tablet 300
118 Metformin 500 Tablet 700
119 Methoklopramide injeksi Ampul 40
121 Methoklopramide tab10 mg Tablet 700
124 Metilprednisolon 4 Tablet 500
127 Metronidazol tab 500 mg Tablet 700
128 MgSO4 20 % Vial 5
129 MgSO4 40 % Vial 5
132 Myconazol salep kulit Tube 216
135 Na. Cl. Infus Flabot 100
136 Natrium Dikofenak 50 Tablet 1500
142 O A T - FDC kat 2 Paket 1
144 O A T Katagori - 1 Paket 14
145 O A T Katagori - 2 Paket 1
148 Obat Batuk Hitam sirup Botol 50
152 Oksitocin 10mg/ml inj Ampul 100
153 Omeprazol kaps Kapsul 450
156 Parasetamol sirup Botol 1440
158 Parasetamol tab 500 mg Tablet 31000
162 Piridoksin tab 10 mg Tablet 5500 1
163 Piroksikam tab 10 mg Kapsul 6500
165 Polykrusulen ( Albothyl ) Botol 5
166 Povidon Iodium 10% 30 ml Botol 20 1
167 Povidon Iodium 10% 300 ml Botol 10
168 Prednison tab 5 mg Tablet 8000
175 Ranitidine 150 mg Tablet 4500 1
176 Ranitidine inj ampul 2200
178 Retinol 100.000 iu Kab Btl @50 7
179 Retinol 200.000 iu Kab Btl @50 47
181 Ringer Laktat Infus Flabot 1316
182 Salbutamol tab 2 mg Tablet 1200
183 Salep 2 - 4 kombinasi Pot 24
184 Salysil bedak 2 % Botol 220
185 Sefadroksil 500 cps Kapsul 1000 1
187 Seftriaxon inj Vial 150
188 Serum ABU 5 ml inj. Flacon 4
189 Serum ATS 1.500 iu inj Ampul 42
191 Sianokobalamin tab ( Vit. B12 ) tab Tablet 5000
193 Simvastatin 10 Tablet 550 1
194 Siprofloxacin tab 500 mg Tablet 500
204 Tiamin HCl / B1 Tab 50 mg Tablet 7000
206 Vitamin B Komplek tab Tablet 4000
207 Zink Tablet 1000
3 Anti Diare kombinasi ( Dewasa ) Tablet 1900
4 Anti Diare kombinasi sirup ( Anak ) Botol 150
5 Anti hemorhoid kapsul Kapsul 90
9 Asering infus Flabot 160
15 Diazepam rectal Tube 10
20 Multivitamin sirup ( Anak ) Botol 480
21 Multivitamin tab ( Dewasa ) Tablet 4800
23 Salep Luka Bakar Tube 30
25 Tablet Tambah Darah + Vitamin Tablet 2000
27 Vitamin neurotropik inj Ampul 20
5 Etil Klorida semprot Botol 10
6 Eugenol sol Pot 2
1 ADS 0,05 ml Biji 600
2 ADS 0,5 ml Biji 3200
3 ADS 5 ml Biji 400
4 Alat suntik 1 ml Biji 200
5 Alat suntik 2,5 ml / 3ml Biji 4000
6 Alat Suntik 5 ml Biji 900
8 Aqua Pro injeksi Flacon 300
11 Etanol 70 % Botol 20
12 Hand Scoen Biji 2900
14 Infus Set dewasa Biji 500
17 IV Cateter No. 22 ( Dewasa ) Biji 200
18 IV Cateter No. 24 ( Anak ) Biji 350
19 Jarum Bengkok / Jahit Biji 24
21 Kapas Adsorben 250 gr Roll 20
22 Kasa panjang 40 cmx80 yard Roll 4
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos 105
27 Kasa steril mengand:Framasetin 10% Biji 20
30 Lisol Botol 20
31 Masker Biji 3800
32 Masker N 95 Biji 40
33 Mess Biji 100
36 Plester 5 yardx2inch Roll 30
40 Selang oksigen anak Biji 34 1
41 Selang Oksigen dws Biji 50
44 Urine Bag Biji 10
47 Pot dahak Biji 800 1
22 Iodida Test Botol 144
46 Obyek glass set 16
58 Reagen Zn Botol 29
1 Aminofluid Infus Flabot 70
 EVALUASI KETERSEDIAAN OBAT
USKESMAS MASARAN II TAHUN 2017

NO NAMA OBAT SATUAN Jumlah

A Obat Generik
1 Acetosal 500 mg tab Tablet 100
2 Albendasol Tablet 6450
3 Allopurinol 100 mg tab Tablet 2700
4 Aminofilin inj. Ampul 10
5 Aminofilin tab 200 mg Tablet 1000
6 Amlodipin 5mg Tablet 3000
7 Amoksisilin injeksi Vial 240
8 Amoksisilin kab 500 mg Tablet 21500
15 Amoksisilin Sirup 125 mg Botol 492
9 Ampisilin injeksi 1 gram Vial 990
18 Antalgin tab 500 mg Tablet 16500
19 Antasida Doen tab Tablet 11200
20 Antasida sirup Botol 250
21 Anti Bacteri Doen salep kulit Tube 25
22 Anti Hemoroid suppo Suppo 20
23 Antifungi Kombinasi salep kulit Pot 34
26 Asam Askorbat tab 50 mg tab Tablet 3000
27 Asam Mefenamat kap 500 mg Kaplet 5500
31 Atropin Sulfas inj Ampul 10
33 Besi II Sulfat Tablet + asam folat Tablet 8400 1
34 Betahistin mesilat tab Tablet 2500
35 Betamethason salep kulit Tube 125
38 Deksametason tab 0,5 mg Tablet 10000
42 Diazepam tab 2 mg Tablet 100
44 Difenhydramin HCl inj Ampul 30
45 Digoxin tab 0,25 mg Tablet 100
46 Dimenhydrinat tab Tablet 100
48 Domperidon suspensi Botol 100
49 Domperidon tab 10 mg Tablet 1700
51 Efinefrin ( Adrenalin inj ) Ampul 10
54 Erytromicin kap 500 mg Kapsul 200 1
55 Erytromicin sirup Botol 30
56 Etakridin Lakt. ( Rivanol ) Botol 5
62 Fitomenadion inj Ampul 60
63 Fitomenadion tab 10 mg Tablet 100
64 Furosemide tab 40 mg Tablet 300
67 Garam Oralit 200ml Sak 1200
 68 Gentamicin tetes mata 0,3 % Botol 74
71 Gentian Violet Botol 44
72 Glibenklamide tab 5 mg Tablet 700
73 Gliseril guaiakolat tab Tablet 14000
74 Glukonas kalsikus Ampul 5
78 Griseofulvin tab 125 mg Tablet 600 1
82 Hidrokortison salep kulit Tube 144
83 Hiosine-N- butilbromide tablet 10 mg Tablet 1000
84 Ibuprofen tab 200 mg Tablet 2700
90 Kalsium Laktat tab 500 mg Tablet 6000
91 Kaptopril tab 25 mg Tablet 1000
100 Klorafeniramin ( CTM ) tab Tablet 29000
101 Kloramfenikol inj Vial 150
102 Kloramfenikol salep mata 1 % Tube 72
103 Kloramfenikol sirup Botol 50 1
104 Kloramfenikol tetes mata 0,5 % Tube 455
112 Kotrimoksazol suspensi Botol 50
114 Kotrimoksazol tab 480 mg Tablet 1100
116 Loperamid Tablet 300
118 Metformin 500 Tablet 700
119 Methoklopramide injeksi Ampul 40
121 Methoklopramide tab10 mg Tablet 700
124 Metilprednisolon 4 Tablet 500
127 Metronidazol tab 500 mg Tablet 700
128 MgSO4 20 % Vial 5
129 MgSO4 40 % Vial 5
132 Myconazol salep kulit Tube 216
135 Na. Cl. Infus Flabot 100
136 Natrium Dikofenak 50 Tablet 1500
142 O A T - FDC kat 2 Paket 1
144 O A T Katagori - 1 Paket 14
145 O A T Katagori - 2 Paket 1
148 Obat Batuk Hitam sirup Botol 50
152 Oksitocin 10mg/ml inj Ampul 100
153 Omeprazol kaps Kapsul 450
156 Parasetamol sirup Botol 1440
158 Parasetamol tab 500 mg Tablet 31000
162 Piridoksin tab 10 mg Tablet 5500 1
163 Piroksikam tab 10 mg Kapsul 6500
165 Polykrusulen ( Albothyl ) Botol 5
166 Povidon Iodium 10% 30 ml Botol 20 1
167 Povidon Iodium 10% 300 ml Botol 10
168 Prednison tab 5 mg Tablet 8000
175 Ranitidine 150 mg Tablet 4500 1
176 Ranitidine inj ampul 2200
178 Retinol 100.000 iu Kab Btl @50 7
179 Retinol 200.000 iu Kab Btl @50 47
181 Ringer Laktat Infus Flabot 1316
182 Salbutamol tab 2 mg Tablet 1200
183 Salep 2 - 4 kombinasi Pot 24
184 Salysil bedak 2 % Botol 220
185 Sefadroksil 500 cps Kapsul 1000 1
187 Seftriaxon inj Vial 150
188 Serum ABU 5 ml inj. Flacon 4
189 Serum ATS 1.500 iu inj Ampul 42
191 Sianokobalamin tab ( Vit. B12 ) tab Tablet 5000
193 Simvastatin 10 Tablet 550 1
194 Siprofloxacin tab 500 mg Tablet 500
204 Tiamin HCl / B1 Tab 50 mg Tablet 7000
206 Vitamin B Komplek tab Tablet 4000
207 Zink Tablet 1000
3 Anti Diare kombinasi ( Dewasa ) Tablet 1900
4 Anti Diare kombinasi sirup ( Anak ) Botol 150
5 Anti hemorhoid kapsul Kapsul 90
9 Asering infus Flabot 160
15 Diazepam rectal Tube 10
20 Multivitamin sirup ( Anak ) Botol 480
21 Multivitamin tab ( Dewasa ) Tablet 4800
23 Salep Luka Bakar Tube 30
25 Tablet Tambah Darah + Vitamin Tablet 2000
27 Vitamin neurotropik inj Ampul 20
5 Etil Klorida semprot Botol 10
6 Eugenol sol Pot 2
1 ADS 0,05 ml Biji 600
2 ADS 0,5 ml Biji 3200
3 ADS 5 ml Biji 400
4 Alat suntik 1 ml Biji 200
5 Alat suntik 2,5 ml / 3ml Biji 4000
6 Alat Suntik 5 ml Biji 900
8 Aqua Pro injeksi Flacon 300
11 Etanol 70 % Botol 20
12 Hand Scoen Biji 2900
14 Infus Set dewasa Biji 500
17 IV Cateter No. 22 ( Dewasa ) Biji 200
18 IV Cateter No. 24 ( Anak ) Biji 350
19 Jarum Bengkok / Jahit Biji 24
21 Kapas Adsorben 250 gr Roll 20
22 Kasa panjang 40 cmx80 yard Roll 4
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos 105
27 Kasa steril mengand:Framasetin 10% Biji 20
30 Lisol Botol 20
31 Masker Biji 3800
32 Masker N 95 Biji 40
33 Mess Biji 100
36 Plester 5 yardx2inch Roll 30
40 Selang oksigen anak Biji 34 1
41 Selang Oksigen dws Biji 50
44 Urine Bag Biji 10
47 Pot dahak Biji 800 1
22 Iodida Test Botol 144
46 Obyek glass set 16
58 Reagen Zn Botol 29
1 Aminofluid Infus Flabot 70
 Lampiran Obat dan Bahan Habis Pakai (Format 2b) Tahun 2017

NO NAMA OBAT SATUAN JUMLAH

1 Acetosal 500 mg tab Tablet 100

2 Albendasol Tablet 6450
3 Allopurinol 100 mg tab Tablet 2700
4 Aminofilin inj. Ampul 10
5 Aminofilin tab 200 mg Tablet 1000
6 Amlodipin 5mg Tablet 3000
7 Amoksisilin injeksi Vial 240
8 Amoksisilin kab 500 mg Tablet 21500
9 Amoksisilin Sirup 125 mg Botol 492
10 Ampisilin injeksi 1 gram Vial 990
11 Antalgin tab 500 mg Tablet 16500
12 Antasida Doen tab Tablet 11200
13 Antasida sirup Botol 250
14 Anti Bacteri Doen salep kulit Tube 25
15 Anti Hemoroid suppo Suppo 20
16 Antifungi Kombinasi salep kulit Pot 34
17 Asam Askorbat tab 50 mg tab Tablet 3000
18 Asam Mefenamat kap 500 mg Kaplet 5500
19 Atropin Sulfas inj Ampul 10
20 Besi II Sulfat Tablet + asam folat Tablet 8400
21 Betahistin mesilat tab Tablet 2500
22 Betamethason salep kulit Tube 125
23 Deksametason tab 0,5 mg Tablet 10000
24 Diazepam tab 2 mg Tablet 100
25 Difenhydramin HCl inj Ampul 30
26 Digoxin tab 0,25 mg Tablet 100
27 Dimenhydrinat tab Tablet 100
28 Domperidon suspensi Botol 100
29 Domperidon tab 10 mg Tablet 1700
30 Efinefrin ( Adrenalin inj ) Ampul 10
31 Erytromicin kap 500 mg Kapsul 200
32 Erytromicin sirup Botol 30
33 Etakridin Lakt. ( Rivanol ) Botol 5
34 Fitomenadion inj Ampul 60
35 Fitomenadion tab 10 mg Tablet 100
36 Furosemide tab 40 mg Tablet 300
37 Garam Oralit 200ml Sak 1200
38 Gentamicin tetes mata 0,3 % Botol 74
39 Gentian Violet Botol 44
40 Glibenklamide tab 5 mg Tablet 700
41 Gliseril guaiakolat tab Tablet 14000
42 Glukonas kalsikus Ampul 5
43 Griseofulvin tab 125 mg Tablet 600
44 Hidrokortison salep kulit Tube 144
45 Hiosine-N- butilbromide tablet 10 mg Tablet 1000
46 Ibuprofen tab 200 mg Tablet 2700
47 Kalsium Laktat tab 500 mg Tablet 6000
48 Kaptopril tab 25 mg Tablet 1000
49 Klorafeniramin ( CTM ) tab Tablet 29000
50 Kloramfenikol inj Vial 150
51 Kloramfenikol salep mata 1 % Tube 72
52 Kloramfenikol sirup Botol 50
53 Kloramfenikol tetes mata 0,5 % Tube 455
54 Kotrimoksazol suspensi Botol 50
55 Kotrimoksazol tab 480 mg Tablet 1100
56 Loperamid Tablet 300
57 Metformin 500 Tablet 700
58 Methoklopramide injeksi Ampul 40
59 Methoklopramide tab10 mg Tablet 700
60 Metilprednisolon 4 Tablet 500
61 Metronidazol tab 500 mg Tablet 700
62 MgSO4 20 % Vial 5
63 MgSO4 40 % Vial 5
64 Myconazol salep kulit Tube 216
65 Na. Cl. Infus Flabot 100
66 Natrium Dikofenak 50 Tablet 1500
67 O A T - FDC kat 2 Paket 1
68 O A T Katagori - 1 Paket 14
69 O A T Katagori - 2 Paket 1
70 Obat Batuk Hitam sirup Botol 50
71 Oksitocin 10mg/ml inj Ampul 100
72 Omeprazol kaps Kapsul 450
73 Parasetamol sirup Botol 1440
74 Parasetamol tab 500 mg Tablet 31000
75 Piridoksin tab 10 mg Tablet 5500
76 Piroksikam tab 10 mg Kapsul 6500
77 Polykrusulen ( Albothyl ) Botol 5
78 Povidon Iodium 10% 30 ml Botol 20
79 Povidon Iodium 10% 300 ml Botol 10
80 Prednison tab 5 mg Tablet 8000
81 Ranitidine 150 mg Tablet 4500
82 Ranitidine inj ampul 2200
 83 Retinol 100.000 iu Kab Btl @50 7
84 Retinol 200.000 iu Kab Btl @50 47
85 Ringer Laktat Infus Flabot 1316
86 Salbutamol tab 2 mg Tablet 1200
87 Salep 2 - 4 kombinasi Pot 24
88 Salysil bedak 2 % Botol 220
89 Sefadroksil 500 cps Kapsul 1000
90 Seftriaxon inj Vial 150
91 Serum ABU 5 ml inj. Flacon 4
92 Serum ATS 1.500 iu inj Ampul 42
93 Sianokobalamin tab ( Vit. B12 ) tab Tablet 5000
94 Simvastatin 10 Tablet 550
95 Siprofloxacin tab 500 mg Tablet 500
96 Tiamin HCl / B1 Tab 50 mg Tablet 7000
97 Vitamin B Komplek tab Tablet 4000
98 Zink Tablet 1000
99 Anti Diare kombinasi ( Dewasa ) Tablet 1900
100 Anti Diare kombinasi sirup ( Anak ) Botol 150
101 Anti hemorhoid kapsul Kapsul 90
102 Asering infus Flabot 160
103 Diazepam rectal Tube 10
104 Multivitamin sirup ( Anak ) Botol 480
105 Multivitamin tab ( Dewasa ) Tablet 4800
106 Salep Luka Bakar Tube 30
107 Tablet Tambah Darah + Vitamin Tablet 2000
108 Vitamin neurotropik inj Ampul 20
109 Etil Klorida semprot Botol 10
110 Eugenol sol Pot 2
111 ADS 0,05 ml Biji 600
112 ADS 0,5 ml Biji 3200
113 ADS 5 ml Biji 400
114 Alat suntik 1 ml Biji 200
115 Alat suntik 2,5 ml / 3ml Biji 4000
116 Alat Suntik 5 ml Biji 900
117 Aqua Pro injeksi Flacon 300
118 Etanol 70 % Botol 20
119 Hand Scoen Biji 2900
120 Infus Set dewasa Biji 500
121 IV Cateter No. 22 ( Dewasa ) Biji 200
122 IV Cateter No. 24 ( Anak ) Biji 350
123 Jarum Bengkok / Jahit Biji 24
124 Kapas Adsorben 250 gr Roll 20
125 Kasa panjang 40 cmx80 yard Roll 4
126 Kasa Steril 16 x 16 ( 16 lmb ) Dos 105
127 Kasa steril mengand:Framasetin 10% Biji 20
128 Lisol Botol 20
129 Masker Biji 3800
130 Masker N 95 Biji 40
131 Mess Biji 100
132 Plester 5 yardx2inch Roll 30
133 Selang oksigen anak Biji 34
134 Selang Oksigen dws Biji 50
135 Urine Bag Biji 10
136 Pot dahak Biji 800
137 Iodida Test Botol 144
138 Obyek glass set 16
139 Reagen Zn Botol 29
140 Aminofluid Infus Flabot 70
Jumlah

100
6450
2700
10
1000
3000
240
21500
492
990
16500
11200
250
25
20
34
3000
5500
10
8400
2500
125
10000
100
30
100
100
100
1700
10
200
30
5
60
100
300
1200
74
44
 700
14000
5
600
144
1000
2700
6000
1000
29000
150
72
50
455
50
1100
300
700
40
700
500
700
5
5
216
100
1500
1
14
1
50
100
450
1440
31000
5500
6500
5
20
10
8000
4500
2200
 7
47
1316
1200
24
220
1000
150
4
42
5000
550
500
7000
4000
1000
1900
150
90
160
10
480
4800
30
2000
20
10
2
600
3200
400
200
4000
900
300
20
2900
500
200
350
24
20
4
 105
20
20
3800
40
100
30
34
50
10
800
144
16
29
70
 Lampiran Obat dan Bahan Habis Pakai (Format 2b) Tahun 2018

NO NAMA OBAT SATUAN JUMLAH

A Obat Generik
1 Acetosal 500 mg tab Tablet 555
2 Allopurinol 100 mg tab Tablet 2968
3 Aminofilin inj. Ampul 33
4 Aminofilin tab 200 mg Tablet 2479
5 Amlodipin 5mg Tablet 2112
6 Amoksisilin injeksi Vial 850
7 Amoksisilin kab 500 mg Tablet 33722
8 Amoksisilin Sirup 125 mg Botol 897
9 Ampisilin injeksi 1 gram Vial 620
10 Antalgin tab 500 mg Tablet 24675
11 Antasida Doen tab Tablet 30818
12 Antasida sirup Botol 2382
13 Anti Bacteri Doen salep kulit Tube 190
14 Anti Hemoroid suppo Suppo 140
15 Antifungi Kombinasi salep kulit Pot 72
16 Asam Askorbat tab 50 mg tab Tablet 7862
17 Asam Mefenamat kap 500 mg Kaplet 14022
18 Asiklovir salep kulit Tube 150
19 Asiklovir tab 200 mg Tablet 1200
20 Atropin Sulfas inj Ampul 4
21 Besi II Sulfat Tablet + asam folat Tablet 20230
22 Betahistin mesilat tab Tablet 5492
23 Betamethason salep kulit Tube 138
24 Bisakodil tab Tablet 180
25 Deksametason inj Ampul 73
26 Deksametason tab 0,5 mg Tablet 31655
27 Diazepam inj. 5mg/2ml Ampul 10
28 Diazepam tab 2 mg Tablet 251
29 Difenhydramin HCl inj Ampul 41
30 Digoxin tab 0,25 mg Tablet 106
31 Dimenhydrinat tab Tablet 378
32 Domperidon suspensi Botol 321
33 Domperidon tab 10 mg Tablet 4527
34 Efinefrin ( Adrenalin inj ) Ampul 18
35 Erytromicin kap 500 mg Kapsul 946
36 Erytromicin sirup Botol 255
37 Etakridin Lakt. ( Rivanol ) Botol 16
38 Fenobarbital tab30 mg Tablet 662
39 Fitomenadion inj Ampul 42
40 Fitomenadion tab 10 mg Tablet 922
41 Furosemide tab 40 mg Tablet 1360
42 Garam Oralit 200ml Sak 2423
43 Gentamicin tetes mata 0,3 % Botol 40
44 Gentian Violet Botol 51
45 Glibenklamide tab 5 mg Tablet 1010
46 Gliseril guaiakolat tab Tablet 11154
47 Glukonas kalsikus Ampul 3
48 Griseofulvin tab 125 mg Tablet 734
49 Hidrokortison salep kulit Tube 530
50 Hiosine-N- butilbromide tablet 10 mg Tablet 800
51 Ibuprofen tab 200 mg Tablet 1903
52 Isosorbid Dinitrat Tablet 520
53 Kalium Diklofenak 50 mg Tablet 500
54 Kalsium Laktat tab 500 mg Tablet 19452
55 Kaptopril tab 25 mg Tablet 3807
56 Ketokonazole 200 mg Tablet 550
57 Ketokonazole krim tube 50
58 Klobazam tab Tablet 100
59 Klorafeniramin ( CTM ) tab Tablet 65634
60 Kloramfenikol salep mata 1 % Tube 180
61 Kloramfenikol sirup Botol 167
62 Kloramfenikol tetes mata 0,5 % Tube 593
63 Kloramfenikol tetes telinga Kapsul 286
64 Kloramfenikol kap 250 mg Botol 4200
65 Kotrimoksazol suspensi Botol 31
66 Kotrimoksazol tab 480 mg Tablet 520
67 Lidokain comp injeksi Ampul 420
68 Metformin 500 Tablet 1761
69 Methoklopramide injeksi Ampul 60
70 Methoklopramide sirup Botol 4
71 Methoklopramide tab10 mg Tablet 738
72 Metilergomet injeksi 0,2 mg Ampul 58
73 Metilergomet tab 0,125 mg Tablet 120
74 Metilprednisolon 4 Tablet 3925
75 Metronidazol tab 500 mg Tablet 719
76 MgSO4 20 % Vial 3
77 Myconazol salep kulit Tube 340
78 Na. Cl. Infus Flabot 93
79 Natrium Dikofenak 50 Tablet 13119
80 Nifedipin Tablet 1718
81 O A T - FDC kat 2 Paket 2
 82 Obat Batuk Hitam sirup Botol 600
83 Oksitetrasiklin salep kulit 3 % Tube 3
84 Oksitocin 10mg/ml inj Ampul 132
85 Omeprazol kaps Kapsul 2759
86 Parasetamol sirup Botol 2265
87 Parasetamol tab 500 mg Tablet 73187
88 Piridoksin tab 10 mg Tablet 7946
89 Piroksikam tab 10 mg Kapsul 3463
90 Polykrusulen ( Albothyl ) Botol 2
91 Povidon Iodium 10% 30 ml Botol 54
92 Povidon Iodium 10% 300 ml Botol 13
93 Prednison tab 5 mg Tablet 15879
94 Ranitidine 150 mg Tablet 10307
95 Ranitidine inj ampul 3428
96 Retinol 100.000 iu Kab Btl @50 7
97 Retinol 200.000 iu Kab Btl @50 58
98 Ringer Laktat Infus Flabot 1988
99 Salbutamol tab 2 mg Tablet 2814
100 Salep 2 - 4 kombinasi Pot 75
101 Salysil bedak 2 % Botol 482
102 Sefadroksil 500 cps Kapsul 1963
103 Sefotaxim 1g inj Vial 120
104 Seftriaxon inj Vial 40
105 Serum ABU 5 ml inj. Flacon 8
106 Serum ATS 1.500 iu inj Ampul 55
107 Sianokobalamin tab ( Vit. B12 ) tab Tablet 2520
108 Simetidin tab Tablet 30
109 Simvastatin 10 Tablet 1163
110 Siprofloxacin tab 500 mg Tablet 994
111 Tiamfenikol kap 500 mg Kapsul 1500
112 Tiamin HCl / B1 Tab 50 mg Tablet 15443
113 Vitamin B Komplek tab Tablet 29280
114 Zink Tablet 2239

B Obat Non Generik

1 Antasida + Simetikon Tablet 1854
2 Anti Diare kombinasi ( Dewasa ) Tablet 4758
3 Anti Diare kombinasi sirup ( Anak ) Botol 302
4 Asam Askorbat tab 500 + Vitamin Tablet 3742
5 Asering infus Flabot 2739
6 Betamethason + Antibiotik salep kulit Tube 32
7 Diazepam rectal Tube 12
8 Multivitamin sirup ( Anak ) Botol 635
 9 Multivitamin tab ( Dewasa ) Tablet 10935
10 Salep Luka Bakar Tube 64
11 Tablet Tambah Darah + Vitamin Tablet 3721
12 Vitamin neurotropik inj Ampul 53
13 Aminofluid Infus Flabot 348
14 Glimepirid 1 mg Tablet 300
15 Cetirizin 20 mg Kapsul 748
16 Salbutamol nebules (Ventolin) Ampul 42

C Obat Gigi
1 Devitalisasi Pasta Botol 1
2 Eugenol sol Pot 2
3 Glass Ionomer Cement Pot 1
5 Kalsium hydroksi pasta dos 1
7 Solare Tube 1
8 Temp+Stopp Fletc p+liq Set 1

D Alkes Pakai Habis

1 ADS 0,05 ml Biji 520
2 ADS 0,5 ml Biji 2500
3 Alat suntik 1 ml Biji 712
4 Alat suntik 2,5 ml / 3ml Biji 8629
5 Alat Suntik 5 ml Biji 2594
7 Aqua Pro injeksi Flacon 444
9 Cat Gut Biji 1
10 Etanol 70 % Botol 41
11 Hand Scoen Biji 6300
12 Infus Set anak Biji 140
13 Infus Set dewasa Biji 1302
14 IV Cateter No. 22 ( Dewasa ) Biji 777
15 IV Cateter No. 24 ( Anak ) Biji 1060
17 Jarum Suntik Biji 500
18 Kapas Adsorben 250 gr Roll 37
19 Kasa panjang 40 cmx80 yard Roll 11
20 Kasa Pemb Hydro 4 m x 15 cm Roll 421
21 Kasa Steril 16 x 16 ( 16 lmb ) Dos 206
22 Kasa steril mengand:Framasetin 10% Biji 140
23 Lisol Botol 32
24 Masker Biji 7550
25 Mess Biji 66
27 Plester 5 yardx2inch Roll 47
28 Poly Cateter No. 14 Biji 15
29 Poly Cateter No. 16 Biji 11
30 Poly Cateter No. 18 Biji 14
31 Selang oksigen anak Biji 77
32 Selang Oksigen dws Biji 136
33 Silk Biji 1
34 Urine Bag Biji 50
Jumlah

100
6450
2700
10
1000
3000
240
21500
492
990
16500
11200
250
25
20
34
3000
5500
10
8400
2500
125
10000
100
30
100
100
100
1700
10
200
30
5
60
100
300
1200
74
 44
700
14000
5
600
144
1000
2700
6000
1000
29000
150
72
50
455
50
1100
300
700
40
700
500
700
5
5
216
100
1500
1
14
1
50
100
450
1440
31000
5500
6500
5
20
10
8000
4500
2200
7
47
1316
1200
24
220
1000
150
4
42
5000
550
500
7000
4000
1000
1900
150
90
160
10
480
4800
30
2000
20
10
2
600
3200
400
200
4000
900
300
20
2900
500
200
350
24
20
 4
105
20
20
3800
40
100
30
34
50
10
800
144
16
29
70