RENCANA KEBUTUHAN OBAT/BMHP TAHUN 2019

PUSKESMAS SUKARAMAI

NO NAMA KEMASAN JUMLAH

1 Albendazole 400 mg Kotak 10 x 10 Tablet 100
2 Acyklovir 400 mg Kotak 10 x 10 Tablet 542
3 Allopurinol 100 mg Kotak 10 x 10 Tablet 150
4 Ambroxol tablet Kotak 10 x10 Tablet 1000
5 Ambroxol syrup Botol 60 ml 2000
6 Amlodipin tablet 5 mg Kotak 30 x 10 tablet 300
7 Amoksisilin sirup kering 125 mg/5ml Botol 60 ml 1346
8 Amoksisillin Kaplet 500 mg Kotak 10 x 10 Kaplet 1041
9 Antasida Doen Suspensi Botol 60 ml 1450
10 Antasida Doen Tablet Kunyah Kotak 10x10 tablet 893
11 Asam Ascorbat 50 mg ( Vitamin C ) Kotak 10 x 10 Tablet 246
12 Aqua pro injeksi steril, bebas pirogen Vial 54
13 Asam Mefenamat 500 mg Kotak 10 x 10 Tablet 219
14 Attapulgite (Obat Diare)/ Antides Box 100 Tablet 253
15 Atropin sulfat injeksi 0,25 mg/ml Dus, 30 amp @ 1 ml 10
16 Betahistin mesilat tab 6 mg ktk 3 x 10 tablet 50
17 Betametason krim 0,1% Tube 5 gr 1125
18 Bioplacenton tulle 10x10 Ktk 10 pcs 25
19 Perak Sulfadiazin 1 % Tube 35 gr 150
20 Cetirizine sirup Botol 60 ml 420
21 Cetirizine tablet Kotak 50 tablet 220
22 Deksametason injeksi i.v. 5 mg/ml Ktk 100 Ampul 25
23 Deksametason tablet 0,5 mg Kotak 10 x 10 Tablet 1150
24 Diazepam larutan rektal 5 mg/2,5 ml Tube 150
25 Difenhidramin inj 10 mg/ml (HCL) kotak 30 ampul 53
26 Domperidon Tablet 10 mg Kotak 10 x 10 Tablet 229
27 Domperidon Suspensi 5 mg/5ml Botol 60 ml 512
28 Doksisiklin tab Kotak 10 x 10 Tablet 250
29 Epinefrin (adrinalin) inj 1 mg/ml kotak 100 ampul 5
30 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet 350
31 Eritromisin sirup 200 mg/5 ml btl 60 ml 340
32 Etakridin ( Rivanol ) Larutan 0,1% Botol 300 ml 100
33 Etanol (Alkohol) 70 % Botol 1000 ml 100
34 Eugenol cairan ktk 10 ml 20
35 Fenobarbital injeksi 50 mg/ml Ampul 150
36 Fitomenadion ( Vit.K ) Injeksi 2 mg/ 1 ml Ampul 300
37 Fitomenadion (Vit. K) tablet 10 mg kotak 10 x 10 tablet 100
38 Furosemid tablet 40 mg Kotak 10 x 10 Tablet 50
39 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 25
40 Genoint salep-gentamisin salep mata tube 1500
41 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 65
42 Glukosa larutan infus 5 % steril Botol 500 ml 100
43 Griseofulvin tablet 125 mg Kotak 10 x 10 Tablet 150
44 Hidrokortison 2,5% krim tube 1200
45 Haloperidol tab 5 mg Kotak 10 x 10 Tablet 150
46 Human Tetanus Imunoglobulinn Injeksi i.m 250 UI (ATS) Unit 100
47 Ibuprofen Tablet 400 mg Kotak 10 x 10 Tablet 650
48 Isosorbid Dinitrat Tablet 5 mg Ktk 10 x 10 Tablet 50
49 Kalsium Laktat (Kalk) Tablet 500mg Ktk 10 x 10 Tablet 50
50 Kaptopril tab scored 12,5 mg Kotak 10 x 10 Tablet 300
51 Ketokonazol Krim 2 % Tube 10 gr 1425
52 Ketokonazol Tablet 200 mg Kotak 5 x 10 Tablet 200
53 Ketorolac injeksi 10 mg dus,5 amp @ 1 ml 100
54 Kloramfenikol kapsul Kotak 10 x 10 kapsul 250
55 Kloramfenikol salep mata Tube 250
56 Kloramfenikol salep kulit/bufacetine Tube 1912
57 Kloramfenikol Suspensi (Palmytate) Botol 60 ml 200
58 Klorfeniramina Maleat (CTM) 4 mg Kotak 10x10 tablet 985
59 Klorpromazin tablet salut 100 mg (HCL) kotak 10 x 10 tablet 150
60 Kodein tablet Kotak 10 x 10 tablet 50
61 Kotrimoksazol suspensi Botol 60 ml 1250
62 Kotrimoksazole Tablet 480 mg Kotak 10 x 10 Tablet 350
63 Lansoprazole Kapsul 30 mg Kotak 2 x 10 Kapsul 1650
64 Lidokain Injeksi 2 % (HCl) Epinefrin Kotak 30 Ampul 25
65 Loratadine 10 mg Kotak 5 x 10 tablet 150
66 Lisol Botol 1000 ml 200
67 Meloksikam 7,5 mg Kotak 5 x 10 tablet 1000
68 Metronidazole infus 500 mg/100 ml Botol 100 ml 250
69 Methylprednison 4 mg Kotak 10 x 10 Tablet 300
70 Metronidazole Tablet 500 mg Kotak 10 x 10 Tablet 550
71 Mikonazole Krim 2% Tube 10 g 1481
72 MgSO4 Injeksi 20% Ampul 30
73 Natrium Diklofenak 50 mg Kotak 5 x 10 Tablet 550
74 Natrium Klorida Larutan Infus 0.9 % Botol 500 ml 500
75 Nifedipin tablet 10 mg Kotak 10 x 10 tablet 250
76 Oksitosin injeksi 10 IU/ml Kotak 100 Ampul 5
77 Oralit kotak 10 sachet 100
78 Omeprazole Kapsul 20 mg Kotak 30 kapsul 600
79 OBH combi syrup Botol 60 ml 1000
80 Paracetamol Tablet 500 mg Kotak 10 x 10 Tablet 1350
81 Parasetamol sirup 120 mg/5 ml Botol 60 ml 1650
82 Pirantel Tablet Score 125 mg Kotak 100 Tablet 100
83 Pirantel Tablet Score 250 mg Kotak 100 Tablet 100
84 Povidon Iodida Larutan 10 % Botol 300 ml 121
85 Povidon Iodida Larutan 10 % Botol 60 ml 295
86 Prednison tablet 5 mg Kotak 10 x 10 Tablet 300
87 Pyridoxine (Vit B6) Tab Kotak 10 x 10 Tablet 350
88 Ranitidine tab Box 100 tab 541
89 Ranitidine Injeksi 25 mg/2 ml Kotak 10 Ampul 500
90 Ringer Laktat Larutan Infus Botol 500 ml 1840
91 Risperidon 2 mg Kotak 5 x 10 Tablet 300
92 Salbutamol Tablet 4 mg Kotak 10 x 10 Tablet 195
93 Salbutamol Tablet 2 mg Kotak 10 x 10 Tablet 150
94 Silver Sulfadiazine Tube 200
95 Salisil Bedak 2 % Kotak 50 Gr 100
96 Sefadroksil kapsul 500 mg Ktk 10 x 10 kapsul 250
97 Sefadroxil sirup kering 125 mg/5 ml Botol 60 ml 500
98 Sefotaksim injeksi 1 gram Kotak 2 vial 200
99 Sianokobalamin (Vitamin B12) injeksi 500 mcg Kotak 100 Ampul 80
100 Simvastatin Tablet 10 mg Kotak 10 x 10 Tablet 200
101 Siprofloksasin Tablet 500 mg Kotak 10 x 10 Tablet 850
102 Thiamin (Vit.B1) Tablet 100 mg Kotak 10 x 10 tablet 350
103 Tramadol inj. 50 mg/ml Kotak 5 ampul 50
104 Tramadol kapsul 50 mg kotak 5 x 10 kapsul 500
105 Ventolin Nebules ( Salbutamol cairan 0,1 % ) kotak 4 x 5 botol 50
106 Vitamin B Kompleks Tablet Kotak 10 x 10 Tablet 1688
107 Vitamin Tambah Darah (Fe) /Safero Kotak 10 x 10 Tablet 256
108 Zircum Kid Syrup 20 mg/ 5ml botol 600
109 Alkohol Swab 100 pcs / Kotak 200
110 Catgut Chromic No. 2/0 + Jarum 1/2 GT 35 mm kotak 12 pc 62
111 Catgut Plain No. 2/0 + Jarum 1/2 GT 35 mm kotak 12 pc 62
112 Examination Glove ( Handscoon) 100 pcs / Kotak 200
113 Folley Chateter No. 16 10 Pcs/kotak 25
114 Folley Chateter No. 18 10 Pcs/kotak 25
115 Folley Chateter No. 20 10 Pcs/kotak 25
116 Infus Set Dewasa Buah 600
117 Infus Set Anak Buah 200
118 Infus Set Anak Buah 50
119 IV TRO-Vensite sine 18G-2TRGISS20 50 pcs/ kotak 20
120 IV TRO-Vensite sine 20G-2TRGISS20 50 pcs/ kotak 30
121 IV TRO-Vensite sine 22G-2TRGISS22 50 pcs/ kotak 50
122 IV TRO-Vensite sine 24G-2TRGISS24 50 pcs/ kotak 20
123 Kapas Pembalut/Absorben 250 gr Bungkus 155
124 Kasa Hidrophil Steril 16 x 16 cm 16 pcs / kotak 800
125 Kasa Hidropril 40 x 80 cm Rol 40
126 NGT (Maslaang ) Pcs 50
127 Nurse Cap box 5
128 PHARMAFIX 5 cm x 5 cm Psc 200
129 Umbilical klem Box 24
130 Silk No. 3/0 dengan Jarum Bedah Kotak 12 x 3 x 75 Cm 30
131 Selang Oxygen Bayi (Oxyflow Nasal Oksigen Bayi) pcs 100
132 Selang Oxygen Anak (Oxyflow Nasal Oksigen Anak) Pcs 100
133 Selang Oxygen Dewasa (Oxyflow Nasal Dewasa) Pcs 100
134 Blood Lancet Box 20
135 Stik Kolesterol Kotak 50
136 Stik Asam Urat Kotak 50
137 Stik Asam gula Kotak 50
138 STERA 1cc Tuberculin 27G X 1/2 100 pcs / Kotak 30
139 STERA 2.5ccX23GX1 1/4 100 pcs / Kotak 200
140 STERA 3ccX23GX1 1/4 100 pcs / Kotak 100
141 STERA 50cc ec Tip 20 pcs / Kotak 100
142 STERA 5ccX22GX1 1/4 100 pcs / Kotak 50
143 Surgical Glove Sterile 7.5 50 pcs / Kotak 96
144 Surgical Mask - 3 ply Earloop 50 pcs/ kotak 500
145 Urin bag Pcs 150
146 Ultrasensitive test pcs 2500
147 H2O2 3 % Botol 1000 ml 35
148 Aseptan 500 cc + pump botol 500 ml 150

Diketahui Oleh,
Plt. Kepala puskesmas

dr. Yori Andika Maha

NIP. 19830704 201001 1 025
 RENCANA KEBUTUHAN OBAT/BMHP TAHUN 2019
PUSKESMAS SUKARAMAI

Apotik Pustu
NO NAMA KEMASAN Puskesmas Parjaratan
Sukaramai
1 Albendazole 400 mg Kotak 10 x 10 Tablet 100
2 Acyklovir 400 mg Kotak 10 x 10 Tablet 542
3 Allopurinol 100 mg Kotak 10 x 10 Tablet 150
4 Ambroxol tablet Kotak 10 x10 Tablet 1000
5 Ambroxol syrup Botol 60 ml 2000
6 Amlodipin tablet 5 mg Kotak 30 x 10 tablet 300
7 Amoksisilin sirup kering 125 mg/5ml Botol 60 ml 1346
8 Amoksisillin Kaplet 500 mg Kotak 10 x 10 Kaplet 1041
9 Antasida Doen Suspensi Botol 60 ml 1450
10 Antasida Doen Tablet Kunyah Kotak 10x10 tablet 893
11 Asam Ascorbat 50 mg ( Vitamin C ) Kotak 10 x 10 Tablet 246
12 Aqua pro injeksi steril, bebas pirogen Vial 54
13 Asam Mefenamat 500 mg Kotak 10 x 10 Tablet 219
14 Attapulgite (Obat Diare)/ Antides Box 100 Tablet 253
15 Atropin sulfat injeksi 0,25 mg/ml Dus, 30 amp @ 1 ml 10
16 Betahistin mesilat tab 6 mg ktk 3 x 10 tablet 50
17 Betametason krim 0,1% Tube 5 gr 1125
18 Bioplacenton tulle 10x10 Ktk 10 pcs 25
19 Perak Sulfadiazin 1 % Tube 35 gr 150
20 Cetirizine sirup Botol 60 ml 420
21 Cetirizine tablet Kotak 50 tablet 220
22 Deksametason injeksi i.v. 5 mg/ml Ktk 100 Ampul 25
23 Deksametason tablet 0,5 mg Kotak 10 x 10 Tablet 1150
24 Diazepam larutan rektal 5 mg/2,5 ml Tube 150
25 Difenhidramin inj 10 mg/ml (HCL) kotak 30 ampul 53
26 Domperidon Tablet 10 mg Kotak 10 x 10 Tablet 229
27 Domperidon Suspensi 5 mg/5ml Botol 60 ml 512
28 Doksisiklin tab Kotak 10 x 10 Tablet 250
29 Epinefrin (adrinalin) inj 1 mg/ml kotak 100 ampul 5
30 Eritromisin kaplet 500 mg ktk 10 x 10 kaplet 350
31 Eritromisin sirup 200 mg/5 ml btl 60 ml 340
32 Etakridin ( Rivanol ) Larutan 0,1% Botol 300 ml 100
33 Etanol (Alkohol) 70 % Botol 1000 ml 100
34 Eugenol cairan ktk 10 ml 20
35 Fenobarbital injeksi 50 mg/ml Ampul 150
36 Fitomenadion ( Vit.K ) Injeksi 2 mg/ 1 ml Ampul 300
37 Fitomenadion (Vit. K) tablet 10 mg kotak 10 x 10 tablet 100
38 Furosemid tablet 40 mg Kotak 10 x 10 Tablet 50
39 Glibenklamida tablet 5 mg ktk 10 x 10 tablet 25
40 Genoint salep-gentamisin salep mata tube 1500
41 Gliseril guaiakolat tablet 100 mg btl 1000 tablet 65
42 Glukosa larutan infus 5 % steril Botol 500 ml 100
43 Griseofulvin tablet 125 mg Kotak 10 x 10 Tablet 150
44 Hidrokortison 2,5% krim tube 1200
45 Haloperidol tab 5 mg Kotak 10 x 10 Tablet 150
46 Human Tetanus Imunoglobulinn Injeksi i.m 250 UI (ATS) Unit 100
47 Ibuprofen Tablet 400 mg Kotak 10 x 10 Tablet 650
48 Isosorbid Dinitrat Tablet 5 mg Ktk 10 x 10 Tablet 50
49 Kalsium Laktat (Kalk) Tablet 500mg Ktk 10 x 10 Tablet 50
50 Kaptopril tab scored 12,5 mg Kotak 10 x 10 Tablet 300
51 Ketokonazol Krim 2 % Tube 10 gr 1425
52 Ketokonazol Tablet 200 mg Kotak 5 x 10 Tablet 200
53 Ketorolac injeksi 10 mg dus,5 amp @ 1 ml 100
54 Kloramfenikol kapsul Kotak 10 x 10 kapsul 250
55 Kloramfenikol salep mata Tube 250
56 Kloramfenikol salep kulit/bufacetine Tube 1912
57 Kloramfenikol Suspensi (Palmytate) Botol 60 ml 200
58 Klorfeniramina Maleat (CTM) 4 mg Kotak 10x10 tablet 985
59 Klorpromazin tablet salut 100 mg (HCL) kotak 10 x 10 tablet 150
60 Kodein tablet Kotak 10 x 10 tablet 50
61 Kotrimoksazol suspensi Botol 60 ml 1250
62 Kotrimoksazole Tablet 480 mg Kotak 10 x 10 Tablet 350
63 Lansoprazole Kapsul 30 mg Kotak 2 x 10 Kapsul 1650
64 Lidokain Injeksi 2 % (HCl) Epinefrin Kotak 30 Ampul 25
65 Loratadine 10 mg Kotak 5 x 10 tablet 150
66 Lisol Botol 1000 ml 200
67 Meloksikam 7,5 mg Kotak 5 x 10 tablet 1000
68 Metronidazole infus 500 mg/100 ml Botol 100 ml 250
69 Methylprednison 4 mg Kotak 10 x 10 Tablet 300
70 Metronidazole Tablet 500 mg Kotak 10 x 10 Tablet 550
71 Mikonazole Krim 2% Tube 10 g 1481
72 MgSO4 Injeksi 20% Ampul 30
73 Natrium Diklofenak 50 mg Kotak 5 x 10 Tablet 550
74 Natrium Klorida Larutan Infus 0.9 % Botol 500 ml 500
75 Nifedipin tablet 10 mg Kotak 10 x 10 tablet 250
76 Oksitosin injeksi 10 IU/ml Kotak 100 Ampul 5
77 Oralit kotak 10 sachet 100
78 Omeprazole Kapsul 20 mg Kotak 30 kapsul 600
79 OBH combi syrup Botol 60 ml 1000
80 Paracetamol Tablet 500 mg Kotak 10 x 10 Tablet 1350
81 Parasetamol sirup 120 mg/5 ml Botol 60 ml 1650
82 Pirantel Tablet Score 125 mg Kotak 100 Tablet 100
83 Pirantel Tablet Score 250 mg Kotak 100 Tablet 100
84 Povidon Iodida Larutan 10 % Botol 300 ml 121
85 Povidon Iodida Larutan 10 % Botol 60 ml 295
86 Prednison tablet 5 mg Kotak 10 x 10 Tablet 300
87 Pyridoxine (Vit B6) Tab Kotak 10 x 10 Tablet 350
88 Ranitidine tab Box 100 tab 541
89 Ranitidine Injeksi 25 mg/2 ml Kotak 10 Ampul 500
90 Ringer Laktat Larutan Infus Botol 500 ml 1840
91 Risperidon 2 mg Kotak 5 x 10 Tablet 300
92 Salbutamol Tablet 4 mg Kotak 10 x 10 Tablet 195
93 Salbutamol Tablet 2 mg Kotak 10 x 10 Tablet 150
94 Silver Sulfadiazine Tube 200
95 Salisil Bedak 2 % Kotak 50 Gr 100
96 Sefadroksil kapsul 500 mg Ktk 10 x 10 kapsul 250
97 Sefadroxil sirup kering 125 mg/5 ml Botol 60 ml 500
98 Sefotaksim injeksi 1 gram Kotak 2 vial 200
99 Sianokobalamin (Vitamin B12) injeksi 500 mcg Kotak 100 Ampul 80
100 Simvastatin Tablet 10 mg Kotak 10 x 10 Tablet 200
101 Siprofloksasin Tablet 500 mg Kotak 10 x 10 Tablet 850
102 Thiamin (Vit.B1) Tablet 100 mg Kotak 10 x 10 tablet 350
103 Tramadol inj. 50 mg/ml Kotak 5 ampul 50
104 Tramadol kapsul 50 mg kotak 5 x 10 kapsul 500
105 Ventolin Nebules ( Salbutamol cairan 0,1 % ) kotak 4 x 5 botol 50
106 Vitamin B Kompleks Tablet Kotak 10 x 10 Tablet 1688
107 Vitamin Tambah Darah (Fe) /Safero Kotak 10 x 10 Tablet 256
108 Zircum Kid Syrup 20 mg/ 5ml botol 600
109 Alkohol Swab 100 pcs / Kotak 200
110 Catgut Chromic No. 2/0 + Jarum 1/2 GT 35 mm kotak 12 pc 62
111 Catgut Plain No. 2/0 + Jarum 1/2 GT 35 mm kotak 12 pc 62
112 Examination Glove ( Handscoon) 100 pcs / Kotak 200
113 Folley Chateter No. 16 10 Pcs/kotak 25
114 Folley Chateter No. 18 10 Pcs/kotak 25
115 Folley Chateter No. 20 10 Pcs/kotak 25
116 Infus Set Dewasa Buah 600
117 Infus Set Anak Buah 200
118 Infus Set Anak Buah 50
119 IV TRO-Vensite sine 18G-2TRGISS20 50 pcs/ kotak 20
120 IV TRO-Vensite sine 20G-2TRGISS20 50 pcs/ kotak 30
121 IV TRO-Vensite sine 22G-2TRGISS22 50 pcs/ kotak 50
122 IV TRO-Vensite sine 24G-2TRGISS24 50 pcs/ kotak 20
123 Kapas Pembalut/Absorben 250 gr Bungkus 155
124 Kasa Hidrophil Steril 16 x 16 cm 16 pcs / kotak 800
125 Kasa Hidropril 40 x 80 cm Rol 40
126 NGT (Maslaang ) Pcs 50
127 Nurse Cap box 5
128 PHARMAFIX 5 cm x 5 cm Psc 200
129 Umbilical klem Box 24
130 Silk No. 3/0 dengan Jarum Bedah Kotak 12 x 3 x 75 Cm 30
131 Selang Oxygen Bayi (Oxyflow Nasal Oksigen Bayi) pcs 100
132 Selang Oxygen Anak (Oxyflow Nasal Oksigen Anak) Pcs 100
133 Selang Oxygen Dewasa (Oxyflow Nasal Dewasa) Pcs 100
134 Blood Lancet Box 20
135 Stik Kolesterol Kotak 50
136 Stik Asam Urat Kotak 50
137 Stik Asam gula Kotak 50
138 STERA 1cc Tuberculin 27G X 1/2 100 pcs / Kotak 30
139 STERA 2.5ccX23GX1 1/4 100 pcs / Kotak 200
140 STERA 3ccX23GX1 1/4 100 pcs / Kotak 100
141 STERA 50cc ec Tip 20 pcs / Kotak 100
142 STERA 5ccX22GX1 1/4 100 pcs / Kotak 50
143 Surgical Glove Sterile 7.5 50 pcs / Kotak 96
144 Surgical Mask - 3 ply Earloop 50 pcs/ kotak 500
145 Urin bag Pcs 150
146 Ultrasensitive test pcs 2500
147 H2O2 3 % Botol 1000 ml 35
148 Aseptan 500 cc + pump botol 500 ml 150

Diketahui Oleh,
Plt. Kepala puskesmas

dr. Yori Andika Maha

NIP. 19830704 201001 1 025
 Pustu
Pustu Pustu Pustu Pustu Kuta Pos Lbn
Parpulunga Pos. Tj Rahu Pos Sitio tio
Galiaman Pardomuan Natam Meriah Siregar
n
5
5
3
30
100
5
100
30
100
30
20
5
15
10
-
-
48
-
-
60
15
1
20
2
4
20
100
-
-
30
100
10
5
-
-
10
2
-
2
20
3
10
10
 50
-
5
20
1
20
20
50
5
2
3
-
75
40
20
-
-
60
20
20
0.5
-
4
20
-
10
20
25
-
20
10
5
-
2
20
50
40
100
-
5
5
-
15
10
25
5
10
-
 -
3
3
10
20
50
2
3
2
20
20
5
30
-
40
5
60
4
0.5
0.5
4
-
-
-
10
10
-
0.2
0.2
0.4
0.2
3
30
-
-
-
2
-
1
-
-
-
-
5
5
5
0.3
-
 3
-
0.3
1
5
-
20
1
5
Pos Kuta Pos Pos Kuta Pos Kuta Pos Kuta Pos Kuta Pos
Pos Binanga
Meriah Sukaramai Pinang Rih Batu Liang Perduhapen
Pos Surmer