RENCANA BELANJA OBAT -OBATAN

RSUD KELAS D TELUK PUCUNG

HARGA
NO NAMA OBAT SATUAN KEMASAN KEBUTUHA KEBUTUHA Jumlah Harga (Rp)
SATUAN
N/ BULAN N/ TAHUN
OBAT
1 Asetil sistein tab. 200 mg tab ktk/60 250 3,000 426 1,278,000
2 Akarbos 50 mg tab Ktk/100 25 300 1,617 485,100
3 Akarbos 100 mg tab Ktk/100 - - 2,606 -
4 Albendazole 400 mg tab Ktk/30 25 300 403 120,900
5 Alopurinol tablet 100 mg tab ktk/ 10x10 250 3,000 99 297,000
6 Alopurinol tablet 300 mg tablet ktk 3x10 188 2,250 199 447,750
7 Ambroksol sirup 15 mg / 5 ml / botol btl/60 ml 63 750 4,242 3,181,500
8 Ambroksol tablet 30 mg tablet KTK/10X10 250 3,000 155 465,000
9 Amitriptilin 25 mg tablet ktk/ 10x10 25 300 167 50,100
10 Amlodipin tab. 5 mg tab ktk/300 500 6,000 70 420,000
11 Amlodipine tablet 10 mg tablet ktk/300 88 1,050 93 97,650
12 Amoksisilin kapsul 250 mg kapsul ktk/ 10x10 625 7,500 196 1,470,000
13 Amoksisilin kaplet 500 mg kaplet ktk/ 10x10 750 9,000 233 2,097,000
14 Amoksisilin 100mg/ml drop botol btl/10 ml 15 180 13,500 2,430,000
15 Amoksisilin sirup Kering 125 mg / 5 ml botol btl/60 ml 25 300 5,000 1,500,000
16 Amoksisilin sirup Kering forte 250 mg/ 5 botol btl/60 ml 25 300 3,628 1,088,400
ml
17 Aminofillin inj amp KTK 30 AMP 8 90 2,789 251,010
18 Ampicillin inj 1000 mg vial ktk/10 vial 8 90 8,237 741,330
19 Antasida DOEN I tablet kombinasi tablet ktk/ 10x10 188 2,250 54 121,500
20 Antasida DOEN II suspensi kombinasi Syrup btl/60 ml 15 180 1,995 359,100
21 Anti diare tablet (attapulgit ) / new antides tablet ktk/ 10x10 15 180 136 24,480
22 Antidiare anak minimal mengandung Sachet bag/40 sach 33 390 5,586 2,178,540
serbuk krim nabati, dekstrosa, campuran
bakteri asam laktat (l. acidophilus, b.
longum, s. thermophilus), susu mineral
konsentrat, vitamin c, vitamin b1, vitamin
b2, vitamin b6, niacin dan zinc oxide

23 Anti Hemmoroid supp Supp. ktk/ 10 supp 15 180 3,167 570,060

24 Asam asetil salisilat 80 mg (Miniaspi) tablet ktk/ 10x10 8 90 99 8,910
25 Asam askorbat tablet 50 mg tablet ktk/ 10x10 125 1,500 105 157,500
26 Asam askorbat tablet 250 mg tablet ktk/ 10x10 125 1,500 250 375,000
27 Asam folat tablet 0,4 mg (Profolat) tablet ktk/ 10x10 188 2,250 52 117,000
28 Asam mefenamat 500 mg / tablet ktk/ 10x10 100 1,200 110 132,000
29 Asam traneksamat 500 mg tablet ktk/ 10x10 40 480 1,584.00 760,320
30 Asam traneksamat injek 50 mg/ml amp ktk/10 8 90 1,748 157,320
31 Asiklovir tablet 200 mg tablet ktk/ 10x10 40 480 236 113,280
32 Asiklovir tablet 400 mg tablet ktk/ 5x10 40 480 380.00 182,400
33 Asiklovir salep mata 3% - 3,5 g tube ktk 24 5 60 3,382.00 202,920
34 Asiklovir krim 5 % - 5 g tube tube/5gr 5 60 3,665 219,900
35 Aqua pro injeksi botol 5 60 2,295.00 137,700
36 Atropin injeksi amp ktk/ 100 5 60 1,595.00 95,700
37 Azitromisin 500 mg tablet Ktk/20 5 60 1,778 106,680
38 Bisakodil 5 mg tablet ktk/100 8 90 6,000.00 540,000
39 Bisakodil supp. 10 mg suppo ktk/6 supp 5 60 7,000.00 420,000
40 Bisakodil supp. 5 mg suppo ktk/6 supp 5 60 6,000.00 360,000
41 Betahistin 6 mg tablet tablet ktk/100 33 390 110 42,900
42 Bricasma Respules respules ktk/10 resp 15 180 7,124.00 1,282,320
43 Budesonid 0,25 mg/ml PULMICORT respules KTK 20 5 60 9,725.00 583,500
44 Bromheksin tablet Ktl/100 34 408 121 49,368
45 Bromheksin sirup botol Btl/60 ml 8 90 18,700 1,683,000
46 Betametason krim 0,1% tube ktk 25 7 84 1,349 113,316
47 Cendo Ofloxacin MD Btl Btl/10 ml 6 72 33,758 2,430,576
48 Cendo polydex strip Btl/10 ml 6 72 29,150 2,098,800
49 Cendo Lyters MD strip Btl/10 ml 15 180 21,175 3,811,500
50 Ceftriaxone serb inj 1000 mg vial ktk/10 vial 10 120 4,483 537,960
51 Cefadroksil syr 125 mg/5 ml btl/60 ml BTL/60 ML 15 180 4,185.00 753,300
52 Cefadroksil syr 250 mg/ 5 ml btl/61 ml BTL/60 ML 15 180 5,200.00 936,000
53 Cefadroksil 500 mg kapsul ktk/10 186 2,232 478.00 1,066,896
54 Cefiksim sirup 100 mg/ 5 ml botol BTL/60 ML 8 90 15,000.00 1,350,000
55 Cefiksim kaps. 200 mg kaps KTK/10X10 63 750 2,370.00 1,777,500
56 Cetirizin sirup5mg/5ml Btl/60 ml BTL/60 ML 15 180 2,850.00 513,000
57 Cetirizine 10 mg tablet KTK/2X10 125 1,500 143.00 214,500
58 Cefotaxim serb inj 500 mg vial ktk/2 vial 6 72 6,367 458,424
59 Cefotaxim serb inj 1000 mg vial ktk/10 vial 10 120 4,200 504,000
 HARGA
NO NAMA OBAT SATUAN KEMASAN KEBUTUHA KEBUTUHA Jumlah Harga (Rp)
SATUAN
N/ BULAN N/ TAHUN
60 Clopidogrel tab sal selaput 75 mg Tablet KTK/10X10 13 150 1,318.00 197,700
61 Curcuma tab tab box 14 168 10,000 1,680,000
62 Deksametason injeksi 5 mg/ml ampul ktk/100 14 168 1,097 184,296
63 Deksametason tablet 0,5 mg tablet ktk/ 10x10 15 180 98 17,640
64 Diazepam enema/rectal tube 10 mg/2,5 tube ktk/ 5 tube 8 90 27,000 2,430,000
ml*
65 Diazepam enema/rectal tube 5 mg/2,5 ml* tube ktk/ 5 tube 10 120 12,573 1,508,760
66 Diazepam tablet 2 mg tablet ktk/100 13 150 86 12,900
67 Diazepam tablet 5 mg tablet ktk/100 13 150 600 90,000
68 Doksisiklin kapsul 100 mg kapsul ktk/ 10x10 63 750 264 198,000
69 Dopamin injeksi 40 mg/ml Ampul ktk/5 ampul 8 90 6,160 554,400
70 Domperidon suspensi 5 mg/ 5ml Botol btl/60 ml 25 300 2,700 810,000
71 Domperidon tablet 10 mg tablet ktk/ 10x10 63 750 91 68,250
73 Epinefrina (adrenalin) injeksi 0,1% (sbg Ampul KTK 100 15 180 1,408.00 253,440
HCl)
74 Etakridin (Rivanol) larutan 0,1 % Btl/300 ml BTL/300 ML 8 90 3,000.00 270,000
75 Eritromisin sirup 200 mg / 5 ml botol btl/60 ml 8 90 12,000.00 1,080,000
76 Eritromisin HCl tablet 500 mg / kaplet kaplet 30 360 800 288,000
77 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul KTK 30 AMP 8 90 1,857 167,130
78 Fitomenadion (vitamin K1) inj 10 mg/ml Ampul KTK 30 AMP 8 90 3,682 331,380
(i.m)
79 Fitomenadion ( Vit K1 ) Tablet salut 10 tablet ktk/ 10x10 63 750 710.00 532,500
mg
80 Fentanil inj 0,05 mg/ml 2 ml * Ampul ktk/5ampul 8 90 41,600 3,744,000
81 Furosemid inj 10 mg/ml Ampul KTK 25 AMP 8 90 1,333 119,970
82 Furosemid tablet 40mg tablet ktk/ 10x10 125 1,500 78.00 117,000
83 Garam Oralit 200 ml air Sachet ktk/100 sach 63 750 257 192,750
84 Glibenklamid Tablet 5 mg tablet ktk/100 250 3,000 190 570,000
85 Glimepiride 2 mg tablet ktk/ 100 500 6,000 207 1,242,000
86 Gliseri Guayakolat/ Guayafenesin tablet Ktk/100 375 4,500 86 386,100
87 Gliklazid 80 mg tablet Ktk/100 38 450 827 372,150
88 Gliklazid MR 60mg tablet Ktk/100 38 450 7,623 3,430,350
89 Gliklazid SR 60 mg tablet Ktk/100 38 450 7,623 3,430,350
90 Gemfibrozil 300 mg Kap Ktk/100 38 450 744 334,800
91 Gentamisin salep kulit Tube TUBE/5 G 13 150 4,232.00 634,800
92 Gentamisin injeksi 40 mg/ ml Ampul ktk/5ampul 8 90 3,509 315,810
93 Gentamisin Tetes Mata Btl TUBE/5 G 13 150 4,232.00 634,800
94 Greseofulvin 125 mg tablet Tablet KTK 100 63 750 247.00 185,250
95 Greseofulvin 500 mg tablet Tablet KTK 100 63 750 849.00 636,750
96 Haloperidol tab 5 mg tablet ktk/ 10x10 8 90 56 5,040
97 Hidrokortsion Krim 1 % tube tube/5gr 8 90 3,055 274,950
98 Hidrokortsion Krim 2,5% tube tube/5gr 8 90 2,475 222,750
99 Hyosin Butilbromid Tab 10 mg tablet KTK 100 63 750 1,870 1,402,500
100 Hyosina N. Butilbromida 20 mg/ml Ampul KTK 8 90 10,230.00 920,700
101 Ibuprofen Tablet 200 mg tablet ktk/ 10x10 125 1,500 105.00 157,500
102 Ibuprofen Tablet 400 mg tablet ktk/ 10x10 250 3,000 310 930,000
103 Ibuprofen susp 5mg/5 ml btl btl/60 ml 13 150 2,365.00 354,750
104 Ipratropium Br 0.5 mg +salbutamol 2.5 amp/2,5 ml ktk/20 13 150 4,550 682,500
mg inhahasi (Combivent
105 Isosorbid Dinitrat tab sublingual 5 mg )
tablet KTK/10X10 25 300 88.00 26,400
106 Kaptopril 12,5 mg tablet KTK/10X10 25 300 62 18,600
107 Kaptopril tablet 25 mg tablet ktk/ 10x10 125 1,500 300.00 450,000
108 Kalsium laktat ( Kalk ) tablet 500 mg tablet ktk/ 10x10 1,250 15,000 59 885,000
109 Ketorolak inj 30 mg/ml Ampul KTK 100 AMP 8 90 1,045 94,050
110 Ketoprofen suppos 100 mg suppo ktk/5 suppo 8 90 2,380.00 214,200
111 Klindamisin 150 mg kap ktk/50 250 3,000 715 2,145,000
112 Klindamisin 300 mg kap ktk/50 250 3,000 1,916 5,748,000
113 Kloramfenikol 250 mg kap ktk/100 63 750 310.00 232,500
114 Kloramfenikol 500 mg kap ktk/100 150 1,800 1,090.00 1,962,000
115 Kloramfenikol Tetes Telinga 1% Btl BTL/10 ML 8 90 8,375.00 753,750
116 Kloramfenikol Salep Mata 1% tube TUBE/5 G 8 90 1,798.00 161,820
117 Kloramfenikol Salep kulit tube TUBE/5 G 20 240 3,038.00 729,120
118 Kloramfenikol 20 mg dan prednisolon Tube 5g KTK 18 210 8,000.00 1,680,000
2,5mg salep kulit
119 Kodein tablet 20 mg tablet ktk/ 10x10 30 360 1,299 467,640
120 Kotrimoksazol suspensi : Kombinasi btl/60 ml BTL/60 ML 35 420 2,140.00 898,800
121 Kotrimoksazol tab DOEN I (dewasa) tablet KTK/10X10 500 6,000 151.00 906,000
kombinasi
122 Kotrimoksazol tab DOEN I (dewasa) Forte tablet KTK/10X10 275 3,300 299.00 986,700
kombinasi
 HARGA
NO NAMA OBAT SATUAN KEMASAN KEBUTUHA KEBUTUHA Jumlah Harga (Rp)
SATUAN
N/ BULAN N/ TAHUN
123 Kotrimoksazol Forte suspensi : btl/60 ml BTL/60 ML 15 180 2,052.00 369,360
Kombinasi: Sulfametoksazole 200mg
+Trimetroprin 40 mg)
124 Ketokonazol tablet KTK/50 63 750 280.00 210,000
125 Ketokonazol Salep Tube tube/ 5 gr 13 150 10,767.00 1,615,050
126 Klorfeniramin Maleat ( CTM ) Tablet 4 tablet ktk/ 10x10 498 5,970 23 137,310
mg
127 Lansoprazole Tablet ktk 20tab 250 3,000 323.00 969,000
128 Larutan mengandung Elektrolit (KA-EN Plabott Plabott 14 165 10,285 1,697,025
3A injection)*
129 Larutan mengandung Elektrolit (KA-EN Plabott Plabott 14 165 10,285 1,697,025
3B injection)*
130 Levemir Flexpen Analog insulin long cartridge ktk/5 catrid 5 60 83,950.00 5,037,000
acting ink 100 IU/ml
131 Loratadin tablet 10 mg tablet ktk/10x10 250 3,000 123 369,000
132 Lidokain Komp. Injeksi Kombinasi: ampul ktk/30 125 1,500 1,152.00 1,728,000

Lidokain HCL 2% + Epinefrin 1 : 80.000

133 Lidokain
- 2 ml jeli 2% Syringe ktk/10 syrige 8 90 41,600 3,744,000
134 Loperamid Tablet 2mg Tablet ktk/100 25 300 206 61,800
135 Magnesium sulfat injeksi 20%* Vial VIAL/25 ML 8 90 3,500.00 315,000
136 Magnesium sulfat injeksi 40%* Vial ktk/120ampul 8 90 3,796.00 341,640
137 Metilprednisolon inj 500 mg/vial Ampul KTK 8 90 64,973 5,847,570
138 Natrium diklofenak tablet 25 mg tablet ktk/ 50 250 3,000 364 1,092,000
139 Natrium diklofenak tablet 50 mg tablet ktk/ 50 625 7,500 115 862,500
140 Metformin HCl tablet 500 mg tablet ktk/ 10x10 2,500 30,000 96 2,880,000
141 Metformin tab. 850 mg Tablet KTK/10X10 1,250 15,000 150.00 2,250,000
142 Metronidazol infus 5 mg/ ml Botol Botol 13 150 8,110 1,216,500
143 Metronidazol suspensi 125mg/5 ml btl btl/60 ml 25 300 3,590.00 1,077,000
144 Metronidazol ovula 500mg ovula ktk/5 ovula 25 300 3,590.00 1,077,000
145 Metronidazol tablet 500 mg tablet ktk/100 625 7,500 269 2,017,500
146 Metilergometrin maleat 0,2 mg/ml ampul KTK/100 AMP 25 300 2,959 887,700
147 Metilergometrin maleat tab salut 0,125 mg Tablet KTK 100 63 750 2,915.00 2,186,250
148 Midazolam injeksi i.v. 1 mg/ml Ampul KTK/10 ampul 13 150 4,180 627,000
149 Metilprednisolon tab. 4mg Tablet KTK/10X10 250 3,000 194.00 582,000
150 Metilprednisolon tab. 8 mg Tablet KTK/10X10 250 3,000 815.00 2,445,000
151 Mometason Furoat krim 0,1% Tube 5g Tube 5g 13 150 7,500.00 1,125,000
152 Metildopa tablet/kaplet/salut 250 mg Tablet KTK 100 25 300 2,603 780,900
153 Metoklorpamide tablet Ktk/100 25 300 163 48,900
154 Metoklorpamide suspensi Btl Btl/60 ml 13 150 25,000 3,750,000
155 Mikonazol salep kulit 2% ) tube tube 8 90 3,414 307,260
156 Misoprostol tab ktk/50 18 210 22,950.00 4,819,500
157 Multivitamin tablet Ktk/100 7,500 90,000 49.00 4,410,000
158 Multivitamin sirup botol btl/60 ml 125 1,500 9,000.00 13,500,000
159 Nistatin drop 100.000 IU/ml Botol btl/15 ml 8 90 20,000.00 1,800,000
160 Nistatin Vaginal tabvag Ktk/100 13 150 560 84,000
161 Neurotropik injeksi ampul KTK/10 ampul 25 300 5,467 1,640,100
162 Neutropik tablet tablet ktk6x10 625 7,500 1,167 8,752,500
163 Nipedipin 5 mg tablet ktk/100 63 750 -
164 Nipedipin 10 mg tablet ktk/100 63 750 250 187,500
165 Natrium Bikarbonat inj i.v 8,4% Ampul 120ampul@25 8 90 6,448 580,320
166 Novomix 30 Analog insulin intermediate cartridge ktk/5ml
catrid 8 90 110,968.00 9,987,120

167 Novorapid Analog insulin fast acting 100 cartridge ktk/5 catrid 8 90 87,000.00 7,830,000
IU/ml
168 Obat Batuk Syr Anak (komb) btl btl/60 ml 63 750 5,871 4,403,250
169 Obat Antiinfluensa tab dewasa (kombinasi tab KTK 100 63 750 413.00 309,750
paracetamol, fenilpropanolamin dan ctm)
170 Obat Batuk Herbal mengandung : Btl/100 ml BTL/100 ML 63 750 15,000.00 11,250,000
zingiberis Offinale rhizoma,/zingeberis
171 Rhizoma
Omeprazol injeksi 40 mg/ 10 ml Vial KTK 10 ampul 8 90 9,898 890,820
172 Omeprazole kapsul 20 mg kapsul ktk/ 3x10 250 3,000 139 417,000
173 Ondansetron inj 2 mg/ml (4 mg/ 2 mL) Ampul KTK 5 AMP 8 90 1,070 96,300
174 Ondansentron tablet 4 mg tablet Dus, 3 strip @ 63 750 455 341,250
10 tablet salut
175 Oksitosin injeksi ampul/2,5 KTKselaput
100 AMP 8 90 1,199.00 107,910
176 OAT Kat anak ml
Paket 3 30 214,985.00 6,449,550
177 OAT Kat I Paket - - 359,980.00 -
178 OAT Kat II Paket - - 1,199,985.00 -
 HARGA
NO NAMA OBAT SATUAN KEMASAN KEBUTUHA KEBUTUHA Jumlah Harga (Rp)
SATUAN
N/ BULAN N/ TAHUN
179 DAT Kombipak I Paket - - 359,980.00 -
180 Obat Kusta MB Anak Blister - - 20,207.00 -
181 Obat Kusta MB dewasa Blister - - 28,424.00 -
182 Obat Kusta PB Anak Blister - - 8,891.00 -
183 Obat Kusta PB Dewasa Blister - - 8,891.00 -
184 Parasetamol drop 100 mg/ml Botol btl/15 ml 63 750 6,649.00 4,986,750
185 Parasetamol sirup 120 mg / 5 ml botol btl/60 ml 63 750 1,107.00 830,250
186 Parasetamol tablet 500 mg tablet ktk/ 10x10 5,625 67,500 57.00 3,847,500
187 Parasetamol drip (infus) 1000 mg/100 ml Botol Botol 13 150 11,610.00 1,741,500
188 Parasetamol supp supp ktk/10 13 150 20,318.00 3,047,700
189 Piridoksin HCl ( Vit. B6 ) tablet 10 mg tablet ktk/ 10x10 250 3,000 118 354,000
190 Pirantel 125 mg tablet Ktk/100 8 90 289 26,010
191 Pirantel 250 mg tablet Ktk/101 13 150 8,000 1,200,000
192 Perak Sulfadiazin krim 1% tube 35 g TUBE 8 90 20,700.00 1,863,000
193 Prednison tablet 5 mg tablet ktk/ 10x10 375 4,500 73 328,500
194 Propanolol tab 10 mg (HCl) Tablet KTK/10X10 30 360 58.00 20,880
195 Ranitidin tablet 150 mg tablet ktk/ 10x10 63 750 112 84,000
196 Ranitidin inj. 25mg/2 ml Ampul KTK/100 AMP 8 90 1,155.00 103,950
197 Salisil talk 2% - 50 gr kotak ktk/60 30 360 6,000 2,160,000
198 Salbutamol sirup 2mg/5ml Botol btl/60 ml 8 90 4,446.00 400,140
199 Salbutamol tablet 2 mg tablet ktk/ 10x10 63 750 63.00 47,250
200 Salbutamol tablet 4 mg tablet KTK/10X10 25 300 83.00 24,900
201 Sianokobalamin (Vit. B12) tab. 50 mcg tablet KTK 100 250 3,000 51.00 153,000
202 Sianokobalamin (Vit. B12) inj ampul KTK 100 13 150 3,000.00 450,000
203 Serum antitetanus (A.T.S) cairan inj 1500 Ampul ktk/10 3 30 130,999 3,929,970
IU/amp (i.m)
204 Scabimite cream 5% 10 gr/ tube TUBE/60 G 8 90 11,825.00 1,064,250
205 Simvastatin tablet 10 mg tablet ktk/30 125 1,500 110.00 165,000
206 Simvastatin tablet 20 mg tablet ktk/500 125 1,500 205.00 307,500
207 Siprofloksasin tablet 500 mg tablet ktk/10x10 125 1,500 265.00 397,500
208 Sukralfat susp 500 mg/5 mL, 100 ml Botol BTL/60 ML 25 300 8,338 2,501,400
209 Tetes Telinga yang mengandung : btl 13 150 33,825 5,073,750
Polymixin B sulfat, Neomiycin sulfat,
Fludrocortison acetat, Lidocain HCl
210 Tiamin HCl/ Mononitrat ( Vit B1 ) tab. 50 tablet ktk/ 10x10 185 2,220 85.00 188,700
mg
211 Tramadol injeksi 50 mg/ml Ampul KTK 5 AMP 10 120 1,710 205,200
212 Tablet Tambah Darah (Fe) tab ktk/30 63 750 353 216,040
213 Tiamfenikol kap 500mg kapsul ktk/100 25 300 1,826 547,800
214 Triamsinolon oral base krem 5 g Tube 5 g TUBE 8 90 23,000.00 2,070,000
215 Vitamin B komplek tablet tablet ktk/ 10x10 500 6,000 89 534,000
216 Zink Syr 20 mg/5 ml btl btl/60 ml 25 300 2,972 891,600
217 Zink tablet dispersibel 20 mg* tablet ktk/ 10x10 125 1,500 524.00 786,000
218 alpazolam tab tab/10x10 13 156 820.00 127,920
219 anti bisa ular inj vial/5ml 3 36 450,000.00 16,200,000
220 anti rabies inj inj vial/0,5ml 3 36 280,000.00 10,080,000
221 arcoxia tab ktk 8 96 23,000.00 2,208,000
222 Bisoprolol 5 Ml Tablet KTK/10x10 13 156 1,000.00 156,000
223 Candesartan 8 MI tab ktk/10x10 13 156 6,000.00 936,000
224 Curcuma Tab tab box 13 156 23,000.00 3,588,000
225 Cynto Injeksi ampul 8 90 155,000.00 13,950,000
226 Cytotek @ 10 Box 3 30 1,400,000.00 42,000,000
227 Dermafix ( isi 10 ) Box 3 30 28,000.00 840,000
228 Gabapentin 300 Mg kap bx/30 13 156 11,000.00 1,716,000
229 Kanamisin I j 1 g vial ktk/10 vial 13 156 18,000.00 2,808,000
230 Kanamisin Inj Box 8 90 140,000.00 12,600,000
231 kenalog tub tub 3 36 75,000.00 2,700,000
232 Ketoprofen Suppos 100 mg suppo ktk/5 suppo 13 156 2,383.29 371,794
233 Metergin injeksi ampul 13 150 10,651.00 1,597,650
234 metronidazol 250 tab tab ktk/10x10 13 156 1,500.00 234,000
235 MGSO4 Plabot 3 30 13,500.00 405,000
236 Morfin HCL INJ ampul buah 13 156 14,000.00 2,184,000
237 morfin tablet tab tab/30 3 36 50,000.00 1,800,000
238 neurosona kombi krim tub tub/5mg 5 60 84,000.00 5,040,000
239 pana spray btl btl/400ml 3 36 1,000,000.00 36,000,000
240 Petidine HCL 50 MI inj dus dus 10/MI 5 60 180,000.00 10,800,000
241 Stesolit Rectal supp buah 18 216 19,000.00 4,104,000
242 Syphylis strip 8 96 9,880.00 948,480
243 trombopop spay tub tub/20 g 8 96 65,000.00 6,240,000
244 Vit K injek @ 30 ampul Box 3 30 195,000.00 5,850,000
 HARGA
NO NAMA OBAT SATUAN KEMASAN KEBUTUHA KEBUTUHA Jumlah Harga (Rp)
SATUAN
N/ BULAN N/ TAHUN
Infus - - -
1 Glukosa kalsikus injeksi 10%* Ampul KTK 24 AMP 25 300 10,350.00 3,105,000
2 Glukosa larutan Infus 5 % Btl/500 ml BTL/500 ML 100 1,200 6,900.00 8,280,000
3 Glukosa larutan Infus 10% Btl/500 ml BTL/500 ML 100 1,200 7,500.00 9,000,000
4 Natrium Klorida Larutan Infus 0,9% steril botol btl/500 ml 125 1,500 6,410 9,615,000

5 Ringer laktat larutan Infus steril Flabot flabot/500 ml 125 1,500 7,150.00 10,725,000
6 Asetat Ringer flabot 63 750 9,646.00 7,234,500
TOTAL OBAT 495,500,000
BIAYA UMUM (Pembuatan Dokumen Pengadaan) 6 Dokumen 4,500,000
JUMLAH TOTAL 500,000,000

Kota Bekasi , 6 Januari 2022

KEPALA UPTD RSUD TELUK PUCUNG
KOTA BEKASI

Dr. LAELA NAUVALYA

NIP.19708232002122003