DAFTAR OBAT DAN BAHAN MEDIS HABIS PAKAI/ALKES

INSTALASI FARMASI RSU SOFIFI 14 FEBRUARI 2022

No. NAMA OBAT Column1 SATUAN BPJS KET

1 Alopurinol tablet 100 mg Tablet 1
2 Alpara Kaplet Kaplet 0 Baru
3 Alpara Sirup Botol 0 Baru
4 Alphamol (Paracetamol) Drops Botol 1 Baru
5 Alphamol (Paracetamol) Sirup Botol 1 Baru
6 Ambroxol 30 mg Tablet 0
7 Ambroxol syr Botol 0
8 Amlodipine Besylate tablet 10 mg Tablet 1
9 Amlodipine Besylate tablet 5 mg Tablet 1
10 Amoxicillin tablet 500 mg Tablet 1
11 Ampicilin 500 mg Tablet 1
12 Ampisilin Inj 1 gr vial 0
13 Antasida Sirup Tablet 1
14 Antasida Tablet Kunyah (kombinasi) Tablet 1
15 Asam Asetilsalisilat (miniaspi) tablet 80 mg Tablet 1
16 Asam Askorbat (Vitamin C) tab 50mg Tablet 1
17 Asam Folat Tablet 1
18 Asam Mefenamat 500mg Tablet 1
19 Asam Traneksamat injeksi 100 mg/ml Ampul 1
20 Asam Traneksamat tab 500 mg (Lexatrans) Tablet 1 Baru
21 Asam Tranexsamat Inj 250mg/5 ml Tablet 1
22 ASERING (Asetat Ringer Softbag ) Softbag 1
23 Attapulgit Tablet (New Diatab) Tablet 0
24 Betahistin Tab 6 mg Tablet 1
25 Bevalex Krim (Betametason Valerate, Neomycin Sulfate ) Tube 0 Baru
26 Bioplacenton gel Tube 0
27 Bisoprolol 5 mg @50 Tablet 1
28 Buscopan Inj 20 mg/mL Ampul 0
29 Calcium Lactate (Kalk) tablet 500 mg Tablet 1
30 Candesartan Cilexetil kaplet 8 mg Tablet 1
31 Captopril 25 mg Tablet 1
32 Captopril tablet 12,5mg Tablet 1
33 Carbamazepine tablet 200mg Tablet 1
34 Caviplex Syrup Botol 0
35 Caviplex Tablet Tablet 0
36 Cefadroxil syr 125 mg/5 ml Botol 1
37 Cefadroxyl 500 mg Tablet 1
38 Cefixime Syr Botol 1
39 Cetirizin sirup 60 ml Botol 1
40 Cendo Lyters Drops 15 mL Botol 1 Baru
41 Cendo Xitrol Drops 5 mL Botol 1 Baru
42 Ciprofloxasin 500 mg Tablet 1
43 Ciprofloxasin infus 200 mg/ml Botol 1
44 Citicoline 500 mg Tablet 0
45 Codeine Phoshate tablet 10 mg Tablet 1
46 Cotrimoksazole Suspensi Botol 1
47 Cotrimoksazole Tablet Kombinasi Tablet 1
48 CTM (Chlorfeniramin maleat) Tablet 1
49 Curcuma Tablet 0
50 Curcuma plus syr Botol 0
51 Demacolin Tablet Tablet 0
52 Dexamethason Injeksi 5mg/mL (i.v./i.m.) Ampul 1
53 Dexamethasone 0,5 mg Tablet Tablet 1
54 Diazepam enema 10 mg/ 2,5 mL (Stesolid) Tube 1
55 Diazepam enema 5 mg/ 2,5 Ml (Stesolid) Tube 1
56 Diazepam Injeksi 5mg/mL (i.v./i.m.) Ampul 1
57 Diltiazem HCI tablet 30 mg Tablet 1
58 Dipenhydramine HCl Inj 10 mg/mL Ampul 1 Baru
59 Domperidon Sirup 60 ml Botol 1
60 Farbion inj Ampul 0
No. NAMA OBAT Column1 SATUAN BPJS KET
61 Forneuro Kapsul Kapsul 0
62 Furosemide inj 10 mg/ml (i.v/i.m) Ampul 1
63 Furosemide tablet 40mg Tablet 1
64 GG (Glyceryl Guaicolate) Tablet 0
65 Glibenclamide 5 mg Tablet 1
66 Glimepiride tablet 2mg Tablet 1
67 Gliseril Trinitrat Kaps Lepas Lambat 2,5mg (NITROKAF) Tablet 1
68 Glukosa Larutan Infus 10% 500mL Softbag 1
69 Glukosa Larutan Infus 5% 500mL Softbag 1
70 Hexymer 2 mg ( Trihexilfenidil 2mg) Tablet 1
71 Hufagrip Pilek Botol 0
72 Human tetanus imunoglobulin inj 250 IU (i.m) Syringe Pack 1
73 Hydrochlorothiazide tab 25mg (HCT) Tablet 1
74 Hydrocortisone krim 2% Tube 1
75 Ibuprofen 400 mg Tablet 1
76 Ibuprofen Sirup 60 ml Botol 1
77 Invitec (Misoprostol) Tablet 0
78 Isosorbid Dinitrat (ISDN) 5 mg Tablet 1
79 KA-EN 3B Softbag 1
80 Kalium klorida/ Potasium klorida injeksi 25mg 7,46% 25mL Flacon 1
81 Kaltrofen Suppo SUPPO 0
82 Ketoconazole krim 2% Tube 1
83 Komb: Ferro Fumarat 60mg + as. Fplat 0,4mg (Tab tambah darah) Tablet 1
84 Levemir Flexpen Flexpen 1 Baru
85 Lexacrol Forte Suspensi 100 mL (Al(OH)3, Mg (OH)2, Simetikon) Botol 0 Baru
86 Lexacrol Tablet Tablet 0 Baru
87 Lexamet (Cimetidine) Tablet Tablet 1 Baru
88 Lexigo (Betahistin) Tab 6 mg Tablet 1 Baru
89 Lidocaine Hydrochloride Injeksi 2% Ampul 1
90 Lidokain Injeksi 2% + Epinefrin 1:80.000 – inj 2mL Ampul 1
91 Loperamid 2 mg Tablet 1
92 Magnesium sulfat injeksi 20%v (i.v) Flacon 1
93 Magnesium sulfate injeksi 40%v (i.v) Flacon 1
94 Maltofer Sirup Botol 0
95 Manitol infus 20%, 250mL Softbag 1
96 Meloxicam 15 mg Tablet 0
97 Meloxicam 7,5 mg Tablet 0
98 Metformin 500 mg Tablet 1
99 Molagit Tab Tablet 1 Baru
100 Methylergometrine Tablet 0,125mg Tablet 1
101 Methylprednisolone 4 mg Tablet 1
102 Methylprednisolone 16 mg Tablet 1
103 Methylprednisolone serb inj 125mg Vial 1
104 Methylprednisolone serb inj 500mg Vial 1
105 Metoclopramide Drop 2mg/mL (Gavistal Drops) Botol 1
106 Metoclopramide tablet 5mg Tablet 1
107 Metoclopramide tablet 10mg Tablet 1
108 Metronidazole 500 mg Tablet 1
109 Metronidazole Suspensi 125mg / 5mL (G) Botol 1
110 Meropenem Trihydrat Inj 1 G Vial 1 Baru
111 Meviton tablet Tablet 0
112 Miconazole Nitrate Krim 2% Tube 1
113 Mucohexin Sirup Botol 0
114 Mucohexin Tablet Tablet 0
115 Nacl 0,9% / Sodium Chloride 0,9%, 500mL Softbag 1
116 Nifedipine Tablet 10 mg Tablet 1
117 Norelut 5 mg Tablet 0
118 Novorapid Flexpen Flexpen 1 Baru
119 Nymiko Drops Botol 0
120 Oksitosin inj 10 IU/ml Ampul 1
121 Omeprazole 20 mg Tablet 1
122 Omeprazole Serb Injeksi 40mg Ampul 1
123 Ondansentron ( 2mg/ ml ) Inj Ampul 1
124 Ondansentron Tab 4 mg Tablet 1
No. NAMA OBAT Column1 SATUAN BPJS KET
125 Osfit Platinum Kapsul Tablet 0
126 Pamol Suppo 125 mg SUPPO 0
127 Paracetamol 500 mg Tablet 1
128 Paracetamol Infus 10mg/ mL Botol 0
129 Paracetamol Syrup Botol 1
130 Phenobarbital Injeksi 50mg/mL Ampul 1
131 Phenobarbital tablet 30mg Tablet 1
132 Phytomenadion (Vit. K1) Injeksi 10mg/ml Ampul 1
133 Premaston tab 5 mg Tablet 0
134 Pyridoxine (Vitamin B6) 10mg (HCI) Tablet 1
135 Ranitidin 150mg Tablet 1
136 Ranitidin HCl inj 50mg/ ml Ampul 1
137 Redoxon Botol 0
138 Risperidon 2 mg Tablet 0 Baru
139 Ringer Lactate @500mL Softbag 1
140 Ryzodeg Flex Touch (NOVOMIX) 1 Baru
141 Salbutamol 2 mg Tablet 1
142 Salbutamol 4 mg Tablet 1
143 Sanadril DMP 120 ml Botol 0
144 Santa E 200 IU Tablet 0
145 Simvastatin 20 mg Tablet 1
146 Stimuno Caplet Tablet 0
147 Stimuno Syrup Botol 0
148 Sucralfate Suspensi 500mg/ 5mL Botol 1
149 Sulfadiazine Silver Krim 1% (tube 35g) Tube 1
150 Telmisartan tab 80 mg (MICARDIS) Tablet 1
151 Ventolin Nebules 2.5 mg Ampul 0
152 Vita Tonik 250 ml Botol 0
153 Water for injection 25 ml Flacon 1
154 Zinc Drops 10 mg/ml Botol 1
NO NAMA BMHP SATUAN BPJS KET
1 Alkohol 70% Botol 1 liter
2 Antiseptic Handrub 0,5%, 500mL Botol 500 ml
3 Antiseptic hanrub 0,5, 5Liter Galon 5 liter
4 Aximed Examination Gloves size "M" Box @ 100 pieces
5 Daryant-Tulle
6 Disposable Syringe 1ml 27 G x 1/2 Box
7 Disposable Syringe 3ml 23G x 1 1/4 Box
8 Disposable Syringe 5ml 22G x 1 1/4 Box
9 Elektroda EKG Pieces
10 Extension Tube Pieces
11 Gudel Airway 90mm disp steril (4) Pieces
12 Guedel Airway 100mm disp steril (5) Pieces
13 Guedel Airway 110mm disp steril (6) Pieces
14 Guedel Airway 50mm disp steril (0) Pieces
15 Guedel Airway 60mm dosp steril (1) Pieces
16 Guedel Airway 80mm disp steril (3) Pieces
17 Gypsona 3 inch Pieces
18 Hi Oxygen Masker Anak Pieces
19 Hi Oxygen Masker Dewasa Pieces
20 Infus Set Anak (Mikro) Pieces
21 Infus Set Dewasa (Makro) ONEMED Box @ 50 pieces
22 Infusion Set Dewasa (20 drops/ml) Pieces
23 Injection Plug Box @ 100 pieces
24 IV- catether No. 22 STERA Box @ 50 pieces
25 IV- catether No. 24 STERA Box @ 50 pieces
26 Kasa Steril 16cm x 16cm Box
27 Kertas EKG Pack
28 Masker bedah 3 Play Box @ 50 pieces
29 Masker N95 Pieces
30 Masker Nebulizer Set Anak Pieces
31 Masker Nebulizer Set Dewasa Pieces
No. NAMA OBAT Column1 SATUAN BPJS KET
32 Maxiflow Anak Pieces
33 Maxiflow Bayi Pieces
34 Maxiflow Dewasa Pieces
35 M-Y Jelly 82 Gram Tube
36 Oxyflow Nasal Oxygen Anak Pieces
37 Oxyflow Nasal Oxygen Bayi Pieces
38 Oxyflow Nasal Oxygen Dewasa Pieces
39 Penjepit Tali Pusar/ UMBILICAL Pieces
40 Plesterin non woven roll 20cm x 5m Roll
41 Povidone 10% 1 L Botol 1 liter
42 Rivanol Botol 300 mL Baru
43 Sabun Anti Bakteri 500ml + dispenser Botol 500 ml
44 Safety Box Pieces
45 Soft Band 3 inch Pieces
46 Soft Band 4 inch Pieces
47 Soft Band 6 inch Pieces
48 Softpad (Underpad) 60 x 90 Pack @ 10
49 Suction Cateter No. 10 Pieces
50 Suction Cateter No. 14 Pieces
51 Suction Cateter No. 6 Pieces
52 Suction Cateter No. 8 Pieces
53 Tensokrepe 4 Inc Rol
54 Tensokrepe 6 Inc Rol
55 Three Way Box @ 50 pieces
56 Three Way Stopcock Box @ 50 pieces
57 UltraOne Test Hamil Pieces
58 Ultrasonic Gel 250ml Botol 250 ml
59 Urine Bag Pieces
60 Urine Bag Sterile 2000ml Pieces