SKPD: Dinas Kesehatan Kabupaten Pidie Kabu: Pidie Prov: Aceh

DAFTAR OBAT-OBATAN
JANUARI S/D DESEMBER 2022

SKPD: DINAS KESEHATAN KABUPATEN PIDIE
KABU: PIDIE
PROV: ACEH
Penerimaan
No.
NAMA / JENIS BARANG Perusahaan Jumlah satuan Harga Satuan (Rp)
Barang
1 3 4 5 6
TAHUN 2018 1
1 KAPAS 250 gr PCS 327.00
2 AQUA PRO INJ.20 mg VIAL 2,685.00
ERYTROMISIN 500 mg TABLET 781.00
INFUSET ANAK PCS 3,500.00
TAHUN 2019
FUSIDIC ACID 20% (FUSILEX) KIMIA FARMA PCS 4,889.00
LANSOPRAZOLE 30MG TABLET 352.00
LORATADIN 10MG TABLET 136.00
KLORAMFENIKOL SK 2%(BUFACETIN) TUBE 3,585.00
ASAM FOLAT TABLET 64.00
ANTIFUNGI SALAP 3 - 6 POT 5,517.00
AMINOFILLIN INJEKSI AMPUL 3,071.00
METHYLERGOMETRIN TABLET 260.00
AMINOFILLIN 200MG TABLET 101.00
ZINK SYRUP BOTOL 3,285.00
DIAZEPAM INJ.5MG AMPUL 1,913.00
SUKRALFAT SYRUP BOTOL 7,338.00
CETIRIZIN SYRUP BOTOL 3,061.00
LAKTULOSA SYRUP BOTOL 15,060.00
ANTASIDA SYRUP BOTOL 2,239.00
KOLKISIN TABLET 2,644.00
VITAMIN B. KOMPLEK TABLET 95.00
CEFADROXIL SYRUP 125MG BOTOL 4,360.00
PYRANTEL TABLET 353.00
PREDNISON TABLET 79.00
PROPANOLOL TABLET 63.00
SALAP 2-4 POT 3,215.00
GLUKOSA 5% BOTOL 7,363.00
RINGER BOTOL 7,630.00
NACL BOTOL 6,840.00
TETRACIKLIN 500MG TABLET 331.00
THIAMIN (B1) TABLET 94.00
PYRIDOXIN(B6) TABLET 150.00
OXYTETRACIKLIN 1% SALAP MATA TUBE 2,774.00
METOCLOPRAMIDE 10MG TABLET 89.00
KODEIN 10MG TABLET 657.00
KODEIN 20MG TABLET 1,494.00

Penerimaan
No.
Jumlah
NAMA / JENIS BARANG Perusahaan satuan Harga Satuan (Rp)
Barang
1 3 4 5 6
KLORAMFENIKOL 1% SALAP MATA TUBE 2,054.00
CAPTROPIL 12,5 MG TABLET 69.00
GARAM ORALIT SACET 281.00
FUROSEMIDE 40MG TABLET 84.00
FENOBARBITAL 30MG TABLET 197.00
BETAMETASON TUBE 1,465.00
HYDROKORTISON 2,5% TUBE 2,533.00
VITAMIN C TABLET 120.00
ERGOTAMIN TABLET 212.00
ANTI HEMOROID SUPP 3,642.00
EUGENOL BOTOL 23,101.00
ACYCLOVIR 400MG RAJAWALI TABLET 454.00
FITOMENADION FIT K 10MG TABLET 873.00
FITOMENADION FIT K INJEKSI AMPUL 4,236.00
LIDOCAIN INJ + EPINEFRIN AMPUL 1,405.00
NISTATIN 100.000IU TABLET 688.00
NISTATIN 500.000IU TABLET 971.00
NATRIUM DIKLOFENAC 50MG TABLET 145.00
OXYTOXIN INJEKSI APL AMPUL 1,232.00
RANITIDIN INJEKSI AMPUL 1,188.00
DEPAKOTE ASAM VALPROAT) TABLET 2,954.00
METHYLERGOMETRIN INJEKSI AMPUL 3,399.00
METRO INFUS BOTOL 8,250.00
PERAK SULFADIAZIN TUBE 20,700.00
BISACODIL 10MG SUPP 5,900.00
BISACODIL 5MG SUPP 6,000.00
EPINEPRIN INJEKSI AMPUL 1,518.00
SCABIMITE(PERMETRIN) UDC TUBE 11,825.00
PARASETAMOL DROP INDO FARMA BOTOL 7,646.00
GLIBENKLAMID TABLET 137.00
N-ASETYL SISTEIN TABLET 440.00
DOMPERIDON 5MG/5ML BOTOL 2,862.00
ZINK 20MG TABLET 604.00
AMOXIXILIN 250MG/5ML BOTOL 3,846.00
KLORAMFENIKOL 125MG/5ML BOTOL 5,319.00

SERUM ANTI TETANUS ( ATS ) 1500.000 AMPUL 130,999.00
IU
SERUM ANTI BISA ULAR ( ABU ) AMPUL 512,204.00
IBUPROFEN 100MG/5ML BOTOL 2,520.00
GENTAMICIN SALAP MATA 0,3 % TUBE 3,075.00
GENTAMICIN TETES MATA BOTOL 4,885.00
AMOXIXILIN 250 MG TABLET 209.00
KETOKENAZOLE 200MG TABLET 305.00
KLORFENIRAMIN ( CTM ) TABLET 26.00

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
OMEPRAZOLE 20MG TABLET 147.00
ATAPULGIT 600MG TABLET 159.00
MGSO4 20% MERAPI UTAMA BOTOL 3,328.00
KALSIUM LAKTAT 500MG TABLET 63.00
KARBAMAZEPIN 100MG TABLET 250.00
KOTRIMOXSAZOLE 480MG TABLET 133.00
KOTRIMOXSAZOLE 5ML BOTOL 2,190.00
ANTASIDA 500MG TABLET 60.00
ALLOPURINOL 100MG TABLET 105.00
MINIASPI 80MG TABLET 105.00
AMLODIPIN 10MG MBS TABLET 94.00
METFORMIN 500MG ENSEVAL TABLET 109.00
AMITRIPTILLIN 25MG PARIT PADANG TABLET 168.00
DIAZEPAM 2MG TABLET 86.00
DIGOXIN TABLET 104.00
HALOPURINOL 0,5MG TABLET 55.00
HALOPURINOL 1,5MG TABLET 59.00
ISOSORBIT 5MG TABLET 89.00
AMBROXOL SYRUP INDO FARMA BOTOL 4,300.00

AMOXSISIKLIN SYRUP KERING BOTOL 4,300.00
125MG/5MG
ASAM MEFENAMAT 500MG TABLET 330.00
ACYCLOVIR CREAM 5% TUBE 4,000.00
BISAKODIL (DULKOLAC) 5MG TABLET 1,400.00
CURCUMA TABLET 970.00
DEXAMETASON 0,5MG TABLET 80.00
DEXSTROFEN SYRUP BOTOL 11,500.00

DIAZEPAM REKTAL SUPP 14,400.00
5MG/2,5ML(STESOLID)
ERYTROMICIN SYRUP KERING BOTOL 11,000.00
200MG/5ML
GENTAMICIN SALAP KULIT 0,1% TUBE 3,500.00
GUAIFENICIN 100MG TABLET 225.00
IBUPROFEN 200MG TABLET 225.00
IBUPROFEN 400MG TABLET 300.00
KAPTROPIL 25MG TABLET 225.00
KETOROLAC INJEKSI 10MG/ML AMPUL 3,000.00

KLORAMFENIKOL TETES BOTOL 9,000.00
TELINGA(RECO)
KLORPROMAZIN HCL SALUT 25MG TABLET 250.00
NEO DIAFROM TABLET 260.00
NOVADIUM 2MG LOPERAMID TABLET 150.00
MELOXICAM 7,5MG TABLET 550.00
METRONIDAZOLE 500MG TABLET 203.00
NATRIUM BIKARBONAT 500MG TABLET 100.00
OBAT BATUK HITAM (OBH) BOTOL 4,400.00
OBAT BATUK PUTIH (OBP) BOTOL 4,400.00

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
OKSITETRASIKLIN SALAP KULIT TUBE 3,500.00
PARASETAMOL 500MG TABLET 138.00
PEHACAIN INJEKSI AMPUL 3,500.00
PROPITIOURASIL 100MG ( PTU ) TABLET 586.00
PIROKSIKAM 20 MG TABLET 150.00
SALBUTAMOL 4MG TABLET 140.00
SALBUTAMOL 2MG (NEBUL VENTOLIN) AMPUL 10,000.00
SEFADROXIL 500MG TABLET 1,500.00
SIPROFLOKSASIN 500MG TABLET 400.00
THIAMEX 500MG TABLET 1,200.00
perak sulfadiazin krim 1% APL TUBE 20,700.00
XYLOCAIN JELLY 2% TUBE 41,600.00
XYLOCAIN SPRAY ORAL 10% TUBE 177,216.00
SETIRIZINE TABLET 10MG RAJAWALI TABLET 115.00
AMLODIPIN TABLET 5MG TEMPO TABLET 74.00
RISPERIDON TABLET 2MG AAM TABLET 273.00
CLOZAPIN 25MG TABLET 1,121.00
CEFADROXIL KAPSUL 250MG INDOFARMA TABLET 732.00
KLINDAMISIN KAPSUL 150MG TABLET 754.00
ANTI BAKTERI BASITRASIN TUBE 3,490.00
TAHUN 2020 1
ACYCLOVIR 200MG RAFAIRA TABLET 550.00
ACYCLOVIR CREAM RAFAIRA TUBE 3,477.10
AMBROXOL SYRUP RAFAIRA BOTOL 3,850.00
AMLODIPIN 10MG RAFAIRA TABLET 550.00
AMOXSISILIN SYRUP 125MG RAFAIRA BOTOL 4,180.00
ASAM MEFENAMAT 500MG RAFAIRA TABLET 308.00
BECEFORT RAFAIRA TABLET 1,547.70
DEXROMETROFAN SYRUP RAFAIRA BOTOL 11,550.00
ERYTROMICIN SYRUP RAFAIRA BOTOL 11,000.00
GARAM ORALIT RAFAIRA SACET 550.00
GERIAVITA RAFAIRA TABLET 2,173.60
GLISERIL GUAIAKOLAT RAFAIRA TABLET 110.00
IBUPROFEN 400MG RAFAIRA TABLET 330.00
KAPTROPIL 25MG RAFAIRA TABLET 180.40
KLORAMFENIKOL 250MG RAFAIRA KAPSUL 677.60
KLORAMFENIKOL SYRUP RAFAIRA BOTOL 8,847.30

KLORAMFENIKOL TETES TELINGA RAFAIRA BOTOL 9,999.00
(RECO)
KOMBINASI NEO KAOLIN+PEKTIN RAFAIRA TABLET 225.50
METRONIDAZOL 500MG RAFAIRA TABLET 242.00
OXYTETRASIKLIN SALAP KULIT RAFAIRA TUBE 2,069.10
OMEPRAZOLE 20MG RAFAIRA KAPSUL 550.00

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
ORABLOC RAFAIRA AMPUL 15,400.00
PARACETAMOL 500MG RAFAIRA TABLET 165.00
PARACETAMOL SYRUP 120mg/5ml RAFAIRA BOTOL 3,080.00
PEHACAIN inj RAFAIRA AMPUL 3,113.00
PROPILTIOURASIL TAB 100MG(PTU) RAFAIRA TABLET 689.70
SALBUTAMOL 2MG RAFAIRA TABLET 112.20
SALICIL BEDAK 2% RAFAIRA KOTAK 3,302.20
SEFADROXIL 500MG RAFAIRA KAPSUL 660.00
SIPROFLOKSASIN 500MG RAFAIRA TABLET 400.40
ANTASIDA SYRUP KIMIA FARMA BOTOL 2,239.00
ANTIFUNGI 3-6 KIMIA FARMA POT 5,517.00
ATTAPULGIT PURALEX KIMIA FARMA TABLET 253.00
BETAMETASON KIMIA FARMA TUBE 1,465.00
DEXAMETASON INJ.5MG KIMIA FARMA AMPUL 1,210.00
DIAZEPAM INJ.5MG/ML KIMIA FARMA AMPUL 1,913.00
DIFENHIDRAMIN INJ.10MG/ML KIMIA FARMA AMPUL 1,347.00
ERGOTAMIN 1MG+KAFEIN 50MG KIMIA FARMA TABLET 212.00
HIDROKORTISON 2,5% KIMIA FARMA TUBE 2,533.00
KETOKONAZOL 2% KIMIA FARMA TUBE 2,577.00
KLORPROMAZINE(CPZ)INJ.25MG KIMIA FARMA AMPUL 1,531.00
LIDOKAIN 2%+EPINEPRIN 2ML KIMIA FARMA AMPUL 1,405.00
LANSOPRAZOL 30MG KIMIA FARMA KAPSUL 352.00
METYLPREDNISON 4MG KIMIA FARMA TABLET 148.00
METRONIDAZOL 125 MG/5ML KIMIA FARMA BOTOL 3,950.00
MIKONAZOLE 2% KIMIA FARMA TUBE 3,926.00
NATRIUM DIKLOFENAC 50MG KIMIA FARMA TABLET 145.00
NACL 0,9% 500ML KIMIA FARMA BOTOL 6,840.00
OKSITETRASIKLIN SALAP MATA 1% KIMIA FARMA TUBE 2,774.00
PYRANTEL PAMOAT 250MG KIMIA FARMA TABLET 1,222.00
PYRIDOXIN(VIT.B6) 10MG KIMIA FARMA TABLET 150.00
RINGER LAKTAT 500MG KIMIA FARMA BOTOL 7,630.00
THIAMIN (VIT.B1) 50MG KIMIA FARMA TABLET 94.00
BISAKODIL 5MG INDO FARMA TABLET 337.00
GLIBENKLAMID 5MG INDO FARMA TABLET 137.00
SERUM ANTI BISA ULAR RAJA WALI AMPUL 512,204.00
SERUM ANTI TETANUS(ATS) RAJA WALI AMPUL 130,999.00
HALOPERIDOL 0,5MG PARIT PADANG TABLET 55.00
HALOPERIDOL 1,5MG PARIT PADANG TABLET 59.00
SIMVASTATIN 10MG PARIT PADANG TABLET 117.00
TRYHEXIFENIDIL 2MG MERAPI TABLET 101.00
ANTASIDA 200MG MERAPI TABLET 60.00

ASAM ASETYLSALISILAT(ASETOSAL)
MERAPI TABLET 105.00
80MG
DIAZEPAM 5MG MERAPI TABLET 114.00
Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
GLIMEPIRIDE 2MG AAM TABLET 207.00
BETAHISTIN 6MG AAM TABLET 110.00
LORATADIN 10MG ENSEVAL TABLET 136.00
AMOXSISILIN 500MG ENSEVAL TABLET 265.00
TAHUN 2021
ALLOPURINOL 100MG PT.ENSEVAL 48500 TABLET 89.00
ALLOPURINOL 300MG PT.ENSEVAL 5000 TABLET 200.00
CEFOTAXIM 1000MG INJ PT.ENSEVAL 12 VIAL 3,050.00
SIPROFLOKSASIN 500MG PT.ENSEVAL 15700 TABLET 260.00
GLIMEPIRID 2MG PT.ENSEVAL 680 TABLET 123.00
KETOKENAZOL 200MG PT.ENSEVAL 29860 TABLET 260.00
LANSOPRAZOL 30MG PT.ENSEVAL 122450 TABLET 278.00
LORATADIN 10MG PT.ENSEVAL 33000 TABLET 117.00
METFORMIN 500MG PT.ENSEVAL 69800 TABLET 77.00
METYLPREDNISON 4MG PT.ENSEVAL 111650 TABLET 102.00
OMEPRAZOLE 20MG PT.ENSEVAL 74190 KAPSUL 129.00

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
3 AMOXSISILIN 500MG PT.ENSEVAL 1198100 KAPSUL 231.00
4 ASAM MEFENAMAT 500MG PT.ENSEVAL 198780 TABLET 117.00
14 SIMVASTATIN 10MG PT.ENSEVAL 135900 TABLET 73.00
15 ATORVASTATIN 20MG PT AAM 13050 KAPLET 467.00
BETAHISTIN 6MG PT AAM 700 TABLET 92.00
CEFTRIASON INJ.1000MG PT AAM 13 VIAL 2,899.00
ONDANSETRON INJ.2MG/ML PT AAM 106 AMPUL 963.00
RESPIRIDON 2MG PT AAM 33500 TABLET 130.00
19 RANITIDIN 150MG PT.AAM 334090 TABLET 85.00
21 SALBUTAMOL(NEBUL)IMG/ML PT.AAM 1303 AMPUL 5,400.00
22 DIAZEPAM 2MG PARIT PADANG 10100 TABLET 70.00
NIPEDIPIN 30MG PARIT PADANG 2250 TABLET 3,986.00
BISACODIL 10MG PT APL 180 SUPP 4,325.00
OXYMETAZOLIN TETES HIDUNG 0,025% PT APL 50 BOTOL 40,326.00
OXYMETAZOLIN TETES HIDUNG 0,05% PT APL 50 BOTOL 42,515.00
OXYTIXIN INJ.10IU/ML PT APL 66 AMPUL 1,126.00
29 ALKOHOL 95% 1 LITER PT RAJAWALI 300 BOTOL 30,794.63
30 ANTIFUNGI 3 - 6 PT RAJAWALI 800 POT 3,637.00
34 SALAP 2- 4 PT RAJAWALI 8192 POT 1,475.00
DOMPERIDON SYRUP PT RAJAWALI 940 BOTOL 2,401.00
IBUPROFEN SYRUP PT RAJAWALI 902 BOTOL 2,339.00
PARASETAMOL DROP PT RAJAWALI 1093 BOTOL 5,204.00
35 CLODINE 5 LITER PT MERAPI 429 JIRIGEN 395,000.00
37 AMLODIPIN 10MG PT MERAPI 121060 TABLET 74.00
39 ACETAT RINGER(ASERIN) PT MERAPI 1000 BOTOL 9,592.00
40 GLUKOSA 5 % PT MERAPI 536 BOTOL 6,627.00
CETIRIZIN SYRUP PT MERAPI 8870 BOTOL 2,215.00
DOMPERIDON 10MG PT MERAPI 8100 TABLET 75.00
MGSO4 20% PT MERAPI 11 VIAL 4,120.00
KETOKENAZOL 200MG PT TEMPO 6944 TABLET 2,399.00
ZINK SYRUP PT TEMPO 556 BOTOL 2,489.00
BETAMETASON CREAM PT TEMPO 14650 TUBE 1,540.00
SERUM ANTI BISA ULAR (ABU) PT INDO FARMA 4 VIAL 517,132.00
ERYTROMISIN SYRUP PT KIMIA FARMA 1516 BOTOL 7,436.00
47 PYRANTEL 125MG PT KIMIA FARMA 1900 TABLET 341.00
PREDNISON 5MG PT KIMIA FARMA 108000 TABLET 73.00
49 DEXAMETASON INJ PT KIMIA FARMA 1995 AMPUL 968.00
FITOMENADION FIT.K 10MG PT KIMIA FARMA 7500 TABLET 781.00
51 FITOMENADION FIT.K INJ PT KIMIA FARMA 600 AMPUL 1,452.00
52 KAPTROPIL 12,5MG PT KIMIA FARMA 29900 TABLET 68.00
LIDOKAIN INJ.2% PT KIMIA FARMA 300 AMPUL 891.00

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
54 NATRIUM DIKLOFENAC 50MG PT KIMIA FARMA 233000 TABLET 109.00
NATRIUM DIKLOFENAC 25MG PT KIMIA FARMA 178000 TABLET 115.00
NISTATIN 500.000IU PT KIMIA FARMA 2000 TABLET 869.00
KALSIUM LAKTAT 500MG PT KIMIA FARMA 224200 TABLET 60.00
BISACODIL 5MG PT KIMIA FARMA 900 TABLET 216.00
GRISEOFULVIN 125MG PT KIMIA FARMA 58900 TABLET 210.00
AMLODIPIN 5MG PT KIMIA FARMA 36090 TABLET 55.00
ASAM ASCORBAT(VIT.C) 50MG PT KIMIA FARMA 37000 TABLET 46.00
DIAZEPAM INJ.5MG/ML PT KIMIA FARMA 90 AMPUL 1,545.00
RINGER LAKTAT 500ML PT KIMIA FARMA 16626 BOTOL 7,703.00
63 HIDROKORTISON CREAM 2,5% PT KIMIA FARMA 12750 TUBE 2,325.00
HIDROKLORTIAZID 25MG PT KIMIA FARMA 500 TABLET 148.00
64 METYLERGOMETRIN 0,125MG PT KIMIA FARMA 3900 TABLET 214.00
SIMSAVTATIN 20MG PT KIMIA FARMA 12570 TABLET 150.00
AMOXSISILIN SYRUP 125MG/5ML PT KIMIA FARMA 9700 BOTOL 2,050.00
KARBAMAZEPIN 200MG PT KIMIA FARMA 16200 TABLET 216.00
ASAM ASETYLSALISILAT(ASETOSAL) PT KIMIA FARMA 2200 TABLET 89.00
66 ASAM FOLAT 0,4MG PT KIMIA FARMA 44700 TABLET 45.00
72 NACL PT KIMIA FARMA 11620 BOTOL 6,900.00
ALBENDAZOL 400MG RAFAIRA 60000 TABLET 770.00
AMBROXOL SYRUP RAFAIRA 13974 BOTOL 3,960.00
AMINOFILIN 200MG RAFAIRA 8900 TABLET 192.50
ACYCLOVIR CREAM 5% RAFAIRA 4116 TUBE 3,850.00
ANTIMIGREN(ERGOTAMIN) RAFAIRA 400 TABLET 349.80
ATTAPULGIT 650MG RAFAIRA 55500 TABLET 264.00
79 AZITROMICIN 500MG RAFAIRA 11000 TABLET 8,800.00
BECEFOT RAFAIRA 12600 TABLET 1,702.80
BECEFOT SYRUP RAFAIRA 2454 BOTOL 17,600.00
BIORON RAFAIRA 25570 TABLET 1,294.70
DEXSTAMIN SYRUP RAFAIRA 2896 BOTOL 33,220.00
DEXTROFEN SYRUP RAFAIRA 2581 BOTOL 11,550.00
FRAMYSETIN SULFATE(DARYANTULLE) RAFAIRA 31 KOTAK 150,150.00
86 FUSIDIC ACID RAFAIRA 9529 TUBE 8,800.00
GERIAVITA RAFAIRA 14630 TABLET 2,510.20
GLISERIL GUAIAKOLAT RAFAIRA 140900 TABLET 79.20
IBUPROFEN 400MG RAFAIRA 85100 TABLET 341.00
KLINDAMISIN 150MG RAFAIRA 17600 TABLET 885.50
87 GENTAMISIN SALAPKULIT 0,1% RAFAIRA 28300 TUBE 3,190.00
92 KLORAMFENIKOL 250MG RAFAIRA 23200 KAPSUL 539.00
KLORAMFENIKOL SALAP MATA RAFAIRA 1000 TUBE 6,600.00
94 KOMBINASI NEO KAOLIN+PEKTIN RAFAIRA 59700 TABLET 242.00
LAKTULOSA SYRUP RAFAIRA 137 BOTOL 22,440.00

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
96 MELOXICAM 15MG RAFAIRA 218500 TABLET 396.00
MIKONAZOLE CREAM RAFAIRA 7597 TUBE 3,300.00
NATRIUM BIKARBONAT RAFAIRA 64600 TABLET 71.50
99 OKSITETRASIKLIN SALAPKULIT RAFAIRA 20623 TUBE 2,420.00
ONDANSETRON 4MG RAFAIRA 1350 TABLET 529.10
101 ORABLOC RAFAIRA 2050 KOTAK 17,279.90
OTOLIN TETES TELINGA RAFAIRA 1000 BOTOL 45,599.40
103 PARASETAMOL 500MG RAFAIRA 1007000 TABLET 198.00
104 PEHACAIN INJ RAFAIRA 7600 AMPUL 3,410.00
105 SALICIL BEDAK RAFAIRA 39943 POT 4,400.00
SEFADROXIL 500MG RAFAIRA 16300 TABLET 660.00
THIAMFENIKOL 500MG RAFAIRA 1700 TABLET 973.50
107 SERUM ANTI TETANUS(ATS) 1500IU RAFAIRA 70 AMPUL 214,999.40
TAHUN 2022
PERMETRIN PT.UDC 5600 TUBE 11,351.97
SEFADROXIL 500MG PT.UDC 36400 KAPSUL 829.73
AMLODIPIN 10MG PT MERAPI 138000 TABLET 74.00
AMOKSISILIN SYRUP KERING FORTE PT MERAPI 22000 BOTOL 3,510.00

250MG/5MG
ANTASIDA DOEN PT MERAPI 2184000 TABLET 54.49
ASAM ASETYLSALISILAT(MINIASPI) PT MERAPI 11800 TABLET 90.00
DOMPERIDON 10MG PT MERAPI 400000 TABLET 75.00
GLUKOSA 5% PT MERAPI 7000 BOTOL 6,627.00
KALSIUM LAKTAT(KALK) 500MG PT MERAPI 243800 TABLET 61.00
KARBAMAZEPIN 200MG PT MERAPI 34900 TABLET 218.00
KLINDAMISIN 300MG PT MERAPI 16900 KAPSUL 599.00
KOTRIMOKSAZOL SUSPENSI 200MG/5ML PT MERAPI 6700 BOTOL 2,119.00
KOTRIMOKSAZOL 480MG PT MERAPI 57600 TABLET 127.00
MAGNESIUM SULFAT (MGSO4) 20% PT MERAPI 50 BOTOL 4,120.00
SETIRIZIN 10MG PT MERAPI 243000 TABLET 52.00
SETIRIZIN SUSPENSI 5MG/5ML PT MERAPI 4800 BOTOL 2,215.00
EPINEPRIN PT APL 500 AMPUL 1,740.00
OXYTOXIN PT APL 200 AMPUL 1,126.00
KOLKISIN PT APL 6000 TABLET 671.00
AMINOFILIN INJEKSI 24MG/ML-10ML PT KIMIA FARMA 150 AMPUL 2,736.00
AMLODIPIN 5MG PT KIMIA FARMA 60000 TABLET 55.00
ANTI HEMOROID PT KIMIA FARMA 1800 SUPP 3,260.00
ASAM FOLAT 0,4MG PT KIMIA FARMA 11500 TABLET 45.00
BETAMETSON KRIM 0,1% PT KIMIA FARMA 5500 TUBE 1,520.00
BISAKODIL 5MG PT KIMIA FARMA 600 TABLET 216.00

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
DIFENHIDRAMIN INJEKSI PT KIMIA FARMA 930 AMPUL 825.00
EUGENOL PT KIMIA FARMA 360 BOTOL 20,175.00
FITOMENADION(VIT.K) PT KIMIA FARMA 4500 TABLET 781.00
GLIBENKLAMID 5MG PT KIMIA FARMA 124800 TABLET 86.00
GRISEOFULVIN 125MG PT KIMIA FARMA 45000 TABLET 210.00
HIDROKORTISON KRIM 2,5% PT KIMIA FARMA 14496 TUBE 2,325.00
KLORAMFENIKOL SK(BUFACETIN) 2% PT KIMIA FARMA 16992 TUBE 3,760.00
LIDOCAIN INJEKSI 2% PT KIMIA FARMA 1000 AMPUL 891.00
METOKLOPRAMID 10MNG PT KIMIA FARMA 5600 TABLET 66.00
METRONIDAZOL INFUS 5MG/5ML PT KIMIA FARMA 60 BOTOL 5,885.00
MIKONAZOL KRIM PT KIMIA FARMA 6500 TUBE 1,900.00
NATRIUM DIKLOFENAC 50MG PT KIMIA FARMA 97000 TABLET 109.00
PYRIDOXIN (VIT.B6) 10MG PT KIMIA FARMA 147200 TABLET 72.00
PREDNISON 5MG PT KIMIA FARMA 516000 TABLET 73.00
RANITIDIN INJ.25MG/ML PT KIMIA FARMA 14000 AMPUL 858.00
RETINOL 100.000(VIT.A) PT KIMIA FARMA 200 KAPSUL 352.00
RINGER LAKTAT PT KIMIA FARMA 29000 BOTOL 7,703.00
SALBUTAMOL 2MG PT KIMIA FARMA 234000 TABLET 51.00
SALBUTAMOL 4MG PT KIMIA FARMA 62500 TABLET 67.00
SERUM ANTI BISA ULAR(ABU) PT KIMIA FARMA 30 VIAL 517,132.00
SIMVASTATIN 20MG PT KIMIA FARMA 107000 TABLET 150.00
TEOFILIN 150MG (BRONSOLVAN) PT KIMIA FARMA 2000 TABLET 1,180.00
VITAMIN B KOMPLEK PT KIMIA FARMA 1123000 TABLET 60.00
CURLISINE SYRUP PT KIMIA FARMA 3000 BOTOL 17,760.00
DEXTROFEN SYRUP 60ML PT KIMIA FARMA 7500 BOTOL 11,655.00
FRAMYSETIN SULFATE(DARYA) PT KIMIA FARMA 200 KOTAK 10,267.50
FUROSEMID 40MG PT KIMIA FARMA 5000 TABLET 162.06
FUSIDIC ACID PT KIMIA FARMA 1700 TUBE 11,100.00
ACYCLOVIR CREAM PT KIMIA FARMA 1300 TUBE 4,273.50
ATTAPULGIT 600MG PT KIMIA FARMA 35000 TABLET 315.24
GERIAVITA PT KIMIA FARMA 8000 TABLET 2,747.00
GLISERIL GUAIKOLAT PT KIMIA FARMA 630300 TABLET 222.00
LYCALVIT PT ENSEVAL 55500 TABLET 1,665.00
LYVIT SYRUP PT ENSEVAL 2849 BOTOL 37,740.00
NEUROBAT PT ENSEVAL 50000 TABLET 1,187.70
AMOXSISILIN SYRUP 125ML PT RAJAWALI 24100 BOTOL 5,500.05
PHEHACAIN PT RAJAWALI 10000 AMPUL 3,663.00
THIAMFENIKOL 500MG PT RAJAWALI 10000 KAPSUL 1,694.97
KETOROLAC INJ.10MG/ML PT RAJAWALI 3000 AMPUL 7,770.00
KLINDAMISIN 150MG PT RAJAWALI 2600 KAPSUL 277.50
LAKTULOSA/STARLAX SYRUP PT RAJAWALI 300 BOTOL 26,640.00
NATRIUM BIKARBONAT 500MG PT RAJAWALI 76500 TABLET 82.14

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
KLORAMFENIKOL TETES
PT RAJAWALI 2000 BOTOL 9,990.00
TELINGA(RECO)
NIPEDIPIN 10MG PT RAJAWALI 3000 TABLET 325.23
KLORAMFENIKOL SALAP MATA 1% PT RAJAWALI 500 TUBE 7,048.50
IBUPROFEN 400MG PT RAJAWALI 200000 TABLET 288.60
KOMBINASI NEO DIAFORM PT RAJAWALI 100000 TABLET 291.93
PAVIRAVIR 200MG PT RAJAWALI 1500 TABLET 22,200.00
AMBROXOL SYRUP 60ML PT RAJAWALI 17000 BOTOL 6,032.00
ANTASIDA DOEN SYRUP PT RAJAWALI 672 BOTOL 1,756.00
ANTIFUNGI SALAP 3-6 PT RAJAWALI 2088 POT 3,637.00
ERYTROMICIN 500MG PT RAJAWALI 30000 KAPSUL 775.00
DEXAMETASON 0,5MG PT RAJAWALI 1832000 TABLET 106.00
DOMPERIDON SYRUP 5MG/ML PT RAJAWALI 377 BOTOL 2,401.00
KLORAMFENIKOL SYRUP PT RAJAWALI 420 BOTOL 11,043.00
KHLORPHENAMINE(CTM) PT RAJAWALI 1560000 TABLET 86.00
METRONIDAZOLE 500MG PT RAJAWALI 140000 TABLET 317.00
ONDANSETRON PT RAJAWALI 8000 TABLET 735.00
PARASETAMOL 500MG PT RAJAWALI 2163000 TABLET 257.00
SALAP 2-4 PT RAJAWALI 1500 POT 1,475.00
THIAMIN (VIT.B1) 50MG PT RAJAWALI 1170000 TABLET 246.00
TETRASIKLIN 500MG PT RAJAWALI 10000 KAPSUL 902.00
ZINK 20MG PT RAJAWALI 30000 TABLET 576.00
ASAM VALPROAT SYRUP PT AAM 500 BOTOL 12,868.00
BETAHISTIN PT AAM 93000 TABLET 93.00
GABAPENTIN 300MG PT AAM 124800 TABLET 679.00
METHYL ERGOMETRIN INJ PT AAM 500 AMPUL 1,079.00
ONDANSETRON INJ PT AAM 400 AMPUL 972.00
PROPYLTHIOURACIL(PTU) PT AAM 6500 TABLET 444.00
RISPERIDON 1MG PT AAM 18000 TABLET 134.00
CEFTRIAXONE INJ 1000MG PT AAM 2000 VIAL 2,925.00
STIMUNO PT AAM 30000 TABLET 1,958.00
STIMUNO SYRUP PT AAM 1000 BOTOL 28,374.00
ISOSORBIT PT PARIT PADANG 4400 TABLET 99.00
N.ASETYL SISTEIN PT INDO FARMA 108000 TABLET 320.00
ALLOPURINOL 100MG PT ENSEVAL 315500 TABLET 89.00
ASAM MEFENAMAT PT ENSEVAL 452000 TABLET 117.00
AMOXSISILIN 500MG PT ENSEVAL 500000 TABLET 231.00
KETEKONAZOL PT ENSEVAL 36800 TABLET 260.00
CEFOTAXIM INJ 1000MG PT ENSEVAL 2000 AMPUL 3,050.00
GLIMEPIRIDE PT ENSEVAL 300000 TABLET 123.00
SIPROFLOXACIN PT ENSEVAL 124000 TABLET 260.00
LANSOPRAZOL PT ENSEVAL 137500 TABLET 278.00
METFORMIN PT ENSEVAL 345000 TABLET 77.00

Penerimaan
No.
Jumlah
Barang
1 3 4 5 6
OMEPRAZOL PT ENSEVAL 280000 TABLET 129.00
METYLPREDNISOLON 4MG PT ENSEVAL 684000 TABLET 102.00
PARASETAMOL INFUS PT ENSEVAL 3200 BOTOL 8,880.00
SEFIKSIM 100MG PT ENSEVAL 446900 TABLET 463.00
LORATADIN 10MG PT ENSEVAL 63000 TABLET 117.00
Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pidie
dr.ARIKA HUSNAYANTI,SP.OG(K)
NIP. 19760407 200904 2 001
DAFTAR BMHP
Penerimaan
No. Ket
1 3 4
TAHUN 2019
3 ETANOL 70% 1LITER KIMIA FARMA BOTOL 20,555.16
ALKOHOL SWAB KOTAK 13,634.70
ANTISEPTIC HANDRUB
200ML BOTOL 26,620.00
ABBOCATH NO.20 PCS 7,375.47
ABBOCATH NO.24 PCS 7,330.82
ALAT SUNTIK 1ML PCS 1,034.42
FOLLEY CATETER NO.16 PCS 13,588.85
MASKER TALI KOTAK 32,350.10
PAPER TAPE (PLASTER

6 PUTIH) PCS 25,052.17
SARUNG TANGAN M KOTAK 56,870.00

SARUNG TANGAN STERIL
NO.7,5 PCS 9,249.60
INFUSET ANAK PCS 6,362.62
INFUSET DEWASA PCS 5,987.80
NONWOVEN(PLASTER 5X10) PCS 52,601.23
CATGUT RAJAWALI PCS 34,370.42
BISTURI NO.10-24 MULTI PLUS PCS 653.96

ALEXA
ALAT SUNTIK 2,5ML PCS 733.37
MEDIKA
HIDROGEN H2O2 3% DIMAS BOTOL 4,032.00
LARUTAN GIEMSA 250CC BOTOL 279,820.78
LARUTAN HCL 0,1N 100ML BOTOL 12,672.00
LARUTAN METANOL 250CC BOTOL 45,360.00
WATER ONE (AQUA DEST) 1 L BOTOL 17,952.00
MASKER HIJAB KOTAK 25,300.00
KASA GULUNG 40 X 80 PCS 120,750.00
POVIDON 60ML BOTOL 4,440.00
KASA STERIL 16 X 16 KOTAK 9,200.00
RIVANOL 300CC BOTOL 3,600.00

RAZILA
ETIL KLORIDA SEMPROT 100M RIZKINA BOTOL 352,000.00
ARTICULATING PAPER PART BOTOL 202,853.00
ETCHING GEL BOTOL 307,353.00
FUJI IX ART 1-1 POSTERIOR BOTOL 481,250.00

Penerimaan
No. Ket
1 3 4
SALIVA EJECTOR PAK 111,764.00
TKF BOTOL 81,141.00
TAHUN 2020
ALAT SUNTIK 1ML KIMIA FARMA PCS 1,012.41
ALAT SUNTIK 3ML KIMIA FARMA PCS 1,020.95
ABBOCAT NO.20 KIMIA FARMA PCS 7,218.55
ABBOCAT NO.22 KIMIA FARMA PCS 7,687.75
INFUSET DEWASA KIMIA FARMA PCS 5,860.40
KASA 16 X 16 KIMIA FARMA KOTAK 4,025.00
KASA 3 X 15 KIMIA FARMA PCS 1,794.00
KASA 40 X 80 KIMIA FARMA PCS 141,450.00
HANDRUB ENSEVAL BOTOL 78,200.00
CATGUT RAJAWALI PCS 34,663.00
SILK RAJAWALI PCS 24,117.00
PLASTER AAM PCS 12,675.00
MASKER PT.ARKAN KOTAK 155,000.00
HANDSCOON NON STERIL M KOTAK 87,542.46
TAHUN 2021
ABOCAT NO.22 AXION JAYA PCS 7,969.50
ABOCAT NO.24 AXION JAYA PCS 7,969.50
ALAT SUNTIK 3ML AXION JAYA pcs 1,012.00
BLOOD LANCET SIZE 28 G AXION JAYA KOTAK 16,211.25
MASKER EAR LOOP AXION JAYA KOTAK 62,810.00
KASA HIDROFIL 3 X 15 AXION JAYA rol 2,336.80
KASA HIDROFIL 16 X 16 AXION JAYA KOTAK 5,290.00
HANDSCOON SIZE S SAFIRA KOTAK 171,990.00
HANDSCOON SIZE M SAFIRA KOTAK 171,990.00
ALKOHOL SWAB PT PELITA KOTAK 16,124.00
NEBULIZER MASKER DEWASA PT PELITA PCS 17,980.00
NEBULIZER MASKER ANAK PT PELITA PCS 19,024.00
ALAT SUNTIK 1ML PT PELITA PCS 1,176.33
MASKER HIJAB PT PELITA KOTAK 49,808.00
IV CATETER NO.20 PT PELITA PCS 6,887.40
INFUSET DEWASA PT PELITA PCS 7,577.70
MASKER N95 PT PELITA KOTAK 412,750.00
SELANG OKSIGEN DEWASA PT PELITA PCS 5,889.00

Penerimaan
No. Ket
1 3 4
SELANG OKSIGEN ANAK PT PELITA PCS 5,889.00
MASKER OKSIGEN DEWASA PT PELITA PCS 13,776.10
MASKER OKSIGEN ANAK PT PELITA PCS 13,776.10
URINE BAG PT PELITA PCS 7,308.00
TEST GLUKOSA(GULA) 50S MITRA ASA BOTOL 171,200.00

TEST URIN ACID (ASAM
MITRA ASA BOTOL 157,575.00
URAT) 25 S
TEST CHOLESTEROL 10 S MITRA ASA BOTOL 256,771.34
PLASTER BULAT
3 DIMAS KOTAK 44,774.10
TRANSPARAN
ULTRA ONE(TEST
5 DIMAS PCS 2,185.00
KEHAMILAN)
6 LARUTAN HCL 0,1 N 100ML DIMAS BOTOL 12,672.00
18 ALAT SUNTIK 2,5ML RAJA WALI PCS 894.00
19 SILK RAJA WALI PCS 17,024.00
22 CATGUT RAJA WALI PCS 26,941.00
27 HANDRUB 500ML RAJA WALI BOTOL 38,147.80

SAMANA
30 CAVITON WHITE MEDICA BOTOL 111,991.00
PRATAMA
SAMANA
32 CHKM MEDICA BOTOL 207,999.00
PRATAMA
SAMANA
33 ETYL CLORIDA SPRAY MEDICA BOTOL 242,990.00
PRATAMA
SAMANA
38 FUJI IX MEDICA BOX 1,144,990.00
PRATAMA
SAMANA
RIVANOL MEDICA BOTOL 11,500.50
PRATAMA
TAHUN 2022
PT.SUMBER
MASKER OXIGEN BAYI PCS 16,150.00
MEGAH
MASKER OXIGEN BAYI PT.SUMBER PCS 16,150.00

MEGAH
PT.SUMBER
SELANG BAYI PCS 10,303.00
MEGAH
PT.SUMBER
SELANG ANAK MEGAH PCS 7,336.00
PT.SUMBER
SELANG DEWASA MEGAH PCS 7,653.00
PT.SUMBER
URINE BAG PCS 9,828.86
MEGAH
PT TIGA
MASKER TALI IKHWAN KOTAK 59,616.29
MEDIKAL
PT TIGA
MASKER HIJAB IKHWAN KOTAK 61,842.44
MEDIKAL
PT ASRI
HANDSCOON BERKAH KOTAK 169,782.61
MANDIRI
ETYL KLORIDA PT RAJAWALI BOTOL 176,601.00
CAVITON WHITE PT RAJAWALI BOX 220,000.00
FUJI IX ART 1-1 PT RAJAWALI BOX 747,000.00
CAIRAN HCL 0,1 N PT RAJAWALI BOTOL 59,500.00

Penerimaan
No. Ket
1 3 4
PT COBRA
PARAMONO(CHKM) DENTAL BOX 54,000.00
INDONESIA
SILK 3-0 76 PT MPI PCS 51,892.50
SILK 6-0 76 PT MPI PCS 59,340.61
SILK 5-0 45 PT MPI PCS 65,811.89
PT MEDIKAL
KASA HIDROFIL 16 X 16 FARMA KOTAK 4,072.15
MANDIRI
PT MEDIKAL
POVIDON 60 ML FARMA BOTOL 7,685.45
MANDIRI
PT MEDIKAL
ALKOHOL 70% FARMA BOTOL 27,134.25
MANDIRI
PT MITRA ASA
BENECHEK KOLESTEROL BOTOL 256,400.00
PRATAMA
PT MITRA ASA
BENECHEK GLUKOSA BOTOL 171,153.85
PRATAMA
PT MITRA ASA
BENECHEK ASAM URAT BOTOL 156,222.22
PRATAMA
ALAT SUNTIK 1ML PT RAJAWALI PCS 949.20
ALAT SUNTIK 2,5ML PT RAJAWALI PCS 965.02
ALAT SUNTIK 3ML PT RAJAWALI PCS 1,491.60
ALAT SUNTIK 5ML PT RAJAWALI PCS 1,020.39
KASA JUMBO 40 X 80 PT RAJAWALI PCS 171,700.00
ABOCAT NO.20 PT ALEXA PCS 8,712.00
INFUSET ANAK PT ALEXA PCS 8,228.00
INFUSET DEWASA PT ALEXA PCS 8,228.00
MASKER OKSIGEN DEWASA PT PELITA PCS 14,732.00
NEBUL MASKER DEWASA PT PELITA PCS 20,300.00
NEBUL MASKER ANAK PT PELITA PCS 20,300.00
KASA 3 X 15 PT PELITA PCS 2,336.80
PAPER TAPE PT PELITA PCS 18,850.00
PLASTER(ZINK OXIDE) PT PELITA PCS 20,783
JUMLAH
Penerimaan
No. Ket
1 3 4
Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pidie
dr.ARIKA HUSNAYANTI,SP.OG(K)
NIP. 19760407 200904 2 001

SKPD: Dinas Kesehatan Kabupaten Pidie Kabu: Pidie Prov: Aceh

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DAFTAR OBAT-OBATAN

JANUARI S/D DESEMBER 2022

1 KAPAS 250 gr PCS 327.00

2 AQUA PRO INJ.20 mg VIAL 2,685.00

ERYTROMISIN 500 mg TABLET 781.00

INFUSET ANAK PCS 3,500.00

FUSIDIC ACID 20% (FUSILEX) KIMIA FARMA PCS 4,889.00

LANSOPRAZOLE 30MG TABLET 352.00

LORATADIN 10MG TABLET 136.00

KLORAMFENIKOL SK 2%(BUFACETIN) TUBE 3,585.00

ASAM FOLAT TABLET 64.00

ANTIFUNGI SALAP 3 - 6 POT 5,517.00

AMINOFILLIN INJEKSI AMPUL 3,071.00

METHYLERGOMETRIN TABLET 260.00

AMINOFILLIN 200MG TABLET 101.00

ZINK SYRUP BOTOL 3,285.00

DIAZEPAM INJ.5MG AMPUL 1,913.00

SUKRALFAT SYRUP BOTOL 7,338.00

CETIRIZIN SYRUP BOTOL 3,061.00

LAKTULOSA SYRUP BOTOL 15,060.00

ANTASIDA SYRUP BOTOL 2,239.00

KOLKISIN TABLET 2,644.00

VITAMIN B. KOMPLEK TABLET 95.00

CEFADROXIL SYRUP 125MG BOTOL 4,360.00

PYRANTEL TABLET 353.00

PREDNISON TABLET 79.00

PROPANOLOL TABLET 63.00

SALAP 2-4 POT 3,215.00

GLUKOSA 5% BOTOL 7,363.00

RINGER BOTOL 7,630.00

NACL BOTOL 6,840.00

TETRACIKLIN 500MG TABLET 331.00

THIAMIN (B1) TABLET 94.00

PYRIDOXIN(B6) TABLET 150.00

OXYTETRACIKLIN 1% SALAP MATA TUBE 2,774.00

METOCLOPRAMIDE 10MG TABLET 89.00

KODEIN 10MG TABLET 657.00

KODEIN 20MG TABLET 1,494.00

CAPTROPIL 12,5 MG TABLET 69.00

GARAM ORALIT SACET 281.00

FUROSEMIDE 40MG TABLET 84.00

FENOBARBITAL 30MG TABLET 197.00

BETAMETASON TUBE 1,465.00

HYDROKORTISON 2,5% TUBE 2,533.00

VITAMIN C TABLET 120.00

ERGOTAMIN TABLET 212.00

ANTI HEMOROID SUPP 3,642.00

EUGENOL BOTOL 23,101.00

ACYCLOVIR 400MG RAJAWALI TABLET 454.00

FITOMENADION FIT K 10MG TABLET 873.00

FITOMENADION FIT K INJEKSI AMPUL 4,236.00

LIDOCAIN INJ + EPINEFRIN AMPUL 1,405.00

NISTATIN 100.000IU TABLET 688.00

NISTATIN 500.000IU TABLET 971.00

NATRIUM DIKLOFENAC 50MG TABLET 145.00

OXYTOXIN INJEKSI APL AMPUL 1,232.00

RANITIDIN INJEKSI AMPUL 1,188.00