DINAS KESEHATAN KAB.

KONAWE SELATAN
INSTALASI FARMASI DAN PERBEKALAN KESEHATAN PEMERINTAH
(GUDANG FARMASI)
JL. POROS POTORO - ANDOOLO

DAFTAR STOK OBAT DAN BAHAN HABIS PAKAI

PER TANGGAL 27 SEPTEMBER 2022

A. OBAT
Harga/Satuan (Rp)
No. Nama Barang Kemasan terkecil ED Ket. Sumber

1 Albendazole Suspensi 200 Mg/5Ml 10 botol/box 4,300 Botol Nov-23 2022 / BSP
2 Albendazole tablet 400 mg 100 tablet/box 367 Tablet Jul-23 2022 / BSP
3 Allopurinol Tablet 100 mg 100 tablet / Box 95 Tablet Mart-23 E - 2021 / TSJ
4 Ambroxol Sirup 15 Mg 50 Botol/Dus 6,600 Botol Juni-23 Non E - 2021 / TSJ
5 Ambroxol HCL Tabl.30 mg 100 Tab/Box 179.00 Tablet Jul-24 2022 / Rajawali
6 Ambroxol HCL Tabl.30 mg 100 Tab/Box 225.88 Tablet Mar-24 2022 / Kimia Farma
7 Amitriptyline 25 mg tab 100 tablet/Box 168.00 Tablet Nov-22 E - 2019 / Parit Padang
8 Amlodipin tablet 5 mg 30 Tablet/Box 170.00 Tablet Jul-24 E - 2022 / Rajawali
9 Amlodipin tablet 10 mg 30 Tablet/Box 271.00 Tablet Jun-23 E - 2022 / Kimia Farma
10 Amlodipin tablet 10 mg 30 Tablet/Box 271.00 Tablet Apr-24 E - 2022 / Kimia Farma
11 Amlodipin tablet 10 mg 100 Tablet/Box 76.00 Tablet Mar-24 E - 2021 / PT. Merapi
12 Amoksisilin kaplet 500 mg 200 tablet/Box 241.00 Tablet Feb-23 E -2021 /TSJ
13 Amoksisilin kaplet 500 mg ( Pehamoxil ) 50 tablet/Box 842.00 Tablet Mar-27 2022 / Kimia Farma
14 Amoksisilin sirup kering 125 mg/ 5 ml 50 Botol/dus 7,150.00 Botol Jun-23 Non E - 2021 / TSJ
15 Amoksisilin sirup kering 250 mg/5 ml 100 Botol/dus 3,510.00 Botol Mar-25 E - 2022 / Rajawali
16 Amoxicillin TrYHIDRATE 100mg/ml (drops) Botol 11,306.00 Botol Jul-24 E - 2022 / Kimia Farma
17 Antasida Suspensi 100 Botol / Dus 1,767.00 Botol Apr-25 E - 2022 / Rajawali
18 Antasida DOEN I tablet kunyah 100 tablet/Box 54.00 Tablet Dec-24 E - 2022 / Rajawali
19 Antasida Suspensi 100 Botol / Dus 1,767.00 Botol Sep-24 E - 2021 / Rajawali
20 Antasida DOEN I tablet kunyah 100 tablet/Box 54.00 Tablet Sep-24 E - 2021 / PT. Merapi
21 Antihemoroid (Superhoid) 10 Suppo / Box 3,265.00 Suppositoria 2022 / Kimia Farma
22 Asam askorbat (Vitamin C) tablet 50 mg 100 tablet/Box 50.00 Tablet Apr-23 Non E 2021 /Kimia Farma
23 Asam askorbat (Vitamin C) tablet 50 mg 100 tablet/Box 50.00 Tablet Apr-26 E - 2022 / Rajawali
24 Asam Folat Tab 1 mg 100 Tab / Box 63.00 Tablet Oct-23 E - 2021 / Rajawali
25 Asam Folat Tab 1 mg 100 Tab / Box 63.00 Tablet Jul-24 E - 2022 / Rajawali
26 Asam mefenamat tablet 500 mg ( Pehastan ) 100 tablet/Box 461.00 Tablet 2022 / Kimia Farma
27 Asam Tranexamic Acid Ijk 250 mg/5ml 5 Ampul / Box 1,929.00 Ampul May-23 E-2020 / AAM
28 Asiklovir tablet 400 mg 50 tablet/Box 440.00 Tablet Nov-22 E - 2020 / Rajawali
29 Asiklovir tablet 400 mg 50 tablet/Box 470.00 Tablet Mar-24 E - 2019 / Rajawali
30 Asiklovir tablet 200 mg 50 tablet/Box 657.00 Tablet Mar-24 E - 2022 / Kimia Farma
31 Attapulgit (New Antidies) Tablet 150 Tablet / Box Tablet Aug-26 NON STOK
32 Atropin inj 0,25 mg/mL (i. v./s.k.) (G) 100 Ampul / Box 1,718.00 Ampul Jun-24 E - 2021 / APL
33 Becefort Tablet 100 tablet/Box 1,277 Tablet Sep-25 E - 2022 / Kimia Farma
34 Becefort Sirup 60 Ml 50 Botol / Dus 17,366 Botol May-24 Non E - 2021 / KF
35 Bedak salicyl 2 % 6 Pot 6,426.00 Pot Jun-26 Non E 2021 / KF
36 Betafort Sirup 60 Ml 50 Botol / Dus 26,468 Botol Jun-25 2022 / Kimia Farma
37 Bedaquilin Tablet 33,201.00 Tablet Juli-22 BSP 2022
38 Benzatin Benzylpenicilin 10 Ampul / Box 14,500.00 Ampul Oct-22 BSP / 2022
39 Bioron Inj 3 ml 5 Ampul / Box 5,476.20 Ampul Mar-24 E - 2022 / Kimia Farma
40 Bio ATP 100 tablet / Box 2,377.40 Tablet Jul-24 2022 / Kimia Farma
41 Bioplacenton Salep Tube 27,060.00 Tube Aug-25 E - 2021 / Rajawali
42 Bisakodil supp 10 mg (Dulcolax) 50 Suppo / Box 4,325.00 Suppositoria Mar-25 E - 2021 / APL
43 Bisakodil Tablet 5 mg 100 Tab / Box 231.00 Tablet Sep-23 E - 2021 / Kimia Farma
44 Carbamazepine Tablet 200 Mg 100 Tab / Box 225.00 Tablet Aug-24 E - 2021 / PT. Merapi
45 Captopril tablet 12,5 mg 100 tablet/Box 73.00 Tablet Feb-25 E - 2020/ Kimia Farma
46 Captopril tablet 12,5 mg 100 tablet/Box 75.00 Tablet Jul-23 E - 2021 / Rajawali
47 Captopril tablet 25 mg 100 tablet/Box 113.15 Tablet May-25 E - 2020/ Kimia Farma
48 Captopril tablet 25 mg 100 tablet/Box 75.00 Tablet May-25 E - 2022 / Rajawali
49 Cefadroksil Sirup Kering 125 mg/5ml 50 Botol / Dus 4,360.00 Botol Apr-23 E-2020 / Kimia Farma
50 Cefadroksil Sirup Kering 125 mg/5ml Botol 4,180.00 Botol Oct-21 E - 2021 / Rajawali
51 Ceterizine Tab.10 Mg 50 Tab / Box 204.00 Tablet Jan-25 E - 2022 / Kimia Farma
52 Ciprofloxacin 500 mg 100 Tab / Box 270.00 Tablet May-25 E - 2021 / TSJ
53 Ciprofloxacin 500 mg ( Praproxin ) 50 tablet/Box 888.00 Tablet Feb-27 2022 / Kimia Farma
54 Clindamisyn 300 Mg 50 Tab / Box 620.00 Tablet Jun-24 E - 2021 / PT. Merapi
55 Clozapin Tablet 100 Mg 50 Tab / Box 1,253.00 Tablet Aug-23 E - 2021 / PT. AAM
56 Cotrimoxazole Suspensi 100 Botol / Dus 2,100.00 Botol Oct-24 E - 2021 / PT. Merapi
57 Cotrimoxazole Suspensi 100 Botol / Dus 2,100.00 Botol Dec-24 E - 2022 / Rajawali
58 Clofazimin kapsul 1,475.00 kapsul Jul-24 BSP 2022
59 Cycloserin 250 Mg Tablet 4,377.00 Tablet Oct-24 BSP 2021
60 Curlysine Rasa Jeruk 60 Ml 50 Botol / Dus 17,760.00 Botol Jun-24 2022 / Kimia Farma
61 Deksametason inj. 5 mg/ml - 1 ml 100 ampul/Box 1,012.00 Ampul Apr-25 E - 2022 / Rajawali
62 Dermasolon Salep 12 Tube / Dus 5,408.00 Tube Aug-24 E - 2020 / Kimia Farma
63 Dextrose Monohdrat 40 % Ampul 7,000.00 Ampul Nov-22 E - 2021 / Rajawali
64 Dextrose Monohdrat 40 % Ampul 7,000.00 Ampul Feb-24 E - 2022 / Rajawali
65 Dextrofen Sirup 50 Botol / Dus 11,550.00 Botol Jun-24 Non E 2021 / KF
66 Diazepam injeksi 5 mg/ml 10 ampul/Box 2,010.00 Ampul Jul-23 E - 2020/ Kimia Farma
67 Diazepam rectal tube 10 mg/2,5 ml (Stesolid) 5 Tube / Kotak 21,935.00 Tube Dec-22 E- 2020 AAM
68 Diazepam rectal tube 5 mg/2,5 ml (Stesolid) 5 Tube / Kotak 15,088.00 Tube Jan-23 E- 2020 AAM
69 Diazepam tablet 2 mg 100 Kapsul/Botol 86.00 Tablet Feb-23 E - 2019 / PPG
70 Diazepam tablet 2 mg 100 Tab / Box 77.00 Tablet Feb-25 E - 2021 / PPG
71 Diazepam tablet 5 mg 100 Tab / Box Tablet May-26 E - 2022 / Rajawali
72 Diazepam tablet 5 mg 100 Tab / Box 113.00 Tablet Jan-23 E - 2019 / Merapi
73 Diazepam tablet 5 mg 100 Tab / Box 108.00 Tablet Jun-25 BSP / 2022
74 Dietilkarbamazine tablet 100 mg 100 tablet/Box 190.00 Tablet Nov-22 BSP / 2018
75 Digoksin Tablet 0,25 Mg 100 Tab/Box 1,540.00 Tablet Aug-23 E - 2021 / Rajawali
76 Diltiazem HCL tablet 30 mg 100 Tab / Box 142.00 Tablet Feb-23 E - 2018 / Kimia Farma
77 Domperidon sirup 5 mg/5 ml 100 Botol / Dus 2,465.00 Botol May-25 E - 2022 / Rajawali
78 Domperidon Drop 5 Mg / Ml 96 Botol / Dus 10,157.00 Botol Aug-24 E - 2021 / Rajawali
79 Doxycyline Cap. 100 Mg 100 Kaps/Box 303.00 kapsul May-23 E - 2021 / AAM
80 Efavirenz 600 mg Kotak 7,956.00 Tablet BSP 2019
81 Epinephrine Ijeksi 0,1% 30 ampul/kotak 11,000.00 Ampul Jan-24 Non E - 2021 / PT. AJF
82 Epinephrine Ijeksi 0,1% 30 ampul/kotak 3,252.00 Ampul Oct-24 E - 2022 / Kimia Farma
83 Eritromisin Sirup kering 200 mg/ 5 ml 50 Botol / Dus 7,761.00 Botol Jun-24 E - 2021 / Kimia Farma
84 Etil Klorida Semprot 100 ml Botol 175,000.00 Botol E - 2022 / Rajawali
85 Ethambutol Tablet 444.00 Tablet Aug-23 BSP 2020
86 Ethionamide 250 mg Tablet Tablet BSP 2021
87 Fenobarbital Ijeksi 50 mg/ml 30 ampul/Box 2,380.00 Ampul Nov-23 E - 2020 /Kimia Farma
88 Fenobarbital Ijeksi 50 mg/ml 30 ampul/kotak 2,380.00 Ampul May-23 BSP / 2020
89 Fenobarbital Tablet 30 Mg 100 Tablet / Box 183 Tablet Mar-26 E - 2021 / Kimia Farma
90 Fitomenadion Ijeksi 30 ampul/kotak 1,595.00 Ampul Feb-23 E - 2021 / Rajawali
91 Fitomenadion Tablet 10 Mg 100 tablet/kotak 847 Tablet Jan-23 E - 2021 / Rajawali
 92 Fitomenadion Tablet 10 Mg 100 tablet/kotak 847 Tablet May-25 E - 2022 / Rajawali
93 Furosemid Injeksi 25 Ampul / Kotak 7,700 Ampul Jan-23 Non E - 2021 / AJF
94 Furosemid Tablet 40 mg 200 tablet / Box 161 Tablet Mar-25 Non E 2021 / KF
95 Furosemid Tablet 40 mg 100 tablet / Box 161 Tablet Mar-25 E 2021 / Rajawali
96 Flufenazine Decanoat Ampul 63,500 Ampul Mar-24 BSP / 2022
97 Geriavita Kaps 100 Tab / Box 2,747 Tablet Feb-24 E - 2022 / Kimia Farma
98 Gentian Fiolet 1% Botol 4,884 Botol May-25 E - 2021 / Rajawali
99 Glikazid 80 mg 100 tablet/kotak 217.00 Tablet Apr-23 E - 2021 / AAM
100 Glukosa larutan infus 10% steril 20 Botol / dus 7,200.00 Botol Jan-23 E - 2021 / Rajawali
101 Glukosa larutan infus 5% steril 20 Botol / dus 6,627.00 Botol Jan-23 E - 2021 / Rajawali
102 Haloperidol tablet 0.5 mg 100 Tab / kotak 55.00 Tablet Okt-23 E - 2019 / PPG
103 Haloperidol tablet 0.5 mg 100 Tab / kotak 55.00 Tablet May-24 E - 2021 / Kimia Farma
104 Haloperidol tablet 1.5 mg 100 Tab / kotak 59.00 Tablet Agu-23 E - 2019 / PPG
105 Haloperidol tablet 1.5 mg 100 Tab / kotak 59.00 Tablet Aug-24 E - 2021 / Kimia Farma
106 Haloperidol tablet 2 mg 100 Tab / kotak 81.00 Tablet Jun-24 E - 2021 / Merapi
107 Haloperidol tablet 5 mg 100 Tab / kotak 54.00 Tablet Feb-25 2022 / Rajawali
108 Haloperidol Tab 5 Mg 100 Tab / Box 54.00 Tablet Apr-24 E - 2021 / Merapi
109 Hemafort Tablet 100 tablet / Box 854.30 Tablet Feb-25 Non E 2021 / Kimia Farma
110 Hidrokortison krim 2,5 % 24 tube/ kotak 2,648.00 Tube Oct-22 E - 2020 / Kimia Farma
111 Ibuprofen suspensi 200 mg/5 ml 60 Botol/dus 3,520.00 Botol Jul-24 E - 2022 / Rajawali
112 Ipratropium Bromida Cairan Inhalasi 0,025 Ampul 11,550.00 Ampul Apr-23 E - 2021 / PPG
113 Isosorbit dinitrat tab sublingual 5 mg 100 Tab / kotak 103.00 Tablet Jul-23 E - 2021 / PPG
114 Kalsium laktat tablet 500 mg 100 Tab / Kotak 64.00 Tablet Aug-23 E - 2020/ Merapi
115 Kanamycin I gr inj Vial Vial BSP 2020
116 Karbogliserin tetes telinga 10% 24 Botol / Box 3,300.00 Botol Jun-24 E - 2022 / Rajawali
117 Ketokonazol krim 2% 25 Tube / Dus 2,499.00 Tube Sep-23 E - 2021 / PT. Tempo
118 Ketorolak inj 30 mg/ml (3% ) 10 Ampul / Box 923 Ampul Jul-23 E - 2021 / AAM
119 Klofazimin Tablet 8,321.00 Tablet Jul-23 BSP / 2021
120 Kloramfenikol Suspensi 125 Mg 60 Botol/dus 5,554.00 Botol Aug-23 E - 2021 / Rajawali
121 Kloramfenikol Saleo 2% ( Bufacetin ) 24 Tube / Dus 3,925.00 Tube Jun-24 E - 2021 / Kimia Farma
122 Kloramfenikol Kapsul 250 mg 100 tablet/kotak 660.00 Kapsul Jun-25 Non E - 2021 / TSJ
123 Kloramfenikol Kapsul 250 mg 100 tablet/kotak 784.00 Kapsul Jul-24 2022 / Rajawali
124 Kloramfenikol Tetes Telinga Botol 9,570.00 Botol Jul-24 E - 2021 / Rajawali
125 Kodein tablet 10 mg 100 tablet / Box 605.00 Tablet Jun-25 E - 2021 / Kimia Farma
126 Kombipak Azotromycin - Cefixime Kotak 30,030.00 Tablet BSP 2019
127 Lefolosaksin 250 Mg Tablet 493.00 Tablet Feb-23 BSP 2021
128 Linezolid Tablet 11,642.00 Tablet BSP 2022
129 Lefos ( Levofloxasin 500 Mg ) 10 Tab/Box Tablet Nov-22 PT.Lintas Expressindo/21
130 Lidokain inj 2 % + Epineprin 30 ampul/kotak 924.00 Ampul Apr-24 E- 2021 / Rajawali
131 Lidokain Injeksi 2 % 100 Ampul / Box 979.00 Ampul Jul-25 E- 2021 / Rajawali
132 Loperamide HCL Tab 2 Mg 100 Tablet/kotak 83.00 Tablet Aug-24 E - 2021 / Indofarma
133 Magnesium Sulfat Injeksi 20 % 25 ML Ampul 4,300.00 Ampul Jan-23 E - 2021 / Rajawali
134 Magnesium Sulfat Injeksi 40 % 25 ML Ampul 4,900.00 Ampul Jan-23 E - 2021 / Rajawali
135 MDT MB Dewasa Blister 40,526.00 Blister Sep-24 BSP - 2022
136 Meprovent (Ipratropium+salbutamol ) 10 Amp / Box 4,063.00 Ampul Jun-23 Non E 2021 / KF
137 Methylprednisolon 4 mg 100 Tab / Box 542.00 Tablet Mar-27 E - 2022 / Kimia Farma
138 Metliergometrin Injeksi 0.25 mg/ml 100 Amp/Kotak 3,553.00 Ampul Jul-23 E - 2020 / APL
139 Metliergometrin Injeksi 0.25 mg/ml 100 Amp/Kotak 3,553.00 Ampul Jul-23 E - 2021 / APL
140 Metokloperamid tablet 10 mg 100 Tab/Kotak 93.00 Tablet Aug-23 E - 2020 / Kimia Farma
141 Metronidazol suspensi 50 Botol / Dus 3,950.00 Botol Nov-22 E - 2020/ Kimia Farma
142 Metronidazol tablet 500 mg 100 tablet/kotak 240.00 Tablet Okt-24 Non E - 2020/ TSJ
143 Metronidazol tablet 500 mg 100 tablet/kotak 240.00 Tablet Jun-25 Non E - 2020/ TSJ
144 Miconazole 2% cream 24 tube/ kotak 4,097.00 Tube Jul-23 E - 2020 / Kimia Farma
145 Moxifloxacin 400 mg Tablet 4,303.00 Tablet Jun-23 BSP / 2021
146 NaCl larutan infus 0,9 % 20 Botol/dus 6,900 Botol Mar-26 E - Rajawali / 2021
147 NaCl larutan infus 0,9 % 20 Botol/dus 6,900 Botol Mar-26 E - Rajawali / 2022
148 Natrium Diklofenak tablet 50 mg Kotak 100 tablet 118.00 Tablet May-24 E - 2021 / AAM
149 Nifedipin Tablet 30 Mg 30 Tablet / Kotak 3,986.00 Tablet Aug-23 E - 2021 / PPG
150 Nistatin Tablet Salut 500.000 100 tablet/kotak 1,014.00 Tablet Dec-22 E - 2020 / Kimia Farma
151 Nistatin Tablet Salut 500.000 100 tablet/kotak 1,014.00 Tablet Dec-22 E - 2021 / Rajawali
152 Nistatin Tablet Salut 500.000 100 tablet/kotak 957.00 Tablet Jun-24 E - 2022 / Rajawali
153 Nistatin vaginal tablet 100.000 IU/ g 100 tablet/kotak 720.00 Tablet Sep-23 E - 2020/Kimia Farma
154 Nistatin vaginal tablet 100.000 IU/ g 100 tablet/kotak 550.00 Tablet Mar-24 E - 2021 / KF
155 OAT kategori anak FDC Paket/Kotak 299,912.00 Paket Sep-23 BSP / 2022
156 OAT Kategori 1 Peket / Kotak 498,866.00 Paket Apr-25 BSP / 2022
157 OAT Dosis Harian Paket/Kotak Paket May-23 BSP / 2021
158 OAT kategori II FDC Paket/Kotak 1,661,981.00 Paket Jun-25 E-2020 / Kimia Farma
159 Oksitosin inj. 10 IU/ml - 1 ml Kotak 100 ampul 1,448.00 Ampul Sep-24 E - 2021 / PT. APL
160 Omeprazole Injeksi 40 Mg 10 Ampul / Box 5,397.00 Ampul Jul-23 E - 2021 / AAM
161 Oralit 100 sachet/dus 280.00 Sachet Jun-26 2022 / Rajawali
162 Paracetamol Tablet 500 Mg 100 Tab / Box 210.00 Tablet Apr-25 E - 2022 / Rajawali
163 Paracetamol Drop 100 mg/ml 96 Botol / Dus 5,306.00 Botol Apr-25 E - 2022 / Rajawali
164 Phalsy ( Valproic Acid ) 250 mg / 5 Ml Botol 77,700.00 Botol Jan-25 E-2022/ Kimia Farma
165 Piridoksin HCl (Vit. B6) tablet 10 mg 100 tablet/kotak 76.00 Tablet 2022 / Kimia Farma
166 Piridoksin HCl (Vit. B6) tablet 25 mg 100 tablet/kotak 222.00 Tablet Jun-23 BSP/ APBN 2021
167 Polikresulen (Albothyl) Botol 10 ml 28,996.00 Botol Sep-21 Non E - 2016 / Rajawali
168 Prednison Tablet 5 Mg 100 Tablet / Box 78.00 Tablet Jul-23 E - 2021 / Kimia Farma
169 Primakuin 15mg 100 tablet/kotak Tablet Mar-24 BSP - 2022
170 Propylthiouracil 100 Mg ( PTU ) 100 Tablet/Box 462.00 Tablet May-25 E - 2021 / AAM
171 Pyrazimnamide tablet 340.00 Tablet Nov-23 BSP 2021
172 Pyrantel Tab 125 Mg 100 Tab / Box 366.00 Tablet Aug-24 E - 2021 / Kimia Farma
173 Ranitidin tablet 150 mg 100 tablet/kotak 31.00 Tablet Jun-24 2022 / PT. Hoga P.N
174 Ringer Laktat larutan infus 500 ml 20 Botol/dus 7,630.00 Botol Jan-25 E - 2020 / Rajawali
175 Ringer Laktat larutan infus 500 ml 20 Botol/dus 7,703.00 Botol Feb-26 E - 2021 / Rajawali
176 Ringer Laktat larutan infus 500 ml 20 Botol/dus 7,703.00 Botol Mar-27 E - 2022 / Rajawali
177 Risperidone 2 Mg 100 Tab/Box 130.00 Tablet Aug-25 E - 2021 / AAM
178 Risperidone 2 Mg 100 Tab / Box 123.00 Tablet Jul-25 BSP / 2022
179 Salep 24 10 Pot / Dus 1,614.00 Pot Aug-24 E - 2021 / Rajawali
180 Salep 24 Dus 1,614.00 Pot Feb-25 E - 2022 / Rajawali
181 Salep Whitfield Pot 3,697.00 Pot Jan-25 E - 2022 / Rajawali
182 Salbutamol 2 mg 100 Tablet / Box 53.00 Tablet Jun-24 2022 / Kimia Farma
183 Salbutamol 4 mg 100 Tablet / Box 69.00 Tablet Jul-24 2022 / Kimia Farma
184 Serum Anti Bisa Ular Ampul 517,000.00 Ampul Aug-23 E- 2021 / Kimia Farma
185 sianokobalamin Injeksi ( vitamin B12 ) 100 ampul/Box 1,125.00 ampul May-24 2022 / Rajawali
186 Spironolakton tablet 25 mg 100 tablet / Box 230.00 Tablet Feb-23 E - 2021 / AAM
187 Sulfaddiazine Silver Salep 35 Gr Tube 18,557.00 Tube Jul-24 E - 2021 / KF
188 Tablet Tambah Darah 100 Tab / Box 260.00 Tablet Jul-23 BSP / 2022
189 Tablet Tambah Darah 100 Tab / Box 260.00 Tablet Oct-23 BSP / 2022
190 Thiamin (Vit. B1) tablet 50 mg 100 tablet/botol 92.00 Tablet Agu-23 E - 2019 / Kimia Farma
191 Thiamin (Vit. B1) tablet 50 mg 100 tablet/botol 98.00 Tablet Jul-24 E - 2020 / Kimia Farma
192 Triheksifenidil tablet 2 mg 100 tablet /Box 91.00 Tablet May-24 BSP / 2022
193 Tuberculin 5 Vial / Box Vial Dec-22 BSP / 2022
194 Vaksin Hyperheb B S/D Inj. 220 iu/mL 1 Ampul / Box 1,375,000 Syringe Aug-23 E - 2021 / PPG
195 Vaksin Hyperheb B S/D Inj. 220 iu/mL 1 Ampul / Box 1,375,000 Syringe Mar-24 E - 2022 / PPG
196 Vitamin B Komplek 100 Tablet / Box 63.00 Tablet Nov-23 E - 2021 / Rajawali
197 Vitamin A kapsul 200.000 IU Botol 50 kapsul 663.00 Kapsul Feb-24 BSP 2022
198 Zinc Sirup 20 Mg/5 Ml 36 Botol / Dus 3,449 Botol Sep-23 E-2021 / PT. Tempo
199 Zinc Sulphate 20 Mg 100 tablet / Box 275.00 Tablet Apr-24 E - 2021 / Rajawali
200 Zinc Sulphate 20 Mg 100 tablet / Box 631.00 Tablet Mar-23 BSP / 2021
Total Harga (Rp)

B. BAHAN HABIS PAKAI

Harga/Satuan (Rp) Ket.
No. Nama Barang Kemasan terkecil
ED
Sumber
1 Alat Suntik 0,5 Ml 100 Set / Dus 1,050.00 Set Sep-25 BSP / 2021
2 Alat suntik sekali pakai 1 ml 100 set/kotak 1,012.00 Set Jun-23 E - 2021 / Kimia Farma
3 Alat suntik sekali pakai 3 ml 100 set/kotak 939.00 Set Feb-26 E - 2022 / Rajawali
4 Alat suntik sekali pakai 5 ml 100 set/kotak 990.00 Set Jun-25 E - 2022 / Rajawali
5 Alat suntik sekali pakai 5 ml 100 set/kotak Set Mar-23 BSP - 2021
6 Alat Suntik Sekali Pakai 10 ML 100 Set / Dus 1,536.98 Set Jun-26 E - 2021 / Kimia Farma
7 Alat Suntik Sekali Pakai 20 ML 100 Set / Dus 2,076.00 Set Nov-26 E - 2022 / Kimia Farma
8 Alkohol Swab 100 Pcs/Box 26,450.00 Box May-25 E - 2021 / Kimia Farma
9 Alkohol Swab 100 Pcs/Box Pieces Jun-26 E - 2022 / Rajawali
10 Blood Lancet 100 Pcs/Box 14,377.00 Box Sep-25 E - 2021 / PT. Teladan
11 Catgut Chrom 2/0 12 Pcs / Kotak 27,966.67 Set Aug-24 E-2020 / Rajawali
12 Catgut Chrom 3/0 12 Pcs / Kotak 26,361.00 Set 2022 / Rajawali
13 Catgut Chrom 3/0 12 Pcs / Kotak 25,009.00 Set Sep-25 E-2021 / Rajawali
14 Catgut Chrom 3/0 12 Pcs / Kotak 33,646.26 Set May-23 E-2020 / Rajawali
15 Catgut Chrom 4/0 12 Pcs / Kotak 33,645.83 Set Jul-23 E-2020 / Rajawali
16 Cartidge Genexpert Pcs 252,400.00 Pcs Mar-23 BSP 2022 / APBN
17 Cybow Urobilinogen ( Protein Urin ) 100 Strip / Tube 133,488 Tube Feb-23 E - 2021 / Rajawali
18 Foley catheter No. 10 10 Set / Box 28,917.00 Set 2022 / Rajawali
19 Foley catheter No. 12 10 Set / Box 28,917.00 Set Jul-24 2022 / Rajawali
20 Foley catheter No. 12 10 Set / Box 14,445.00 Set Jul-24 E - 2021 / Rajawali
21 Foley catheter No. 16 10 Set / Box 12,289.00 Set Mar-25 E - 2021 / Rajawali
22 Foley catheter No. 16 10 Set / Box 28,917.00 Set 2022 / Rajawali
23 Foley Catheter No. 18 10 Set / Box 14,445.00 Set Mar-25 E - 2021 / Rajawali
24 Nasal oxygen cannula Dewasa pices 15,353.00 Pieces Aug-26 E- 2022 / Rajawali
25 Nasal oxygen cannula Dewasa pices 8,740.00 Pieces Mar-27 2022 / Kimia Farma
26 Hand schun Steril ukuran 6 50 Psng / Dus 8,360.00 Pasang E - 2018 / Kimia Farma
27 Hand schun Steril ukuran 6.5 50 Psng / Dus 7,590.00 Pasang Aug-26 E - 2022 / Rajawali
28 Hand schun Steril ukuran 7 50 Psng / Dus 7,590.00 Pasang Aug-26 E - 2022 / Rajawali
29 Hand schun Steril ukuran 7.5 50 Psng / Dus 7,590.00 Pasang Aug-26 E - 2022 / Rajawali
30 Handshoon Non Steril XS 100 Pcs/Box 132,825.00 Box Dec-26 E - 2022 / Rajawali
31 Handshoon Non Steril S 100 Pcs/Box 132,825.00 Box Nov-26 E - 2022 / Rajawali
32 Handshoon Non Steril M 100 Pcs/Box 132,825.00 Box Feb-27 E - 2022 / Rajawali
33 Handshoon Non Steril L 100 Pcs/Box 132,825.00 Box Aug-26 E - 2022 / Rajawali
34 Hand Sanitizer Medikacare 0,5% / 5L Jergen 550,752.00 Jergen Mar-25 COVID 19 KF/2020
35 Hand Sanitizer Medikacare 0,5% / 500 ml Botol 59,009.00 Botol Mar-25 COVID 19 KF/2020
36 Humasens 2.0 Plus total Glukosa strips 50 Strip / Dus 268,420 Box Mar-24 E - 2022 / Rajawali
37 Humasens 2.0 Plus total Glukosa strips 50 Strip / Dus 268,759 Box Jul-23 E - 2021 / Rajawali
38 Humasens 2.0 Plus Uric Acid test strip 25 Strip / Dus 383,981 Box Jan-23 E - 2021 / Rajawali
39 IV Catheter No 16 50 Set / Box 8,624 Set Apr-24 E - 2021 / Rajawali
40 IV. Cathteter No. 18 50 Set / Box 5,347 Set Jan-27 E-2022 / Kimia Farma
41 IV. Catheter No. 20 50 Set / Box 5,995.00 Set May-26 E-2021 / PT. Safelock M
42 IV. Catheter No. 20 50 Set / Box 5,347.00 Set Nov-26 E-2022 / Kimia Farma
43 IV. Catheter No. 22 50 Set / Box 5,347.00 Set Mar-27 E-2022 / Kimia Farma
44 IV. Cathteter No. 24 50 Set / Box 5,995.00 Set May-26 E-2021 / PT. Safelock M
45 IV. Cathteter No. 24 50 Set / Box 5,347.00 Set May-27 2022 / Kimia Farma
46 Infuset anak (60 drops/ml) 10 Set / Dus 43,470.00 Set Dec-24 2022 / Rajawali
47 Infuset dewasa (15 drops/ml) 25 Set / Bungkus 5,440.00 Set Aug-24 E - 2020 / MPI
48 Kapas absorben 500 gram Roll Rol
49 Kapas absorben 500 gram Roll 64,034.00 Rol Aug-27 2022 / Rajawali
50 Kaca slide 72 Pcs / Box 720.00 Pieces BSP 2018
51 Kasa Pembalut hidrofil 40 x 80 Roll 140,000.00 Roll Mar-23 E- 2020 / Kimia Farma
52 Kasa pembalut hidrofil 4 x 10 Roll 12,000.00 Rol DRE 2016
53 Masker Earloop 50 Pcs / Dus 41,382.00 Box Aug-26 E - 2021 / PT. Teladan
54 Masker Headloop 50 Pcs / Dus 41,349.00 Box Mar-26 E - 2021 / PT. Teladan
55 Masker Kain Piece 5,500.00 Box BSP / 2020
56 Masker Bedah 50 Pcs / Dus Box BSP / 2021
57 Surgical Face Mask ( Masker Earloop ) 50 Pcs / Dus Box BSP / 2020
58 Masker N 95 ( Aero Pro ) 20 Pcs / Box 20,000.00 Pieces Jan-23 BSP / APBN 2022
59 Masker N 95 ( Dream Can ) 20 Pcs / Box 19,900.00 Pieces Jan-23 BSP / APBN 2022
60 Masker N 95 20 Pcs / Box Pieces BSP / 2022
61 Microlit Micropipette Vol. 50 µl Piece Pieces E - 2017 / Rajawali
62 Microlit Micropipette Vol. 100 µl Piece 565,200.00 Pieces E - 2018 / Rajawali
63 Microlit Micropipette Vol. 200 µl Piece Pieces E - 2017 / Rajawali
64 Povidon Iodida 10 % (300 ml) Botol 300 ml 17,862.50 Botol Jul-23 E - 2020 / Rajawali

65 Pot Dahak 20 Pcs / Bungkus 2,675.00 Pieces Mar-26 BSP 2021

66 Rivanol Botol 300 ml Botol 300 ml 3,212.50 Botol Jul-23 E - 2020 / Rajawali
67 Sefty Box Pieces 14,000.00 Pieces BSP / 2021
68 Silk (Benang Bedah Sutera) No. 3/0 12 Pcs / Kotak 16,354.00 Pieces Aug-26 E- 2022 / Rajawali
69 Silk (Benang Bedah Sutera) No. 3/0 12 Pcs / Kotak 15,092.00 Pieces Apr-25 E- 2021 / Rajawali
70 Silk (Benang Bedah Sutera) No. 2/0 12 Pcs / Kotak 21,878.79 Pieces May-24
E- 2020 / Rajawali
71 Suction catheter No.6 20 Set / Dus 8,349.00 Pieces Jul-26 E - 2020 / Kimia Farma
72 Suction catheter No.6 20 Set / Dus 8,349.00 Pieces Jul-26 E - 2021 / Kimia Farma
73 Urin bag 10 Set / Bungkus 12,474.00 Pieces Dec-26 2022 / Rajawali
74 Masker Medis 50 Pcs / Box Pieces BSP - 2021
75 Masker N95 Pieces Pieces BSP - 2022
76 Kaca Mata Google Pieces Pieces BSP - 2021
77 Face Shil Pieces Pieces BSP - 2021
78 Cool Pack Buah Buah BSP - 2021
79 Caver All Pieces Pieces BSP - 2021
80 Thermometer Infra Red Buah 1,980,000.00 Buah 2020 - DSW
81 Ansucopy Set 30,000.00 Set BSP 2019
82 Mikro pipet Tips 60 179.00 Pieces BSP 2019
83 Mikro pipet Tips 61 231.00 Pieces BSP 2019
84 Pipet 25 Pcs/Bungkus Pieces BSP 2018
Total Harga (Rp)

C. BAHAN GIGI
Harga/Satuan (Rp) Ket.
No. Nama Barang Kemasan terkecil
ED
No. Nama Barang Kemasan terkecil
ED
Sumber
1 Articulating Paper Part DC Kertas 220,000.00 Kertas - Non E-2018
2 Stopping temporary ( FLETCHER POWER ) Pot 100 g 45,000.00 Pot Non E - 2015
Total Harga (Rp)

D. REAGEN
Harga/Satuan (Rp) Ket.
No. Nama Barang Kemasan terkecil
ED
Sumber
1 GPT.{ALAT).Rl:.5x20ml,R2:2x10ml . KIT 341,512 Botol Mar-23 E - 2021 / Rajawali
2 GOT.{ASAT)Rl:.5x20ml,.R2:.2x10ml . KIT 341,233 Botol Feb-23 E - 2021 / Rajawali
3 Protein Total Mono Rl: 4 x 100 ml KIT 273,098 Botol Jan-23 E - 2021 / Rajawali
4 TriglyceridesR1:4xlOO.ml . KIT 1,274,829 Botol Jan-23 E - 2021 / Rajawali
5 HDL-C Direst R1 6x10 ml KIT 1,638,032 Botol Mart-23 E - 2021 / Rajawali
6 Uric Acid R1 2x100 ml KIT 456,091 Botol Juli-23 E - 2021 / Rajawali
7 LDL - C DIRECT R1 6X10ML,R2 2X10ML KIT 2,913,694 Botol Juli-23 E - 2021 / Rajawali
8 Reagen TB ( Ziehl Neesen ) Paket @ 3x10 ml 196,971.00 Paket Mar-23 BSP / 2021
Total Harga (Rp)

E. RAPID
Harga/Satuan (Rp) Ket.
No. Nama Barang Kemasan terkecil ED
Sumber
1 RDT HBSAG 25 Pcs / Box Pieces Mar-23 BSP / 2022
2 RDT HIV 2 25 Pcs / Box 11,500.00 Pieces Sep-23 BSP / 2021
3 RDT HIV 2 25 Pcs / Box 11,500.00 Pieces Sep-23 BSP / 2022
4 RDT HIV 3 25 Pcs / Box 13,500.00 Pieces Oct-23 BSP / 2021
5 RDT HIV 3 25 Pcs / Box 10,500.00 Pieces Oct-23 BSP / 2022
6 RDT DBD 10 Pcs / Box Pieces BSP / 2022
Rapid Test Antigen (Covid -19) Novel Coronavirus
7 25 test/kotak Test Jun-23 BSP / 2022
(SARS-Cov-2)
Total Harga (Rp)