LAPORAN DINAMIKA LOGISTIK OBAT DAN BMHP DI INSTALASI FARMASI KABUPATEN DOMPU

PERIODE AGUSTUS 2022

OXYTET
TANGGAL TOTAL DISTRIBUSI SISA STOK
NAMA OBAT STOK AWAL PENERIMAAN PERSEDIAAN SUMBER DANA NO BACTH HARGA SATUAN
SATUAN KADALUARSA Volume Harga (Rp.) Volume Harga (Rp.)
NILAI TOTAL PERSEDIAAN
DANA APBN
Alat Kesehatan
1 Apron Biru malaria Pcs 75 75 APBN 2021 - - - - 75 -
2 APD Lengkap 130 130 - - 130 -
3 APD Lengkap Foging Set 8 8 APBD I 2021 Rp 1,026,360.00 - - 8 8,210,880

BAJU (Cover All Suit /Hazmat Suit) baju BOHO Pcs 150 APBD I 2021 Rp 150,000.00
4 150 - - 150 22,500,000
5 Cover All Suit (T.Well) pcs 3,397 3,397 APBD I 2021 - - 3,397 -
6 Cool Box 5,5 liter 2 2 APBD I 2022 Rp 230,000.00 - tanya ibu erlin p2 2 460,000
7 Gips 4 Inch Rol 7 7 APBD I 2021 Rp 21,080.00 - - 7 147,560
8 Ice gel 70 70 APBD I 2022 Rp 10,000.00 - 70 700,000
9 KKJH Lembar 160 160 - - 160 -
10 K3JN Lembar 160 160 APBD I 2021 - - 160 -
11 Kondom pcs 1,008 1,008 APBD I 2022 PD2213 3/30/2027 Rp 448.00 - 1,008 451,584
12 Masker Bedah 3 Ply (HIV) Pcs 2,250 2,250 APBD I 2021 14200601 6/1/2025 Rp 2,290.00 200 458,000 2,050 4,694,500
13 Masker Bedah 3 Ply semilas (surveilans) Pcs 1,400 1,400 APBD I 2022 011211016 30/101/2026 - - 1,400 -
14 Masker TB N95 Pcs 0 - APBD I 2021 300003765 4/1/2023 Rp 386.10 - - 0 -
15 Masker N95 (Aeco pro) TB 990 990 APBD I 2022 TC-84A-4175 - - 990 -
16 Masker KN95 (Protective Mask) pcs 895 895 APBD I 2021 LA20191951 - - 895 -
17 Masker Las (Foging) Pcs 55 55 APBD I 2021 - - Rp 380,000.00 - - 55 20,900,000
20201105110
Masker Head Loop Pcs 8,500 05/11/2023
18 8,500 APBD I 2022 7MH - 8,500 -
20201105110
Masker Head Loop Pcs 500 05/11/2023
19 500 APBD I 2022 7MH - 500 -
20201024094
Masker Ear Loop Pcs 5,000 24/10/2023
20 5,000 APBD I 2022 5me 800 4,200 -
21 Masker Tali Ties On 3 Ply TB Pcs 6,000 6,000 APBD I 2022 21081887 - 6,000 -
22 Masker Bedah Kaltech Pcs 4,000 4,000 APBD I 2022 07/05/2024 Rp 706.42 - 4,000 2,825,680
23 Plastik pcs 160 160 - - 160 -
24 Sarung Tangan Non Steril L pcs 1,000 1,000 APBD I 2022 2020404 46,265 Rp 9,000.00 - - 1,000 9,000,000
25 Spanduk Pos Pelayanan Kesehatan Pelayana Pcs 24 24 - 24 -
26 Tali Pcs 160 160 - - 160 -
PROGRAM STANTING - - 0 -
1 Alkohol Swab Pcs 9,000 9,000 APBD I 2022 15072288 30/06/2025 - 9,000 -
Hb Meter Pcs 10 10 APBD I 2022
2 HB22103175 - 10 -
3 Pen Lancing pcs 10 10 APBD I 2022 15092088 - 10 -
4 Blood Lancet pcs 9,000 9,000 APBD I 2022 03102288 30/09/2027 - 9,000 -
5 Sarung Tangan Non Steril L Pcs 9,000 9,000 APBD I 2022 0720224033 30/07/2025 - 9,000 -
Strip Hb Meter Pcs 5,450 5,450 APBD I 2022
6 HS22103175 15/11/2024 - 5,450 -
OBAT-OBATAN 0 - - - 0 -
1 Amoxicillin 500 mg Tablet 30,000 30,000 APBD I 2022 B10686911 28/02/2024 24,200 - 5,800 -
2 Amoxicillin 500 mg Tablet 15,000 15,000 APBD I 2022 L10686813 30/11/2023 15,000 - 0 -
3 Amoxicillin 500 mg Tablet 5,000 5,000 APBD I 2022 L10686801 30/11/2023 5,000 - 0 -
4 Antasida DOEN Tablet Tablet 2,000 2,000 APBD I 2022 201062 30/10/2024 - 2,000 -
5 Chloroquin Phospat 150 mg 100/ktk 1,500 1,500 APBN C00170B 2/1/2025 Rp 1,656.31 - - 1,500 2,484,465
Cotrimoxazol 960 mg Tablet 500 APBN A10987 6/30/2024 Rp 325.00
6 500 - - 500 162,500
7 DHP Frimal (Kotak @9 Tablet) Tablet 13 13 APBD I 2021 220513 5/22/2024 Rp 1,900.00 2 3,800 11 20,900
8 Doxycycline 100 Tablet 200 200 APBD I 5260648 30/07/2023 Rp 670.00 - - 200 134,000
9 Ethionamide 250 mg Tablet 1,800 1,800 APBD I NEA2012A 7/30/2024 Rp 1,502.00 - - 1,800 2,703,600
10 Favipiravir 200 mg Tablet 3,300 3,300 APBD I H10149N 30/08/2023 Rp 10,399.00 - - 3,300 34,316,700
11 Garam Oralit sachet 10,500 10,500 APBD 46373057 6/30/2024 Rp 280.00 1,300 364,000 9,200 2,576,000
12 Garam Oralit sachet 18,000 18,000 APBD 46373067 6/30/2025 Rp 280.00 100 28,000 17,900 5,012,000
Glibenclamide 5 mg Tablet 6,000 APBD I 2021 1804030 5/1/2020
13 6,000 Rp 125.00 6,000 750,000 0 -
14 Levolfoxacin 100 mg Tablet 500 500 APBD I 2022 LFAH011 2/28/2024 Rp 1,952.00 - - 500 976,000
15 Lampren ( Clofazimine) 100mg Kapsul 100 100 APBD I 2022 KD5782 7/31/2024 Rp 8,384.00 - - 100 838,400
16 Lampren ( Clofazimine) 100mg Kapsul 800 800 APBD I 2022 LE4868 10/30/2025 Rp 7,639.00 - - 800 6,111,200
17 MDT Combi Dewasa PB Blister 2 2 APBD I 2022 B.KE6422 7/31/2023 Rp 40,128.00 1 40,128 1 40,128
18 MDT Combi Dewasa PB Blister 6 6 APBD I 2022 LH2420 5/30/2024 Rp 15,304.00 - - 6 91,824
MDT Combi Dewasa MB (Merah) Blister 10 APBD I 2021 B.KU2978 2/1/2024 Rp 40,128.00
19 10 6 240,768 4 160,512
20 MDT Combi Anak MB ( ORANGE) Blister 2 2 APBD I 2022 BLD8337 5/31/2024 Rp 22,794.00 2 45,588 0 -
21 Mineral Mix Sachet 280 280 APBN 2022 2208097 30/08/2024 Rp 2,981.52 - 280 834,826
Moxifloxacin ( moximed) 400mg Tablet 1,800 APBD I 2022 1807049A 6/30/2023
22 1,800 - - 1,800 -
23 Moxifloxacin ( moximed) 400mg Tablet 1,200 1,200 APBD I 2022 52C0728 5/30/2023 Rp 9,789.00 - - 1,200 11,746,800
24 Multivitamin (Bionicom Zink) Tablet 2,000 2,000 APBD I 2022 JI0031 Sep-23 Rp 594.00 - - 2,000 1,188,000
25 Multivitamin & mineral Ibu Hamil (LADUNIN) Tablet 1,960,200 1,960,200 APBD I 2022 235955 1/06/2024 1,229,760 730,440 -
26 OAT Kat. 1,3 Paket 44 44 APBD I 2021 46461012 2/29/2024 Rp 436,445.00 26 11,347,570 18 7,856,010
27 Paket KIT TB kotak 10 10 APBD 1 A003132 5/1/2023 - - 10 -
28 Paket KIT TB kotak 32 32 APBD 1 A005248 30/10/2023 Rp 409,461.00 - 32 13,102,752
29 OAT Kat Anak Paket 17 17 APBD I G12296J 6/1/2024 Rp 259,036.00 3 777,108 14 3,626,504
30 Primaquin 15 mg Tablet 0 - APBD I 36386001-2 8/31/2023 Rp 242.00 - - 0 -
31 Primaquin 15 mg Tablet 500 500 APBD I 56386003 3/30/2024 Rp 242.00 - 500 121,000
32 Pyrazinamide 500 mg Tablet 2,000 2,000 APBD I 1106177 6/30/2024 Rp 230.00 - - 2,000 460,000
33 Pyrimethamine 25 mg Tablet 200 200 APBD I GII044BJ 30/06/2023 Rp 1,320.00 - 200 264,000
34 Rifanpentin 150 mg Tablet 216 216 APBD I IJ7323 9/30/2024 Rp 5,525.00 48 168 928,200
35 Retinol 200.000 IU (Merah) Kapsul lunak 8,100 8,100 APBD I F21209W 6/30/2025 Rp 586.30 200 117,260 7,900 4,631,770
36 Retinol 100.000 IU (Biru) Kapsul lunak 1,600 1,600 APBD I E20910W 5/30/2025 Rp 323.92 - - 1,600 518,272
37 Tablet Tambah Darah Tablet 125,900 125,900 APBD I 2022 22CA012 01/02/2024 Rp 238.00 125,900 29,964,200 0 -
38 Tablet Tambah Darah Tablet 14,000 14,000 APBD I 2022 46818012 31/03/2024 Rp 238.00 2,300 547,400 11,700 2,784,600
39 Tablet Tambah Darah Tablet 640,000 640,000 APBD I 2022 22CC067 4/1/2025 Rp 238.00 - - 640,000 152,320,000
40 Zinc Disposible 20 mg Tablet 8,400 8,400 APBD I 2022 46496034 3/30/2024 Rp 253.00 5,600 1,416,800 2,800 708,400
OBAT-OBATAN GOLONGAN NARKOTIK, PSIKOTROPIK 0 - - - 0 -
Clozapine 25 mg Tablet 46,250 APBD I 2021 52B0036 1/1/2023
41 46,250 Rp 1,121.00 - - 46,250 51,846,250
OBAT-OBAT GOLONGAN TERTENTU 0 - - - 0 -
Amitryptylline 25 mg Tablet 600 APBD I A1430JY 10/30/2025 Rp 173.00
42 600 100 17,300 500 86,500
43 Haloperidol 5 mg Tablet 3,000 3,000 APBD I 2022 A11192 7/1/2024 Rp 54.00 3,000 162,000 0 -
SIRUP, SUSPENSI DAN DROP 0 - - - 0 -
44 Albendazole sirup Botol 50 50 APBD 1 2111062 11/30/2023 Rp 4,300.00 - - 50 215,000
45 Antasida sirup 126 126 63 63
INJEKSI DAN PELARUT Botol 0 - - - 0 -
46 Artesunat Injeksi 60 mg/ml Vial 5 5 APBD I LA220631 5/11/2025 Rp 69,898.00 - - 5 349,490
47 Benzatine Penicillin 2400000 iu Vial 20 20 APBD I 46319008 30/06/2023 Rp 14,500.00 - 20 290,000
48 Flufenazine inj Ampul 40 40 APBD I 2EA01036 1/31/2025 Rp 63,500.00 - - 40 2,540,000
49 Tuberkulin Vial 1 1 APBD I 6500222 30/01/2024 1 - 0 -
INJEKSI GOLONGAN NARKOTIK, PSIKOTROPIK 0 - - - 0 -
50 Diazepam inj 5 mg Ampul 60 60 APBD I F2H283 30/08/2024 30 30 -
INJEKSI GOLONGAN OBAT-OBAT TERTENTU 0 - APBD I - - 0 -
51 Halloperidol inj 5 mg Ampul 105 105 APBD I 4210119 10/30/2023 Rp 1,190.00 - - 105 124,950
52 Haldol Decanoat inj Ampul 95 95 APBD I KDB3C00 3/31/2023 Rp 101,300.00 - - 95 9,623,500
LABORATORIUM 0 - - - 0 -
53 Alat Suntik 1 ml 140 140 18I0904J 8/1/2023 - - 140 -
54 Abate botol 20 20 APBN 224R070007 08/06/2024 2 18 -
55 Alkohol Swab 140 140 9088780 2/28/2024 - - 140 -
56 BETAFOG Botol 25 25 APBN 005B0720 7/1/2025 Rp 276,000.00 - - 25 6,900,000
57 Buku saku malaria 6 6 1 - 5 -
58 Blood Lancet 200 'S Pcs 1,600 1,600 APBN 2019 171226 1/10/2023 Rp 35,135.00 - - 1,600 56,216,000
59 Insektisida GOKILAT Botol 0 24 24 APBN M200701 15/07/2023 2 22 -
60 Catride TCM TB Pcs 0 200 200 APBD I 1000279683 23/07/2023 Rp 253,000.00 100 25,300,000 100 25,300,000
61 DBS Collection Kit/HIV kit Pcs 20 20 APBD 1 137681 8/30/2023 Rp 26,980.00 - - 20 539,600
62 Giemsa 100 ML Botol 10 10 960621-GM 8/14/2023 Rp 358,500.00 1 358,500 9 3,226,500
63 Jarum Suntik 140 140 17062813 5/31/2022 - - 140 -
64 Kacamata Google TB pcs 13 13 APBD 1 2 - 11 -
65 Lab. Kit Malaria kotak 7 7 APBD 1 Rp 1,016,565.00 - - 7 7,115,955
66 Lubrikan Cupid pcs 500 500 APBD 2 LBC2283 45,716 Rp 331.00 - 500 165,500
67 Oil Emersi 500 ml Botol 4 4 APBD 1 IMR1034 10/1/2023 Rp 1,123,065.00 2 2,246,130 2 2,246,130
68 Object Glass (BLOOD SLIDE) pcs 20 20 APBD 1 0317/39 6/1/2022 Rp 41,065.00 - - 20 821,300
69 Pot Dahak / Pot Sputum Buah 1,320 1,320 APBD 1 03190601 6/1/2024 Rp 2,624.00 60 157,440 1,260 3,306,240
70 Reagen ZN 10 ktk/Dus 198 198 APBD 1 013/2021 2/1/2023 Rp 229,910.00 198 46,671,730 0 (1,149,550)
71 Reagen ZN 11 ktk/Dus 400 400 APBD 1 0142021 24/02/2023 Rp 187,703.00 400 0 (938,515)
72 RAPID TEST ANTOBODI INDECTS pcs 50 50 APBN G20013 7/31/2022 - - 50 -
73 RDT Malaria Tes 150 150 APBN 05ED050B 9/24/2022 100 - 50 -
10
RDT DBD Virotec Dengue Kombo 96 102 APBN G21009 31/07/2023
74 PCS/BOX 6 13 89 -
75 Rapid Antigen (Whole Power) Pcs 3,465 3,465 APBD 1 201110 11/9/2022 80 - 3,385 -
76 RDT RI-GHA pcs 80 80 APBD I C19011 10/30/2022 - - 80 -
77 Rapit tes HIV 1/2 Viroceck Pcs 575 575 APBD I H21041 8/31/2023 275 - 300 -
78 Rapit tes HIV 1/2 Viroceck Pcs 2,400 2,400 APBD I J21059 30/09/2023 - 2,400 -
79 Rapit tes HIV 1/2 Diagnostar Pcs 25 25 APBD I 2109170 9/30/2023 - - 25 -
80 Rapit tes HIV 1/2 Diagnostar Pcs 300 300 APBD I 2109170 30/09/2023 - 300 -
81 Standar Q HIV 1/2 Ab 3 Line R3 Pcs 100 100 APBD I 5352AF1AC 14/10/2023 50 50 -
82 Sample collection kit pcs 2 2 APBD I - - 2 -
DANA DAK 0 - - - 0 -
Bahan Medis Habis Pakai (BMHP) 0 - - - 0 -
83 Alat Suntik sekali pakai 1 ml Pcs 2,100 2,100 DAK 2022 0410 4/9/2027 Rp 1,023.00 1,100 1,125,300 1,000 1,023,000
84 Alat Suntik sekali pakai 3 ml Pcs 9,500 9,500 DAK 2022 0410 4/9/2027 Rp 979.00 6,200 6,069,800 3,300 3,230,700
85 Alat Suntik sekali pakai 5 ml Pcs 4,400 4,400 DAK 2021 710 7/9/2026 Rp 1,056.00 1,800 1,900,800 2,600 2,745,600
86 Alkohol swab Pcs 11,700 11,700 DAK 2022 01092188 8/31/2024 Rp 99.00 5,900 584,100 5,800 574,200
87 Blade Sterile (Mess) Serenity carbon Pcs 4,100 4,100 DAK 2022 K1052 3/31/2027 Rp 646.34 600 387,804 3,500 2,262,190
88 Blood Lancet Pcs 39,700 39,700 DAK 2021 20069 3/1/2025 Rp 125.48 900 112,932 38,800 4,868,624
89 Blod TransfusiSet Stera Pcs 1,148 1,148 DAK 2021 28032088 2/1/2025 Rp 3,600.00 40 144,000 1,108 3,988,800
90 Catgut Plain 3/0 HR 37 mm@24 Pcs 864 864 DAK 2022 2108144 9/30/2026 Rp 5,445.00 288 1,568,160 576 3,136,320
91 Dermafix @ 10 Pcs Pcs 10 10 DAK 2022 15112188 30/10/2026 Rp 13,310.00 10 133,100 0 -
Female Catheter no. 16 Pcs 31 DAK 2021 20191115 11/1/2024 Rp 7,461.00
92 31 - - 31 231,291
93 Female Catheter no. 18 Pcs 516 516 DAK 2021 20180520 5/1/2023 Rp 7,461.00 - - 516 3,849,876
94 Foley Catheter no. 18 Pcs 81 81 DAK 2021 20191017 10/16/2024 Rp 14,341.00 55 788,755 26 372,866
95 Infus Set Anak Pcs 1,450 1,450 DAK 2022 1592188 8/31/2026 Rp 3,850.00 1,100 4,235,000 350 1,347,500
96 Infus Set Dewasa Pcs 429 429 DAK 2022 21032288 2/28/2027 Rp 3,520.00 429 1,510,080 0 -
97 IV Catheter no. 18 Pcs 3,600 3,600 DAK 2021 72021 6/1/2026 Rp 4,818.00 400 1,927,200 3,200 15,417,600
98 IV Catheter no. 20 Pcs 1,950 1,950 DAK 2022 21k2806j 31/10/2026 Rp 4,818.00 950 4,577,100 1,000 4,818,000
99 IV Catheter no. 22 Pcs 6,200 6,200 DAK 2022 21L2506J 11/30/2026 Rp 4,862.00 1,900 9,237,800 4,300 20,906,600
100 IV Catheter no. 24 Pcs 2,850 2,850 DAK 2022 20108D003 8/30/2027 Rp 12,804.00 1,400 17,925,600 1,450 18,565,800
101 Jarum Kulit GT 14 Pcs 2,640 2,640 DAK 2021 16153703 Rp 1,500.00 24 36,000 2,616 3,924,000
102 Jarum Otot GR 14 Pcs 2,580 2,580 DAK 2021 13934810 Rp 1,500.00 24 36,000 2,556 3,834,000
103 Kapas Pembalut 500 gr Bungkus 92 92 DAK 2022 04102188 9/30/2026 Rp 31,944.00 28 894,432 64 2,044,416
104 Kassa Panjang Roll 20 20 DAK 2022 22111565 09/11/2027 Rp 218,900.00 20 4,378,000 0 -
105 Masker Non Rebrithing Pcs 8 8 DAK 2022 01211210 12/31/2026 Rp 49,000.00 8 392,000 0 -
106 Nasal Canula Bayi Pcs 65 65 DAK 2022 07042288TI 3/31/2026 Rp 6,050.00 23 139,150 42 254,100
107 Nasal Canula Anak (Semilas) Pcs 28 28 DAK 2022 01190702 7/30/2024 Rp 22,100.00 28 618,800 0 -
108 Nasal Canula DEWASA Pcs 157 157 DAK 2022 09062288T1 5/30/2026 Rp 6,050.00 62 375,100 95 574,750
109 Polifix / Hipavix 5mx5cm Roll 9 9 DAK 2022 2206722 6/30/2025 Rp 42,041.00 9 378,369 0 -
110 Plesterin Bulat Soft (Box @200 Pcs) 200/box 59,800 59,800 DAK 2022 23022288 1/31/2027 Rp 142.50 2,000 285,000 57,800 8,236,500
Sarung Tangan Steril no.7 ( Serenity Steril
Pcs 3,100 DAK 2022 20220228 2/28/2027 Rp 6,066.00
111 Surgical) 3,100 - - 3,100 18,804,600
112 Sarung Tangan Steril no.7 Pcs 1,300 1,300 DAK 2022 SH2202032 3/30/2027 - 1,300 -
113 Sarung Tangan Steril no.7 Pcs 5,150 5,150 DAK 2022 10329138 31/03/2026 Rp 4,987.50 1,350 3,800 18,952,500
114 Sarung Tangan Non Steril L Pcs 61,000 61,000 DAK 2022 7217306137 30/04/2027 Rp 545.50 16,100 8,782,550 44,900 24,492,950
115 Sarung Tangan Obgyn Pcs 1,255 1,255 DAK 2022 01042288 3/31/2027 Rp 19,118.00 152 2,905,936 1,103 21,087,154
116 Tes kehamilan Pcs 2,550 2,550 DAK 2022 09032288 10/30/2026 Rp 2,090.00 900 1,881,000 1,650 3,448,500
117 Urine Bag Pcs 1,235 1,235 DAK 2021 11210401 4/1/2026 Rp 4,706.00 45 211,770 1,190 5,600,140
118 Under Pad (Soft Pad 60 x 90 cm) Pcs 1,160 1,160 DAK 2022 22042288 3/31/2027 Rp 3,630.00 1,000 3,630,000 160 580,800
119 USG GEL Dopler Botol 14 14 DAK 2022 2405228 4/30/2024 Rp 15,939.00 1 15,939 13 207,207
OBAT-OBATAN 0 - - - 0 -
Acetylsistein 200 mg Kapsul 171,300 DAK 2022 22AS1211 30/09/2024 Rp 307.00
120 171,300 44,580 126,720 38,903,040
Allopurinol 300 mg Tablet 50,400 DAK 2022 HTALOD2254 3/31/2024 Rp 200.00
121 50,400 - - 50,400 10,080,000
Allopurinol 300 mg Tablet 2,500 DAK 2022 HTALOD2252 3/30/2024 Rp 200.00
122 2,500 - - 2,500 500,000
HTALOC2306
Allopurinol 100 mg Tablet 9,600 DAK 2022 6/30/2024 Rp 87.00
123 9,600 3 9,600 835,200 0 -
124 Amlodipin 10 mg Tablet 118,400 118,400 DAK 2022 AG1301 1/31/2025 Rp 72.00 37,900 2,728,800 80,500 5,796,000
Amoxicillin 500 mg Tablet 20,800 DAK 2022 TAMXB23238 4/30/2024 Rp 211.00
125 20,800 20,800 4,388,800 0 -
Antasida DOEN Tablet Tablet 74,000 DAK 2022 A11023 7/30/2024 Rp 54.00
126 74,000 47,000 2,538,000 27,000 1,458,000
127 Asam Ascorbaat 50 mg Tablet 184,900 184,900 DAK 2022 G20212N 30/07/2024 39,900 145,000 -
128 Asam Acetylsalisilate Tablet 0 10,000 10,000 DAK 2022 56826003 30/11/2024 - - 10,000 -
Asam Folat 1 mg Tablet 137,600 DAK 2021 2110-05-365 10/1/2023 Rp 43.00
129 137,600 3,500 150,500 134,100 5,766,300
130 Attapulgit 600mg (Pularex) Tablet 107,700 107,700 DAK 2021 09101 9/1/2024 Rp 250.00 6,400 1,600,000 101,300 25,325,000
131 Attapulgit 600mg (Pularex) Tablet 7,600 7,600 DAK 2021 12101 12/1/2024 Rp 250.00 - - 7,600 1,900,000
132 Betahistine Tablet 12,400 12,400 DAK 2022 52J0570 01/10/2023 Rp 88.00 900 79,200 11,500 1,012,000
133 Calcium Lactate Tablet 182,400 182,400 DAK 2022 A20882 4/30/2025 Rp 60.00 14,000 840,000 168,400 10,104,000
134 Cavicur Tablet 5,500 5,500 DAK 2022 H0757030 2/28/2025 Rp 695.97 5,500 3,827,835 0 -
135 Captopril 12,5 mg Tablet 35,000 35,000 DAK 2022 56323027 30/04/2024 Rp 75.00 10,100 757,500 24,900 1,867,500
136 Captopril 25 mg Tablet 46,500 46,500 DAK 2022 56324055 30/04/2024 Rp 75.00 12,800 960,000 33,700 2,527,500
137 Cefadroxil Monohidrinat 500 mg Tablet 21,000 21,000 DAK 2022 2210-12-57 30/10/2026 Rp 1,100.00 10,000 11,000 12,100,000
138 Cetirizine Tablet Tablet 159,100 159,100 DAK 2022 S63661 1/30/2025 Rp 50.00 18,200 910,000 140,900 7,045,000
139 Colcisine Tablet 25,650 25,650 DAK 2022 21H119 30/08/2024 Rp 649.00 3,390 2,200,110 22,260 14,446,740
140 Colcisine Tablet 4,350 4,350 DAK 2022 21J010 30/09/2024 Rp 649.00 - 4,350 2,823,150
Chlorpheniramin Maleat (CTM) 4 mg ( Trifachlor) Tablet 256,000 DAK 2022 2207099 7/30/2024 Rp 70.00
141 256,000 67,300 4,711,000 188,700 13,209,000
Cotrimoxazol 480 mg Tablet 43,400 DAK 2022 A01081 5/1/2023 Rp 133.00
142 43,400 2,500 332,500 40,900 5,439,700
143 Chlorampenicol 500 mg (Cloramex 500) Tablet 31,800 31,800 DAK 2022 423881007 8/30/2024 Rp 1,174.00 1,000 1,174,000 30,800 36,159,200
HTCFXC1555
Ciprofloxacin 500 mg Tablet 4,000 DAK 2022 10/30/2025 Rp 250.00
144 4,000 1 1,700 425,000 2,300 575,000
Dexamethasone 0,5 mg Tablet 33,000 DAK 2022 2210-13-150 30/10/2024
145 33,000 33,000 0 -
Dexamethasone 0,5 mg Tablet 218,000 DAK 2022 2210-19-150 30/10/2024
146 218,000 13,800 204,200 -
147 Dimenhydrinat 50 mg Tablet 7,600 7,600 DAK 2022 G91864B 6/30/2024 Rp 104.00 - - 7,600 790,400
148 Ergotamin Tablet 300 300 DAK 2021 J00585B 9/1/2023 Rp 308.00 - - 300 92,400
149 Griseovulfin 125 mg Tablet 20,700 20,700 DAK 2022 500 - 20,200 -
150 Loperamide (Primodiar 2 mg) Tablet 81,100 81,100 DAK 2022 AF0521 6/30/2026 Rp 70.00 1,300 79,800 5,586,000
151 Loperamide (Primodiar 2 mg) Tablet 1,200 1,200 DAK 2022 AF0501 6/30/2026 Rp 70.00 1,200 0 -
152 Loperamide (Primodiar 2 mg) Tablet 2,700 2,700 DAK 2022 AF0511 6/30/2026 Rp 70.00 - 2,700 189,000
153 Hydroclhortiacide Tablet 1,900 1,900 DAK 2022 C20108BJ 3/31/2027 Rp 148.00 - - 1,900 281,200
154 Ibuprofen 400 mg Tablet 5,400 5,400 DAK 2022 220454134 4/30/2026 Rp 198.00 5,400 1,069,200 0 -
HTKCZB1615
Ketokonazole 200 mg Tablet 12,200 DAK 2022 11/30/2023 Rp 260.00
155 12,200 5 2,100 546,000 10,100 2,626,000
156 Metyl Ergometrin 0,125 MG Tablet 600 600 DAK 2022 D81072J 4/1/2023 Rp 221.00 - - 600 132,600
157 Metyl Ergometrin 0,125 MG Tablet 2,000 2,000 DAK 2022 B20315J 2/28/2027 Rp 214.00 - - 2,000 428,000
158 Metoclopramid 10 mg Tablet 15,800 15,800 DAK 2021 G11049BJ 6/1/2026 Rp 66.00 - - 15,800 1,042,800
159 Metoclopramid 10 mg Tablet 9,500 9,500 DAK 2022 J11245BJ 9/30/2026 Rp 117.00 - - 9,500 1,111,500
160 Metronidazole 500 mg (Selesnizole) Tablet 16,400 16,400 DAK 2022 22511 5/31/2025 Rp 250.00 5,000 1,250,000 11,400 2,850,000
161 Metformine 500 mg Tablet 58,000 58,000 27,400 30,600 -
Metformine 500 mg Tablet 50,000 DAK 2022 HTMFB25428 30/09/2024 Rp 77.00
162 50,000 - 50,000 3,850,000
163 Natrium Diklofenak 25 mg Tablet 74,500 74,500 DAK 2021 G12162J 7/1/2026 Rp 114.00 28,700 3,271,800 45,800 5,221,200
Natrium Diklofenak 50 mg Tablet 5,000 DAK 2022 52L0150 12/31/2024 Rp 108.00
164 5,000 5,000 540,000 0 -
165 Nystatin 500.000 iu Tablet 70 70 DAK 2022 46371001 3/30/2024 - - 70 -
166 Nystatin 500.000 iu Tablet 900 900 DAK 2022 56371002 5/30/2025 Rp 869.00 100 86,900 800 695,200
Omeprazole Cap Tablet 86,200 DAK 2022 KOPZB20732 5/31/2024 Rp 129.00
167 86,200 13,000 1,677,000 73,200 9,442,800
168 Paracetamol 500 mg (Trifamol) Tablet 35,400 35,400 DAK 2022 2207062 7/30/2026 Rp 200.00 35,400 7,080,000 0 -
169 Phytomenadion 10 mg Tablet 1,800 1,800 DAK 2021 36381003 1/1/2023 Rp 781.00 200 156,200 1,600 1,249,600
170 Phytomenadion 10 mg Tablet 20,000 20,000 DAK 2022 56381007 30/10/2025 Rp 781.00 - 20,000 15,620,000
171 Propylthiouracil Tablet 6,200 6,200 DAK 2022 53H0262 30/07/2026 Rp 405.00 - 6,200 2,511,000
172 Propylthiouracil Tablet 2,000 2,000 DAK 2022 53G1210 30/06/20226 Rp 405.00 200 1,800 729,000
173 Pyrantel Pamoate 125 mg Tablet 7,200 7,200 DAK 2022 G81351B 6/1/2023 Rp 302.00 - - 7,200 2,174,400
174 Ranitidine 150 mg Tablet 17,700 17,700 DAK 2022 53E4157 4/30/2024 Rp 85.00 12,700 1,079,500 5,000 425,000
175 Ranitidine 150 mg Tablet 16,400 16,400 DAK 2022 52L4190 01/11/2023 Rp 85.00 6,500 552,500 9,900 841,500
HT5VND2464
Simvastatin 10 mg Tablet 500 DAK 2022 31/08/2024 Rp 68.00
176 500 7 500 34,000 0 -
Salbutamol 2 mg Tablet 42,700 DAK 2022 27509209 30/09/2024
177 42,700 4,500 38,200 -
Salbutamol 4 mg Tablet 46,500 DAK 2023 27421208 30/08/2024
178 46,500 7,300 39,200 -
179 Vitamin b 12 Tablet 11,500 11,500 DAK 2022 D20099N 4/30/2024 5,000 6,500 -
 Vitamin B Kompleks Tablet 184,500 DAK 2021 2111-102-379 11/1/2023 Rp 59.00
180 184,500 52,500 3,097,500 132,000 7,788,000
181 OBAT-OBATAN GOLONGAN NARKOTIK, PSIKOTROPIK 0 - - - 0 -
Carbamazepin 200mg Tablet 1,800 DAK 2022 A20856 4/30/2024 Rp 198.00
182 1,800 400 79,200 1,400 277,200
183 Diazepam 5 mg Tablet 0 - DAK 2022 A20827 5/31/2026 Rp 108.00 - - 0 -
184 Lorazepam Tablet 9,100 9,100 DAK 2022 A12654 3/31/2025 Rp 234.00 1,700 397,800 7,400 1,731,600
185 Phenobarbital 30 mg Tablet 1,400 1,400 DAK 2021 B10143BJ 1/1/2026 Rp 182.00 - - 1,400 254,800
186 OBAT-OBAT GOLONGAN TERTENTU 0 - - - 0 -
187 Chlorpromazine 100 mg Tablet 0 700 700 DAK 2022 J1154BJ 9/30/2023 Rp 477.30 700 334,110 0 -
188 Lodomer ( Haloperidol 2 mg) Tablet 2,000 2,000 DAK 2022 A10719 30/04/2024 - 2,000 -
189 Haloperidol 0,5 mg Tablet 500 500 A 1801 DX 30/04/2025 500 -
Haloperidol 5 mg Tablet 15,000 DAK 2022 A11743 9/30/2024 Rp 54.00
190 15,000 200 10,800 14,800 799,200
Trihexiphenidyl ( ARKINE 2 MG ) Tablet 44,900 DAK 2022 A21232 6/30/2025 Rp 63.00
191 44,900 3,900 245,700 41,000 2,583,000
192 SIRUP, SUSPENSI DAN DROP 0 - - - 0 -
193 Amoxicillin Syr 250 mg/5ml Botol 5,190 5,190 DAK 2022 B10223 12/31/2024 Rp 3,510.00 1,110 3,896,100 4,080 14,320,800
194 Antasida Suspensi Botol 0 - DAK 2022 D49208 4/30/2025 Rp 1,725.00 - - 0 -
195 Cetirizine sirup Botol 1,250 1,250 DAK 2022 AH2621 8/30/2024 Rp 2,153.00 - 1,250 2,691,250
196 Cotrimoxazol Suspensi 240 mg/5ml Botol 2,000 2,000 DAK 2021 A00233 1/1/2023 Rp 2,359.00 - - 2,000 4,718,000
197 Domperidon suspensi Botol 32 32 DAK 2022 E19214 5/30/2025 - - 32 -
Paracetamol Sirup 120 mg/5ml Botol 1,100 DAK 2022 A12246 9/30/2024 Rp 1,160.00
198 1,100 1,100 1,276,000 0 -
199 INJEKSI DAN PELARUT 0 - - - 0 -
Artropin Sulfate Ampil 60 DAK 2022 9621M0364A 31/12/2024 Rp 1,718.00
200 60 5 55 94,490

Epinefrina HCl/Bitartrat(Adrenalina) inj.0,1%-1ml Ampul 795 DAK 2021 9621B0033A 1//2/23 Rp 1,590.00
201 795 - - 795 1,264,050
202 Gluconat Calcicus Inj 100 mg/ml Ampul 110 110 DAK 2021 4911814 9/1/2024 Rp 5,987.00 - - 110 658,570
203 Lidokain Hcl 2% Ampul 6,600 6,600 DAK 2022 56362059-1 30/09/2026 Rp 847.00 - 6,600 5,590,200
204 Lidokain Hcl 2% Ampul 2,400 2,400 DAK 2022 56362059-3 30/06/2026 Rp 847.00 1,500 900 762,300
205 Lidokain Hcl 2% Ampul 6,800 6,800 DAK 2022 56362063-1 30/09/2026 Rp 847.00 - 6,800 5,759,600
206 Meprovent Inhaler Ampul 1,530 1,530 DAK 2022 N2D028 4/1/2028 Rp 3,677.00 480 1,764,960 1,050 3,860,850
Methyl Ergometrin Inj 0,2 mg/ml Ampul 319 DAK 2021 4911833 8/1/2023 Rp 1,023.00
207 319 - - 319 326,337
208 MgSO4 20% Vial 175 175 DAK 2022 B771451B 11/8/2023 Rp 3,760.00 12 45,120 163 612,880
209 MgSO4 20% Vial 5 5 B86J51D 10/17/2023 Rp 3,760.00 5 18,800 0 -
210 MgSO4 40% Vial 221 221 DAK 2022 B98L51B 12/29/2023 Rp 4,290.00 60 257,400 161 690,690
211 Omeprazole Inj 40 mg/ml Ampul 750 750 DAK 2021 468220064 6/1/2023 Rp 5,346.00 440 2,352,240 310 1,657,260
Oxytocin Injeksi Ampul 3,200 DAK 2022 9622C0076A 31/03/2025 Rp 1,298.00
212 3,200 700 908,600 2,500 3,245,000
213 Phytomenadion Inj 2 mg/ml Vial 1,950 1,950 DAK 2021 46478013 3/1/2023 Rp 1,452.00 30 43,560 1,920 2,787,840
214 INJEKSI GOLONGAN NARKOTIK, PSIKOTROPIK 0 - - - 0 -
Phenobarbital Injeksi Ampul 35 DAK 2020 26803002 5/1/2023 Rp 2,081.00
215 35 - - 35 72,835
216 INJEKSI GOLONGAN OBAT-OBAT TERTENTU 0 - - - 0 -
217 Haloperidol Dekanoat Injection 50 mg/ml Ampul 20 20 DAK 2021 KKB2E00 10/1/2023 Rp 21,800.00 - - 20 436,000
218 TETES MATA, TETES TELINGA, SALEP DAN 0 - - - 0 -
219 SEDIAAN TOPIKAL 0 - - - 0 -
Anti Bakteri DOEN salep kombinasi: Basitrasin
Tube 50 DAK 2022 21BA1003 11/30/2025 Rp 3,477.00
220 500 IU/g + Polimiksin 10.000 IU/g 50 50 173,850 0 -
221 Betamethasone cream Tube 100 100 DAK 2022 C20612W 3/30/2024 Rp 3,520.00 100 352,000 0 -
222 Chloramphenicol Tetes Telinga (Erlamycetin) Botol 24 24 DAK 2021 0656120 6/1/2024 Rp 8,580.00 24 205,920 0 -
223 Chloramphenicol Salep mata Tube 1,824 1,824 DAK 2022 A00020W 30/01/2023 192 1,632 -
224 Hydrochlortison salep Kulit Tube 4,248 4,248 DAK 2022 F21197W 6/30/2024 Rp 2,325.00 384 892,800 3,864 8,983,800
225 Miconazole Tube 2,496 2,496 DAK 2022 C20554W 3/31/2025 Rp 1,900.00 312 592,800 2,184 4,149,600
226 Permetrin Salep 5 % Tube 1,940 1,940 DAK 2022 21j101 30/09/2024 Rp 6,578.00 90 592,020 1,850 12,169,300
227 Bedak Salisyl 2% Tube 115 115 DAK 2021 F107005 6/1/2026 Rp 7,260.00 115 842,160 0 (7,260)
228 SUPPOSITORIA 0 - - - 0 -
229 Antihemoroid supp 20 20 DAK 22 B20344W 45350 Rp 3,250.00 20 65,000 0 -
230 ANTISEPTIK DAN DESINFEKTAN 0 - - - 0 -
231 Povidon 300 ml Botol 285 285 DAK 22 06072288 30/06/2025 Rp 24,750.00 52 1,287,000 233 5,766,750
232 alkohol Botol 170 170 DAK 2022 2022033065 11/30/2023 Rp 58,000.00 39 2,262,000 131 7,598,000
233 VAKSIN DAN SERUM 0 - - - 0 -
Serum Anti Tetanus injeksi 250.000 IU/ampul
Vial 16 DAK 2022 P100451851 8/30/2024 Rp 146,800.00
234 (ATS) (Tetagram) 16 16 0 -
235 SABU Vial 4 4 DAK 2022 4700122 30/03/2024 4 - 0 -
236 LARUTAN ELEKTROLIT DAN CAIRAN INFUS 0 - - - 0 -
Glucosa 5% (D5%) 500 ml Botol 2,040 DAK 2022 H222B30 2/14/2025 Rp 6,627.00
237 2,040 380 2,518,260 1,660 11,000,820
Glucosa 10% (D10%) 500 ml Botol 280 DAK 2021 2100101 12/1/2023 Rp 7,200.00
238 280 100 720,000 180 1,296,000
239 Natrium Chlorida (NaCl) 0,9% Botol 10,153 10,153 DAK 2022 E222D20 4/10/2025 Rp 6,900.00 2,200 15,180,000 7,953 54,875,700
240 Ringer Laktat Botol 560 560 DAK 2022 520304 2/28/2026 Rp 7,703.00 560 4,313,680 0 -
241 Ringer Laktat 0 1,600 1,600 DAK 2022 520407 31/03/2026 Rp 7,703.00 1,600 12,324,800 0 -
242 GIGI 0 - - - 0 -
243 Eugenol 2 2 DAK 22 F81649WR 45,107 Rp 20,150.00 - - 2 40,300
244 Citodur Temporary (Cavit) botol 1 1 DAK 22 7611118 31/12/2023 Rp 112,181.82 1 112,182 0 -
Articulating Paper DIS-170 2 DAK 22 PK21221614 11/11/2024 Rp 224,500.00
245 2 2 449,000 0 -
Camphenol 5 DAK 22 PK21221614 45,607 Rp 58,900.00
246 5 1 58,900 4 235,600
247 Disposible Saliva Ejectors@100 pcs PAK 3 3 DAK 22 SF02 21/04/2023 Rp 137,000.00 2 1 137,000
248 Gutta Percha 15/40 @ 120 pcs 5 5 DAK 22 010522 30/04/2026 Rp 45,438.00 - 5 227,190
249 Gutta Percha 45/80 @ 120 pcs 5 5 DAK 22 010920 30/08/2024 Rp 45,438.00 - 5 227,190
AKL10603717
Micro Brush 2 DAK 22 Rp 187,500.00
250 2 512 2 0 -
Pulp - x 24 DAK 22 PK21222108 07/01/2025 Rp 210,500.00
251 24 2 22 4,631,000
252 Surgispon 78 78 DAK 22 1121005 30/10/2024 Rp 50,500.00 2 76 3,838,000
253 Tricresol Formalina 3 3 DAK 22 281/22 30/03/2025 Rp 60,500.00 2 1 60,500
Zinc F+ 1 DAK 22 PK21221074 12/09/2024 Rp 145,500.00
254 1 1 0 -
255 LABORATORIUM 0 - - - 0 -
256 ABATE GALON 0 - DAK 2022 0200122 - - 0 -
257
1384G321120
Biosafety cabinet 1300 A2 (ALAT LABKESDA) 1 DAK 2022
258 1 219 - - 1 -
259 Catride TCM TB Pcs 0 3,200 3,200 APBN 1000540223 06/10/2024 Rp 253,000.00 - - 3,200 809,600,000
260 Diluent Galon 0 - DAK 2022 2022050902 08/05/2024 Rp 1,650,000.00 - 0 -
261 Ez CLEANSER 2 2 DAK 2022 2021091101 9/10/2023 Rp 880,000.00 - - 2 1,760,000
262 Human Hemoglobin kotak 3 3 DAK 2022 22003 3/31/2024 Rp 1,800,000.00 2 3,600,000 1 1,800,000
263 Human Triglyserid kotak 1 1 DAK 2022 21014 8/31/2023 Rp 475,000.00 1 475,000 0 -
264 Mindray U-II Urine Test Strip @100 Stip 100 100 DAK 2022 018022003 45,199 Rp 500,000.00 100 50,000,000 0 -
265 Object Glass Frosted (Slide) Box 61 61 DAK 2021 Rp 22,822.52 2 45,645 59 1,346,529
266 Oil Emersi 100 ml Botol 6 6 15/01/2023 Rp 450,000.00 - - 6 2,700,000
267 Rak Tabung Kecil VIAL 3 3 Rp 150,000.00 1 150,000 2 300,000
268 Reagen Golda Anti A VIAL 13 13 DAK 2021 10122011P 01/12/2023 Rp 150,000.00 6 900,000 7 1,050,000
269 Reagen Golda Anti B VIAL 13 13 DAK 2021 1021351P 01/10/2023 Rp 150,000.00 6 900,000 7 1,050,000
270 Reagen Golda Anti A.B VIAL 13 13 DAK 2021 10322011P 01/12/2023 Rp 150,000.00 6 900,000 7 1,050,000
271 Resus Anti D VIAL 10 10 DAK 2021 10522012P 01/12/2023 Rp 250,000.00 6 1,500,000 4 1,000,000
272 Stik Gluko Protein Tes 10'S pcs 3,310 3,310 DAK 2021 09082188 3/1/2024 Rp 1,045.00 450 470,250 2,860 2,988,700
273 Stik Benecheck Glukosa PTM stip 71,900 71,900 DAK 2022 G22205050 5/30/2024 Rp 166,900.00 - - 71,900 12,000,110,000
274 Benecheck Plus Monitoring Kotak 62 62 DAK 2022 - - 62 -
275 Stik Benecheck Plus cholestrol PTM Stip 470 470 DAK 2022 C22078050 9/30/2023 - - 470 -
276 Stik Benecheck Plus Glukosa PTM Stip 3,100 3,100 DAK 2022 G22193040 4/30/2024 - - 3,100 -
277 Stik Benecheck Plus Asam Urat PTM Stip 1,400 1,400 DAK 2022 U22058051 12/31/2023 - - 1,400 -
278 Alkohol swab ( Program PTM) Pcs 44,900 44,900 DAK 2022 20417A008 8/30/2027 - - 44,900 -
279 Alkohol swab ( Program PTM) Pcs 100,000 100,000 DAK 2022 20417A007 8/30/2027 - - 100,000 -
280 Blood Lancet (PTM) 145,000 145,000 DAK 2022 20407A025 30/10/2027 - 145,000 -
281 Stik Benecheck cholestrol @10 STRIP/ BOX Pcs 1,110 1,110 DAK 2022 C22128080 31/12/2023 Rp 25,722.50 600 15,433,500 510 13,118,475
282 Stik Benecheck Glukosa @50 STIP/ BOX Pcs 300 300 DAK 2022 G22474080 30/08/2023 Rp 3,448.00 300 1,034,400 0 -
283 Stik Benecheck Asam Urat @25 STIP/BOX Pcs 1,000 1,000 DAK 2022 U22096072 31/03/2024 Rp 6,315.00 1,000 6,315,000 0 -
284 DANA DID, BTT & DBHCHT COVID 0 - - - 0 -
285 BMHP 0 - - - 0 -
APRON White pcs 225 DID 2021
286 225 Rp 156.00 - - 225 35,100
287 APD LENGKAP set 42 42 BTT 2021 Rp 1,000,000.00 - - 42 42,000,000
288 Faceshield (APBD COVID) pcs 157 157 BTT 2021 Rp 55,000.00 - - 157 8,635,000
289 Faceshield kacamata pcs 691 691 BTT 2021 - - 691 -
Flocked Sampling Swab ( Nasopharyngeal)
pcs 2,300 BTT 2021 Rp 20,000.00
290 Nasofaring Kecil 2,300 - - 2,300 46,000,000
 Masker Ear Loop pcs 308,400 DID 2021
291 308,400 12,650 - 295,750 -
292 3M Particulate N95-8210 pcs 360 360 BTT 2021 Rp 3,250.00 - - 360 1,170,000
293 Masker N95 (mask 5 play) semilas pcs 3,612 3,612 DID 2021 Rp 41,679.82 - - 3,612 150,547,510
Sarung Tangan Obgyn pairs 100 DID 2021 Rp 45,000.00
294 100 - - 100 4,500,000
Surgical Gown Water Proff pcs 296 DID 2021 Rp 150,000.00
295 296 - - 296 44,400,000
296 Tensi ( Blood Pressure Monitor ) pcs 4 4 BTT 2021 Rp 1,150,000.00 - - 4 4,600,000
Termogun HTI pcs 1 BTT 2021
297 1 Rp 2,000,000.00 - - 1 2,000,000
298 0 - - - 0 -
299 OBAT-OBATAN 0 - - - 0 -
300 Asam Ascorbat (Vitamin C) 250 mg Tablet 1,200 1,200 DID 2021 F00266BJ 5/1/2023 Rp 143.22 - - 1,200 171,864
301 Levofloxacin 500 mg 50/ktk 200 200 DID 2021 C90476B 2/1/2022 Rp 847.00 - - 200 169,400
Piroxicam 20 mg Tablet 72,400 DID 2021 2010-07-144 10/1/2022 Rp 198.00
302 72,400 - - 72,400 14,335,200
303 OBAT-OBATAN GOLONGAN OBAT-OBAT TERTENTU 0 - - - 0 -
Risperidon 1 mg Tablet 21,700 DID 2021 51H0227 7/1/2023 Rp 240.00
304 21,700 4,800 1,152,000 16,900 4,056,000
305 ANTISEPTIK DAN DESINFECTAN 0 - - - 0 -
Alkacide (DESINFEKTAN) Botol 9 DID 2021 1S16N0906 3/1/2024 Rp 2,702,700.00
306 9 - - 9 24,324,300
307 T. Handrub 100 ml botol 1 1 DID 2021 200325 3/1/2023 Rp 31,501.80 - - 1 31,502
Kaporit 60% 15 Kg Galon 1 BTT 2021 Rp 795,000.00
308 1 - - 1 795,000
309 TETES MATA, TETES TELINGA, SALEP DAN 0 - - - 0 -
310 SEDIAAN TOPIKAL 0 - - - 0 -
311 HIBAH 0 - - - 0 -
312 Kacamata pcs 100 100 - - - - 100 -
Termogun ( OMRON Digital Forehead
pcs 14 APBN Rp 649,000.00
313 Termometer) 14 - - 14 9,086,000
JUMLAH - 384,610,701 0 15,426,183,182
-

Dompu, 31 AGUSTUS 2022

Kepala UPTD Instalasi Farmasi Pemerintah Kab.Dompu

Indi Hartini, A.Md.,Farm

NIP: 19690307198903213
 LAPORAN DINAMIKA LOGISTIK OBAT DAN BMHP DI INSTALASI FARMASI KABUPATEN DOMPU
PERIODE DESEMBER 2022

Harga (Rp.)
TANGGAL TOTAL DISTRIBUSI SISA STOK
NAMA OBAT DISTRIBUTOR PRODUSEN STOK AWAL PENERIMAAN PERSEDIAAN SUMBER DANA NO BACTH HARGA SATUAN
KADALUARSA
SATUAN Volume Harga (Rp.) Volume Harga (Rp.)

NILAI TOTAL PERSEDIAAN

DANA APBN

Alat Kesehatan
1 Apron Biru malaria Pcs Dinkes Prov NTB 75 75 APBN 2021 - - - - 75 0
2 APD Lengkap Dinkes Prov NTB 130 130 - - 130 0
3 APD Lengkap Foging Set Dinkes Prov NTB 8 8 APBD I 2021 Rp 1,026,360.00 - - 8 8,210,880

BAJU (Cover All Suit /Hazmat Suit) baju BOHO Pcs Dinkes Prov NTB 150 APBD I 2021 Rp 150,000.00
4 150 - - 150 22,500,000
5 Cover All Suit (T.Well) pcs Dinkes Prov NTB 3,397 3,397 APBD I 2021 - - 3,397 0
6 Cool Box 5,5 liter Dinkes Prov NTB 2 2 APBD I 2022 Rp 230,000.00 2 0 0
PT. Jayamas
7 Gips 4 Inch Rol Dinkes Prov NTB 7 7 APBD I 2021 Rp 21,080.00 - - 7 147,560
Medica Industri
8 Ice gel Dinkes Prov NTB 70 70 APBD I 2022 Rp 10,000.00 - 70 700,000
9 KKJH Lembar Dinkes Prov NTB 160 160 - - 160 0
10 K3JN Lembar Dinkes Prov NTB 160 160 APBD I 2021 - - 160 0
11 Kondom pcs Dinkes Prov NTB 1,008 1,008 APBD I 2022 PD2213 3/30/2027 Rp 448.00 - 1,008 451,584
PT. Multi Rejo
12 Masker Bedah 3 Ply (HIV) Pcs Dinkes Prov NTB 2,250 2,250 APBD I 2021 14200601 6/1/2025 Rp 2,290.00 200 458,000 2,050 4,694,500
Abadi
13 Masker Bedah 3 Ply semilas (surveilans) Pcs Dinkes Prov NTB 1,400 1,400 APBD I 2022 011211016 30/101/2026 - - 1,400 0
14 Masker TB N95 Pcs Dinkes Prov NTB 0 - APBD I 2021 300003765 4/1/2023 Rp 386.10 - - 0 0
Masker N95 (Aeco pro) TB Dinkes Prov NTB 990 TC-84A-4175
15 990 APBD I 2022 - - 990 0
PT. Suris Wahana
Masker KN95 (Protective Mask) pcs Dinkes Prov NTB 895 LA20191951
Cita
16 895 APBD I 2021 - - 895 0
17 Masker Las (Foging) Pcs Dinkes Prov NTB GOSAVE 55 55 APBD I 2021 - - Rp 380,000.00 - - 55 20,900,000
20201105110
18 Masker Head Loop Pcs Dinkes Prov NTB 8,500 8,500 APBD I 2022 05/11/2023 - 8,500 0
7MH
20201105110
19 Masker Head Loop Pcs Dinkes Prov NTB 500 500 APBD I 2022 05/11/2023 - 500 0
7MH
20201024094
20 Masker Ear Loop Pcs Dinkes Prov NTB 5,000 5,000 APBD I 2022 24/10/2023 800 4,200 0
5me
21 Masker Tali Ties On 3 Ply TB Pcs Dinkes Prov NTB 6,000 6,000 APBD I 2022 21081887 - 6,000 0
22 Masker Bedah Kaltech Pcs Dinkes Prov NTB 4,000 4,000 APBD I 2022 07/05/2024 Rp 706.42 - 4,000 2,825,680
23 Plastik pcs Dinkes Prov NTB 160 160 - - 160 0
24 Sarung Tangan Non Steril L pcs Dinkes Prov NTB 1,000 1,000 APBD I 2022 2020404 46,265 Rp 9,000.00 - - 1,000 9,000,000
25 Spanduk Pos Pelayanan Kesehatan Pelayana Pcs Dinkes Prov NTB 24 24 - 24 0
26 Tali Pcs Dinkes Prov NTB 160 160 - - 160 0
OBAT-OBATAN Dinkes Prov NTB 0 - - - 0 0
1 Amoxicillin 500 mg Tablet Dinkes Prov NTB 30,000 30,000 APBD I 2022 B10686911 28/02/2024 24,200 - 5,800 0
2 Amoxicillin 500 mg Tablet Dinkes Prov NTB 15,000 15,000 APBD I 2022 L10686813 30/11/2023 15,000 - 0 0
3 Amoxicillin 500 mg Tablet Dinkes Prov NTB 5,000 5,000 APBD I 2022 L10686801 30/11/2023 5,000 - 0 0
4 Antasida DOEN Tablet Tablet Dinkes Prov NTB 2,000 2,000 APBD I 2022 201062 30/10/2024 - 2,000 0
5 Chloroquin Phospat 150 mg 100/ktk Dinkes Prov NTB PT. Kimia Farma 1,500 1,500 APBN C00170B 2/1/2025 Rp 1,656.31 - - 1,500 2,484,465
 Harga (Rp.)
TANGGAL TOTAL DISTRIBUSI SISA STOK
NAMA OBAT DISTRIBUTOR PRODUSEN STOK AWAL PENERIMAAN PERSEDIAAN SUMBER DANA NO BACTH HARGA SATUAN
KADALUARSA
SATUAN Volume Harga (Rp.) Volume Harga (Rp.)

PT. Mersifarma
Cotrimoxazol 960 mg Tablet Dinkes Prov NTB 500 APBN A10987 6/30/2024 Rp 325.00
TM
6 500 - - 500 162,500
7 DHP Frimal (Kotak @9 Tablet) Tablet Dinkes Prov NTB Mersi 13 13 APBD I 2021 220513 5/22/2024 Rp 1,900.00 2 3,800 11 20,900
8 Doxycycline 100 Tablet Dinkes Prov NTB 200 200 APBD I 5260648 30/07/2023 Rp 670.00 - - 200 134,000
9 Ethionamide 250 mg Tablet Dinkes Prov NTB 1,800 1,800 APBD I NEA2012A 7/30/2024 Rp 1,502.00 - - 1,800 2,703,600
10 Favipiravir 200 mg Tablet Dinkes Prov NTB 3,300 3,300 APBD I H10149N 30/08/2023 Rp 10,399.00 - - 3,300 34,316,700
11 Garam Oralit sachet Dinkes Prov NTB 10,500 10,500 APBD 46373057 6/30/2024 Rp 280.00 1,300 364,000 9,200 2,576,000
12 Garam Oralit sachet Dinkes Prov NTB 18,000 18,000 APBD 46373067 6/30/2025 Rp 280.00 100 28,000 17,900 5,012,000
13 Glibenclamide 5 mg Tablet Dinkes Prov NTB PT. Indofarma Tbk 6,000 6,000 APBD I 2021 1804030 5/1/2020 Rp 125.00 6,000 750,000 0 0
14 Levolfoxacin 100 mg Tablet Dinkes Prov NTB 500 500 APBD I 2022 LFAH011 2/28/2024 Rp 1,952.00 - - 500 976,000
15 Lampren ( Clofazimine) 100mg Kapsul Dinkes Prov NTB 100 100 APBD I 2022 KD5782 7/31/2024 Rp 8,384.00 - - 100 838,400
16 Lampren ( Clofazimine) 100mg Kapsul Dinkes Prov NTB 800 800 APBD I 2022 LE4868 10/30/2025 Rp 7,639.00 - - 800 6,111,200
17 MDT Combi Dewasa PB Blister Dinkes Prov NTB 2 2 APBD I 2022 B.KE6422 7/31/2023 Rp 40,128.00 1 40,128 1 40,128
18 MDT Combi Dewasa PB Blister Dinkes Prov NTB 6 6 APBD I 2022 LH2420 5/30/2024 Rp 15,304.00 - - 6 91,824
Sandoz Private
MDT Combi Dewasa MB (Merah) Blister Dinkes Prov NTB 10 APBD I 2021 B.KU2978 2/1/2024 Rp 40,128.00
19 Limited, India 10 6 240,768 4 160,512
20 MDT Combi Anak MB ( ORANGE) Blister Dinkes Prov NTB 2 2 APBD I 2022 BLD8337 5/31/2024 Rp 22,794.00 2 45,588 0 0
21 Mineral Mix Sachet Dinkes Prov NTB 280 280 APBN 2022 2208097 30/08/2024 Rp 2,981.52 - 280 834,826
PT. Futamed
Moxifloxacin ( moximed) 400mg Tablet Dinkes Prov NTB 1,800 APBD I 2022 1807049A 6/30/2023
Pharmaceuticals
22 1,800 - - 1,800 0
23 Moxifloxacin ( moximed) 400mg Tablet Dinkes Prov NTB 1,200 1,200 APBD I 2022 52C0728 5/30/2023 Rp 9,789.00 - - 1,200 11,746,800
OAT Kat. 1,3 Paket Dinkes Prov NTB PT. Phapros Tbk 44 APBD I 2021 46461012 2/29/2024 Rp 436,445.00
24 44 26 11,347,570 18 7,856,010
25 Paket KIT TB kotak Dinkes Prov NTB 10 10 APBD 1 A003132 5/1/2023 - - 10 0
26 Paket KIT TB kotak Dinkes Prov NTB 32 32 APBD 1 A005248 30/10/2023 Rp 409,461.00 - 32 13,102,752
27 OAT Kat Anak Paket Dinkes Prov NTB 17 17 APBD I G12296J 6/1/2024 Rp 259,036.00 3 777,108 14 3,626,504
28 Primaquin 15 mg Tablet Dinkes Prov NTB PT. Phapros Tbk 0 - APBD I 36386001-2 8/31/2023 Rp 242.00 - - 0 0
29 Primaquin 15 mg Tablet Dinkes Prov NTB 500 500 APBD I 56386003 3/30/2024 Rp 242.00 - 500 121,000
30 Pyrazinamide 500 mg Tablet Dinkes Prov NTB 2,000 2,000 APBD I 1106177 6/30/2024 Rp 230.00 - - 2,000 460,000
31 Pyrimethamine 25 mg Tablet 200 200 APBD I GII044BJ 30/06/2023 Rp 1,320.00 - 200 264,000
32 Rifanpentin 150 mg Tablet Dinkes Prov NTB 216 216 APBD I IJ7323 9/30/2024 Rp 5,525.00 48 168 928,200
33 Zinc Disposible 20 mg Tablet 8,400 8,400 APBD I 2022 46496034 3/30/2024 Rp 253.00 5,600 1,416,800 2,800 708,400
SIRUP, SUSPENSI DAN DROP 0 - - - 0 0
1 Albendazole sirup Botol 50 50 APBD 1 2111062 11/30/2023 Rp 4,300.00 - - 50 215,000
INJEKSI DAN PELARUT Botol 0 - - - 0 0
1 Artesunat Injeksi 60 mg/ml Vial Dinkes Prov NTB 5 5 APBD I LA220631 5/11/2025 Rp 69,898.00 - - 5 349,490
2 Benzatine Penicillin 2400000 iu Vial 20 20 APBD I 46319008 30/06/2023 Rp 14,500.00 - 20 290,000
3 Flufenazine inj Ampul 40 40 APBD I 2EA01036 1/31/2025 Rp 63,500.00 - - 40 2,540,000
4 Tuberkulin Vial Dinkes Prov NTB 1 1 APBD I 6500222 30/01/2024 1 - 0 0
LABORATORIUM Dinkes Prov NTB PROV NTB 0 - - - 0 0
1 Alat Suntik 1 ml Dinkes Prov NTB PROV NTB 140 140 18I0904J
8/1/2023 - - 140 0
 Harga (Rp.)
TANGGAL TOTAL DISTRIBUSI SISA STOK
NAMA OBAT DISTRIBUTOR PRODUSEN STOK AWAL PENERIMAAN PERSEDIAAN SUMBER DANA NO BACTH HARGA SATUAN
KADALUARSA
SATUAN Volume Harga (Rp.) Volume Harga (Rp.)

2 Abate botol 20 20 APBN 224R070007

08/06/2024 2 18 0
3 Alkohol Swab Dinkes Prov NTB PROV NTB 140 140 9088780 2/28/2024 - - 140 0
PT. Tritama
4 BETAFOG Botol Dinkes Prov NTB 25 25 APBN 005B0720 7/1/2025 Rp 276,000.00 - - 25 6,900,000
Wirakapsa
5 Buku saku malaria Dinkes Prov NTB 6 6 1 - 5 0
6 Blood Lancet 200 'S Pcs Dinkes Prov NTB FESCO 1,600 1,600 APBN 2019 171226 1/10/2023 Rp 35,135.00 - - 1,600 56,216,000
7 Insektisida GOKILAT Botol 0 24 24 APBN M200701 15/07/2023 2 22 0
8 Catride TCM TB Pcs Dinkes Prov NTB 0 200 200 APBD I 1000279683 23/07/2023 Rp 253,000.00 100 25,300,000 100 25,300,000
9 DBS Collection Kit/HIV kit Pcs Dinkes Prov NTB PROV NTB 20 20 APBD 1 137681 8/30/2023 Rp 26,980.00 - - 20 539,600
10 Giemsa 100 ML Botol Dinkes Prov NTB 10 10 960621-GM 8/14/2023 Rp 358,500.00 1 358,500 9 3,226,500
11 Jarum Suntik Dinkes Prov NTB PROV NTB 140 140 17062813
5/31/2022 - - 140 0
12 Kacamata Google TB pcs Dinkes Prov NTB 13 13 APBD 1 2 - 11 0
13 Lab. Kit Malaria kotak Dinkes Prov NTB 7 7 APBD 1 Rp 1,016,565.00 - - 7 7,115,955
14 Lubrikan Cupid pcs Dinkes Prov NTB 500 500 APBD 2 LBC2283 45,716 Rp 331.00 - 500 165,500
15 Oil Emersi 500 ml Botol Dinkes Prov NTB 4 4 APBD 1 IMR1034 10/1/2023 Rp 1,123,065.00 2 2,246,130 2 2,246,130
16 Object Glass (BLOOD SLIDE) pcs Dinkes Prov NTB 20 20 APBD 1 0317/39 6/1/2022 Rp 41,065.00 - - 20 821,300
17 Pot Dahak / Pot Sputum Buah Dinkes Prov NTB 1,320 1,320 APBD 1 03190601 6/1/2024 Rp 2,624.00 60 157,440 1,260 3,306,240
18 Reagen ZN 10 ktk/Dus Dinkes Prov NTB 198 198 APBD 1 013/2021 2/1/2023 Rp 229,910.00 198 46,671,730 0 0
19 Reagen ZN 11 ktk/Dus Dinkes Prov NTB 400 400 APBD 1 0142021 24/02/2023 Rp 187,703.00 400 0 0
PT. Indec
20 RAPID TEST ANTOBODI INDECTS pcs Dinkes Prov NTB 50 50 APBN G20013 7/31/2022 - - 50 0
Diagnostics
21 RDT Malaria Tes Dinkes Prov NTB 150 150 APBN 05ED050B 9/24/2022 100 - 50 0
10
22 RDT DBD Virotec Dengue Kombo 6 96 102 APBN G21009 31/07/2023 13 89 0
PCS/BOX
Rapid Antigen (Whole Power) Pcs Dinkes Prov NTB 3,465 APBD 1 201110
23 3,465 11/9/2022 80 - 3,385 0
RDT RI-GHA pcs Dinkes Prov NTB 80 APBD I C19011
24 80 10/30/2022 - - 80 0
Rapit tes HIV 1/2 Viroceck Pcs Dinkes Prov NTB 575 APBD I H21041
25 575 8/31/2023 275 - 300 0
Rapit tes HIV 1/2 Viroceck Pcs Dinkes Prov NTB 2,400 APBD I J21059
26 2,400 30/09/2023 - 2,400 0
Rapit tes HIV 1/2 Diagnostar Pcs Dinkes Prov NTB 25 APBD I 2109170
27 25 9/30/2023 - - 25 0
Rapit tes HIV 1/2 Diagnostar Pcs Dinkes Prov NTB 300 APBD I 2109170
28 300 30/09/2023 - 300 0
Standar Q HIV 1/2 Ab 3 Line R3 Pcs Dinkes Prov NTB 100 APBD I 5352AF1AC
29 100 14/10/2023 50 50 0
Sample collection kit pcs Dinkes Prov NTB 2 APBD I
30 2 - - 2 0
JUMLAH - 90,205,562 0 273,938,640
-

Dompu, 31 Desember 2022

Kepala UPTD Instalasi Farmasi Pemerintah Kab.Dompu

 Harga (Rp.)
TANGGAL TOTAL DISTRIBUSI SISA STOK
NAMA OBAT DISTRIBUTOR PRODUSEN STOK AWAL PENERIMAAN PERSEDIAAN SUMBER DANA NO BACTH HARGA SATUAN
KADALUARSA
SATUAN Volume Harga (Rp.) Volume Harga (Rp.)

Indi Hartini, A.Md.,Farm

NIP: 19690307198903213