REKAP STOK OBAT DARI DINAS PERIODE 01-01-2023 s/d 31-12-2023

Pengeluaran
Stok Awal Penerimaan
Satuan Harga Lama Harga Baru Lama Baru Total
No Nama Sumber Dana Jml Rp Jml Rp Jml Rp Jml Rp Jml Rp Jml
1 Albendazole 400 mg APBN TABLET 367.00 2123 779,141.00 367.00 7500 2,752,500.00 2123 779,141.00 7500 2,752,500.00 9623 3,531,641.00 0
2 Albendazole syr APBN BOTOL - 0 - 4,300.00 245 1,053,500.00 0 - 245 1,053,500.00 245 1,053,500.00 0
3 Allopurinol 100 mg GFK TABLET 87.00 6110 531,570.00 87.00 16000 1,392,000.00 6110 531,570.00 8682 755,334.00 14792 1,286,904.00 7318
4 Aminofilin injeksi 24mg/ml GFK AMPUL 2,604.00 5 13,020.00 - 0 - 5 13,020.00 0 - 5 13,020.00 0
5 Amitriptilin 25 mg GFK TABLET 167.00 643 107,381.00 177.00 1000 177,000.00 643 107,381.00 800 141,600.00 1443 248,981.00 200
6 Amlodipin 10 mg DAK TABLET 70.00 12824 897,680.00 70.00 25000 1,750,000.00 12824 897,680.00 15949 1,116,430.00 28773 2,014,110.00 9051
7 Amlodipin 5 mg DAK TABLET - 0 - 53.00 10500 556,500.00 0 - 9351 495,603.00 9351 495,603.00 1149
8 Amoxicillin 500 mg DAK TABLET 201.00 9721 1,953,921.00 201.00 36600 7,356,600.00 9721 1,953,921.00 30526 6,135,726.00 30535 6,165,696.00 6074
9 Amoxicillin syr 125 mg/mL DAK BOTOL 3,330.00 9 29,970.00 - 0 - 9 29,970.00 0 - 9 29,970.00 0
10 Amoxicillin syr 250 mg/5 mL DAK BOTL - 0 - 5,200.00 110 572,000.00 0 - 50 260,000.00 50 260,000.00 60
11 Ampicillin inj 1G/ vial DAK VIAL 8,539.00 120 1,024,680.00 8,700.00 1614 14,041,800.00 120 1,024,680.00 1614 14,041,800.00 1734 15,066,480.00 0
12 Antasida kombinasi suspensi GFK BOTOL 1,679.00 52 87,308.00 - 0 - 0 - 0 - 0 - 52
13 Antasida kombinasi tablet kunyah DAK TABLET 58.00 3328 193,024.00 54.00 24000 1,296,000.00 3328 193,024.00 19834 1,071,036.00 23162 1,264,060.00 4166
14 Anti Influenza Tab (molexflu) DAU MANDATORY TABLET - 0 - 441.00 3150 1,389,150.00 0 - 3150 1,389,150.00 3150 1,389,150.00 0
15 Anti Flu & Batuk Forte (LODECON FORTE) DID TABLET - 0 - 600.00 1200 720,000.00 0 - 1200 720,000.00 1200 720,000.00 0
16 Anti Fungi kombinasi salep DBHCHT POT 4,798.00 33 158,334.00 4,798.00 72 345,456.00 33 158,334.00 59 283,082.00 92 441,416.00 13
17 Anti Hemoroid kombinasi suppositoria DAU MANDATORY SUPPO - 0 - 3,250.00 30 97,500.00 0 - 13 42,250.00 13 42,250.00 17
18 Aqua Pro Injeksi DAK VIAL 2,860.00 170 486,200.00 2,674.00 698 1,866,452.00 170 486,200.00 683 1,826,342.00 853 2,312,542.00 15
19 Asam Asetilsalisilat 80mg/MINIASPI DAK TABLET 89.00 2910 258,990.00 89.00 2200 195,800.00 2910 258,990.00 2200 195,800.00 5110 454,790.00 0
20 Aspirin (Asetosal ) 100 mg DAU MANDATORY TABLET - 0 - 222.00 2500 555,000.00 0 - 1400 310,800.00 1400 310,800.00 1100
21 Asam Askorbat 50 mg (Vitamin C) DAK TABLET 105.00 2348 246,540.00 42.00 16500 693,000.00 2348 246,540.00 12596 529,032.00 14944 775,572.00 3904
22 Asam Askorbat 250 mg (Vitamin C) DAK TABLET 119.00 12001 1,428,119.00 - 0 - 12001 1,428,119.00 0 - 12001 1,428,119.00 0
23 Asam Mefenamat 500 mg DAK TABLET 111.00 4822 535,242.00 111.00 20500 2,275,500.00 4822 535,242.00 13610 1,510,710.00 18432 2,045,952.00 6890
24 Asiklovir 400 mg DID TABLET 392.53 2179 855,330.390 650.00 1500 975,000.00 2179 855,330.39 1103 716,950.00 3282 1,572,280.39 397
25 Attapulgit Pektin / MOLAGIT DAK TABLET 481.00 6089 2,928,809.00 - 0 - 4392 2,112,552.00 0 - 4392 2,112,552.00 1697
26 Atropin injeksi 0,25mg/ml (i.v./i.m./s.k.) DAK AMPUL 1,718.00 5 8,590.00 1,718.00 15 25,770.00 5 8,590.00 14 24,052.00 19 32,642.00 1
27 ATTAPULGITE 630 MG / PULAREX DAK TABLET - 0 - 162.00 4000 648,000.00 0 - 4000 648,000.00 4000 648,000.00 0
28 AZITHROMYCIN TABLET 500 MG GFK TABLET 1,136.35 55 62,499.25 - 0 - 55 62,499.25 0 - 55 62,499.25 0
29 Bedak Salicyl Serbuk 2% DAK KOTAK 6,266.00 154 964,964.00 6,266.00 310 1,942,460.00 154 964,964.00 280 1,754,480.00 434 2,719,444.00 30
30 Betahistine 6 mg DAU MANDATORY TABLET 88.00 2149 189,112.00 190.00 4800 912,000.00 2149 189,112.00 2930 556,700.00 5079 745,812.00 1870
31 Betamethasone krim 0,1% DAU MANDATORY TUBE - 0 - 2,352.00 192 451,584.00 0 - 125 294,000.00 125 294,000.00 67
32 BISACODYL TABLET 5 MG DAK TABLET 216.00 382 82,512.00 - 0 - 382 82,512.00 0 - 382 82,512.00 0
33 Captopril 12,5 mg DBHCHT TABLET 66.00 3098 204,468.00 66.00 2000 132,000.00 3098 204,468.00 442 29,172.00 3540 233,640.00 1558
34 Captopril 25 mg DAK TABLET 75.00 4270 320,250.00 75.00 13500 1,012,500.00 4270 320,250.00 13176 988,200.00 17446 1,308,450.00 324
35 CEFADROXIL TABLET 500 MG DAU MANDATORY KAPSUL 684.00 2786 1,905,624.00 741.00 13300 9,855,300.00 2786 1,905,624.00 11600 8,595,600.00 14386 10,501,224.00 1700
36 CHLORAMPHENICOL KAPSUL 250 MG DAK KAPSUL 602.00 2574 1,549,548.00 - 0 - 629 378,658.00 0 - 629 378,658.00 1945
37 CHLORPROMAZINE TABLET 25 MG DAK TABELT - 0 - 0 - 0 - 0 - 0 -
38 CHLORPROMAZINE HCL TABLET 100 mg DAK TABLET 715.00 1247 891,605.00 715.00 2400 1,716,000.00 1247 891,605.00 1800 1,287,000.00 3047 2,178,605.00 600
39 Clozapin 25 mg DAU MANDATORY TABLET 477.00 520 248,040.00 473.00 2700 1,277,100.00 520 248,040.00 2500 1,182,500.00 3020 1,430,540.00 200
40 CURCUMA 20 mg DAK TABLET 482.00 485 233,770.00 482.00 10000 4,820,000.00 485 233,770.00 8316 4,008,312.00 8801 4,242,082.00 1684
41 Deksamethasone 0,5 mg DAK TABLET 34.00 9205 312,970.00 34.00 53000 1,802,000.00 9205 312,970.00 49374 1,678,716.00 58579 1,991,686.00 3626
42 Deksamethasone injeksi 5mg/ml (i.v./i.m.) DAU MANDATORY AMPUL - 0 - 999.00 800 799,200.00 0 - 800 799,200.00 800 799,200.00 0
43 DIAZEPAM TABLET 2 MG DAK TABLET 86.00 200 17,200.00 86.00 1500 129,000.00 200 17,200.00 1500 129,000.00 1700 146,200.00 0
44 DIAZEPAM TABLET 5 MG DAK TABLET - 0 - 114.00 1600 182,400.00 0 - 1400 159,600.00 1400 159,600.00 200
45 Diazepam Enema 10 mg/2,5 ml (RECTAL)/STESOLID DAK TUBE - 0 - - 0 - 0 0 - 0 -
- 0
46 DIAZEPAM RECTAL 5MG / STESOLID (5/BOX) DAU MANDATORY TUBE 13,546.00 7 94,822.00 10,500.00 10 105,000.00 0 - 2 21,000.00 2 21,000.00 8
47 Difenhidramin injeksi 10mg/ml (i.v./i.m.) DAK AMPUL 781.00 119 92,939.00 781.00 1020 796,620.00 1 781.00 966 754,446.00 967 755,227.00 54
48 Dimenhidrinat 50 mg DBHCHT TABLET 112.00 620 69,440.00 112.00 3900 436,800.00 2 224.00 3078 344,736.00 3080 344,960.00 822
49 Doksisiklin 100 mg DAK KAPSUL - 0 - - 0 - 0 - 0 - 0 - 0
50 Domperidon 10 mg DAU MANDATORY TABLET 71.00 1645 116,795.00 143.00 3500 500,500.00 1645 116,795.00 2544 363,792.00 4189 480,587.00 956
51 Domperidon suspensi 5mg/5ml DBHCHT BOTOL 2,296.00 107 245,672.00 - 0 - 0 - 0 - 0 - 107
52 Epinefrin (adrenalin) injeksi 0,1% (i.v./s.k./i.m.) DAU MANDATORY AMPUL - 0 - 10,500.00 15 157,500.00 0 - 15 157,500.00 15 157,500.00 0
53 Ergotamin+Kafein komb. 1mg+50mg (ANTI MIGRAIN) GFK TABLET - 0 - - 0 - 0 0 0 -
- - 0
54 Eritromisin 250 mg GFK KAPSUL - 0 - - 0 - 0 - 0 - 0 - 0
55 Ethyl Chloride Spray DID BOTOL 176,601.00 3 529,803.00 177,000.00 3 531,000.00 3 529,803.00 0 - 3 529,803.00 3
56 Eugenol cairan DAK BOTOL - 0 - 20,150.00 1 20,150.00 0 - 1 20,150.00 1 20,150.00 0
57 EFAVIRENZ TABLET 600 MG DAK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
58 FAVIPIRAVIR 200 MG DBHCHT TABLET 15,000.00 364 5,460,000.00 - 0 - 364 5,460,000.00 0 - 364 5,460,000.00 0
59 Fenobarbital 30 mg DAK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
60 Ferro Fumarat 60mg + Asam Folat 0,4mg / TTD untuk APBN TABLET 226.00 8960 2,024,960.00 199.00 40220 8,003,780.00 8960 2,024,960.00 34478 6,861,122.00 43438 8,886,082.00
ibu hamil 5742
61 Fitomenadion 10 mg (Vitamin K) DAU MANDATORY TABLET 748.00 120 89,760.00 760.00 200 152,000.00 120 89,760.00 200 152,000.00 320 241,760.00 0
62 Fitomenadion injeksi 10mg/ml (i.m.) DAK AMPUL 3,450.00 24 82,800.00 - 0 - 24 82,800.00 0 - 24 82,800.00 0
63
Flufenazin injeksi 25mg/ml (i.m.)/SIKZONOATE DAU MANDATORY AMPUL 64,380.00 12 772,560.00 80,586.00 55 4,432,230.00 12 772,560.00 52 4,190,472.00 64 4,963,032.00 3

64 Furosemid 40 mg DAK TABLET 98.00 622 60,956.00 98.00 400 39,200.00 622 60,956.00 310 30,380.00 932 91,336.00 90
65 Garam Oralit Kombinasi Serbuk (200 ml air) APBN SACHET 280.00 508 142,240.00 280.00 1600 448,000.00 508 142,240.00 505 141,400.00 1013 283,640.00 1095
66 Gemfibrozil 300 mg DAK KAPSUL - 0 - - 0 - 0 - 0 - 0 - 0
67 Gentamisin salep mata 0,3% DAU MANDATORY TUBE 2,667.38 5 13,336.90 6,127.00 24 147,048.00 5 13,336.90 0 - 5 13,336.90 24
68 Gentamisin Sulfate tetes mata 0,3% DAU MANDATORY BOTOL 4,561.00 97 442,417.00 8,547.00 504 4,307,688.00 97 442,417.00 426 3,641,022.00 523 4,083,439.00 78
69 Glimepiride 1 mg DAU MANDATORY TABLET 93.00 610 56,730.00 110.00 8000 880,000.00 610 56,730.00 1155 127,050.00 1765 183,780.00 6845
70 Glimepiride 2 mg DAK TABLET 123.00 11195 1,376,985.00 123.00 38100 4,686,300.00 11195 1,376,985.00 31256 3,844,488.00 42451 5,221,473.00 6844
71 Glimepiride 3 mg DAK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
72 Gliseril Guaiyakolat 100 mg DAU MANDATORY TABLET 80.00 1760 140,800.00 90.00 7000 630,000.00 1760 140,800.00 3607 324,630.00 5367 465,430.00 3393
73 Griseofulvin (micronized) 125 mg DAK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
74 Haloperidol 1,5 mg DAK TABLET 51.00 600 30,600.00 51.00 9500 484,500.00 600 30,600.00 7400 377,400.00 8000 408,000.00 2100
75 Haloperdiol 2 mg DAK TABLET - 0 - 81.00 2000 162,000.00 0 - 2000 162,000.00 2000 162,000.00 0
76 DAU MANDATORY DROP - 0 - 33,000.00 2 66,000.00 0 - 2 66,000.00 2 66,000.00
0
HALOPERIDOL DROPS 2 MG/ML (LODOMER DROP)
77 Haloperidol injeksi 50mg/ml / HALDOL DECANOAS DAK AMPUL - 0 - - 0 - 0 - 0 - 0 -
0
78 HERBAKOF SYR DAK BOTOL 14,402.00 27 388,854.00 - 0 - 27 388,854.00 0 - 27 388,854.00 0
79 HERBACOLD DAK TABLET 2,498.00 569 1,421,362.00 - 0 - 569 1,421,362.00 0 - 569 1,421,362.00 0
80 Hidrokortison Krim 2,5% DAU MANDATORY TUBE 2,475.00 134 331,650.00 2,800.00 168 470,400.00 134 331,650.00 168 470,400.00 302 802,050.00 0
81 Hiosina Butilbromid 10 mg DAK TABLET - 0 - 695.00 200 139,000.00 0 - 200 139,000.00 200 139,000.00 0
82 Human Tetanus imunoglobulin (i.m.) 250 IU injeksi / DAU MANDATORY VIAL 148,135.00 8 1,185,080.00 177,000.00 3 531,000.00 8 1,185,080.00 0 - 8 1,185,080.00
TETAGAM 3
83 Ibuprofen 400 mg DAK TABLET 245.00 3125 765,625.00 180.00 6000 1,080,000.00 3125 765,625.00 4822 867,960.00 7947 1,633,585.00 1178
84 Ibuprofen suspensi 100mg/5ml DAK BOTOL - 0 - - 0 - 0 - 0 - 0 - 0
85 GLUCOSE|SODIUM CHLORIDE INFUS 5 %|0.225 % ( D5 DAK 500 ML 10,405.00 40 416,200.00 10,405.00 40 416,200.00 40 416,200.00 40 416,200.00 80 832,400.00
0
- 1/4 NS)
86 GLUCOSE|SODIUM CHLORIDE INFUS 5 %|0,45 % (D5- DAU MANDATORY 500 ML 10,405.00 20 208,100.00 10,000.00 40 400,000.00 20 208,100.00 40 400,000.00 60 608,100.00
0
1/2 NS)
87 Infus Ringer Asetat / ASERING DAU MANDATORY 500 ML 9,646.00 200 1,929,200.00 8,400.00 1525 12,810,000.00 200 1,929,200.00 1525 12,810,000.00 1725 14,739,200.00 0
88 Isoniazid 100 mg APBN TABLET - 0 - - 0 - 0 - 0 - 0 - 0
89 Isoniazid 300 mg APBN TABLET - 0 - 400.00 420 168,000.00 0 - 420 168,000.00 420 168,000.00 0
90 Isosorbid DiNitrat 5 mg (ISDN) GFK TABLET 86.00 50 4,300.00 86.00 200 17,200.00 50 4,300.00 200 17,200.00 250 21,500.00 0
91 Kalium Permanganat serbuk GFK POT - 0 - - 0 - 0 - 0 - 0 - 0
92 Kalsium Glukonat 10% injeksi GFK AMPUL - 0 - - 0 - 0 - 0 - 0 - 0
93 Kalsium Laktat 500 mg (KALK) DBHCHT TABLET 63.00 5527 348,201.00 60.00 16300 978,000.00 5527 348,201.00 14019 841,140.00 19546 1,189,341.00 2281
94 Karbamazepin 200 mg DAK TABLET 244.71 370 90,541.180 - 370 90,541.180 0 - 370 90,541.18 0
95 Karbogliserin tetes telinga 10% / FENOL GLISEROL DAU MANDATORY BOTOL 3,300.00 16 52,800.00 3,750.00 48 180,000.00 16 52,800.00 21 78,750.00 37 131,550.00
27

96 KDT/FDC untuk ANAK (PAKET STOP TB ANAK) APBN KIT 248,010.00 1 248,010.00 250,971.00 8 2,007,768.00 1 248,010.00 7 1,756,797.00 8 2,004,807.00
1

97 KDT/FDC untuk DEWASA (KATEGORI I) APBN KIT - 0 - 10 4,189,710.00 0 - 10 4,189,710.00 10 4,189,710.00

0
418,971.00
98 APBN KIT 402,688.00 8 3,221,504.00 511,609.00 4 2,046,436.00 8 3,221,504.00 4 2,046,436.00 12 5,267,940.00
KIT STOP TB RHZE
0
(150/75/400/275)mg+RH(150/75)mg (TB HIV)

99 Ketokonazole 200 mg DAK TABLET - 0 - 252.00 900 226,800.00 0 - 232 58,464.00 232 58,464.00 668
100 Ketokonazole Krim 2% DAK TUBE - 0 - - 0 - 0 - 0 - 0 - 0
101 Kloramfenikol salep mata 1% GFK TUBE - 0 - - 0 - 0 - 0 - 0 - 0
102 Klorfeniramin Maleat 4 mg (CTM) DAU MANDATORY TABLET 24.00 3280 78,720.00 49.00 10500 514,500.00 3280 78,720.00 10032 491,568.00 13312 570,288.00 468
103 Kotrimoksazol Kombinasi 480 mg (dewasa) DAU MANDATORY TABLET 133.00 2036 270,788.00 228.00 3300 752,400.00 2036 270,788.00 1536 350,208.00 3572 620,996.00 1764
104 Kotrimoksazol Kombinasi Suspensi 240 mg DAK BOTOL - 0 - - 0 - 0 - 0 - 0 - 0
105 Lidokain 2% injeksi DAK AMPUL 1,149.00 170 195,330.00 847.00 500 423,500.00 170 195,330.00 422 357,434.00 592 552,764.00 78
106 Lidokain 2%+Epinefrin 1:80.000 injeksi 2 ml (COMP.) GFK AMPUL - 0 - - 0 - 0 - 0 - 0 - 0
107 Loperamide 2 mg DAU MANDATORY TABLET - 0 - 74.00 500 37,000.00 0 - 50 3,700.00 50 3,700.00 450
108 linfus KA_EN 3A GFK BOTOL - 0 - - 0 - 0 - 0 - 0 - 0
109 Loratadin 10 mg DAU MANDATORY TABLET 109.00 2730 297,570.00 123.00 1800 221,400.00 2730 297,570.00 1800 221,400.00 4530 518,970.00 0
110 Magnesium Sulfat 20% injeksi (i.v.) DAK FLACON - 0 - 3,580.00 2 7,160.00 0 - 2 7,160.00 2 7,160.00 0
111 Magnesium Sulfat 40% injeksi (i.v.) untuk Eklampsi DAK FLACON 4,090.00 10 40,900.00 4,090.00 5 20,450.00 10 40,900.00 1 4,090.00 11 44,990.00
4
112 Metformin 500 mg DAK TABLET 77.00 13374 1,029,798.00 77.00 55400 4,265,800.00 13374 1,029,798.00 51760 3,985,520.00 65134 5,015,318.00 3640
113 Metil Ergometrin injeksi 0,2mg/ml / MYOMERGIN GFK AMPUL 2,959.00 179 529,661.00 1,032.00 200 206,400.00 179 529,661.00 50 51,600.00 229 581,261.00 150
114 Metilergometrin tablet 0,125 mg DAK TABLET - 0 - 224.00 100 22,400.00 0 - 20 4,480.00 20 4,480.00 80
115 Metil Prednisolon 4 mg DAU MANDATORY TABLET 102.00 20 2,040.00 185.00 16000 2,960,000.00 20 2,040.00 13854 2,562,990.00 13874 2,565,030.00 2146
116 Metoklopramid 5 mg GFK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
117 Metoklopramid 10 mg GFK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
118 Metronidazole 500 mg DAK TABLET 133.00 1358 180,614.00 133.00 2000 266,000.00 1358 180,614.00 580 77,140.00 1938 257,754.00 1420
119 APBN BLISTER - 0 - 50,401.00 3 151,203.00 0 3 151,203.00 3 151,203.00
MDT COMBI MB ADULT : RIFAMPICIN 300 MG, 0
CLOFAZIMINE 100 MG | DAPSON 100 MG
120 DANA BANTUAN TIDAK TABLET 1,038.00 146 151,548.00 - 0 - 146 151,548.00 0 - 146 151,548.00
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ) TERDUGA 0
121 MULTIVITAMIN TABLET (PEHAVRAL) DAU MANDATORY TABLET - 0 - 994.00 400 397,600.00 0 - 400 397,600.00 400 397,600.00 0
122 MULTIVITAMIN TABLET (BIOLYSIN) DID TABLET - 0 - 400.00 500 200,000.00 0 - 0 - 0 - 500
123 MULTIVITAMIN SYRUP (BIOLYSIN SYR) DAU MANDATORY TABLET - 0 - 9,000.00 252 2,268,000.00 0 - 252 2,268,000.00 252 2,268,000.00 0
124 Mikonazole Krim 2% (Nitrat) DAK TUBE 1,900.00 122 231,800.00 1,900.00 144 273,600.00 122 231,800.00 59 112,100.00 181 343,900.00 85
125 Natrium Diklofenak 25 mg DAK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
126 Natrium Diklofenak 50 mg DAK TABLET 100.00 8432 843,200.00 100.00 43200 4,320,000.00 8432 843,200.00 40118 4,011,800.00 48550 4,855,000.00 3082
127 Natrium Klorida infus 0,9% (NaCl) DAU MANDATORY 500 ML 7,390.00 100 739,000.00 7,600.00 1070 8,132,000.00 100 739,000.00 992 7,539,200.00 1092 8,278,200.00 78
128 Nevirapin tablet 200 mg DAK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
129 Nifedipin 10 mg DAK TABLET 219.00 100 21,900.00 - 0 - 10 2,190.00 0 - 10 2,190.00 90
130 Nistatin 100.000 IU (tablet vaginal) DAK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
131 Nistatin 500.000 IU (tablet salut gula) DAK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
132 Obat Batuk Hitam ( OBH ) DAK BOTOL 5,363.00 74 396,862.00 5,363.00 650 3,485,950.00 74 396,862.00 561 3,008,643.00 635 3,405,505.00 89
133 Oksitetrasiklin HCL salep mata APBN TUBE 3,532.00 95 335,540.00 - 0 - 95 335,540.00 0 - 95 335,540.00 0
134 Omeprazole 20 mg DAU MANDATORY KAPSUL - 0 - 155.00 2200 341,000.00 0 - 1370 212,350.00 1370 212,350.00 830
135 OMEPRAZOLE INJ 40 MG/VIAL DAU MANDATORY VIAL - 0 - 8,685.00 350 3,039,750.00 0 - 350 3,039,750.00 350 3,039,750.00 0
136 ONDANSETRON 4mg/2ml injeksi DAK AMPUL 881.00 475 418,475.00 881.00 1200 1,057,200.00 475 418,475.00 1200 1,057,200.00 1675 1,475,675.00 0
137 Parasetamol 500 mg DAK TABLET 196.00 13221 2,591,316.00 167.00 61000 10,187,000.00 13221 2,591,316.00 50052 8,358,684.00 63273 10,950,000.00 10948
138 Parasetamol Syrup 120mg/5ml DAU MANDATORY BOTOL 1,160.00 122 141,520.00 2,937.00 250 734,250.00 122 141,520.00 188 552,156.00 310 693,676.00 62
139 Perak Sulfadiazin Krim 1% / BURNAZIN DAK TUBE - 0 - - 0 - 0 - 0 - 0 - 0
140 Permetrin Krim 5% / SCABIMITE DAK TUBE 6,325.00 17 107,525.00 6,325.00 20 126,500.00 14 88,550.00 20 126,500.00 34 215,050.00 23
141 Piridoksin 10 mg (Vitamin B6) DAK TABLET 131.00 4850 635,350.00 131.00 16300 2,135,300.00 4850 635,350.00 16018 2,098,358.00 20868 2,733,708.00 282
142 Prednison 5 mg DAK TABLET 68.00 228 15,504.00 - 0 - 228 15,504.00 0 - 228 15,504.00 0
143 Propranolol 10 mg DAK TABLET - 0 - 56.00 5200 291,200.00 0 - 5200 291,200.00 5200 291,200.00 0
144 Ranitidin tablet 150 mg DAK TABLET - 0 - 85.00 17000 1,445,000.00 0 - 12748 1,083,580.00 12748 1,083,580.00 4252
145 Ranitidin injeksi 25mg/ml DAU MANDATORY AMPUL - 0 - 1,277.00 1800 2,298,600.00 0 - 1725 2,202,825.00 1725 2,202,825.00 75
146 Retinol kapsul lunak 100.000 IU (Vitamin A Biru) APBN KAPSUL - 0 - 305.00 300 91,500.00 0 - 300 91,500.00 300 91,500.00 0
147 Retinol kapsul lunak 200.000 IU (Vitamin A Merah) APBN KAPSUL - 0 - 553.00 2850 1,576,050.00 0 - 2850 1,576,050.00 2850 1,576,050.00
0
148 Ringer Laktat larutan infus (RL) DBHCHT 500 ML 7,630.00 200 1,526,000.00 7,630.00 1400 10,682,000.00 200 1,526,000.00 1320 10,071,600.00 1520 11,597,600.00 80
149 Risperidon 1 mg GFK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
150 Risperidone 2 mg DAK TABLET 124.00 380 47,120.00 124.00 3300 409,200.00 380 47,120.00 2978 369,272.00 3358 416,392.00 322
151 Salbutamol 2 mg DBHCHT TABLET 67.00 12220 818,740.00 63.00 13100 825,300.00 12220 818,740.00 11990 755,370.00 24210 1,574,110.00 1110
152 Salep 2 - 4 Kombinasi DAK POT - 0 - - 0 - 0 - 0 - 0 - 0
153 Sefadroksil sirup kering 125mg/5ml DAK BOTOL - 0 - - 0 - 0 - 0 - 0 - 0
154 Serum Anti Bisa Ular injeksi (A.B.U.) (i.m./i.v.) DAK VIAL - 0 - - 0 - 0 - 0 - 0 - 0
155 Sianokobalamin injeksi 500mcg/ml DAU MANDATORY AMPUL - 0 - 2,108.00 500 1,054,000.00 0 - 402 847,416.00 402 847,416.00 98
156 Sianokobalamin tablet 50 mcg (Vitamin B12) DAU MANDATORY TABLET 43.00 2500 107,500.00 45.00 33000 1,485,000.00 2500 107,500.00 32162 1,447,290.00 34662 1,554,790.00 838
157 Simvastatin 20 mg (salut selaput) DAU MANDATORY TABLET - 0 - 105.00 3500 367,500.00 0 - 2173 228,165.00 2173 228,165.00 1327
158 SOFT U DERM 10% bpjs cream 20GR DAK TUBE - 0 - - 0 - 0 - 0 - 0 - 0
159 SOLVITA VITAMIN D3 CHOLECALCIFEROL 1000 IU DANA BANTUAN TIDAK TABLET 1,545.00 185,400.00 - 0 - 120 185,400.00 0 - 120 185,400.00
TABLET TERDUGA 0
120
160 Spironolakton 25 mg DAK TABLET - 0 - 0 - 0 - 0 - 0 - 0
161 STIMUNO IMUNOMODULATOR KAPSUL DAK KAPSUL 1,958.00 951 1,862,058.00 - 0 - 951 1,862,058.00 0 - 951 1,862,058.00 0
162 TDF(300)+3TC(300)+EFV(600) Tiple FDC APBN TABLET 6,800.00 408,000.00 3,260.00 360 1,173,600.00 60 408,000.00 330 1,075,800.00 390 1,483,800.00 30
60
163 Tenofovir Disoproxil Fumarate 300 mg (TDF) APBN TABLET - 0 - - 0 - 0 - 0 - 0 - 0
164 APBN TABLET 3,499.00 314,910.00 3,499.00 540 1,889,460.00 90 314,910.00 510 1,784,490.00 600 2,099,400.00
DOLUTEGRAVIR|LAMIVUDINE|TENOFOVIR
DISOPROXIL FUMARATE 50MG|300MG|300MG 30
TABLET (TLD) 90
165 Tetrasiklin 500 mg DAK KAPSUL - 0 - - 0 - 0 - 0 - 0 - 0
166 Thiamin 50 mg (Vitamin B1) DAU MANDATORY TABLET 58.00 3810 220,980.00 85.00 9500 807,500.00 3810 220,980.00 8434 716,890.00 12244 937,870.00 1066
167 Trifluoperazine 5 mg (salut selaput) GFK TABLET - 0 - - 0 - 0 - 0 - 0 - 0
168 Triheksifenidil 2 mg DAK TABLET 63.00 615 38,745.00 63.00 13000 819,000.00 615 38,745.00 12400 781,200.00 13015 819,945.00 600
169 Vitamin B Kompleks DAK TABLET 57.00 3802 216,714.00 57.00 31000 1,767,000.00 3802 216,714.00 31000 1,767,000.00 34802 1,983,714.00 0
170 Vitamin Neurotropik (MOLANEURON) DAU MANDATORY TABLET - 0 - 880.00 1500 1,320,000.00 0 - 1000 880,000.00 1000 880,000.00 500
171 Zidovudin 100 mg APBN TABLET 281.88 180 318,240.00 - 0 - 180 50,738.00 0 - 180 50,738.00 0
172 ZIDOVUDINE 300 MG + LAMIVUDINE 150 - - 2,770,560.00
APBN TABLET 0 - 3,848.00 780 3,001,440.00 0 720 2,770,560.00 720 60
MG(DUVIRAL)
173 Zinc 20 mg (dispersible) APBN TABLET 208.00 1129 234,832.00 208.00 10500 2,184,000.00 1129 234,832.00 8469 1,761,552.00 9598 1,996,384.00 2031
174 Zinc sirup (Sulfate) 20mg/5ml GFK BOTOL - 0 - - 0 - 0 - 0 - 0 - 0
57,515,654.72 198,446,615.00 227,583,609.72

MENGETAHUI Madiun, 31 Desember 2023

KEPALA PUSKESMAS
Pelaksana Stok Opname

1. Nama : DEWI PERMANASARI,S.Farm.,Apt ………………….

NIP : 19920801 202012 2 012
dr. RETNOWULAN PRAWITOSARI
NIP 19691002 200212 2 002 2. Nama : MARTINI, A.Md.Farm
NIP : 19770409 200501 2 010 …………………..

…………………..
PERIODE 01-01-2023 s/d 31-12-2023

Stok Akhir
Rp
-
-
636,666.00
-
35,400.00
633,570.00
60,897.00
3,144,825.00
-
312,000.00
-
87,308.00
224,964.00
-
-
62,374.00
55,250.00
40,110.00
-
244,200.00
163,968.00
-
764,790.00
258,050.00
816,257.00
1,718.00
-
-
187,980.00
355,300.00
157,584.00
-
102,828.00
24,300.00
1,259,700.00
1,170,890.00
-
429,000.00
94,600.00
811,688.00
123,284.00
-
-
22,800.00

-
178,822.00
134,332.00
161,280.00
-
136,708.00
245,672.00
-

-
-
531,000.00
-
-
-
-

1,142,658.00
-
-

241,758.00
8,820.00
306,600.00
-
147,048.00
666,666.00
752,950.00
841,812.00
-
305,370.00
-
107,100.00
-

-
-
-
-
-

531,000.00
212,040.00
-

-
-
-
-
-
-
-
136,860.00
-

101,250.00

250,971.00

-
168,336.00
-
-
22,932.00
402,192.00
-
66,066.00
-
33,300.00
-
-
-

16,360.00
280,280.00
154,800.00
17,920.00
397,010.00
-
-
188,860.00

-
-
200,000.00
-
161,500.00
-
308,200.00
592,800.00
 -
19,710.00
-
-
477,307.00
-
128,650.00
-
-
1,828,316.00
182,094.00
-
18,975.00
36,942.00
-
-
361,420.00
95,775.00
-

-
610,400.00
-
39,928.00
69,930.00
-
-
-
206,584.00
37,710.00
139,335.00
-

-
-
-

97,800.00
-

104,970.00
-
90,610.00
-
37,800.00
-
440,000.00
267,502.00

230,880.00
422,448.00
-
28,378,660.00

………………….

…………………..

…………………..
 DAFTAR MUTASI PERSEDIAAN OBAT DINAS KESEHATA
UPT PUSKESMAS BALEREJO

Saldo
Penambahan 2023 ( Rp ) Jumlah ( Rp )
31 Desember 2022 (Rp)
57,515,654.72 198,446,615.00 255,962,269.72

MENGETAHUI
KEPALA PUSKESMAS

dr. RETNOWULAN PRAWITOSARI

NIP 19691002 200212 2 002
OBAT DINAS KESEHATAN
BALEREJO

Saldo
Pengurangan ( Rp )
30 Desember 2023 (Rp)
227,583,609.72 28,378,660.00

PENYUSUN LAPORAN

DEWI PERMANASARI,S.Farm.,Apt
NIP 19920801202012 2 012