LAMPIRAN BERITA ACARA STOK OPNAME OBAT DI GUDANG FARMASI PER 27 OKTOBER 2020

APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA

OBAT 5,636,496,981.90
OBAT CAIR
1 Aminofilin inj 24mg/ml(Lucas) ampul 7'21 2,976.00 625 625 1,860,000.00
2 Aminofilin inj 24mg/ml(Lucas) ampul 4'22 2,976.00 900 900 2,678,400.00
3 Amoksisilin syr 125mg/5ml(Mersi) btl 4'23 6,399.80 3,285 3,285 21,023,343.00
4 Ampicillin inj 100 mg(Phapros) vial 11'22 8,237 6,511 6,511 53,631,107.00
5 Antasida doen II susp.(Lucas) btl 60 ml 7'22 2,129 1,860 1,860 3,959,940.00
6 Aqua pro inj(Otsuka) ampul 25ml 7'22 2,860 458 458 1,309,880.00
7 Asering(otsuka) softbag 500ml 11'20 9,646 375 375 3,617,250.00
8 Atropin sulfat injeksi(Ethica) ampul 5'21 1,672 328 328 548,416.00
9 Atropin sulfat injeksi(Ethica) ampul 7'21 1,540 100 100 154,000.00
10 Deksametason inj. 5mg/ml(Mepro) ampul 2'22 1,097 16,120 16,120 17,683,640.00
11 Diazepam injeksi 5mg(Stesolid inj) ampul 1'21 3,000 4,768 4,768 14,304,000.00
12 Difenhidramin injeksi 10 mg/ml(Phapros) ampul 10'21 1,095.00 30 30 32,850.00
13 Difenhidramin injeksi 10 mg/ml(Phapros) ampul 10'21 1,095.00 2,000 2,000 2,190,000.00
14 Difenhidramin injeksi 10 mg/ml(Phapros) ampul 2'21 1,095 338 338 370,110.00
15 Epinefrin (Adrenalin) inj 1 mg/ml(Ethica) ampul 12'20 1,408 810 810 1,140,480.00
16 Epinefrin (Adrenalin) inj 1 mg/ml(Ethica) ampul 3'21 1,408 1,217 1,217 1,713,536.00
17 Etaflusin sirup btl 5'22 6,700.00 4,650 4,650 31,155,000.00
18 Eugenol btl 10 ml 45,831 204 204 9,349,524.00
19 Fenobarbital inj 50mg/ml(Phapros) ampul 12'21 1,857.00 1,995 1,995 3,704,715.00
20 Fitomenadion (Vit.K1) inj 2mg/ml(Phapros) ampul 11'21 3,682.00 12,563 12,563 46,256,966.00
21 Gentamisin TM 0.3%(Erela) btl 5 ml 7'23 4,232 3,356 3,356 14,202,592.00
22 Gentian Violet Larutan 1 %(Betafarma) btl 7'21 3,000 4,596 4,596 13,788,000.00
23 Glukonas kalsikus inj 10%(Ethica) vial 1'21 9,955 2,169 2,169 21,592,395.00
24 Haloperidol inj. 50mg/ml(Haldol Decanoas) ampul 5'21 101,300 101 101 10,231,300.00
25 KDN-I(Widatra) btl 500 ml 2'22 11,435 2,934 2,934 33,550,290.00
26 Ketorolac inj. 30mg/ml(Ethica) amp 11'21 1,089 1,724 1,724 1,877,436.00
27 Kloramfenikol TT 2%(Reco) btl 7'23 9,800.00 2,390 2,390 23,422,000.00
28 Kotrimoksazol suspensi(Mersi) btl 60 ml 12'22 2,190 172 172 376,680.00
29 Lidokain 2%+epinefrin inj. (Phapros) ampul 11'21 1,229 5,430 5,430 6,673,470.00
30 Magnesium sulfat inj 40%(Otsuka) ampul 11'20 3,796.0 1,646 1,646 6,248,216.00
31 Magnesium sulfat inj 40%(Otsuka) ampul 11'20 3,796.0 2,369 2,369 8,992,724.00
32 Magnesium sulfat inj 40%(Otsuka) ampul 4'22 3,796.0 1,299 1,299 4,931,004.00
33 Metilergometrin inj 0,2mg/ml(Ethica) ampul 8'21 2,959 670 670 1,982,530.00
34 Metilergometrin inj 0,2mg/ml(Ethica) ampul 2'23 2,959 1,000.0 1,000 2,959,000.00
35 Metoklopramide inj 5 mg/ml (Bernofarm) ampul 5'22 3,960.0 1,230 1,230 4,870,800.00
36 Metoklopramide inj 5 mg/ml (Bernofarm) ampul 11'21 3,960.0 1,765.0 1,765 6,989,400.00
37 NaCl 0,9%(Widatra) botol 1'25 6,840 920 920 6,292,800.00
38 OBH syr (Ikapharmindo) btl 3'23 6,600.00 8,666 8,666 57,195,600.00
39 Oksitosin inj 10IU/ml(Ethica) ampul 7'21 1,199 4,700 4,700 5,635,300.00
40 Oksitosin inj 10IU/ml(Ethica) ampul 2'23 1,199 5,000 5,000 5,995,000.00
 APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA
41 Omecdiar suspensi btl 4'22 9,066.00 1,220 1,220 11,060,520.00
42 Pacdin vitcur btl 4'22 8,800.00 8,730 8,730 76,824,000.00
43 Parasetamol syr 120mg/5ml(Mersi) botol 3'23 1,181.00 3,000 3,000 3,543,000.00
44 Parasetamol syr 120mg/5ml(Mersi) botol 9'22 1,181.00 7,040 7,040 8,314,240.00
45 Piracetam inj 5mg/ml(Bernofarm) ampul 5'21 6,600 85 85 561,000.00
46 Ranitidin inj. 25mg/ml (SOHO) amp 12'21 1,188 18,660 18,660 22,168,080.00
47 Ringer Laktat(Otsuka) botol 7'24 7,630 9,120 9,120 69,585,600.00
48 Ringer Laktat(Satoria) botol 8'21 7,630 4,720 4,720 36,013,600.00
49 Ringer Laktat(Widatra) botol 1'23 7,630 380 380 2,899,400.00
50 Ringer Laktat(Widatra) botol 7'21 7,630 420 420 3,204,600.00
51 Sefadroxil syr 125mg/5ml btl 60 ml 3'21 3,922 2,395 2,395 9,393,190.00
52 Sefotaxime inj. 1000mg (Rama) vial 9'21 4,482.00 850 850 3,809,700.00
53 Serum ABU I/Biosave(Biofarma) vial 11'21 512,204 42 42 21,512,568.00
54 Serum ATS 1500 IU/Biosat(Biofarma) Amp 1 ml 2'22 130,999 461 461 60,390,539.00
55 Stesolid rectal 5mg/2.5ml tube 1'23 12,573 460 460 5,783,580.00
56 Sukralfat suspensi (Meprof) btl 5'22 6,789 2,512 2,512 17,053,968.00
57 Vaksin antirabies(Verorab) vial 4'21 165,000 2 2 330,000.00
58 Zinc syr 20mg/5ml(Tempo Scan) btl 60 ml 10'21 3,171 421 421 1,334,991.00
808,272,270.00 NILAI OBAT CAIR 808,272,270.00

OBAT PADAT
59 Albendazole tbl 400 mg(Glaxo) tablet 7'23 1,042 268,400 268,400 279,672,800.00
60 Albendazole tbl 400 mg(Glaxo) tablet 7'23 282.62 767,400 767,400 216,882,588.00
61 Allopurinol tbl 100 mg(Mersi) tablet 4'22 105 15,500 15,500 1,627,500.00
62 Allopurinol tbl 100 mg(Mersi) tablet 9'22 105 100,000 100,000 10,500,000.00
63 Allopurinol tbl 100 mg(Mersi) tablet 4'23 105 100,000 100,000 10,500,000.00
64 Aminofilin tbl 200 mg(Marin) tablet 5'22 95 15,600 15,600 1,482,000.00
65 Aminofilin tbl 200 mg(Marin) tablet 7'21 95 30,000 30,000 2,850,000.00
66 Aminofilin tbl 200 mg(Marin) tablet 5'21 95 18,700 18,700 1,776,500.00
67 Amitriptilin tbl 25 mg(INF) tablet 5'21 167 29,200 29,200 4,876,400.00
68 Amitriptilin tbl 25 mg(INF) tablet 5'22 167 5,000 5,000 835,000.00
69 Amlodipin tbl 10 mg(Tempo) tablet 11'21 99 77,000 77,000 7,623,000.00
70 Amoksisilin tablet 500 mg(Hexpharm) tablet 8'22 249 300,000 300,000 74,700,000.00
71 Amoksisilin tablet 500 mg(Mersi) tablet 5'22 253 42,100 42,100 10,651,300.00
72 Antasida DOEN tbl(Mersi) tablet 12'22 58.00 299,200 299,200 17,353,600.00
73 Antihemoroid(KF) supp 11'21 3,167.00 710 710 2,248,570.00
74 Asam asetil salisilat tbl 80 mg(Miniaspi) tablet 01'22 105 38,700 38,700 4,063,500.00
75 Asam mefenamat tbl 500 mg(Mersi) 2'23 341.00 243,800 243,800 83,135,800.00
76 Asam tranexamat tbl 500 mg (Bernofarm) tablet 4'22 1,584 2,300 2,300 3,643,200.00
77 Atapulgit tablet 600 mg(Tropica) tablet 6'21 142 43,000 43,000 6,106,000.00
78 Betahistin tbl 6 mg(Dexa) tablet 2'22 110.00 32,100 32,100 3,531,000.00
79 Brochifar plus tablet tablet 8'23 720.50 35,100 35,100 25,289,550.00
80 Cefixime 400mg+Azitromicin 100 paket 9'20 30,030.00 480 480 14,414,400.00
81 Clozapine tbl 25 mg (Dexa M) tablet 3'22 1,121 600 600 672,600.00
82 CTM 4 mg(Novapharin) tablet 8'22 69.30 319,000 319,000 22,106,700.00
83 Deksametason tbl 0.5 mg(Novapharin) tablet 8'22 126.50 114,900 114,900 14,534,850.00
 APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA
84 D-hidro Artemisin+Piperaquin tablet 5'21 2,000 27 27 54,000.00
85 Diazepam tbl 2 mg(Yarindo) tablet 9'23 86.00 9,000 9,000 774,000.00
86 Diazepam tbl 5 mg (Mersi) tablet 7'22 114 2,000 2,000 228,000.00
87 Diethyl carbamazine tbl 100 mg(Eisai) tablet 4'23 215.91 4,181,000 4,181,000 902,719,710.00
88 Diethyl carbamazine tbl 100 mg(KF) tablet 5'21 166 5,300 5,300 879,800.00
89 Dimenhidrinat tablet 50 mg(KF) tablet 4'24 112 44,300 44,300 4,961,600.00
90 Domperidon tbl 10 mg(Novapharin) tablet 6'21 91 1,600 1,600 145,600.00
91 Efavirenz tbl 600 mg tablet 5'22 6,630 20,670 20,670 137,042,100.00
92 Efavirenz tbl 600 mg tablet 5'22 6,630 3,480 3,480 23,072,400.00
93 Ergotamin caffein tbl(KF) tablet 7'22 185 17,900 17,900 3,311,500.00
94 Eritromisin kpl 500 mg(Rama E) kaplet 4'21 730 35,700 35,700 26,061,000.00
95 FDC Anak paket 11'21 248,120 9 9 2,233,080.00
96 FDC I paket 4'22 415,467 250 250 103,866,750.00
97 FDC II paket 6'22 1,384,983 4 4 5,539,932.00
98 Fenitoin kps 100 mg(Ikapharmindo) tablet 8'22 158 9,300 9,300 1,469,400.00
99 Fenobarbital tbl 30 mg(Kimia F) tablet 6'23 171 2,400 2,400 410,400.00
100 Fenobarbital tbl 30 mg(Kimia F) tablet 2'24 171 5,000 5,000 855,000.00
101 Fitomenadion (Vit.K1) tbl 10 mg(Phapros) tablet 10'21 758 2,900 2,900 2,198,200.00
102 Fitomenadion (Vit.K1) tbl 10 mg(Phapros) tablet 01'22 758 10,000 10,000 7,580,000.00
103 Furosemide tablet 40 mg(Sampharindo) tablet 2'21 80 90,400 90,400 7,232,000.00
104 Garam Oralit(Kimia F) sase 2'22 257 30,400 30,400 7,812,800.00
105 Gemfibrozil kapsul 300 mg(Phapros) kapsul 1'21 380 13,200 13,200 5,016,000.00
106 Glibenklamid 5 mg(FM) tablet 5'21 100 226,200 226,200 22,620,000.00
107 Glibenklamid 5 mg(INF) tablet 4'22 100 500,000 500,000 50,000,000.00
108 Glimepiride bl 2 mg(Dexa) tablet 3'23 207 90,300 90,300 18,692,100.00
109 Haloperidol 5 mg (Mersi) tablet 9'22 60.00 30,000 30,000 1,800,000.00
110 Haloperidol 5 mg (Mersi) tablet 3'22 60 17,600 17,600 1,056,000.00
111 Hepagard kapsul 4'21 2,790 900 900 2,511,000.00
112 Hidroklorotiazid tbl 25 mg(KF) tablet 4'22 149 50,000 50,000 7,450,000.00
113 Hidroklorotiazid tbl 25 mg(KF) tablet 10'21 149 18,100 18,100 2,696,900.00
114 Isoniazid tbl 100 mg tablet 6'22 145 27,200 27,200 3,944,000.00
115 Isosorbidinitrat tbl 5 mg(Yarindo) tablet 12'22 89 64,500 64,500 5,740,500.00
116 Kalsium laktat tbl 500 mg(Mersi) tablet 1'23 63 752,200 752,200 47,388,600.00
117 Kaptopril tbl 12.5 mg(KF) tablet 2'25 66 158,900 158,900 10,487,400.00
118 Karbamazepine tbl 200 mg(Mersi) tablet 1'23 245.00 30,000 30,000 7,350,000.00
119 Karbamazepine tbl 200 mg(Mersi) tablet 9'22 245.00 22,500 22,500 5,512,500.00
120 Ketoprofen supp 100mg(Suprafenid)(Meprof) supp 2'21 2,380 745 745 1,773,100.00
121 Klindamisin kps 150 mg(Novell) kapsul 3'21 715 1,800 1,800 1,287,000.00
122 Klonidin tbl 0.15 mg(KF) tablet 3'22 139 25,400 25,400 3,530,600.00
123 Klorokuin tbl 150 mg(INF) tablet 2'25 850 4,730 4,730 4,020,500.00
124 Kotrimoksazol tbl 480 mg(Mersi) tablet 3'22 133.00 8,100 8,100 1,077,300.00
125 Lamivudine tbl 150 mg tablet 11'21 1,560 13,440 13,440 20,966,400.00
126 Lamivudine tbl 150 mg tablet 11'21 1,560 80,280 80,280 125,236,800.00
127 Lamivudine tbl 150 mg tablet 2'22 1,560 8,220 8,220 12,823,200.00
128 Lamivudine tbl 150 mg tablet 2'22 1,560 94,380 94,380 147,232,800.00
129 Lamivudine tbl 150 mg tablet 2'22 1,560 35,580 35,580 55,504,800.00
 APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA
130 Larsi kapsul 10'21 1,000 25,250 25,250 25,250,000.00
131 Levotiroksin tbl 100 mg(Euthyrox)(Merc) tablet 1'21 1,021 600 600 612,600.00
132 Levotiroksin tbl 100 mg(Euthyrox)(Merc) tablet 10'22 1,072 6,000 6,000 6,432,000.00
133 Lopinavir 200 mg, Ritonavir 50 mg tablet 4'21 6,600 120 120 792,000.00
134 Lopinavir 200 mg, Ritonavir 50 mg tablet 4'21 6,600 720 720 4,752,000.00
135 Lopinavir 200 mg, Ritonavir 50 mg tablet 2'22 7,119.68 1,440 1,440 10,252,339.20
136 MB Anak blister 1'21 20,554 48 48 986,592.00
137 MB Anak blister 1'21 28,354 12 12 340,248.00
138 MB Dewasa blister 10'21 41,784.00 222 222 9,276,048.00
139 Metformin HCl tablet 500 mg (Hexpharm) tablet 8'22 102 174,000 174,000 17,748,000.00
140 Metilergometrin tbl 0,125mg(Lucas) tablet 4'21 211 18,900 18,900 3,987,900.00
141 Metoklopramide tbl 10 mg(Graha F) tablet 11'20 80 47,000 47,000 3,760,000.00
142 N-asetil sistein kapsul 200 mg(Etercon F) kapsul 4'22 373 54,700 54,700 20,403,100.00
143 Nevirapine tbl 200 mg tablet 2'23 2,940 9,720 9,720 28,576,800.00
144 Nevirapine tbl 200 mg tablet 2'23 2,940 27,360 27,360 80,438,400.00
145 Nevirapine tbl 200 mg tablet 11'22 2,940 34,680 34,680 101,959,200.00
146 Nevirapine tbl 200 mg tablet 2'23 2,940 37,080 37,080 109,015,200.00
147 Nevirapine tbl 200 mg tablet 11'22 2,940 41,760 41,760 122,774,400.00
148 Nifedipine tbl 10 mg(Dexa M) tablet 3'21 99 6,500 6,500 643,500.00
149 Nistatin Tablet 500.000 IU/g (Phapros) tablet 8'22 843.00 500 500 421,500.00
150 Nistatin tbl 500.000IU/g(Phapros) tablet 7'21 790 7,000 7,000 5,530,000.00
151 Nistatin Vaginal tbl 100.000IU/g(Phapros) tablet 5'21 545 2,020 2,020 1,100,900.00
152 Nistatin Vaginal tbl 100.000IU/g(Phapros) tablet 2'22 560 10,000 10,000 5,600,000.00
153 OAT Kombipak I paket 11'22 415,467 18 18 7,478,406.00
154 Panvit C tablet tablet 5'22 1,290.30 27,900 27,900 35,999,370.00
155 Parasetamol 500 mg(Mersi) tablet 8'23 170.50 889,300 889,300 151,625,650.00
156 Parasetamol 500 mg(Mersi) tablet 1'22 53 40 40 2,120.00
157 Parasetamol 500 mg(Mersi) tablet 12'20 53 300 300 15,900.00
158 PB Dewasa blister 6'21 12,569 12 12 150,828.00
159 PB Dewasa blister 10'21 17,092 12 12 205,104.00
160 Pirazinamid tbl 500 mg(DAK 11 )(Dexa M) tablet 5'21 234 970 970 226,980.00
161 Propanolol tbl 40 mg (Holi F) tablet 7'21 76.00 800 800 60,800.00
162 Ranitidine tbl 150 mg(Mersi) tablet 5'23 249.70 46,000 46,000 11,486,200.00
163 Risperidone tbl 1mg(Dexa) tablet 3'23 240 2,700 2,700 648,000.00
164 Risperidone tbl 2 mg (Dexa M) tablet 3'23 287 15,400 15,400 4,419,800.00
165 Salbutamol tbl 2 mg(KF) tablet 9'23 67 93,000 93,000 6,231,000.00
166 Setirizine kps 10 mg (Futamed) kapsul 6'22 90 79,200 79,200 7,128,000.00
167 Tablet tambah darah(Ferro sulfat 200mg+as tablet 5'21 50 891,000 891,000 44,550,000.00
folat0,4mg)(KF)
168 Tenofovir 300 mg+Emtricitabine 200mg tablet 1'22 2,376.43 2,190 2,190 5,204,381.70
169 Tenofovir(TDF) 300 mg tablet 4'23 8,424.00 5,880 5,880 49,533,120.00
170 Tenofovir(TDF) 300 mg tablet 6'23 8,424.00 26,460 26,460 222,899,040.00
171 Tenofovir(TDF) 300 mg+Lamivudine 300mg+Efaviretablet 6'23 6,800.00 2,610 2,610 17,748,000.00
172 Tensigard kapsul 4'22 2,190 720 720 1,576,800.00
173 Tetrasiklin kaps 500 mg(Novapharin) kapsul 4'21 310 30,500 30,500 9,455,000.00
174 Thyrozol tbl 5 mg tablet 11'22 661 3,900.0 3,900 2,577,900.00
 APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA
175 Tiamfenikol kapsul 500 mg(Novapharin) kapsul 7'21 900 127,800 127,800 115,020,000.00
176 Trifluoperazine tbl 5 mg (Mersi) tablet 6'23 287 1,900 1,900 545,300.00
177 Triheksifenidil tbl 2 mg(Mersi) tablet 2'23 91 26,800 26,800 2,438,800.00
178 Vitamin A 100.000 IU(Lucas) kapsul 3'21 287 17,100 17,100 4,907,700.00
179 Vitamin A 100.000 IU(Lucas) kapsul 6'22 306 50,000 50,000 15,300,000.00
180 Vitamin A 200.000 IU(Lucas) kapsul 6'21 517 101,650 101,650 52,553,050.00
181 Vitamin B complek tablet(DEF) tablet 5'24 120 247,000 247,000 29,640,000.00
182 Vitamin B complek tablet(Holi) tablet 10'21 89 23,700 23,700 2,109,300.00
183 Vitamin B1 tablet 50 mg (Novapharin) tablet 1'22 200.20 250,000 250,000 50,050,000.00
184 Vitamin B1 tablet 50 mg (Novapharin) tablet 10'23 91.00 48,400 48,400 4,404,400.00
185 Vitamin B6 tablet 10 mg (KF) tablet 7'22 131.00 200,000 200,000 26,200,000.00
186 Vitamin B6 tablet 10 mg (KF) tablet 3'22 131.00 38,600 38,600 5,056,600.00
187 Vitamin C tablet 50 mg(KF) tablet 3'23 105 123,100 123,100 12,925,500.00
188 Vitamin C tablet 50 mg(KF) tablet 3'23 105 1,240 1,240 130,200.00
189 Vitamin C tbl 250 mg (KF) tablet 3'23 124.00 10 10 1,240.00
190 Zidovudine 300 mg + Lamivudine 150 mg tablet 8'21 3,848 24,480 24,480 94,199,040.00
191 Zidovudine 300 mg + Lamivudine 150 mg tablet 4'21 3,848 43,560 43,560 167,618,880.00
192 Zidovudine 300 mg + Lamivudine 150 mg tablet 3'21 3,848 5,520 5,520 21,240,960.00
193 Zidovudine 300 mg + Lamivudine 150 mg tablet 3'21 3,848 38,400 38,400 147,763,200.00
194 Zidovudine 300 mg + Lamivudine 150 mg tablet 12'20 3,700 44,280 44,280 163,836,000.00
195 Zidovudine 300 mg + Lamivudine 150 mg tablet 12'20 3,700 5,040 5,040 18,648,000.00
196 Zinc tbl 20 mg(KF) tablet 9'21 524.0 7,200 7,200 3,772,800.00
4,703,477,726.90 NILAI OBAT PADAT 4,703,477,726.90

OBAT SALEP/GEL
197 Asiklovir krim 5%(INF) tube 8'21 3,000 7,450 7,450 22,350,000.00
198 Betametason cr 0,1%(KF) tube 3'21 1,340 800 800 1,072,000.00
199 Betametason cr 0,1%(KF) tube 8'21 1,340 14,000 14,000 18,760,000.00
200 Bevalex cr tube 8'22 11,330.00 564 564 6,390,120.00
201 Hidrokortison cr 2,5%(KF) tube 5'23 2,475.00 7,872 7,872 19,483,200.00
202 Hidrokortison cr 2,5%(KF) tube 2'24 2,475.00 3,000 3,000 7,425,000.00
203 Ketokonazole cr 2%(KF) tube 10 gr 9'23 2,518 890 890 2,241,020.00
204 Kloramfenikol SK 2%(Bufa Aneka) tube 15 gr 6'23 3,242 4,752 4,752 15,405,984.00
205 Mikonazole cr 2%(KF) tube 3'21 3,250 1,224 1,224 3,978,000.00
206 Molakrim tube 30 gr 6'23 13,970 530 530 7,404,100.00
207 Oksitetrasiklin SM 1%(KF) tube 10'21 2,500 6,194 6,194 15,485,000.00
119,994,424.00 NILAI OBAT SALEP 119,994,424.00

OBAT SERBUK
208 Bedak salisil serbuk 2% (Ikapharmindo) ktk 8'23 4,010.60 1,185 1,185 4,752,561.00
4,752,561.00 NILAI OBAT SERBUK 4,752,561.00

OBAT-OBATAN LAINNYA 2,999,176,251.06

209 ADS 0.5 ml (Oneject) pcs 8'24 1,190.00 21,000 21,000 24,990,000.00
210 Alat suntik 0.05 ml (ADS)(Skiva) set 5'21 1,354 2,100 2,100 2,843,400.00
211 Alat suntik 0.05 ml (ADS)(Skiva) set 2'22 1,374 15,000 15,000 20,610,000.00
 APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA
212 Alat suntik 1 ml (Aximed) set 12'20 830 7,500 7,500 6,225,000.00
213 Alat suntik 10 ml(Aximed) set 5'22 1,302 3,530 3,530 4,596,060.00
214 Alat suntik 2.5 ml (Onionex) pcs 8'21 864.94 41,500 41,500 35,895,010.00
215 Alat suntik 20 ml(Aximed) set 3'21 1,954 2,158 2,158 4,216,732.00
216 Alat suntik 3 ml (Onionex) set 7'24 842.12 87,300 87,300 73,517,076.00
217 Alat suntik 5 ml (ADS)(Skiva) set 7'24 1,500 2,700 2,700 4,050,000.00
218 Alat suntik 5 ml (Aximed) set 12'20 928 35,600 35,600 33,036,800.00
219 Alat suntik 5 ml (Aximed) set 5'22 928 50,200 50,200 46,585,600.00
220 Alkohol 1L(Visindo) btl 1 L 8.21 62,700 178 178 11,160,600.00
221 Alkohol 70% btl 1 L 6'24 27,500 268 268 7,370,000.00
222 Alkohol swab (Onemed) pcs 5'22 100 800 800 80,000.00
223 Aseptic gel 5L(Onemed) galon 3'23 600,000 136 136 81,600,000.00
224 Blood lancet (Onemed) pcs 6'24 145.66 2,000 2,000 291,320.00
225 Catgut cromic N0. 3/0 (Sinopharm) pcs 5'24 8,338.35 7,008 7,008 58,435,156.80
226 Catgut No. 2/0 Plain(Demetech) set 5'21 30,500 3,288 3,288 100,284,000.00
227 Catridge GeneXpert pcs 4'22 259,175 2,749 2,749 712,472,075.00
228 Desinfektan (Khinez) btl 1 L 3'22 99,000 19 19 1,881,000.00
229 Folley cateter No. 16 (Bardia) set 1'24 18,271 690 690 12,606,990.00
230 Folley cateter No. 18 (Bardia) set 1'24 18,271 590 590 10,779,890.00
231 Handsanitizer 500 ml(Khinez) btl 500 ml 3'22 148,500 72 72 10,692,000.00
232 Handscoon non steril L(Maxter) pcs 7'25 1,000 1,400 1,400 1,400,000.00
233 Handscoon non steril M(Isamed) pcs 1'24 1,000 5,700 5,700 5,700,000.00
234 Handscoon non steril M(Maxter) pcs 7'25 1,000 900 900 900,000.00
235 Handscoon non steril S(Isamed) pcs 12'24 1,000 800 800 800,000.00
236 Infuset air vent (Axeell) set 4'25 6,868.00 11,000 11,000 75,548,000.00
237 Infuset anak (Aximed) set 1'21 5,100 5,160 5,160 26,316,000.00
238 Infuset dewasa (Nousmed) set 4'25 5,817.00 15,400 15,400 89,581,800.00
239 IV Canula No. 18 G (Eskamed) pcs 9'22 10,000 2,740 2,740 27,400,000.00
240 IV Catheter No. 20 G (Onionex) set 4'23 5,525.74 16,290 16,290 90,014,304.60
241 IV Catheter No. 22 G (Onionex) set 4'23 5,520.15 11,120 11,120 61,384,068.00
242 IV Catheter No. 24 G (Aximed) set 4'21 6,000 3,257 3,257 19,542,000.00
243 IV Catheter No. 24 G (Aximed) set 2'22 6,000 10,000 10,000 60,000,000.00
244 Kaca slide frosted box 5'23 21,747 70 70 1,522,290.00
245 Kapas 250 gr (Onemed) Bungkus 10'21 12,499.3 1,267 1,267 15,836,613.10
246 Kasa 4 x10 cm(Onemed) rol 1,500.0 3,315 3,315 4,972,500.00
247 Kasa 4 x10 cm(Onemed) rol 1,499.3 10,000 10,000 14,993,000.00
248 Kasa pembalut 2m x 80 cm rol 7,931.0 217 217 1,721,027.00
249 Kasa steril 16x16 (DRC) ktk 5'25 7,370.00 9,301 9,301 68,548,370.00
250 Leukoplast 7.5cm x 4.5 m roll 9'24 37,371.00 262 262 9,791,202.00
251 Masker 3M 1860 N95 set 01'25 200,000 40 40 8,000,000.00
252 Masker 3M 1860 N95 set 5'24 19,500 200 200 3,900,000.00
253 Masker 3M 1860 N95 set 11'21 23,510 80 80 1,880,800.00
254 Masker 3M 1860 S N95 set 8'23 19,500 400 400 7,800,000.00
255 Masker 3M 1870+Aura N95 set 7'22 30,996 100 100 3,099,600.00
256 Masker bedah (Safelock) pcs 8'25 3,000.0 3,450 3,450 10,350,000.00
257 Masker earloop (Sensi) pcs 2'25 8,000.0 70,200 70,200 561,600,000.00
 APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA
258 Masker earloop hijab(TP) set 9'24 314 18,350 18,350 5,761,900.00
259 Masker kain pcs 7'25 3,080 12,400 12,400 38,192,000.00
260 Masker KN95 pcs 12'25 50,000 30 30 1,500,000.00
261 Mob caps pcs 12'25 1,200 1,500 1,500 1,800,000.00
262 Nasal oksigen anak(Nousmed) pcs 2'25 4,966 500 500 2,483,000.00
263 Nasal oksigen dewasa(Nousmed) pcs 9'24 4,966 360 360 1,787,760.00
264 Nasal oksigen Uk. M/Anak-anak(Aximed) pcs 6'22 6,600 20 20 132,000.00
265 Nasal oksigen Uk. S/Balita(Aximed) pcs 2'22 6,600 300 300 1,980,000.00
266 Nasal oksigen Uk. XS/bayi(Aximed) pcs 4'22 6,600 179 179 1,181,400.00
267 Object glass frosted pcs 7'24 20,748 537 537 11,141,676.00
268 Ose kaca pcs 10,000 2 2 20,000.00
269 Plesterin bulat (Onemed) pcs 6'24 154 4,400 4,400 677,600.00
270 Pot dahak steril pot 7'24 2,117 15,640 15,640 33,109,880.00
271 Pot dahak steril pot 6'24 2,728 25,999 25,999 70,925,272.00
272 Povidone 10% 60 ml (Medika) btl 6'25 4,851.00 3,956 3,956 19,190,556.00
273 Safeglove surgical PF 6.5(Onemed) psng 11'24 7,480 90 90 673,200.00
274 Safety box 12.5 L(Onemed) pcs 12'25 33,000.0 415 415 13,695,000.00
275 Safety box 5 L(Docare) pcs 7'21 21,500 1 1 21,500.00
276 Silk 3/0+Jarum 1/2GT 35mm set 7'23 3,147.22 12,348 12,348 38,861,872.56
277 Surgical glove No. 6 (Troge) psng 6'24 6,595.00 6,550 6,550 43,197,250.00
278 Surgical glove No. 7 (Maxter) psng 4'25 8,500.00 900 900 7,650,000.00
279 Surgical glove No. 7 (Troge) psng 1'25 6,595.00 3,900 3,900 25,720,500.00
280 Surgical glove No. 7.5 (Maxter) psng 12'25 8,500.00 810 810 6,885,000.00
281 Umbilical cord clamb(Hospitech) pcs 11'22 2,750 930 930 2,557,500.00
282 Underpad(Nice care) pcs 1'25 5,082.0 6,700 6,700 34,049,400.00
283 Urine bag (Onemed) pcs 8'22 3,080 480 480 1,478,400.00
2,801,492,951.06 NILAI OBAT OBATAN LAINNYA 2,801,492,951.06

BAHAN KIMIA 1,060,235,096.48

CAIR
284 Asam urat reagent(Ellitech) btl 4'21 440,000 30 30 13,200,000.00
285 Glukosa reagent(Ellitech) btl 10'21 299,750 30 30 8,992,500.00
286 Kolesterol reagent(Ellitech) btl 11'21 568,333.33 31 31 17,618,333.23
287 SGOT reagent(Ellitech) btl 7'21 605,000 4 4 2,420,000.00
288 SGPT reagent(Ellitech) btl 6'21 605,000 2 2 1,210,000.00
289 SGPT reagent(Ellitech) btl 7'21 605,000 2 2 1,210,000.00
290 Trigliseride reagent(Ellitech) btl 8'21 595,833.33 25 25 14,895,833.25
291 VTM Rongye pcs 9'21 45,000.00 1,960 1,960 88,200,000.00
292 Ziel-Nelson paket 7'21 233,234 119 119 27,754,846.00
293 Ziel-Nelson paket 2'23 228,800 273 273 62,462,400.00
294 Ziel-Nelson paket 4'23 228,800 254 254 58,115,200.00
296,079,112.48 NILAI BAHAN KIMIA CAIR 296,079,112.48

PADAT
295 Glukose tes strip strip 9'21 4,694.12 16,300 16,300 76,514,156.00
296 HCG strip(Focus) tes 11'20 6,761 1,600 1,600 10,817,600.00
 APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA
297 pH paper roll 240,000 1 1 240,000.00
298 Rapid 1 HIV/SD tes 6'21 11,975 1,575 1,575 18,860,625.00
299 Rapid 1/2 HIV(KHB) tes 11'21 13,592.33 300 300 4,077,699.00
300 Rapid test Covid(Answer) tes 11'21 130,000 2,550 2,550 331,500,000.00
301 Rapid test HbsAg(Indec) tes 3'22 8,090 2,450 2,450 19,820,500.00
302 Rapid test Syphillis(Indec) tes 8'21 9,609 15,600 15,600 149,900,400.00
303 Rapid test Syphillis(Indec) tes 12'21 9,000 6,325 6,325 56,925,000.00
304 Rapid test Syphillis(SD) tes 2'22 14,000 550 550 7,700,000.00
305 Virotec Dengue Combo strip 5'22 65,037.04 1,350 1,350 87,800,004.00
764,155,984.00 NILAI BAHAN KIMIA PADAT 764,155,984.00

SUKU CADANG PENDUKUNG 190,513,300.00

306 APD coverall set 12'25 95,000 1,200 1,200 114,000,000.00
307 APD set set 4'22 1,950,000 5 5 9,750,000.00
308 Apron Petugas lab pcs 12'25 8,000 250 250 2,000,000.00
309 Apron Plastik pcs 12'25 5,000 500 500 2,500,000.00
310 Faca shield pcs 5'23 100,000 52 52 5,200,000.00
311 Face shield pcs 12'25 40,000 140 140 5,600,000.00
312 Gogle glass pcs 5'25 30,000 75 75 2,250,000.00
313 Helm face shield set 3'23 495,000 13 13 6,435,000.00
314 JAS HUJAN set 4'22 96,000 176 176 16,896,000.00
315 Kaca mata gogle pcs 12'25 40,000 140 140 5,600,000.00
316 Kaca mata gogle pcs 3'23 99,000 7 7 693,000.00
317 Kertas Pembungkus Obat Puyer lembar 1,470 1,940 1,940 2,851,800.00
318 Plastik Infeksius 60x80 pcs 12'25 1,500 400 400 600,000.00
319 Plastik Sampah 90x120 pcs 12'25 3,500 640 640 2,240,000.00
320 SEPATU BOOT psng 4'22 187,500 9 9 1,687,500.00
321 Sepatu Boot(Ando) psng 3'23 330,000.0 37 37 12,210,000.00
190,513,300.00 NILAI SUKU CADANG PENDUKUNG 190,513,300.00

LAIN-LAIN
322 Bodysoap cair pcs 4'22 35,000 30 30 1,050,000.00
323 Detergent pcs 12'25 35,000 24 24 840,000.00
324 Hadsoap cair pcs 12'25 20,000 38 38 760,000.00
325 Pewangi Pakaian pcs 12'25 35,000 31 31 1,085,000.00
326 Shampo sachet 12'25 1,500 1,470 1,470 2,205,000.00
327 Tissue basah pcs 12'25 15,000 82 82 1,230,000.00
NILAI LAIN-LAIN 7,170,000.00

9,688,738,329.44 NILAI TOTAL 9,695,908,329.44

Purwodadi,27 Oktober 2020

Kepala UPTD Gudang Farmasi
9,695,908,329.44 Dinas Kesehatan Kab. Grobogan
 APBD II APBD I
NO NAMA OBAT SATUAN ED HARGA DAK DAK DAK DAK DAK APBD BTT P2M I JML NILAI Rp
20 16 17 18 19 II KIA
TRI SUSANTI,S.Si.,Apt
NIP. 19720114 200501 2 006