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DATA PENERIMAAN OB

TAHU
OBA
NO
1
2
3
4
5
6
7
8
9

NAMA OBAT

SATUAN

Antalgin (Metampiron) injeksi 250 mg

tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul

10

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200 mg + Al.


Hidroksida. 200 mg

tablet

11

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +


Polimiksin 10.000 IU/g

tube

12

Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg +


Heksaklorofen 250 mg

supp

13

Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam


Salisilat 3%

pot

14

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

tablet

15

Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg +


Levodopa 250 mg

tablet

16
17

Aqua pro Injeksi steril, bebas pirogen


Asam Askorbat (Vit C) tablet 50 mg

botol
tablet

18

Asam Asetilsalisilat tablet 100 mg ( Asetosal )

tablet

19

Asam Asetilsalisilat tablet 500 mg ( Asetosal )

tablet

20
21

Atropin Sulfat tablet 0,5 mg


Atropin Sulfat tetes mata 0,5%

tablet
botol

22

Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat)

ampul

23
24
25
26
27
28
29
30
31
32
33

Betametason krim 0.1%

tube
ampul
tablet
botol
botol
tablet
ampul
tablet
tablet
ampul
tablet

Alopurinol tablet 100 mg


Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml
Antalgin (Metampiron) tablet 500 mg

Deksametason Injeksi I.v. 5 mg/ml


Deksametason tablet 0,5 mg
Dekstran 70-larutan infus 6 % steril
Dekstrometorfan sirup 10 mg/5 ml (HBr)
Dekstrometorfan tablet 15 mg (HBr)
Diazepam Injeksi 5mg/ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Difenhidramin Injeksi I.M. 10 mg/ml (HCL)
Digoksin tablet 0,25 mg

JAN
200

50

1000

34
35

Efedrin tablet 25 mg (HCL)


Ekstrak Belladon tablet 10 mg

tablet
tablet

36

Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL)

ampul

37
38

Etakridin larutan 0,1 %


Fenitoin Natriun Injeksi 50 mg/ml

botol
ampul

39

Fenobarbital injeksi I.m/I.v 50 mg/ml - 1 ml

ampul

40
41
42
43

Fenobarbital tablet 30 mg

Fenol Gliserol tetes telinga 10%

tablet
tablet
tablet
botol

44

Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml

ampul

45

Fitomenadion (Vit.K1) tablet salut gula 10 mg

tablet

46
47

Furosemid tablet 40 mg
Gameksan losion 1%

tablet
botol

48

Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium


klorida 0,30 g, Tribatrium Sitrt dihidrat 0,58 g

bks

49
50
51
52
53
54

Gentian Violet larutan 1 %

Glukosa larutan infus 10 %

botol
tablet
tablet
botol
botol
botol

55

Glukosa larutan infus 40% steril (Produk lokal)

botol

56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

Griseofulvin tablet 125 mg, micronized

tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet
ampul
ampul
tablet
tablet

Fenoksimetil Penisilina tablet 250 mg


Fenoksimetil Penisilina tablet 500 mg

Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 5%

Haloperidol tablet 0,5 mg


Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Hidroklorotiazida tablet 25 mg
Hidrokortison krim 2,5 %
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium laktat (Kalk) tablet 500 ml
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg
Karbamazepim tablet 200 mg
Ketamin injeksi 10 mg/ml
Klofasimin Kapsul 100 ml mikrozine
Kloramfenikol kapsul 250 mg
Kloramfenikol tetes telinga 3 %
Klorfeniramin Maleat (CTM) tablet 4 mg
Klorpromazin injeksi i.m 5 mg/ml (HCL)
Klorpromazin injeksi i.m 25 mg/ml (HCL)
Klorpromazin tablet salut 25 mg (HCL)
Klorpromazin HCl tablet salut 100 mg

100

100

500

78

Anti Malaria DOEN ( kombinasi Pirimetamin 25 ml


+sulfadoksin 500 ml

tablet

79

Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg


+ Trimetoprim 40 mg/ 5 ml

botol

80

Kotrimosazol DOEN I (dewasa) Kombinasi :


Sulfametoksazol 400 mg, Trimetoprim 80 mg

tablet

81

Kotrimosazol DOEN II (pediatrik) Kombinasi :


Sulfametoksazol 100 mg, Trimetoprim 20 mg

tablet

82
83

Kuinin Dihidroklorida injeksi 25% - 2 ml


Kuinin (kina) tablet 200 mg

ampul
tablet

84

Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000-2 ml

ampul

85
86
87
88
89

Magnesium sulfat inj (IV)20%-25ml

Mebendazol tablet 100 mg

ampul
ampul
bks
botol
tablet

90

Metilergometrin Maleat (Metilergometrin) tablet salut 0,125


mg

tablet

91
92
93
94
95
96
97
98
99
100
101

Metilergometrin Maleat inj 0,200 mg-1 ml

Oksitetrasiklin HCl salep mata 1 %

ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube

102

Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml

vial

103
104
105
106
107
108
109
110
111
112
113
114
115
116
117

Oksitosin injeksi 10 IU/ml - 1 ml

Ringer Laktat larutan infus

ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol

118

Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang


Endap 4%

pot

Magnesium sulfat inj (IV) 40%-25ml


Magnesium sulfat serbuk 30 gram
Mebendazol sirup 100 ml/5ml

Metronidazol tablet 250 mg


Natrium Bikarbonat tablet 500 mg
Natrium Fluoresein tetes mata 2%
Natrium Klorida larutan infus 0,9 %
Natrium Thiosulfat injeksi I.v. 25 %
Nistatin tablet salut 500.000 IU/g
Nistatin Vaginal tablet salut 100.000 IU/g
Obat Batuk Hitam ( O.B.H. ) cairan 100 ml
Obat Batuk Hitam ( O.B.H. ) cairan

Parasetamol sirup 120 mg/5 ml


Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Pilokarpin tetes mata 2 % (HCL/Nitrat)
Piridoksin HCl (Vit.B6) tablet 10 mg
Povidon Iodida 10 % 30 ml
Povidon Iodida 10 % 300 ml
Prednison tablet 5 mg
Primakoin tablet 15 ml
Propiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg

119

Salisil Bedak 2 %

bks

120

Serum Anti Bisa Ular Pilivalen Injeksi 5 ml (ABU I)

ampul

121

Serum Anti Bisa Ular Pilivalen Injeksi 50 ml (ABU II)

ampul

122

Serum Anti Difteri Injeksi 20.000 IU/Vial ( A.D.S )

ampul

123

Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S)

ampul

124

Serum Anti Tetanus Injeksi 20.000 IU/Vial (A.T.S)

ampul

125

Sianokobalamin (Vit.B12) injeksi 500 mcg-ml

ampul

126
127
128
129

Sulfasetamida Natrium tetes mata 15 %

Tetrasiklin HCl kapsul 500 mg

botol
botol
kapsul
kapsul

130

Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml

ampul

131

Tiamin HCl / Mononitrat (Vit.B1) tablet 50 mg

tablet

132

Tiopental Natrium serbuk Injeksi 1000 mg/amp

ampul

133
134
135

Triheksifenidil tablet 2 mg

tablet
ampul
tablet

Tetrakain HCl tetes mata 0,5%


Tetrasiklin HCl kapsul 250 mg

Vaksin Rabies Vero


Vitamin B Kompleks tablet
VAKSIN

136
137
138
139
140
141
142
143
144

BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
HEPATITIS B 0,5 ml ADS
POLIO 20 Dosis
CAMPAK 20 Dosis

Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul

ALAT KESEHATAN

145
146
147

Alat suntik sekali pakai 1 ml


Alat suntik sekali pakai 5 ml

pcs
pcs
pcs

148

Catgut / Benang Bedah No. 2/0 dengan jarum bedah

pcs

149

Catgut / Benang Bedah No. 3/0 dengan jarum bedah

pcs

150
151
152
153
154
155
156

Infusion set anak

set
set
pcs
pcs
pcs
bks
bks

Alat suntik sekali pakai 2,5 ml

Infusion set dewasa


IV Catheter No. 20 G
IV Catheter No. 22 G
IV Catheter No. 24 G
Kapas Pembalut / Absorben 250 gram
Kasa Kompres 40/40 steril

157
158
159
160
161

Kasa Pembalut 2 m x 80 cm

Plester 5 yards x 2 inch

bks
bks
bks
pcs
pcs

162

Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah

pcs

163
164
165
166

Wing Needle No. 21 G

pcs
pcs
pcs
pcs

Kasa Pembalut Hidrofil 4 m x 3 cm


Kasa Pembalut Hidrofil 4 m x 15 cm
Pembalut Gips

Wing Needle No. 23 G


Wing Needle No. 25 G
Wing Needle No. 27 G
OBAT KLB

167

Asam Mefenamat tablet salut selaput 500 mg

kaplet

168
169
170
171
172
173
174
175
176
177
178
179
180
181

Doksisiklin kapsul 100 mg

kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul

Eritromisin kapsul 500 mg


Eritromisin sirup 200 mg/5 ml
Kaptopril 12,5 mg
Kaptopril 25 mg
Klindamisin kapsul 150 mg
Nifedipin 10 mg
Piroksikam tablet 20 mg
Sefadroksil kapsul 500 mg
Sefotaksim Injeksi 1 gr
Seftriakson injeksi 1 gr
Simetidin tablet 200 mg
Tramadol injeksi 50 mg/ml
Tramadol kapsul 50 mg
BAHAN HABIS PAKAI & ALAT NON MEDIK

182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197

Folley Catheter No.14


Folley Catheter No.16
Folley Catheter No.18
Jarum jahit (bedah) No.9
Jarum jahit (bedah) No.10 (kulit)
Jarum jahit (bedah) No.11 (kulit)
Jarum jahit (bedah) No.12 (kulit)
Jarum jahit (bedah) No.13 (kulit)
Jarum jahit (bedah) No.14 (kulit)
Jarum otot besar
Jarum otot kecil
Masker
Sarung Tangan Steril 6,5
Sarung Tangan Steril 7
Sarung Tangan Steril 7,5
Urine Bag
OBAT PROGRAM

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
psg
psg
psg
pcs

50

MALARIA

1
2
3
4
5
6
7
8

ACT (Artesunate + Amodiaquin


Arthemeter injeksi 1 ml : 80 mg
Artesunate Injeksi vial 60 mg
Primakuin tablet 5 mg
Kina Tablet 200 mg
Kina Injeksi 25% - 2ml
Doxicyklin 100 mg
ACT (Dehidro Artemisin + Piperaquine)

tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet

FILARIASIS

9
10
11
12
13
14
15
16

DEC 100 mg (Tablet)


Parcetamol 500 mg (Tablet)
Abendazol 400 mg
Antasida Doen
Piridoksin(Vit.B6) 10 mg HCL
Loratadin 10 mg (tablet)
Amoksisilin kaplet 500 mg (kapsul)
Gentamicin Salep kulit 0,1% (tube)

tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube

SCHISTOSOIASIS & F BUSKI

17

Prazikuartel 500 mg

tablet

PES

18
19
20

Tetrasiklin HCL 250 mg


Parasetamol tab 500 mg
Vit. B Kompleks tab

kapsul
tablet
tablet

ANTRAKS

21
22
23

Prokain Benzil Penisilin 3juta IU/Vial Inj


Anti Bakteri Doen Salep
Amoksisilin Kaplet 500 mg

vial
tube
kaplet

TAENIASIS CYSTICERKOSIS NEURO C.

24
25
26
27
28
29

Prazikuantel tablet 600 mg


Magnesium Sulfat Serbuk 30 gram
Albendazol tablet 400 mg
Prednison tablet 5 mg
Antasida Doen Tab Kombinasi
Fenobarbital tab 100 mg

tablet
bks
tablet
tablet
tablet
tablet

DIARE

30
31

Garam Oralit 200 ml air


Zinc Tab 20 mg

bks
tablet

KECACINGAN

32

Albendazol tablet 400 mg

tablet

KUSTA

33
34
35
36

Prednison tab 5 mg
Rifampicin kapsul 300 mg
Rifampicin kapsul 600 mg
Lamprene 100 mg

tablet
kapsul
kapsul
tablet

FRAMBUSIA

37
38
39
40

Benzatin Benzil Penisilin 1.2 juta IU/Vial


Adrenalin Injeksi
Aquades 20 cc
Disposible syringe 5ml

vial
ampul
botol
pcs

TB PARU (OAT FDC )

41
42
43

Obat Anti Tuberculosis 1


Obat Anti Tuberculosis 2
Obat Anti Tuberculosis sisipan

set
set
set

OAT Kombipak

44
45

Katagori 1
Obat Anti Tuberculosis Anak

set
set

ISPA

46

Kotrimoksasol tablet kombinasi : sulfa meloksazol 400 mg +


Trimetorpin 80 mg

tablet

47
48
49

Kotrimoksasol suspensi

botol
tablet
tablet

Parasetamol tablet. 500 mg


Parasetamol 100 mg
FLU BURUNG

50

Oseltamivir

tablet

KESEHATAN ANAK

51
52
53
54
55
56
57
58
59

Fitomenadion ( Vit K ) 10 mg
Natrium Tiroksin ( tab )
Ampisilin serbuk injeksi i.m/i.v 1000 mg/ml
Gentamisin injeksi 80 mg/ml
Prokain Benzil Penisilin G Injeksi 3 Jt IU/vial
Fenobarbital injeksi i.m/i.v 50 mg/ml
Diazepam injeksi 5 mg/ml
Oxytetrasiklin Salep Mata 1 % ( HCL )
Abendasol 400 mg

tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
tablet

KESEHATAN IBU

60
61
62
63
64
65

Dextran 70 %
Transfusi set
IV Chateter No. 16
Magnesium Sulfat 20 % - 25 ml
Magnesium Sulfat 40 % - 25 ml
Glukonas Calsicus 10 % - 10 ml

botol
set
pcs
botol
botol
botol

66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
pcs

Ampisilin injeksi I.M/ I.V 1000 mg/ml


Nipedipin 10 mg
Oksitosin injeksi 10 IU/ml - 1 ml
Metilergometrin Maleat Inj 0,2 mg - 1 ml
Metilergometrin Maleat tablet 0,125 mg
Amoksisilin kaplet 500 mg
Epinefrin ( Adrenalin )injeksi 0,1 % ( sbg HCL)
Gentamisin injeksi 80 mg/ 2 ml
Metronidazole 500 mg infus / 100 ml
Cutgut Chromic No 1 atraumatik ( sachet )
Cutgut Chromic No 2/0 atau 3/0, atraumatik
IV Chateter No. 18
Urine Bag
Alat Suntik 2,5 ml
Alat Suntik 5 ml
Alat Suntik 10 ml
Urine strip untuk pemeriksaan Protein dan Gula
Rapid test untuk sipilis
Kontrasepsi injeksi Progesteron Depo ( 3 bln, 1ml)
Kontrasepsi pil kombinasi ( micordiol)
Implan KB ( isi 2 )
GIZI

87

Retinol ( vitamin A ) 100.000 IU Kapsul Lunak Bayi


( 6 - 11 bln )

88

Retinol ( vitamin A ) 200.000 IU Kapsul Lunak Balita


11- 59 bln )

89
90
91

Retinol ( vitamin A ) 200.000 IU Kapsul Lunak Ibu Nifas


Ferro Sulfat 300 mg
Mineral Mix

kapsul
(

kapsul
kapsul
tablet
bks

3000

OBAT GIGI

92
93
94
95
96
97
98
99
100

1
2
3
4
5
6

Temporary Stopping fletcher serbuk & cairan

botol
botol
botol
set
tube
botol
botol
set
set

TAMBAHAN OBAT PROGRAM


Biuveriuk
Clavamox
FDC Anak
Giemsa Cat
HCl
Intec one

test
botol
paket
botol
botol
test

Devitalisasi pasta (non Arsen)


Etil klorida spray
Eugenol cairan
Galss Ionomer cement ART
Kalsium Hidroksida Pasta
Klorfenol Kamfer Menthol (CHKM)
Mummifying Pasta
Semen seng posfat serbuk & cairan

7
8
9
10
11
12
13
14
15
16
17
18
19
20

IV Catheter 22 G
IV Catheter 24 G
Kotak kaca
Kotak kaca sediaan
MDT Combi
Oncoprode
Parasetamol
Pot dahak
Reagen TB
Slide frosted
Sound timer
Sulfadiazine
Tissue lensa
Ringer laktat

pcs
pcs
kotak
kotak
blister
test
tablet
botol
paket
kotak
pcs
tablet
lembar
botol

TAMBAHAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Alkohol 70% 1000 ml

Albendazol syr
Alkohol 70% 100 ml
Alkohol 70% 300 ml
Alkohol 95% 1000 ml
Alkohol swab
Ambroxol sirup 15 mg/5 ml
Ambroxol tab 30 mg
Amlodipin 10 mg
Amlodipin 5 mg
Amoksisilin + as Klavulanat 625 mg tab
Antasida DOEN II Suspensi.Komb

Apron
Asam askorbat 250 mg
Asam folat tablet 1 mg
Asam mefenamat 250 mg
Asam Mefenamat Kaps 250 mg

Aseptan Gel 500 cc+dispenser


Asiklovir krim 5%
Asiklovir tablet 200 mg
Asiklovir tablet 400 mg
Attapulgit (Pularek) tab 600 mg

Azitromisin tab 250 mg


Bayclin 1000 ml
Berotec MDI
Berotec solution
Betahistin mesilat tab 6 mg
Bioplacenton
Bisakodil (stolax) supp 10 mg
Bisoprolol 5 mg
Boraks Gliserin
Bromheksin tab 8 mg

botol
botol
botol
botol
botol
pcs
botol
tablet
tablet
tablet
tablet
botol
pack
tablet
tablet
tablet
kapsul
botol
tube
tablet
tablet
tablet
tablet
botol
botol
botol
tablet
tube
supp
tablet
botol
tablet

120

33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80

Burnazin 35 gram
Buscopan injeksi
Cendo lyteers
Cetirizine syr 5 mg/ml
Cetirizine tab 10 mg

Chlorotule
Cito brush
Coldrexin syrup
Colfin syrup
Colfin tab
Curcuma syrup
Decadryil syrup
Demacolin syrup
Desoksimetason krim 0,25%
Diltiazem HCl tablet 30 mg
Dimenhidrinat tab 50 mg
Domperidon suspensi 5 mg/5ml
Domperidon tab 10 mg

Dulcolac tab
Dulcolactol syr
Eritromisin kaps 250 mg

Erlamicetin plus (tetes mata)


Famotidin
Fenilbutason tab 200 mg

Fenitoin kapsul 100 mg


Flagystatin
Flukonazol 150 mg
Folley Catheter
Gelang pasien
Gelang pasien anak
Gentamisin sulfat tetes mata 0,3%
Gentamsin salep kulit 0,1%
Hanscoon Nonsteril L
Hanscoon Nonsteril M
Hanscoon steril 7,5
Hanscoon steril 8
Hidrogen Peroksida (H2O2)
Hidrokortison krim 1 %
Hipavix 5x5 cm
Hufavit kalk
Ibuprofen suspensi 100 mg/5ml
Ibuprofen suspensi 200 mg/5ml
Iodiol kapsul lunak

Irbesartan 150 mg
Jarum hecting
Jarum jahit (bedah) no.10 (otot)
Jarum jahit (bedah) no.13 (otot)
Jarum jahit (bedah) no.14 (otot)

tube
ampul
botol
botol
tablet
pcs
pcs
botol
botol
tablet
botol
botol
botol
tube
tablet
tablet
botol
tablet
tablet
botol
kapsul
botol
tablet
tablet
kapsul
supp
kapsul
pcs
pcs
pcs
botol
tube
psg
psg
psg
psg
botol
tube
rol
botol
botol
botol
kapsul
tablet
set
bungkus
bungkus
bungkus

10

81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128

Jarum jahit (bedah) no.9(otot)


Jelly dopler 250 ml
Kaltofren supp
Kapas 500 gram
Kapas lidi
Kaptopril tab 50 mg

Kasa Hidrofil 40 x 80
Kasa Hidrofil steril uk. 16 x 16 (isi 16 lembar)
Kasa Hidrofil steril uk. 18 x 22 (isi 12 lembar)
Kasa Hidrofil uk. 36 m x 80 cm
Kasa Pembalut Elastis 3 inchi
Kasa Pembalut Elastis 4 inchi
Kasa Pembalut Elastis 6 inchi
Kasa Pembalut Hidrofil 4 m x 10 cm
Kasa Pembalut Hidrofil 4 m x 5 cm
Kendaron (amiodaron) tab
Kertas perkamen
Ketac Molar
Ketokonazol krim 2%
Ketokonazol tab 200 mg

Ketoprofen supp (Protofen)


Ketoprofen tab 100 mg
Klindamisin kaps 300 mg

klip Besar (13x18,7)cm


Klip Kecil (5x8) cm
Klip Tanggung (7x10) cm
Kloramfenikol salep mata 1%
Kloramfenikol suspesi 125 mg/5 ml
Kloramfenikol tetes mata 0,5%

Klorpromazin inj.i.m 25mg/ml


Lanzoprasole

Larutan Hidrogen Peroksida (H2O2) 3% 100 ml


Laxadine emulsi 60 ml
Lefofloxacin
Levopar
Lidokain injeksi 2%
Livron B-Plek
Loperamid
Loratadin

Lubricating jelly
Lysol

Masker karet
Masker N 95
Meloxicam tab 15 mg
Meloxicam tab 7,5 mg
Metformin HCl tab 500 mg

Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg

bungkus
botol
supp
bks
pcs
tablet
rol
kotak
kotak
rol
rol
rol
rol
rol
rol
tablet
pcs
set
tube
tablet
supp
tablet
kapsul
pcs
pcs
pcs
tube
botol
botol
ampul
tablet
botol
botol
tablet
tablet
ampul
tablet
tablet
tablet
tube
botol
pcs
pcs
tablet
tablet
tablet
tablet
tablet

50

80

100

200

129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176

Metilprednisolon tablet 8 mg
Metoklopramide syr 5mg/5ml

Metoklopramide tab 10 mg
Metronidazol 500 mg
Miconazol krim/salep 2% (nitrat)
Natrium diklofenak tab 25 mg
Natrium diklofenak tab 50 mg

New Diaform

Noretisteron tab 5 mg (Primolut N)


Nurse cap
Obat Batuk Hitam 200 ml
Ofloksasin tab 200 mg
Ofloksasin tab 400 mg
Oksitetrasiklin HCl salep kulit 3%

Omeprazole kaps 20 mg

Onescrub 500 cc+dispenser


Papaverin injeksi 40 mg/ml
Papaverin tablet 40 mg

Paraformaldehide tab

Parasetamol drops
Pembalut Gips 3 inchi
Pembalut Gips 4 inchi
Pembalut Gips 6 inchi

Phenobarbital 100 mg
Piracetam 400 mg
Pirantel tab score (base) 125 mg
Piroksikam 10 mg

PK (Kalium Permanganat)
Plester 5x5 cm
Plester kain 1,25 cm
Plester kain 2,5 cm
Plester kain 7,5 cm
Povidon iodin 10 % 1000 ml
Povidon iodin 60 ml

PP tes
Ranitidin tab 150 mg

Reagen Gol. Darah


Recovit syr
Rivanol 300 cc
Sabun cair cuci alat
Salbutamol 2 mg
Salbutamol 4 mg

Sarung tangan
Sarung tangan
Sarung tangan
Scabicid cr
Scabimite cr 10

cuci alat/industri L
cuci alat/industri M
cuci alat/industri S
gram

Sefadroksil kaps 250 mg

tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
tablet
pcs
botol
tablet
tablet
tube
kapsul
botol
ampul
tablet
tablet
botol
rol
rol
rol
tablet
tablet
tablet
tablet
botol
rol
pcs
pcs
pcs
botol
botol
pcs
tablet
set
botol
botol
galon
tablet
tablet
pasang
pasang
pasang
tube
tube
kapsul

200

177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207

kapsul
botol
Sefadroksil syr kering 250 mg/5 ml
botol
Sefixim syr kering 100mg /5ml
botol
Sendok syr
pcs
Sianokobalami (vit B12) tab 50 mcg
tablet
Simvastatin 20 mg
tablet
Simvastatin tab 10 mg
tablet
Siprofloksasin 250
tablet
Siprofloksasin 500 mg
tablet
Slide frosted
kotak
Sofratule
lembar
Spiritus
botol
Spironolakton tab 100 mg
tablet
Spongostan
pcs
Tensocrepe 7,5 cm
rol
Termometer
pcs
Tetagam
botol
Tiamfenikol 500 mg
kapsul
Tisu towel
rol
Trikresol Formalin (TKF)
botol
Underpad (perlak sekali pakai)60x90
pcs
Urotractin 400 mg
tablet
Ventolin inhaler (Salbutamol inh/aerosol 10 botol
Zinc tablet 20 mg
tablet
Zincpro drops
botol
Zircum Kid syrup (Zinc sir 20mg/5ml)
botol
Ilyadyn drop
botol
Ilyadyn spray
botol
Symbicort
botol
Ofloxacin TT
botol
Sefadroksil kaps 500mg
Sefadroksil syr kering 125mg/ml

500

A PENERIMAAN OBAT PUSKESMAS SUSUT 2


TAHUN 2015
OBAT PKD
FEB

4200
100
1500

MAR
300

1000
100

APRL

MEI

JUN

BULAN
JUL

4200
50

2000

120
1000

AGT
300

5000
120

500
25
20

1000

1000

2000

25
100
1000

1500

50

25

2000

500
90
200

250
5

500

200

500

200

24

200

200

200

200
2000

300

100

300
2000

2000
5

500

48

48
1000

2000

1000
500
0

500

1000

3000

2000

500

2000

1000

50

120

168

84

3000

3000

1500

1000

84

168

3000

2000

2000
5
2000

2000

5
24

24

10

100

200

5000

1000

3000

2000

0
100

1000

200

24
5
3

5
5
5
5

2000

2500
300

500

500

600

100

200

12
12

600

1500

100

3,000

2
1

24

200

100

600
600

50

600

200

100

600

2
0
400

600

200

600

180

10

400

20
50

10

20
25

200
100

50
200
100

12

12

20
3

50

24
200

48

100

100

600

600

100
400

200

300
500
500

500
700

1500

1000

1,000

2,000

300
24

24
500
500

1,000

500

24
300
5

56

56

10
12

50
1

1
600
10

500
500

300

50
250

250

1,000

1800

500
8

12

12

5
1,000

500
50

25

SEP

OKT

NOV

1,500

1000

1,000
25
40

1,500

500

2,000

DES

30

300
24

1000
1000
1000

500

1000

3000

50

10

10

120

10
168
10000
1000

2000

2000

200

36

500

300

50

100
600

2
25
200
2,000

1,000

10

10
15
15

10

1,000

200

50

2,000

250
500

10
10
2
20

DATA PENERIMAAN OB
TAHU
OB
NO

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

NAMA OBAT

SATUAN

tablet
tablet
Aminofilina injeksi 24 mg/ml - 10 ml
ampul
Amitriptilin HCl tablet salut 25 mg
tablet
Amoksisilin kapsul 250 mg
Kapsul
Amoksisilin kaplet 500 mg
kaplet
Amoksisilin sirup kering 125 mg/5ml
botol
Antalgin (Metampiron) tablet 500 mg
tablet
Antalgin (Metampiron) injeksi 250 mg
ampul
Antasida DOEN tab,kombinasi: Mg-Hidroksida 200 mg + Al. Hidroksida.
tablet
200 mg
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
tube
10.000 IU/g
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen
supp
250 mg
Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3%
pot
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
tablet
Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg + Levodopa 250
tablet
mg
Aqua pro Injeksi steril, bebas pirogen
botol
Asam Askorbat (Vit C) tablet 50 mg
tablet
Asam Asetilsalisilat tablet 100 mg ( Asetosal )
tablet
Asam Asetilsalisilat tablet 500 mg ( Asetosal )
tablet
Atropin Sulfat tablet 0,5 mg
tablet
Atropin Sulfat tetes mata 0,5%
botol
Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat)
ampul
Betametason krim 0.1%
tube
Deksametason Injeksi I.v. 5 mg/ml
ampul
Deksametason tablet 0,5 mg
tablet
Dekstran 70-larutan infus 6 % steril
botol
Dekstrometorfan sirup 10 mg/5 ml (HBr)
botol
Dekstrometorfan tablet 15 mg (HBr)
tablet
Diazepam Injeksi 5mg/ml
ampul
Diazepam tablet 2 mg
tablet
Diazepam tablet 5 mg
tablet
Difenhidramin Injeksi I.M. 10 mg/ml (HCL)
ampul
Digoksin tablet 0,25 mg
tablet
Efedrin tablet 25 mg (HCL)
tablet
Ekstrak Belladon tablet 10 mg
tablet
Alopurinol tablet 100 mg
Aminofilin tablet 200 mg

JAN

36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76

Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL)


Etakridin larutan 0,1 %
Fenitoin Natriun Injeksi 50 mg/ml
Fenobarbital injeksi I.m/I.v 50 mg/ml - 1 ml
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fenol Gliserol tetes telinga 10%
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenadion (Vit.K1) tablet salut gula 10 mg
Furosemid tablet 40 mg
Gameksan losion 1%
Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium klorida 0,30 g,
Tribatrium Sitrt dihidrat 0,58 g
Gentian Violet larutan 1 %
Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 5%
Glukosa larutan infus 10 %
Glukosa larutan infus 40% steril (Produk lokal)
Griseofulvin tablet 125 mg, micronized
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Hidroklorotiazida tablet 25 mg
Hidrokortison krim 2,5 %
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium laktat (Kalk) tablet 500 ml
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg
Karbamazepim tablet 200 mg
Ketamin injeksi 10 mg/ml
Klofasimin Kapsul 100 ml mikrozine
Kloramfenikol kapsul 250 mg
Kloramfenikol tetes telinga 3 %
Klorfeniramin Maleat (CTM) tablet 4 mg
Klorpromazin injeksi i.m 5 mg/ml (HCL)
Klorpromazin injeksi i.m 25 mg/ml (HCL)
Klorpromazin tablet salut 25 mg (HCL)

ampul
botol
ampul
ampul
tablet
tablet
tablet
botol
ampul
tablet
tablet
botol
bks
botol
tablet
tablet
botol
botol
botol
botol
tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet
ampul
ampul
tablet

77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117

tablet
Anti Malaria DOEN ( kombinasi Pirimetamin 25 ml +sulfadoksin 500 ml
tablet
Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg + Trimetoprim
botol
40 mg/ 5 ml
Kotrimosazol DOEN I (dewasa) Kombinasi : Sulfametoksazol 400 mg,
tablet
Trimetoprim 80 mg
Kotrimosazol DOEN II (pediatrik) Kombinasi : Sulfametoksazol 100 mg,
tablet
Trimetoprim 20 mg
Kuinin Dihidroklorida injeksi 25% - 2 ml
ampul
Kuinin (kina) tablet 200 mg
tablet
Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000-2 ml
ampul
Magnesium sulfat inj (IV)20%-25ml
ampul
Magnesium sulfat inj (IV) 40%-25ml
ampul
Magnesium sulfat serbuk 30 gram
bks
Mebendazol sirup 100 ml/5ml
botol
Mebendazol tablet 100 mg
tablet
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg
tablet
Metilergometrin Maleat inj 0,200 mg-1 ml
ampul
Metronidazol tablet 250 mg
tablet
Natrium Bikarbonat tablet 500 mg
tablet
Natrium Fluoresein tetes mata 2%
botol
Natrium Klorida larutan infus 0,9 %
botol
Natrium Thiosulfat injeksi I.v. 25 %
ampul
Nistatin tablet salut 500.000 IU/g
tablet
Nistatin Vaginal tablet salut 100.000 IU/g
tablet
Obat Batuk Hitam ( O.B.H. ) cairan 100 ml
botol
Obat Batuk Hitam ( O.B.H. ) cairan
botol
Oksitetrasiklin HCl salep mata 1 %
tube
Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml
vial
Oksitosin injeksi 10 IU/ml - 1 ml
ampul
Parasetamol sirup 120 mg/5 ml
botol
Parasetamol tablet 100 mg
botol
Parasetamol tablet 500 mg
tablet
Pilokarpin tetes mata 2 % (HCL/Nitrat)
botol
Piridoksin HCl (Vit.B6) tablet 10 mg
tablet
Povidon Iodida 10 % 30 ml
botol
Povidon Iodida 10 % 300 ml
botol
Prednison tablet 5 mg
tablet
Primakoin tablet 15 ml
tablet
Propiltiourasil tablet 100 mg
tablet
Propranolol HCl tablet 40 mg
tablet
Reserpin tablet 0,10 mg
tablet
Reserpin tablet 0,25 mg
tablet
Ringer Laktat larutan infus
botol
Klorpromazin HCl tablet salut 100 mg

118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135

Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap 4%


Salisil Bedak 2 %
Serum Anti Bisa Ular Pilivalen Injeksi 5 ml (ABU I)
Serum Anti Bisa Ular Pilivalen Injeksi 50 ml (ABU II)
Serum Anti Difteri Injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S)
Serum Anti Tetanus Injeksi 20.000 IU/Vial (A.T.S)
Sianokobalamin (Vit.B12) injeksi 500 mcg-ml
Sulfasetamida Natrium tetes mata 15 %
Tetrakain HCl tetes mata 0,5%
Tetrasiklin HCl kapsul 250 mg
Tetrasiklin HCl kapsul 500 mg
Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml
Tiamin HCl / Mononitrat (Vit.B1) tablet 50 mg
Tiopental Natrium serbuk Injeksi 1000 mg/amp
Triheksifenidil tablet 2 mg
Vaksin Rabies Vero
Vitamin B Kompleks tablet

pot
bks
ampul
ampul
ampul
ampul
ampul
ampul
botol
botol
kapsul
kapsul
ampul
tablet
ampul
tablet
ampul
tablet

VAKSIN

136
137
138
139
140
141
142
143
144

BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
HEPATITIS B 0,5 ml ADS
POLIO 20 Dosis
CAMPAK 20 Dosis

Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul

OBAT KLB

1
2
3
4
5
6
7
8
9
10

Asam Mefenamat tablet salut selaput 500 mg


Doksisiklin kapsul 100 mg
Eritromisin kapsul 500 mg
Eritromisin sirup 200 mg/5 ml
Kaptopril 12,5 mg
Kaptopril 25 mg
Klindamisin kapsul 150 mg
Nifedipin 10 mg
Piroksikam tablet 20 mg
Sefadroksil kapsul 500 mg

kaplet
kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul

11
12
13
14
15

Sefotaksim Injeksi 1 gr
Seftriakson injeksi 1 gr
Simetidin tablet 200 mg
Tramadol injeksi 50 mg/ml
Tramadol kapsul 50 mg

vial
vial
tablet
ampul
kapsul

OBAT GIGI

1
2
3
4
5
6
7
8
9

Devitalisasi pasta (non Arsen)


Etil klorida spray
Eugenol cairan
Galss Ionomer cement ART
Kalsium Hidroksida Pasta
Klorfenol Kamfer Menthol (CHKM)
Mummifying Pasta
Semen seng posfat serbuk & cairan
Temporary Stopping fletcher serbuk & cairan

botol
botol
botol
set
tube
botol
botol
set
set

TAMBAHAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

Alkohol 70% 1000 ml

Albendazol syr
Albotyl concentrate 10ml
Alkohol 1000 ml 70%
Alkohol 300 ml 70%

Alletrol tetes mata


Ambroxol sirup 15 mg/5 ml
Ambroxol tab 30 mg

Amlodipin 10 mg
Amlodipin 5 mg
Amoksisilin + as Klavulanat 625 mg tab
Antasida DOEN II Suspensi.Komb
Antitetanus serum 1.500 IU

Asam folat tablet 1 mg


Asam Mefenamat Kaps 250 mg
Asiklovir krim 5%
Asiklovir tablet 200 mg
Asiklovir tablet 400 mg

Aspilet 80 mg
Becefort tab
Berotec MDI
Berotec solution
Betahistin mesilat tab 6 mg

botol
botol
botol
botol
botol
botol
botol
tablet
tablet
tablet
tablet
botol
ampul
tablet
kapsul
tube
tablet
tablet
tablet
tablet
botol
botol
tablet

24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64

Bioplacenton
Bisakodil (stolax) supp 10 mg
Boraks Gliserin
Bravoderm
Bromheksin tab 8 mg
Bronex

Bronsolvan tab
Burnazin salep
Buscopan injeksi
Caviplex syr

Cendo lyteers
Cetirizine syr 5 mg/ml
Cetirizine tab 10 mg
Coldrexin syr

Colfin syr
Colfin tab
Curcuma plus syr 60 ml

Daryantulle
Decadryl syr
Demacolin syr

Dexanta tab
Diltiazem HCl tablet 30 mg
Dimenhidrinat tab 50 mg
Domperidon suspensi 5 mg/5ml
Domperidon tab 10 mg
Dulcolac supp 10 mg

Dulcolactol syr
Dulcolax tab
Duradryl inj

Enbatik cr
Eritromisin kaps 250 mg
Famotidin
Fenilbutason tab 200 mg

Fenitoin kapsul 100 mg


Flagystatin
Folley Catheter

Gastrucid suspensi
Genoint tetes mata
Gentamisin sulfat tetes mata 0,3%
Gentamsin salep kulit 0,1%

Grahabion tab

tube
supp
botol
tube
tablet
tablet
tablet
tube
ampul
botol
botol
botol
tablet
botol
botol
tablet
botol
pcs
botol
botol
tablet
tablet
tablet
botol
tablet
supp
botol
tablet
vial
tube
kapsul
tablet
tablet
kapsul
supp
pcs
botol
botol
botol
tube
tablet

300

200

10

200

65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

Gratheos

101
102
103
104
105
106
107
108

Klip K (5x8) cm

Guanistrep
Halpilyn syr

Hanscoon
Hanscoon
Hanscoon
Hanscoon

Nonsteril L
Nonsteril M
steril 7,5
steril 8

HCl 0,1 N
Hidrokortison krim 1 %

Hipavix 5x5 cm
Hufavit kalk
Ibuprofen suspensi 100 mg/5ml
Ibuprofen suspensi 200 mg/5ml
Iodiol kapsul lunak

Jarum hecting
Kalium Permanganat (PK)
Kaltofren inj

Kaltofren supp
Kapas 500 gram
Kaptopril tab 50 mg
Kasa Hidrofil steril uk. 16 x 16 (isi 16 lembar)
Kasa Hidrofil steril uk. 18 x 22 (isi 12 lembar)
Kasa Hidrofil uk. 36 m x 80 cm
Kasa Pembalut Elastis 3 inchi
Kasa Pembalut Elastis 4 inchi
Kasa Pembalut Hidrofil 4 m x 10 cm
Kasa Pembalut Hidrofil 4 m x 5 cm

Kendaron (amiodaron) tab


Kertas perkamen
Ketac Molar
Ketokonazol krim 2%
Ketokonazol tab 200 mg

tablet
botol
botol
psg
psg
psg
psg
botol
tube
rol
botol
botol
botol
kapsul
set
pot
ampul
supp
bks
tablet
kotak
kotak
rol
rol
rol
rol
rol
tablet
pcs
set
tube
tablet

Ketoprofen (protofen) supp 100 mg


Ketoprofen tab 100 mg
Klindamisin kaps 300 mg

klip Besar (13x18,7)cm


Kloramfenikol salep mata 1%
Kloramfenikol suspesi 125 mg/5 ml
Kloramfenikol tetes mata 0,5%

Klorpromazin inj.i.m 25mg/ml


Lanzoprasole

Laxadine emulsi 60 ml
Lefofloxacin

tablet
kapsul
pcs
pcs
tube
botol
botol
ampul
tablet
botol
tablet

109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153

Levopar
Lidokain injeksi 2%

Livron B Plex
Loperamid
Loratadin
Lysol
Meloxicam tab 15 mg
Meloxicam tab 7,5 mg
Metformin HCl tab 500 mg
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg
Metilprednisolon tablet 8 mg

Metoklopramide syr 5mg/5ml

Metoklopramide tab 10 mg
Metronidazol 500 mg
Miconazol krim/salep 2% (nitrat)
Natrium diklofenak tab 25 mg
Natrium diklofenak tab 50 mg

Neuropyron V tab
New Diaform

Noperten 10 mg
Obat Batuk Hitam 200 ml
Ofloksasin tab 200 mg
Ofloksasin tab 400 mg
Oksitetrasiklin HCl salep kulit 3%

Omeprazole kaps 20 mg
Ottolin TT
Papaverin injeksi 40 mg/ml
Papaverin tablet 40 mg

Paraformaldehide tab

Parasetamol drops
Pembalut Gips 3 inchi
Pembalut Gips 4 inchi
Pembalut Gips 6 inchi

Perhidrol (H2O2) 3%

Phenobarbital 100 mg
Piracetam 400 mg
Pirantel tab score (base) 125 mg
Piroksikam 10 mg

PK (Kalium Permanganat)
Povidon iodin 10 % 1000 ml
Povidon iodin 60 ml

PP tes
Prenatin plus
Proris supp

tablet
ampul
tablet
tablet
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
kapsul
botol
ampul
tablet
tablet
botol
rol
rol
rol
botol
tablet
tablet
tablet
tablet
botol
botol
botol
pcs
tablet
supp

200

154
155
156
157

Ranitidin tab 150 mg

Retinol ( vitamin A ) 100.000 IU Kapsul Lunak Bayi

( 6 - 11 bln )

tablet
set
botol
kapsul

158

Retinol ( vitamin A ) 200.000 IU Kapsul Lunak Balita

( 11- 59 bln )

kapsul

159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194

Salbutamol 2 mg

Reagen Gol. Darah


Recovit syr

Salbutamol 4 mg

Salfamen

Scabicid
Scabimite cr 10 gram
Scopamin
Sefadroksil kaps 250 mg
Sefadroksil kaps 500mg
Sefadroksil syr kering 125mg/ml

Sefadroksil syr kering 250 mg/5 ml


Sefixim syr kering 100mg /5ml

Sendok syr
Sianokobalami (vit B12) tab 50 mcg

Simvastatin tab 10 mg
Siprofloksasin 250
Siprofloksasin 500 mg

Slide frosted
Sofratule
Sohobion injeksi
Sohobion tab
Spiritus
Spironolakton tab 100 mg

Spongostan
Stesolid rectal tube 5 mg

Tensocrepe 7,5 cm
Termometer
Tetagam
Tiamfenikol 500 mg

Trikresol Formalin (TKF)


Urotractin 400 mg
Ventolin i.h. 100 mcg/puf
Xanvit syr
Xilomidon inj

Zinc tablet 20 mg
Zincpro drops
Zircum Kid syrup (zinc syr 20mg/5ml)

tablet
tablet
tube
tube
tube
tablet
kapsul
kapsul
botol
botol
botol
pcs
tablet
tablet
tablet
tablet
kotak
lembar
ampul
tablet
botol
tablet
pcs
tube
rol
pcs
botol
kapsul
botol
tablet
botol
botol
vial
tablet
botol
botol

A PENERIMAAN OBAT PUSKESMAS SUSUT 2


TAHUN 2015
OBAT JKN
FEB

MAR

APRL

MEI

BULAN
JUN
JUL
2,035

9,304

9,630

233

AGT

SEP

38

800

2,300

3
1

12
186

10

24

10

25

10

20

16

581
24

200

46

16

116
500

500

500

622

582

10

600
2,350
174

23

23

120
5

20
0

23

OKT

NOV

DES

DATA PEMAKAIAN OBAT


TAHUN
OBAT
NO
1
2
3
4
5
6
7
8
9

NAMA OBAT

SATUAN
JAN
112
0
0
0
0
1770
39
220
0

FEB

Antalgin (Metampiron) injeksi 250 mg

tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul

10

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200 mg + Al.


Hidroksida. 200 mg

tablet

11

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +


Polimiksin 10.000 IU/g

tube

12

Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg +


Heksaklorofen 250 mg

supp

13

Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam


Salisilat 3%

pot

14

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

tablet

15

Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg +


Levodopa 250 mg

tablet

16
17

Aqua pro Injeksi steril, bebas pirogen


Asam Askorbat (Vit C) tablet 50 mg

botol
tablet

0
171

501

18

Asam Asetilsalisilat tablet 100 mg ( Asetosal )

tablet

19

Asam Asetilsalisilat tablet 500 mg ( Asetosal )

tablet

20
21

Atropin Sulfat tablet 0,5 mg


Atropin Sulfat tetes mata 0,5%

tablet
botol

0
0

22

Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat)

ampul

23
24
25
26
27
28
29
30

Betametason krim 0.1%

tube
ampul
tablet
botol
botol
tablet
ampul
tablet

0
0
1053
0
0
0
0
89

Alopurinol tablet 100 mg


Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml
Antalgin (Metampiron) tablet 500 mg

Deksametason Injeksi I.v. 5 mg/ml


Deksametason tablet 0,5 mg
Dekstran 70-larutan infus 6 % steril
Dekstrometorfan sirup 10 mg/5 ml (HBr)
Dekstrometorfan tablet 15 mg (HBr)
Diazepam Injeksi 5mg/ml
Diazepam tablet 2 mg

486

116
2,211
62
340
650
3

1
734
123

31
32
33
34
35

Diazepam tablet 5 mg

Ekstrak Belladon tablet 10 mg

tablet
ampul
tablet
tablet
tablet

0
5
10
146
0

36

Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL)

ampul

37
38

Etakridin larutan 0,1 %


Fenitoin Natriun Injeksi 50 mg/ml

botol
ampul

0
0

39

Fenobarbital injeksi I.m/I.v 50 mg/ml - 1 ml

ampul

40
41
42
43

Fenobarbital tablet 30 mg

Fenol Gliserol tetes telinga 10%

tablet
tablet
tablet
botol

210
0
0
1

44

Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml

ampul

45

Fitomenadion (Vit.K1) tablet salut gula 10 mg

tablet

46
47

Furosemid tablet 40 mg
Gameksan losion 1%

tablet
botol

10
0

25
-

48

Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium


klorida 0,30 g, Tribatrium Sitrt dihidrat 0,58 g

bks

35

49
50
51
52
53
54

Gentian Violet larutan 1 %

Glukosa larutan infus 10 %

botol
tablet
tablet
botol
botol
botol

0
85
0
0
0
0

55

Glukosa larutan infus 40% steril (Produk lokal)

botol

56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71

Griseofulvin tablet 125 mg, micronized

tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul

Difenhidramin Injeksi I.M. 10 mg/ml (HCL)


Digoksin tablet 0,25 mg
Efedrin tablet 25 mg (HCL)

Fenoksimetil Penisilina tablet 250 mg


Fenoksimetil Penisilina tablet 500 mg

Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 5%

Haloperidol tablet 0,5 mg


Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Hidroklorotiazida tablet 25 mg
Hidrokortison krim 2,5 %
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium laktat (Kalk) tablet 500 ml
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg
Karbamazepim tablet 200 mg
Ketamin injeksi 10 mg/ml
Klofasimin Kapsul 100 ml mikrozine
Kloramfenikol kapsul 250 mg

0
0
0
0
51
7
474
0
0
74
7
0
0
0
0
0

10
101
1
332
2

33
55
123
16
500
98
158
-

72
73
74
75
76
77

Kloramfenikol tetes telinga 3 %

Klorpromazin HCl tablet salut 100 mg

botol
tablet
ampul
ampul
tablet
tablet

0
935
0
0
0
0

78

Anti Malaria DOEN ( kombinasi Pirimetamin 25 ml


+sulfadoksin 500 ml

tablet

79

Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg


+ Trimetoprim 40 mg/ 5 ml

botol

10

80

Kotrimosazol DOEN I (dewasa) Kombinasi :


Sulfametoksazol 400 mg, Trimetoprim 80 mg

tablet

34

81

Kotrimosazol DOEN II (pediatrik) Kombinasi :


Sulfametoksazol 100 mg, Trimetoprim 20 mg

tablet

82
83

Kuinin Dihidroklorida injeksi 25% - 2 ml


Kuinin (kina) tablet 200 mg

ampul
tablet

0
0

84

Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000-2 ml

ampul

85
86
87
88
89

Magnesium sulfat inj (IV)20%-25ml

Mebendazol tablet 100 mg

ampul
ampul
bks
botol
tablet

0
0
0
0
0

90

Metilergometrin Maleat (Metilergometrin) tablet salut 0,125


mg

tablet

91
92
93
94
95
96
97
98
99
100
101

Metilergometrin Maleat inj 0,200 mg-1 ml

Oksitetrasiklin HCl salep mata 1 %

ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube

0
0
0
0
1
0
0
5
17
0
0

102

Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml

vial

103
104
105
106
107
108
109
110

Oksitosin injeksi 10 IU/ml - 1 ml

ampul
botol
botol
tablet
botol
tablet
botol
botol

Klorfeniramin Maleat (CTM) tablet 4 mg


Klorpromazin injeksi i.m 5 mg/ml (HCL)
Klorpromazin injeksi i.m 25 mg/ml (HCL)
Klorpromazin tablet salut 25 mg (HCL)

Magnesium sulfat inj (IV) 40%-25ml


Magnesium sulfat serbuk 30 gram
Mebendazol sirup 100 ml/5ml

Metronidazol tablet 250 mg


Natrium Bikarbonat tablet 500 mg
Natrium Fluoresein tetes mata 2%
Natrium Klorida larutan infus 0,9 %
Natrium Thiosulfat injeksi I.v. 25 %
Nistatin tablet salut 500.000 IU/g
Nistatin Vaginal tablet salut 100.000 IU/g
Obat Batuk Hitam ( O.B.H. ) cairan 100 ml
Obat Batuk Hitam ( O.B.H. ) cairan

Parasetamol sirup 120 mg/5 ml


Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Pilokarpin tetes mata 2 % (HCL/Nitrat)
Piridoksin HCl (Vit.B6) tablet 10 mg
Povidon Iodida 10 % 30 ml
Povidon Iodida 10 % 300 ml

0
0
50
0
1548
0
161
0
0

1,202
12
36
1
5
14
64
2,010
90
1

111
112
113
114
115
116
117

Prednison tablet 5 mg

Ringer Laktat larutan infus

tablet
tablet
tablet
tablet
tablet
tablet
botol

118

Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang


Endap 4%

pot

119

Salisil Bedak 2 %

bks

120

Serum Anti Bisa Ular Pilivalen Injeksi 5 ml (ABU I)

ampul

121

Serum Anti Bisa Ular Pilivalen Injeksi 50 ml (ABU II)

ampul

122

Serum Anti Difteri Injeksi 20.000 IU/Vial ( A.D.S )

ampul

123

Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S)

ampul

124

Serum Anti Tetanus Injeksi 20.000 IU/Vial (A.T.S)

ampul

125

Sianokobalamin (Vit.B12) injeksi 500 mcg-ml

ampul

126
127
128
129

Sulfasetamida Natrium tetes mata 15 %

Tetrasiklin HCl kapsul 500 mg

botol
botol
kapsul
kapsul

0
0
0
22

4
10

130

Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml

ampul

131

Tiamin HCl / Mononitrat (Vit.B1) tablet 50 mg

tablet

611

582

132

Tiopental Natrium serbuk Injeksi 1000 mg/amp

ampul

133
134
135

Triheksifenidil tablet 2 mg

tablet
ampul
tablet

0
0
381

737

Primakoin tablet 15 ml
Propiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg

Tetrakain HCl tetes mata 0,5%


Tetrasiklin HCl kapsul 250 mg

Vaksin Rabies Vero


Vitamin B Kompleks tablet

123
0
0
0
0
0
0

175
-

VAKSIN

136
137
138
139
140
141
142
143
144

BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
HEPATITIS B 0,5 ml ADS
POLIO 20 Dosis
CAMPAK 20 Dosis

Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul

ALAT KESEHATAN

145

Alat suntik sekali pakai 1 ml

pcs

146
147

Alat suntik sekali pakai 2,5 ml


Alat suntik sekali pakai 5 ml

pcs
pcs

8
0

11
-

148

Catgut / Benang Bedah No. 2/0 dengan jarum bedah

pcs

149

Catgut / Benang Bedah No. 3/0 dengan jarum bedah

pcs

150
151
152
153
154
155
156
157
158
159
160
161

Infusion set anak

0
0
0
0
0
1
0
0
0
0
0
0

Plester 5 yards x 2 inch

set
set
pcs
pcs
pcs
bks
bks
bks
bks
bks
pcs
pcs

162

Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah

pcs

163
164
165
166

Wing Needle No. 21 G

pcs
pcs
pcs
pcs

0
0
0
0

Infusion set dewasa


IV Catheter No. 20 G
IV Catheter No. 22 G
IV Catheter No. 24 G
Kapas Pembalut / Absorben 250 gram
Kasa Kompres 40/40 steril
Kasa Pembalut 2 m x 80 cm
Kasa Pembalut Hidrofil 4 m x 3 cm
Kasa Pembalut Hidrofil 4 m x 15 cm
Pembalut Gips

Wing Needle No. 23 G


Wing Needle No. 25 G
Wing Needle No. 27 G
OBAT KLB

167

Asam Mefenamat tablet salut selaput 500 mg

kaplet

586

620

168
169
170
171
172
173
174
175
176
177
178
179
180
181

Doksisiklin kapsul 100 mg

kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul

0
0
3
0
141
0
0
77
0
0
0
6
0
0

2
188
60

Eritromisin kapsul 500 mg


Eritromisin sirup 200 mg/5 ml
Kaptopril 12,5 mg
Kaptopril 25 mg
Klindamisin kapsul 150 mg
Nifedipin 10 mg
Piroksikam tablet 20 mg
Sefadroksil kapsul 500 mg
Sefotaksim Injeksi 1 gr
Seftriakson injeksi 1 gr
Simetidin tablet 200 mg
Tramadol injeksi 50 mg/ml
Tramadol kapsul 50 mg
BAHAN HABIS PAKAI & ALAT NON MEDIK

182
183
184

Folley Catheter No.14


Folley Catheter No.16
Folley Catheter No.18

pcs
pcs
pcs

185
186
187
188
189
190
191
192
193
194
195
196
197

Jarum jahit (bedah) No.9


Jarum jahit (bedah) No.10 (kulit)
Jarum jahit (bedah) No.11 (kulit)
Jarum jahit (bedah) No.12 (kulit)
Jarum jahit (bedah) No.13 (kulit)
Jarum jahit (bedah) No.14 (kulit)
Jarum otot besar
Jarum otot kecil
Masker
Sarung Tangan Steril 6,5
Sarung Tangan Steril 7
Sarung Tangan Steril 7,5
Urine Bag

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
psg
psg
psg
pcs

OBAT PROGRAM
MALARIA

1
2
3
4
5
6
7
8

ACT (Artesunate + Amodiaquin


Arthemeter injeksi 1 ml : 80 mg
Artesunate Injeksi vial 60 mg
Primakuin tablet 5 mg
Kina Tablet 200 mg
Kina Injeksi 25% - 2ml
Doxicyklin 100 mg
ACT (Dehidro Artemisin + Piperaquine)

tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet

FILARIASIS

9
10
11
12
13
14
15
16

DEC 100 mg (Tablet)


Parcetamol 500 mg (Tablet)
Abendazol 400 mg
Antasida Doen
Piridoksin(Vit.B6) 10 mg HCL
Loratadin 10 mg (tablet)
Amoksisilin kaplet 500 mg (kapsul)
Gentamicin Salep kulit 0,1% (tube)

tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube

SCHISTOSOIASIS & F BUSKI

17

Prazikuartel 500 mg

tablet

PES

18
19
20

Tetrasiklin HCL 250 mg


Parasetamol tab 500 mg
Vit. B Kompleks tab

kapsul
tablet
tablet

ANTRAKS

21

Prokain Benzil Penisilin 3juta IU/Vial Inj

vial

60

47

22
23

Anti Bakteri Doen Salep


Amoksisilin Kaplet 500 mg

tube
kaplet

TAENIASIS CYSTICERKOSIS NEURO C.

24
25
26
27
28
29

Prazikuantel tablet 600 mg


Magnesium Sulfat Serbuk 30 gram
Albendazol tablet 400 mg
Prednison tablet 5 mg
Antasida Doen Tab Kombinasi
Fenobarbital tab 100 mg

tablet
bks
tablet
tablet
tablet
tablet

DIARE

30
31

Garam Oralit 200 ml air


Zinc Tab 20 mg

bks
tablet

KECACINGAN

32

Albendazol tablet 400 mg

tablet

0
0

KUSTA

33
34
35
36

Prednison tab 5 mg
Rifampicin kapsul 300 mg
Rifampicin kapsul 600 mg
Lamprene 100 mg

tablet
kapsul
kapsul
tablet

FRAMBUSIA

37
38
39
40

Benzatin Benzil Penisilin 1.2 juta IU/Vial


Adrenalin Injeksi
Aquades 20 cc
Disposible syringe 5ml

vial
ampul
botol
pcs

TB PARU (OAT FDC )

41
42
43

Obat Anti Tuberculosis 1


Obat Anti Tuberculosis 2
Obat Anti Tuberculosis sisipan

set
set
set

OAT Kombipak

44
45

Katagori 1
Obat Anti Tuberculosis Anak

set
set

ISPA

46

Kotrimoksasol tablet kombinasi : sulfa meloksazol 400 mg +


Trimetorpin 80 mg

tablet

47
48
49

Kotrimoksasol suspensi

botol
tablet
tablet

Parasetamol tablet. 500 mg


Parasetamol 100 mg

FLU BURUNG

50

Oseltamivir

tablet

KESEHATAN ANAK

51
52
53
54
55
56
57
58
59

Fitomenadion ( Vit K ) 10 mg
Natrium Tiroksin ( tab )
Ampisilin serbuk injeksi i.m/i.v 1000 mg/ml
Gentamisin injeksi 80 mg/ml
Prokain Benzil Penisilin G Injeksi 3 Jt IU/vial
Fenobarbital injeksi i.m/i.v 50 mg/ml
Diazepam injeksi 5 mg/ml
Oxytetrasiklin Salep Mata 1 % ( HCL )
Abendasol 400 mg

tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
tablet

KESEHATAN IBU

60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86

Dextran 70 %
Transfusi set
IV Chateter No. 16
Magnesium Sulfat 20 % - 25 ml
Magnesium Sulfat 40 % - 25 ml
Glukonas Calsicus 10 % - 10 ml
Ampisilin injeksi I.M/ I.V 1000 mg/ml
Nipedipin 10 mg
Oksitosin injeksi 10 IU/ml - 1 ml
Metilergometrin Maleat Inj 0,2 mg - 1 ml
Metilergometrin Maleat tablet 0,125 mg
Amoksisilin kaplet 500 mg
Epinefrin ( Adrenalin )injeksi 0,1 % ( sbg HCL)
Gentamisin injeksi 80 mg/ 2 ml
Metronidazole 500 mg infus / 100 ml
Cutgut Chromic No 1 atraumatik ( sachet )
Cutgut Chromic No 2/0 atau 3/0, atraumatik
IV Chateter No. 18
Urine Bag
Alat Suntik 2,5 ml
Alat Suntik 5 ml
Alat Suntik 10 ml
Urine strip untuk pemeriksaan Protein dan Gula
Rapid test untuk sipilis
Kontrasepsi injeksi Progesteron Depo ( 3 bln, 1ml)
Kontrasepsi pil kombinasi ( micordiol)
Implan KB ( isi 2 )

botol
set
pcs
botol
botol
botol
ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
pcs

GIZI

87

Retinol ( vitamin A ) 100.000 IU Kapsul Lunak Bayi


( 6 - 11 bln )

kapsul

88

Retinol ( vitamin A ) 200.000 IU Kapsul Lunak Balita


11- 59 bln )

89
90
91

Retinol ( vitamin A ) 200.000 IU Kapsul Lunak Ibu Nifas


Ferro Sulfat 300 mg
Mineral Mix

kapsul
kapsul
tablet
bks

263

OBAT GIGI

92
93
94
95
96
97
98
99
100

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Temporary Stopping fletcher serbuk & cairan

botol
botol
botol
set
tube
botol
botol
set
set

TAMBAHAN OBAT PROGRAM


Biuveriuk
Clavamox
FDC Anak
Giemsa Cat
HCl
Intec one
IV Catheter 22 G
IV Catheter 24 G
Kotak kaca
Kotak kaca sediaan
MDT Combi
Oncoprode
Parasetamol
Pot dahak
Reagen TB
Slide frosted
Sound timer
Sulfadiazine
Tissue lensa
Ringer laktat

test
botol
paket
botol
botol
test
pcs
pcs
kotak
kotak
blister
test
tablet
botol
paket
kotak
pcs
tablet
lembar
botol

Devitalisasi pasta (non Arsen)


Etil klorida spray
Eugenol cairan
Galss Ionomer cement ART
Kalsium Hidroksida Pasta
Klorfenol Kamfer Menthol (CHKM)
Mummifying Pasta
Semen seng posfat serbuk & cairan

TAMBAHAN
1
2
3
4
5
6

Alkohol 70% 1000 ml

Albendazol syr
Alkohol 70% 100 ml
Alkohol 70% 300 ml
Alkohol 95% 1000 ml
Alkohol swab

botol
botol
botol
botol
botol
pcs

422

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

Ambroxol sirup 15 mg/5 ml


Ambroxol tab 30 mg
Amlodipin 10 mg
Amlodipin 5 mg
Amoksisilin + as Klavulanat 625 mg tab
Antasida DOEN II Suspensi.Komb

Apron
Asam askorbat 250 mg
Asam folat tablet 1 mg
Asam mefenamat 250 mg
Asam Mefenamat Kaps 250 mg

Aseptan Gel 500 cc+dispenser


Asiklovir krim 5%
Asiklovir tablet 200 mg
Asiklovir tablet 400 mg
Attapulgit (Pularek) tab 600 mg

Azitromisin tab 250 mg


Bayclin 1000 ml
Berotec MDI
Berotec solution
Betahistin mesilat tab 6 mg
Bioplacenton
Bisakodil (stolax) supp 10 mg
Bisoprolol 5 mg
Boraks Gliserin
Bromheksin tab 8 mg

Burnazin 35 gram
Buscopan injeksi
Cendo lyteers
Cetirizine syr 5 mg/ml
Cetirizine tab 10 mg

Chlorotule
Cito brush
Coldrexin syrup
Colfin syrup
Colfin tab
Curcuma syrup
Decadryil syrup
Demacolin syrup
Desoksimetason krim 0,25%
Diltiazem HCl tablet 30 mg
Dimenhidrinat tab 50 mg
Domperidon suspensi 5 mg/5ml
Domperidon tab 10 mg

Dulcolac tab

botol
tablet
tablet
tablet
tablet
botol
pack
tablet
tablet
tablet
kapsul
botol
tube
tablet
tablet
tablet
tablet
botol
botol
botol
tablet
tube
supp
tablet
botol
tablet
tube
ampul
botol
botol
tablet
pcs
pcs
botol
botol
tablet
botol
botol
botol
tube
tablet
tablet
botol
tablet
tablet

29

57
120

1
0
44

4
135

136

248

56

52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96

Dulcolactol syr
Eritromisin kaps 250 mg

Erlamicetin plus (tetes mata)


Famotidin
Fenilbutason tab 200 mg

Fenitoin kapsul 100 mg


Flagystatin
Flukonazol 150 mg
Folley Catheter
Gelang pasien
Gelang pasien anak
Gentamisin sulfat tetes mata 0,3%
Gentamsin salep kulit 0,1%
Hanscoon Nonsteril L
Hanscoon Nonsteril M
Hanscoon steril 7,5
Hanscoon steril 8
Hidrogen Peroksida (H2O2)
Hidrokortison krim 1 %
Hipavix 5x5 cm
Hufavit kalk
Ibuprofen suspensi 100 mg/5ml
Ibuprofen suspensi 200 mg/5ml
Iodiol kapsul lunak

Irbesartan 150 mg
Jarum hecting
Jarum jahit (bedah)
Jarum jahit (bedah)
Jarum jahit (bedah)
Jarum jahit (bedah)
Jelly dopler 250 ml
Kaltofren supp
Kapas 500 gram
Kapas lidi

no.10 (otot)
no.13 (otot)
no.14 (otot)
no.9(otot)

Kaptopril tab 50 mg

Kasa Hidrofil 40 x 80
Kasa Hidrofil steril uk. 16 x 16 (isi 16 lembar)
Kasa Hidrofil steril uk. 18 x 22 (isi 12 lembar)
Kasa Hidrofil uk. 36 m x 80 cm
Kasa Pembalut Elastis 3 inchi
Kasa Pembalut Elastis 4 inchi
Kasa Pembalut Elastis 6 inchi
Kasa Pembalut Hidrofil 4 m x 10 cm
Kasa Pembalut Hidrofil 4 m x 5 cm
Kendaron (amiodaron) tab

botol
kapsul
botol
tablet
tablet
kapsul
supp
kapsul
pcs
pcs
pcs
botol
tube
psg
psg
psg
psg
botol
tube
rol
botol
botol
botol
kapsul
tablet
set
bungkus
bungkus
bungkus
bungkus
botol
supp
bks
pcs
tablet
rol
kotak
kotak
rol
rol
rol
rol
rol
rol
tablet

166

5
5

18

42

7
7
10
9

10

97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141

Kertas perkamen
Ketac Molar
Ketokonazol krim 2%
Ketokonazol tab 200 mg

Ketoprofen supp (Protofen)


Ketoprofen tab 100 mg
Klindamisin kaps 300 mg

klip Besar (13x18,7)cm


Klip Kecil (5x8) cm
Klip Tanggung (7x10) cm
Kloramfenikol salep mata 1%
Kloramfenikol suspesi 125 mg/5 ml
Kloramfenikol tetes mata 0,5%

Klorpromazin inj.i.m 25mg/ml


Lanzoprasole

Larutan Hidrogen Peroksida (H2O2) 3% 100 ml


Laxadine emulsi 60 ml
Lefofloxacin
Levopar
Lidokain injeksi 2%
Livron B-Plek
Loperamid
Loratadin

Lubricating jelly
Lysol

Masker karet
Masker N 95
Meloxicam tab 15 mg
Meloxicam tab 7,5 mg
Metformin HCl tab 500 mg

Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg
Metilprednisolon tablet 8 mg
Metoklopramide syr 5mg/5ml

Metoklopramide tab 10 mg
Metronidazol 500 mg
Miconazol krim/salep 2% (nitrat)
Natrium diklofenak tab 25 mg
Natrium diklofenak tab 50 mg

New Diaform

Noretisteron tab 5 mg (Primolut N)


Nurse cap
Obat Batuk Hitam 200 ml
Ofloksasin tab 200 mg
Ofloksasin tab 400 mg

pcs
set
tube
tablet
supp
tablet
kapsul
pcs
pcs
pcs
tube
botol
botol
ampul
tablet
botol
botol
tablet
tablet
ampul
tablet
tablet
tablet
tube
botol
pcs
pcs
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
tablet
pcs
botol
tablet
tablet

1
10

37

70

70

202
-

75

652

40
4

40
5

142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186

Oksitetrasiklin HCl salep kulit 3%

Omeprazole kaps 20 mg

Onescrub 500 cc+dispenser


Papaverin injeksi 40 mg/ml
Papaverin tablet 40 mg

Paraformaldehide tab

Parasetamol drops
Pembalut Gips 3 inchi
Pembalut Gips 4 inchi
Pembalut Gips 6 inchi

Phenobarbital 100 mg
Piracetam 400 mg
Pirantel tab score (base) 125 mg
Piroksikam 10 mg

PK (Kalium Permanganat)
Plester 5x5 cm
Plester kain 1,25 cm
Plester kain 2,5 cm
Plester kain 7,5 cm
Povidon iodin 10 % 1000 ml
Povidon iodin 60 ml

PP tes
Ranitidin tab 150 mg

Reagen Gol. Darah


Recovit syr
Rivanol 300 cc
Sabun cair cuci alat
Salbutamol 2 mg
Salbutamol 4 mg

Sarung tangan
Sarung tangan
Sarung tangan
Scabicid cr
Scabimite cr 10

cuci alat/industri L
cuci alat/industri M
cuci alat/industri S
gram

Sefadroksil kaps 250 mg


Sefadroksil kaps 500mg
Sefadroksil syr kering 125mg/ml

Sefadroksil syr kering 250 mg/5 ml


Sefixim syr kering 100mg /5ml

Sendok syr
Sianokobalami (vit B12) tab 50 mcg
Simvastatin 20 mg
Simvastatin tab 10 mg
Siprofloksasin 250

Siprofloksasin 500 mg

tube
kapsul
botol
ampul
tablet
tablet
botol
rol
rol
rol
tablet
tablet
tablet
tablet
botol
rol
pcs
pcs
pcs
botol
botol
pcs
tablet
set
botol
botol
galon
tablet
tablet
pasang
pasang
pasang
tube
tube
kapsul
kapsul
botol
botol
botol
pcs
tablet
tablet
tablet
tablet
tablet

12

16

1
225
0

221

347

462

187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207

Slide frosted
Sofratule
Spiritus

kotak
lembar
botol
Spironolakton tab 100 mg
tablet
Spongostan
pcs
Tensocrepe 7,5 cm
rol
Termometer
pcs
Tetagam
botol
Tiamfenikol 500 mg
kapsul
Tisu towel
rol
Trikresol Formalin (TKF)
botol
Underpad (perlak sekali pakai)60x90
pcs
Urotractin 400 mg
tablet
Ventolin inhaler (Salbutamol inh/aerosol 10 botol
Zinc tablet 20 mg
tablet
Zincpro drops
botol
Zircum Kid syrup (Zinc sir 20mg/5ml)
botol
Ilyadyn drop
botol
Ilyadyn spray
botol
Symbicort
botol
Ofloxacin TT
botol

128
0

102

20
3

151

AKAIAN OBAT PUSKESMAS SUSUT 2


TAHUN 2015
OBAT PKD
MAR

APRL

MEI

BULAN
JUN
JUL
80
0
0
0
0
1586
40
412
0

AGT

SEP

OKT

43
905
38
340
-

40
1,115
51
195
-

55
1,353
55
394
-

10
933
53
392
-

219

331

235

291

25

113

301

157

203

171

473

260

0
0

430
140

13
9
680
10

2
554
3

16
436
-

7
763
-

12
601
10

13
409
-

30
1,907
44
195
-

90
1,875
52
248
-

35
1,778
43
355
-

557

986

796

660

0
231

7
0
404
0
0
0
0
0

17
183
-

19
136
-

30
228
-

3
107
-

0
0

1
-

0
0
0
2

10

28
-

10
-

10
-

0
0

5
-

102
2
80
253
-

89
4
95
356
1
-

55
1
85
358
-

110

51

66

86

60

2
70
380
0
0
0

30
282
-

30
284
-

30
685
-

30
526
-

35
17
684
232
98
-

20
55
15
623
268
136
-

40
13
343
250
406
-

56
60
7
194
108
70

50
2
245
223
-

30
50
3
477
194
-

26
187
125
132
-

11
10
194
-

35
10
253
-

16
167
-

1
-

9
-

216
1

0
11
0
94
0

0
60
0
0
0
100
17
343
0
0
41
152
0
0
0
0
0

780
-

935
-

1,556
-

1,015
-

10

11

67

51

130

78

0
0

0
0
0
0
0

5
3
12
-

5
5
-

0
0
0
0
0
0
0
0
15
0
0

5
7
-

2
22
-

3
22
-

4
17
-

34
1,834
52
-

50
1,672
59
-

52
1,176
65
-

91
1,844
73
2
-

84
1,526
116
1

70
1,440
80
1

953
-

1,291
-

1,106
-

13

10

20

2
5
6
70
1,560
53
1
-

0
1287
0
0
0
0

0
39
0
1591
0
94
0
0

263
-

213
1

309
-

323
-

11

11
-

12
30

12
50

16

15

0
0
0
50

40

30

10

736

879

464

521

442

672

658

768

784

599
-

921
-

767
-

940
-

782
-

1,077
-

315
-

301
3

316
-

1
-

1
3

318
0
0
0
0
0
0

0
0
832
0
0
0
0
0
0
0
0
0
0
0
0
0
0

27
-

47
-

16
-

37
0

39
-

58
-

24
-

4
-

1
3
3
-

0
0
0
0
0
1
0
0
0
0
0
0

2
1

2
-

1
1
-

0
0
0
0
0
0

281

650

690

620

440

490

745

616

6
90
70

7
188
30

3
175
194

110

0
0
0
0
130
0
0
138
0
0
0
10
0
0
0
0
0
0
0

182
30
-

2
138
482
70
-

50
1
96
158
110
-

10
203
100
-

3
-

13

4
-

0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2
-

1
-

4
5
-

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1
-

1
-

0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1
-

1
-

0
218

396

343

2
1

0
344
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

203
-

464
-

252
2
3
-

545
2
-

69

97

73

252

196

230

2
25
60

5
70

2
20

260

216

183

45

57

73
0
0
235
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
13
0

57
165
2
20
235
4
13
-

72
220
1
5
85
130
1
8
-

83
6
228
1
3
80
38
-

56
63
60
1
120
60
40
4
10
37
-

12

42

12

8
18

9
20

7
27

80
5

60
-

39
-

1
2

2
10

0
0
0
0
36
0
0
0
0
0
0
4
12
0
11
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
8
0
0

5
8
17
2
6
-

7
6
16
1
13
-

8
6
5
-

1
7
60
2
6
1
15
-

1
37

2
20

5
-

173

35

185

10

10

40

70

34

30

55

225
-

170
35
110

266
150

492

558

486

20
6
50
-

10
4
230
-

30
3
90
-

0
0
6
0
0
0
0
0
0
0
1
0
0
0
160
0
0
0
0
11
0
70
0
0
0
59
0
10
190
40
0
722
0
0
0
70
5
0
130
0
0
0
0
0
0

5
1
145
3
20
57
583
30
2
326
-

2
2
275
7
40
33
220
56
2
170
-

3
1
170
6
30
53
581
30
240
-

1
130
13
30
67
517
10
220
-

1
1

20

16

10

6
-

5
-

2
1

170
-

150
-

68
-

17

9
5

12

40

82

20

314

510

330

1
120
0
0
0
0
21
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
250
0
0
0
0
0
0
0
0
0
0
0
57
0
0
0
0
324

180
1
86
15
1
5
51
268

1
1
43
7
366

2
1
2
2
48
8
10
390

1
1
35
6
40
20
418

32
-

212

99

120

0
0
0
0
0
0
0
0
0
0
0
0
0
0
95
0
8

10
6
82
6

10
4
155
15

10
5
2
163
11

NOV

DES

DATA PEMAKAIAN OB
TAHU
OB
NO

1
2
3
4
5
6
7
8
9

NAMA OBAT

SATUAN

Antalgin (Metampiron) injeksi 250 mg

tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul

10

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200 mg + Al. Hidroksida.


200 mg

tablet

11

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin


10.000 IU/g

tube

12

Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen


supp
250 mg

13

Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3%

pot

14

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

tablet

15

Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg + Levodopa 250


mg

tablet

16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

Aqua pro Injeksi steril, bebas pirogen

botol
tablet
tablet
tablet
tablet
botol
ampul
tube
ampul
tablet
botol
botol
tablet
ampul
tablet
tablet
ampul
tablet
tablet
tablet

Alopurinol tablet 100 mg


Aminofilin tablet 200 mg
Aminofilina injeksi 24 mg/ml - 10 ml
Amitriptilin HCl tablet salut 25 mg
Amoksisilin kapsul 250 mg
Amoksisilin kaplet 500 mg
Amoksisilin sirup kering 125 mg/5ml
Antalgin (Metampiron) tablet 500 mg

Asam Askorbat (Vit C) tablet 50 mg


Asam Asetilsalisilat tablet 100 mg ( Asetosal )
Asam Asetilsalisilat tablet 500 mg ( Asetosal )
Atropin Sulfat tablet 0,5 mg
Atropin Sulfat tetes mata 0,5%
Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat)
Betametason krim 0.1%
Deksametason Injeksi I.v. 5 mg/ml
Deksametason tablet 0,5 mg
Dekstran 70-larutan infus 6 % steril
Dekstrometorfan sirup 10 mg/5 ml (HBr)
Dekstrometorfan tablet 15 mg (HBr)
Diazepam Injeksi 5mg/ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Difenhidramin Injeksi I.M. 10 mg/ml (HCL)
Digoksin tablet 0,25 mg
Efedrin tablet 25 mg (HCL)
Ekstrak Belladon tablet 10 mg

JAN

36
37
38
39
40
41
42
43
44
45
46
47

Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL)

Gameksan losion 1%

ampul
botol
ampul
ampul
tablet
tablet
tablet
botol
ampul
tablet
tablet
botol

48

Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium klorida 0,30 g,


Tribatrium Sitrt dihidrat 0,58 g

bks

49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77

Gentian Violet larutan 1 %

Klorpromazin HCl tablet salut 100 mg

botol
tablet
tablet
botol
botol
botol
botol
tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet
ampul
ampul
tablet
tablet

78

Anti Malaria DOEN ( kombinasi Pirimetamin 25 ml +sulfadoksin 500 ml

tablet

Etakridin larutan 0,1 %


Fenitoin Natriun Injeksi 50 mg/ml
Fenobarbital injeksi I.m/I.v 50 mg/ml - 1 ml
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fenol Gliserol tetes telinga 10%
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
Fitomenadion (Vit.K1) tablet salut gula 10 mg
Furosemid tablet 40 mg

Glibenklamid tablet 5 mg
Gliseril Guayakolat tablet 100 mg
Gliserin
Glukosa larutan infus 5%
Glukosa larutan infus 10 %
Glukosa larutan infus 40% steril (Produk lokal)
Griseofulvin tablet 125 mg, micronized
Haloperidol tablet 0,5 mg
Haloperidol tablet 1,5 mg
Haloperidol tablet 5 mg
Hidroklorotiazida tablet 25 mg
Hidrokortison krim 2,5 %
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Isosorbid Dinitrat tablet sublingual 5 mg
Kalsium laktat (Kalk) tablet 500 ml
Kaptopril tablet 12,5 mg
Kaptopril tablet 25 mg
Karbamazepim tablet 200 mg
Ketamin injeksi 10 mg/ml
Klofasimin Kapsul 100 ml mikrozine
Kloramfenikol kapsul 250 mg
Kloramfenikol tetes telinga 3 %
Klorfeniramin Maleat (CTM) tablet 4 mg
Klorpromazin injeksi i.m 5 mg/ml (HCL)
Klorpromazin injeksi i.m 25 mg/ml (HCL)
Klorpromazin tablet salut 25 mg (HCL)

79

Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg + Trimetoprim


40 mg/ 5 ml

botol

80

Kotrimosazol DOEN I (dewasa) Kombinasi : Sulfametoksazol 400 mg,


Trimetoprim 80 mg

tablet

81

Kotrimosazol DOEN II (pediatrik) Kombinasi : Sulfametoksazol 100 mg,


Trimetoprim 20 mg

tablet

82
83

Kuinin Dihidroklorida injeksi 25% - 2 ml


Kuinin (kina) tablet 200 mg

ampul
tablet

84

Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000-2 ml

ampul

85
86
87
88
89

Magnesium sulfat inj (IV)20%-25ml

Mebendazol tablet 100 mg

ampul
ampul
bks
botol
tablet

90

Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg

tablet

91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117

Metilergometrin Maleat inj 0,200 mg-1 ml

Ringer Laktat larutan infus

ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube
vial
ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol

118

Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap 4%

pot

119

Salisil Bedak 2 %

bks

Magnesium sulfat inj (IV) 40%-25ml


Magnesium sulfat serbuk 30 gram
Mebendazol sirup 100 ml/5ml

Metronidazol tablet 250 mg


Natrium Bikarbonat tablet 500 mg
Natrium Fluoresein tetes mata 2%
Natrium Klorida larutan infus 0,9 %
Natrium Thiosulfat injeksi I.v. 25 %
Nistatin tablet salut 500.000 IU/g
Nistatin Vaginal tablet salut 100.000 IU/g
Obat Batuk Hitam ( O.B.H. ) cairan 100 ml
Obat Batuk Hitam ( O.B.H. ) cairan
Oksitetrasiklin HCl salep mata 1 %
Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml
Oksitosin injeksi 10 IU/ml - 1 ml
Parasetamol sirup 120 mg/5 ml
Parasetamol tablet 100 mg
Parasetamol tablet 500 mg
Pilokarpin tetes mata 2 % (HCL/Nitrat)
Piridoksin HCl (Vit.B6) tablet 10 mg
Povidon Iodida 10 % 30 ml
Povidon Iodida 10 % 300 ml
Prednison tablet 5 mg
Primakoin tablet 15 ml
Propiltiourasil tablet 100 mg
Propranolol HCl tablet 40 mg
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg

120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135

Serum Anti Bisa Ular Pilivalen Injeksi 5 ml (ABU I)


Serum Anti Bisa Ular Pilivalen Injeksi 50 ml (ABU II)
Serum Anti Difteri Injeksi 20.000 IU/Vial ( A.D.S )
Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S)
Serum Anti Tetanus Injeksi 20.000 IU/Vial (A.T.S)
Sianokobalamin (Vit.B12) injeksi 500 mcg-ml
Sulfasetamida Natrium tetes mata 15 %
Tetrakain HCl tetes mata 0,5%
Tetrasiklin HCl kapsul 250 mg
Tetrasiklin HCl kapsul 500 mg
Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml
Tiamin HCl / Mononitrat (Vit.B1) tablet 50 mg
Tiopental Natrium serbuk Injeksi 1000 mg/amp
Triheksifenidil tablet 2 mg
Vaksin Rabies Vero
Vitamin B Kompleks tablet

ampul
ampul
ampul
ampul
ampul
ampul
botol
botol
kapsul
kapsul
ampul
tablet
ampul
tablet
ampul
tablet

VAKSIN

136
137
138
139
140
141
142
143
144

BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
HEPATITIS B 0,5 ml ADS
POLIO 20 Dosis
CAMPAK 20 Dosis

Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul

OBAT KLB

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Asam Mefenamat tablet salut selaput 500 mg


Doksisiklin kapsul 100 mg
Eritromisin kapsul 500 mg
Eritromisin sirup 200 mg/5 ml
Kaptopril 12,5 mg
Kaptopril 25 mg
Klindamisin kapsul 150 mg
Nifedipin 10 mg
Piroksikam tablet 20 mg
Sefadroksil kapsul 500 mg
Sefotaksim Injeksi 1 gr
Seftriakson injeksi 1 gr
Simetidin tablet 200 mg
Tramadol injeksi 50 mg/ml
Tramadol kapsul 50 mg

kaplet
kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul

OBAT GIGI

1
2
3
4
5
6
7
8
9

Devitalisasi pasta (non Arsen)


Etil klorida spray
Eugenol cairan
Galss Ionomer cement ART
Kalsium Hidroksida Pasta
Klorfenol Kamfer Menthol (CHKM)
Mummifying Pasta
Semen seng posfat serbuk & cairan
Temporary Stopping fletcher serbuk & cairan

botol
botol
botol
set
tube
botol
botol
set
set

TAMBAHAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Alkohol 70% 1000 ml

Albendazol syr
Albotyl concentrate 10ml
Alkohol 1000 ml 70%
Alkohol 300 ml 70%

Alletrol tetes mata


Ambroxol sirup 15 mg/5 ml
Ambroxol tab 30 mg

Amlodipin 10 mg
Amlodipin 5 mg
Amoksisilin + as Klavulanat 625 mg tab
Antasida DOEN II Suspensi.Komb
Antitetanus serum 1.500 IU

Asam folat tablet 1 mg


Asam Mefenamat Kaps 250 mg
Asiklovir krim 5%
Asiklovir tablet 200 mg
Asiklovir tablet 400 mg

Aspilet 80 mg
Becefort tab
Berotec MDI
Berotec solution
Betahistin mesilat tab 6 mg
Bioplacenton
Bisakodil (stolax) supp 10 mg
Boraks Gliserin
Bravoderm
Bromheksin tab 8 mg
Bronex

Bronsolvan tab
Burnazin salep
Buscopan injeksi
Caviplex syr

botol
botol
botol
botol
botol
botol
botol
tablet
tablet
tablet
tablet
botol
ampul
tablet
kapsul
tube
tablet
tablet
tablet
tablet
botol
botol
tablet
tube
supp
botol
tube
tablet
tablet
tablet
tube
ampul
botol

0
0
0
0

0
0

192

34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78

Cendo lyteers
Cetirizine syr 5 mg/ml
Cetirizine tab 10 mg
Coldrexin syr

Colfin syr
Colfin tab
Curcuma plus syr 60 ml

Daryantulle
Decadryl syr
Demacolin syr

Dexanta tab
Diltiazem HCl tablet 30 mg
Dimenhidrinat tab 50 mg
Domperidon suspensi 5 mg/5ml
Domperidon tab 10 mg
Dulcolac supp 10 mg

Dulcolactol syr
Dulcolax tab
Duradryl inj

Enbatik cr
Eritromisin kaps 250 mg
Famotidin
Fenilbutason tab 200 mg

Fenitoin kapsul 100 mg


Flagystatin
Folley Catheter

Gastrucid suspensi
Genoint tetes mata
Gentamisin sulfat tetes mata 0,3%
Gentamsin salep kulit 0,1%

Grahabion tab
Gratheos
Guanistrep
Halpilyn syr

Hanscoon
Hanscoon
Hanscoon
Hanscoon

Nonsteril L
Nonsteril M
steril 7,5
steril 8

HCl 0,1 N
Hidrokortison krim 1 %

Hipavix 5x5 cm
Hufavit kalk
Ibuprofen suspensi 100 mg/5ml
Ibuprofen suspensi 200 mg/5ml
Iodiol kapsul lunak

botol
botol
tablet
botol
botol
tablet
botol
pcs
botol
botol
tablet
tablet
tablet
botol
tablet
supp
botol
tablet
vial
tube
kapsul
tablet
tablet
kapsul
supp
pcs
botol
botol
botol
tube
tablet
tablet
botol
botol
psg
psg
psg
psg
botol
tube
rol
botol
botol
botol
kapsul

0
30
0

391
5

79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123

Jarum hecting
Kalium Permanganat (PK)
Kaltofren inj

Kaltofren supp
Kapas 500 gram
Kaptopril tab 50 mg
Kasa Hidrofil steril uk. 16 x 16 (isi 16 lembar)
Kasa Hidrofil steril uk. 18 x 22 (isi 12 lembar)
Kasa Hidrofil uk. 36 m x 80 cm
Kasa Pembalut Elastis 3 inchi
Kasa Pembalut Elastis 4 inchi
Kasa Pembalut Hidrofil 4 m x 10 cm
Kasa Pembalut Hidrofil 4 m x 5 cm

Kendaron (amiodaron) tab


Kertas perkamen
Ketac Molar
Ketokonazol krim 2%
Ketokonazol tab 200 mg

set
pot
ampul
supp
bks
tablet
kotak
kotak
rol
rol
rol
rol
rol
tablet
pcs
set
tube
tablet

0
0

Ketoprofen (protofen) supp 100 mg


Ketoprofen tab 100 mg
Klindamisin kaps 300 mg

klip Besar (13x18,7)cm


Klip K (5x8) cm
Kloramfenikol salep mata 1%
Kloramfenikol suspesi 125 mg/5 ml
Kloramfenikol tetes mata 0,5%

Klorpromazin inj.i.m 25mg/ml


Lanzoprasole

Laxadine emulsi 60 ml
Lefofloxacin

Levopar
Lidokain injeksi 2%

Livron B Plex
Loperamid
Loratadin
Lysol
Meloxicam tab 15 mg
Meloxicam tab 7,5 mg
Metformin HCl tab 500 mg
Metilprednisolon tablet 16 mg
Metilprednisolon tablet 4 mg
Metilprednisolon tablet 8 mg

Metoklopramide syr 5mg/5ml

Metoklopramide tab 10 mg
Metronidazol 500 mg

tablet
kapsul
pcs
pcs
tube
botol
botol
ampul
tablet
botol
tablet
tablet
ampul
tablet
tablet
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet

40

124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156

Miconazol krim/salep 2% (nitrat)

tube
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
kapsul
botol
ampul
tablet
tablet
botol
rol
rol
rol
botol
tablet
tablet
tablet
tablet
botol
botol
botol
pcs
tablet
supp
tablet
set
botol

157

Retinol ( vitamin A ) 100.000 IU Kapsul Lunak Bayi

( 6 - 11 bln )

kapsul

158

Retinol ( vitamin A ) 200.000 IU Kapsul Lunak Balita

( 11- 59 bln )

kapsul

159
160
161
162
163
164
165
166
167

Salbutamol 2 mg

Natrium diklofenak tab 25 mg


Natrium diklofenak tab 50 mg

Neuropyron V tab
New Diaform

Noperten 10 mg
Obat Batuk Hitam 200 ml
Ofloksasin tab 200 mg
Ofloksasin tab 400 mg
Oksitetrasiklin HCl salep kulit 3%

Omeprazole kaps 20 mg
Ottolin TT
Papaverin injeksi 40 mg/ml
Papaverin tablet 40 mg

Paraformaldehide tab

Parasetamol drops
Pembalut Gips 3 inchi
Pembalut Gips 4 inchi
Pembalut Gips 6 inchi

Perhidrol (H2O2) 3%

Phenobarbital 100 mg
Piracetam 400 mg
Pirantel tab score (base) 125 mg
Piroksikam 10 mg

PK (Kalium Permanganat)
Povidon iodin 10 % 1000 ml
Povidon iodin 60 ml

PP tes
Prenatin plus
Proris supp
Ranitidin tab 150 mg

Reagen Gol. Darah


Recovit syr

Salbutamol 4 mg

Salfamen

Scabicid
Scabimite cr 10 gram
Scopamin
Sefadroksil kaps 250 mg
Sefadroksil kaps 500mg
Sefadroksil syr kering 125mg/ml

tablet
tablet
tube
tube
tube
tablet
kapsul
kapsul
botol

1
0

168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194

Sefadroksil syr kering 250 mg/5 ml


Sefixim syr kering 100mg /5ml

Sendok syr
Sianokobalami (vit B12) tab 50 mcg

Simvastatin tab 10 mg
Siprofloksasin 250
Siprofloksasin 500 mg

Slide frosted
Sofratule
Sohobion injeksi
Sohobion tab
Spiritus
Spironolakton tab 100 mg

Spongostan
Stesolid rectal tube 5 mg

Tensocrepe 7,5 cm
Termometer
Tetagam
Tiamfenikol 500 mg

Trikresol Formalin (TKF)


Urotractin 400 mg
Ventolin i.h. 100 mcg/puf
Xanvit syr
Xilomidon inj

Zinc tablet 20 mg
Zincpro drops
Zircum Kid syrup (zinc syr 20mg/5ml)

botol
botol
pcs
tablet
tablet
tablet
tablet
kotak
lembar
ampul
tablet
botol
tablet
pcs
tube
rol
pcs
botol
kapsul
botol
tablet
botol
botol
vial
tablet
botol
botol

A PEMAKAIAN OBAT PUSKESMAS SUSUT 2


TAHUN 2015
OBAT JKN
FEB

MAR

APRL

MEI

JUN

BULAN
JUL
156
-

AGT

SEP

60
299
-

10
492
-

90
717
-

20

156

371

302

1
-

1
1

1
-

108
-

2
10
1
-

1
30
-

1
50
96
3
-

1
1
30
10
1
2
-

15

18

172
6

25

273
2

10
1

16
-

4
6
3
2
1
-

1
50
1
-

1
8
2
2
2
90
-

1
4
1
2
60
-

260

247
-

380

340

1
20
120
-

1
90
10
-

1
175
55
-

148
20
-

2
-

110
1
-

1
-

50
-

6
20
1
-

1
-

1
-

1
-

OKT

NOV
20
732
350
-

DES

1
3
1
46
26
-

1
3
6
-

20
-

156
1
33
-

1
-

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