RENCANA KEBUTUHAN OBAT PELAYANAN KESEHATAN PUSKESMAS

TAHUN 2021

RENCANA
STOK 30 JUNI RATA2 PMK
KODE NO NAMA OBAT KEMASAN 2019 PER BULAN
KEBUTUHAN
2021

1 2 3 4 = ∑PMK / 10 5 = ( KLM 4 X 18 )

A1 1 Acyclovir Salep Tube 4 1.33 24

A2 2 Acyclovir 400 mg Tab Tablet 100 10.00 240
3 Air raksa dental use Botol -
A3
4 Albendazol 400 mg tab Tablet -
A4
5 Alprazolam 0.5 mg Tablet -
A5
6 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet 20 53.33 1,280
A6
7 Ambroxol syr Botol 5 3.86 93
A7
8 Ambroxol tab 30 mg / Promukus Tablet 288 60.80 1,459
A8
9 Aminofilina injeksi 24 mg/ ml. 10 ml Ampul
A9 -
10 Aminofilna tablet 200 mg Tablet -
A10
11 Amitriptilina hcl tablet salut 25 mg Tablet -
A11
A12 12 Amoksilina kapsul 500 mg Tablet 270 40.14 963
13 Amoksilna sirup kering 125 mg/ 5 mg Botol -
A13
14 Antasida doen tablet kombinasi Tablet 126 135.70 3,257
A14
15 Anti hemmoroid suppositoria Supp -
A15
16 Aqua pro injeksi streril. Bebas priogen 20 ml Vial 1.00 24
A16
17 Aquadest steril 500 ml Botol -
A17
18 As salisilat 2% + belerang endap 4%(2-4 salep Pot -
A18
A19 19 As. Benzoat 3 % + as salisilat 6%(whitefield) Pot -
 20 Asam askorbat (Vit. C) tablet 50 mg Tablet 50 5.00 120
A20
21 Asam mefenamat 500 mg Tablet
132.50 3,180
A21
A22 22 Asetosal 100 mg Tablet -
23 Asetosal tablet 500 mg Tablet -
A23
A24 24 Atropina sulfat injeksi 0 .25 mg / ml - 1 ml Ampul -
25 Basitrasin Polimiksin Tube -
A25
26 Besi (II) sulfat tablet salut .kombinasi Tablet 280 15.00 360
A26
27 Betahistin tab Tablet 142 26.57 638
A27
28 Betametazon salep kulit Tube 4.00 96
A28
29 Captopril 12.5 mg tablet Tablet -
A29
30 Captopril 25 mg tablet Tablet 126 50.40 1,210
A30
31 Carbamazepina 200 mg talet Tablet -
A31
A32 32 Cefadroxil 125mg/5ml Sirup Botol -
A33 33 Cefadroxill 500 mg tablet Tablet 50 20.00 480
A34 34 Cefotaxim 1 gr Injeksi Ampul -
A35 35 Cetirizin10 mg tab Tablet 150 31.67 760
A36 36 Cimetidine/Selestidin Tablet -
A37 37 Ciprofloxazin tablet 500 mg Tablet 44 40.00 960
A38 38 Deksametason injeksi 5 mg / ml - 1 ml Ampul -
A39 39 Deksametason tablet 0.5 mg Tablet 338 138.60 3,326
40 Devitalisasi pasta Tube -
A40
41 Diazepam 5 mg Tablet -
A41
42 Diazepam injeksi 5 mg / ml - 2 ml Ampul -
A42
A43 43 Diazepam tablet 2 mg Tablet -
44 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul -
A44
45 Digoksina tablet 0. 25 mg Tablet -
A45
46 Domperidon tablet 10 mg Tablet -
A46
47 Doxycicline 100 mg tab Tablet -
A47
48 Efedrina HCL (efedrina) tablet 25 mg Tablet -
A48
 49 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul -
A49
50 Ergotamina tartrat 1 mg + kofeina 50 mg tab Tablet -
A50
51 Erytromysin 200mg/5ml Syrup Botol -
A51
52 Erytromysin tablet 500 mg Tablet -
A52
A53 53 Etakridina (rivanol) larutan 0.1 % Botol -
54 Etil klorida semprot Botol 3.00 72
A54
55 Eugenol cairan Botol -
A55
56 Fenobarbital inj 50 mg /ml -2ml Ampul -
A56
57 Fenobarbital tablet 100mg Tablet -
A57
58 Fenobarbital tablet 30 mg Tablet
-
A58
A59 59 Fenol gliserol tetes telnga 10% Botol -
60 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul -
A60
61 Fitomenadion (vit. K1) tablet salut 10 mg Tablet -
A61
62 Furosemida tablet 40 mg Tablet -
A62
A63 63 Garam Oralit untuk 200 ml air Sachet 11 3.25 78
64 Gentamisin Salep Mata Tube 1.67 40
A64
65 Gentamysin SK Tube -
A65
66 Gentamysin TM/Genoint TM Botol 19 4.50 108
A66
67 Gentian violet larutan 1 % Botol -
A67
68 Glibenklamida tablet 5 mg Tablet -
A68
69 Gliseril guayakolat tablet 10 mg Tablet -
A69
70 Glukosa larutan infus 10 % steril Botol -
A70
71 Glukosa larutan infus 40 % steril Botol -
A71
A72 72 Glukosa larutan infus 5 % steril Botol -
73 Griseofulvin tablet 125 mg. Mikronized Tablet -
A73
74 Haloperidol 0,5 mg. Tablet Tablet -
A74
75 Haloperidol 1,5 mg tablet Tablet -
A75
76 Haloperidol 5 mg tablet Tablet -
A76
 77 Hidroklorotiasida (HCT) tablet 25 mg Tablet -
A77
78 Hidrokortison krim 2.5 % Tube 13 4.44 107
A78
79 Ibuprofen tablet 400 mg Tablet 28.00 672
A79
80 Isoniazide 100 mg Tablet -
A80
81 Isoniazide 300 mg Tablet -
A81
82 Isosorbid dinitrat Tablet -
A82
83 Kalsium hidroksida pasta Pot -
A83
84 Kalsium laktat (kalk) tablet 500 mg Tablet -
A84
85 Ketokonazole 200 mg tablet Tablet -
A85
86 Kinina dihidroklorida (kinina) inj 25 % - 2 ml Ampul -
A86
87 Kinina sulfat tablet 222 mg (7 h20 ) Tablet -
A87
88 Kloramfenicol salep kulit Tube -
A88
89 Kloramfenikol kapsul 250 mg Tablet -
A89
90 Kloramfenikol salep mata 1 % Tube -
A90
91 Kloramfenikol tetes Mata Botol -
A91
92 Kloramfenikol tetes telinga 3 % Botol 2.25 54
A92
93 Klorfeniramina maleat (CTM) tablet 4 mg Tablet 220 91.33 2,192
A93
94 Klorpromazin 100 mg tablet Tablet -
A94
95 Klorpromazina Hcl inj 25 mg / ml - 1 ml Ampul -
A95
96 Klorpromazina Hcl inj 5 mg / ml - 2 ml Ampul -
A96
97 Klorpromazina hcl tablet salut 25 mg Tablet -
A97
98 Kodeina Hcl (kodeina) tablet 10 mg Tablet -
A98
99 Kotrimoksasol suspensi Botol 2 4.50 108
A99
100 Kotrimoksasol tablet kombinasi Tablet 176 10.00 240
A100
101 Lidokain inj Ampul -
A101
102 Lidokaina comp inj kombinasi Ampul -
A102
103 Metakresol sulfonat dan metanol kondensai (Albotyl) Botol -
A103
104 Metformin 500 mg tablet Tablet -
A104
 105 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul -
A105
106 Metilergometrina malet tablet salut 0. 125 mg Tablet -
A106
107 Metilprednisolon tablet 4 mg Tablet 114 67.67 1,624
A107
108 Metoklopramide 10 mg tablet/Noristal Tablet 210 10.00 240
A108
109 Metronidazol 500 mg Tablet -
A109
110 Metronidazol tablet 250 mg Tablet -
A110
A111 111 Mikonazole salep Tube 4 2.00 48
112 Monoklorkamfer mentolcairan (CHKM) Botol -
A112
113 Mumifyng pasta Botol -
A113
114 Natrium bikarbonat tablet 500 mg Tablet -
A114
115 Natrium Diklofenak 50 (Nadifen/Prostanac) Tablet 330 215.20 5,165
A115
116 Natrium klorida larutan infus 0. 9 steril Botol -
A116
117 Nifedipin tablet 10 mg Tablet -
A117
118 Nistatin 100. 000 iu/g tablet vaginal Tab Vag -
A118
119 Obat batuk hitam (OBH) cairan Botol 100 ml -
A119
120 Ofloxacin tab 400mg Tablet -
A120
121 Oksigen gas dalam tabung 3 m3 Tabung -
A121
122 Oksigen gas dalam tabung 6 m3 Tabung -
A122
123 Oksitetrasiklina hcl salep 3 % Tube -
A123
124 Oksitetrasiklina hcl salep mata 1 % Tube -
A124
125 Oksitosina inj 10 iu/ml - 1 ml Ampul -
A125
126 Parasetamol sirup 120 mg / 5 ml Botol
8 1.25 30
A126
127 Parasetamol tab 100 mg Tablet -
A127
128 Parasetamol tablet 500mg Tablet 238 223.20 5,357
A128
129 Pirantel pamoat (pirantel) tablet 125 mg basa Tablet -
A129
130 Piroxicam 10 Mg Tablet -
A130
A131 131 Piroxicam 20 Mg Tablet -
 132 Prednison tablet 5 mgn Tablet -
A132
133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet
A133 -
134 Primakina tablet 15 mg Tablet
-
A134
135 Prokaina penisilina g inj 3 juta iu Vial -
A135
136 Propiltionurasil tablet 100 mg Tablet -
A136
137 Propranolol hcl (Propranolol) tablet 40 mg Tablet -
A137
138 Pyridoxin injeksi Ampul -
A138
139 Ranitidin inj 25 mg/2 ml Ampul -
A139
140 Ranitidin tablet 150 mg Tablet 234 130.75 3,138
A140
141 Reserpina tablet 0, 10 mg Tablet -
A141
142 Reserpina tablet 0, 25 mg Tablet -
A142
143 Retinol (vit. A) kapsul lunak 200.000 iu Tablet -
A143
144 Retinol (vit. A) tablet salut 100. 000 iu Tablet
-
A144
145 Ringer laktat larutan infus steril Botol -
A145
146 Risperidon Tablet -
A146
147 Salbutamol tablet 2 mg Tablet -
A147
A148 148 Salbutamol tablet 4 mg Tablet 234 23.71 569
A149 149 Salisil bedak 2 % Bks 5 1.00 24
150 Salisil spiritus 10 % Botol -
A150
151 Semen seng fosfat serbuk dan cairan Botol -
A151
152 Serum anti bisa ular polivalen inj. 5ml Ampul -
A152
153 Serum anti tetanus inj. 1.500 iu Ampul -
A153
154 Sianokobalamina (vit.b12) inj. 500 mcg Ampul -
A154
155 Silver amalgam serbuk 65-75% Botol -
A155
156 Simvastatin tab 10 mg Tablet 30.00 720
A156
157 Sulfacetamide tetes mata Botol -
A157
 158 Synthetic filing material larutan dan serbuk Set -
A158
159 Temporary stopping fletcher serbuk dan cairan Set -
A159
160 Tetrasiklina hcl (tetrasiklina) kapsul 250 mg Tablet
-
A160
161 Tetrasiklina hcl (tetrasiklina) kapsul 500 mg Tablet -
A161
162 Thiamfenikol 500 Tablet -
A162
163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 63.33 1,520
A163
164 Tiamina hcl (vit.b1) inj. 100 mg/ml Ampul -
A164
165 Tramadol Tablet -
A165
166 Trifluoperazine (Stelazin) Tablet -
A166
167 Triheksfenidil hcl 2 mg tablet Tablet -
A167
168 Trikresol formalin (tkf) cairan Botol -
A168
169 Vitamin B kompleks tablet Tablet
230 195.70 4,697
A169
170 Yodium povidan larutan 10% 300 ml Botol -
A170
171 Yodium povidon larutan 10% 30 ml Botol -
A171
172 Zink tablet Tablet 90 15.00 360
A172
173 Amoksisillin dry syr 250mg/5ml Botol 2 1.00 24
A173

OBAT TAMBAHAN
174 Aptil Botol -
A174
175 (Lopinavir/Ritonavir)Aluvia Botol -
A175
176 Abacavir Tablet -
A176
177 Acyclovir tablet 200 mg Tablet -
A177
178 Aleterol TM Botol -
A178
179 Amlodipin 10 mg tab Tablet 140.00 3,360
A179
180 Amlodipin 5 mg tab Tablet 308 207.78 4,987
A180
181 Amox-clav Tablet -
A181
 182 Ampisilin Serbuk Injeksi i.m/i.v. 1000 mg/ml Ampul
A182
183 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul
A183
184 Antalgin injeksi Ampul -
A184
185 Antasida syr Botol -
A185
186 Arterakine Tablet -
A186
187 Artesunat inj Vial -
A187
188 Asam Folat 1 mg Tablet -
A188
189 Asam tranexamat 500 mg Tablet -
A189
190 Asetosal 80/miniaspi tablet -
A190
A191 191 Atripla(TDF+3TC+EFV) Botol -
A192 192 Azitromisin+cefixim Tablet -
A193 193 Azytromisin tablet 500 mg Tablet -
A194 194 BD Vacuntainer Pcs -
195 Becefort Tablet 374 60.11 1,443
A195
A196 196 Benzatin Penisillin Vial -
197 Bonding Set -
A197
198 Bufacomb salep Tube -
A198
199 Buscopan inj Ampul -
A199
200 Caviton Tube -
A200
201 Cefixim syr 100 mg/5 ml Botol -
A201
202 Cefixim tablet 100 mg Tablet -
A202
203 Cefixim tablet 200 mg Tablet -
A203
204 Cefotaxim 0,5 g inj Vial -
A204
205 Ceftriaxon inj Vial -
A205
206 Clarithromysin 500 mg Tablet -
A206
207 Clavamox inj Ampul -
A207
208 Clindamisin 150 mg Tablet -
A208
209 Clindamisin 300 mg Tablet -
A209
 210 Clobazam 10 mg Tablet -
A210
211 Clozapine 25 mg Tablet -
A211
212 Composite (tumpatan sinar)A3 Set -
A212
213 Composite (tumpatan sinar)A3.5 Set -
A213
214 Crofed Tablet -
A214
215 D1/2 NS botol -
A215
216 D1/4 NS Botol -
A216
217 Daryantulle Lembar -
A217
218 Dermazine/Burnazin Tube -
A218
219 Dextina / Dextamin/Dextamec/Polofar Plus Tablet -
A219
220 Dextran 70% Botol -
A220
221 Dextrofen syr Botol 3 1.75 42
A221
222 Diaform tablet/selesdiar Tablet -
A222
223 Dormi/Scopma/Spashi tablet Tablet -
A223
224 Dulcolac anak supp Supp -
A224
225 Dulcolac dewasa supp Supp -
A225
226 Dulkolak tablet Tablet -
A226
227 Duviral(Zidovudin 300+Lamivudin 150) Botol -
A227
228 Efavirenz Botol -
A228
A229 229 Etambutol Tablet -
230 ETSA Set -
A230
231 Euthyrox 100mg Tablet -
A231
232 Faktu Supp Supp -
A232
233 Fluconasol tab Tablet -
A233
234 Fluoxetin Tablet -
A234
235 Forumen TT Fls -
A235
236 Gentamisin Injeksi 80 mg/2ml Ampul -
A236
237 Glass ionomer (Ketac Molar) Tube -
A237
 238 Glimepiride 2 tablet -
A238
239 Glimepiride 4 tablet -
A239
240 Glukonas Calcicus 10%- 10ml Ampul -
A240
241 Haldol inj Ampul -
A241
242 Hiviral (Lamivudin 150) Botol -
A242
243 Ibuprofen syr btl -
A243
A244 244 Iliadin TH flesh -
A245 245 Isotic Neolisin TM Fls 3.75 90
246 Kalium Diklovenac tablet
-
A246
247 Kaltropen supp Supp -
A247
248 Ketoconazole SK tube 3 1.00 24
A248
249 Ketoprofen inj 10 mg Ampul -
A249
250 Ketoprofen tablet 100 mg Tablet -
A250
251 Ketorolac inj Ampul -
A251
252 Kombipak Anak Paket -
A252
253 Lodomer 2 Tablet -
A253
254 Lytamin syr botol -
A254
255 Magnesium Sulfat 20% - 25 ml Botol -
A255
256 Magnesium Sulfat 40% - 25 ml Botol -
A256
257 Metil Prednisolon 16 mg Tablet -
A257
258 Metil prednisolon inj 500 mg Vial -
A258
259 Metronidazole 500 mg Infus/100 ml Botol -
A259
260 Meylon inj Botol
-
A260
261 Microlax Supp
-
A261
262 Miloxicam 7,5 mg tablet
50 128.60 3,086
A262
 263 Molexflu Tablet -
A263
264 Multivitamin (Livron B plek) Tablet
248 208.44 5,003
A264
265 Multivitamin sirup( Xanvit syr) Botol -
A265
266 Neurotropik tablet Tablet -
A266
267 Neviral (neviravin 200mg) Botol -
A267
268 New antides tablet 170 6.50 156
A268
269 Nutrifar 5000 Tablet -
A269
270 Obat anti tuberkulosis FDC katagori I Paket -
A270
271 Obat anti tuberkulosis FDC anak Paket -
A271
272 Obat anti tuberkulosis FDC katagori II Paket -
A272
273 Obat anti tuberkulosis FDC sisipan Paket -
A273
274 Obat anti tuberkulosis kategori I Paket -
A274
275 Obat Batuk Kombinasi Botol -
A275
276 Obat Flu kombinasi CTM, PPA (Anaflu), Demacolin Tablet 62.33 1,496
A276
277 Obat Flu Kombinasi/Mecofed/Quantidex Tablet -
A277
278 OBH plus botol 2.00 48
A278
279 Omeprasole tablet 20 mg Tablet -
A279
280 Ondancentron inj Ampul -
A280
281 Ondancetron 4 mg Tablet -
A281
282 Orpen Tablet -
A282
283 Oseltamivir Tablet -
A283
284 Paket bonding Set -
A284
285 Pamol 125 mg Supp Supp -
A285
286 Pamol 250 mg Supp Supp -
A286
A287 287 Pantocain Tetes Mata Botol -
288 Parasetamol drop Botol -
A288
289 Pehacain Injeksi Ampul -
A289
 290 Pehatrim Forte (Kotrimoksasol tab forte 960 mg) Tablet
-
A290
291 Perhidrol (H2O2) Botol -
A291
292 Phenitoin tab Tablet -
A292
293 Piracetam 400 mg Tablet -
A293
294 Piracetam inj 200mg/1ml Ampul -
A294
295 Pirimethamine tablet Tablet -
A295
296 Prenatin DF Tablet 90.00 2,160
A296
297 Prenatin plus tablet tablet -
A297
298 Primaquin Tablet -
A298
299 Primperan inj Ampul -
A299
300 Procurma sirup botol 5 1.71 41
A300
301 Prokain Benzil Penicillin G Injeksi 3 jt IU/vial Vial -
A301
A302 302 Proris supp Supp -
303 Pularex Tablet -
A303
304 Scabimite cream tube -
A304
305 Sikzonoate inj Ampul -
A305
306 Simvastatin tab 20 mg Tablet -
A306
307 Spashi inj Ampul -
A307
308 Spashi tab Tablet -
A308
309 Stelosi tab 5 mg Tablet -
A309
310 Stesolid rectal Supp -
A310
311 Strop indra Botol -
A311
312 Sulfadiazin tablet Tablet -
A312
313 Tenofovir (Tenofovir 300mg) Botol -
A313
314 Tetagam Ampul -
A314
315 Tramadol inj 50 mg/ml Ampul -
A315
316 Tranexid inj (Asam tranexamat inj) Ampul -
A316
 317 Urotractin tablet -
A317
318 Ventolin Nebulizer Ampul -
A318
319 Vitamin B12 tab Tablet -
A319
320 Vitamin Neurotropik inj Ampul -
A320
321 Vitamin Neurotropik tablet (Nutrifar, Sohobion) Tablet -
A321
322 VitKa infan Ampul -
A322
323 Xylocain Gel Ampul
A323 -
324 Zidovudine 100 mg Tablet -
A324
325 Sucralfat sup Supp -
A325
326 Clopidogrel bisulfat -
A326
327 Levofloxacin 500 -
A327
328 Spironolactone 25mg -
A328
329 Domperidon syr -
A329
330 Ceterizine syr -
A330
331 Albendazole syr -
A331
332 Zink syr -
A332
333 Cazetin drop Botol
-
A333
334 Lacto B Sachet -
A334
335 Scopma Plus -
A335
336 Nebacetine powder Botol -
A336
337 Metronidazole syr 125 -
A337
338 Salbutamol syr -
A338
339 Furosemid inj. -
A339
340 Parasetamol infus -
A340
341 Colortusin Tablet 190 53.20 1,277
A341
342 Coparcetine -
A342
343 TB tahap intensif -
A343
 344 TB tahap Lanjutan -
A344
345 Solathim Syr -
A345
346 Antiseptic Liq -
A346
347 Tenofovir -emtricitabin -
A347
348 Cavit G -
A348
349 Ketros sup -
A349
350 Harnal -
A350
351 Metronidasole infus -
A351

Mengetahui
Ka. Puskesmas Marga II

(dr. I Ketut Indra Wiguna Cakera)

 USULAN PENERIMAAN KET
KEBUTUHAN 2021 TAHUN 2018

6 = (KLM 5 - KLM 3) 7

20 5
140 100
-
-
-
1,260 200
88 20
1,171 200
-

-
-
693 600
-
3,131 900
-
24
-
-
-
 70 200
3,180
800
-
-
-
-
80 400
496 210
96 24
-
1,084 800
-
-
430 300
-
610 200
-
916 200
-
2,988 1100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
72 5
-
-
-

-
-
-
-
67 10
40 5
-
89 40
-
-
-
-
-
-
-
-
-
-
 -
94 10
672 500
-
-
-
-
-
-
-
-
-
-
-
-
54 3
1,972 200
-
-
-
-
-
106
64 200
-
-
-
-
 -
-
1,510 400
30 100
-
-
44
-
-
-
4,835 700
-
-
-
-
-
-
-
-
-
-

22
3
-
5,119 1900
-
-
-
 -

-
-
-
-
-
2,904 800
-
-
-

-
-
-
335 300
19
-
-
-
-
-
-
720
-
 -
-

-
-
1,520 1300
-
-
-
-
-

4,467
1000
-
-
270 100
22
-
-
-
-
-
-
-
3,360
4,679 420
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
1,069 800
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
39
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
90 5

-
21 5
-
-
-
-
-
-
-
-
-
-
-

3,036
340
 -

4,755
900
-
-
-
(14) 200
-
-
-
-
-
-
-
1,496 400
-
48 5
-
-
-
-
-
-
-
-
-
-
-
 -

-
-
-
-
-
2,160 420
-
-
-
36 3
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-

-
-
-
-
-
-
-
-
-

-
-
-
-
-
-
-
1,087
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-