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Sisa Stock

No Uraian Satuan Desember


1 2 3 2021
4
FORNAS 2021 1 Air untuk injeksi cairan injeksi 25 ml vial 0
FORNAS 2021 2 Alopurinol tablet 100 mg tablet 161
NON FORNAS 3 Ambroksol tablet 30 mg tablet 1490
FORNAS 2021 4 Aminofilin injeksi 24 mg/ml ampul 4
FORNAS 2021 5 Aminofilin tablet 200 mg tablet 0
FORNAS 2021 6 Amitriptilin tablet salut 25 mg tablet
FORNAS 2021 7 Amlodipin tablet 10 mg tablet 2299
FORNAS 2021 8 Amlodipin tablet 5 mg tablet 89
FORNAS 2021 9 Amoksisilin sirup kering 125 mg/ml botol 61
FORNAS 2021 10 Amoksisilin sirup kering 250 mg/ml botol 0
FORNAS 2021 11 Amoksisilin tablet 500 mg tablet 176
FORNAS 2021 12 Ampisilin
hidroksidainjeksi
200 mg 1.000
danmg
magnesium vial 0
FORNAS 2021 13 hidroksida 200 mg
hidroksida 200 mg dan magnesium botol 48
FORNAS 2021 14 hidroksida 200 mg
Antifungi salep kombinasi asam benzoat 6% tablet 816
FORNAS 2021 15 dan asam salisilat 3%
Antihemorroid kombinasi bismut subgalat, tube 29
FORNAS 2021 16 heksaklorofen,lidokain dan seng oksida suppos 0
FORNAS 2021 17 Aquadest cairan 1000 ml kolf 0
FORNAS 2021 18 Asam asetilsalisilat (asetosal) tablet 80 mg tablet 110
FORNAS 2021 19 Asam askorbat (Vitamin C) tablet 50 mg tablet 909
FORNAS 2021 20 Asam folat tablet 1 mg tablet 2571
FORNAS 2021 21 Asam mefenamat tablet 500 mg tablet 1037
FORNAS 2021 22 Asering infus kolf 0
NON FORNAS 23 Asiklovir krim tube 21
FORNAS 2021 24 Asiklovir tablet 400 mg tablet 383
FORNAS 2021 25 Atropin injeksi 0,25 mg/ml ampul 4
FORNAS 2021, TK2 26 Azitromisin tablet salut selaput 500 mg tablet 420
FORNAS 2021 27 Bedak salisil serbuk 2% botol 113
FORNAS 2021 28 Benzatin benzil penisilin injeksi 2,4 juta IU/ml ampul 0
FORNAS 2021 29 Betahistin tablet 6 mg tablet 180
FORNAS 2021 30 Betametason salep 0,1% tube 11
FORNAS 2021 31 Bisakodil tablet salut 5 mg tablet 90
FORNAS 2021, TK2 32 Bisoprolol tablet 5 mg tablet 30
NON FORNAS 33 Boraks Gliserol Kombinasi
Cairan inhalasi 5% (GOM) ipratropium botol 33
FORNAS 2021 34 bromida 0,5 mg dan salbutamol 2,5 mg ampul 0
FORNAS 2021 35 D5-1/2NS kolf 0
FORNAS 2021 36 Deksametason injeksi 5 mg/ml ampul 21
FORNAS 2021 37 Deksametason tablet 5 mg tablet 754
FORNAS 2021 38 Dekstrosa 40% infus kolf 0
NON FORNAS 39 Dextrometorfan tablet kombinasi (Dextral) tablet 0
FORNAS 2021 40 Diazepam enema 5 mg/2,5 ml suppos 4
FORNAS 2021 41 Diazepam injeksi 5 mg/ml ampul 5
FORNAS 2021 42 Diazepam tablet 2 mg tablet 95
FORNAS 2021 43 Difenhidramin injeksi 10 mg/ml ampul 13
FORNAS 2021 44 Doksisiklin kapsul 100 mg kapsul 336
FORNAS 2021 45 Domperidon sirup 5 mg/5 ml botol 0
FORNAS 2021 46 Domperidon tablet 10 mg tablet 532
FORNAS 2021 47 Epinefrin injeksi 0,1% ampul 10
FORNAS 2021 48 Eritromisin kapsul 500 mg kapsul 110
FORNAS 2021 49 Eritromisin suspensi 200 mg/5 ml botol 0
FORNAS 2021 50 Etanol 70% botol 2
FORNAS 2021 51 FDC kategori anak paket 3
FORNAS 2021 52 FDC kategori I paket 2
FORNAS 2021 53 FDC Kategori II paket 2
FORNAS 2021 54 Fenobarbital injeksi 50 mg/ml (IV) ampul 0
FORNAS 2021 55 Fenobarbital tablet 30 mg tablet 0
FORNAS 2021, RB 56 Fitomenadion injeksi 2 mg/ml (Generik) 3
FORNAS 2021 57 Fitomenadion injeksi 2 mg/ml (Neo K) ampul 0
FORNAS 2021 58 Fitomenadion tablet salut gula 10 mg tablet 248
FORNAS 2021 59 Flukonazol kapsul 150 mg kapsul 0
FORNAS 2021 60 Framisetin sulfat tulle 1% lembar 5
FORNAS 2021 61 Furosemid injeksi 10 mg/ml ampul 0
FORNAS 2021 62 Furosemid tablet 40 mg tablet 100
Garam Fe setara dengan Fe elemental 15
FORNAS 2021 63 mg/5 ml botol 0
FORNAS 2021 64 Garam oralit serbuk bungkus 171
FORNAS 2021, TK 2 65 Gemfibrozil kapsul 300 mg kapsul 100
FORNAS 2021 66 Gentamisin salep kulit tube 27
FORNAS 2021 67 Glibenklamid tablet 5 mg tablet 250
FORNAS 2021 68 Glimepirid tablet 1 mg tablet 0
FORNAS 2021 69 Glimepirid tablet 2 mg tablet 0
FORNAS 2021 70 Glukosa 10% infus kolf 0
FORNAS 2021 71 Glukosa 5% infus kolf 0
NON FORNAS 72 Glynasin sirup botol 52
FORNAS 2021 73 Griseofulvin tablet 500 mg tablet 490
FORNAS 2021 74 Haloperidol injeksi 5 mg/ml ampul 0
FORNAS 2021 75 Haloperidol tablet 5 mg tablet 85
FORNAS 2021 76 Hidrogen peroksida cairan 3% botol 1
FORNAS 2021 77 Hidroklortiazid tablet 25 mg tablet 372
FORNAS 2021 78 Hidrokortison krim 2,5% tube 38
FORNAS 2021 79 Hiosin butilbromida tablet 10 mg tablet 490
FORNAS 2021 80 Ibuprofen tablet 200 mg tablet 209
FORNAS 2021 81 Isoniazid tablet 100 mg tablet 140
FORNAS 2021 82 Isosorbid dinitrat tablet 5 mg tablet 90
FORNAS 2021 83 KA-EN 3B infus kolf 0
FORNAS 2021 84 Kalsium glukonat injeksi 10% ampul 0
FORNAS 2021 85 Kalsium laktat tablet 500 mg tablet 834
FORNAS 2021 86 Kaptopril tablet 25 mg tablet 500
FORNAS 2021 87 Karbamazepin tablet 200 mg tablet 76
FORNAS 2021 88 Karbogliserin tetes telinga 10% botol 25
FORNAS 2021 89 Ketokonazol tablet 200 mg tablet 0
FORNAS 2021, TK2 90 Ketoprofen sup 100 mg suppos 0
FORNAS 2021, TK2 91 Ketorolac injeksi 30 mg/ml ampul 0
FORNAS 2021 92 Klindamisin kapsul 300 mg kapsul 470
FORNAS 2021, TK2 93 Klopidogrel tablet salut selaput 75 mg tablet 0
FORNAS 2021 94 Kloramfenikol kapsul 250 mg kapsul 57
FORNAS 2021 95 Kloramfenikol salep kulit 2% tube 37
FORNAS 2021 96 Kloramfenikol salep mata 1 % tube 60
FORNAS 2021 97 Kloramfenikol suspensi 125 mg/5 ml botol 10
FORNAS 2021 98 Kloramfenikol tetes mata 0.5 % tube 0
FORNAS 2021 99 Kloramfenikol tetes telinga botol 32
FORNAS 2021 100 Klorfeniramin tablet 4 mg tablet 616
FORNAS 2021 101 Klorpromazin tablet salut selaput 100 mg tablet 200
FORNAS 2021 102 Kodein tablet
Kombinasi 10 mg tablet 1 mg dan kafein
Ergotamin tablet 0
FORNAS 2021 103 50 mg
Kombinasi tablet 0
Kombinasi tablet
tablet kaolin 550 mg dan pektin
salut ferro
FORNAS 2021 104 20 mg
sulfat/FUMARAT/GLUKONAT tablet 980
Kontrasepsi parenteral injeksi(setara
depot dengan
FORNAS 2021 105 60
kombinasi medroksi progesteronfolat
mg Fe elemental) dan asam 0,4 25
asetat mg tablet 0
FORNAS 2021 106 mg dan estradiol sipionat 5 mg ampul 0
FORNAS 2021 107 Kotrimoksazol suspensi 240 mg/5 ml botol 109
FORNAS 2021 108 Kotrimoksazol tablet 480 mg tablet 650
FORNAS 2021 109 Lidokain injeksi 2% ampul 5
FORNAS 2021 110 Loratadin tablet 10 mg tablet 190
FORNAS 2021 111 Magnesium sulfat injeksi 40% ampul 3
FORNAS 2021 112 Metformin tablet 500 mg tablet 906
FORNAS 2021 113 Metildopa tablet 250 mg tablet 0
FORNAS 2021 114 Metilergometrin injeksi 0,2 mg/ml ampul 3
FORNAS 2021, TK2 115 Metilprednisolon tablet 4 mg tablet 0
FORNAS 2021, TK 2 116 Metronidazol infus 5 mg/ml botol 0
FORNAS 2021 117 Metronidazol tablet 500 mg tablet 486
FORNAS 2021 118 Mikonazol krim 2% tube 50
NON FORNAS 119 Misoprostrol tablet 200 mg tablet 0
NON FORNAS 120 Multivitamin (CAVIPLEX) kapsul 0
FORNAS 2021 121 N-Asetil sistein kapsul 200 mg kapsul 825
FORNAS 2021 122 Natrium
Natrium bikarbonat tabletsalut
diklofenak tablet 500 mg
enterik 25 tablet 0
FORNAS 2021 123 mg tablet 0
FORNAS 2021 124 Natrium Klorida (NaCl) 0,9% infus 100 ml kolf 0
FORNAS 2021 125 Natrium Klorida (NaCl) 0,9% infus 500 ml kolf 0
FORNAS 2021 126 Nifedipin tablet 10 mg tablet 107
FORNAS 2021 127 Nistatin suspensi 100.000 IU/ml botol 0
FORNAS 2021 128 Nistatin tablet vaginal 100.000 IU tablet 117
FORNAS 2021 129 Oksitetrasiklin salep mata tube 0
FORNAS 2021 130 Oksitosin injeksi 10 IU/ml (Sintosinon inj) ampul 3
FORNAS 2021 131 Omeprazol injeksi vial 0
FORNAS 2021 132 Omeprazol kapsul 20 mg kapsul 3
FORNAS 2021, TK2 133 Ondansentron injeksi 4 mg/ml vial 0
FORNAS 2021 134 Parasetamol drop 100 mg/ml 0
FORNAS 2021 135 Parasetamol sirup 120 mg/5 ml botol 24
FORNAS 2021 136 Parasetamol supp supp 8
FORNAS 2021 137 Parasetamol tablet 500 mg tablet 143
FORNAS 2021 138 Perak sulfadiazin krim 1% tube 0
FORNAS 2021 139 Permetrin krim 5% tube 0
FORNAS 2021 140 Pirantel pamoat tablet 125 mg tablet 49
FORNAS 2021 141 Piridoksin (Vitamin B6) tablet 10 mg tablet 1135
FORNAS 2021 142 Povidon iodin larutan 100 mg/ml botol 60 ml 5
FORNAS 2021 143 Prednison tablet 5 mg tablet 708
FORNAS 2021, TK2 144 Ranitidin injeksi 25 mg/ml ampul 0
FORNAS 2021 145 Ranitidin tablet 150 mg tablet 754
FORNAS 2021 146 Retinol (Vitamin A) kapsul lunak 100.000 IU kapsul 10
FORNAS 2021 147 Retinol (Vitamin A) kapsul lunak 200.000 IU kapsul 9
FORNAS 2021 148 Ringer laktat infus kolf 4
FORNAS 2021 149 Risperidon tablet 2 mg tablet 0
FORNAS 2021 150 Salbutamol inhalasi 1 mg/ml (Ventolin) ampul 14
FORNAS 2021 151 Salbutamol tablet 2 mg tablet 308
FORNAS 2021 152 Salep 2-4 tube 41
FORNAS 2021 153 Sefadroksil kapsul 500 mg kapsul 280
FORNAS 2021 154 Sefadroksil sirup kering 125 mg/5 ml botol 12
FORNAS 2021, TK 2 155 Sefikisim tablet 200 mg tablet 0
FORNAS 2021 156 Setirizin sirup 5 mg/ml botol 0
FORNAS 2021 157 Setirizin tablet 10(Vitamin
Sianokobalamin mg B12) injeksi 500 tablet 0
FORNAS 2021, RB 158 mcg/ml ampul 0
FORNAS 2021 159 Sianokobalamin (Vitamin B12) tablet 50 mcg tablet 1490
FORNAS 2021 160 Simvastatin tablet salut selaput 10 mg tablet 0
FORNAS 2021 161 Simvastatin tablet salut selaput 20 mg tablet 0
FORNAS 2021 162 Siprofloksasin tablet salut selaput 500 mg tablet 473
FORNAS 2021 163 Tiamin (vitamin B1) tablet 50 mg tablet 1762
FORNAS 2021 164 Triheksifenidil tablet
Tuberkulin Protein 2 mg Derivative serbuk
Purified tablet 145
FORNAS 2021 165 inj 2 TU/0,1 ml vial 0
FORNAS 2021 166 Vitamin B Kompleks tablet tablet 0
FORNAS 2021 167 Zinc tablet dispersible 20 mg tablet 1068

168 ARV Duviral (Zidovudin + Lamifudin) tablet 0


FORNAS 2021, ARV 169 ARV Efavirenz tablet 0
170 ARV FDC Anak tablet 0
171 ARV FDC Dewasa tablet 0
172 ARV Lamifudin /3TC tablet 0
173 ARV Nevirapin tablet 0
174 ARV Tenofovir tablet 0
175 Albendazol tablet 400 mg tablet 255
FORNAS 2021 176 Kombipak I box 0
177 Kombipak IMS box 0
178 Kondom
Kontrasepsi parenteral injeksi medroksi box 0
179 progesteron asetat 150 mg/3 ml ampul 0
FORNAS 180 Kontrasepsi, AKDR (IUD) unit 0
181 Kontrasepsi, Implan unit 0
182 MDT MB Adult paket 0
183 MDT MB Child paket 0
184 MDT PB Adult paket 0
185 MDT PB Child paket 0
186 TB MDR Bedaquinin 100 mg tablet 0
187 TB MDR Delamanid 50 mg tablet 0
188 TB MDR Etambuthol 500 mg tablet 0
189 TB MDR Ethionamid 250 mg tablet 0
190 TB MDR Isoniazid 300 mg tablet 0
191 TB MDR Kanamicin injeksi 1 gram tablet 0
192 TB MDR Klopazimin 100 mg tablet 0
193 TB MDR Levofloxacin 250 mg tablet 0
194 TB MDR Linezolid 500 mg tablet 0
195 TB MDR Mofifloxacin 400 mg tablet 0
196 TB MDR PAS Acid 52,5 mg tablet 0
197 TB MDR Pirazinamid 500 mg tablet 0
198 Vaksin BCG vial 0
199 Vaksin BoPV vial 6
200 Vaksin DPT vial 12
201 Vaksin Dt vial 2
202 Vaksin Hb0 vial 2
203 Vaksin Hbig vial 0
204 Vaksin IPV vial 3
205 Vaksin Meningitis vial 0
206 Vaksin MR vial 3
207 Vaksin Td vial 0
Albendazol sirup 0

DAFTARAnastetik
OBAT YANG lokalSUDAH TIDAK DIBELI
gigi kombinasi LAGI2%
: lidokain DI 2021
1 dan epinefrin 1: 80.000 injeksi 2 ml ampul 0
BAHAN GIGI 2 Etil klorida spray 100 ml botol 0
BAHAN GIGI 1 Adalat tablet 0
FORNAS 2021, TK2 2 Amiodaron injeksi 50 mg/ml vial 0
FORNAS 2021, TK2 3 Antalgin tablet 500 mg tablet 0
NON FORNAS 4 Asam traneksamat injeksi 100 mg/ml vial 0
FORNAS 2021, TK2 5 Bisakodil suppositoria 5 mg suppos 0
FORNAS 2021 6 Bromhexin Nebulizer (Bisolvon) botol 0
NON FORNAS 7 Digoksin tablet 0,25 mg tablet 0
FORNAS 2021, TK2 8 Etakridin 0,5% (Rivanol) botol 11
NON FORNAS 9 Gentamisin injeksi 10 mg/ml ampul 0
FORNAS 2021, TK2, R 10 Gentian violet 1% tube 0
NON FORNAS 11 Gliseril guaiakolat 100 mg tablet 1399
NON FORNAS 12 Griseofulvin tablet 125 mg tablet 0
FORNAS 2021 13 Hiosin-N-butilbromida injeksi ampul 490
FORNAS 2021, TK2 14 Ichtiol salep kulit tube 8
NON FORNAS 15 Kloramfenikol + Hidrokortison krim tube 0
NON FORNAS 16 Linkomisin kapsul kapsul 0
Metilergometrin tablet salut selaput 0,125
NON FORNAS 17 mg tablet 0
FORNAS 2021 18 Minyak ikan salep kulit (levertran 10%) tube 20
NON FORNAS 19 Nistatin tablet 500.000 IU tablet 0
FORNAS 2021 20 Norepinefrin injeksi 0
FORNAS 2021, TK2 21 OBH sirup botol 0
NON FORNAS 22 Ofloksasin tetes telinga 3% ampul 0
GA JADI 23 Oksitetrasiklin salep kulit tube 0
NON FORNAS 24 Parasetamol infus kolf 0
FORNAS 2021, TK3 25 Pil KB Trinordiol blister 0
NON FORNAS 26 Piroksikam 20 mg tablet 0
NON FORNAS 27 PK pot 35
NON FORNAS 28 Propranolol 40 mg tablet 0
FORNAS 2021, TK2 29 Sefiksim 100 mg kapsul 0
FORNAS 2021, TK2 30 Seftriakson injeksi vial 0
FORNAS 2021, TK2 31 Tetrasiklin kapsul 500 mg kapsul 0
FORNAS 2021 32 Thiamfenikol 500 mg tablet 0
NON FORNAS 33 Tramadol kapsul 50 mg kapsul 0
NON FORNAS 34 Molexflu tablet 0
35 Dextral sirup botol 0
36 Piroksikam gel (Faxiden) tube 0
Perencanaan Kebutuhan Obat Tahun 2023
Puskemas Kelurahan Pinang Ranti
Rata-rata Pengadaan Prediksi Sisa Kebutuhan
Pemakaian per 7Stock s.d.
= (4+6)-
Tahun 2022 Tahun 2023
bulan selama
5 2021 6 4+6 5x12 Des 2022
(5x12 bln) 8 =(5 x12 bln)
0.00 0 0 0 0
60.00 161 720 -559 720
529.00 1490 6348 -4858 6348
0.00 4 0 4 0
0.00 0 0 0 0
0.00 0 0 0 0
1942.00 2299 23304 -21005 23304
436.00 89 5232 -5143 5232
14.00 61 168 -107 168
5.00 0 60 -60 60
966.00 176 11592 -11416 11592
0.00 0 0 0 0
109.00 48 1308 -1260 1308
600.00 816 7200 -6384 7200
33.00 29 396 -367 396
20.00 0 240 -240 240
0.00 0 0 0 0
25.00 110 300 -190 300
9263.00 909 111156 -110247 111156
935.00 2571 11220 -8649 11220
5160.00 1037 61920 -60883 61920
0.00 0 0 0 0
3.00 21 36 -15 36
51.00 383 612 -229 612
0.00 4 0 4 0
135.00 420 1620 -1200 1620
18.00 113 216 -103 216
0.00 0 0 0 0
166.00 180 1992 -1812 1992
16.00 11 192 -181 192
7.00 90 84 6 84
17.00 30 204 -174 204
3.00 33 36 -3 36
0.00 0 0 0 0
0.00 0 0 0 0
0.00 21 0 21 0
733.00 754 8796 -8042 8796
0.00 0 0 0 0
0.00 0 0 0 0
0.00 4 0 4 0
0.00 5 0 5 0
22.00 95 264 -169 264
0.00 13 0 13 0
10.00 336 120 216 120
0.00 0 0 0 0
185.00 532 2220 -1688 2220
0.00 10 0 10 0
10.00 110 120 -10 120
0.00 0 0 0 0
1.00 2 12 -10 12
2.00 3 24 -21 24
2.00 2 24 -22 24
1.00 2 12 -10 12
0.00 0 0 0 0
10.00 0 120 -120 120
0.00 3 0 3 0
0.00 0 0 0 0
38.00 248 456 -208 456
0.00 0 0 0 0
1.00 5 12 -7 12
0.00 0 0 0 0
4.00 100 48 52 48

0.00 0 0 0 0
42.00 171 504 -333 504
23.00 100 276 -176 276
14.00 27 168 -141 168
162.00 250 1944 -1694 1944
0.00 0 0 0 0
0.00 0 0 0 0
0.00 0 0 0 0
0.00 0 0 0 0
36.00 52 432 -380 432
5.00 490 60 430 60
0.00 0 0 0 0
0.00 85 0 85 0
1.00 1 12 -11 12
718.00 372 8616 -8244 8616
11.00 38 132 -94 132
60.00 490 720 -230 720
353.00 209 4236 -4027 4236
0.00 140 0 140 0
7.00 90 84 6 84
0.00 0 0 0 0
0.00 0 0 0 0
1214.00 834 14568 -13734 14568
124.00 500 1488 -988 1488
10.00 76 120 -44 120
7.00 25 84 -59 84
0.00 0 0 0 0
0.00 0 0 0 0
0.00 0 0 0 0
10.00 470 120 350 120
0.00 0 0 0 0
31.00 57 372 -315 372
10.00 37 120 -83 120
8.00 60 96 -36 96
1.00 10 12 -2 12
0.00 0 0 0 0
4.00 32 48 -16 48
1495.00 616 17940 -17324 17940
0.00 200 0 200 0
0.00 0 0 0 0
0.00 0 0 0 0
134.00 980 1608 -628 1608
0.00 0 0 0 0
0.00 0 0 0 0
4.00 109 48 61 48
135.00 650 1620 -970 1620
2.00 5 24 -19 24
5.00 190 60 130 60
0.00 3 0 3 0
1062.00 906 12744 -11838 12744
0.00 0 0 0 0
0.00 3 0 3 0
0.00 0 0 0 0
0.00 0 0 0 0
34.00 486 408 78 408
11.00 50 132 -82 132
0.00 0 0 0 0
0.00 0 0 0 0
10.00 825 120 705 120
0.00 0 0 0 0
0.00 0 0 0 0
0.00 0 0 0 0
0.00 0 0 0 0
4.00 107 48 59 48
0.00 0 0 0 0
9.00 117 108 9 108
0.00 0 0 0 0
0.00 3 0 3 0
0.00 0 0 0 0
105.00 3 1260 -1257 1260
0.00 0 0 0 0
0.00 0 0 0 0
43.00 24 516 -492 516
3.00 8 36 -28 36
1748.00 143 20976 -20833 20976
0.00 0 0 0 0
0.00 0 0 0 0
0.00 49 0 49 0
484.00 1135 5808 -4673 5808
2.00 5 24 -19 24
101.00 708 1212 -504 1212
0.00 0 0 0 0
804.00 754 9648 -8894 9648
3.00 10 36 -26 36
15.00 9 180 -171 180
1.00 4 12 -8 12
0.00 0 0 0 0
1.00 14 12 2 12
30.00 308 360 -52 360
4.00 41 48 -7 48
54.00 280 648 -368 648
0.00 12 0 12 0
0.00 0 0 0 0
0.00 0 0 0 0
0.00 0 0 0 0
0.00 0 0 0 0
1027.00 1490 12324 -10834 12324
0.00 0 0 0 0
0.00 0 0 0 0
93.00 473 1116 -643 1116
325.00 1762 3900 -2138 3900
0.00 145 0 145 0
0.00 0 0 0 0
855.00 0 10260 -10260 10260
94.00 1068 1128 -60 1128

0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
DROPPING
0 BKKBN
DROPPING
0 BKKBN
DROPPING
0 BKKBN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
0 DROPPING SUDIN
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 0 0
0 0 0 0 0
0 11 0 11 0
0 0 0 0 0
0 0 0 0 0
292 1399 3504 -2105 3504
0 0 0 0 0
59 490 708 -218 708
0 8 0 8 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0.17 20 2.04 18 2.04
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
0.5 35 6 29 6
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
0 0 0 0 0
n Obat Tahun 2023
n Pinang Ranti
Perkiraan Rencana
Buffer Bulan Kebutuhan Pengadaan Harga Satuan Pajak
13
9 5x9 Tahun 2023 Tahun 2023
10 =(8+(5x9)) 11 = (10-7) 12 =(12*10%) 12+13
0 0 0 - -
540 1260 1819 - -
4761 11109 15967 - -
0 0 -4 - -
0 0 0 - -
0 0 0 - -
17478 40782 61787 - -
3924 9156 14299 - -
126 294 401 - -
45 105 165 - -
8694 20286 31702 - -
0 0 0 - -
981 2289 3549 - -
5400 12600 18984 - -
297 693 1060 - -
180 420 660 - -
0 0 0 - -
225 525 715 - -
83367 194523 304770 - -
8415 19635 28284 - -
46440 108360 169243 - -
0 0 0 - -
27 63 78 - -
459 1071 1300 - -
0 0 -4 - -
1215 2835 4035 - -
162 378 481 - -
0 0 0 - -
1494 3486 5298 - -
144 336 517 - -
63 147 141 - -
153 357 531 - -
27 63 66 - -
0 0 0 - -
0 0 0 - -
0 0 -21 - -
6597 15393 23435 - -
0 0 0 - -
0 0 0 - -
0 0 -4 - -
0 0 -5 - -
198 462 631 - -
0 0 -13 - -
90 210 -6 - -
0 0 0 - -
1665 3885 5573 - -
0 0 -10 - -
90 210 220 - -
0 0 0 - -
9 21 31 - -
18 42 63 - -
18 42 64 - -
9 21 31 - -
0 0 0 - -
90 210 330 - -
0 0 -3 - -
0 0 0 - -
342 798 1006 - -
0 0 0 - -
9 21 28 - -
0 0 0 - -
36 84 32 - -

0 0 0 - -
378 882 1215 - -
207 483 659 - -
126 294 435 - -
1458 3402 5096 - -
0 0 0 - -
0 0 0 - -
0 0 0 - -
0 0 0 - -
324 756 1136 - -
45 105 -325 - -
0 0 0 - -
0 0 -85 - -
9 21 32 - -
6462 15078 23322 - -
99 231 325 - -
540 1260 1490 - -
3177 7413 11440 - -
0 0 -140 - -
63 147 141 - -
0 0 0 - -
0 0 0 - -
10926 25494 39228 - -
1116 2604 3592 - -
90 210 254 - -
63 147 206 - -
0 0 0 - -
0 0 0 - -
0 0 0 - -
90 210 -140 - -
0 0 0 - -
279 651 966 - -
90 210 293 - -
72 168 204 - -
9 21 23 - -
0 0 0 - -
36 84 100 - -
13455 31395 48719 - -
0 0 -200 - -
0 0 0 - -
0 0 0 - -
1206 2814 3442 - -
0 0 0 - -
0 0 0 - -
36 84 23 - -
1215 2835 3805 - -
18 42 61 - -
45 105 -25 - -
0 0 -3 - -
9558 22302 34140 - -
0 0 0 - -
0 0 -3 - -
0 0 0 - -
0 0 0 - -
306 714 636 - -
99 231 313 - -
0 0 0 - -
0 0 0 - -
90 210 -495 - -
0 0 0 - -
0 0 0 - -
0 0 0 - -
0 0 0 - -
36 84 25 - -
0 0 0 - -
81 189 180 - -
0 0 0 - -
0 0 -3 - -
0 0 0 - -
945 2205 3462 - -
0 0 0 - -
0 0 0 - -
387 903 1395 - -
27 63 91 - -
15732 36708 57541 - -
0 0 0 - -
0 0 0 - -
0 0 -49 - -
4356 10164 14837 - -
18 42 61 - -
909 2121 2625 - -
0 0 0 - -
7236 16884 25778 - -
27 63 89 - -
135 315 486 - -
9 21 29 - -
0 0 0 - -
9 21 19 - -
270 630 682 - -
36 84 91 - -
486 1134 1502 - -
0 0 -12 - -
0 0 0 - -
0 0 0 - -
0 0 0 - -
0 0 0 - -
9243 21567 32401 - -
0 0 0 - -
0 0 0 - -
837 1953 2596 - -
2925 6825 8963 - -
0 0 -145 - -
0 0 0 - -
7695 17955 28215 - -
846 1974 2034 - -
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 -11 - -
0 0 0 - -
0 0 0 - -
0 3504 5609 - -
0 0 0 - -
0 708 926 - -
0 0 -8 - -
0 0 0 - -
0 0 0 - -

0 0 0 - -
0 2.04 -16 - -
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 6 -23 - -
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 - -
KETERANGAN
Jumlah EXPIRED DATE
14 = 11x(12+13)
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- ED banyak
-
-
-
-
-
-
-
-
-
-
-
- SEKITAR 60 ED, TAWARIN KE PKM LAIN?
-
- ED banyak
- BISA DITAWARIN KE PKM LAIN
-
-
- Oct-21 60000 10/21, 17000 4/20
-
-
-
-
-
-
-
- rata-rata
-
- ED banyak
-
-
-
-
-
-
-
-
-
- slow moving
- BISA DITAWARIN KE PKM LAIN
- tawarin pkm lain
-
- ,
- 0
-
-

-
-
- ED banyak
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- BISA DITAWARKAN KE PKM LAIN
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- ED banyak
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- HAPUS AJ YA?
-
-
-

BANYAK ED

#REF!
slow moving

BISA DITAWARIN KE PKM LAIN, SEPARO BISA ED

ED banyak

BISA DITAWARIN KE PKM LAIN, SEPARO BISA ED

-
-
- 2000 (Agustus
Mei 21
20), 7400 (Maret
- 21), 30000
Okt 20(Agus
- 21)
-
- 23 (Mar 21), 20
- (Nov 21) #REF!
- Apr-20
- Jan-23 77000 4100
- 984Ags
(Ags2020),
- 504 (Mar 21)
13300 (Juni 20),
- Sep-22
13600 (Juli 20),
- 1500 (Agust 22)
-
-
- 21
- Jun-21 BISA DITAWARIN KE PKM LAIN

- 288Jan-21
(Okt 21),
- 408 (Jun 23)
-
- Ags 20
- 6800 (Ags 21)
- 625Des
(Mei2020),
- 1250 (Ags 21)
- Jun-20
- Jun-23
- Apr-21
- Des 22
- Okt 21
- Jan-21
- Des 21
- Mei 21
- -
-
- Des 20
- Sep-20
- Jun-20
PERENCANAAN KEBUTUHAN OBAT 2023
PUSKESMAS KECAMATAN MAKASAR
POLI/PROGRAM :
PEMAKAIAN RATA- PEMAKAIAN JUMLAH
NO NAMA OBAT SATUAN RATA PER BULAN RATA-RATA KEBUTUHAN KETERANGAN
1 SELAMA 2021 PERBULAN X 18 2023
2
3
4
5
6
7
8
9
10
11
12
13
14
15

JAKARTA, ………………2022
PJ…………..

……………………………………….
LAPORAN PEMAKAIAN OBAT PER TAHUN 2021

PUSKESMAPUSKESMAS KEL. PINNG RANTI DOKUMEN NOMOR


KECAMATAMAKASAR DINKES
KAB/KOTA JAKARTA TIMUR IF KAB/KOTA
PROPINSI DKI JAKARTA PUSKESMAS

NAMA
NO OBATinj SATUAN JANUARI FEBRUARI MARET
Papua) APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
1 Papua) inj vial
(i.m./i.v.) 0 0 0 0 0 0 0 0 0 0 0
2 (i.m./i.v.)
amp 25 vial 0 0 0 0 0 0 0 0 0 0 0
3 mL
ol tab ampul 0 0 0 0 0 0 0 0 0 0 0
4 mg tablet
400 mg/5
200 0 0 67 0 0 0 0 0 2757 2188 0
5 mL
l tab 100 botol 0 1 0 0 10 123 0 0 0 0 0
6 l tab 300 tablet
mg 28 29 33 74 50 166 0 0 20 114 95
7 Amilorid tablet
mg 0 0 0 0 0 0 0 0 0 0 0
8 tab
n tab mg tablet
5 150 0 0 0 0 0 0 0 0 0 0 0
9 mg
n tab 200 tablet 0 0 0 0 0 0 0 0 0 0 0
Aminofili
Anestetik tablet
10 mg
n inj 24 0 0 0 0 0 0 0 0 0 0 0
lokal gigi
Amitriptili
11 tab sal vial
mg/mL
kombina
n tablet 0 0 0 0 0 0 0 0 0 0 0
Antasida,
Amlodipi
12 si
25 : mgsal salut
kombina
n tab 0 0 0 0 0 0 0 0 0 0 0
Amlodipi
lidokain
13 si
5 : 10 tablet
mg
Antasida,
n tab 390 201 959 745 870 953 0 0 0 0 385
Amoksisil
HCl 2%
Amoksisil
aluminiu
14 kombina
mg
in
+ tab tablet 1125 1030 2320 1830 1420 2114 2076 3953 2708 1994 1198
in
m sir
Ampisilin
si :alumi
15 500 250 tablet
mg
epinefrin
forte
hidroksid 499 907 1093 790 1049 1340 117 1862 800 799 983
serb
nium inj
Ampisilin
Antifungi
16 1 :
mg/5
a 200inj
1000 mL
mg botol 0 0 0 0 0 0 0 20 36 0 0
hidroksid
serb
salep,
80.000
17 +
mg/vial
a 200 mg vial 0 0 0 0 0 0 0 0 0 0 0
250
kombina
inj 2 mL
18 magnesi
+ 0 0 0 0 0 0 0 0 0 0 0
mg/vial
si : asam vial
(PEHAC
um
magnesi
19 benzoat
AIN)
hidroksid vial
tablet 1 0 0 0 0 0 0 0 0 0 0
um
6% +
20 a 200 mg kunyah
hidroksid 705 437 1036 710 682 1217 92 521 644 210 347
asam
21 a 200 mg botol
salisilat 1 25 20 32 6 5 9 9 0 0 0
22 3% tube 1 0 7 6 0 2 2 6 0 8 1
heksaklo
rofen
Antimala 2,5
mg
ria +
lidokain
kombina
Antiparki
10: mg +
si
nson
seng
sulfadok
kombina
oksida
sin: 500
si
120 NAMA
NO mgOBAT
benseraz+mg, SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
sup
pirimeta ad 2
23 id
g 25 mg supp 2 15 0 0 0 0 0 0 5 16 3
min
+ 25
24 Artesuna
mg
levodopa kapsul 0 0 0 0 0 0 0 0 0 0 0
Artemeth
t100serb inj
25 er injmg
Asam 80 kapsul 0 0 0 0 0 0 0 0 0 0 0
60
26 asetilsali kertas
mg/mL vial
mg/mL
warna
0 0 0 0 0 0 0 0 0 0 0
27 silat
Asam
Articulati vial
(i.v./i.m.)
(asetosal penanda 0 0 0 0 0 0 0 0 0 0 0
28 askorbat
Asam oklusi 0 0 0 0 0 0 0 0 0 0 0
)ngtabpaper
(vitamin80
29 askorbat
mgtab 50 tablet 10 32 28 80 0 40 0 20 30 0 30
C)
(vitamin
30 mg
C) tab tablet 1250 775 556 816 619 987 1029 826 914 963 1185
Asam
31 250
folat mg tablet 0 0 0 0 0 0 0 0 0 0 0
Asamtab
32 0,4
folat mgtab tablet 0 0 0 0 0 0 0 0 0 0 0
Asam
Asam
33 1 mgtab tablet
folat 1020 750 240 1430 570 970 730 1490 565 60 2595
mefenam
Asam
34 5
at kaps tablet
mg 0 0 0 0 0 0 0 0 0 0 0
mefenam
35 250
at kaps kapsul 0 0 0 0 0 0 0 0 0 0 0
Asam
36 500
salisilat kapsul 647 273 945 545 20 555 405 1490 487 55 368
Asam
37 5%
salisilat salep 0 0 0 0 0 0 0 0 0 0 0
Asiklovir
38 0,1%
tab 200 larutan 0 0 0 0 0 0 0 0 0 0 0
Asiklovir
39 tab 400 tablet
mg 0 0 0 0 0 0 0 0 0 0 0
40 mg tablet 0 48 50 164 20 30 60 75 46 0 124
Atenolol
41 Atropin
Atapulgit
Bahan tablet 0 0 0 0 0 0 0 0 0 0 0
tab 50
Atropin
42 inj 0,25
tumpatan tablet 0 0 0 0 0 0 0 0 0 0 0
mg
tab 0,5
mg/mL
sementar tablet
43 mg
Benzatin
(i.v./i.m./ 0 0 0 0 0 0 0 0 0 0 0
a lar,
44 penisilin
s.k.)
Benzatin
serb vial 0 0 0 0 0 0 0 0 0 0 0
Bedak
inj 1,2
45 penisilin
(CAVIT)
salisil botol 0 0 0 0 0 0 0 0 0 0 0
juta
inj 2,4
46 serb
UI/mL 2% serbuk 2 11 5 41 0 11 0 0 93 51
juta
Betamet
47 (i.m.)
UI/mL vial 0 0 0 0 0 0 0 0 0 0 0
ason
Betamet
48 (i.m.)
krim vial 0 0 0 0 0 0 0 0 0 0 0
ason0,5 tts
49 mg/g
mata 1 krim 17 0 29 51 0 38 0 8 46 0 0
Bisakodil
50 mg/mL
sup 10 botol 0 0 0 0 0 0 0 0 0 0 0
51 mg tab salut 0 0 0 0 0 0 0 0 0 0 0
Bisakodil
Bisakodil
52 sup 5 mg supp
tab salut 0 0 0 0 0 0 0 0 0 0 0
53 5 mg tablet 4 0 0 12 8 0 11 34 0 0 12

NAMA
NO OBAT
Coal tar SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
54 Dapson
Deksam
lar 5 % botol 0 0 0 0 0 0 0 0 0 0 0
tab
etason
55 Copper
scored T set/buah
tab 0 0 0 0 0 0 0 0 0 0 0
inj 5
Deksam
56 100
mg/mL mg scored 0 0 0 0 0 0 0 0 0 0 0
etason
Diazepa
57 Diazepa
(i.v./i.m.) vial 0 0 0 0 0 0 0 0 0 0 0
tab
m 0,5
inj 5
58 m lar
Diazepa 481 570 918 1022 871 787 948 586 540 484 548
mg
mg/mL tablet
rektal
m lar 10
59 (i.v./i.m.)
mg/2,5 vial 0 0 0 0 0 0 0 0 0 0 0
rektal 5
60 mL
mg/2,5 lar rektal 0 0 0 0 0 0 0 0 0 0 0
Diazepa
61 mL
m tab 2 lar rektal 0 0 0 0 0 0 0 0 0 0 0
Diazepa
Dietilkarb
62 Difenhidr
mg
m tab 5 tablet 49 15 25 19 31 25 16 50 6 16 8
amazin
amin inj
63 mg
tab tablet 0 0 0 0 0 0 0 0 0 0 0
10 100
64 mg
mg/mL tablet 0 0 0 0 0 0 0 0 0 0 0
Digoksin
65 (i.v./i.m.)
tab 0,25 vial 0 0 0 0 0 0 0 0 0 0 0
Diltiazem
66 mg
HCl tab tablet 0 0 0 0 0 0 0 0 0 0 0
Dimenhid
67 30 mg tab tablet
Epinefrin
rinat 0 0 0 0 0 0 0 0 0 0 0
Doksisikli
68 (adrenali
50kaps
n mg tablet 0 0 0 0 0 0 0 0 0 0 0
Domperi
n) inj
69 100 mg
tab kapsul
Ergokalsi
don 0 0 0 0 0 0 0 0 0 0 10
0,1%
Epinefrin
70 ferol
10 mg
Ergokalsi
(i.v./s.k./i tablet 122 40 60 135 206 126 269 176 258 237 275
(adrenali
(vitamin
71 ferol
.m.)
n) 1 ampul
injkaps 0 0 0 0 0 0 0 0 0 0 0
D2)
(vitamin
72 mg/mL
50.000 ampul 0 0 0 0 0 0 0 0 0 0 0
D2) susp
73 UI
10.000 kapsul 0 0 0 0 0 0 0 0 0 0 0
Ergotami
74 UI/mL
n tab 1 botol 0 0 0 0 0 0 0 0 0 0 0
Eritromisi
75 mg
n kaps tablet 0 0 0 0 0 0 0 0 0 0 0
76 500 mg kapsul 0 0 0 0 0 0 0 0 0 140 0
Eritromisi
n sir 200
Etambut
77 mg/5
ol tab mL botol 0 0 0 0 0 0 0 0 0 0 0
Etambut
78 250
ol tabmg tablet 0 0 0 0 0 0 0 0 0 0 0
Etambut
79 400
ol tabmg tablet 0 0 0 0 0 0 0 0 0 0 0
Etanol
Etil
80 500
botol mg tablet 0 0 0 0 0 0 0 0 0 0 0
klorida
Etonoge
81 70%
semprot botol 2 1 2 0 1 1 0 2 1 0 0
strel
82 100
implanmL botol 0 0 0 0 0 0 0 0 0 0 0
83 68 mg implan 0 0 0 0 0 0 0 0 0 0 0
Fenitoin
84 Eugenol
Na kaps botol 0 0 0 0 0 0 0 0 0 0 0
85 50 mg kapsul 0 0 0 0 0 0 0 0 0 0 0

NAMA
Fenitoin
NO Na OBAT
kaps SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Fenitoin
86 100
Na mg kapsul
inj 0 0 0 0 0 0 0 0 0 0 0
Fenitoin
87 100 mg/2
Fenoksi
Na inj 50 ampul 0 0 0 0 0 0 0 0 0 0 0
Fenobar
Fenoksi
88 metil
mg/mL 0 0 0 0 0 0 0 0 0 0 0
Fenoksi
bital
metil
Fenobartab ampul
89 penisilin
metil
30 mg 0 0 0 0 0 0 120 0 0 0 0
bital tab tablet
penisilin
(penisilin
90 penisilin
(penisilin
100 mg tablet 0 0 0 0 0 0 0 0 0 0 0
V) tab
(penisilin
91 V) serb
Ferro 0 0 0 0 0 0 0 0 0 0 0
250
V) mg tablet
tab
inj 3
fumaratjuta
92 500 mg tablet
UI/vial 0 0 0 0 0 0 0 0 0 0 0
kaps
Ferro
93 (i.m.)
lunak tab vial
Fitomena
Fitomena kaps. 0 0 0 0 0 0 0 0 0 0 0
sulfat
Ferro
94 dion
300 0 0 0 0 0 0 0 0 0 0 0
salutmg
dion
sulfat 300 Lunak
sir. tablet
95 (vitamin
(vitamin 0 0 0 0 0 0 0 0 0 0 0
mgmg/5 salut
15
K
K 1)
1) tab
inj 2
96 mL
sal 10 botol
tab. 0 0 0 0 0 0 0 0 0 0 0
mg/mL
97 mg
(i.m.) Salut 21 41 90 100 39 126 0 0 7 17 25
98 (NEO
Fluor K) vial 0 0 0 0 0 0 0 0 0 0 0
Fluor tab
99 0,5
kapl mg
1 tablet 0 0 0 0 0 0 0 0 0 0 0
Fluor
Fluoresei
100 mg
sediaan kapsul 0 0 0 0 0 0 0 0 0 0 0
n tts
101 topikal
mata 2,5 tube 0 0 0 0 0 0 0 0 0 0 0
102 mg/mL
Formokr botol 0 0 0 0 0 0 0 0 0 0 0
103 esol botol 0 0 0 0 0 0 0 0 0 0 0
sitrat
dihidrat
Galactos
0,58 g+
Glass
e
Glass
glukosa
Furosemi
ionomer
Furosemi
Glass
micropart
ionomer
anhidrat
d
ART tab 40
d inj 10
ionomer
icle200-
ART
104 2,7
mg
(Atrauma
mg/mL g tablet 0 0 0 0 0 0 0 0 45 0 0
ART
400
(Atrauma
serbuk mg
105 tic
(i.v./i.m.)
(Atrauma
micropart ampul 0 0 0 0 0 0 0 0 0 0 0
tic
untuk
106 Restorati
tic
/mL 0 0 0 0 0 0 0 0 0 0 0
Restorati
200
ve ml gel
107 Restorati
ve
air sachet 23 20 18 52 51 139 0 25 62 51 50
Treatme
ve
108 Treatme 0 0 0 0 0 0 0 0 0 0 0
nt)
Treatme sachet
nt) cocoa
109 nt)
butter 5 botol cocoa 0 0 0 0 0 0 0 0 0 0 0
Glibenkla
110 g
mid tab butter 0 0 0 0 0 0 0 0 0 0 0
Glibenkla
111 2,5
mid mg tab 5 tablet 0 0 0 0 0 0 0 0 0 0 0
Glimepiri
112 mg
d tab 1 tablet 100 105 45 160 145 200 140 150 340 160 206
Glimepiri
113 Gliseril
mg
d tab 2 tablet 0 0 0 0 0 0 0 0 0 0 0
114 trinitrat 0 0 0 0 0 0 0 0 0 0 0
mg
Glipizid tablet
tab
115 tab
sublingu 5 mg tablet 0 0 0 0 0 0 0 0 0 0 0
Gliserin tablet
116 Griseoful
al 0,5 0 0 0 0 0 0 0 0 0 0 0
tts 10 mg sub.
Griseoful
Gliserin
117 vin
vin 0 0 0 0 0 0 0 0 0 0 0
mg/mL
Gutta
tts 100 botol
(microniz
(microniz
118 percha
mg/mL
Gutta
ed )) tab botol 0 0 0 0 0 0 0 0 0 0 0
ed
dan tab
119 percha
125 mg tablet 0 45 0 0 0 0 0 0 0 0 0
scored
paper tablet
120 dan 0 0 0 0 0 0 0 40 15 0 0
500mg
points score
paper 15
121 -points
40 mm 45 roll 0 0 0 0 0 0 0 0 0 0 0
Haloperi
122 -dol
80tab mm roll 0 0 0 0 0 0 0 0 0 0 0
Haloperi
123 0,5
dol mg tablet
tab 0 0 0 0 0 0 0 0 0 0 0
Haloperi
124 1,5
dol tabmg 2 tablet
Hepatitis 0 0 0 0 0 0 0 0 0 0 0
Haloperi
125 mg
dol tab 5 tablet
B 0 0 0 0 0 0 0 0 0 0 0
Haloperi
Haloperi
126 imunoglo
mg 0 0 0 0 0 0 0 0 0 0 0
dol inj
dol tts 2 tablet
127 bulin 5 0 0 0 0 0 0 0 0 0 0 0
mg/mL botol
mg/mL
(human)
Hidrogen
128 Hidrogen
(i.m.)
inj 0,5 vial 0 0 0 0 0 0 0 0 0 0 0
peroksid
peroksid
129 mL
a vial 0 0 0 0 0 0 0 0 0 0 0
a botol
lar.
130 3%
konsentr botol 0 0 0 0 0 0 0 0 0 0 0
hidrochlo
Hidrokort
131 at 3% 25 botol
rtiazid 0 0 0 0 0 0 0 0 0 0 0
ison serb
132 mg
inj 100 tablet 300 145 935 610 915 600 585 1926 807 118 767
Hidrokort
Hiosina
133 mg/vial
ison krim vial 0 0 0 0 0 0 0 0 0 0 0
butilbrom
134 2,5%
ida tab krim 12 15 0 30 0 0 0 4 2 21 31
135 10 mg tablet 110 66 90 50 50 60 30 50 20 55 11
Human
tetanus
Human
imunoglo
tetanus
bulin inj
imunoglo
250
bulin inj
136 UI(i.m)
500 UI vial 0 0 0 0 0 0 0 0 0 0 0
Ibuprofe
137 (i.m.)
n tab 200 vial 0 0 0 0 0 0 0 0 0 0 0
Ibuprofe
138 mg
n tab 400 tablet 146 286 199 280 330 285 285 241 450 338 397
Ibuprofe
139 Ipratropi
mg 0 0 0 0 0 0 0 0 0 0 0
n sir 100 tablet
Ibuprofe
140 um
Ipratropi 0 0 0 0 0 0 0 0 0 0 0
mg/5
n mL botol
sir 200
bromida
um
141 mg/5
ih padatmL botol 0 0 0 0 0 0 0 0 0 0 0
bromida
142 20 mg
nebulizer botol 0 0 0 0 0 0 0 0 0 0 0
Isoniazid
143 0,025%
tab 100 botol 0 0 0 0 0 0 0 0 0 0 0
Isoniazid
144 mg 300 tablet
tab 0 0 0 0 0 0 0 0 0 0 0
Isosorbid
145 mg
dinitrat tablet 0 0 0 0 0 0 0 0 0 0 0
146 Kalsium
Kalsium 45 0 0 10 0 22 0 0 0 0 0
tab 5 mg tablet
glukonat
hidroksid
147 Kalamin
inj 100 botol 0 0 0 0 0 0 0 0 0 0 0
a
Kalsium
148 mg/mL
(Calsido ampul 0 0 0 0 0 0 0 0 0 0 0
karbonat
149 r)
tab 500 pasta 0 0 0 0 0 0 0 0 0 0 0
150 mg tablet 0 0 0 0 0 0 0 0 0 0 0

Kalsium
NAMA
laktat
NO OBAT
(kalk) tab SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Kaptopril
151 500 mg tablet
tab 12,5 1284 1210 1455 1737 1330 384 1409 972 1125 1010 1360
Kaptopril
152 mg
tab 25 tablet 0 0 0 0 0 0 0 0 0 0 0
Karbama
Karbama
153 mg tab tablet
zepin 200 20 140 15 219 50 0 181 660 0 0
zepin sir
154 200
100 mg
mg/5 tablet 0 0 0 0 0 0 124 0 0 0 0
Karbo
Karboglis
155 mL
adsorben botol 0 0 0 0 0 0 0 0 0 0 0
erin tts
156 tab 0,5 g tablet
telinga 0 0 0 0 0 0 0 0 0 0 0
Ketamin
Ketamin
157 10
inj % botol 16 0 0 4 21 0 0 12 2 30 0
inj 50
100
158 Klofazimi
mg/mL ampul 0 0 0 0 0 0 0 0 0 0 0
mg/mL
Ketokon
159 n, 0 0 0 0 0 0 0 0 0 0 0
(i.v.)
azol tab ampul
microniz
160 200
edkapsmg tablet 0 0 0 0 0 0 0 0 0 0 0
161 100 mg kapsul 0 0 0 0 0 0 0 0 0 0 0
Kloramfe
nikol
Kloramfe
kaps
nikol 250
162 Kloramfe
mg 0 0 20 0 0 140 124 0 45 0 0
susp
nikol 125 kapsil
163 Kloramfe 0 0 0 0 0 0 0 0 0 0 0
mg/5
salep mL botol
nikol tts
164 kulit
mata 2% pot 16 21 12 24 0 0 11 15 8 10 1
Kloramfe
Kloramfe
165 0,5%
nikol tts botol 0 0 0 0 0 0 0 0 0 0 0
nikol
Klorfenir
166 mata
salep 1% botol 0 0 0 0 0 0 0 0 0 0 0
amin
Klorfenol
167 mata
maleat1% pot
Kombina 8 4 10 4 17 6 7 0 13 11 7
kamfer
168 kombina
tab
si 4 mg tablet
untuk 2021 1824 1426 1220 1264 1886 2170 2865 934 740 550
mentol
Klorheksi
169 si
anak
(CHKM) untuk: botol 0 0 0 0 0 0 0 0 0 0 0
din
Klorheksi
dewasa: lar
Paduan
Klorprom
170 15%lar
din botol 0 0 0 0 0 0 0 0 0 0 0
(Paduan
dalam
azin
Klorprom tab
171 0,2%
dalam
bentuk
sal 25 botol 0 0 0 0 0 0 0 0 0 0 0
azin
Klorprom tab tablet
172 Klorprom
dosis
mg
bentuk
sal 100 salut 0 0 0 0 0 0 0 0 0 0 0
kombina
azin
azin
kombina
tetap inj
inj 5 tablet
173 Kombip
mg untuk salut
kombina
si
mg/mL 0 0 0 0 0 0 0 0 0 0 0
25
si untuk
(KDT/FD
174 ak)
si
anak:
(i.m.)untuk vial 0 0 0 0 0 0 0 0 0 0 0
mg/mL
anak
C)
Klortalido
(kombipa :
dewasa:
Rifampi
Panduan
175 vial
(Paduan 50 vial
: (i.m.)
Rifampisi
n tab
kombina
k) 0 0 0 0 0 0 0 0 0 0 0
Paduan
Kodein
sin
dalam
176 dalam
n
mg
si kaplet
untuk
artesunat
dalam tablet 0 0 0 0 0 0 0 0 0 0 0
tab
bentuk
kaplet
Kodein 10
bentuk
75
anak
tab
bentuk mg
50 : +
177 mg
dosis
450
tab 20mg tablet 0 0 0 0 0 0 0 0 0 0 0
Kombipa
isoniazid
(Paduan
mg
dosis
kombina +
178 tetap(
+
mg K 0 0 0 0 0 0 0 0 0 0 0
k)
tablet
dalam
amodiak
tetap
si : tablet50 tablet
179 DT/FDC)
kombina
Kombina
isoniazi
Rifampisi 0 0 0 0 0 0 0 0 0 0 0
mg
bentuk
uin
(KDT/FD
salut tab Paket
Rifampici
si untuk
Kombina
180 d
n
200
C)
ferro tablet
kaplet
kombipa mg Tablet 0 0 0 0 0 0 0 0 0 0 0
n kaplet
dewasa:
si
dewasa
75 : mg +:
300
k)
Rifampisi
sulfat
75 mg+
mg
Paduan
artemete
isoniazid
+
Rifampici
n
200 kaplet
mg
isoniasid
dalam
rtablet
20 mg +
pirazina
n
150
asamNAMA
tabet
bentuk
+ mg 50+
NO 100 OBAT
kaplet75
mid
isoniazidmg + SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
folat
mg
dosis
lumefantr
kombipa 0,25 Tablet
pirazina
mg +
181 tablet
tablet
12075 salut
+Pirazia
tetap
kin 0 0 0 0 0 0 0 0 0 0 0
mid
isoniazid
mg
182 mg +mg Tablet
500
mid
(KDT/FD
Rifampisi
tablet 0 0 0 0 0 0 0 0 0 0 0
tablet
pirazina
tablet
+
C)
183 n
200
100kaplet
mg
mg Paket 0 0 0 0 0 0 0 0 0 0 0
mid
150
450 mg
etambut
Rifampisi
mg + Paket
184 tablet
(FDC
n kaplet 0 0 0 0 0 0 0 0 0 0 0
ol tablet
isoniazid
185 400
tabletmg
Anak) + 0 0 0 2 0 5 3 1 2 0 1
150
250
etambuto
mg+ Paket
mg
186 isoniazid
300
dan mg
500 Paket 0 0 0 0 0 0 0 0 0 0 0
ltablet
tablet
187 mg
275 Paket 0 0 0 0 0 0 0 0 0 0 0
150 mg mg
188 (FDC
(FDC 1) Paket 1 3 0 2 4 7 0 1 0 0 1
kaolin
189 Sisipan)
pektin / Paket 0 0 0 0 0 0 0 0 0 0 0
190 diaform tablet 170 60 156 175 159 193 69 66 38 146 245
m Br 0,5
Kotrimok
150
mg +mcg
sazol
+
Kotrimok
salbutam
Kotrimok
forte
etinilestr
sazol
ol 2,5 mg
sazol
kombina
adiol 30 :
240
(COMBI mg
(dewasa)
si
mcg960 (Pil
sulfamet
191 VEN)
480 mg : botol
Komposit
mg: 0 0 0 0 0 0 0 0 0 0 0
KB
oksazol
192 sulfamet
resin
sulfamet
Kombina set 0 0 0 0 0 0 0 0 0 0 0
200
oksazolmg +
193 oksazol
si I)
trimetopri tablet 0 0 0 0 0 0 0 0 0 0 0
400
800 mg
mg +
+
194 m 40 mg botol
trimetopri 10 0 13 0 0 0 0 10 0 12 1
trimetopri
195 m
m 80
160 tablet 30 130 244 180 140 294 148 106 0 202 104
Kuinin
196 tab 200 tablet
mg 0 0 0 0 0 0 0 0 0 0 0
Kuinin
197 tab 222 tablet
mg 0 0 0 0 0 0 0 0 0 0 0
Kuinin
198 tab 250inj tablet
mg 0 0 0 0 0 0 0 0 0 0 0
Kuinin
199 mg
25% tablet 0 0 0 0 0 0 0 0 0 0 0
200 (i.v.) vial 0 0 0 0 0 0 0 0 0 0 0
Levonorg
estrel
implan 2
NAMA
rods, 75
NO mg OBAT
(3-4 SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Lidokain
Lidokain
201 tahun)
inj % implan 0 0 0 0 0 0 0 0 0 0 0
inj 12%
202 (infiltr/p.v ampul
(infltr) 0 0 0 0 0 0 0 0 0 0 0
203 .)
Lidokain ampul 0 0 0 15 0 0 0 0 0 0 0
Lidokain
204 gel 2% gel
semprot 0 0 0 0 0 0 0 0 0 0 0
Lidokain
Lidokain
205 10%
pasta 5% botol 0 0 0 0 0 0 0 0 0 0 0
semprot
206 (HCl)
15% tube 0 0 0 0 0 0 0 0 0 0 0
Loratadin
207 (HCl)
tab 10 botol 0 0 0 0 0 0 0 0 0 0 0
208 Magnesi
mg tablet 0 0 0 0 0 0 0 0 0 0 0
um sulfat
209 Lugol
serb, ktg botol 0 0 0 0 0 0 0 0 0 0 0
Magnesi
210 Metenam
30 gsulfat sachet
um 0 0 0 0 0 0 0 0 0 0 0
Magnesi
in
211 inj
um 20%
sulfat ampul 0 0 0 0 0 0 0 0 0 0 0
Mebenda
mandelat
212 inj 40%
tab ampul
Medroksi
zol
(heksami 0 0 0 0 0 0 0 0 0 0 0
Mebenda
213 progeste
100
n
zol mg tablet
tab 0 0 0 0 0 0 0 0 0 0 0
Mebenda
ron
214 mandelat
500
zol mg50 tablet
sir 0 0 0 0 0 0 0 0 0 0 0
asetat
tab inj botol
)mg/mL
215 depo 0 0 0 0 0 0 0 0 0 0 0
salut 150
216 mg
enterik vial 0 0 0 0 0 0 0 0 0 0 0
Metformi tablet
217 500
n tabmg 500 salut 0 0 0 0 0 0 0 0 0 0 0
218 mg tablet 670 705 1740 1105 1105 1336 1090 603 950 1220 806
Metformi
Metilergo
n tab 850
metrin
219 Metilergo
mg tablet 0 0 0 0 0 0 0 0 0 0 0
tab salut
metrin inj
220 0,125
0,2 mg tablet 0 0 0 0 0 0 0 0 0 0 0
Metoklop
221 mg/Ml
ramid tab ampul 0 0 0 0 0 0 0 0 0 0 0
Metoklop
222 5 mg tab tablet
ramid 0 0 0 0 0 0 0 0 0 0 0
Metronid
223 10
azol mgtab tablet 0 0 0 0 0 0 0 0 0 0 0
Metronid
Metronid
224 250
azol mgtab tablet 0 0 0 0 0 0 0 0 0 0 0
azol sir
Metronid
225 500
125 mgmg/5 tablet 33 16 41 75 21 54 36 79 0 15 0
azol lar
Metronid
226 mL
inf 5 botol 0 0 0 0 0 0 0 0 0 0 0
azol
227 mg/mL botol
ovula 0 0 0 0 0 0 0 0 0 0 0
Mikonaz
228 500
ol mg supp
serb 0 0 0 0 0 0 0 0 0 0 0
Mikonaz
Natrium
229 2%
ol krim vial 0 0 0 0 0 0 0 0 0 0 0
bikarbon
Natrium
230 2%
at tab krim 7 18 23 27 0 25 0 0 20 0 0
diklofena
Natrium
231 500tabmg25 tablet
kdiklofena 0 0 0 0 0 0 0 0 0 0 0
232 mg
k tab 50 tablet
tab 50 403 548 444 409 482 493 287 648 907 547 562
233 mg mg 0 0 0 0 0 0 0 0 0 0 0

Natrium
hipoklorit
NAMA
botol
NO Natrium
OBAT SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
konsentr
tiosulfat
234 at
inj 5%
25% botol 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
235 (i.v.)
kaps 10 vial 0 0 0 0 0 0 0 0 0 0 0
Nikotina
236 mg tab 5 kapsul
mid 0 0 0 0 0 0 20 0 10 0 0
Nikotina
237 mg
mid tab tablet 0 0 0 0 0 0 0 0 0 0 0
Nikotina
Nistatin
238 20
mid mgtab tabet 0 0 0 0 0 0 0 0 0 0 0
tab salut
Nistatin
239 Nistatin
100 mg tablet
500.000 tablet 0 0 0 0 0 0 0 0 0 0 0
susp
tab
240 UI
100.000 salut 0 0 0 0 0 0 0 0 0 0 0
vaginal
241 UI/mL
100.000 botol 0 0 0 0 0 1 0 1 0 0 0
Nitrofura
242 UI/tab
ntoin tab supp 5 3 11 9 21 24 0 14 9 0 8
Norepine
243 50
frinmg
inj 1 tablet 0 0 0 0 0 0 0 0 0 0 0
244 mg/mL ampul 0 0 0 0 0 0 0 0 0 0 0
Oksigen
ih, gas
Oksimet
dlm
azolin tts
245 Oksimet
Oksitosin
tabung botl 0 0 0 0 0 0 0 0 0 0 0
hidung
azolin
246 inj 10 tts 0 0 0 0 0 0 0 0 0 0 0
0,025%
hidung botol
UI/mL
Olopatad
247 0,05%
(inSINTO botol 0 0 0 0 0 0 0 0 0 0 0
tts
248 SINON)
mata ampul 0 0 0 0 0 0 0 0 0 0 0
Omepraz
Omepraz
249 0,1%
ol botol 0 0 0 0 0 0 0 0 0 0 0
ol kaps
inj 40
250 20 mg
mg/10 kapsul 158 95 2 69 221 164 361 56 29 0 0
Paraform
251 mL
aldehid ampul 0 0 0 1252 0 0 0 0 0 0 0
Paraseta
Paraseta
252 Paraseta
tab
mol 1sir
Pasta g tablet
tab 0 0 0 0 0 0 0 0 0 0 0
mol
mol tts
253 devitalisa
500 mg/5
120 mg tablet 1325 1058 1110 1252 517 4050 2906 3385 1363 784 1659
60
si (non
254 mL
mg/0,6 botol 39 36 49 59 7 38 29 26 117 10 49
arsen)
Pasta
255 mL
Perak
(DEPUL botol 0 0 0 0 0 0 0 0 0 0 0
pengisi
256 sulfadiazi
PIN)
saluran tube 0 0 0 0 0 0 0 0 0 0 0
Perak
n krim
257 Permetri
akar 0 0 0 0 0 0 0 0 0 0 0
nitrat
1% lar tube
258 n krim
Pirantel 5 botol 0 0 0 0 0 0 0 0 0 0 0
20%
(BURNA
%
pamoat
259 Pirantel
ZIN)
(SCABI pot 0 0 0 0 0 0 0 0 0 0 0
tab
pamoat
260 MITE)
scored pot
tablet 0 0 0 0 0 0 0 0 0 0 0
tab
Pirantel
261 125
scoredmg score
tablet 0 0 0 0 0 0 0 0 0 0 0
pamoat
Pirantel
262 250
tab 500 score
mg 0 0 0 0 0 0 0 0 0 0 0
pamoat
263 mg
susp 125 tablet 0 0 0 0 0 0 0 0 0 0 0
Pirazina
264 mg/5
mid tab mL botol 0 0 0 0 0 0 0 0 0 0 0
265 500 mg tablet 0 0 0 0 0 0 0 0 0 0 0

Piridoksi
n
Piridoksi
Piridoksi
NAMA
(vitamin
NO n
n OBAT SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
B6) tab
(vitamin
266 (vitamin
10 mg tablet 846 430 710 669 605 1909 0 332 173 135 0
B6)
B6) tab
inj
267 Povidon 0 0 0 0 0 0 0 0 0 0 0
25
100 mg tablet
iodin lar
268 mg/mL
100 ampul 0 0 0 0 0 0 0 0 0 0 0
269 mg/mL botol 0 0 0 0 0 0 0 0 0 0 0
Prazikua
ntel
Prazikuatab
scored
ntel tab tablet
270 300
scored mg scoretablet 0 0 0 0 0 0 0 0 0 0 0
271 600
Prokain score
Prokain
Prednisomg 0 0 0 0 0 0 0 0 0 0 0
272 benzilpe
n 5 mg tablet
benzilpe
Primakui 308 120 0 167 245 65 20 70 71 66 85
Probene
nisilin inj tablet
273 nisilin
n 15500mg 0 0 0 0 0 0 0 0 0 0 0
sid
1 juta
274 serb inj 3 0 0 0 0 0 0 0 0 0 0 0
mg
UI/vial tablet
juta
275 (i.m.)
UI/vial vial 0 0 0 0 0 0 0 0 0 0 0
Propiltiou
276 (i.m.)
rasil 100 vial
Retinol 0 0 0 0 0 0 0 0 0 0 0
277 (vitamin
mg
proprano tablet
Retinol 0 0 0 0 0 0 0 0 0 0 0
278 A)
lol 10kaps
(vitamin mg tablet 0 0 0 0 0 0 0 0 0 0 0
Ranitidin
lunak
279 A) kaps
150 mg kapsul tablet 597 305 557 414 1684 818 513 1271 742 543 2047
100.000
lunak
280 UI
200.000 lunak kaps 0 0 27 9 0 0 0 0 1 0 0
281 Salep
UI 2- lunak 11 80 3 5 6 5 10 17 15 13 16
Rifampisi
4,
282 n 300 mg kapsul
Salbuta
kombina 0 0 0 0 0 0 0 0 0 0 0
283 mol
si 2 mg tablet
: asam
Salbuta 5 55 65 25 20 0 0 0 47 50 35
Salbuta
284 salisilat
mol
Serum
mol 4
larmgih tablet 0 0 0 0 0 0 0 0 0 0 0
Salbuta
2% +
285 antidifteri
0,5 % 0 0 0 0 0 0 0 0 0 0 0
Serum
mol
belerangbotol botol
286 (A.D.S)
antidifteri 0 0 0 0 0 0 0 0 0 0 0
ih
endap0,1% botol
i.m
(A.D.S)
287 4%
10.000
Serum tube 6 2 3 23 0 0 0 0 0 0 0
i.m
Serum
288 UI/vial
antitetan
20.000 vial 0 0 0 0 0 0 0 0 0 0 0
antirabie
Serum
289 us
UI/vial 0 0 0 0 0 0 0 0 0 0 0
inj 200 vial
santirabie
290 (A.T.S) 0 0 0 0 0 0 0 0 0 0 0
UI/mL
s inj100 vial
inj 1500
291 UI/mL
UI/amp vial 0 0 0 0 0 0 0 0 0 0 0
292 (i.m.) ampul 0 0 0 0 0 0 0 0 0 0 0

Serum
antitetan
us
(A.T.S)
inj
NAMA
10.000
NO OBAT
UI/vial SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
293 (i.m /i.v.) vial 0 0 0 0 0 0 0 0 0 0 0
us
(A.T.S)
inj
20.000
Sianokob
UI/vial
Setirizin
alamin
294 Sianokob
(i.m
5 mg/5/i.v.) vial 0 0 0 0 0 0 0 0 0 0 0
(vitamin
alamin
295 mL
B12) 50 botol 0 0 0 0 0 0 0 0 6 4 0
(vitamin
296 mcg
B12) 500 tablet 530 950 1396 1442 965 315 1493 1350 1312 773 1000
297 mcg/mL
Simvasta ampultablet 0 0 0 0 0 0 0 0 0 0 0
298 tin 10
Simvasta mg salut 0 0 0 30 0 0 0 0 0 720 684
Siproflok tabet
299 tin 20 mg salut
sasin tablet 85 305 380 835 520 640 390 400 0 0 0
Spironola
300 500
kton 25 scored
mg 80 0 0 70 270 105 60 130 185 30 50
Streptom
301 mg
isin 1000 tablet 0 0 0 0 0 0 0 0 0 0 0
Surgical
302 mg/vial vial
ginggival 0 0 0 0 0 0 0 0 0 0 0
303 pack
Tetanus pasta 0 0 0 0 0 0 0 0 0 0 0
304 toxoid
Tetrakain vial 0 0 0 0 0 0 0 0 0 0 0
305 0,5%
Tetrasikli botol 0 0 0 0 0 0 0 0 0 0 0
306 Tiamin
n 250 mg kapsul 0 0 0 0 0 0 0 0 0 0 0
Tuberkuli
Tetrasikli
(vitamin
307 n
B1)protein
50050mg kapsul 0 0 0 0 0 0 0 0 0 0 0
Triheksif
purified
308 mg
enidil 2 tablet 210 210 310 962 0 220 448 267 228 160 659
derivativ
309 mg
Vaksin
e 1:10 tablet 0 0 0 0 0 0 0 0 0 0 0
310 jerap
(i.k.) ampul 0 0 0 0 0 0 0 0 0 0 0
Vaksin
Vaksin
311 difteri
Vaksin
BCG vial 3 4 3 3 2 0 1 5 4 3 4
Vaksin
campak
tetanus
jerap
312 jerap
(MR) vial 0 0 0 0 0 0 0 0 0 0 0
pertusis
difteri
313 tetanus
Vaksin 7 9 11 4 4 0 0 0 0 0 0
(DTP)
tetanus vial
(tetanus
kombina
314 (DT)
adsorbed vial 0 0 0 0 0 0 2 0 0 0 0
si DPT +
315 toxoid
hepatitis vial 0 0 0 0 0 0 0 0 0 0 0
316 Vaksin 0 0 0 0 0 0 4 4 10 8 10
B
Vaksin vial
rabies,
317 polio
untuk botol 0 0 0 0 0 0 0 0 0 0 0
318 Valproat vial
manusia tablet 0 0 0 0 0 0 0 0 0 0 0
319 250 mg salut
Valproat 0 0 0 0 0 0 0 0 0 0 0
Valproat tablet
320 500
250 mgmg/5 salut 0 0 0 0 0 0 0 0 0 0 0
321 mL botol 0 0 0 0 0 0 0 0 0 0 0

NAMA
NO OBAT SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Vitamin
B
komplek
322 sZinc 10 tablet 1460 286 330 1301 611 485 899 399 708 937 1097
323 mg/mL
Zinc 20 botol
tablet 0 0 0 0 0 0 0 0 0 0 0
327 mg disp 70 30 25 20 0 100 395 50 135 97 160
Kepala
Kel.
Mengetah
Puskesma
Pinang
ui Penanggung Jawab Farmasi
sRanti
Pinang-
Ranti
Kec. Puskesmas Kel. Pinang Ranti
Makasar
Jakarta Kel. Pinang Ranti - Kec. Makasa
Timur Jakarta Timur

dr.
NIP.
Witness
19680528
Yenni
19920320 Diah Waraswati, S.Si
05 NIK.1.02.0053.198508282011020
TGL

PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH PertahunBUFFER ( x 18)
0 0 0 0
0 0 0 0
0 0 0 0
0 5012 417.6667 7518
0 134 11.16667 201
110 719 59.91667 1078.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
726 5229 435.75 7843.5
1538 23306 1942.167 34959
1355 11594 966.1667 17391
0 56 4.666667 84
0 0 0 0
0 0 0 0
7 8 0.666667 12
597 7198 599.8333 10797
2 109 9.083333 163.5
0 33 2.75 49.5
JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
0 41 3.416667 61.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
30 300 25 450
1196 11116 926.3333 16674
0 0 0 0
0 0 0 0
809 11229 935.75 16843.5
0 0 0 0
0 0 0 0
403 6193 516.0833 9289.5
0 0 0 0
0 0 0 0
0 0 0 0
0 617 51.41667 925.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
9 223 18.58333 334.5
0 0 0 0
0 0 0 0
4 193 16.08333 289.5
0 0 0 0
0 0 0 0
0 0 0 0
10 91 7.583333 136.5

JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1050 8805 733.75 13207.5
0 0 0 0
0 0 0 0
1 1 0.083333 1.5
12 272 22.66667 408
0 0 0 0
0 0 0 0
17 17 1.416667 25.5
0 0 0 0
0 0 0 0
0 0 0 0
0 10 0.833333 15
321 2225 185.4167 3337.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 140 11.66667 210
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 10 0.833333 15
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
0 0 0 0
0 0 0 0
0 0 0 0
0 120 10 180
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
0 466 38.83333 699
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 45 3.75 67.5
0 0 0 0
0 0 0 0
23 514 42.83333 771
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
200 1951 162.5833 2926.5
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 45 3.75 67.5
5 60 5 90
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
0 0 0 0
909 8617 718.0833 12925.5
0 0 0 0
18 133 11.08333 199.5
127 719 59.91667 1078.5
0 0 0 0
0 0 0 0
1000 4237 353.0833 6355.5
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 77 6.416667 115.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
1286 14562 1213.5 21843
0 0 0 0
0 1485 123.75 2227.5
0 124 10.33333 186
0 0 0 0
0 0 0 0
0 85 7.083333 127.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
34 363 30.25 544.5
3 3 0.25 4.5
2 120 10 180
0 0 0 0
0 0 0 0
7 94 7.833333 141
1049 17949 1495.75 26923.5
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
0 0 0 0
0 0 0 0
JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 16 1.333333 24
0 0 0 0
0 0 0 0
5 24 2 36
0 0 0 0
129 1606 133.8333 2409
0 0 0 0
0 0 0 0
0 0 0 0
3 49 4.083333 73.5
40 1618 134.8333 2427
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
0 0 0 0
0 0 0 0
0 15 1.25 22.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
60 60 5 90
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
1404 12734 1061.167 19101
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
40 410 34.16667 615
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 121 10.08333 181.5
0 0 0 0
13 5743 478.5833 8614.5
0 0 0 0

JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
0 0 0 0
0 0 0 0
13 43 3.583333 64.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 2 0.166667 3
0 104 8.666667 156
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
95 1250 104.1667 1875
0 1252 104.3333 1878
0 0 0 0
1573 20982 1748.5 31473
58 517 43.08333 775.5
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
0 0 0 0

JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
0 5809 484.0833 8713.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 1217 101.4167 1825.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
146 9637 803.0833 14455.5
3 40 3.333333 60
5 186 15.5 279
0 0 0 0
60 362 30.16667 543
0 0 0 0
0 0 0 0
0 0 0 0
7 41 3.416667 61.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
0 0 0 0
0 0 0 0
0 10 0.833333 15
802 12328 1027.333 18492
0 0 0 0
30 1464 122 2196
0 3555 296.25 5332.5
127 1107 92.25 1660.5
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
232 3906 325.5 5859
0 0 0 0
0 0 0
4 36 3 54
0 0 0 0
0 35 2.916667 52.5
1 3 0.25 4.5
0 0 0 0
11 47 3.916667 70.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

JUMLAH
PEMAKAI Pemkaian
AN PER Rata-rata
DESEMBER TH Pertahun
1753 10266 855.5 15399
0 0 0 0
50 1132 94.33333 1698

ng Jawab Farmasi
skesmas Kel. Pinang Ranti
Pinang Ranti - Kec. Makasar
Jakarta Timur

aswati, S.Si
02.0053.19850828201102067
LAPORAN PEMAKAIAN OBAT PER TAHUN 2021

PUSKESMAPUSKESMAS KEL. PINANG RANTI DOKUMEN NOMOR


KECAMATAMAKASAR DINKES
KAB/KOTA JAKARTA TIMUR IF KAB/KOTA
PROPINSI DKI JAKARTA PUSKESMAS

NAMA
NO tabOBAT
100 SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
1 mg
m tab 0,5 Tablet 0 0 0 0 0 0 0 0 0 0 0
2 mg
m tab 1 Tablet 0 0 0 0 0 0 0 0 0 0 0
3 mg
Simethico Tablet 0 0 0 0 0 0 0 0 0 0 0
4 ne
l Drop 7.5 Botol 0 0 0 0 0 0 0 0 0 0 0
5 Mg/ml
15mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0
6 60 Ml
30mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0
Amylase,
7 60 Ml
ol Tablet
protease, Botol 0 0 0 0 0 0 0 0 0 0 0
8 30
on Mg
lipase,
tab Tablet 330 247 117 430 457 836 1812 456 487 305 473
9 desoxyc
200
150 mg
mg/3
Amoksisil Tablet 0 0 0 0 0 0 0 0 0 0 0
10 holic
Amoksisil
ml
in 125 Ampul 0 0 0 0 0 0 0 0 0 0 0
100
Amoksisil
acid,
in
mg sirup
+
11 mg/ml
in 250
kaps. Botol 0 0 0 0 0 0 0 0 0 0 0
dimethyl
kering
Kalium
12 mg
250 +mg
Amoksisil
polysilox Kapsul 0 0 0 0 0 0 0 0 0 0 0
125mg/5
Klavulan
13 Kalium
in
ane,500vit Botol 1 16 10 64 0 37 2 0 0 0 10
ml
at 31,25
Klavulan
Antibakte
mg
B1, +
vit
14 mg sirup
Ampisilin
at 62,5 Botol 0 0 0 0 0 0 0 0 0 0 0
ri,
Kalium
B2, vit +
15 1
mg gram
sirup
kombina Botol 0 0 0 0 0 0 0 0 0 0 0
klavulana
B6, vit
Ampisilin
16 Sulbakta
Ampisilin
si : mg Tablet 0 0 0 0 0 0 0 0 0 0 0
ttablet
125
B12,
m
500 500
mg
17 500
mg mg +
basitrasi
niacinami Tablet 0 0 0 0 0 0 0 0 0 0 0
Sulbakta
n
de,500
Ca
18 injeksi
m 250
UI/g+ Vial 0 0 0 0 0 0 0 0 0 0 0
pantothe
19 mg
Polimiski
nate Vial 0 0 0 0 0 0 0 0 0 0 0
Antalgin
20 n B
tablet
Tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
21 10.000
500 Mg Tablet 0 0 0 0 0 40 100 0 0 0 0
Antalgin
UI/g
22 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0
23 Tube 0 0 0 0 0 0 0 0 0 0 0
DOEN
kombina
si :
Ergotami
As.Folat,
n +
Aquades
24 ß-
Caffein
t steril Tablet 0 0 0 0 0 0 0 0 0 0 0
25 Carotene
500 ml Botol 0 0 0 0 0 0 0 0 0 0 0
, Vit.B1,
B2, B6,
Ca.Panto
thenate,
Ca
carbonat
Antidulaf
e, NAMA
ungin
NO vitamin
100 OBAT
mg SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Aripipraz
Asam
D3,
26 injeksi
ol 10 mg Ampul 0 0 0 0 0 0 0 0 0 0 0
asetilsali
vitamin
Asam
27 Asam
tablet
silat tab Tablet 0 0 0 0 0 0 0 0 0 0 0
K1,
asetilsali
askorbat
28 Asam
500
biotin,
silat mg
tab Tablet 0 0 0 0 0 0 0 0 0 0 0
(vitamin
askorbat
29 besi
100
C) mg
tab Tablet 0 0 0 0 0 0 0 0 0 0 0
(vitamin
glukonat,
30 100
C) mg25
tab Tablet 0 0 0 0 0 0 0 0 0 0 0
IPC,
Asam
31 mg
DHA, Tablet 0 0 0 0 0 0 0 0 0 0 0
Risedroni
32 ARA
cAsamtablet Tablet 0 0 0 0 0 0 0 0 0 0 0
33 Asam
35 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
pipemida
traneksa
34 Asam
Asefillin Tablet 0 0 0 0 0 0 0 0 0 0 0
tmat
400tab mg
traneksa
Piperazin
35 Asetazol
500
mat mg Tablet 0 0 0 0 0 0 0 0 0 0 0
e injeksi
amide
36 injeksi
500 mg/5 Ampul 0 0 0 0 0 0 0 0 0 0 0
tab 250
Beta
37 ml
mg
karoten Ampul 0 0 0 0 0 0 0 0 0 0 0
38 (glaucon)
6000
AsiklovirIU, Tablet 0 0 0 0 0 0 0 0 0 0 0
39 Extract
injeksi Vial 0 0 0 0 0 0 0 0 0 0 0
Asiklovir
billberry
40 Krim 5%
Astasanti Tube 4 3 17 12 0 0 0 0 2 0 1
80 mg,
Atorvast
Besi II
41 n kapsul
Vitamin
atin 10, Kapsul 0 0 0 0 0 0 0 0 0 0 0
Atorvast
Sulfat
42 C
Mg
atin100
Tab Tablet 0 0 0 0 0 0 0 0 0 0 0
Folic
Azitromis
43 mg,
20mg Tablet 0 0 0 0 0 0 0 0 0 0 0
in tab tab
acid,
Azitromis
Vitamin
44 Magnesi
500
in tabmg Tablet 0 0 0 0 0 0 380 415 428 0 0
E 25 mg,
Azitromis
45 um,
250 Vit
mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Lutein
in
A, 500mg 3
46 mg,
inj Vial 0 0 0 0 0 0 0 0 0 0 0
Copper,
Betahisti
47 Lycopen botol 0 0 0 0 0 0 0 0 0 0 0
vit
ne B
e 2tablet
mg,
48 6
Znmg 10 Tablet 150 90 216 215 173 420 0 268 173 70 120
49 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
ason
hasone
valerat
valerate
0,1
0.1% %++
neomisin
Gentami
sulfat
cin 0,5
50 %
sulfate Tube 0 0 0 0 0 0 0 0 0 0 0
51 0.1%
Bisoprolo Tube 0 0 0 0 0 0 0 0 0 0 0
52 Borak
lBisoprolo
1.25 mg tablet 0 0 0 0 0 0 0 0 0 0 0
Glyserol
Bromhek
53 Bromhek
l55%mg Tablet 5 0 0 0 3 30 0 25 30 45 0
sin HCl
sin HCl 4
54 larutan
mg/2ml Botol 0 0 0 3 9 3 8 0 0 0 4
Elixir 4
55 injeksi
Mg/5 Ml Ampul 0 0 0 0 0 0 0 0 0 0 0
56 60 Ml
Bromhek Botol 0 0 0 0 0 0 0 0 0 0 0
sin HCl
Sol
2mg/ml
50 NAMA
Ml
NO Bromhek
OBAT SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
(Bisolvon
sin HCl
57 )Tablet 8 Botol 0 0 0 0 0 0 0 0 0 0 0
58 Mg
Clidinium
Celecoxi Tablet 0 0 0 0 0 0 0 0 0 0 0
59 Br
b 2.5 mg
100
Celecoxi Tablet 0 0 0 0 0 0 0 0 0 0 0
60 Mg,
b 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Curcuma
Chlorhexi
Chlordiaz
61 minoid,
dine Botol 0 0 0 0 0 0 0 0 0 0 0
epoxide
Curcuma
Dibasic
B1, B2,
62 5 Mg.
Root Tablet 0 0 0 0 0 0 0 0 0 0 0
Ca
B6, B12,
Deksketo
63 Sirup
phosphat
B Botol 0 0 0 0 0 0 0 0 0 0 0
profen
Deksketo
64 e 200 50
caroten
injeksi
Dextrom Tablet 0 0 0 0 0 0 0 0 0 0 0
profen
mg, Ca
65 mg
ethorpha
tablet 25 Ampul 0 0 0 0 0 0 0 0 0 0 0
Dekspan
lactate
66 n,
mg
thenol Tablet 0 0 0 0 0 0 0 0 0 0 0
100 mg,
Desonide
67 maleate,
Diazepa
krim 5 20
% Tube 0 0 0 0 0 0 0 0 0 0 0
vit
KrimB6
phenylep
m 2 mg
68 mg,
0,05
hrine % C+
vit Tube 0 0 0 0 0 0 0 0 0 0 0
Metampir
25 mg,
69 sirup
Drop
on 500per Botol 0 0 0 0 0 0 0 0 0 0 0
vit D3
Dibekaci
70 ml
mg
100 : IU Tablet 0 0 0 0 0 0 0 0 0 0 0
n Vial
Isothipen
71 Diosmin
tablet
100 mg/2 Tablet 0 0 0 0 0 0 0 0 0 0 0
Dibekaci
dyl HCl
450 mg 1+
72 ml
n
mg,vial 50 Ampul 0 0 0 0 0 0 0 0 0 0 0
hesperidi
73 mg/502mg
acetamin
n ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Domperi
74 ophen
tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
done
Dopamin
75 120 mg, Botol 0 0 0 0 0 0 0 0 0 0 0
Suspensi
e HCL
phenylep
76 Injeksi.
hrine HCl Ampul 0 0 0 0 0 0 0 0 0 0 0
77 1 mg Botol 0 0 0 0 0 0 0 0 0 0 0
plasenta
15 mg,
Vitamin
Efedrin
Ekstrak
B12
HCl 20
Ekstrak
plasenta
mcg,
tablet dan
25
Belladon
10 %,
78 tribasic
mg
Elemen
a tab 10 Tablet 0 0 0 0 0 0 0 0 0 0 0
neomisin
calcium
79 Besi
mg
sulfat+0.5 Tablet 0 0 0 0 0 0 0 0 0 0 0
phosphat
Asam
80 %
e Gel
12 Tube 0 0 0 0 0 0 0 0 0 0 0
Folat oral
81 mcg. 
drop 15 Tablet 0 0 0 0 0 0 0 0 0 0 0
82 mg/ml
Entecavir Botol 0 0 0 0 0 0 0 0 0 0 0
83 Erdostei
0.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Eperison
ne sirup
84 e
175Tablet
mg/5 Tablet 0 0 0 0 0 0 0 0 0 0 0
85 ml Botol 0 0 0 0 0 0 0 0 0 0 0

NAMA
Etoricoxi
NO b OBAT
tab 60 SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Famotidi
89 mg
n tab 40 Tablet 0 0 0 0 0 0 0 0 0 0 0
Fenilbuta
fludrocort
90 Flavoxat
mg
Floromet
zon tab Tablet 0 0 0 0 0 0 0 0 0 0 0
isone,
Fenobar
91 e
olon
200 1
mg Tablet 0 0 0 0 0 0 0 0 0 0 0
lidocaine,
bital inj.
hidroklori
92 mg +
neomysi Ampul 0 0 0 0 0 0 0 0 0 0 0
50
da mg/ml
200
Neomisin
n,
93 Fluphena
mg
sulfat 3.5 Tablet 0 0 0 0 0 0 0 0 0 0 0
polymiksi
zine
94 mg/ml
n B tetes Botol 0 0 0 0 0 0 0 0 0 0 0
dekanoat
95 telinga
injeksi 25 Botol 0 0 0 0 0 0 0 0 0 0 0
Flukonaz
96 mg/ml
ole kaps Ampul 0 0 0 0 0 0 0 0 0 0 0
Flunarizi
97 150 mg
n tablet Kapsul 0 0 0 0 0 0 0 0 0 0 0
Flunarizi
Fluorom
98 10 mg 5
n tablet
Fradiomi Tablet 0 0 0 0 0 0 0 0 0 0 0
etolon tts
99 mg Sulfat
sin
mata Tablet 0 0 0 0 0 0 0 0 0 0 0
100 2,5
0,1% mg,
Fluoxetin Botol 0 0 0 0 0 0 0 0 0 0 0
Fosfomis
Gramisid
101 e
in tab
Fructus
Vial 2 tablet 0 0 0 0 0 0 0 0 0 0 0
in-S HCl
Framiseti
102 schizand
G
1 mg Vial 0 0 0 0 0 0 0 0 0 0 0
n
raesulfat
103 tablet
kassa Tablet 0 0 0 0 0 0 0 0 0 0 0
extract
104 steril
siccum Lembar 1 0 0 0 0 0 0 0 0 0 0
Gatifloxa
105 7,5mg
cin tetes Kapsul 0 0 0 0 0 0 0 0 0 0 0
Gemfibro
106 mata
zil tab Botol 0 0 0 0 0 0 0 0 0 0 0
107 300 mg tablet 0 0 0 0 60 30 30 0 40 60 30
Glucosa
mine
sulphate
Gentami
500
sin mg,
Gentami
chondroit
injeksi 40
sin sulfat
Gentami
108 in sulfate Ampul
mg/ml 0 0 0 0 0 0 0 0 0 0 0
salep
sin
400ttsmg,
109 mata
mata Tube 0 0 0 0 0 0 0 0 0 0 0
vit C
Gentami
Gentian50
110 0,3%
mg,
sin Salep Botol 0 0 0 0 0 0 0 0 0 0 0
Violet
Gliseril
111 mangane
Kulit
Glucosa
Larutan Tube 0 6 4 25 10 17 7 16 22 6 23
guaiakol
se 0.5
112 min
1
at % Hcl
100 Botol 0 0 0 0 0 0 0 0 0 0 0
mg,
500 Mg +
113 mg
Glikuidon
10 mg, Tablet 307 166 260 310 0 543 815 160 197 122 118
Kondroiti
Glucosa
114 tablet
selenium
n Sulfat Tablet 0 0 0 0 0 0 0 0 0 0 0
min
Glucosa
115 10
400 mcg,
Mg
Glukosa
Tablet Kaplet 0 0 0 0 0 0 0 0 0 0 0
min
Zn 5 mg,
116 70%
250 Mg
tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
MSM
(Dextran
117 500 mg
350 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
70)
Glukosa
118 tablet
larutan Tablet 0 0 0 0 0 0 0 0 0 0 0
40%
119 steril
larutan Botol 0 0 0 0 0 0 0 0 0 0 0
120 infus Botol 0 0 0 0 0 0 0 0 0 0 0

Glukosa
10%NAMA
NO Glukosa
OBAT SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
larutan
5%
Hidrokort
121 infus
larutan
ison 0.5 Botol 0 0 0 0 0 0 0 0 0 0 0
Granisetr
Hyoscine
122 +injeksi Botol
infus
%
on
-N- 0 0 0 0 0 0 0 0 0 0 0
Hidrokort
Hyoscine
123 Kloramfe
3 mgkrim Ampul
butylbro 0 0 0 0 0 0 0 0 0 0 0
ison
-N-
Hidrokort
124 nikol
mide 0.2
10
0,5% krim Tube
butylbro
ison
% salep
0 0 0 0 0 0 0 0 0 0 0
125 mg,
mide
1% 20 Tube 0 0 0 0 0 0 0 0 0 0 0
mata 3,5
Paraceta
126 mg/ml Tube 0 0 0 0 0 0 0 0 0 0 0
g
mol 500
injeksi
127 mg
Ilberry
(BUSCO Tablet 0 0 0 0 0 0 0 0 0 0 0
Ibuprofe
Ion
Ichtyol
128 extract,
PAN)
n Supp Ampul 0 0 0 0 0 0 0 0 0 0 0
Natrium
salep
gliserin,
129 Kalium Suppos
125mg
&
(gelatin,
salep 0 0 0 0 0 0 0 0 0 0 0
130 Imipene
dengan
hitam ) pot 0 2 2 0 1 3 0 1 0 1 0
minyak
m
131 Benzalko
sayur Botol 0 0 0 0 0 0 0 0 0 0 0
Cilastatin
nium Cl
132 Vial
tetes 1G Vial 0 0 0 0 0 0 0 0 0 0 0
Isoksupri
133 mata
ne Hcl Botol 0 0 0 0 0 0 0 0 0 0 0
Isoksupri
134 ne Tablet Ampul
Injeksi 0 0 0 0 0 0 0 0 0 0 0
135 20 Mg Tablet 0 0 0 0 0 0 0 0 0 0 0
at 50 mg,
Fenilprop
anolamin
Itraconaz
HCl
ole
Kalium 15
mg,
Kapsul
Diklofena
136 Kalium
Dekstro
100 Kapsul 0 0 0 0 0 0 0 0 0 0 0
25 Mg
kDiklofena
mg
137 Kalium
metorfan
Kalium Tablet 0 0 0 0 0 0 0 0 0 0 0
tablet
kHBr50 15
Mg
Permang
L-
138 Tablet
anat
mg, ( PK Tablet 0 0 0 0 0 0 0 0 0 0 0
Aspartat
139 )tab 300
Chlorfeni pot 4 1 1 0 0 0 0 0 0 0 0
140 ramine
mg
Kanamisi Tablet 0 0 0 0 0 0 0 0 0 0 0
Kaolin +1
maleat
141 n Inj. 1 G
Pektin Vial 0 0 0 0 0 0 0 0 0 0 0
mg
142 Sirup
(FLUCA Botol 0 0 0 0 0 0 0 0 0 0 0
Kaptopril
143 Karboksi
DEX)
tablet 50 Kaplet 0 0 0 0 0 0 0 0 0 0 0
Karbazo
metilselul
144 mg
chrom Tablet 0 0 0 0 0 0 0 0 0 0 0
osa 5 mg
145 Na. Inj.
tetes Ampul 0 0 0 0 0 0 0 0 0 0 0
146 mata
Ketoacid Botol 0 0 0 0 0 0 0 0 0 0 0
Ketokon
147 essensial
azole Tablet 0 0 0 0 0 0 0 0 0 0 0
Ketoprof
148 krim
en Tube 0 0 0 0 0 0 0 0 0 0 0
Ketoprof
149 Injeksi
en Ampul 0 0 0 0 0 0 0 0 0 0 0
150 Suppos Suppos 0 0 0 0 0 0 0 0 0 0 0

NAMA
Ketoprof
NO enOBAT
Tablet SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Ketorola
151 100 Mg
c injeksi Tablet 0 0 0 0 0 0 0 0 0 0 0
Ketorola
152 10 mg/ml
c tablet Ampul 0 0 0 0 0 0 0 0 0 0 0
Ketotifen
153 10 mg0,2
sirup Tablet 0 0 0 0 0 0 0 0 0 0 0
Ketotifen
154 mg/ml
tablet 1 Botol 0 0 0 0 0 0 0 0 0 0 0
Klindami
155 mg
sin kaps. Tablet 0 0 0 0 0 0 0 0 0 0 0
Klindami
156 150
sin mg
kaps. Kapsul 0 0 0 0 0 0 0 0 0 0 0
Klobaza
157 300
m mg
tab 10 Kapsul 0 0 0 0 0 0 0 0 0 0 0
Klobetas
Klobetas
158 mg
ol Tablet 0 0 0 0 0 0 0 0 0 0 0
ol 10 G
159 Krim
Propiona Tube 0 0 0 0 0 0 0 0 0 0 0
Klopidogr
160 telSalep
tab 75 Tube 0 0 0 0 0 0 0 0 0 0 0
161 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
besi
+
setara
Hydrokor
Kombina
dengan
Kloramfe
Kombina
tison
si
60 mg
nikol
si
2,5%
Larutan
Kloramfe
besi
Kombina
kaps.
Larutan
krim
Infus
nikol
elementa
Kloramfe
si : mg Per
162 500
Infus
(ARMAC Per Kapsul 0 0 0 0 0 0 0 0 0 0 0
L:
lBasa NaCl
(dalam
nikol +
163 Medroksi
L
ORT): Ca++ Tube 0 0 0 0 0 0 0 0 0 0 0
1,75
Prednisol
bentuk
tetes g,
progeste
3 mEq,
Kodein
164 KCL
one
sediaan
telinga 1,53
krim Tube 0 0 0 0 0 0 0 0 0 0 0
ronAseta
Klozapin
Na+
30 mg130+
165 g, Na.
Ferro) Botol 0 5 2 8 1 4 4 4 3 6 4
t%
e 50 mg,
tab
mEq, 25
Cl-
feniltolok
Laktat
Asam 2,
166 Estradiol
mg
109
samin
24
folat g, 10 Tablet
Sipinoat
0 0 0 0 0 0 0 0 0 0 0
167 mEq,
mg
Dekstros
0,400 Botol 0 0 0 0 0 0 0 0 0 0 0
10
Asetatmgmg
168 a
(SF)
Kombina
(Cyclofe Tablet 1180 840 875 300 1050 2300 960 1000 1086 1750 914
28 mEq
Anhidrat
169 si
m Fe,
Inj.)
Kombina
(Asering Vial 0 0 0 0 0 0 0 0 0 0 0
Kombina
27
Asam g
si
Infus)
si
(KAEN Botol 0 0 0 0 0 0 0 0 0 0 0
folat,
Metampir
Suspensi
3B)
Vitamin Botol 0 0 0 0 0 0 0 0 0 0 0
on 500
Parafin+
170 B
mg + Vit Kapsul 0 0 0 0 0 0 0 0 0 0 0
Gliserin+
171 B tablet
Fenolftal Tablet 0 0 0 0 0 0 0 0 0 0 0
Kortison
172 Acetat Inj Botol
ein 0 0 0 0 0 0 0 0 0 0 0
173 5 ml Vial 0 0 0 0 0 0 0 0 0 0 0

NAMA
Lactobac
NO Lansopra
OBAT SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
illus
zole
Lecithin
174 serbuk
Larutan
kaps.mg
100 40+ Sachet 0 0 0 0 0 0 0 0 0 0 0
Levoflox
Levoflox
175 mengand
mg
Serratiop Kapsul 0 0 0 0 0 0 0 0 0 0 0
acin tab
acin
176 ung Lipid
eptidase Tablet 0 0 0 0 0 0 0 0 0 0 0
500
Tetes mg
(Emulsi
5 mg +
177 Mata
lemak Botol 0 0 0 0 0 0 0 0 0 0 0
pancreati
178 20%)
n 25 mg Botol 0 0 0 0 0 0 0 0 0 0 0
Lincomy
179 kapsul
cin 500 Kapsul 0 0 0 0 0 0 0 0 0 0 0
Linezolid
180 MG
infus 600 Kapsul 90 0 0 90 165 140 40 125 0 0 0
Lisinopril
181 mg
Loratadin
tab 10 Botol 0 0 0 0 0 0 0 0 0 0 0
Loperami
182 e
mg 5 mg,2 Tablet 0 0 0 0 0 0 0 0 0 0 0
de tab
Losartan
183 pseudoe Tablet 0 0 0 0 0 0 0 0 0 0 0
mg
tab 50
phedrine
184 mg
sulfate Tablet 0 0 0 0 0 0 0 0 0 0 0
185 120 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Thiamin
Ornithine
HCl50
-L-
mg +
Aspartat
Pridoksin
e injeksi
HCl
500 10
Mekobal
186 mg
mg/ml
amin + 500 Ampul 0 0 0 0 0 0 0 0 0 0 0
Mekobal
Sianokob
187 Mcg
amin 250 Kapsul 0 0 0 0 0 0 0 0 0 0 0
Mekobal
alamin
Meloksik
188 Mcg
amin
HCl 10 Kapsul 0 0 0 0 0 0 0 0 0 0 0
am
Meloksik
189 Injeksi
mcg
Tablet + 15 Ampul 0 0 0 0 0 0 0 0 0 0 0
am
Menadio
190 Trimetils
Mg
Tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
n ( Vit50
antin K
191 7,5 Mg
3) Amp Tablet 0 0 0 0 0 0 0 0 0 0 0
mg tablet
192 10 mg/ml
(Neuralgi Ampul 0 0 0 0 0 0 0 0 0 0 0
Methildo
Methil
193 n)
pa tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
prednisol
Methil
194 250 tab
one mg 4 Tablet 0 0 0 0 0 0 0 0 0 0 0
prednisol
Methyl
Methil
195 Methisop
mg
one tab 8 Tablet 72 87 26 62 200 54 20 168 201 0 0
salicylate
prednisol
rinol 250
196 mg
102
one mg,
tab Tablet 0 0 0 0 0 0 0 0 0 0 0
mg/5
Methisopml
197 menthol
16 mg
sirup 60 Tablet 0 0 0 0 0 0 0 0 0 0 0
rinol
54.4 mg,
198 ml
Tablet Botol 0 0 0 0 0 0 0 0 0 0 0
eugenol
199 500
13.6Mg mg
Micobact Tablet 0 0 0 0 0 0 0 0 0 0 0
200 krim
erium Tube 0 0 0 0 0 0 0 0 0 0 0
Tubercul
osisi 0,4
mcg +
disodium
fosfat 7,6
mg+Pota
sium
Metoklop
Metoklop
Metronid
NAMA
fosfat
ramide
NO ramide
azole
OBAT 5 SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
1,45
injeksimg 5
mg/5ml
500 mg
201 +sodium
mg/5
sirup 60ml + Ampul 0 0 0 0 0 0 0 0 0 0 0
nystatin
klorida
202 ml
100.000 Botol 0 0 0 0 0 0 0 0 0 0 0
4,8 mg
203 iu ovula
(PPD Ovula 0 0 0 0 0 0 0 0 0 0 0
204 RT23)
Milrinone Vial 0 0 0 0 0 0 0 0 0 0 0
Misopros
Moksiflok
205 injeksi
tol Tablet Vial 0 0 0 0 0 0 0 0 0 0 0
sasin tts
Multivita
206 Multivita
200
mata Mcg Tablet 0 0 0 0 0 0 0 0 0 0 0
min
min +
+
207 0,5%
Lysine Botol 0 0 0 0 0 0 0 0 0 0 0
Lysine
208 Drop
Sirup botol 0 0 0 0 0 0 0 0 0 0 0
209 Anak
Mupirosi Botol 0 0 0 0 0 0 0 0 0 0 0
211 n Krim Tube 0 0 0 0 0 0 0 0 0 0 0
asam
Na
sorbat 5
Hyaluron
mg,
neomyci
at 0.1%
Neomisin
PEG-400
n
tetessulfate
3,5
625 mg
Neomisinmg,+
212 setara
mata
Polimiksi Botol 0 0 0 0 0 0 0 0 0 0 0
sorbitol
sulfat
NaCL 3,5
dengan
Naftidrof
213 n
4.465
mg
0,9% 16.250
+ mg Tube 0 0 0 0 0 0 0 0 0 0 0
neomyci
NaCL
uryl
IU +
214 Natium
polimiksi
100
n
0,9% ml
base Botol 0 0 0 0 0 0 0 0 0 0 0
Oxalate
Fenilefrin
diklofena
n B sulfat
215 3.5
500
tablet
1,2 mg
ml +
mg botol 0 3 0 0 3 5 0 1 2 0 1
kpolymixin
tetes
10000 iu
216 Natrium
100
asam
mata mg
1 Tablet 0 0 0 0 0 0 0 0 0 0 0
+
Natrium
b sulfate
dokusate
217 borat
mg
deksame
diklofena Botol 0 0 0 0 0 0 0 0 0 0 0
10000
tetes
1,769 iu
218 tason
ktelinga
gel 1%
dan Tube 0 0 0 0 0 0 0 0 0 0 0
mg/
sodiumml 5
219 dexamet
mg
tetes Botol 0 0 0 0 0 0 0 0 0 0 0
fospat
hason 1
220 mata 
mg tetes Botol 0 0 0 0 0 0 0 0 0 0 0
sodium
Nifuroks
221 mata
phosphat Botol 0 0 0 0 0 0 0 0 0 0 0
azide
222 e 1 mg
sirup 250 Botol 0 0 0 0 0 0 0 0 0 0 0
Nitroglise
223 mg/5
rin ml
injeksi Botol 0 0 0 0 0 0 0 0 0 0 0
Norephin
224 10 mg
eprine Ampul 0 0 0 0 0 0 0 0 0 0 0
225 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0
Obat
Batuk
Pilek
Sirup
Anak
Obat
(Mengan
Batuk
dung
Pilek
Pseudoe
Sirup
NAMA
Noretiste
NO fedrin,
Anak
ronOBAT
Tanpatab 5 SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
226 (Mengan
Obat
mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Paraseta
Ofloksasi
dung
227 Batuk
Ofloksasi Botol 0 0 0 0 0 0 0 0 0 0 0
mol)
n 3 mg
Paraseta
Hitam
n 2
228 tetes
mol)
(OBH) Botol 0 0 0 0 0 0 0 0 0 0 0
Mg/ml
mata
229 sirup
Infus 100 Botol 0 0 46 8 22 0 0 0 0 0 0
mini
Ofloxacin
230 Ml
dose 0.6 bag 0 0 0 0 0 0 0 0 0 0 0
3mg/ml
Oksitetra
231 ml
tetes strip 0 0 0 0 0 0 0 0 0 0 0
siklin
232 telinga
Ossein
Salep Botol 0 0 0 0 0 0 0 0 0 0 0
Ondanse
233 hydroxya
Kulit 3% Tube 0 0 0 0 3 0 0 0 0 0 0
tron
Ondanse
234 patite Ampul 0 0 0 0 0 0 0 0 0 0 0
injeksi
tron tab
compoun
235 8 mg
d tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
236 800 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Paraceta
mol
Oxytetra
500mg,
Otiloniu
siklin
237 Oxytetra
Phenylpr
m Br Tablet 0 0 0 0 0 0 0 0 0 0 0
salep
siklin
238 Pantopra
opanola Tube 0 0 0 2 0 0 1 0 0 0 0
Kulit
salep
zole
mine HCl
Pantopra
239 mata
Injeksi
12,5mg, Tube 0 0 0 0 0 0 0 0 0 0 0
zole
240 40 Mg
chlorphe
kapsul Vial 0 0 0 0 0 0 0 0 0 0 0
241 niramine
20 mg
Paraseta
Papaveri Kapsul 0 0 0 0 0 0 0 0 0 0 0
Papaveri
maleate
242 mol
n 40500
n injeksi
mg Ampul 0 0 0 0 0 0 0 0 0 0 0
2mg
mg + n-
243 tablet
(MOLEX Tablet 0 0 0 0 0 0 0 0 0 0 0
asetilsitei
244 FLU)
n 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Paraseta
245 tablet
mol supp Tablet 0 0 0 0 0 0 0 0 0 0 0
Paraseta
247 125 supp
mol mg Suppos 0 1 2 10 1 0 2 4 1 0 0
Paraseta
248 160 mg
Piperacill
mol supp Suppos 0 0 0 0 0 0 0 0 0 0 0
Paraseta
Parekoks
249 in
240
mol4 supp
g,
mg Suppos 0 0 0 0 0 0 0 0 0 0 0
ib injeksi
tazobact
250 250mg
40 Suppos 0 0 0 0 0 0 0 0 0 0 0
ammg/2
500
251 ml
mg Ampul 0 0 0 0 0 0 0 0 0 0 0
252 injeksi Vial 0 0 0 0 0 0 0 0 0 0 0

PIRASE
TAM
NAMA
12gr
NO Polimiksi
OBAT SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
60ml
PIRASE
n B sulfat
253 infus
TAM 1gr Vial 0 0 0 0 0 0 0 0 0 0 0
10.000
Piraseta
254 Amp 3 Ampul
injeksi
UI,
m 0 0 0 0 0 0 0 0 0 0 0
Piraseta
255 Pirenoxin
Neomisin
G
m tablet Ampul 0 0 0 0 0 0 0 0 0 0 0
Piraseta
Sodium
sulfat 5
256 800
m mg
tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
0.05
mg,
257 1200
mg/ml tts Tablet
mg
Fludokort 0 0 0 0 0 0 0 0 0 0 0
Piroksika
258 mata
ison
m 15 mg Botol 0 0 0 0 0 0 0 0 0 0 0
Piroksika
259 asetat
gel 1 Tube 0 0 0 0 0 0 0 0 0 0 0
m Tablet
Piroksika
260 mg, Tablet 0 0 0 0 0 0 0 0 0 0 0
10
m Mg
Tablet
Lidokain
261 20
HClMg40 Tablet 50 61 172 240 125 180 95 138 90 0 0
262 mg Ampul 0 0 0 0 0 0 0 0 0 0 0
asetat
100 mg,
Polikresu
Polivinilpi
Lidokain
len 10 ml
rolidon
HCl 4 g,
(Albothy
20
PEG, mg
l)
tetes Botol 0 0 0 0 0 0 0 0 0 0 0
Gliserin
Povidon
263 mata
Tetes Botol 0 0 0 0 0 0 0 0 0 0 0
Iodine
264 telinga
Gargle Botol 0 0 0 0 0 0 0 0 0 0 0
Pregabali
265 1%
n kapsul Botol 0 0 0 0 0 0 0 0 0 0 0
Pregabali
Pseudoe
Preparat
266 150
n mg
kapsul
fedrin Kapsul 0 0 0 0 0 0 0 0 0 0 0
optalmik
Pure
267 75
HCL
tetesmg
lecithin15 Kapsul 0 0 0 0 0 0 0 0 0 0 0
Propanol
268 mg
mata
(PPC +
Pseudoe
ol tab 40 Botol 0 0 0 0 0 0 0 0 0 0 0
Pseudoe
Terfenad
Pseudoe
95%)
fedrin
mg
Pseudoe Tablet 0 0 0 0 0 0 0 0 0 0 0
fedrin
phedrine
ine HCl
phedrine 7,5
300
HCl
fedrin mg,
30
269 mg
Hcl
20
HClB1 Drop
15
mg/ml
30 Botol 0 0 0 0 0 0 0 0 0 0 0
vit
mg
Hcl 606
+
270 mg
sirup
mg
mg, +
+ Botol 0 0 0 0 0 0 0 0 0 0 0
+vit
Terfenad
Pseudoe
mg
klorfenira
271 Bromphe
B2
in 6
40
phedrinemg,
mg
Loratadin Tablet 0 0 0 0 0 0 0 0 0 0 0
min
niramine
vit B6
272 Hcl
5 mg 3061
Pulmicort
maleat Tablet 0 0 0 0 0 0 0 0 0 0 0
maleat
mg, vit 2
273 Respules
mg sirup
Pulmicort Botol 0 0 0 0 0 0 0 0 0 0 0
mg/5
B12 6ml
Triprolidi
274 0,25
Respules Botol 0 0 0 0 0 0 0 0 0 0 0
sirup
mcg,
ne 2,5vit
mg/ml
0,50
275 E
mg 10
(anak) mg,
tab @ Tablet 0 0 0 0 0 0 0 0 0 0 0
mg/ml
nicotina
2 ml
(dewasa) Ampul 0 0 0 0 0 0 0 0 0 0 0
mide 30
@
mg2 ml Ampul 0 0 0 0 0 0 0 0 0 0 0
276 kapsul
Ramipril Kapsul 0 0 0 0 0 0 0 0 0 0 0
277 tab 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0

Recombi
NAMA
nan
NO OBAT
hepatitis
Ranitidin SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Ranitidin
Rebamipi
278 B inj 10
injeksi
sirup 75 Ampul 0 0 0 0 0 0 0 0 0 0 0
de 100
mcg/0.5
279 mg/5
Mg ml Botol 0 0 0 0 0 0 0 0 0 0 0
mL
280 Tablet
(syringe) Tablet 0 0 0 0 0 0 0 0 0 0 0
Reserpin
Retinol
281 0.5
tab mL
0,25 Ampul 0 0 0 0 0 0 0 0 0 0 0
(Vitamin
282 mg
A) 6000 Tablet 0 0 0 0 0 0 0 0 0 0 0
Rifampisi
283 UI
n kaps. Kapsul 0 0 0 0 0 0 0 0 0 0 0
284 600 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0
Ringer
Rifampisi
Laktar
n kaps.
(RL)
285 450
Larutanmg Kapsul 0 0 0 0 0 0 0 0 0 0 0
Risperido
286 Infus
ne tab 2 Botol 0 0 0 0 0 0 0 0 0 0 0
Rivanol
Salbuta
287 Ropivaca
mg
(ETAKRI Tablet 0 0 0 0 0 0 0 0 0 0 0
mol
Rocuroni
in
288 Salbuta
DIN)
sulfat Botol 1 0 1 0 0 2 1 3 0 0 0
um
hidroklori
289 mol
injeksi Vial 0 0 0 0 0 0 0 0 0 0 0
Bromide
da injeksi
sulfat
2,5
290 2 mg/ml
rotacaps Vial 0 0 0 0 0 0 0 0 0 0 0
mg/ml
291 200 mcg
(Ventolin Kapsul 0 0 0 0 0 0 0 0 0 0 0
Sefadrok
292 Nebules)
sil kaps. Ampul 0 0 0 0 0 0 0 0 0 0 0
Sefadrok
293 500kaps.
sil mg Kapsul 96 115 120 110 90 30 50 10 10 0 0
Sefadrok
294 250sirup
sil mg Kapsul 0 0 0 0 0 0 0 0 0 0 0
Sefaleksi
Sefiksim
295 kering
n kaps. Botol 0 0 0 0 0 0 0 0 0 0 0
kapsul/k
296 500
apletmg 200 Kapsul 0 0 0 0 0 0 0 0 0 0 0
297 Sefiksim
Sefiksim
mg Kapsul 0 0 0 0 0 0 0 0 0 0 0
kapsul/k
298 sirup
Sefopera
Tes
aplet kehami
100 Pcs 20 0 5 15 10 7 0 10 50 1 22
kering
zone +
298 Sefotiam
mg
100 Kapsul 0 0 0 0 0 0 0 0 0 0 0
Sulbacta
dihidrokl
299 mg/5ml
m Vial11
Septocai Botol 0 0 0 0 0 0 0 0 0 0 0
orida
Sefotaksi
300 Seftriaks
G
n Inj. Vial 0 0 0 0 0 0 0 0 0 0 0
gram
m serbuk
301 one
(Articane
injeksi Vial 0 0 0 0 0 0 0 0 0 0 0
injeksi
serbuk 1
302 G HCL Vial 0 0 0 0 0 0 0 0 0 0 0
injeksi
dan 1
303 G
Epinephri Vial 0 0 0 0 0 0 0 0 0 0 0
Setirizine
304 Sianokob
ne)
tablet 10 Ampul 0 0 0 0 0 0 0 0 0 0 0
305 alamin
mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Setirizine
(vitamin
306 Siproflok
drop Botol 0 0 0 0 0 0 0 0 0 0 0
B12) tab
Simetidin
307 sasin 3 Tablet 0 0 0 0 0 0 0 0 0 0 0
50tab
e mcg200
mg/ml
Sitikolin
308 mg
tetes Tablet 0 0 0 0 0 0 0 0 0 0 0
Amp
309 mata
1000 Botol 0 0 0 0 0 0 0 0 0 0 0
Sitikolin
Sitikolin
310 mg/8
Amp ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Amp 500
311 mg/4
125mg/m ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Sitikolin
312 lTablet
2ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Sitikolin
Sodium
313 1000
Tablet Mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Klorida
314 500 Mg
Semprot Tablet 0 0 0 0 0 0 0 0 0 0 0
315 Hidung Botol 0 0 0 0 0 0 0 0 0 0 0
Dexamet
40
Kalium mg
CaCl2
hasone/
Tablet
L-cystein
iodida
anhidrat
Deksam
Flu
hydrochl
0.075
0.075 gr,
gr,
etason
Batuk
Tetes
oride 2
Na
Kalium
0,1
Bromhek
Mata
mg
Tiosulfat%,:
Sulpirida
iodida
Neomisin
316 sin,
Deksam
Injeksi
0.005
tablet gr, Ampul 0 0 0 0 0 0 0 0 0 0 0
0.075
Sulpirida
sulfat
Difenhidr gr,
3,5
317 etason
Fenilmer
200
Na mg Tablet 0 0 0 0 0 0 0 0 0 0 0
tablet
mg/mL,
amin,
0,1%, 50
318 kuri
Tiosulfat
mg nitrat Tablet 0 0 0 0 0 0 0 0 0 0 0
Polimiksi
Paraseta
Neomisin
0.3
Tetes
0.005 mggr,
319 n
mol
sulfatB sulfat Tablet 0 0 0 0 0 0 0 0 0 0 0
Mini
Mata
Fenilmer
Tetes
6000 :3,5
320 mg,
Dose
HPMC Strip 0 0 0 0 0 0 0 0 0 0 0
kuri
Mata
iu/mL.
tetesMat
Polimiksi : 5
nitrat
321 mg,
0.3
HPMC
Mini mg 5 Botol 0 0 0 0 0 0 0 0 0 0 0
a
n-B- :Tobra
Dextran
322 mg,
Dose
misin Strip 0 0 0 0 0 0 0 0 0 0 0
Sulfat
tetes
(70)
Dextran 13
323 mg
6000
Mata + UI Botol 0 0 0 0 0 0 0 0 0 0 0
mg
(70)
Deksam 1:
324 Tobramis
Minidose
mg Tetes Strip 0 0 0 0 0 0 0 0 0 0 0
etason
Tiap
in 3 100
mg 1+
325 mata
mg
gram mini Botol 0 0 0 0 0 0 0 0 0 0 0
Dexamet
Thiamph
326 dose/ml.
mengand
hason 1 Strip 0 0 0 0 0 0 0 0 0 0 0
enicol
Tiamfeni
327 ung
mg/ml.
sirup Botol 0 0 0 0 0 0 0 0 0 0 0
kol
Heparin
328 125/5ml
kapsul Botol 0 0 0 0 0 0 0 0 0 0 0
sodum
329 500
Tramado
20.000 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0
Tigesiklin
330 lIU 37,5 mg
injeksi 50 Tube 0 0 0 0 0 0 0 0 0 0 0
Tizanidin
+
331 mg/5ml
e tablet 2 Vial 0 0 0 0 0 0 0 0 0 0 0
Paraseta
332 mg
mol 325 Tablet 0 0 0 0 0 0 0 0 0 0 0
333 mg
Tramado Tablet 0 0 0 0 0 0 0 0 0 0 0
Tramado
334 ll injeksi
Kapsul Ampul 0 0 0 0 0 0 0 0 0 0 0
Tramado
335 50 Mg
lTerbutali
Supp Kapsul 0 0 0 0 0 0 0 0 0 0 0
336 Terbutali
Tripolidin Suppos 0 0 0 0 0 0 0 0 0 0 0
100
ne mg
sulfat
ne
HClsulfat
337 injeksi
tab 2,5
2mg,Pse Ampul 0 0 0 0 0 0 0 0 0 0 0
Trifluope
338 Trimetazi
mg
udoefedri Tablet 0 0 0 0 0 0 0 0 0 0 0
razine
Trifluope
339 dine
n HCl 30 Tablet 0 0 0 0 0 0 0 0 0 0 0
tab
razine1 mg
hidroklori
mg,
340 tab
da 5 mg
tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
Paraseta
341 35
mol mg500 Tablet 0 0 0 0 0 0 0 0 0 0 0
Valsarta
342 Vekuroni
mg
n tablet
tab 160 Tablet 0 0 0 0 0 0 0 0 0 0 0
Valsarta
um
343 mg
Vit
n A 80
tab Tablet 0 0 0 0 0 0 0 0 0 0 0
bromida
Vekuroni
344 palmitate
mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Vial
um 10
345 , Vial 0 0 0 0 0 0 0 0 0 0 0
Mg
bromida
karbome
346 Vial
r gel410 Mg Vial 0 0 0 0 0 0 0 0 0 0 0
347 gram Tube 0 0 0 0 0 0 0 0 0 0 0
Asam
Vit
Vit B1
B1
folat
100
100 1
mg,
Mg,
Vit
mg,
B6 B1
200
Vit
100
Vit B6
B1, 50
mg, B1
Biotin 0.1
B12
Mg,
mg,vit
B2, Vit
B3, B6
100mg
mg,
200
Vit B1Fe
mcg +
B12
Vit
100
B6, 100
B1,
mg,
B12,
348 Vit B6
fumarat
injeksi
100mg
Mcg, Vit+ Ampul 0 0 0 0 0 0 0 0 0 0 0
B2,
vit
Vit C
100mgB6,
B12 + Tablet
349 20
Vit
E mg,
B6Vit
30
B12, Iu. 0 0 0 0 0 0 0 0 0 0 0
5000
500Mg,
Vit
Ca B12
100
350 200mg
C
mcg + Ampul 0 0 0 0 0 0 0 0 0 0 0
Ca
5000ug
mg, Cu
Vit B12
500Mg,
351 Pantoten
tablet
0.5 Tablet 0 0 0 0 0 0 0 0 0 0 0
Ca mg,
200ug
ate,
352 Mn 0.5
tablet
Pantoten Tablet 0 0 0 0 0 0 0 0 0 0 0
Tocophe
mg, Mg 1
353 ate tablet
rol Vit Tablet 0 0 0 0 0 0 0 0 0 0 0
mg, ZnE)
354 tablet
0.25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
355 tablet Tablet 0 0 0 0 0 0 0 0 0 0 0

Vitamin
B1 100
Mg Tab
NAMA
(Thiamin/
NO Vitamin
OBAT C SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
Aneurin
injeksi
356 Vitamin
Hcl) C Tablet 0 0 0 0 0 0 0 0 0 0 0
200 mg/
injeksi
357 ml
500 mg/5 Ampul 0 0 0 0 0 0 0 0 0 0 0
YAL JELLY
358 mL
SOLUTIO Ampul 0 0 0 0 0 0 0 0 0 0 0
359 N Botol 0 0 0 0 0 0 0 0 0 0 0
Kel.
Mengetah
Pinang
ui Penanggung Jawab Farmasi
Ranti -
Kepala
Kec.Puskesmas Pinang Ranti Puskesmas Kel. Pinang Ranti
Makasar
Jakarta Kel. Pinang Ranti - Kec. Makasa
Timur Jakarta Timur

dr.
NIP.
Witness
19680528
Yenni
19920320 Diah Waraswati, S.Si
05 NIK.1.02.0053.19850828201102067
TGL

PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
397 6347 528.9167
0 0 0
0 0 0
0 0 0
0 0 0
29 169 14.08333
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 140 11.66667
0 0 0
0 0 0
0 0 0
0 0

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
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 0 0
1 40 3.333333
0 0 0
0 0 0
0 0 0
400 1623 135.25
0 0 0
0 0
0 0
100 1995 166.25
0 0 0
0 0 0
0 0 0
0 0 0
70 208 17.33333
5 32 2.666667
0 0 0
1 1 0.083333

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
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 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 0
0 0 0
0 0 0

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
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 0 0
0 0 0
0 1 0.083333
0 0 0
0 0 0
30 280 23.33333
0 0 0
0 0 0
0 0 0
35 171 14.25
0 0 0
511 3509 292.4167
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
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 10 0.833333
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 6 0.5
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

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
10 10 0.833333
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 46 3.833333
0 0 0
0 0 0
880 13135 1094.583
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
650 1300 108.3333
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 0 0
890 1780 148.3333
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
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 15 1.25
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

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
0 0 0
0 0 0
0 0 0
0 76 6.333333
0 0 0
0 0 0
0 0 0
0 3 0.25
0 0 0
0 0 0
0 0 0
0 0 0
0 3 0.25
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
8 29 2.416667
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
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 1151 95.91667
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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
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 9 0.75
0 0 0
0 0 0
0 0 0
0 0 0
20 651 54.25
0 0 0
0 0 0
0 0 0
0 0 0
0 140 11.66667
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
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 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 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

JUMLAH
PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
0 0 0
0 0 0
0 0 0
0 0 0

nanggung Jawab Farmasi


s Kel. Pinang Ranti
Pinang Ranti - Kec. Makasar
Jakarta Timur

Diah Waraswati, S.Si


0053.19850828201102067
PUSKESMAPUSKESMAS KEL. PINANG RANTI DOKUMEN NOMOR
KECAMATAMAKASAR DINKES
KAB/KOTA JAKARTA TIMUR IF KAB/KOTA
PROPINSI DKI JAKARTA PUSKESMAS

NAMA
NO mgOBAT SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
1 (Dextral)
(HORVIT tablet 0 0 0 65 120 0
2 A)
mol 100 kapsul 20 110 0 0
3 mg tablet
(Glynasi tablet
4 n sirup)
supposit botol
supposit 129 9 26 40 13 23 21 10 30 19 43
5 oria)
(Levertra oria 30 15 0 0 0 0 0 0 5 16 3
6 n)
amp 20 tube 0 2 2 1 1 1 0 1 1 1
7 mL
c injeksi ampul
8 30 mg/ml
t steril ampul
9 1000 ml
Asering Botol
10 infus
KA-EN botol
11 3B infus
Paraseta botol
12 mol
MDTinfus
MB botol
box/6
13 Adult
MDT MB
Kombipa blister
box/6
14 Child
k:
MDT PB blister
box/6
15 Sefiksim
Adult blister
MDT
FDC PB box/6
16 40 mg +
Child
Kategori blister
Azitromis
17 II
in 100 paket 1
Pirimeth
18 mg
amin paket
19 tablet tablet
FDC
20 Kondom
ARV pcs
FDC
22 Dewasa
ARV paket
23 Anak paket
24 Duviral botol
Nevirapin
25 e botol

NAMA
NO OBAT
Efavirenz SATUAN JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUSSEPTEMBEROKTOBERNOVEMBER
26 e botol
27 Tenofovir
Lamivudi botol
28 n
Risperido botol
29 ne 1 mg tablet 120 80 0 0 120 90 120 60
30 Coverall
Face pcs
31 shield
Pelindun pcs
32 g Mata pcs
33 Softanol
Head botol 2
34 Cap
Sepatu pcs 25
35 Boot
Masker pasang
36 Karet
Masker box 5 6 8 8 8
Masker
37 Tali
Bedah box
Sarung
(TB)
Tangan pcs
Sarung
38 Uk S
Tangan box 3 4 2 4
Sarung
39 Uk M
Tangan box 3 2 8 3 1 1 4
Sarung
40 Uk L
Tangan box 2 3 2 2 3 1 0
steril
Selang pcs
41 Oksigen
Abbocat Pcs
42 20
SOFRATU Pcs
43 L PCS
44 Bisturi pcs
45 Kloretyl Botol
Mengetah
ui Penanggung Jawab Farma
Kel.
Pinang
Ranti -
Kepala
Kec.Puskesmas Pinang Ranti Puskesmas Kel. Pinang Ra
Makasar
Jakarta Kel. Pinang Ranti - K
Timur Jakarta Tim

dr.
NIP.
Witness
19680528
Yenni
19920320 Diah Waraswati, S.Si
05 NIK.1.02.0053.198508282
NOMOR TGL

PEMAKAI RATA-
AN PER RATA PER
DESEMBER TH TAHUN
59 244 20.33333
0 130 10.83333
0 0 0
71 434 36.16667
6 75 6.25
1 11 0.916667
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 2 0.166667
0 0
0 0
0 0
0 0
0 0
0 0
0

JUMLAH
PEMAKAI
AN PER KETERAN
DESEMBER TH GAN

Penanggung Jawab Farmasi


Puskesmas Kel. Pinang Ranti
Kel. Pinang Ranti - Kec. Makasar
Jakarta Timur

Diah Waraswati, S.Si


NIK.1.02.0053.19850828201102067

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