SISA STOK BULAN 2020-01

DEPO FARMASI RAWAT JALAN

No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

Abilifi Discmelt 10 Mg Tablet OTSUKA

1 INDONESIA, PT 30 0 5 25 23034 575850

2 Acarbose BKK 100 Mg Tablet DEXA MEDICA, PT 745 0 90 655 779 510245

3 Acarbose BKK 50 Mg Tablet DEXA MEDICA, PT 527 0 0 527 562 296174

4 Acetylcistein 200 mg. Kaplet INDOFARMA, PT 180 0 20 160 382.01 61121.6

Acyclovir BKK 200 Mg Tablet YARINDO
5 FARMATAMA, PT 5 0 0 5 236.01 1180.05

6 Adalat Oros 30 Mg Tablet BAYER INDONESIA, PT 788 0 180 608 3948 2400384
7 Aggravan 50 Mg Tablet FERRON, PT 66 0 7 59 5082 299838
Alopurinol BKK 100 Mg Tablet MERSIFARMA
8 TIRMAKU MERCUSANA, PT 610 0 397 213 99 21087
Alpentin (Gabapentin) BKK 100 mg.
9 Tablet ACTAVIS, PT 515 0 287 228 1045 238260
Alprazolam BKK 0.5 Mg Tablet MERSIFARMA
10 TIRMAKU MERCUSANA, PT 217 0 141 76 88 6688
11 Ambroxol 30 Mg Tablet BERNOFARM, PT 73 150 203 20 148.5 2970

Amlodipine besilate BKK 10 Mg Tablet

12 TEMPO SCAN PACIFIC, PT 865 0 490 375 93 34875

Amlodipine besilate BKK 5 Mg Tablet

13 TEMPO SCAN PACIFIC, PT 508 0 360 148 70 10360
Amoksisilin BKK 500 Mg Kaplet HEXPHARM
14 JAYA, PT 118 0 60 58 233 13514
15 Amoxsan 500 Mg Tablet SANBE FARMA, PT 186 0 0 186 3410 634260
Amoxycillin 125 Mg Syrup Kering
16 BERNOFARM, PT 6 0 1 5 3300 16500
17 Antalgin 500 Mg Tablet KIMIA FARMA, PT 39 0 15 24 256.74 6161.76
Antihemoroid 1 Supp Suppositoria KIMIA
18 FARMA, PT 4 0 0 4 3167.01 12668.04

19 Apisate 75 Mg Tablet SUNTHI SEPURI, WYETH, PT 5 0 0 5 12654.95 63274.75

Aricept Evess BKK 10 Mg Tablet EISAI
20 INDONESIA, PT 49 0 0 49 12485 611765
Asam askorbat (Vitamin C) BKK 50 Mg
21 Tablet KIMIA FARMA, PT 99 0 10 89 105 9345
Asam Mefenamat BKK 500 Mg Tablet
22 MERSIFARMA TIRMAKU MERCUSANA, PT 655 0 345 310 102.99 31926.9

Aseptic Liquid + sponge 100 ml Larutan

23 Onemed 5 0 1 4 23100 92400
Atarax 0.5 Mg Tablet MERSIFARMA TIRMAKU
24 MERCUSANA, PT 7 0 0 7 836.55 5855.85

25 Atorvastatin 20 Mg Tablet DEXA MEDICA, PT 278 0 60 218 835 182030

Avamys 200 mcg/puff Spray GLAXO
26 SMITHKLINE, PT 1 0 0 1 112476.1 112476.1

27 Avodart 0.5 Mg Tablet SMITHKLINE BEECHAM, PT 216 0 0 216 4935.01 1065962.16

28 Azitromicin 500 Mg Tablet KIMIA FARMA, PT 83 0 9 74 1777.99 131571.26

No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

Benzatin Penisilin 1.2 IU/ml Injeksi

29 PHAPROS, PT 18 0 0 18 13375.01 240750.18
BEROTEC Fenoterol Hydromide MDI 100
30 mcg/puff Inhalasi BOEHRINGER ING, PT 3 0 0 3 83190.01 249570.03

Betahistine Mesilate BKK 6 Mg Tablet DEXA

31 MEDICA, PT 303 0 49 254 110 27940

32 Betametason BKK 0.1 % Krim KIMIA FARMA, PT 8 0 0 8 1339.8 10718.4

Bicarbonas 500 Mg Tablet MEGA ESA FARMA, PT
33 MEF 466 0 60 406 99 40194
Binecap BKK 500 mg. Tablet FERRON
34 PAR PHARMACEUTICALS, PT 92 0 0 92 16899 1554708
35 Bisoprolol 5 Mg Tablet HEXPHARM JAYA, PT 2287 0 952 1335 260 347100
Breathy Nasal Spray BNS 1 Botol Tetes
36 Hidung NOVELL PHARMA, PT 2 0 0 2 78320 156640

37 Brilinta 90 Mg Tablet ASTRAZENECA INDONESIA, PT 948 0 240 708 8322.6 5892400.8

Bufacetin (Kloramfenikol) BKK 2 % Salep

38 BUFA ANEKA, PT 22 0 0 22 3038.2 66840.4
C.Carpin 5 ml MD 2 % Tetes Mata CENDO
39 PRATAMA, PT 4 0 0 4 19437 77748
C.Catarlent MD 0.6 ml Tetes Mata CENDO
40 PRATAMA, PT 14 0 3 11 20350 223850
C.Cenfresh MD 1 Mg Tetes Mata CENDO
41 PRATAMA, PT 4 3 6 1 23529 23529
C.Floxa MD 1 Mg Tetes Mata CENDO PRATAMA,
42 PT 7 0 0 7 27218.13 190526.91

43 C.Genta 0.3 % Tetes Mata CENDO PRATAMA, PT 11 0 0 11 16240.4 178644.4

C.Gentamycin 0.3 % Salep Mata CENDO
44 PRATAMA, PT 5 0 2 3 37211.63 111634.89

45 C.Hervis 1 Mg Salep Mata CENDO PRATAMA, PT 4 0 0 4 37393.13 149572.52

C.L f X Minidose 1 Dose Tetes Mata CENDO
46 PRATAMA, PT 13 0 1 12 70207.5 842490
47 C.Lyteers ED 4.4 Mg CENDO PRATAMA, PT 12 0 0 12 22893.75 274725

48 C.Mycos 1 % Salep Mata CENDO PRATAMA, PT 12 0 0 12 26862 322344

C.Mydriatil 1 % Tetes Mata CENDO PRATAMA,
49 PT 4 0 0 4 39129.75 156519
C.Pantocain 2 % Tetes Mata CENDO PRATAMA,
50 PT 3 0 1 2 13481.93 26963.86
C.Polydex MD 1 Mg Tetes Mata CENDO
51 PRATAMA, PT 11 0 0 11 26963.83 296602.13
C.Polynel MD 1 % Tetes Mata CENDO
52 PRATAMA, PT 20 0 1 19 18187.82 345568.58
53 C.Tobroson 1 Mg Gel CENDO PRATAMA, PT 3 0 0 3 44006.88 132020.64

54 C.Tropin 1 % Tetes Mata CENDO PRATAMA, PT 2 0 1 1 12718.75 12718.75

C.Vernacel MD 3 Mg Tetes Mata CENDO
55 PRATAMA, PT 17 0 0 17 21113.13 358923.21

56 C.Xytrol 5 ml Tetes Mata CENDO PRATAMA, PT 13 0 4 9 27726.88 249541.92

57 Calos 500 Mg Tablet Kunyah FAHRENHEIT, PT 140 0 105 35 641.67 22458.45

No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

Candesartan cilexetil BKK 16 Mg Tablet

58 DEXA MEDICA, PT 1548 0 667 881 898 791138

Candesartan cilexetil BKK 8 Mg Tablet

59 DEXA MEDICA, PT 1224 0 460 764 518.99 396508.36

60 Captopril BKK 12.5 Mg Tablet KIMIA FARMA, PT 136 0 0 136 62 8432

Casodex (biklutamid) BKK 50 mg. Tablet
61 ASTRAZENECA INDONESIA, PT 52 0 0 52 10998.98 571946.96

62 Cefadroxil 500 Mg Kapsul HEXPHARM JAYA, PT 43 0 0 43 550 23650

Cefadroxil BKK 125 mg/5 mL Syrup PT HOLI
63 PHARMACEUTICALINDUSTRIES 5 0 1 4 3921.5 15686
Cefat 125 mg/5 mL Syrup Kering SANBE
64 FARMA, PT 3 0 0 3 45980 137940
65 Cefat 500 Mg Kapsul SANBE FARMA, PT 130 0 10 120 10884.5 1306140

Cefat Forte 250 mg/5 mL Syrup Kering

66 SANBE FARMA, PT 7 0 0 7 79530 556710

67 Cefixim 100 Mg Kapsul HEXPHARM JAYA, PT 509 0 190 319 730 232870
Cellcept BKK 500 Mg Tablet BOEHRINGER ING,
68 PT 75 0 0 75 17654 1324050
Cepezet 100 Mg Tablet MERSIFARMA TIRMAKU
69 MERCUSANA, PT 87 0 30 57 396 22572
Cetirizine hydrochloride BKK 10 Mg
70 Tablet FUTAMED PT 206 0 40 166 90 14940
Chlorpheniramin meleat (CTM) BKK 4
71 mg. Tablet Novapharine, PT 101 0 48 53 22 1166
Ciprofloxacin REG 500 Mg Tablet HEXPHARM
72 JAYA, PT 143 0 35 108 264 28512

73 Citicolin 500 Mg Tablet HEXPHARM JAYA, PT 154 0 119 35 2799.97 97998.95

74 Claneksi 125 mg/1 mL Syrup SANBE FARMA, PT 2 0 0 2 56980 113960

75 Claneksi 500 Mg Tablet SANBE FARMA, PT 38 0 0 38 12925 491150
Claneksi Forte 250 mg/1 mL Syrup SANBE
76 FARMA, PT 3 0 1 2 75570 151140
Clindamycin 150 Mg Kapsul NOVELL PHARMA,
77 PT 115 0 0 115 759 87285
Clindamycin 300 Mg Tablet MERSIFARMA
78 TIRMAKU MERCUSANA, PT 90 0 0 90 583 52470
Clonazepam 2 Mg Tablet MERSIFARMA TIRMAKU
79 MERCUSANA, PT 254 0 0 254 494000.1 125476025.4
80 Clonidin 0.15 Mg Tablet INDOFARMA, PT 861 0 0 861 204.8 176332.8
Clopidogrel BKK 75 Mg Tablet DEXA MEDICA,
81 PT 1098 0 277 821 1318 1082078
82 Clozapine BKK 100 Mg DEXA MEDICA, PT 283 0 20 263 3622.01 952588.63

83 Clozapine BKK 25 Mg Tablet DEXA MEDICA, PT 659 0 195 464 1121 520144
Co-Amoxyclav DK 500 Mg Tablet Dinas
84 Kesehatan 41 0 0 41 0 0

85 CODEINE BKK 10 Mg Tablet KIMIA FARMA, PT 76 0 10 66 571 37686

86 CODEINE BKK 20 Mg Tablet KIMIA FARMA, PT 134 0 0 134 1299 174066

No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

Combivent UDV BKK 2.5 ml Inhalasi

87 BOEHRINGER ING, PT 18 0 0 18 4550 81900
Coralan (Ivabradin) 5 Mg Tablet DARYA VARIA
88 LABORATORIES, PT 287 0 0 287 7260 2083620
89 Cripsa 2.5 Mg Tablet SANBE FARMA, PT 34 0 0 34 10003 340102
Curcuma 200 Mg Tablet SOHO
90 INDUSTRIPHARMASI, PT 247 0 30 217 416.2 90315.4

91 Cutimed Sorbact Gel - Gel BSN Medical, PT 1 0 0 1 82984 82984

Deksametason 0.5 Mg Kaplet PT PROMED
92 RAHARDJOFARMASI INDUSTRI 249 0 195 54 90.75 4900.5

Depakote (Valproat) BKK 250 Mg Tablet

93 ABBOT INDONESIA, PT 833 0 60 773 1200.1 927677.3

Depakote ER (Valproat) 500 Mg Tablet

94 ABBOT INDONESIA, PT 287 0 78 209 5928 1238952
Desoksimetason BKK 0.25 % Krim DEXA
95 MEDICA, PT 13 0 0 13 10399.99 135199.87

Diazepam (i.v. / i.m.) BKK 5 mg/ml Injeksi

96 MEPROFARM, PT 4 0 0 4 1735.03 6940.12

97 Diazepam 2 Mg Tablet YARINDO FARMATAMA, PT 23 0 20 3 86 258

Diazepam BKK 5 Mg Tablet MERSIFARMA
98 TIRMAKU MERCUSANA, PT 205 0 54 151 109 16459
99 Diazepam DK 5 Mg Tablet Dinas Kesehatan 1461 0 20 1441 0 0

100 Digoxin 0.25 Mg Tablet YARINDO FARMATAMA, PT 320 0 0 320 104 33280
Dimenhidrinat BKK 50 Mg Tablet KIMIA
101 FARMA, PT 74 0 0 74 105 7770
Domperidon BKK 5 mg/5 mL Sirup
102 Novarindo 5 0 2 3 2700.35 8101.05
Dopamet (Metildopa) 250 Mg Tablet
103 ACTAVIS, PT 143 0 0 143 946 135278

Dorner (Beraprost Sodium) BKK 20 Mcg

104 Tablet PT. COMBINED IMPERIAL PHARMACEUTICALS 243 0 0 243 4873 1184139
Doxycyclin 100 Mg Kapsul YARINDO
105 FARMATAMA, PT 99 0 0 99 280 27720
Dulcolax BKK 10 mg. Rektal BOEHRINGER ING,
106 PT 5 0 0 5 5900 29500
Durogesic (Fentanil patch) BKK 12.5
107 mcg/hr Kassa KIMIA FARMA, PT 2 0 0 2 101634.01 203268.02
Durogesic (Fentanyl patch) BKK 25
108 mcg/hr Kassa KIMIA FARMA, PT 9 0 0 9 195519.94 1759679.46
109 Endrolin 3.75 Mg Injeksi KALBE FARMA, PT 10 0 0 10 534800 5348000
Epinefrin (Adrenalin) (0,1%) BKK 1 mg/ml
110 Injeksi ETHICA, PT 26 0 0 26 1408 36608

111 Erythromycin 250 Mg Kapsul PT LUCAS JAYA 225 0 120 105 583 61215
112 Ethambutol BKK 500 Mg KIMIA FARMA, PT 135 0 22 113 508 57404
Euthyrox (Levotiroksin) BKK 100 Mcg
113 Tablet MERCK INDONESIA, PT 662 0 0 662 1021 675902
114 Ferxate 2.5 Mg Tablet FERRON, PT 26 0 4 22 2200 48400
No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

Fitomenadion (Vitamin K1) BKK 10 Mg

115 Tablet PHAPROS, PT 43 0 0 43 710.02 30530.86
116 Fleet Enema 1 - Larutan COMBIPHAR, PT 3 0 2 1 35750 35750
Fleet Phosphosoda 45 ml Larutan
117 COMBIPHAR, PT 1 0 0 1 36300 36300

FLIXOTIDE (Flutikason Propionat

micronized) BKK 0.5 mg/dosis Nebules
118 GLAXO SMITHKLINE, PT 17 0 0 17 14929.2 253796.4
Fluconazol BKK 150 Mg Kapsul KIMIA FARMA,
119 PT 36 0 15 21 18720.02 393120.42
120 Flunarizine 5 Mg Tablet BERNOFARM, PT 104 0 68 36 963.16 34673.76

121 Folic Acid BKK Mg Tablet PT MARIN LIZA FARMA 586 0 245 341 70 23870

Forumen 10 ml 5 mg/ml Tetes Telinga

122 SANBE FARMA, PT 7 0 0 7 23889.25 167224.75
Fridep (Setralin) 50 Mg Tablet MERSIFARMA
123 TIRMAKU MERCUSANA, PT 344 0 60 284 2605.16 739865.44
124 Furosemid 40 Mg Tablet KIMIA FARMA, PT 317 0 247 70 82.01 5740.7
Furosemide BKK 40 mg. Injeksi DEXA MEDICA,
125 PT 12 0 0 12 1333 15996
Gemfibrozil BKK 300 Mg Kapsul INDOFARMA,
126 PT 116 0 0 116 372 43152
Gentamicin 0,3% BKK 3 mg/gr Salep
127 Mata ERELA, PT 2 0 0 2 2675.2 5350.4

128 Gentamycin Oint 0.1 % Salep KIMIA FARMA, PT 15 0 4 11 3285.81 36143.91

129 Glibenklamide 5 Mg Tablet INDOFARMA, PT 50 0 0 50 119.01 5950.5

Gliclazide BKK 80 mg. Tablet TEMPO SCAN
130 PACIFIC, PT 260 0 0 260 220 57200

131 Glikuidon BKK 30 Mg Tablet DEXA MEDICA, PT 1195 0 175 1020 1075 1096500
Glimepiride BKK 1 mg. Tablet DEXA MEDICA,
132 PT 216 0 35 181 174 31494
133 Glimepiride BKK 2 Mg DEXA MEDICA, PT 407 0 157 250 207 51750
Glimepiride BKK 3 mg. Tablet DEXA MEDICA,
134 PT 120 0 0 120 245 29400

135 Glivec (Imatinib) 100 Mg Tablet NOVARTIS, PT 52 0 0 52 35166.68 1828667.36

136 Glucolin 75 Gram 17 0 3 14 4375 61250

HAEMOCTIN 250 Faktor VIII Konsentrat

250 IU/vial 250 UI/vial Injeksi KIMIA FARMA,
137 PT 18 0 17 1 924535.07 924535.07
Haldol Decanoas (Haloperidol) 50 mg/ml
138 Injeksi SOHO INDUSTRIPHARMASI, PT 8 0 0 8 101300 810400

Harnal Ocas (Tamsulosin) BKK 4 Mg

139 Tablet PT. COMBINED IMPERIAL PHARMACEUTICALS 306 0 0 306 4799.01 1468497.06
140 HCT 25 Mg Tablet KIMIA FARMA, PT 441 0 135 306 155 47430
Herbesser CD (Diltiazem) BKK 100 Mg
141 Tablet TANABE INDONESIA, PT 51 0 0 51 4460.01 227460.51
Herbesser CD (Diltiazem) BKK 200 Mg
142 Tablet TANABE INDONESIA, PT 139 0 0 139 4835 672065
No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

Hidrocortison BKK 2.5 % Krim KIMIA FARMA,

143 PT 4 0 2 2 2475 4950
Humalog Kwikpen (Rapid insulin) BKK
144 100 IU/ml Injeksi BAYER INDONESIA, PT 35 0 3 32 87000.1 2784003.2

Humalog Mix 50 Kwikpen (Mix Insulin)

145 BKK 100 IU/ml Injeksi BAYER INDONESIA, PT 15 0 5 10 110968 1109680
Hydroxyurea Medac (Hidroksi Urea) BKK
146 500 Mg Tablet DIPA PHARMALAB, PT 84 0 7 77 3800 292600
Ikalep 120mL 250 mg/5 mL Syrup
147 IKAPHARMINDO PUTRAMAS, PT 16 0 0 16 34650 554400

Imuran (Azatioprin) BKK 50 Mg Tablet

148 GLAXO SMITHKLINE, PT 124 0 0 124 7480 927520
149 INH 300 Mg Tablet KIMIA FARMA, PT 133 0 15 118 164 19352

Inviclot (Heparin) BKK 5000 UI/mL Injeksi

150 Pratapa Nirmala 12 0 0 12 43995.01 527940.12

151 Iressa 250 Mg Tablet ASTRAZENECA INDONESIA, PT 15 60 30 45 280000.01 12600000.45

Isosorbid Dinitrat BKK 5 Mg Tablet YARINDO
152 FARMATAMA, PT 160 0 30 130 89 11570
Isotic Adretor BKK 0.5 % Tetes Mata
153 PRATAPA NIRMALA, PT 9 0 5 4 11275 45100

Kalitake (Kalsium polistirena sulfonat)

154 BKK 5 Gram Serbuk DIPA PHARMALAB, PT 44 0 20 24 4999 119976
Karbamazepin BKK 200 Mg Tablet
155 MERSIFARMA TIRMAKU MERCUSANA, PT 609 0 120 489 230.01 112474.89
Kendaron BKK 200 Mg Tablet DARYA VARIA
156 LABORATORIES, PT 84 0 0 84 1026.99 86267.16
Ketokonazol 10 gr BKK 2 % Krim KIMIA
157 FARMA, PT 3 0 0 3 2517.9 7553.7
Ketokonazol BKK 200 mg. Tablet
158 Novapharine, PT 103 0 0 103 270 27810
159 Ketorolac 10 Mg Tablet BERNOFARM, PT 15 60 39 36 1012 36432

160 Klobazam BKK 10 Mg Tablet DEXA MEDICA, PT 126 0 0 126 739 93114

KSR (Kalium Klorida) BKK 600 Mg Tablet

161 MERCK INDONESIA, PT 264 0 75 189 1755 331695
Laktulosa BKK 60 ml Sirup IKAPHARMINDO
162 PUTRAMAS, PT 11 0 5 6 15060.1 90360.6

LAMICTAL Lamotrigin BKK 50 Mg Tablet

163 GLAXO SMITHKLINE, PT 159 0 0 159 2650.01 421351.59
Lantus (Analog long insulin) BKK 100
164 IU/ml Injeksi AVENTIS PHARMA 32 0 9 23 83950.02 1930850.46

Levemir Flexpen (Analog long insulin)

165 BKK 100 IU Injeksi PT. Beta Pharmacon 26 0 0 26 83950 2182700
Levofloxacin BKK 500 Mg Tablet PT PROMED
166 RAHARDJOFARMASI INDUSTRI 73 0 15 58 424.01 24592.58

167 Lezra (letrozole) BKK 2.5 mg. Tablet ACTAVIS, PT 330 0 0 330 3899.14 1286716.2
168 Lidocaine BKK 2 % Injeksi PHAPROS, PT 17 0 0 17 1140.01 19380.17
169 Liprolac 0 - Serbuk KALBE FARMA, PT 27 0 0 27 4700.01 126900.27
170 Lisinopril 10 Mg DEXA MEDICA, PT 110 0 0 110 259.01 28491.1
No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

171 Lisinopril 5 Mg Tablet DEXA MEDICA, PT 240 0 0 240 220 52800

172 Mefinal 500 Mg Kaplet SANBE FARMA, PT 58 0 22 36 1430 51480
Merlopam (Lorazepam) BKK 0.5 Mg
173 Tablet MERSIFARMA TIRMAKU MERCUSANA, PT 257 0 50 207 355 73485

Mestinon (Piridostigmin) 60 Mg Tablet PT

174 Menarini Indria Laboratories 227 0 60 167 7513 1254671
Metformin BKK 500 Mg Tablet HEXPHARM
175 JAYA, PT 1721 0 1094 627 96 60192
Metformin BKK 850 Mg Tablet TEMPO SCAN
176 PACIFIC, PT 405 0 90 315 150 47250
Methotrexate 50 MG 50 Mg Injeksi DANKOS
177 FARMA, PT 10 0 0 10 38500 385000
Methyl Prednisolon 4 Mg Tablet MOLEX
178 AYUS, PT 1083 0 225 858 143 122694

Methylergometrin BKK 0.125 Mg Tablet

179 KIMIA FARMA, PT 46 0 0 46 210 9660
Metoklopramide BKK 10 Mg Tablet GRAHA
180 FARMA, PT 180 0 0 180 80 14400
Metronidazole Tab 500 Mg Tablet KIMIA
181 FARMA, PT 163 0 40 123 257.4 31660.2
Micardis BKK 80 Mg Tablet BOEHRINGER ING,
182 PT 174 0 0 174 5409 941166

Micardis telmisartan BKK 40 mg. Tablet

183 BOEHRINGER ING, PT 151 0 0 151 3045 459795
Miconazole 2% BKK 10 Gram Salep KIMIA
184 FARMA, PT 2 0 1 1 3414 3414

Miniaspi (Asam Asetilsalisilat / Asetosal)

BKK 80 Mg Tablet MERSIFARMA TIRMAKU
185 MERCUSANA, PT 1415 0 644 771 105 80955
Misoprostol 200 Mcg Tablet GUARDIAN
186 PHARMATAMA, PT 296 0 0 296 3575 1058200

MST Continus (Morfin HCL) 10 Mg Tablet

187 MAHAKAM BETA FARMA, PT 12 0 0 12 15620 187440

188 Na Diklofenak 25 Mg Tablet PHAPROS, PT 161 0 90 71 136.99 9726.29

Nerilon (Diflukortolon valerat) 10 gram
189 0.1 % Krim INTERBAT, PT 10 0 0 10 29700 297000

Nimotop (Nimodipine) BKK 30 Mg Tablet

190 BAYER INDONESIA, PT 241 0 0 241 3842 925922
Nitrokaf Retard (Gliseril trinitrat) BKK 2.5
191 Mg Tablet KIMIA FARMA, PT 786 0 390 396 1560 617760
Nopres (Fluoksetin) 20 Mg Tablet DEXA
192 MEDICA, PT 1272 0 155 1117 901.45 1006919.65

193 Notisil BKK 2 mg. Tablet NOVELL PHARMA, PT 1121 0 195 926 699 647274

NOVOMIX Mix Insulin BKK 30 - Injeksi PT.

194 Beta Pharmacon 68 0 7 61 110968 6769048

195 Novorapid BKK 3 ml Injeksi PT. Beta Pharmacon 56 0 33 23 87000 2001000

OAT Anak I (Rif 75 INH 50 PZA 150mg) DK

196 1 Tablet Tablet INDOFARMA, PT 512 0 0 512 0 0
No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

OAT Anak II (Rif 75mg INH 50mg) DK 1

197 Tablet Tablet INDOFARMA, PT 2212 0 210 2002 0 0

OAT Dewasa I (Rif 150mg INH 75mg PZA

400mg Etb 275mg) 1 Tablet Tablet
198 INDOFARMA, PT 1147 0 148 999 0 0
OAT Dewasa II (Rif 150mg INH 150mg) 1
199 Tablet Tablet INDOFARMA, PT 4000 0 216 3784 0 0

200 OBH 100 ml Syrup IKAPHARMINDO PUTRAMAS, PT 12 0 5 7 3868.37 27078.59

Octanine F 500 UI Injeksi SATYA ABADI PERSADA,
201 PT 4 0 1 3 4929980 14789940
202 Ofloxacin 200 Mg Tablet INDOFARMA, PT 20 0 15 5 427 2135

Olanzapine BKK 10 Mg Film coated tablet

203 DEXA MEDICA, PT 867 0 0 867 4725 4096575

Olanzapine BKK 5 Mg Film coated tablet

204 DEXA MEDICA, PT 278 0 210 68 3149.99 214199.32

Ondansentron inj BKK 4 mg/2 mL Injeksi

205 DEXA MEDICA, PT 1 0 0 1 1070 1070
Oralit DK 1 sachet Granul PT RAMA EMERALD
206 MULTISUKSES 65 0 0 65 0 0
Ostovel (Kalsitriol / vitamin D3) BKK 0.25
207 Mcg Kapsul NOVELL PHARMA, PT 22 0 0 22 1650 36300
Otsu WI (Air untuk injeksi) BKK 25 ml
208 Injeksi OTSUKA INDONESIA, PT 7 0 1 6 2860 17160

209 Parasetamol 500 Mg Tablet KIMIA FARMA, PT 44 300 254 90 195 17550
Parasetamol BKK 100 mg/ml Drops
210 INDOFARMA, PT 1 0 0 1 6649.01 6649.01

211 Pethidine 50 mg/ml Injeksi KIMIA FARMA, PT 10 0 0 10 19481 194810

Phenitoin BKK 100 Mg Kapsul IKAPHARMINDO
212 PUTRAMAS, PT 546 0 330 216 158 34128
Phenobarbital BKK 30 mg. Tablet KIMIA
213 FARMA, PT 127 0 0 127 171 21717
Pioglitazone BKK 30 Mg Tablet PRATAPA
214 NIRMALA, PT 210 0 150 60 3575 214500

215 Piracetam 1200 Mg Tablet HEXPHARM JAYA, PT 105 0 0 105 776.16 81496.8
Prednison 5 Mg Tablet PT HOLI
216 PHARMACEUTICALINDUSTRIES 235 0 225 10 73 730
Pregabalin 75 Mg Tablet MAHAKAM BETA
217 FARMA, PT 18 0 0 18 3575 64350
Primolut N 5 Mg Tablet SCHERING PLOUGH
218 INDONESIA, PT 25 0 0 25 5585.91 139647.75
Procain Benzylpenisilin 3 UI Injeksi
219 PHAPROS, PT 27 0 0 27 12385.48 334407.96

Prohiper (Metilfenidat) BKK 10 Mg Tablet

220 MERSIFARMA TIRMAKU MERCUSANA, PT 205 0 0 205 1550 317750
Propylthiouracil (PTU) 100 Mg Tablet DEXA
221 MEDICA, PT 538 0 100 438 496.39 217418.82

222 Ramipril BKK 2.5 Mg Tablet DEXA MEDICA, PT 110 0 0 110 295 32450

223 Ramipril BKK 5 Mg Tablet DEXA MEDICA, PT 1419 0 570 849 245 208005
No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

224 Ranitidin 150 Mg Tablet HEXPHARM JAYA, PT 146 0 94 52 108 5616

Ranitidin BKK 25 mg/ml Injeksi SOHO
225 INDUSTRIPHARMASI, PT 11 0 0 11 1155 12705
226 Rhodium 0 - Tablet KIMIA FARMA, PT 80 0 14 66 5104 336864

227 Rifampicin BKK 450 Mg Tablet INDOFARMA, PT 80 0 0 80 868 69440

228 Ringer Laktat 500 ml Infus WIDATRA BHAKTI, PT 1 0 0 1 7630 7630

229 Risperidon BKK 2 Mg Tablet DEXA MEDICA, PT 1593 0 535 1058 273 288834

230 Salbutamol BKK 4 Mg Tablet GRAHA FARMA, PT 48 50 53 45 70 3150

Sandimun Neoral (Siklosporin) 100 Mg
231 Kapsul NOVARTIS, PT 12 0 0 12 42500.02 510000.24
Sandimun Neoral (Siklosporin) 25 Mg
232 Kapsul NOVARTIS, PT 48 0 14 34 11800 401200
Scabimite 10 gr 5 % Krim YUPHARIN
233 PHARMACEUTICALS, PT 10 0 0 10 11825 118250
234 Scanlux 300 BKK 50 ml Injeksi 6 0 4 2 187000 374000
235 Scanlux 370 BKK 100 ml Injeksi 12 0 1 11 410553 4516083
236 Scanlux 370 BKK 50 ml Injeksi 5 0 2 3 223245 669735

Seretide Diskus BKK 100 mcg/puff Spray

237 GLAXO SMITHKLINE, PT 12 0 0 12 103816.9 1245802.8
Seretide Diskus BKK 250 Mcg Inhalasi
238 GLAXO SMITHKLINE, PT 2 0 1 1 116686.9 116686.9

Sifrol (Pramipeksol) BKK 0.75 Mg Tablet

239 BOEHRINGER ING, PT 162 0 0 162 13200 2138400
Sikzonate 25 mg/ml Injeksi MERSIFARMA
240 TIRMAKU MERCUSANA, PT 9 0 0 9 63813 574317
Simvastatin 10 Mg Tablet YARINDO FARMATAMA,
241 PT 946 0 634 312 117 36504

242 Spironolakton 25 Mg Tablet DEXA MEDICA, PT 1421 0 259 1162 208 241696

Stalevo (Levodopa 100 mg + Karbidopa

25 mg + Entekapon 200 mg) 1 Tablet
243 Tablet NOVARTIS, PT 180 0 0 180 8800 1584000
Stesolid (Diazepam enema) BKK 10
244 mg/2,5 mL Tube Rectal ACTAVIS, PT 5 0 0 5 18279.8 91399
Stesolid (Diazepam enema) BKK 5 mg/2,5
245 mL Tube Rectal ACTAVIS, PT 7 0 0 7 12573 88011

246 Streptomycin 1 Gram Injeksi PHAPROS, PT 3 0 0 3 5200 15600

Sucralfat syr BKK 500 mg/5 mL Syrup
247 MEPROFARM, PT 20 0 17 3 6789.2 20367.6
Sulfadiazine silver DK 10 Mg Krim DARYA
248 VARIA LABORATORIES, PT 2 0 0 2 0 0
Sulfadoxin Pirimethamin BKK 500 Mg
249 Tablet KIMIA FARMA, PT 100 0 0 100 616 61600
Suprafenid BKK 100 mg. Suppositoria
250 MEPROFARM, PT 4 0 0 4 2379.96 9519.84
Tamofen (Tamoksifen) BKK 10 Mg Tablet KALBE
251 FARMA, PT 559 0 0 559 1987 1110733
No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

Tanapress (Imidapril) 10 Mg Tablet TANABE

252 INDONESIA, PT 537 0 0 537 4554 2445498

Tanapress (Imidapril) BKK 5 Mg Tablet

253 TANABE INDONESIA, PT 36 0 0 36 2530 91080

254 Tarivid 3 % Tetes Telinga KALBE FARMA, PT 9 0 4 5 42900 214500

Thyrozol (Tiamazol) BKK 5 Mg Tablet MERCK
255 INDONESIA, PT 563 0 58 505 630 318150

256 Topamax BKK 50 Mg Tablet JANSSEN - CILAG, PT 225 0 0 225 5925 1333125
257 Tramadol 50 Mg Tablet INDOFARMA, PT 111 0 8 103 329.67 33956.01
258 Tremenza 1 - Tablet SANBE FARMA, PT 74 0 0 74 1523.5 112739
Trifluoperazin BKK 5 Mg Tablet MERSIFARMA
259 TIRMAKU MERCUSANA, PT 1128 0 270 858 269.01 230810.58

260 Valproat 250 mg/5 mL Syrup DEXA MEDICA, PT 4 0 1 3 15789.4 47368.2

261 Valsartan BKK 160 Mg Tablet Etercon Pharma 173 0 0 173 999 172827
262 V-Bloc 6.25 Mg Tablet KALBE FARMA, PT 174 0 28 146 1665 243090
Venodenol (Polidocanol) 3 % Injeksi
263 FAHRENHEIT, PT 5 0 0 5 156750 783750

264 Ventolin 2.5 Mg Nebules GLAXO SMITHKLINE, PT 3 0 0 3 3999.99 11999.97

265 Verapamil BKK 80 mg. Tablet KIMIA FARMA, PT 60 0 0 60 314 18840

VIGAMOX Moksifloksasin BKK 0.5 % Tetes
266 Mata TEMPO SCAN PACIFIC, PT 7 0 0 7 81000 567000
Vitamin B 12 BKK 50 Mcg Tablet PT MARIN
267 LIZA FARMA 334 0 109 225 46 10350
Vitamin B komplek BKK 0 - Tablet KIMIA
268 FARMA, PT 345 0 135 210 117 24570
Vitamin B6 (Piridoksin) 10 Mg Tablet KIMIA
269 FARMA, PT 552 0 272 280 131 36680
XALATAN Latanoprost BKK 0.005 % Tetes
270 Mata PFIZER INDONESIA, PT 13 0 0 13 120650.2 1568452.6
Xylocain (Lidokain jeli) BKK 2 % Gel
271 ASTRAZENECA INDONESIA, PT 5 0 2 3 41600.02 124800.06
Zinc sulfate 20 mg/5 mL Sirup TEMPO SCAN
272 PACIFIC, PT 17 0 1 16 3171 50736
273 Zitanid 20 mg. Tablet NOVELL PHARMA, PT 82 0 0 82 4537.5 372075
Zoladex (Goserelin asetat) 3.6 Mg Injeksi
274 ASTRAZENECA INDONESIA, PT 3 0 0 3 978828.4 2936485.2
Zoladex (Goserelin Asetat) BKK 10.8 Mg
275 Injeksi ASTRAZENECA INDONESIA, PT 1 0 0 1 2565673 2565673
Zyprexa (Olanzapin) BKK 10 mg/vial
276 Injeksi BAYER INDONESIA, PT 5 0 0 5 132496.1 662480.5
Total Persediaan 272244801.9
 SISA STOK BULAN 2020-01
DEPO FARMASI RAWAT JALAN
No. Nama Barang Awal Masuk Keluar Sisa HPP

Active Life/ Custom Cut Adult Alkes

1 CONVATEC, PT 4 0 0 4 59320.8

2 Bisturi 10 10 - Alkes TRICIPTA PT 9 0 0 9 3000

3 Bisturi 11 11 - Alkes B BRAUN, PT 4 0 0 4 2790.01

4 Bisturi 20 20 - Alkes B BRAUN, PT 10 0 0 10 2790.01

5 Cath Folley 10 Bard BKK 0 BARDIA, PT 2 0 0 2 85426

Cath Folley 12 BKK 0 Alkes Axion
6 Healthindo 2 0 0 2 11565.4

7 Cath Folley 14 BKK 1 - Alkes Chroma 2 0 0 2 10340

Cath Folley 16 BKK 0 Alkes Axion
8 Healthindo 9 0 0 9 11565.4
Cath Folley 18 BKK 0 Alkes Axion
9 Healthindo 7 0 0 7 11565.4

10 Cath folley 20 wrp BKK 0 - Alkes 2 0 0 2 11275

11 Cath Folley 6 NORTA 1 - Alkes NORTA 3 0 0 3 46057.63

12 Cath Folley 8 Bard BKK BARDIA, PT 3 0 1 2 85426

13 Cath Suction 8 0 - Alkes Cosmomed 3 0 0 3 2600

14 Chlorotulle 0 - Alkes Sentra Asia Gemilang, PT 23 0 0 23 4840

15 Colostomy Bag 1 - Alkes TRICIPTA PT 21 0 0 21 10615

16 Discofix BKK - Alkes Sentra Asia Gemilang, PT 2 0 0 2 5720

17 Disposible 50 cc BKK 29 0 0 29 6930

Disposible Spuit 1 cc Tuberculin 1 Cc

18 Alkes TERUMO, PT 0 15 4 11 1430

Disposible Spuit 20 cc BKK - Alkes

19 TERUMO, PT 27 0 9 18 1980

Disposible Spuit 3 cc BKK - Alkes

20 TERUMO, PT 71 0 0 71 1137.99

Disposible Spuit 5 cc BKK - Alkes

21 TERUMO, PT 49 0 1 48 1599.91

22 Gypsona 3 1 - Alkes BSN Medical, PT 1 0 0 1 24077.9

23 Gypsona 6 1 - Alkes BSN Medical, PT 4 0 0 4 44204.6

24 Kassa Steril 16 x 16 BKK 9 0 1 8 7370

25 Maag Slang 12 BKK 1 - Alkes TERUMO, PT 2 0 0 2 12430

26 Maag Slang 14 BKK 1 - Alkes TERUMO, PT 1 0 0 1 12430

No. Nama Barang Awal Masuk Keluar Sisa HPP

27 Maag Slang 16 BKK - Alkes TERUMO, PT 3 0 0 3 12430

28 Maag Slang 18 BKK - Alkes TERUMO, PT 6 0 0 6 12430

Maag Slang 20 BKK 0 Alkes Axion
29 Healthindo 2 0 0 2 4340.6
30 Maag Slang 6 BKK 3 0 0 3 7700

31 Maag Slang 8 BKK Axion Healthindo 3 0 1 2 8030

32 Micromist Adult BKK 3 0 0 3 9200

33 Micromist Ped BKK - Alkes Delvi 3 0 0 3 9200

34 Nasal Canula Adult BKK 0 - Alkes Delvi 1 0 0 1 4000.01

Otsucath 24 G BKK - Alkes OTSUKA
35 INDONESIA, PT 6 0 1 5 8250

Pen Needle 31G BKK 1 - Alkes BSN

36 Medical, PT 300 0 70 230 1678.01

37 Poliband 3 inch 0 - Alkes SNA Medika, PT 1 0 0 1 11700

Poliband 4 inc BKK 0 - Alkes SNA Medika,

38 PT 8 0 0 8 14425

39 Poliband 6 inch 0 - Alkes SNA Medika, PT 3 0 0 3 27500

40 Poligyp 4 Inch BKK - Alkes SNA Medika, PT 9 0 0 9 21079.99

41 Pot Plastik 30 cc Alkes 84 0 1 83 704
42 Pot Plastik 50 cc - Alkes 28 0 1 27 968
Sarung Tangan Medigrip Latex 7.5 1 -
43 Alkes 4 0 0 4 7040
Troge 18 BKK 1 - Alkes PT GLOBAL
44 MULTIPHARMALAB 5 0 0 5 14624.06
Troge 20 BKK 1 - Alkes PT GLOBAL
45 MULTIPHARMALAB 12 0 0 12 14624.06
Troge 22 BKK 1 - Alkes PT GLOBAL
46 MULTIPHARMALAB 4 0 0 4 14624.06

Uniflex 3 inch (7.5x4.5 m) - Alkes BSN

47 Medical, PT 5 0 0 5 20300.5

Uniflex 6 inch (15x4.5 m) - Alkes BSN

48 Medical, PT 7 0 0 7 33700
49 Urin Bag BKK 1 - Alkes 14 0 0 14 5500
50 Verban 4X10 1 - Alkes 20 0 0 20 1599.99

51 Wing Needle 19 1 - Alkes TERUMO, PT 7 0 4 3 5642.56

52 Wing Needle 23 BKK 20 0 0 20 5643

53 Wing Needle 27 1 - Alkes TERUMO, PT 3 0 0 3 12210

Total Persediaan
Asset

237283.2

27000

11160.04

27900.1

170852

23130.8

20680

104088.6

80957.8

22550

138172.89

170852

7800

111320

222915

11440
200970

15730

35640

80797.29

76795.68

24077.9

176818.4
58960

24860

12430
Asset

37290

74580

8681.2
23100

16060
27600

27600

4000.01

41250

385942.3

11700

115400

82500

189719.91
58432
26136

28160

73120.3

175488.72

58496.24

101502.5

235900
77000
31999.8

16927.68
112860

36630
4173258.36