Rko Penggunaan Obat RS 2018

Nama Rumah Sakit : Rumah Sakit Umum Lirboyo
Kelas RS :D
Tipe RS :D
Jenis RS : Umum
Kabupaten/ Kota : Kediri
Propinsi : Jawa Timur
Kepemilikan : Swasta
No Nama Obat Kekuatan Dosis
1 Acyclovir 400 mg 400 mg

2 Acyclovir 200 mg 200 mg
3 Acyclovir cream 50 mg
4 Acarbose 50mg 50 mg
Dexamethasone 1 mg
5 Alletrol TM Neomycin sulfate 3,5 mg
Polymixin b sulfate 6000 IU
6 Alkohol 96% 1 liter Alkohol 96%
7 Alganax Alprazolam 1 mg
8 Alkohol 70 % 1L Alkohol 70%
11 Alkohol 95% 5L Alkohol 95%
12 Alkohol 95% 100ml Alkohol 95%
13 Alkohol 95% 300ml Alkohol 95%
14 Alinamin-F Tab fursultiamine 2,5 mg
15 Albhotyl concetrat 10ml Polycresulen 360 mg/ 1 g
16 Allupurinol 300mg 300 mg
17 Alinamin-f Inj Fursultiamine 25 mg/10 mL
18 Alkohol swap Ethyl Alcohol 70%
19 Allupurinol 100mg 100 mg
Paracetamol 500
phenylpropanolamine HCl 12.5 mg
20 Alpara Tab
chlorpheniramine maleate 2 mg
dextromethorphan HBr 15 mg
21 Alloris Loratadine 10 mg
Graptopyllum pictum folia 30%
Sophora japonica - flos 15%
Rubia cordifolia - radix 15%
22 Ambeven caps Coleus artropurpureus folia 10%
Sanguisorba officinalis radix 10%
Kaempferia angustifolia rhizoma 10%
Curcuma heyneanarhizoma 10%
23 Aminopillin 200mg 200 mg

24 Amytriptillin 25 mg 25 mg
25 Aminophillin inj 24 mg/ ml
26 Amlodipin 5mg 5 mg
27 Amadiab 5 mg Glimepiride 5 mg
28 Amoxillin 500mg 500 mg
29 Amlodipin 10mg 10 mg
30 Aminofluid infs 500 ml
31 Ambroxol 30 mg
32 Amoxillin SK 125 mg/ 5 ml
33 Amoxicillin inj 1g
34 Opimox inj Amoxicillin 1 g
35 Amoxan 500 mg 500 mg
36 Aminofusin Infus 500 ml 50 g
37 Aminoleban inj 500
38 Ambroxol Syr 15 mg/ 5 ml
39 Amoxan dry syrup Amoxicillin 125 mg/ 5 ml
40 Amoxan paedriatik drop Amoxicillin 100 mg/ ml
41 Amoxan Forte Syr Amoxicillin 250 mg/ 5 ml
42 Andalan IUD 380
43 Andalan IUD 375 SLEEK
44 Antalgin 500mg Metampiron 500 mg
Alumunium hidroksida 200 mg
45 Antasida doen
Magnesium hidroksida 200 mg
46 Analspec 500 mg 500 mg
Alumunium hidroksida 200 mg
47 Antasida doen syr
Magnesium hidroksida 200 mg
Bismuth Subgallate 150 mg.
Hexachlorophene 2,5 mg.
48 Anti hemorhoid supp
Lignocaine 10 mg.
Zinc Oxide 120 mg.
49 Anastan 500mg Asam Mefenamat 500 mg
50 Anesfar inj
51 Antrain inj 1 g/ 2 ml
52 Angioten 50 mg
53 Anvomer B6 30 mg
54 Analtram
55 Apecure syrp
56 Apialys drop
57 Apialys syr
58 Aqua 1000ml 1L
59 Aqua 25ml 25 ml
60 Armsling
61 Aspilet 80 mg
62 Asamnex 500mg 500 mg
63 Aspar-k 600 mg
64 Asering Inf 500 ml
65 Aseptik gel 500ml 500 ml
66 Asmadex
67 Asam Tranexamat Inj 500 mg
68 Asam Folat
69 Aseptik gel 5 L
70 ATS Serum Bio 1500 IU
71 Atropin Sulfat Inj 0.25 mg/ml
72 Ataroc 25 mg 25 mcg
73 Ataroc Syr 25 mcg/5 ml
74 Aviter
75 Azithromycin 500 mg 500 mg
76 Baquinor Inf 500 mg
77 Bacnidazole 500 mg 500 mg
78 Benoson-N/Nisagon
79 Benoson/Skizon
80 Betadine Salep
81 Bethahistin 6 mg
82 Betadine kumur 190 ml
83 Benodon inj
84 Betadine 15ml
85 Bevalex Krim
86 Becom C
87 Bioplacenton cream
88 Bisolvon solution
89 Biodiar 630 mg
90 Bisoprolol 10 mg 10 mg
91 Bimaflox 500mg 500 mg
92 Biocombin 5000 Inj
93 Biocepton 1L
94 Biothicol forte syr 250 mg/ 5 ml
95 Bisolvon elixir
96 Bisoprolol 5 Mg 5 mg
97 Bio ATP
98 Biolincom 500 Mg
99 Bisacodyl 5mg tab 5 mg
100 Bisolvon Inj
101 Biolincom Syr 60ml 250 mg/ 5 ml
102 Biotichol Caps 500 mg 600 mg
103 Biothicol syr kering 125 mg/ 5 ml
104 Bronex tab 8 mg
105 Brainact inj
106 Braxidin tablet
107 Bronchitin syr
108 Bufacort-N cream
109 Buscopan inj 20 mg/ml
110 Bufantacyd forte syr
111 Bucain inj/spica spinal inj 5 mg/ml
112 Burnazin cream
113 Bufacom in oral base
114 Buscopan plus tablet
115 Bye bye fever anak
116 Bye bye fever baby
117 Caviplex
118 Captopril 12,5 mg 12.5 mg
119 Captopril 25mg 25 mg
120 Captopril 50 mg 5o mg
121 Caladin lotion
122 Calcii glukonas Inj 100 mg/ml
123 Catheter 16 Rush -
124 Capsul o -
125 Capsul OO -
126 Catapress Inj
127 Catheter 8
128 Catheter 10
129 Cat gut cromic USP 3 RC14 50CM
130 Cat gut cromic USP 3 BRAUN
131 Cat gut plain USP 2.0
132 Camigesic inj
133 Catheter 12 -
134 Catheter 14 rush -
135 Cat Gut Chromic 0 BRAUN -
136 CAT GUT PLAIN USP 2/0 BRAUN -
137 CAL- 95 TABLET
138 CAT GUT CHROM USP 1 BRAUN -
139 Cat Gut Chrom USP 1 biodinamic -
140 Cat Gut Chromic 3 biodi (BPJS) -
141 Catheter 18 rush -
142 Catheter 16 polymed (BPJS) -
143 Catgut Chromic 3/0 biodi(BPJS) -
144 Catgut Plain 2/0 biodi (BPJS) -
145 Cefadroxil 500mg 500 mg
146 Cefixime 100mg tab 100 mg
147 Ceftriaxone Inj 1000 mg
148 Cefotaxime Inj 1000 mg
149 Cendo xytrol TM
150 Cefadroxil syrp 125 mg/ 5 ml
151 Cendo tobroson minidos
152 Cendo eyefress minidos
153 Cefixime syrp 111,92 mg/ 5 ml
154 CENDO MYDRIATIL EYE DROP
155 Cetadop In
156 Cernevit inj
157
CENDO POLYGRAN SALEP MATA
158 CETIRIZIN TAB
159 Cendo vasacon strip
160 CENDO TIMOL
161 CENDO SILOXAN
162 CENDO XITROL SALEP MATA
163 CENDO LFX MINIDOSE
164 CEFAT SYR 125 mg/ 5 ml
165 Cefspan DS 100 mg/5 ml
166 CEFAT FORTE SIRKER 250 mg/ 5 ml
167 CEFAT 500 MG CAPS 500 mg
168 Cendo Giflox minidose tm
169 Cendo Lyteers TM
170 CENDO POLYGRAN MINIDOSE
171 Chloretyl spray
172 Cholimed Inj
173 Cimetidin tab
174 Ciprofloxacin Infs
175 Citrosol tab
176 Citicoline 125/4ml Inj
177 CITICHOLINE125/2ml INJ
178 CITICOLIN 500MG/4ML INJ 500 mg/ 4 ml
179 CIFLON KAPLET
180 CITICOLIN 500 MG TABLET 500 mg
181 Clindamicin 150mg 150 mg
182 Clindamicin 300mg 300 mg
183 Clinoleid infs
184 Clopedin Inj
185 CLANEKSI SYR
186 Claneksi caps 500 mg 500 mg
187 Claneksi forte sirker
188 Colcancetin Inj
189 Codein 20mg
190 Co-amoxiclav tab
191 Cobazim 3000mcg 3000mcg
192 Combantrin 250mg@2s 250mg
193 Colistin 1.500.000 IU 1.500.000 IU
194 Combivent Inj
195 Codein 10mg 10 mg
196 Corovit tab
197 Comtusi syrp
198 Combantrin Syr
199 COLINPHA TABLET
200 COLINPHA INJ 2ML
201 COROCYD TAB
202 CODITAM
203 CPZ
204 CPG 75mg tab
205 Cravox inf
206 CRAVOX INFUS 750/150 ML
207 Crofed Tab
208 CROFED SYR
209 CRAVOX TAB 500 MG 500 mg
210 CTM
211 Cut gut plain USP 2.0
212 Cut gut cromic USP 3.0
213 Cut gut cromic USP 3
214 Curcuma tab/Cavicur tab
215 Cuticell
216 Curasportransparant (I dn VIP)
217 Cygest 400mg
218 Cyclofem inj
219 Cyclo Progynova
220 D40% 25ml
221 D5% 500ml (OTSU)
222 D10%
223 D5%+0,225%NS
224 D5%+1/2 NS
225 D10%+0,18 sodium chloride
226 Darm buis no 20
227 Daktarin oral gel
228 Daktarin diapers 10 gram
229 Dansera tablet
230 DHAVIT SIRUP
231 Delli suction besar
232 Delli suction kecil
233 Dexamethasone 0,75mg 0,75 mg
234 Dexamethasone 0,5mg 0,5 mg
235 Demacolin tab
236 Dextral tab
237 Dexamethasone Inj
238 Dexycol 500mg 500 mg
239 Dexteem plus tab
240 Dettol 50 ml
241 Demacolin syrp
242 Deponeo inj
243 Dexamethason vial
244 Dexanta tab
245 DEOLIT
246 Demacolin kaleng
247
DERMAFIX-T PLESTER LUKA(2,3)
248 DETTOL CAIR 250 ML
249 Digoxin tab
250 Diazepam 5mg
251 Dimenhidrinat tab
252 Diane tab
253 Diazink tab
254 Dionicol syrp
255 Diazepam Inj
256 Diltiazem tab
257 Diabion tab
258 Diazepam 2mg 2 mg
259 Dobutamin inj
260 Dofen forte 500mg
261 Doxihat tab
262 Dot huki 50ml
263 Dopac inj
264 Doxixilin caps
265 Domavit capsul
266 Dulcolac tab
267 Dulcolac supp
268 Duvadillan tab
269 Duradryl inj
270 Dulcolaxtrol Syr/Lactulose Syr
271 Durogesig 12ug/h
272 Dymenhydramin inj
273 Ecron 10mg
274 Electrode
275 ELOK CREAM
276 ELKANA SYR
277 Emineton tab
278 ENFLURAN CAIRAN 250 ML
279 ENEMA SYIRINGE OM
280 Epinephrine inj
281 Ephedrine HCL inj
282 Erysanbe 500mg tab
283 Erlamicetin TM
284 Erlamicetin SM
285 Erlamicetin TT
286 Erlamol tab
287 Erythromycin 500mg 500 mg
288 Erythromycin SirKer 60 ml
289 Erphalivita Syr 60 ml
290 ESKAMED 3WAY DGN EXTRA
TUBE
291 ESKAMED 3 WAY TANPA EXTRA
TUBE
292 Etaflucin syrp
293 Ethiferan inj
294 Etamoxul 500mg tab
295 Etamox syrp
296 Etabion tab
297 Etamoxul forte tab
298 Etamox 500mg
299 Etafen Syr
300 ETT no 6.5
301 Extention tube
302 Eyevit syr
303 Famotidin tab
304 Faktu supp
305 Faxiden tab
306 Farelax Inj
307 Farmoten tab
308 Farmoten 12.5mg
309 Farizol syrp
310 FARSIFEN
311 Fargoxin tab
312 FARSIFEN SYRUP
313 Fasidol syrup
314 Fasidol drop
315 Fenamin 500mg tab
316 Ferlin drop
317 Ferro sulfas tab
318 Fentanyl inj
319 Ferobion kap
320 FG Troches
321 FIXATIC TAB 100MG
322 Flurin syrp
323 Flurin DMP syrp
324 Flagyl supp
325 Flutrop tab
326 Flukonazole tab
327 FLAMAR 50 MG
328 Fludexin Syrup
329 Flixotide 0,5mg/2ml
330 Flagyl 1g supp
331 Flukonazole infus
332 Formalin 3% 1L
333 Folavit 400 ui tab
334 Forneuro tab
335 FoSICOL F DS
336 Folacite 400mcg
337 FOLAS TABLET
338 FORMOM KAPLET
339 Fordesia Tablet
340 Folamil Genio
341 FORUMEN TT
342 Frixitas tab
343 Frego tab
344 Furosemide tab
345 Furosemide Inj
346 Fuladic acid cream
347 Gabbryl tab
348 GABBRYL SYR
349 Gestamag 100ml syrp
350 Gestamag tab
351 Gelang bayi pink
352 Gelang bayi biru
353 Gentamicin inj
354 Genalten cream
355 Geriacare tab
356 Gelang dewasa biru
357 Gelang dewasa pink
358 Genoint TM
359 Genoint SM
360 Gemfibrozil 300mg
361 GENOINT SK
362 GG
363 Ginkona tab
364 Glibenklamide tab
365 Glimepirid 2 mg tab
367 Glucobay 50 MG
368 GLAUCON TABLET
369 GLUCOSAMINE 250 TAB
372 GOM
373 Griseofulvin tab
374 Grafola tab
375 Grantusif tab
376 Guanisterp syrp
377 GYPSONA 4 INCHI
378 HUFAGRIP SYR KUNING
379 H2O2 3% 800ML
380 Hansaplast
381 Hansaplast roll kecil
382 Haees-steril 6%
383 Haloperidol 0.5mg tab
384 HANDSCRUB PD 5 LITER
385 Hansaplast roll besar
386 HCT 25mg tab
387 Hepatosol LOLA 185G
388 Histigo tab
389 Hipavix 5cmx5m
390 Hipavix 15cmx5m
391 Hibicet 500ml
392 Hibicet 5L
393 Hipavix 5cmX1m Shacet
394 Histrine FT
395 HIPAFIX 20 X 5 CM
396 Hipafix 3M (opsite BPJS)
397 HP-pro tab
398 HS non steril
399 HS maxter no 7
400 HS maxter 7,5
401 HS maxter 6,5
402 HS maxter 8
403 Hand scoon long cuff
404 Hufagrip TMP syrp
405 Humulin-N inj
406 Humulin-R inj
407 Hufanoxil 500 mg
408 Hydrocortison cream
409 Hypobhac inj
410 Hystolan tab
411 Ichtyol cream
412 Ifarsyl syrp 60ml
413 Imunal syrp
414 Imunvit syrup
415 Imunos tab
416 Imunos syrup
417 Imunos plus caps
418 Inerson cream
419 INH 300mg
420 Inflesco tab
421 Induxin inj
422 Interhistin tab
423 INOTROP 25 MG INJ
424 Inlacyl 500mg
425 Invitec 200 mcg
426 Interzink syrp
427 Inadoxin Forte Tablet
428 Irvell tab
429 IRBESARTAN 150 mg
430 ISDN 5mg
431 Jarum MANI SE-ME 28
432 Jarum Mani SE-TE 28
434 Jarum Mani SE-MH 45
436 Jarum Mani SE-MH 32
438 Jarum MANI SE-ME 21
439 Jarum insulin
440 Jarum mani SE-ME 24
442 Jarum Mani SE-TH 40F
443 KA-EN 3B
444 KA-EN MG3
445 Kasa gulung 15cm
446 Kasa gulung 5cm
447 Kasa gulung 1m
448 Kasa box
449 Kapas gulung 100gr
452 Kaditic/Natrium Diclofenak tab
453 Kaltrofen supp
454 Kalk tab
455 Kaltrofen tab
456 Kalfaxime inj
457 Kalnex Inj
458 Kapas 250 gram
459 KALNEX 500 MG
460 KCL746 25ml
461 Ketokenazole tab
462 Ketorolac inj
463 Kertas puyer
464 Kendil batur
465 Ketokenazole cream 10mg
466 Ketricin 4mg
467 Ketoprofen 100 mg
468 Ketorolak tab
469 KOMPOLAC SYR 60 ML
470 KSR 600mg
471 KTM inj
472 Kutoin inj
473 Lanzoprazole 30mg
474 Lacbon tab
475 Lachopen syrp
476 Lapiflox tab
477 Lacto-B
478 Lapiball inj
479 LACTAMOR
480 Lactacyd baby
481 Lactulac syrp
482 Lameson 16mg
483 Lapistan
484 Lapimox 500 Mg
485 Lapixime inj
486 LASAL 2 MG TABLET
487 LANTUROL 400 MG
488 LASGAN 30 MG
489 LAPICEF 500 MG TAB
490 LACTAFAR TAB
491 LAPIBAL 500MG KAPS
492 LACIDOFIL CAPSUL
493 L- Bio
494 Levofloxacin 500mg
495 Lexahist tab
496 Leukoplast 4,5mx5cm
497 Lerzin tab
498 Leukoplast 4,5mx7cm
499 Levofloxacin infs
500 Lerzin syrp
501 Letonal tab
502 Lesipar 300mg caps
503 LEVOFLOXACIN 750MG INFUS
504 Lidocain HCL 2% inj
505 Lidocain adrenalin inj
506 Lidodex inj
507 Licokalk tab
508 Liprolac scht
509 Lipitor 20mg
510 Liparin tablet
511 Livita drops
512 Lisinopril 5mg tab
513 Lisinopril 10mg tab
514 LIDOCAIN 5% INJEKSI
515 LIPURO PROPOFOL 1%
516 Lomatull
517 Loperamide tab
518 Lovecef tab
519 Losartan K 50 mg
520 Lodomer inj
521 LOSTACEF CAPS 500 MG
522 LQ 750mg infs 100ml
523 Luminal 30mg
524 Lynoral tab
525 L Zink syrup
526 Masker tali
527 Masker O2 adult
528 Masker O2 pediatric
529 Magazing
530 Marcain spinal inj
531 Maltiron syrp
532 Magtral tab
533 Manitol Infs
534 Mayo clear no 0
535 Mayo clear No 2
536 Mayo clear No 00
537 Mayo clear No 000
538 Mayo no 80mm
539 Mayo no 90mm
540 Mayo 100mm
541 MASKER KAIN
542 Mess 11
543 Mess 22
544 Mestamox 500 mg
545 Meloxicam 15 mg
546 Methicol
547 Methyprednisolon
548 Metronidazole tab
549 Metronidazole infs
550 Mecocetin 250mg
551 Mediamer B6
552 Meixam 500mg
553 Meconeuro inj
554 Methylon inj
555 Metformin tab
556 Meixam inj
557 Meloxicam 7,5 mg
558 Mess 20
559 Meropenem inj
560 Mecobalamin tab
561 Methylprednisolon Inj
562 MECOLA TAB
563
METHYILPREDNISOLONE 16 MG
564 METXIME INJ
565 MEFINAL TAB
566 MgSo4 20% INJ
567 MgSo4 40%
568 Miconazole cream
569 Microburet
570 Microlax supp
571 Minoscrub 1L
572 Mikrotina 500MG CAPS
573 Miravon syr
574 MINOSCRUB 500 ML
575 MYCROGYNON TAB
576 MKP Huki 30 ml
577 Mozuku tab
578 Moloko B12
579 Molacort 0.75mg tab
580 Molinfa tab
581 Mofen suspensi 60ml
582 Mofen drops 15ml
583 Molagit tablet
584 Mucus extractor
585 Musin suspensi
586 Musin tablet
587 Mucos Syr
588 Mylon 84 25ml
589 MYONEP
590 Myores tab
591 Myotonic Inj (Methylergometrin
592 Myotonic FC tablet
593 Nairet inj
594 Nabic tab
595 Naprex drop
596 NATRIUM FENITOIN INJ
597 NATRIUM DICLOFENAC TAB
598 New diatab tab
599 Neurodex tab
600 Neuromec/ Novapyron tab
601 Neo-k inj
602 Needle 23G TE
603 Needle 26G TE
604 Nebulizer masker pediatric
605 Nebulizer masker adult
606 Nestacort cream
607 Nebacetin powder
608 Neostigmin inj
609 Nexa 500
610 Neurobion 5000mg
611 Neurobion tab
612 Neurosanbe tab
613 Neuciti 500MG/4ML Inj
614 Neurosanbe inj
615 Neo kaolana syr
616 NGT Fr 5.40cm
617 NGT Fr 8. 40cm
618 NGT Fr 5. 100cm
619 NGT Fr 16 125cm
620 NGT Fr 14. 125cm
621 NGT Fr 12. 125cm
622 NGT 18 125 cm
623 Nipedipine tab
624 Novachlor syrp
625 Novalgin syrp
626 Norit tab
627 Noprostol tab
628 Novaldo inj
629 Nobor tab
630 Norestil tab
631 Norages syrp
632 Nonemi tab
633 Norages inj
634 Novastan Syr
635 NOVABION/HUFABION TAB
636 Non flamin tab
637 Novatusin Syr
638 NOLIPO SYR 60 ML
639 Nocandis 12ml
640 Norepinephrine Bitartrate inj
641 NRBM Masker adult
642 NRBM Masker pediatric
643 NS 25ml
644 NS 500ml (OTSU)
645 NS 100 ml
646 NS 1000ml
647 Nutrilon premature 400g
648 Nutribaby1 400g
649 Nufacort cream
650 Nulagyl infs
651 Nucral syrup
652 Nucef capsul
653 Nucef SirKer
654 NUTRY BABY PEPTI JUNIOR
655 NUTRI BABY ROYAL 400 G
656 NUTRIBABY 200 MG
657 NUTRI BABY ANTIREGURGITASI
400
658 Nurse Cup Kepala
659 NUTRIBABY ALLERPRE 400 MG
660 NUTRIBABY MAMA 400 MG
661 Nyndia drop
662 Nystin drop
663 NYMICO
664 OBH itrasal 100ml
665 OBP itrasal 100ml
666 Omeprazole Capsul
667 Omeroxol tab
668 Omevell inj
669 Omenizole syrp
670 Omeprazole inj
671 Omegdiar syrp
672 OMNIFIX 5X5 M
673 OMNIFIX 15X5M
674 OMeproxil 500 mg
675 Onescrub
676 Onemed teest hamil
677 Ondancetron 4 mg/ 2 ml inj
678 Ondancetron tab
679 Ondane inj
680 Ondancetron 8mg/ml inj
681 Opsite 25cmx10cm
682 Opsite (CURAPOR)
683 Opigran 3 inj
684 OPICEF 500
685 OPINEURON TAB
686 Oralit
687 Orezinc syr
688 Osteocal
689 OSTEOKOM TAB
690 OTOPRIM TAB 480MG
691 Oxytetracylin SM
692 Oxytetracyline SK
693 Oxycobal tab
694 Oxyla inj
695 Oxytocin Inj
696 Paracetamol 500mg tab
697 Papaverin tab
698 Papaverin inj
699 Paracetamol syrp
700 Pantotis
701 Paper EKG
702 Paramol infs
703 Pacdin vitcur syrp
704 Pantoprazole inj
705 Pamol supp
706 PAN AMIN G 500ml Infus
707 Paracetamol infs
708 Pampers Dewasa
709 PD Cath IV Canula NO 18
711 PD Spuit 3 CC
712 PD Spuit 5 CC
713 PD Spuit 10 CC
715 PD Infusion Set Dewasa
716 PD Wash Care 4 wipes
717 PD Folley Cath No.16
719 INFUS SET MAKRO TERUMO
720 PD Folley cath no.18
721 PD Scrub 5 Liter
722 Penagon tab
723 Pedilis syrp
724 Pedimin drop
725 Petidin inj
726 Pehacain inj
727 Pehidrol 800ml
728 Penmox inj
729 Perfusor
730 Phenytoin caps
731 Phenythoin inj
732 Piracetam 400mg
733 Piralen syrp
734 Picyn 1500mg
735 Pitogin inj
736 Piroxicam 20mg
737 Piracetam 1g inj
738 Piracetam 3g inj
739 Pyrazinamid tab
740 Pipet 1ml
741 Pispot wanita
742 Pispot laki-laki
743 PIRACETAM 1200mg
744 Piralen inj
745 Piroxicam 10mg
746 Phytomenadion inj (Vit K inj)
747 PK
748 Plesterin
749 Plantacid syrp
750 Plantacid F syrp
751 PLASMINEX INJEKSI
752 Plesterin Roll
753 Povidone 15ml/30ml
754 POVIDONE 60 ML
755 Povidone 1000ml
756 Pospargin tab/bledstop tab
757 Pospargin Inj/BLEDSTOP INJ
758 Povidone 5L
759 Pondex 500mg
760 Povidon 10 ml (ecodin)
761 Prednison tab
762 Propanolol tab
763 Primadex forte tab
764 Primadex tab
765 Primadex syrp
766 Promavit
767 Propepsa syrp
768 Proterin tab
769 Probi
770 Profat syrp
771 Protecline inj
772 Prosonic 5L
773 Profertil tab
774 Progesig syrp
775 Progesik tab
776 Propepsa Syr
777 Proxidan licaps
778 PROVAGIN OVULA
779 PREDNICORT 4
780 PROSTER
781 PROGESTON TAB
782 PROFUT 4 MG
783 PROMAMA SOFTGEL
784 PROLIC CAPSUL
785 PSIDII SYR
786 Pumpitor inj
787 Pulmicort 1mg/2ml
788 Pumpitor capsul
789 Pyrexin 160 supp
790 Pyridol tab
791 Q cef 500mg
792 Quantidex tab
793 Ranitidin tab
794 Ranitidin inj
795 RD 5% (otsu)
796 Renxon inj
797 Regumen tab
798 Reotal tab/Tarontal 400mg
799 Recadryl inj
800 Renax 50
801 Renosan Infus
802 Rifampicin 450mg
803 Rindonem inj
804 Rindozol infs
805 RIVANOL
806 Rinocet syrup
807 Rinocet drop
808 RL 500ml (otsu)
809 Rocer inj
810 Rocer tab
811 RYVEL PLUS TAB
812 Sanmag syrup
813 Salbutamol 4mg tab
814 Salbutamol 2mg tab
815 Sangobion caps
816 Salycyl bedak
817 Sabun ijo
818 Safol inj
819 Santa-e tab
820 Sanmol drop
821 Sansulin R inj
822 Sansulin N inj
823 S A B U INJ/VIAL
824 Salin 3% NaCl 3%
825 San-B-plex drops
826 Santocyn Injeksi/Oxytocin
827 Sankorbin Injeksi/Vit.C Injeks
828 SANADRYL SYR
829 SALFENAL 400 MG
830 SANADRYL DMP SYR
831 SANBE KIDS
832 SANMOL SYR
833 Santagesic injeksi
834 Sanadryl DMP 120ml
835 Scabicid cream
836 Scopamin inj / GITAS INJ
837 Scopamin plus tab
838 SCOPMA PLUS
839 Scabimite 10g
840 Set infus macro
841 Set infus micro
842 Sedacum inj
843 Sequest scht
844 Seremic 10 Mg
845 Set Infus set Y askamed
846 SENDICOL SYR 60 ML
847 Set infus Polymed (BPJS)
848 SGM1 120 mg
849 SGM BBLR 200mg
850 Simzen Drop
851 Silet
852 Simvastatin 5mg tab
853 Simvastatin 10mg tab
854 Sibital inj
855 Simvask tab
856 Silkam black USP 1
857 Silk Black 2
858 Silk Black 2/0 BRAUN
859 Silk 2/0 saccet
860 Silk 3/0 saccet
861 Sintocinon inj(Oxytocin inj)
862 SIMVASTATIN 20 MG
863 SILOPECT TABLET
864 SILOPECT SYR
865 Sirplus stw
866 SOFBAN 4 INCHI
867 Spuit 100-ui terumo
868 Spuit 1cc terumo
869 Spuit 1cc OM
870 Spuit 3cc OM
872 Spuit 5cc OM
874 Spuit 10cc OM
877 Spuit 50cc syringe pump terumo
878 Spuit 3cc stera
879 Spasminal tab 500 mg
880 Spinocam no25
881 Spinocam no23
882 Spongestan
883 Spiramycin generik
884 Spuit 20cc OM
885 Spinocam no 27
886 Spalk pink 20x5
887 Spalk green 15x5
890 Spalk green 15X90
891 SPIRAMYCIN 500 MG kf
892 SPUIT 50 CC catheter tip OM
893 spalk putih 8 X 90
894 SPALK 5 X 30
895 Spuit 50 cc TM catheter tip
896 Stesolid rectal
897 Strolin tab
898 Stikpan
899 Statoscope
900 Stesolid Inj
901 Suction catheter no 6
902 SURFLO 22 ESKAMED
906 Suprafenid supp
907 Surflo no 18
908 Surflo no 20
909 Surflo no 22
910 Surflo no 24
911 Sulfadiazin tab
912 Superhoid supp
913 Suction catheter Fr 14
914 Suction catheter Fr 16
915 Surflo no 16
916 Surflo no.26 Eskamed
917 SURFLO 24 ESKAMED
918 Surflo 22 Polymed (BPJS)
922 Synbio
923 SYNECLAV 500 MG
924 SYNECLAV SYR
925 tabung EDTA
926 TANTUM VERDE GARGLE
927 Tera-f
928 Teosal tab
929 Thermometer
930 Tensocrape 7,5cm x 4,5m
931 Tensocrape 5.5cm x 4.5m
932 Tegaderm Film
933 TGF KAPLET
934 Theobron tab
935 Three way
936 Trombophob gel
937 Tirdicef inj
938 Tibigon 500
939 Tissue
940 Tiriz drop
941 TISACEF 250 MG DS SYR
942 Torniquet
943 Tongspatel kayu
944 Toramine inj
945 TOFEDEX TAB
946 Tromilin syrp
947 Tromilin 500mg tab/Evyra tab
948 Tricodazole
949 Tremenza tab
950 Tranxa inj
951 Tricodazole tab
952 Triaminic neo drop
953 Trogyl syrp
954 Tree way catheter
955 Tramadol
956 TRILAC 10 MG/ML INJ
957 Tryhexypenydyl tab
958 Trogyl Inf
959 Triaminic Eks.Syr
960 TRICHODAZOLE 500 MG
961 Truvast tablet
962 Tuzaloz tab
963 Tutofusin OPS
964 Tyarit inj
965 Ulsikur inj
966 ULTILOX TAB
967 Umbilikal klem
968 Underpad
969 Unalium 5mg tablet
970 Urine bag 2L
971 Urinal laki-laki
972 Urinal wanita
973 Urin Bag PD
974 Ursodeoxycholic acid 250mg
975 Urin bag polymed (BPJS)
976 Urdafalk tab
977 Valsartan 80MG/Valesco 80mg
978 Valisanbe inj
979 Vesperum tab/Domperidon tab
980 Vesperum syrp/OMEDON SYR
981 Ventolin inj
982 Venflon no 22
983 Venflon no 18
984 Vestein caps
985 VERIDIN TABLET
986 Vit Bcom
987 Vit C 50mg
988 Vit B1 tab
989 Vit B6
990 Vit K tablet
991 Vit A 6000 IU
992 Vit C inj
993 Vit K inj
994 Vit A inj
995 Vit B1 inj
996 Vit B12
997 Vioquine tab
998 Vicillin inj
999 Vit A 20000 UI
1000 Vitacur syr 60 ml
1001 Vitrolenta TM
1002 Vosea tab
1003 Vosea syrp
1004 Voltadex tab
1005 Vomil B6
1006 Wing Needle
1007 Winatine tab/Loratadin
1008 Xepabion tab
1009 Xepazym tab
1010 Xylomidon
1011 Yaforan inj
1012 Yafix syrp
1013 Yusimox syrp
1014 Yusimox F syrp
1015 Zibramax 500mg tab
1016 Zink tab
1017 Zinkid syrup
1018
1019
1020 MENGETAHUI
1021 KEPALA RSU LIRBOYO
1022
1023
1024
1025
1026 dr.Ava AdeniaRahmi
1027
1028
1029
TANDA KUNING : BELOM
TANDA MERAH : ALKES
TANDA BIRU : SUDAH FIX
PENGGUNAAN OBAT DI RUMAH SAKIT
Sisa stok per Pemakaian rata-rata Jumlah kebutuhan tahun

Bentuk Sediaan
2016
31-Dec perbulan selama 2016
Tablet
Tablet
Cream
Tablet
Botol
Botol
Tablet
Botol
Botol
Botol
Botol
Botol
Botol
Ampul
Botol
Tablet
Ampul
Sachet
Tablet
Tablet
Tablet
Kapsul
Tablet
Tablet
Ampul
Tablet
Tablet
Kaplet
Tablet
Infus
Tablet
Botol
Vial
Vial
Kaplet
Infus
Botol
Botol
Botol
Botol
Tablet
Tablet
Tablet
Syrup
Suppositoria
Tablet
Ampul
Tablet
Tablet
Tablet
syrup
drop
syrup
cairan
cairan
Tablet
Tablet
Tablet
Infus
Infus
Tablet
Injeksi
Tablet
Cairan
Injekai
Injeksi
Tablet
Botol
serbuk
Kaplet
Infus
Tablet
salep
salep
salep
Tablet
cairan
injeksi
cairan
cream
tablet
salep
solution
Tablet
Tablet
Tablet
injeksi
Cairan
Syrup
Elixir
Tablet
Tablet
Tablet
Tablet
Injeksi
Syrup
Kapsul
Syrup
Tablet
Injeksi
Tablet
Syrup
Cream
Injeksi
Syrup
Injeksi
Cream
Salep
Tablet
Tablet
Tablet
Tablet
Tablet
Lotion
Injeksi
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Kapsul
Kapsul
Vial
Vial
Syrup
Syrup
Injeksi
Injeksi
Tablet
Syrup
Syrup
Syrup
Kapsul
Cairan
Injeksi
Kaplet
Tablet
Kapsul
Kapsul
Syrup kering
Kapsul
Syrup kering
Injeksi
Tablet
Tablet
Tablet
Tablet
Injeksi
Tablet
tablet
Syrup
Syrup
Tablet
Injeksi
Tablet
Tablet
Tablet
Tablet
Ciran
Cairan
Tablet
Syrup
Tablet
Tablet
Tablet
Injeksi
Injeksi
Suppositoria
Cairan
Cairan
Cairan
Cairan
Cairan
Cairan
Gel
Cream
Tablet
Syrup
Tablet
Tablet
Tablet
Tablet
Injeksi
Tablet
Tablet
Cairan
Injeksi
Tablet
Tablet
Tablet
Tablet
Syrup
Tablet
Tablet
Tablet
Tablet
Botol
Injeksi
Kapsul
Kapsul
Tablet
Suppositoria
Tablet
Injeksi
Syrup
Injeksi
Cream
Syrup
Tablet
Cairan
Injeksi
Injeksi
Tablet
Tablet
Tablet
Sirker
Syrup
Syrup
Injeksi
Tablet
Syrup
Tablet
Tablet
Tablet
Syrup
Syrup
Tablet
Suppositoria
Tablet
Injeksi
Tablet
Tablet
Syrup
Tablet
Tablet
Syrup
Syrup
Drop
Tablet
Drop
Tablet
Injeksi
Kaplet
Tablet
Tablet
Syrup
Syrup
Suppositoria
Tablet
Tablet
Tablet
Suppositoria
Cairan
Cairan
Tablet
Tablet
Sirker
Tablet
Tablet
Kaplet
Tablet
Tablet
Tetes
Tablet
Tablet
Tablet
Injeksi
Cream
Tablet
Syrup
Syrup
Tablet
Injeksi
Cream
Tablet
Tetes
Salep
Tablet
Salep
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Cairan
Tablet
Tablet
Tablet
Syrup
Syrup
Cairan
Cairan
Tablet
Cairan
Tablet
Tablet
Cairan
Cairan
Tablet
Tablet
Syrup
Injeksi
Injeksi
Tablet
Cream
Injeksi
Tablet
Cream
Syrup
Syrup
Syrup
Tablet
Syrup
Kapsul
Cream
Tablet
Tablet
Injeksi
Tablet
Injeksi
Tablet
Tablet
Syrup
Tablet
Tablet
Tablet
Tablet
Cairan
Cairan
Tablet
Suppositoria
Tablet
Tablet
Injeksi
Injeksi
Tablet
Cairan
Tablet
Injeksi
Cream
Tablet
Tablet
Tablet
Syrup
Tablet
Injeksi
Injeksi
Kapsul
Tablet
Syrup
Tablet
Serbuk
Injeksi
Kaplet
Cairan
Syrup
Tablet
Tablet
Tablet
Injeksi
Tablet
Kapsul
Kapsul
Tablet
Tablet
Kapsul
Kapsul
Serbuk
Tablet
Tablet
Kapsul
Cairan
Syrup
Tablet
Kapsul
Cairan
Injeksi
Injeksi
Injeksi
Tablet
Serbuk
Tablet
Tablet
Drop
Tablet
Tablet
Injeksi
Cairan
Tablet
Tablet
Tablet
Injeksi
Kapsul
Tablet
Tablet
Syrup
Kaplet
Injeksi
Syrup
Tablet
Cairan
Tablet
Tablet
Tablet
Tablet
Cairan
Tablet
Injeksi
Injeksi
Tablet
Tablet
Injeksi
Tablet
Injeksi
Tablet
Tablet
Injeksi
Tablet
Cairan
Cairan
Cream
Suppositoria
Cairan
Kapsul
Syrup
Cairan
Tablet
Tablet
Tablet
Tablet
Tablet
Drop
Tablet
Suspensi
Tablet
Syrup
Tablet
Tablet
Injeksi
Tablet
Injeksi
Tablet
Drop
Injeksi
Tablet
Tablet
Tablet
Injeksi
Cream
Serbuk
Injeksi
Tablet
Tablet
Tablet
Tablet
Injeksi
Injeksi
Syrup
Tablet
Syrup
Syrup
Tablet
Tablet
Injeksi
Tablet
Tablet
Syrup
Tablet
Injeksi
Syrup
Tablet
Tablet
Syrup
Syrup
Injeksi
Cairan
Cairan
Cairan
Cairan
Cream
Cairan
Sirker
Kapsul
Sirker
Drop
Drop
Drop
Syrup
Syrup
Kapsul
Tablet
Injeksi
Syrup
Injeksi
Syrup
Tablet
Cairan
Injeksi
Tablet
Injeksi
Injeksi
Kapsul
Tablet
Serbuk
syrup
Tablet
Tablet
Tablet
Salep
Salep
Tablet
Injeksi
Injeksi
Tablet
Tablet
Injeksi
Syrup
Syrup
Injeksi
Suppositoria
Cairan
Cairan
Cairan
Tablet
Syrup
Drop
Injeksi
Injeksi
Cairan
Injeksi
Kapsul
Injeksi
Tablet
Syrup
Injeksi
Tablet
Injeksi
Injeksi
Tablet
Tablet
Injeksi
Tablet
Injeksi
Serbuk
Syrup
Syrup
Injeksi
Cairan
Cairan
Cairan
Tablet
Injeksi
Cairan
Tablet
Cairan
Tablet
Tablet
Tablet
Tablet
Syrup
Kapsul
Syrup
Tablet
Cairan
Tablet
Syrup
Tablet
Syrup
Kapsul
Suppositoria
Tablet
Tablet
Tablet
Tablet
Kapsul
Kapsul
Syrup
Injeksi
Injeksi
Kapsul
Suppositoria
Tablet
Kapsul
Tablet
Injeksi
Cairan
Injeksi
Tablet
Tablet
Injeksi
Tablet
Cairan
Tablet
Injeksi
Cairan
Cairan
Syrup
Drop
Cairan
Injeksi
Tablet
Tablet
Syrup
Tablet
Tablet
Kapsul
Serbuk
Injeksi
Tablet
Drop
Injeksi
Cairan
Drop
Injeksi
Injeksi
Syrup
Tablet
Syrup
Syrup
Injeksi
Syrup
Injeksi
Injeksi
Tablet
Tablet
Cream
Injeksi
Serbuk
Tablet
Syrup
Box
Box
Drop
Tablet
Tablet
Tablet
Injeksi
Tablet
Tablet
Syrup
Syrup
Tablet
Tablet
Suppositoria
Injeksi
Suppositoria
Suppositoria
Serbuk
Tablet
Syrup
Cairan
Tablet
Tablet
Kaplet
Tablet
Gel
Injeksi
Tablet
Drop
Syrup
Injeksi
Tablet
Syrup
Tablet
Tablet
Tablet
Injeksi
Tablet
Drop
Syrup
Alkes
Tablet
Injeksi
Tablet
Cairan
Syrup
Tablet
Tablet
Tablet
Cairan
Injeski
Injeksi
Tablet
Tablet
Kapsul
Tablet
Tablet
Injeksi
Tablet
Syrup
Injeksi
Kapsul
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Injeksi
Injeksi
Injeksi
Injeksi
Tablet
Tablet
Injeksi
Tablet
Syrup
Tablet
Syrup
Tablet
Tablet
Tablet
Tablet
Tablet
Injeksi
Injeksi
Syrup
Syrup
Syrup
Tablet
Tablet
Syrup
Bulan :………………
Tahun : 2015
Kesesuaian dengan Jumlah penggunaan ( Satuan terkecil)

Fornas ( Ya/ Tidak)
RJ RI Total
2148 2148 4296 8592
120 143 263
100 28 128
50 18 68
68 17 85
331 330 661

0 5 18
0 47 47
0 5 5
0 3 3
14 12 26
3 5 8
91 87 178
80 0 80
75 75 150
105 102 207
2117 2114 4231

148 218 366
80 12 92
40 75 115
0 73 73
289 345 634
3029 206 3235

211 195 406
0 16 16
4896 959 5855
4 5 9
0 8 8
0 12 12
0 3 3
6 3 9
73 25 98
2589 1063 3652
0 0 0
120 115 235
0 0 0
0 0 0
0 0 0
0 218 218
7 2 9
157 104 261
0 0 0
28 32 60
20 28 48
10 17 27
0 142 142
0 1054 1054
1 0 1
119 247 366
0 0 0
16 14 30
0 164 164
27 20 47
0 235 235
15 10 25
12 1 13
0 11 11
0 0 0
0 0 0
105 175 280
10 25 35
0 2 2
172 98 270
18 5 23
20 2 22
6 1 7
0 0 0
16 4 20
5 0 5
2 5 7
16 2 18
84 85 169
40 6 46
1 1 2
46 20 66
0
679 675 1354
41 59 100
4 5 9
1 4 5
65 80 145
0 0 0
30 27 57
20 5 25
0 1 1
2 1 3
0 0 0
0 0 0
782 700 1482
0 4 4
0 0 0
0 0 0
31 20 51
0 1 1
197 150 347
0 20 20
5 5 10
7 8 15
45 40 85
6 5 11
3 4 7
2680 2001 4681
507 425 932
244 239 483
0 0 0
10 3 13
0 3 3
1 110 111
1080 1079 2159
561 562 1123
0 0 0
0 0 0
0 1 1
0 5 5
0 5 5
0 0 0
0 0 0
0 6 6
3 11 14
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5456 5400 10856
561 551 1112
0 968 968
0 909 909
12 14 26
25 23 48
179 50 229
77 32 109
10 8 18
0 25 25
263 102 365

25 28 53
5 4 9
9 4 13
1 1 2
1 1 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 2 2
0 0 0
0 0 0
0 357 357
15 20 35
0 20 20
0 145 145
0 0 0
0 0 0
0 0 0
528 498 1026
389 84 473
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 4 4
761 759 1520
44 45 89
70 60 130
10 5 15
44 59 103
10 44 54
117 107 217
1302 1784 3086
1 0 1
0 0 0
122 101 223
0 41 41
0 0 0
0 0 0
8 8 16
50 40 90
0 16 16
0 3 3
34 58 92
1 1 2
0 0 0
619 525 1144
0 1 1
456 382 838

0 2 2
0 1 1
5 15 20
15 13 28
4 2 6
0 133 133
0 1083 1083
0 124 124
0 26 26
0 52 52
0 34 34
0 0 0
1 1 2
2 1 3
4 4 8
3 5 8
2 10 12
0 5 5
101 96 197
5342 4025 9367
3274 3270 6544
895 877 1772
0 0 0
3375 3956 7331
1408 1408 2816
10 27 37
0 0 0
10 10 20
0 1 1
618 619 1237
16 15 31
10 10 20
0 0 0
0 0 0
14 25 39
85 303 388
391 398 789
0 0 0
0 0 0
28 32 60
3 7 10
0 0 0
0 0 0
80 359 439
0 1 1
0 10 10
0 0 0
0 96 96
0 19 19
10 10 20
0 0 0
200 175 375
9 17 26
0 0 0
18 1 19
1 5 6
0 22 22
45 43 88
0 0 0
0 84 84
2 2 4
0 0 0
0 0 0
0 1098 1098
0 132 132
0 0 0
126 105 231
8 0 8
55 20 75
8312 9568 17880
483 459 942
0 0 0
1 0 1
0 0 0
0 0 0
2 2 4
3 66 69
885 496 1381
1 2 3
0 0 0
533 426 959
5333 5316 10649
2 3 5
0 4 4
0 12 12
0 0 0
0 0 0
0 0 0
0 0 0
0 6 6
0 0 0
0 0 0
51 42 93
739 623 1362
0 0 0
8 6 14
43 48 91
2 4 6
6672 5682 12354
0 0 0
101 73 174
0 3 3
0 0 0
212 152 364
5 5 10
11 10 21
30 26 56
14 16 20
317 317 634
40 42 82
0 0 0
0 0 0
0 0 0
1 1 2
0 0 0
2 5 7
10 8 18
100 98 198
32 26 58
46 44 90
130 120 250
540 325 865
0 0 0
18 8 26
0 0 0
0 0 0
0 0 0
106 106 212
0 174 174
20 14 34
154 145 299
1 1
0 0 0
0 0 0
0 15 15
0 20 20
0 50 50
205 60 265
0 0 0
0 75 75
0 46 46
26 26 52
4 4 8
26 20 46
0 0 0
190 190 380
38 25 63
111 111 222
96 94 190
20 25 45
0 0 0
87 88 175
0 0 0
0 0 0
0 0 0
0 0 0
96 96 192
0 0 0
397 400 797
3 2 5
0 0 0
0 1 1
10 1954 1964
40 24 64
0 64 64
0 0 0
0 0 0
0 5 5
14 14 28
0 1 1
474 474 948
2 5 7
0 19 19
0 0 0
0 1 1
15 44 59
94 63 157
30 39 69
523 32400 32923
40 724 764
52 732 784
5 90 95
2 5 7
0 0 0
0 0 0
1 1 2
161 140 301
12 10 22
0 0 0
60 45 105
0 0 0
18 18 36
0 0 0
0 0 0
74 75 149
5 3 8
15 16 31
15 10 25
27 27 54
2 225 227
0 5 5
1054 944 1998
0 0 0
0 0 0
0 0 0
8 5 13
0 5 5
0 0 0
0 0 0
60 57 117
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 381 381
0 0 0
13 10 23
15 14 29
50 20 79
271 586 857
0 1 1
1 1 2
0 2 2
496 365 861
172 396 568
0 0 0
284 420 704
0 0 0
3 120 123
0 2 2
55 40 95
0 33 33
358 256 614
13 1048 1061
0 122 122
16 16 32
5 5 10
191 194 385
45 48 93
2 2 4
172 172 344
6 30 36
0 0 0
126 120 246
40 40 80
20 19 39
90 65 155
250 251 501
0 15 15
1333 1334 2667
1 2 3
0 0 0
0 0 0
1070 1069 2139
138 139 277
0 161 161
0 0 0
54 54 108
30 30 60
0 0 0
20 20 40
0 0 0
0 0 0
77 77 154
865 865 1730
146 146 292
473 475 948
0 331 331
1 0 1
14 14 28
40 40 80
0 3 3
104 205 309
8 20 28
6 120 126
149 168 317
0 0 0
0 0 0
0 0 0
1 1 2
45 75 120
126 159 285
0 0 0
0 0 0
28 15 43
248 256 504
0 0 0
0 0 0
0 0 0
2960 3469 6429
0 7 7
0 0 0
101 106 207
12 29 41
1091 1269 2360
3 5 8
2 6 8
793 896 1689
0 17 17
6 29 35
0 0 0
0 2 2
0 0 0
0 0 0
0 1 1
0 1 1
0 3 3
0 3 3
0 0 0
0 0 0
101 104 205
0 115 115
36 49 85
171 196 367
0 0 0
1789 1322 3111
1049 1098 2147
0 331 331
0 0 0
0 0 0
0 7 7
0 0 0
0 3 3
467 489 956
0 7 7
295 249 544
2 0 2
0 46 46
185 69 254
0 9 9
0 0 0
0 0 0
0 0 0
0 0 0
0 1 1
0 15 15
40 9 49
0 36 36
14 3 17
0 8 8
356 450 806
7 6 13
0 0 0
0 0 0
0 1 1
0 0 0
90 95 185
0 0 0
0 0 0
10 5 15
0 0 0
2256 2068 4324
0 2 2
3 5 8
395 415 810
0 0 0
0 21 21
73 95 168
0 0 0
0 0 0
0 0 0
0 133 133
9 95 104
0 0 0
0 0 0
303 356 659
12 14 26
569 595 1164
1537 1352 2889
1 219 220
25 164 189
102 380 482
5 5 10
3 3 6
2 3 5
3 4 7
0 3 3
355 360 715
130 130 260
220 220 440
55 60 115
0 0 0
0 0 0
0 0 0
258 255 513

0 0 0
0 0 0
0 0 0
0 0 0
0 8 8
838 726 1564
322 286 608
64 58 122
765 689 1454
10 513 523
20 18 38
270 254 524
153 152 305
14 9 23
0 0 0
3 4 7
0 0 0
84 208 292
25 568 593
1 475 476
1 37 38
7 5 12
0 0 0
0 1 1
42 34 76
10 9 19
6 4 10
7 5 12
0 0 0
33 24 57
1 1 2
1484 1484 2968
0 2 2
0 0 0
0 0 0
0 70 70
20 7 27
2564 1289 3853

0 0 0
34 30 64
39 896 935
224 158 382
0 0 0
0 4 4
7 6 13
700 90 790
98 84 182
0 0 0
49 85 134
86 70 156
83 85 168
5 5 10
30 19 49
0 0 0
0 24 24
0 613 613
10 10 20
6 8 14
0 0 0
8 6 14
0 0 0
0 0 0
0 18 18
0 0 0
0 19 19
0 0 0
0 2 2
0 100 100
141 141 141
0 6 6
0 69 69
2 14 16
15 16 21
18 16 32
76 125 201
0 977 977
0 0 0
25 49 74
0 3 3
0 14 14
0 14 14
0 0 0
0 0 0
0 0 0
0 0 0
0 145 145
56 53 109
0 1 1
0 0 0
0 1 1
0 7 7
0 11 11
21 46 67
0 0 0
0 2 2
0 0 0
90 65 155
0 28 28
0 98 98
33 30 63
54 65 119
1 1 2
0 1 1
20 26 51
97 109 206
14 10 24
0 1 1
0 0 0
0 60 60
131 76 207
5 6 11
0 1 1
0 0 0
35 49 84
5 22 27
0 38 38
2334 2368 4702
0 51 51
0 7 7
0 0 0
0 0 0
50 50 100
20 20 40
61 159 220
150 55 255
7 8 15
2958 1839 4797
21 22 43
101 109 210
0 0 0
3 3 6
0 0 0
0 2 2
50 25 75
0 0 0
0 0 0
23 20 43
59 85 144
5 16 21
5 0 5
10 31 41
0 0 0
5 5 10
0 0 0
0 0 0
0 0 0
0 0 0
5 73 78
0 0 0
3 4 7
0 0 0
30 25 55
288 230 518
5452 5452 10904
1222 1222 2444
0 73 73
0 0 0
0 0 0
22 25 47
0 6 6
44 150 194
0 0 0
24 25 49
0 0 0
0 0 0
7 4 11
0 0 0
0 0 0
0 6082 6082
0 28 28
0 0 0
0 0 0
7 6 13
420 452 872
593 593 1186
0 0 0
80 2 82
0 0 0
5 4 9
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 0 5
2 3 5
0 768 768
0 0 0
0 0 0
457 457 914
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
118 0 118
59 50 109
170 175 345
358 358 716
102 102 204
0 136 136
13 43 56
110 171 281
0 0 0
0 3 3
0 8 8
10 17 27
380 360 740
0 1 1
0 0 0
0 127 127
52 24 76
0 0 0
0 0 0
0 0 0
5020 5020 1040
0 0 0
2 3 5
10 8 18
0 0 0
90 84 174
100 188 288

0 0 0
7 10 17
185 165 350

110 84 194
0 0 0
0 0 0
5250 6168 11418
186 125 311
0 0 0
248 230 478
7 7 14
0 0 0
21 20 41
0 0 0
8 5 13
0 0 0
0 1 1
0 0 0
2 2 4
254 249 503
0 0 0
167 165 332
0 4 4
0 0 0
2 3 5
1 0 1
6 0 6
0 0 0
0 0 0
0 1 1
0 0 0
0 0 0
0 0 0
0 0 0
0 57 57
0 0 0
0 4 4
0 0 0
20 27 47
59 80 139
11 10 21
90 57 147
0 0 0
1500 1135 2635
40 30 70
250 204 454
0 0 0
6 0 6
367 400 767
1560 1404 2964
0 0 0
230 200 430
30 40 70
25 25 50
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 5 15
5 8 13
0 0 0
800 769 1569
2 2 4
470 400 870
400 426 826
1069 1035 2104

81 82 163
0 0 0
7 2 13
0 37 0
2 1 3
46 40 86
16 8 24
20 15 35
504 852 1356
0 0 0
KEDIRI,19 AGUSTUS 2016

KIRFS
RENCANA KEBUTUHAN OBAT 2018
INSTALASI FARMASI RUMAH SAKIT UMUM LIRBOYO
2
100 18
Sisa stok per Pemakaian rata-rata

Jumlah kebutuhan Rencana kebutuhan Harga Obat Total Biaya RKO 2018
No Nama Obat Satuan Keterangan
31-Dec perbulan selama 2017 tahun 2017 tahun 2018 (Rp) (Rp)
# a b c = b*18 d=c-a e f=d*e

1 Acyclovir 400 mg Tablet 631 589 5400 4769 640.00 3,052,160.00
2 Acyclovir 200 mg Tablet 1196 263 4734 3538 550.00 1,945,900.00
3 Acyclovir cream Cream 28 128 2304 2276 3,500.00 7,966,000.00
4 Acarbose 50mg Tablet 200 68 1224 1024 1,500.00 1,536,000.00
5 Alletrol TM Botol 15 15 270 255 14,000.00 3,570,000.00
6 Alganax Tablet 90 10 180 90 4,500.00 405,000.00
7 Alkohol 70 % 1L Botol 5 3 54 49 30,000.00 1,470,000.00
8 Alkohol 95 % 1L Botol 5 3 54 49 35,000.00 1,715,000.00
9 Alkohol 70 % 5L Botol 8 1 18 10 157,000.00 1,570,000.00
10 Alkohol 95% 5L Botol 5 1 18 13 350,000.00 4,550,000.00
11 Alinamin-F Tab Ampul 10 20 360 350 1,000.00 350,000.00
12 Albhotyl concetrat 10ml Botol 10 3 54 44 40,000.00 1,760,000.00
13 Allupurinol 300mg Tablet 89 178 3204 3115 500.00 1,557,500.00
14 Alinamin-f Inj Ampul 2.5 5 90 87.5 20,000.00 1,750,000.00
15 Alkohol swap Sachet 75 150 2700 2625 500.00 1,312,500.00
16 Allupurinol 100mg Tablet 435 207 3726 3291 1,082.00 3,560,862.00
17 Alpara Tab Tablet 2111 566 10188 8077 650.00 5,250,050.00
18 Ambeven caps Kapsul 25 50 900 875 1,500.00 1,312,500.00
19 Aminopillin 200mg Tablet 46 92 1656 1610 500.00 805,000.00
20 Amytriptillin 25 mg Tablet 58 60 1080 1022 500.00 511,000.00
21 Aminophillin inj Ampul 30 5 90 60 6,500.00 390,000.00
22 Amlodipin 5mg Tablet 542 60 1080 538 600.00 322,800.00
27 Amoxillin 500mg Kaplet 1617 625 11250 9633 500.00 4,816,500.00
28 Amlodipin 10mg Tablet 40 80 1440 1400 2,100.00 2,940,000.00
29 Aminofluid infs Infus 5 1 18 13 150,000.00 1,950,000.00
30 Ambroxol Tablet 2920 355 6390 3470 500.00 1,735,000.00
31 Amoxan 500 mg Kaplet 200 15 270 70 4,500.00 315,000.00
32 Aminofusin Infus 500 ml Infus 5 1 18 13 225,500.00 2,931,500.00
33 Ambroxol Syr Botol 10 9 162 152 4,500.00 684,000.00

34 Amoxan dry syrup Botol 15 3 54 39 22,800.00 889,200.00
35 Antalgin 500mg Tablet 49 98 1764 1715 500.00 857,500.00
36 Antasida doen Tablet 300 335 6030 5730 500.00 2,865,000.00
37 Antasida doen syr Syrup 15 30 540 525 4,000.00 2,100,000.00
38 Antrain inj Ampul 300 40 720 420 10,500.00 4,410,000.00
39 Angioten Tablet 17 9 162 145 11,000.00 1,595,000.00
40 Anvomer B6 Tablet 147 90 1620 1473 5,000.00 7,365,000.00
41 Analtram Tablet 50 10 180 130 7,700.00 1,001,000.00
42 Apialys drop drop 24 48 864 840 36,300.00 30,492,000.00
43 Apialys syr syrup 14 27 486 472 35,000.00 16,520,000.00
44 Aqua 1000ml cairan 71 142 2556 2485 29,000.00 72,065,000.00
45 Aqua 25ml cairan 45 90 1620 1575 6,500.00 10,237,500.00
46 Armsling 6 1 18 12 75,000.00 900,000.00
47 Aspilet Tablet 45 90 1620 1575 650.00 1,023,750.00
48 Aspar-k Tablet 100 200 3600 3500 3,200.00 11,200,000.00
49 Asering Inf Infus 21.5 43 774 752.5 25,000.00 18,812,500.00
50 Aseptik gel 500ml Infus 15 1 18 3 25,000.00 75,000.00
51 Asam Tranexamat Inj Injeksi 118 80 1440 1322 17,000.00 22,474,000.00
52 Asam Folat Tablet 15 25 450 435 550.00 239,250.00
53 Aseptik gel 5 L Cairan 3 1 18 15 247,500.00 3,712,500.00
54 ATS Serum Bio 1500 IU Injekai 20 3 54 34 185,000.00 6,290,000.00
55 Atropin Sulfat Inj Injeksi 80 11 198 118 3,500.00 413,000.00
56 Ataroc Syr Botol 5 6 108 103 59,800.00 6,159,400.00
57 Aviter serbuk 30 12 216 186 39,800.00 7,402,800.00
58 Azithromycin 500 mg Kaplet 20 40 720 700 15,980.00 11,186,000.00
59 Baquinor Inf Infus 5 2 36 31 270,900.00 8,397,900.00
60 Bacnidazole 500 mg Tablet 190 380 6840 6650 589.00 3,916,850.00
61 Benoson-N/Nisagon salep 25 23 414 389 5,300.00 2,061,700.00
62 Benoson/Skizon salep 30 22 396 366 6,500.00 2,379,000.00
63 Betadine Salep salep 6 5 90 84 15,400.00 1,293,600.00
64 Betadine kumur 190 ml cairan 10 20 360 350 25,400.00 8,890,000.00
65 Benodon inj injeksi 20 5 90 70 8,700.00 609,000.00
66 Betadine 15ml cairan 7 7 126 119 8,500.00 1,011,500.00
67 Bevalex Krim cream 3 6 108 105 15,300.00 1,606,500.00
68 Becom C tablet 1123 169 3042 1919 2,300.00 4,413,700.00
69 Bioplacenton cream salep 6 12 216 210 15,900.00 3,339,000.00
70 Bisolvon solution solution 20 2 36 16 89,000.00 1,424,000.00
71 Biodiar Tablet 62 66 1188 1126 2,572.00 2,896,072.00
72 Bisoprolol 10 mg Tablet 300 30 540 240 2,900.00 696,000.00

73 Biocombin 5000 Inj injeksi 50 100 1800 1750 6,900.00 12,075,000.00
74 Biothicol forte syr Syrup 40 9 162 122 67,000.00 8,174,000.00
75 Bisolvon elixir Elixir 10 5 90 80 41,000.00 3,280,000.00
76 Bisoprolol 5 Mg Tablet 80 85 1530 1450 2,088.00 3,027,600.00
77 Bio ATP Tablet 100 30 540 440 4,300.00 1,892,000.00
78 Biolincom 500 Mg Tablet 100 20 360 260 5,900.00 1,534,000.00
79 Bisacodyl 5mg tab Tablet 200 70 1260 1060 540.00 572,400.00
80 Bisolvon Inj Injeksi 20 6 108 88 54,200.00 4,769,600.00
81 Biolincom Syr 60ml Syrup 15 3 54 39 59,500.00 2,320,500.00
82 Biotichol Caps 500 mg Kapsul 500 50 900 400 4,910.00 1,964,000.00
83 Biothicol syr kering Syrup 30 8 144 114 25,790.00 2,940,060.00
84 Bronex tab Tablet 241 482 8676 8435 534.00 4,504,290.00
85 Brainact inj Injeksi 2 4 72 70 83,200.00 5,824,000.00
86 Braxidin tablet Tablet 300 15 270 300 980.00 294,000.00
87 Bronchitin syr Syrup 20 9 162 142 6,293.00 893,606.00
88 Bufacort-N cream Cream 30 10 180 150 69,000.00 10,350,000.00
89 Buscopan inj Injeksi 25 3 54 29 25,600.00 742,400.00
90 Bufantacyd forte syr Syrup 173 30 540 367 7,900.00 2,899,300.00
91 Bucain inj/spica spinal inj Injeksi 10 20 360 350 67,200.00 23,520,000.00
92 Burnazin cream Cream 30 8 144 114 61,500.00 7,011,000.00
93 Bufacom in oral base Salep 13 15 270 257 19,700.00 5,062,900.00
94 Buscopan plus tablet Tablet 45 85 1530 1485 4,325.00 6,422,625.00
95 Bye bye fever anak Alkes 12 2 36 24 11,000.00 264,000.00
96 Bye bye fever baby Alkes 9 2 36 27 7,400.00 199,800.00
97 Caviplex Tablet 947 581 10458 9511 501.00 4,765,011.00
98 Captopril 12,5 mg Tablet 191 382 6876 6685 150.00 1,002,750.00
99 Captopril 25mg Tablet 255 279 5022 4767 510.00 2,431,170.00
100 Captopril 50 mg Tablet 90 180 3240 3150 519.00 1,634,850.00
101 Caladin lotion Lotion 9 13 234 225 12,800.00 2,880,000.00
102 Calcii glukonas Inj Injeksi 15 6 108 93 19,900.00 1,850,700.00
103 Catheter 16 Rush Alkes 56 111 1998 1942 26,900.00 52,239,800.00
104 Capsul o - 1080 2159 38862 37782 500.00 18,891,000.00
105 Capsul OO - 562 1123 20214 19652 550.00 10,808,600.00
106 Catheter 8 0 0 0 0 72,900.00 0.00
107 Catheter 10 0 1 18 18 60,000.00 1,080,000.00
108 Cat gut cromic USP 3 RC14 50CM 3 1 18 15 1,482,700.00 22,240,500.00
109 Cat gut cromic USP 3 BRAUN 8 1 18 10 2,180,000.00 21,800,000.00
110 Cat gut plain USP 2.0 0 0 0 0 1,673,000.00 0.00
111 Catheter 12 - 3 6 108 105 25,000.00 2,625,000.00

112 Catheter 14 rush - 7 14 252 245 29,500.00 7,227,500.00
113 Cat Gut Chromic 0 BRAUN - 0 0 0 0 1,514,000.00 0.00
114 - 0 0
CAT GUT PLAIN USP 2/0 BRAUN 0 0 2,364,000.00 0.00
115 CAL- 95 TABLET 0 0 0 0 5,700.00 0.00
116 - 0 0
CAT GUT CHROM USP 1 BRAUN 0 0 2,871,000.00 0.00
117 Cat Gut Chrom USP 1 biodinamic - 0 0 0 0 1,842,000.00 0.00
118 Cat Gut Chromic 3 biodi (BPJS) - 0 0 0 0 1,601,000.00 0.00
119 Catheter 18 rush - 0 0 0 0 19,200.00 0.00
120 Catheter 16 polymed (BPJS) - 0 0 0 0 19,700.00 0.00
121 Catgut Chromic 3/0 biodi(BPJS) - 0 0 0 0 2,666,000.00 0.00
122 Catgut Plain 2/0 biodi (BPJS) - 0 0 0 0 1,911,000.00 0.00
123 Cefadroxil 500mg Kapsul 628 1256 22608 21980 940.00 20,661,200.00
124 Cefixime 100mg tab Kapsul 340 680 12240 11900 2,799.00 33,308,100.00
Cefoperazone Vial 88,000.00
125 Ceftriaxone Inj Vial 68 93 1674 1606 15,294.00 24,562,164.00
126 Cefotaxime Inj Vial 545 80 1440 895 15,850.00 14,185,750.00
127 Ceftazidime vial Vial 49,500.00
128 Cendo xytrol TM Botol 13 26 468 455 28,360.00 12,903,800.00
129 Cefadroxil syrp Syrup 24 48 864 840 9,500.00 7,980,000.00
130 Cendo tobroson minidos Minidose 115 40 720 605 33,900.00 20,509,500.00
131 Cendo eyefress minidos Minidose 55 50 900 845 25,600.00 21,632,000.00
132 Cefixime syrp Syrup 9 18 324 315 38,300.00 12,064,500.00
133 CENDO MYDRIATIL EYE DROP Minidose 25 5 90 65 39,000.00 2,535,000.00
134 Cernevit inj Injeksi 15 1 18 3 170,500.00 511,500.00
135 CENDO POLYGRAN SALEP 0

MATA 0 0 21,350.00 0.00
136 CETIRIZIN TAB Tablet 183 365 6570 6387 545.00 3,480,915.00
137 Cendo vasacon strip 27 53 954 927 18,262.00 16,928,874.00
138 CENDO TIMOL 13 9 162 149 29,325.00 4,369,425.00
139 CENDO SILOXAN 21 13 234 213 49,187.00 10,476,831.00
140 CENDO XITROL SALEP MATA 23 2 36 13 49,462.00 643,006.00
141 CENDO LFX MINIDOSE 25 2 36 11 85,900.00 944,900.00
142 CEFAT SYR Syrup 8 1 18 10 53,670.00 536,700.00
143 Cefspan DS Syrup 8 1 18 10 98,000.00 980,000.00
144 CEFAT FORTE SIRKER Syrup 8 1 18 10 85,130.00 851,300.00
145 CEFAT 500 MG CAPS Kapsul 100 30 540 440 15,615.00 6,870,600.00
146 Cendo Giflox minidose tm Minidose 0 0 0 0 98,275.00 0.00

147 Cendo Lyteers TM Minidose 0 0 0 0 28,175.00 0.00
148 CENDO POLYGRAN MINIDOSE Botol 0 0 0 0 29,250.00 0.00
149 Ciprofloxacin Infs Cairan 178 70 1260 1082 40,000.00 43,280,000.00
150 Citicoline 125/4ml Inj 10 20 360 350 28,800.00 10,080,000.00
151 CITICHOLINE125/2ml INJ 15 15 270 255 26,500.00 6,757,500.00
152 CITICOLIN 500MG/4ML INJ Injeksi 0 0 0 0 34,000.00 0.00
153 CIFLON KAPLET Kaplet 0 0 0 0 9,150.00 0.00
154 CITICOLIN 500 MG TABLET Tablet 0 0 0 0 8,500.00 0.00
155 Clindamicin 150mg Kapsul 935 1026 18468 17533 879.00 15,411,507.00
156 Clindamicin 300mg Kapsul 492 473 8514 8022 1,469.00 11,784,318.00
157 Claneksi caps 500 mg Kapsul 220 20 360 140 15,900.00 2,226,000.00
158 Claneksi forte sirker Syrup kering 8 1 18 10 80,125.00 801,250.00
159 Colcancetin Inj Injeksi 2 4 72 70 20,000.00 1,400,000.00
160 Codein 20mg 760 1520 27360 26600 2,200.00 58,520,000.00
161 Co-amoxiclav tab Tablet 50 89 1602 1552 8,200.00 12,726,400.00
162 Cobazim 3000mcg Tablet 65 130 2340 2275 9,200.00 20,930,000.00
163 Combantrin 250mg@2s Tablet 9 15 270 261 8,600.00 2,244,600.00
164 Colistin 1.500.000 IU Tablet 52 103 1854 1802 8,400.00 15,136,800.00
165 Combivent Inj Injeksi 27 54 972 945 15,900.00 15,025,500.00
166 Corovit tab tablet 104 208 3744 3640 760.00 2,766,400.00
167 Comtusi syrp Syrup 56 5 90 34 38,000.00 1,292,000.00
168 Combantrin Syr Syrup 0 0 0 0 13,200.00 0.00
169 COROCYD TAB Tablet 25 6 108 83 6,200.00 514,600.00
170 CODITAM Tablet 200 50 900 700 5,500.00 3,850,000.00
171 CPZ Tablet 620 25 450 -170 500.00 -85,000.00
203 CPG 75mg tab Tablet 45 90 1620 1575 6,500.00 10,237,500.00
204 Cravox inf Ciran 2 1 18 16 297,200.00 4,755,200.00
205 CRAVOX INFUS 750/150 ML Cairan 5 1 18 13 298,125.00 3,875,625.00
206 Crofed Tab Tablet 47 93 1674 1627 2,200.00 3,579,400.00
207 CROFED SYR Syrup 1 2 36 35 18,500.00 647,500.00
208 CRAVOX TAB 500 MG Tablet 0 0 0 0 25,200.00 0.00
209 CTM Tablet 572 1144 20592 20020 233.00 4,664,660.00
210 Cut gut plain USP 2.0 9 1 18 9 1,500,030.00 13,500,270.00
211 Cut gut cromic USP 3.0 0 0 0 1,500,030.00 0.00
212 Cut gut cromic USP 3 0 0 0 1,800,000.00 0.00
213 Curcuma tab/Cavicur tab Tablet 419 838 15084 14665 1,000.00 14,665,000.00
214 Cuticell 1 2 36 35 15,000.00 525,000.00
215 Curasportransparant (I dn VIP) 5 1 18 13 37,000.00 481,000.00
216 Cygest 400mg Injeksi 10 20 360 350 26,200.00 9,170,000.00

217 Cyclofem inj Injeksi 14 28 504 490 10,400.00 5,096,000.00
218 Cyclo Progynova Suppositoria 3 6 108 105 151,000.00 15,855,000.00
219 D40% 25ml Cairan 67 133 2394 2327 8,800.00 20,477,600.00
220 D5% 500ml (OTSU) Cairan 542 89 1602 1060 15,600.00 16,536,000.00
221 D10% Cairan 62 124 2232 2170 15,700.00 34,069,000.00
222 D5%+0,225%NS Cairan 13 26 468 455 17,000.00 7,735,000.00
223 D5%+1/2 NS Cairan 26 52 936 910 19,200.00 17,472,000.00
224 D10%+0,18 sodium chloride Cairan 17 34 612 595 18,400.00 10,948,000.00
226 Daktarin oral gel Gel 15 2 36 21 69,200.00 1,453,200.00
227 Daktarin diapers 10 gram Cream 8 3 54 46 58,600.00 2,695,600.00
228 DHAVIT SIRUP Syrup 25 8 144 119 40,250.00 4,789,750.00
229 Delli suction kecil 6 5 90 84 48,500.00 4,074,000.00
230 Dexamethasone 0,75mg Tablet 102 197 3546 3444 500.00 1,722,000.00
231 Dexamethasone 0,5mg Tablet 4684 518 9324 4640 500.00 2,320,000.00
232 Demacolin tab Tablet 349 698 12564 12215 500.00 6,107,500.00
233 Dextral tab Tablet 886 1772 31896 31010 500.00 15,505,000.00
234 Dexamethasone Inj Injeksi 200 50 900 700 2,800.00 1,960,000.00
235 Dexycol 500mg Tablet 3665 698 12564 8899 1,000.00 8,899,000.00
236 Dexteem plus tab Tablet 166 332 5976 5810 555.00 3,224,550.00
237 Dettol 50 ml Cairan 19 37 666 647 7,300.00 4,723,100.00
238 Deponeo inj Injeksi 10 20 360 350 9,000.00 3,150,000.00
239 Dexanta tab Tablet 619 1237 22266 21647 500.00 10,823,500.00
240 DETTOL CAIR 250 ML Botol 20 5 90 70 39,000.00 2,730,000.00
241 Digoxin tab Tablet 25 39 702 677 537.00 363,549.00
242 Diazepam 5mg Tablet 194 388 6984 6790 550.00 3,734,500.00
243 Dimenhidrinat tab Tablet 395 789 14202 13807 519.00 7,165,833.00
244 Dionicol syrp Syrup 30 60 1080 1050 5,800.00 6,090,000.00
245 Diltiazem tab Tablet 90 60 1080 990 580.00 574,200.00
246 Diabion tab Tablet 550 60 1080 530 2,200.00 1,166,000.00
247 Diazepam 2mg Tablet 220 439 7902 7682 500.00 3,841,000.00
248 Dobutamin inj Ampul 17 1 18 1 108,500.00 108,500.00
249 Dot huki 50ml Botol 11 21 378 367 31,900.00 11,707,300.00
250 Dopac inj Injeksi 15 10 180 165 56,300.00 9,289,500.00
251 Doxixilin caps Kapsul 10 20 360 350 567.00 198,450.00
252 Dulcolac tab Tablet 188 87 1566 1378 2,400.00 3,307,200.00
253 Dulcolac supp Suppositoria 13 26 468 455 16,200.00 7,371,000.00
254 Duradryl inj Injeksi 10 19 342 332 5,800.00 1,925,600.00
255 Dulcolaxtrol Syr/Lactulose Syr Syrup 3 6 108 105 61,200.00 6,426,000.00
256 Durogesig 12ug/h pcs 8 15 270 262 135,400.00 35,474,800.00

257 Dymenhydramin inj Injeksi 44 88 1584 1540 2,800.00 4,312,000.00
258 Electrode alkes 42 84 1512 1470 6,600.00 9,702,000.00
259 ELOK CREAM Cream 2 4 72 70 48,400.00 3,388,000.00
260 ENEMA SYIRINGE OM alkes 15 6 108 93 12,000.00 1,116,000.00
261 Epinephrine inj Injeksi 70 30 540 470 78,000.00 36,660,000.00
262 Ephedrine HCL inj Injeksi 13 25 450 437 65,000.00 28,405,000.00
263 Erlamicetin TM Botol 116 15 270 154 10,900.00 1,678,600.00
264 Erlamicetin SM Botol 4 8 144 140 5,900.00 826,000.00
265 Erlamicetin TT Botol 38 75 1350 1312 6,200.00 8,134,400.00
266 Erlamol tab Tablet 840 1680 30240 29400 500.00 14,700,000.00
267 Erythromycin 500mg Tablet 471 942 16956 16485 2,000.00 32,970,000.00
268 Erythromycin SirKer 60 ml Sirker 30 6 108 78 8,300.00 647,400.00
269 ESKAMED 3WAY DGN EXTRA alkes 3 54

TUBE 50 4 29,000.00 116,000.00
270 ESKAMED 3 WAY TANPA EXTRA alkes 3 54

TUBE 50 4 24,200.00 96,800.00
271 Etaflucin syrp Syrup 2 4 72 70 4,500.00 315,000.00
272 Ethiferan inj Injeksi 34 15 270 236 6,700.00 1,581,200.00
273 Etamoxul 500mg tab Tablet 691 1381 24858 24167 561.00 13,557,687.00
274 Etamox 500mg Tablet 5325 1649 29682 24357 518.00 12,616,926.00
275 Etafen Syr Syrup 3 5 90 87 4,800.00 417,600.00
276 ETT no 6.5 alkes 2 4 72 70 95,000.00 6,650,000.00
277 Extention tube alkes 1 2 36 35 93,000.00 3,255,000.00
278 Eyevit syr Syrup 0 0 0 0 70,000.00 0.00
279 Farelax Inj Injeksi 3 6 108 105 78,000.00 8,190,000.00
280 Farizol syrp Syrup 47 93 1674 1627 4,800.00 7,809,600.00
281 FARSIFEN Tablet 681 1362 24516 23835 280.00 6,673,800.00
282 FARSIFEN SYRUP Syrup 5 10 180 175 5,200.00 910,000.00
283 Fasidol syrup Syrup 46 21 378 332 4,500.00 1,494,000.00
284 Fasidol drop Drop 3 6 108 105 8,900.00 934,500.00
285 Fenamin 500mg tab Tablet 491 982 17676 17185 586.00 10,070,410.00
286 Ferro sulfas tab Tablet 87 174 3132 3045 57.00 173,565.00
287 Fentanyl inj Injeksi 2 3 54 52 30,000.00 1,560,000.00
288 FG Troches Tablet 182 364 6552 6370 1,160.00 7,389,200.00
289 FIXATIC TAB 100MG Tablet 5 10 180 175 16,200.00 2,835,000.00
290 Flurin syrp Syrup 23 21 378 355 22,900.00 8,129,500.00
291 Flurin DMP syrp Syrup 7 15 270 263 16,600.00 4,365,800.00
292 Flagyl supp Suppositoria 10 20 360 350 27,500.00 9,625,000.00
293 Flutrop tab Tablet 35 70 1260 1225 650.00 796,250.00

294 Flukonazole tab Tablet 15 30 540 525 27,000.00 14,175,000.00
295 Flagyl 1g supp Suppositoria 1 2 36 35 39,000.00 1,365,000.00
296 Flukonazole infus Cairan 20 15 270 250 134,500.00 33,625,000.00
297 Formalin 3% 1L Cairan 5 2 36 31 380,000.00 11,780,000.00
298 Folavit 400 ui tab Tablet 9 18 324 315 961.00 302,715.00
299 Forneuro tab Tablet 30 60 1080 1050 7,316.00 7,681,800.00
300 FoSICOL F DS Sirker 5 10 180 175 62,200.00 10,885,000.00
301 Folacite 400mcg Tablet 45 90 1620 1575 805.00 1,267,875.00
302 FOLAS TABLET Tablet 125 250 4500 4375 1,089.00 4,764,375.00
303 FORMOM KAPLET Kaplet 433 300 5400 4967 1,386.00 6,884,262.00
304 Folamil Genio Tablet 8 16 288 280 115,500.00 32,340,000.00
305 FORUMEN TT Tetes 30 5 90 60 27,300.00 1,638,000.00
306 Furosemide tab Tablet 106 212 3816 3710 963.00 3,572,730.00
307 Furosemide Inj Injeksi 30 60 1080 1050 5,297.00 5,561,850.00
308 Fuladic acid cream Cream 7 15 270 263 63,900.00 16,805,700.00
309 Gabbryl tab Tablet 150 50 900 750 6,800.00 5,100,000.00
310 GABBRYL SYR Syrup 20 3 54 34 67,300.00 2,288,200.00
311 Gestamag tab Tablet 300 50 900 600 759.00 455,400.00
312 Gelang bayi pink pcs 8 15 270 262 2,600.00 681,200.00
313 Gelang bayi biru pcs 10 20 360 350 500.00 175,000.00
314 Gentamicin inj Injeksi 25 50 900 875 5,400.00 4,725,000.00
315 Genalten cream Cream 133 30 540 407 3,800.00 1,546,600.00
316 Gelang dewasa biru 38 75 1350 1312 2,600.00 3,411,200.00
317 Gelang dewasa pink 23 46 828 805 2,500.00 2,012,500.00
318 Genoint TM Tetes 15 15 270 255 930.00 237,150.00
319 Genoint SM Salep 4 8 144 140 7,300.00 1,022,000.00
320 Gemfibrozil 300mg Tablet 10 20 360 350 5,400.00 1,890,000.00
321 GG Tablet 30 60 1080 1050 500.00 525,000.00
322 Ginkona tab Tablet 32 20 360 328 5,000.00 1,640,000.00
323 Glibenklamide tab Tablet 33 65 1170 1137 500.00 568,500.00
324 Glimepirid 2 mg tab Tablet 95 190 3420 3325 1,700.00 5,652,500.00
326 GLAUCON TABLET Tablet 210 90 1620 1410 5,100.00 7,191,000.00
327 GLUCOSAMINE 250 TAB Tablet 500 200 3600 3100 1,800.00 5,580,000.00
330 GOM Cairan 30 5 90 60 5,000.00 300,000.00
331 Griseofulvin tab Tablet 35 70 1260 1225 2,100.00 2,572,500.00
332 Grantusif tab Tablet 399 312 5616 5217 648.00 3,380,616.00
333 Guanisterp syrp Syrup 3 5 90 87 5,400.00 469,800.00
334 H2O2 3% 800ML Cairan 2 1 18 16 28,500.00 456,000.00
335 Hansaplast pcs 108 215 3870 3762 569.00 2,140,578.00
336 Hansaplast roll kecil pcs 32 64 1152 1120 5,700.00 6,384,000.00
337 Haees-steril 6% Cairan 7 5 90 83 193,000.00 16,019,000.00
338 Halothane Cairan 1 1 18 17 2,200,000.00 37,400,000.00
339 Hansaplast roll besar pcs 3 5 90 87 9,800.00 852,600.00
340 HCT 25mg tab Tablet 14 28 504 490 550.00 269,500.00
341 Histigo tab Tablet 309 618 11124 10815 589.00 6,370,035.00
342 Hipavix 5cmx5m 10 7 126 116 80,000.00 9,280,000.00
343 Hipavix 15cmx5m 10 19 342 332 29,600.00 9,827,200.00
344 Hibicet 500ml Cairan 5 1 18 13 103,000.00 1,339,000.00
345 Hibicet 5L Cairan 15 1 18 3 1,035,000.00 3,105,000.00
346 Hipavix 5cmX1m Shacet 30 18 324 294 16,750.00 4,924,500.00
347 Histrine FT Tablet 79 60 1080 1001 6,300.00 6,306,300.00
348 HIPAFIX 20 X 5 CM 5 1 18 13 263,500.00 3,425,500.00
349 Hipafix 3M (opsite BPJS) 25 15 270 245 5,600.00 1,372,000.00
350 HP-pro tab Tablet 35 30 540 505 6,900.00 3,484,500.00
351 HS non steril 800 140 2520 1720 739.00 1,271,080.00
352 HS maxter no 7 15 30 540 525 6,300.00 3,307,500.00
353 HS maxter 7,5 20 40 720 700 5,800.00 4,060,000.00
354 HS maxter 6,5 48 20 360 312 13,200.00 4,118,400.00
355 HS maxter 8 4 7 126 122 5,200.00 634,400.00
356 Humulin-N inj Injeksi 6 1 18 12 487,900.00 5,854,800.00
357 Humulin-R inj Injeksi 8 1 18 10 408,000.00 4,080,000.00
358 Hydrocortison cream Cream 6 12 216 210 7,000.00 1,470,000.00
359 Hystolan tab Tablet 53 20 360 307 6,200.00 1,903,400.00
360 Ifarsyl syrp 60ml Syrup 18 36 648 630 5,100.00 3,213,000.00
361 Imunos tab Tablet 75 40 720 645 7,100.00 4,579,500.00
362 Imunos syrup Syrup 4 8 144 140 72,600.00 10,164,000.00
363 Imunos plus caps Kapsul 16 31 558 542 10,700.00 5,799,400.00
364 Inerson cream Cream 13 2 36 23 66,000.00 1,518,000.00
365 INH 300mg Tablet 27 54 972 945 700.00 661,500.00
366 Inflesco tab Tablet 114 227 4086 3972 13,800.00 54,813,600.00
367 Induxin inj Injeksi 80 53 954 874 11,800.00 10,313,200.00
368 Interhistin tab Tablet 999 1998 35964 34965 871.00 30,454,515.00
369 IRBESARTAN 150 mg Tablet 90 30 540 450 3,900.00 1,755,000.00
370 ISDN 5mg Tablet 59 50 900 841 620.00 521,420.00
371 Jarum insulin 50 10 180 130 4,600.00 598,000.00

372 Jarum mani SE-ME 24 pcs 50 5 90 40 151,800.00 6,072,000.00
373 Jarum Mani SE-TE 55 pcs 50 5 90 40 108,000.00 4,320,000.00
374 Jarum Mani SE-TH 40F pcs 50 3 54 4 126,000.00 504,000.00
375 KA-EN 3B Cairan 191 68 1224 1033 26,400.00 27,271,200.00
376 Kasa gulung 15cm Pcs 25 23 414 389 2,800.00 1,089,200.00
377 Kasa gulung 5cm Pcs 15 12 216 201 1,000.00 201,000.00
378 Kasa gulung 1m Pcs 6 1 18 12 201900 2,422,800.00
379 Kasa box Pcs 429 40 720 291 4200 1,222,200.00
380 Kapas gulung 100gr Pcs 1 1 18 17 5,800.00 98,600.00
381 Kapas gulung 50gr Pcs 1 2 36 35 4,300.00 150,500.00
382 Kapas gulung 1000gr Pcs 1 2 36 35 65,400.00 2,289,000.00
383 Kaditic/Natrium Diclofenak tab Tablet 613 250 4500 3887 468.00 1,819,116.00
384 Kaltrofen supp Suppositoria 10 20 360 350 5,900.00 2,065,000.00
385 Kaltrofen tab Tablet 165 330 5940 5775 5,900.00 34,072,500.00
386 Kalnex Inj Injeksi 65 70 1260 1195 15,800.00 18,881,000.00
387 Kapas 250 gram 5 2 36 31 18,200.00 564,200.00
388 KALNEX 500 MG Tablet 97 50 900 803 3,900.00 3,131,700.00
389 KCL746 25ml Cairan 33 16 288 255 11,000.00 2,805,000.00
390 Ketokenazole tab Tablet 109 218 3924 3815 491.00 1,873,165.00
391 Ketorolac inj Injeksi 80 40 720 640 5,100.00 3,264,000.00
392 Kertas puyer Pcs 9999 700 12600 2601 200.00 520,200.00
393 Kendil batur Pcs 5 10 180 175 10,700.00 1,872,500.00
394 Ketokenazole cream 10mg Cream 25 15 270 245 8,400.00 2,058,000.00
395 Ketricin 4mg Tablet 5 10 180 175 4,800.00 840,000.00
396 Ketoprofen 100 mg Tablet 193 385 6930 6737 1,700.00 11,452,900.00
397 Ketorolak tab Tablet 47 93 1674 1627 3,500.00 5,694,500.00
398 KOMPOLAC SYR 60 ML Syrup 8 5 90 82 7,500.00 615,000.00
399 KSR 600mg Tablet 172 344 6192 6020 3,800.00 22,876,000.00
400 KTM inj Injeksi 3 6 108 105 308,000.00 32,340,000.00
401 Lanzoprazole 30mg Kapsul 123 246 4428 4305 2,200.00 9,471,000.00
402 Lacbon tab Tablet 25 50 900 875 1,900.00 1,662,500.00
403 Lachopen syrp Syrup 20 5 90 70 32,500.00 2,275,000.00
404 Lapiflox tab Tablet 78 50 900 822 16,000.00 13,152,000.00
405 Lacto-B Serbuk 251 70 1260 1009 7,400.00 7,466,600.00
406 Lapiball inj Injeksi 8 15 270 262 28,600.00 7,493,200.00
407 LACTAMOR Kaplet 998 618 11124 10126 2,976.00 30,134,976.00
408 Lactacyd baby Cairan 2 3 54 52 45,500.00 2,366,000.00
409 Lapistan Tablet 1070 355 6390 5320 1,500.00 7,980,000.00
410 Lapimox 500 Mg Tablet 139 50 900 761 3,700.00 2,815,700.00

411 Lapixime inj Injeksi 81 21 378 297 185,000.00 54,945,000.00
412 LANTUROL 400 MG Kapsul 200 50 900 700 5,500.00 3,850,000.00
413 LASGAN 30 MG Kapsul 30 60 1080 1050 17,500.00 18,375,000.00
414 LAPIBAL 500MG KAPS Kapsul 211 30 540 329 2,500.00 822,500.00
415 LACIDOFIL CAPSUL Kapsul 8 20 360 352 305.00 107,360.00
416 L- Bio Serbuk 77 154 2772 2695 8,000.00 21,560,000.00
417 Levofloxacin 500mg Tablet 356 711 12798 12442 2,200.00 27,372,400.00
418 Lexahist tab Tablet 146 292 5256 5110 500.00 2,555,000.00
419 Leukoplast 4,5mx5cm 8 2 36 28 80,500.00 2,254,000.00
420 Lerzin tab Kapsul 161 322 5796 5635 513.00 2,890,755.00
421 Leukoplast 4,5mx7cm 8 6 108 100 57,500.00 5,750,000.00
422 Levofloxacin infs Cairan 166 20 360 194 105,600.00 20,486,400.00
423 Lerzin syrp Syrup 8 10 180 172 5,900.00 1,014,800.00
424 Letonal tab Tablet 14 28 504 490 5,600.00 2,744,000.00
425 Lesipar 300mg caps Kapsul 40 80 1440 1400 4,500.00 6,300,000.00
426 LEVOFLOXACIN 750MG INFUS Cairan 25 5 90 65 215,000.00 13,975,000.00
427 Levemir Flexpen Flexpen 20 5 90 70 102,000.00 7,140,000.00
428 Lidocain HCL 2% inj Injeksi 155 132 2376 2221 1,813.00 4,026,673.00
429 Lidodex inj Injeksi 19 37 666 647 72,600.00 46,972,200.00
430 Licokalk tab Tablet 159 200 3600 3441 227.00 781,107.00
431 Liprolac scht Serbuk 25 20 360 335 7,300.00 2,445,500.00
432 Lisinopril 5mg tab Tablet 60 120 2160 2100 500.00 1,050,000.00
433 Lisinopril 10mg tab Tablet 150 113 2034 1884 800.00 1,507,200.00
434 Loperamide tab Tablet 252 504 9072 8820 500.00 4,410,000.00
435 L Zink syrup Syrup 41 15 270 229 39,600.00 9,068,400.00
436 Masker tali 200 60 1080 880 700.00 616,000.00
437 Masker O2 adult 20 130 2340 2320 24,000.00 55,680,000.00
438 Masker O2 pediatric 16 63 1134 1118 27,000.00 30,186,000.00
439 Magazing Kaplet 845 115 2070 1225 3,000.00 3,675,000.00
440 Marcain spinal inj Injeksi 20 12 216 196 101,000.00 19,796,000.00
441 Maltiron syrp Syrup 20 10 180 160 43,000.00 6,880,000.00
442 Manitol Infs Cairan 15 2 36 21 115,000.00 2,415,000.00
443 Mayo no 80mm 2 3 54 52 135,000.00 7,020,000.00
444 Mayo no 90mm 2 3 54 52 135,000.00 7,020,000.00
445 Mayo 100mm 5 1 18 13 18,000.00 234,000.00
446 Masker N95 18 4 72 54 15,000.00 810,000.00
447 MASKER KAIN Pcs 100 20 360 260 2,800.00 728,000.00
448 Mess 11 Pcs 103 30 540 437 4,800.00 2,097,600.00
449 Mess 22 Pcs 58 25 450 392 3,900.00 1,528,800.00

450 Mestamox 500 mg Tablet 43 85 1530 1487 3,600.00 5,353,200.00
451 Meloxicam 15 mg Tablet 184 367 6606 6422 1,200.00 7,706,400.00
452 Methyprednisolon Tablet 816 618 11124 10308 700.00 7,215,600.00
453 Metronidazole infs Cairan 80 48 864 784 66,000.00 51,744,000.00
454 Meixam 500mg Tablet 4 7 126 122 7,000.00 854,000.00
455 Metformin tab Tablet 478 956 17208 16730 500.00 8,365,000.00
456 Meixam inj Ampul 33 7 126 93 40,000.00 3,720,000.00
457 Meloxicam 7,5 mg Tablet 272 544 9792 9520 1,000.00 9,520,000.00
458 Mess 20 50 20 360 310 2,800.00 868,000.00
459 Meropenem inj Injeksi 50 24 432 382 135,000.00 51,570,000.00
460 Mecobalamin tab Tablet 216 88 1584 1368 1,200.00 1,641,600.00
461 Methylprednisolon Inj Injeksi 6 9 162 156 39,000.00 6,084,000.00
462 MEFINAL TAB Tablet 0 0 0 0 1,700.00 0.00
463 Metocloperamide Inj Ampul 0 0 0 5,200.00 0.00
464 MgSo4 20% INJ Cairan 30 10 180 150 3,700.00 555,000.00
465 MgSo4 40% Cairan 12 15 270 258 10,500.00 2,709,000.00
466 Miconazole cream Cream 25 49 882 857 5,000.00 4,285,000.00
467 Microburet Pcs 18 36 648 630 135,000.00 85,050,000.00
468 Microlax supp Suppositoria 10 5 90 80 27,000.00 2,160,000.00
469 Minoscrub 1L Cairan 4 8 144 140 377,000.00 52,780,000.00
470 Mikrotina 500MG CAPS Kapsul 258 516 9288 9030 660.00 5,959,800.00
471 MINOSCRUB 500 ML Cairan 8 3 54 46 194,000.00 8,924,000.00
472 MYCROGYNON TAB Tablet 25 5 90 65 16,600.00 1,079,000.00
473 Mofen suspensi 60ml 8 15 270 262 22,500.00 5,895,000.00
474 Mofen drops 15ml Drop 0 0 0 0 45,000.00 0.00
475 Molagit tablet Tablet 2162 4324 77832 75670 600.00 45,402,000.00
476 Mucus extractor 1 2 36 35 15,600.00 546,000.00
477 Musin tablet Tablet 405 810 14580 14175 2,200.00 31,185,000.00
478 Mucos Syr Syrup 0 0 0 0 27,000.00 0.00
479 Mylon 84 25ml 12 21 378 366 14,700.00 5,380,200.00
480 MYONEP Tablet 84 168 3024 2940 6,000.00 17,640,000.00
481 Nairet inj Injeksi 67 50 900 833 25,000.00 20,825,000.00
482 Nabic tab Tablet 45 90 1620 1575 500.00 787,500.00
483 Neurodex tab Tablet 220 440 7920 7700 615.00 4,735,500.00
484 Neuromec/ Novapyron tab Tablet 1444 458 8244 6800 600.00 4,080,000.00
485 Neo-k inj Injeksi 10 20 360 350 15,000.00 5,250,000.00
486 Needle 23G TE 95 150 2700 2605 3,000.00 7,815,000.00
487 Needle 26G TE 106 212 3816 3710 2,300.00 8,533,000.00
488 Nebulizer masker pediatric 30 10 180 150 47,500.00 7,125,000.00

489 Nebulizer masker adult 25 12 216 191 47,500.00 9,072,500.00
490 Nebacetin powder Serbuk 4 7 126 122 28,600.00 3,489,200.00
491 Neurobion 5000mg Tablet 250 30 540 290 4,000.00 1,160,000.00
492 Neurobion tab Tablet 30 60 1080 1050 1,800.00 1,890,000.00
493 Neo kaolana syr Syrup 8 3 54 46 17,000.00 782,000.00
494 NGT Fr 5.40cm Pcs 45 18 324 279 51,000.00 14,229,000.00
495 NGT Fr 8. 40cm Pcs 65 5 90 25 260,000.00 6,500,000.00
496 NGT Fr 5. 100cm Pcs 35 8 144 109 27,000.00 2,943,000.00
497 NGT Fr 16 125cm Pcs 65 6 108 43 44,000.00 1,892,000.00
498 NGT Fr 14. 125cm Pcs 40 5 90 50 44,000.00 2,200,000.00
499 NGT Fr 12. 125cm Pcs 55 6 108 53 28,500.00 1,510,500.00
500 NGT 18 125 cm Pcs 70 4 72 2 28,700.00 57,400.00
501 Nipedipine tab Tablet 257 330 5940 5683 500.00 2,841,500.00
502 Novaldo inj Injeksi 4 8 144 140 11,800.00 1,652,000.00
503 Nobor tab Tablet 150 300 5400 5250 5,400.00 28,350,000.00
504 Norestil tab Tablet 84 168 3024 2940 5,900.00 17,346,000.00
505 Norages syrp Syrup 10 20 360 350 41,000.00 14,350,000.00
506 Nonemi tab Tablet 652 265 4770 4118 1,800.00 7,412,400.00
507 Norages inj Injeksi 262 165 2970 2708 12,600.00 34,120,800.00
508 Novastan Syr Syrup 22 15 270 248 17,800.00 4,414,400.00
509 NOVABION/HUFABION TAB Tablet 216 333 5994 5778 600.00 3,466,800.00
510 Non flamin tab Tablet 153 205 3690 3537 6,000.00 21,222,000.00
511 Novatusin Syr Syrup 12 23 414 402 6,500.00 2,613,000.00
512 Novorapid Flexpen 25 5 90 65 104,000.00 6,760,000.00
513 Novomix Flexpen 25 5 90 65 132,000.00 8,580,000.00
514 NRBM Masker adult Pcs 20 2 36 16 49,500.00 792,000.00
515 NRBM Masker pediatric Pcs 20 1 18 24 135,000.00 3,240,000.00
516 NS 25ml Cairan 146 292 5256 5110 6,000.00 30,660,000.00
517 NS 500ml (OTSU) Cairan 297 368 6624 6327 7,800.00 49,350,600.00
518 NS 100 ml Cairan 109 218 3924 3815 14,500.00 55,317,500.00
519 NS 1000ml Cairan 21 42 756 735 18,200.00 13,377,000.00
520 Nutrilon premature 400g 2 5 90 88 188,000.00 16,544,000.00
521 Nutribaby1 400g 6 6 108 102 195,000.00 19,890,000.00
522 Nucef capsul Kapsul 513 30 540 27 27,000.00 729,000.00
523 Nucef SirKer Sirker 20 11 198 178 103,000.00 18,334,000.00
524 NUTRY BABY PEPTI JUNIOR 15 5 90 75 300,500.00 22,537,500.00
525 NUTRI BABY ROYAL 400 G 15 6 108 93 123,000.00 11,439,000.00
526 NUTRIBABY 200 MG 15 12 216 201 58,500.00 11,758,500.00
527 NUTRI BABY ANTIREGURGITASI 1 18

400 15 3 138,000.00 414,000.00
528 Nurse Cup Kepala 200 20 360 160 600.00 96,000.00
529 NUTRIBABY ALLERPRE 400 MG 15 5 90 75 148,000.00 11,100,000.00
530 NUTRIBABY MAMA 400 MG 15 3 54 39 90,000.00 3,510,000.00
531 Nyndia drop Drop 5 10 180 175 45,000.00 7,875,000.00
532 Nystin drop Drop 6 12 216 210 42,000.00 8,820,000.00
533 OBH itrasal 100ml Syrup 29 26 468 439 5,000.00 2,195,000.00
534 OBP itrasal 100ml Syrup 6 12 216 210 5,000.00 1,050,000.00
535 Omeprazole Capsul Kapsul 310 620 11160 10850 700.00 7,595,000.00
536 Omeprazole inj Injeksi 13 26 468 455 90,000.00 40,950,000.00
537 Onemed test hamil Pcs 50 10 180 130 2,400.00 312,000.00
538 Ondancetron 4 mg/ 2 ml inj Injeksi 468 112 2016 1548 7,000.00 10,836,000.00
539 Ondancetron tab Tablet 30 60 1080 1050 4,000.00 4,200,000.00
540 Ondancetron 8mg/ml inj Injeksi 30 5 90 60 31,000.00 1,860,000.00
541 Opsite (CURAPOR) 50 22 396 346 50,000.00 17,300,000.00
542 OPINEURON TAB Tablet 35 70 1260 1225 2,000.00 2,450,000.00
543 Oralit Serbuk 16 32 576 560 2,000.00 1,120,000.00
544 Osteocal Tablet 25 50 900 875 1,300.00 1,137,500.00
545 OSTEOKOM TAB Tablet 15 30 540 525 10,000.00 5,250,000.00
546 Oxytetracylin SM Salep 5 10 180 175 5,000.00 875,000.00
547 Oxytetracyline SK Salep 25 12 216 191 4,000.00 764,000.00
548 Paper EKG 8 1 18 10 150,000.00 1,500,000.00
549 Pantoprazole inj Injeksi 10 19 342 332 106,000.00 35,192,000.00
550 Paracetamol infs Cairan 15 30 540 525 80,000.00 42,000,000.00
551 Pampers Dewasa 71 25 450 379 13,000.00 4,927,000.00
552 PD Cath IV Canula NO 18 36 6 108 72 23,100.00 1,663,200.00
554 PD Spuit 3 CC 52 16 288 236 2,300.00 542,800.00
555 PD Spuit 5 CC 45 21 378 333 2,400.00 799,200.00
556 PD Spuit 10 CC 60 32 576 516 3,300.00 1,702,800.00
558 PD Infusion Set Dewasa 211 312 5616 5405 10,600.00 57,293,000.00
559 PD Folley Cath No.16 38 20 360 322 26,000.00 8,372,000.00
561 INFUS SET MAKRO TERUMO 50 14 252 202 15,000.00 3,030,000.00
562 Petidin inj Injeksi 30 18 324 294 57,600.00 16,934,400.00
563 Pehacain inj Injeksi 55 32 576 521 3,860.00 2,011,060.00
564 Pehidrol 800ml Cairan 8 1 18 10 20,000.00 200,000.00
565 Perfusor 2 1 18 16 60,000.00 960,000.00

566 Phenytoin caps Kapsul 50 18 324 274 800.00 219,200.00
567 Phenythoin inj Injeksi 32 11 198 166 90,000.00 14,940,000.00
568 Piracetam 400mg Tablet 165 30 540 375 600.00 225,000.00
569 Picyn 1500mg 5 2 36 31 120,000.00 3,720,000.00
570 Piroxicam 20mg Tablet 255 155 2790 2535 500.00 1,267,500.00
571 Piracetam 1g inj Injeksi 28 8 144 116 9,000.00 1,044,000.00
572 Piracetam 3g inj Injeksi 22 7 126 104 16,000.00 1,664,000.00
573 Pipet 1ml 60 50 900 840 2,000.00 1,680,000.00
574 Pispot wanita 3 1 18 15 3,600.00 54,000.00
575 Pispot laki-laki 3 1 18 15 3,600.00 54,000.00
576 PIRACETAM 1200mg Tablet 126 51 918 792 2,000.00 1,584,000.00
577 Piralen inj Injeksi 15 31 558 543 9,000.00 4,887,000.00
578 Piroxicam 10mg Tablet 331 50 900 569 350.00 199,150.00
579 Plesterin 9 17 306 297 30,000.00 8,910,000.00
580 Plantacid syrp Syrup 60 22 396 336 13,000.00 4,368,000.00
581 Plantacid F syrp Syrup 15 11 198 183 36,000.00 6,588,000.00
582 PLASMINEX INJEKSI Injeksi 15 6 108 93 20,000.00 1,860,000.00
583 Povidone 15ml/30ml Cairan 28 10 180 152 8,000.00 1,216,000.00
584 POVIDONE 60 ML Cairan 22 15 270 248 8,000.00 1,984,000.00
585 Povidone 1000ml Cairan 6 1 18 12 105,000.00 1,260,000.00
586 Pospargin tab/bledstop tab Tablet 136 272 4896 4760 660.00 3,141,600.00
587 Pospargin Inj/BLEDSTOP INJ Injeksi 36 12 216 180 7,200.00 1,296,000.00
588 Povidone 5L Cairan 7 1 18 11 125,000.00 1,375,000.00
589 Prednison tab Tablet 11 22 396 385 500.00 192,500.00
590 Propanolol tab Tablet 65 15 270 205 500.00 102,500.00
591 Primadex forte tab Tablet 455 220 3960 3505 600.00 2,103,000.00
592 Primadex tab Tablet 315 255 4590 4275 600.00 2,565,000.00
593 Primadex syrp Syrup 25 17 306 281 6,000.00 1,686,000.00
594 Promavit Kapsul 2398 517 9306 6908 4,000.00 27,632,000.00
595 Propepsa syrp Syrup 25 43 774 749 70,000.00 52,430,000.00
596 Prosonic 5L Cairan 1 2 36 35 270,000.00 9,450,000.00
597 Profertil tab Tablet 102 75 1350 1248 18,500.00 23,088,000.00
598 Propepsa Syr Syrup 50 25 450 400 65,000.00 26,000,000.00
599 PROVAGIN OVULA Suppositoria 11 6 108 97 18,000.00 1,746,000.00
600 PROFUT 4 MG Tablet 30 10 180 150 400.00 60,000.00
601 PROLIC CAPSUL Kapsul 80 15 270 190 9,000.00 1,710,000.00
602 PSIDII SYR Syrup 40 5 90 50 44,000.00 2,200,000.00
603 Pumpitor inj Injeksi 15 10 180 165 91,000.00 15,015,000.00
604 Pulmicort 1mg/2ml Injeksi 39 78 1404 1365 30,000.00 40,950,000.00

605 Pyrexin 160 supp Suppositoria 20 7 126 106 10,000.00 1,060,000.00
606 Quantidex tab Tablet 350 216 3888 3538 1,000.00 3,538,000.00
607 Ranitidin tab Tablet 6452 750 13500 7048 500.00 3,524,000.00
608 Ranitidin inj Injeksi 2200 316 5688 3488 4,200.00 14,649,600.00
609 RD 5% (otsu) Cairan 73 22 396 323 21,600.00 6,976,800.00
610 Recadryl inj Injeksi 15 8 144 129 6,000.00 774,000.00
611 Renax 50 Tablet 98 30 540 442 9,000.00 3,978,000.00
612 RL 500ml (otsu) Cairan 605 568 10224 9619 9,000.00 86,571,000.00
613 Sanmag syrup Syrup 70 13 234 164 33,600.00 5,510,400.00
614 Salbutamol 4mg tab Tablet 241 482 8676 8435 500.00 4,217,500.00
615 Salbutamol 2mg tab Tablet 168 336 6048 5880 500.00 2,940,000.00
616 Salycyl bedak Serbuk 6.5 13 234 227.5 5,400.00 1,228,500.00
617 Sanmol drop Drop 30 10 180 150 18,600.00 2,790,000.00
618 San-B-plex drops Drop 9 5 90 81 23,000.00 1,863,000.00
619 SANADRYL SYR Syrup 10 5 90 80 12,600.00 1,008,000.00
620 SALFENAL 400 MG Tablet 457 914 16452 15995 400.00 6,398,000.00
621 SANADRYL DMP SYR Syrup 8 3 54 46 14,000.00 644,000.00
622 SANBE KIDS Syrup 20 2 36 16 46,000.00 736,000.00
623 SANMOL SYR Injeksi 50 22 396 346 14,000.00 4,844,000.00
624 Santagesic injeksi Injeksi 50 12 216 166 11,000.00 1,826,000.00
625 Sanadryl DMP 120ml Syrup 10 5 90 80 18,500.00 1,480,000.00
626 Scopamin inj / GITAS INJ Injeksi 30 20 360 330 18,800.00 6,204,000.00
627 Scopamin plus tab Tablet 172 121 2178 2006 1,500.00 3,009,000.00
628 SCOPMA PLUS Tablet 45 90 1620 1575 1,500.00 2,362,500.00
629 Scabimite 10g Cream 50 15 270 220 48,400.00 10,648,000.00
630 Set infus micro Alkes 23 6 108 85 29,300.00 2,490,500.00
631 Sedacum inj Injeksi 6.5 13 234 227.5 53,000.00 12,057,500.00
632 Sequest scht Serbuk 50 20 360 310 37,000.00 11,470,000.00
633 Seremic 10 Mg Tablet 141 70 1260 1119 900.00 1,007,100.00
634 Set Infus set Y askamed Pcs 112 50 900 788 19,300.00 15,208,400.00
635 Set infus Polymed (BPJS) Pcs 120 60 1080 960 12,000.00 11,520,000.00
636 SGM1 120 mg Box 8 15 270 262 44,000.00 11,528,000.00
637 SGM BBLR 200mg Box 8 3 54 46 44,500.00 2,047,000.00
638 Silet Pcs 150 50 900 750 3,200.00 2,400,000.00
639 Simvastatin 5mg tab Tablet 15 90 1620 1605 750.00 1,203,750.00
640 Simvastatin 10mg tab Tablet 370 740 13320 12950 700.00 9,065,000.00
641 Sibital inj 10 1 18 8 13,500.00 108,000.00
642 Silkam black USP 1 Pcs 5 1 18 13 1,500,000.00 19,500,000.00
643 Silk Black 2 Pcs 7 1 18 11 750,000.00 8,250,000.00

644 Silk Black 2/0 BRAUN Pcs 8 1 18 10 850,000.00 8,500,000.00
645 Silk 2/0 saccet Pcs 50 20 360 310 5,000.00 1,550,000.00
646 Silk 3/0 saccet Pcs 50 20 360 310 5,000.00 1,550,000.00
647 SIMVASTATIN 20 MG Tablet 68 76 1368 1300 2,000.00 2,600,000.00
648 SILOPECT TABLET Tablet 100 30 540 440 2,000.00 880,000.00
649 SILOPECT SYR Syrup 12 4 72 60 30,000.00 1,800,000.00
650 Sirplus stw Syrup 15 3 54 39 15,800.00 616,200.00
651 Spuit 100-ui terumo Alkes 60 30 540 480 5,000.00 2,400,000.00
652 Spuit 1cc terumo Alkes 80 45 810 730 8,500.00 6,205,000.00
653 Spuit 1cc OM Alkes 70 50 900 830 2,500.00 2,075,000.00
654 Spuit 3cc OM Alkes 50 180 3240 3190 1,800.00 5,742,000.00
655 Spuit 3cc terumo Alkes 180 16 288 108 6,000.00 648,000.00
656 Spuit 5cc OM Alkes 130 70 1260 1130 3,400.00 3,842,000.00
658 Spuit 10cc OM Alkes 180 60 1080 900 2,700.00 2,430,000.00
661 Spuit 50cc syringe pump terumo Alkes 80 20 360 280 32,500.00 9,100,000.00
662 Spuit 3cc stera Alkes 200 130 2340 2140 1,800.00 3,852,000.00
663 Spasminal tab Tablet 215 430 7740 7525 700.00 5,267,500.00
664 Spinocam no25 Alkes 80 20 360 280 52,800.00 14,784,000.00
665 Spinocam no23 Alkes 80 15 270 190 48,300.00 9,177,000.00
666 Spongestan Alkes 60 6 108 48 88,400.00 4,243,200.00
667 Spuit 20cc OM Alkes 50 8 144 94 4,200.00 394,800.00
668 Spinocam no 27 Alkes 50 17 306 256 61,600.00 15,769,600.00
669 Spalk pink 20x5 Alkes 60 15 270 210 8,000.00 1,680,000.00
670 Spalk green 15x5 Alkes 60 130 2340 2280 8,200.00 18,696,000.00
673 Spalk green 15X90 Alkes 60 6 108 48 32,500.00 1,560,000.00
674 SPIRAMYCIN 500 MG kf Tablet 3 5 90 87 9,000.00 783,000.00
675 SPUIT 50 CC catheter tip OM Alkes 50 5 90 40 10,800.00 432,000.00
676 spalk putih 8 X 90 Alkes 50 15 270 220 18,000.00 3,960,000.00
677 SPALK 5 X 30 Alkes 25 30 540 515 10,200.00 5,253,000.00
678 Spuit 50 cc TM catheter tip Alkes 50 6 108 58 57,200.00 3,317,600.00
679 Stesolid rectal Suppositoria 9 18 324 315 47,000.00 14,805,000.00
680 Stesolid Inj Injeksi 87 174 3132 3045 15,100.00 45,979,500.00
681 Suction catheter no 8 Alkes 70 20 360 290 14,500.00 4,205,000.00

684 Suprafenid supp Suppositoria 144 288 5184 5040 14,500.00 73,080,000.00
685 Surflo no 18 Alkes 70 30 540 470 35,600.00 16,732,000.00
686 Surflo no 20 Alkes 60 15 270 210 35,600.00 7,476,000.00
687 Surflo no 22 Alkes 40 60 1080 1040 35,600.00 37,024,000.00
688 Surflo no 24 Alkes 50 40 720 670 35,600.00 23,852,000.00
689 Superhoid supp Suppositoria 15 17 306 291 6,000.00 1,746,000.00
690 Suction catheter Fr 14 Alkes 50 16 288 238 22,500.00 5,355,000.00
691 Suction catheter Fr 16 Alkes 50 25 450 400 21,000.00 8,400,000.00
692 Surflo no 16 Alkes 80 30 540 460 41,800.00 19,228,000.00
693 Surflo no.26 Eskamed Alkes 15 30 540 525 24,300.00 12,757,500.00
694 SURFLO 24 ESKAMED Alkes 70 5 90 20 17,800.00 356,000.00
695 Surflo 22 Polymed (BPJS) Alkes 30 60 1080 1050 26,400.00 27,720,000.00
699 Synbio Serbuk 15 30 540 525 6,200.00 3,255,000.00
700 SYNECLAV 500 MG Tablet 45 90 1620 1575 13,200.00 20,790,000.00
701 SYNECLAV SYR Syrup 15 6 108 93 65,800.00 6,119,400.00
702 Tera-f Tablet 325.5 651 11718 11392.5 450.00 5,126,625.00
703 Teosal tab Tablet 155 311 5598 5443 500.00 2,721,500.00
704 Thermometer Alkes 20 5 90 70 17,000.00 1,190,000.00
705 Tensocrape 7,5cm x 4,5m Alkes 8 3 54 46 84,000.00 3,864,000.00
706 Tensocrape 5.5cm x 4.5m Alkes 8 3 54 46 68,000.00 3,128,000.00
707 Tegaderm Film Alkes 150 183 3294 3144 3,700.00 11,632,800.00
708 TGF KAPLET Kaplet 600 113 2034 1434 7,000.00 10,038,000.00
709 Theobron tab Tablet 239 478 8604 8365 3,000.00 25,095,000.00
710 Three way Alkes 25 5 90 65 33,000.00 2,145,000.00
711 Trombophob gel Gel 2.5 5 90 87.5 67,000.00 5,862,500.00
712 Tissue Alkes 20 10 180 160 3,500.00 560,000.00
713 Tiriz drop Drop 20 8 144 124 76,600.00 9,498,400.00
714 Tongspatel kayu Alkes 70 5 90 20 1,000.00 20,000.00
715 Tromilin syrp Syrup 8 3 54 46 12,600.00 579,600.00
716 Tremenza tab Tablet 65 130 2340 2275 2,000.00 4,550,000.00
717 Tree way catheter Alkes 15 5 90 75 105,000.00 7,875,000.00
718 Tramadol Tablet 3 6 108 105 702.00 73,710.00
719 Truvast tablet Tablet 131 30 540 409 17,000.00 6,953,000.00
720 Tuzaloz tab Tablet 100 80 1440 1340 900.00 1,206,000.00
721 Umbilikal klem Alkes 50 15 270 220 2,800.00 616,000.00

722 Underpad Alkes 180 45 810 630 5,800.00 3,654,000.00
723 Unalium 5mg tablet Tablet 25 47 846 821 7,200.00 5,911,200.00
724 Urin Bag PD 50 94 1692 1642 11,200.00 18,390,400.00
725 Ursodeoxycholic acid 250mg Kapsul 100 50 900 800 7,300.00 5,840,000.00
726 Urdafalk tab Tablet 40 30 540 500 13,800.00 6,900,000.00
727 Valsartan 80MG/Valesco 80mg Tablet 600 56 1008 408 9,200.00 3,753,600.00
728 Vesperum tab/Domperidon tab Tablet 1258 826 14868 13610 407.00 5,539,270.00
729 Vesperum syrp/OMEDON SYR Syrup 12 24 432 420 6,000.00 2,520,000.00
730 Ventolin inj Injeksi 18 36 648 630 13,000.00 8,190,000.00
731 Vit Bcom Tablet 383 456 8208 7825 500.00 3,912,500.00
732 Vit C 50mg Tablet 782 436 7848 7066 500.00 3,533,000.00
733 Vit B6 Tablet 30 60 1080 1050 500.00 525,000.00
734 Vit A 6000 IU Tablet 50 25 450 400 500.00 200,000.00
735 Vitacur syr 60 ml Syrup 18 13 234 216 39,600.00 8,553,600.00
736 Vitrolenta TM Minidose 25 10 180 155 37,800.00 5,859,000.00
737 Vosea tab Tablet 785 573 10314 9529 700.00 6,670,300.00
738 Vosea syrp Syrup 9 15 270 261 7,500.00 1,957,500.00
739 Voltadex tab Tablet 435 870 15660 15225 500.00 7,612,500.00
740 Vomil B6 Tablet 108 216 3888 3780 3,200.00 12,096,000.00
741 Wing Needle Pcs 6 4 72 66 15,000.00 990,000.00
742 Winatine tab/Loratadin Tablet 106 212 3816 3710 800.00 2,968,000.00
743 Yusimox syrp Syrup 14 28 504 490 4,700.00 2,303,000.00
744 Yusimox F syrp Syrup 12 24 432 420 7,000.00 2,940,000.00
745 Zink tab Tablet 67 134 2412 2345 700.00 1,641,500.00
TOTAL 117,289.00 83,523.00 1,471,428.00 1,355,243.00 52,791,240.00 5,510,820,935.00

Rko Penggunaan Obat RS 2018

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Nama Rumah Sakit : Rumah Sakit Umum Lirboyo

No Nama Obat Kekuatan Dosis

1 Acyclovir 400 mg 400 mg

23 Aminopillin 200mg 200 mg

Sisa stok per Pemakaian rata-rata Jumlah kebutuhan tahun

Kesesuaian dengan Jumlah penggunaan ( Satuan terkecil)

331 330 661

2117 2114 4231

3029 206 3235

263 102 365

456 382 838

473 475 948

258 255 513

2564 1289 3853

5020 5020 1040

100 188 288

185 165 350

1069 1035 2104

KEDIRI,19 AGUSTUS 2016

Sisa stok per Pemakaian rata-rata

# a b c = b*18 d=c-a e f=d*e

33 Ambroxol Syr Botol 10 9 162 152 4,500.00 684,000.00

72 Bisoprolol 10 mg Tablet 300 30 540 240 2,900.00 696,000.00

111 Catheter 12 - 3 6 108 105 25,000.00 2,625,000.00

135 CENDO POLYGRAN SALEP 0

146 Cendo Giflox minidose tm Minidose 0 0 0 0 98,275.00 0.00

216 Cygest 400mg Injeksi 10 20 360 350 26,200.00 9,170,000.00

256 Durogesig 12ug/h pcs 8 15 270 262 135,400.00 35,474,800.00

269 ESKAMED 3WAY DGN EXTRA alkes 3 54

270 ESKAMED 3 WAY TANPA EXTRA alkes 3 54

293 Flutrop tab Tablet 35 70 1260 1225 650.00 796,250.00

371 Jarum insulin 50 10 180 130 4,600.00 598,000.00

410 Lapimox 500 Mg Tablet 139 50 900 761 3,700.00 2,815,700.00

449 Mess 22 Pcs 58 25 450 392 3,900.00 1,528,800.00

488 Nebulizer masker pediatric 30 10 180 150 47,500.00 7,125,000.00

527 NUTRI BABY ANTIREGURGITASI 1 18

565 Perfusor 2 1 18 16 60,000.00 960,000.00

604 Pulmicort 1mg/2ml Injeksi 39 78 1404 1365 30,000.00 40,950,000.00

643 Silk Black 2 Pcs 7 1 18 11 750,000.00 8,250,000.00

682 Suction catheter no 10 Alkes 60 21 378 318 21,000.00 6,678,000.00

721 Umbilikal klem Alkes 50 15 270 220 2,800.00 616,000.00

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# a b c = b18 d=c-a e f=de