RENCANA KEBUTUHAN OBAT PKD TAHUN 2020

KABUPATEN KERINCI
HARGA Sisa Stok Total Pemakaian USULAN
NO NAMA OBAT SATUAN SATUAN IFK Pemakaian Rata-rata KEBUTUHAN Kecukupan
(HNA + PPN)* per 01 Jan 20 *) tahun 2019 per Bulan AWAL Th.2020
1 2 3 4 5 6=5/12bln 7=6x18bln 8=4-7

1 Ambroxol sirup 15 mg/ml Botol 7,150 - 1,000 83 1,500 (1,500)

2 Ambroxol tablet 30 mg Tablet 232 - 85,000 7,083 127,500 (127,500)
2 Antalgin 500 mg Tablet 76 - - 25,000 450,000 (450,000)
3 Antalgin injeksi 250mg/ml-2ml Ampul 1,800 - - - - -
Anti Malaria DOEN Kombinasi : Pirimetamin
3 Tablet 647 16,700 2,500 208 3,750 12,950
25 mg + Sulfadoksin 500 mg
4 Asam Traneksamat 500 mg Tablet 1,150 - 3,500 292 5,250 (5,250)
4 Asam Klorida 0,1 N Botol - - - - - -
5 Asam Sulfosalisilat Botol - - - - - -
5 Acetosal 500 mg Tablet - - - - - -
6 Acyclovir krim tube 5 g Tube 6,760 325 575 48 863 (538)
6 Benzatin penisilin 1,2 UI/ml Vial 11,235 - - - - -
7 Cefixime kapsul 100 mg Kapsul 3,058 - 23,500 1,958 35,250 (35,250)
7 Cefixime sirup kering 100 mg/5 ml Botol 5,530 - 3,420 285 5,130 (5,130)

8 Dextromethorphan HBr Syrup/Dextrofen syrup Botol 14,690 3,500 18,562 1,547 27,843 (24,343)

8 Dextromethorphan HBr 15 mg Tablet 97 - 322,400 26,867 483,600 (483,600)

9 Digoksin 0,25 mg Tablet 104 5,500 3,500 292 5,250 250
9 Ekstrak Beladona Tablet - - - 5,000 90,000 (90,000)
10 Etakridina Laktat Lar. (Rivanol) Botol 3,930 557 143 12 215 343
10 Eter Anestikus Botol - - - - - -
11 Fenoksi Metil Fenicilin 500 mg Tablet - - - - - -
11 Fenol Gliserol Tetes Telinga 10 % Botol 2,590 - 240 20 360 (360)
12 Gliseril Guayakolat 100 mg Tablet 120 - 45,400 20,000 360,000 (360,000)
12 Hyocine-N-Butilbromide tablet 10 mg tablet 1,465 - 1,300 500 9,000 (9,000)
13 Hyocine-N-Butilbromide inj 20 mg/ml Ampul 9,680 - - 150 2,700 (2,700)
13 Hepagard Tablet Tablet 3,635 730 3,130 261 4,695 (3,965)

14 Hepatitis B Imunoglobin(human)injk220iu/ml syringe 1,325,000 - 60 5 90 (90)

14 Hustab Tablet 390 19,600 5,400 450 8,100 11,500

15 Klobazam 10 mg Tablet 776 9,000 1,000 83 1,500 7,500
15 Klozapin 25 mg Tablet 1,121 1,300 1,600 133 2,400 (1,100)
16 Klorokuin 250 mg Botol - - - - - -
16 Klorfromazin HCl 100 mg Tablet 155 800 28,200 2,350 42,300 (41,500)
17 Kotrimoksazol 120 mg (Pediatrik) Tablet - - - - - -
17 Lansoprazol kapsul 30 mg kapsul 473 - - 2,000 36,000 (36,000)
18 Larutan Benedict Botol 166,600 - - 1 18 (18)
18 Larutan Eosin 2 % Botol 139,145 - - 1 18 (18)
19 Larutan Etanol Botol - - - 1 18 (18)
19 Larutan Giemsa Stain Botol 322,400 - - 1 18 (18)
Botol 100
20 Larutan HCl 0,1 % 21,774 - - 1 18 (18)
ml
20 Larutan HCl 0,1 % Botol 50 ml 9,313 - - 1 18 (18)
21 Larutan Karbol Fuksin Botol 380,100 - - 1 18 (18)
21 Larutan Kinyon Botol - - - 1 18 (18)
22 Larutan Metilen Biru Botol 72,100 - - 1 18 (18)
22 Larutan Turk Botol 106,800 - - 1 18 (18)
23 Lisol Botol 164,488 - - 15 270 (270)
23 Loperamide 2 mg Tablet 82 - 6,900 575 10,350 (10,350)
24 Mebendazol 100 mg Tablet - - - - - -
24 Metanol Botol 23,938 - - 1 18 (18)
25 Metilprednisolon 4 mg tablet 137 - 212,500 17,708 318,750 (318,750)
25 Minyak emersi Botol 1,703,740 - 2 0 3 (3)
26 Mineral Mix Sachet 2,920 160 560 47 840 (680)
26 Multivitamin lansia ( Geriavita Tab ) Botol 2,835 8,340 3,360 280 5,040 3,300
27 Natrium Trioksin 100 mcg Tablet - - - - - -
27 Nifedipin tab 10 mg Tablet 179 1,270 10,200 850 15,300 (14,030)
28 Nifedipin tab 20 mg,slow release;oros Blister 3,285 - - - - -
28 Obat Batuk Hitam ( OBH ) Botol 12,590 - 2,868 239 4,302 (4,302)
29 Oksitetrasiklin injeksi 50 mg/ml-10ml Vial - - - 50 900 (900)
29 Oksitetrasiklin Salap kulit 3 % Tube - - - - - -
30 Prokain Penicillin inj Vial - - - - - -
30 Parasetamol 100 mg Tablet - - - - - -
31 Pethidin HCl Injeksi 50 mg/ml-2ml Ampul 15,225 - - 1 18 (18)
31 Piroksikam 20 mg Tablet 163 - 100 7,500 135,000 (135,000)
32 Primakuin Tablet - - - - - -
 HARGA Sisa Stok Total Pemakaian USULAN
NO NAMA OBAT SATUAN SATUAN IFK Pemakaian Rata-rata KEBUTUHAN Kecukupan
(HNA + PPN)* per 01 Jan 20 *) tahun 2019 per Bulan AWAL Th.2020
1 2 3 4 5 6=5/12bln 7=6x18bln 8=4-7

32 Propil thio urasil ( PTU ) Tablet 560 - 21,600 1,800 32,400 (32,400)
33 Propranolol 40 mg Tablet 80 26,100 49,500 4,125 74,250 (48,150)
33 Ranitidin injeksi 25 mg/5 ml ampul 1,155 - 6,710 559 10,065 (10,065)
34 Reagen Zihl Nielsen Paket 3,761,865 - 7 1 11 (11)
34 Reserpin 0,25 mg Tablet - - - - - -
35 Risperidon 2 mg Tablet 287 3,000 7,000 583 10,500 (7,500)
35 Sefotaksim injeksi 1 gr vial 6,322 620 2,860 238 4,290 (3,670)

36 Stesolid-Diazepam larutan rektal 5 mg/2.5 ml Tube 13,202 250 190 16 285 (35)

36 Stesolid-Diazepam larutan rektal 10 mg/2.5 ml Tube 19,193 395 185 15 278 118

37 Skizonoate Inj Ampul 63,813 30 10 1 15 15

37 Sulfadimidin Tablet - - - - -
38 Taburia Sachet 6,300 - - 300 5,400 (5,400)
38 Tetrakain Tetes Mata 0,5 % Botol 4,585 - - 20 360 (360)
39 Thiamin HCl injeksi 100mg /ml-1ml Ampul 1,536 690 750 63 1,125 (435)
39 Triheksifenidil 2 mg Tablet 87 55,400 125,400 10,450 188,100 (132,700)
40 Vaksin Flu 0,5 ml Vial 82,005 - 350 29 525 (525)
- - - -
OBAT GIGI - - - -
1 Air Raksa Dental Use Botol 681,250 20 1 18 2
2 Glas Ionomer Cement Set 237,500 20 - 1 18 2
3 Mummifying Pasta Botol 612,500 10 - 1 18 (8)
4 Semen seng fosfat Cairan Dan Serbuk Set 218,750 20 - 1 18 2
5 Silver Amalgam serbuk Botol 622,500 20 - 1 18 2
Temporary Stopping Fletcher (Fletcher) serbuk
6 Botol 91,875 20 - 1 18 2
dan cairan
- - - -
PERBEKALAN KESEHATAN - - - -
1 Alat Suntik Sekali Pakai 1 ml Set 762 5,200 - - 5,200
2 Alat Suntik Sekali Pakai 3 ml Set 894 6,400 15,750 1,313 23,625 (17,225)
3 Alat suntik sekali pakai 5 ml Set 903 5,000 10,700 892 16,050 (11,050)
4 Alat suntik sekali pakai 10ml Set 1,103 - 1,800 150 2,700 (2,700)
5 B Braun Aesculap Blades (pisau bedah) #10 pcs 3,000 - - 100 1,800 (1,800)
6 B Braun Aesculap Blades (pisau bedah) #11 pcs 3,000 - - 100 1,800 (1,800)
7 Blood Administration Set With Airvent pcs 12,080 820 576 48 864 (44)
8 Catgut No. 2/0 dengan jarum bedah Sachet 34,170 132 1,080 90 1,620 (1,488)
9 Catgut No. 3/0 dengan jarum bedah Sachet 32,800 180 1,068 89 1,602 (1,422)
10 Ecolab aquagel sterile jelly 82gr Tube 42,588 - - 25 450 (450)
11 Foley Catheter 14 fr pcs 18,450 400 135 11 203 198
12 Foley Catheter 16 fr pcs 18,450 333 125 10 188 146
13 Foley Catheter 18 fr pcs 18,450 495 115 10 173 323
14 Glucose Test strips kotak 255,300 60 95 8 143 (83)
15 Total Cholesterol Test strips kotak 547,400 22 97 8 146 (124)
16 Uric Acid Test strips kotak 548,300 - 78 7 117 (117)
17 Handscoon size S pcs 924 - - 100 1,800 (1,800)
18 Handscoon size M pcs 924 - - 100 1,800 (1,800)
19 Handscoon size L pcs 924 - 2,380 198 3,570 (3,570)
20 Aximed churgic gloves 6,5 pcs 5,100 4,200 2,550 213 3,825 375
21 Aximed churgic gloves 7,0 pcs 7,600 - 2,350 196 3,525 (3,525)
22 Aximed churgic gloves 7,5 pcs 7,600 - 2,250 188 3,375 (3,375)
23 Infusion Set Anak pcs 5,100 4,183 1,425 119 2,138 2,046
24 Iodium test Botol 293,738 287 - - - 287
25 Infusion Set Dewasa pcs 4,800 1,500 5,700 475 8,550 (7,050)
26 IV Catheter No.18 G pcs 9,060 520 2,060 172 3,090 (2,570)
27 IV Catheter No.20 G pcs 9,060 1,450 1,530 128 2,295 (845)
28 IV Catheter No.22 G pcs 9,060 55 2,515 210 3,773 (3,718)
29 IV Catheter No.24 G pcs 9,060 320 1,893 158 2,840 (2,520)
30 Kapas Pembalut / Absorben 250 gram Rol 28,530 1,121 548 46 822 299

31 Kassa Hidropil steril uk. 16x16 (isi 16 lembar ) kotak 8,190 345 2,326 194 3,489 (3,144)

32 kasas Hidropil 3 yard x 10 cm pack 63,500 - 19 2 29 (29)

33 Kassa Pembalut Hidropil 40Y x 80 cm Rol 149,987 348 - - 348
34 Kassa Pembalut Hidropil 4 x 10 cm Rol 607 - - 500 9,000 (9,000)
35 Kassa Pembalut Hidropil 4 x 5 cm Rol - - - - - -
36 Kassa Pembalut Elastis 15 x 4,55cm Rol 54,139 55 5 0 8 48
37 Kassa Pembalut Elastis 10 x 4,55 cm Rol 43,987 44 2 0 3 41

38 Kassa Pembalut Elastis 15 x 4,55cm(terentang) Rol 41,910 54 58 5 87 (33)

39 Kassa Pembalut Elastis 10 x 4,55 cm(terentang) Rol 33,000 48 64 5 96 (48)

 HARGA Sisa Stok Total Pemakaian USULAN
NO NAMA OBAT SATUAN SATUAN IFK Pemakaian Rata-rata KEBUTUHAN Kecukupan
(HNA + PPN)* per 01 Jan 20 *) tahun 2019 per Bulan AWAL Th.2020
1 2 3 4 5 6=5/12bln 7=6x18bln 8=4-7

40 Masker pcs 647 28,400 55,150 4,596 82,725 (54,325)

41 Masker Oksigen Bayi pcs 14,520 123 57 5 86 38
42 Masker Oksigen anak pcs 13,552 120 55 5 83 38
43 Masker Oksigen Dewasa pcs 13,552 96 72 6 108 (12)
44 Masker Karet kotak 19,800 64 146 12 219 (155)
45 Masker Tali kotak 24,000 13 187 16 281 (268)
46 Policlean Handrub Botol 86,733 873 335 28 503 371
47 Poli Aid 1 Ltr LA (Antiseptik Pembersih) Botol 147,640 107 118 10 177 (70)
48 Plester 5 yard x 2 inch Rol 17,685 168 568 47 852 (684)
49 Plester 15 cm x 5 m Rol 108,167 392 76 6 114 278
50 Plester 20 cm x 5 m Rol 129,825 97 76 6 114 (17)
51 Plester 5 cm x 5 m Rol 42,252 477 23 2 35 443
52 Paper Tape 2,5 x 9,14 M Roll 8,150 156 212 18 318 (162)
53 Pot Sputum Pot 7,040 - - - - -
54 Silk dengan jarum bedah 2/0 HR Sachet 21,125 35 1,025 85 1,538 (1,503)
55 Silk dengan jarum bedah 3/0 HR Sachet 20,525 166 1,044 87 1,566 (1,400)
56 Urine Bag pcs 4,215 440 60 5 90 350
TOTAL

Siulak, Januari 2020

KEPALA INSTALASI FARMASI

DINAS KESEHATAN KABUPATEN KERINCI

EDY WIDOTOMO, SKM, M.Kes

NIP. 19631212 198702 1 003
TUHAN OBAT PKD TAHUN 2020
BUPATEN KERINCI
USULAN
KEBUTUHAN TOTAL Rp

9 15

2,500 17,875,000
200,000 46,400,000
100,000 7,600,000
-

5,000 3,235,000

5,000 5,750,000
-
-
-
1,000 6,760,000
-
40,000 122,320,000
5,000 27,650,000

10,000 146,900,000

-
10,000 1,040,000
100,000 -
500 1,965,000
-
-
500 1,295,000
500,000 60,000,000
10,000 14,650,000
2,700 26,136,000
5,000 18,175,000

100 132,500,000

100,000 39,000,000
5,000 3,880,000
2,500 2,802,500
-
50,000 7,750,000
-
40,000 18,920,000
25 4,165,000
25 3,478,625
25 -
25 8,060,000

25 544,350

25 232,825
20 7,602,000
25 -
25 1,802,500
25 2,670,000
200 32,897,600
20,000 1,640,000
-
25 598,450
300,000 41,100,000
-
1,500 4,380,000
5,000 14,175,000
-
15,000 2,685,000
-
5,000 62,950,000
1,000 -
-
-
-
30 456,750
150,000 24,450,000
-
 USULAN
KEBUTUHAN TOTAL Rp

9 15

50,000 28,000,000
50,000 4,000,000
15,000 17,325,000
12 45,142,380
-
20,000 5,740,000
5,000 31,610,000

100 1,320,200

100 1,919,300

30 1,914,390
-
-
500 2,292,500
1,500 2,304,000
150,000 13,050,000
550 45,102,750
-
-
10 6,812,500
10 2,375,000
10 6,125,000
25 5,468,750
10 6,225,000

25 2,296,875

-
-
6,000 4,572,000
30,000 26,820,000
25,000 22,575,000
5,000 5,515,000
2,000 6,000,000
2,000 6,000,000
900 10,872,000
1,500 51,255,000
1,500 49,200,000
600 25,552,800
200 3,690,000
200 3,690,000
200 3,690,000
200 51,060,000
200 109,480,000
250 137,075,000
2,000 1,848,000
2,000 1,848,000
4,000 3,696,000
4,000 20,400,000
4,000 30,400,000
4,000 30,400,000
2,500 12,750,000
50 14,686,900
9,000 43,200,000
3,000 27,180,000
2,500 22,650,000
4,000 36,240,000
3,000 27,180,000
850 24,250,500

4,000 32,760,000

50 3,175,000
100 14,998,700
10,000 6,070,000
-
100 5,413,900
200 8,797,400

100 4,191,000

100 3,300,000
 USULAN
KEBUTUHAN TOTAL Rp

9 15

200,000 129,400,000
200 2,904,000
200 2,710,400
200 2,710,400
500 9,900,000
600 14,400,000
300 26,019,900
100 14,764,000
1,600 28,296,000
300 32,450,100
150 19,473,750
150 6,337,800
300 2,445,000
1,000 7,040,000
2,000 42,250,000
2,000 41,050,000
200 843,000
OTAL 2,430,991,795