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J A N U A R I 2013

NO NAMA OBAT SATUAN Kode TK


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydrida tab 200 mg) Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 200 mg Tablet AMN2
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Injeksi ) Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo Diaform) Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamsin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT
90 Hidrokortison krim 2.5 % Tube HDR
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1
110 Kloramphenikol salep mata 1 % Tube KLOR2
111 Kloramphenikol tetes telinga 3 % Botol KLOR3
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 Metil Dopa tab 250 mg Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3
139 Mikonazole Krim / salep 2% Tube MOK
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3
159 Oksitosin inj 10 iu/1ml Ampul OTS
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 Papaverin tab 40 mg Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4
197 Salisil Bedak 2 % Kotak SB2
198 Salisil Spiritus 10 % Botol SS
199 Scopamin tablet
200 Sefadroxil 500 mg kapsul Tablet SEF
201 Sefotaxim Injeksi 1 gram Ampul SET
202 Seftriaxon Inj 1 gram Ampul STR
203 Sianokobalamin (Vit B12) inj Ampul B12
204 Simetidin tab 200 mg Tablet SIM
205 Simvastatin 10 mg tab Tablet SIV
206 Siprofloksasin 500 mg tab Tablet SPRO
207 Streptomisin inj 1500 mg /vial Vial STREP
208 Sulfasetamid tts mata 15% Botol SULF
209 Tablet tambah darah komb Tablet FE
210 Tetrakain tetes mata 0,5% Botol TTM
211 Tetrasiklin 250 mg Tablet TETR1
212 Tetrasiklin 500 mg Tablet TETR2
213 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1
214 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I
215 Thiamphenkol 500 mg cap Kapsul THIA1
216 Tiamfenikol Suspensi ( Conucol Dry Sirup ) Botol THAI2
217 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
218 Tramadol 50 mg Tablet TD
219 Triheksipenidil Hcl 2 mg tab Tablet TPD
220 Vitamin B Kompleks tab Tablet VBC
221 Yodium povidon 10 % 30 ml Botol YOD1
222 Yodium Povidon 10 % 300 ml Botol YOD2
223 Yodium Povidon 10% 1 Liter Botol YOD3
224 Zink 20 mg Tablet dispersible Tablet ZNK1
225 Zink Syrup Botol ZNK2
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX ART Besar Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3
4 Alat Suntik Sekali Pakai 3 ml Set ASS4
5 Alat Suntik Sekali Pakai 5 ml Set ASS5
6 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah Set GUT
7 Etanol 70 % 1 L Botol ETN
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA
14 Kasa Pembalut 2 X 80 cm Roll KP1
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test step 1,2 dan 3 Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
TJ TB KLP PMT APT total I

0
0
63 63 63
0
0
0
36 50 134 220 220
0
0
0
276 56 1882 2214 2214
12 12 12
0
0
162 1071 1233 1233
0
0
70 81 27 571 749 749
0
0
0
0
0
0
275 51 446 772 772
0
1054 1054 1054
0
0
0
0
0
0
0
0
0
9 9 9
0
0
2 2 2
175 126 999 1300 1300
0
36 36 36
0
0
0
0
0
27 7 208 242 242
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
103 103 103
0
0
0
60 74 86 220 220
0
0
0
0
593 593 593
387 117 216 939 1659 1659
0
0
0
0
0
0
0
57 81 24 197 359 359
2 5 7 7
0
0
172 60 232 232
60 761 821 821
0
0
0
0
0
0
292 126 1107 1525 1525
0
0
451 451 451
0
0
0
0
126 260 386 386
1 1 1
1 2 9 12 12
0
0
627 145 279 2839 3890 3890
0
60 60 60
0
97 20 649 766 766
38 38 38
1 1 1 16 19 19
0
0
0
0
0
0
0
0
1 1 1
0
0
0
0
0
0
0
0
54 10 30 94 94
0
0
0
0
0
10 10 10
0
0
0
0
0
0
0
0
1 2 2 5 5
0
0
0
4 2 14 20 20
2 1 3 3
0
0
0
0
0
8 5 2 11 26 26
200 200 200
837 247 270 3087 4441 4441
0
0
0
0
66 90 519 675 675
0
0
0
81 172 317 570 570
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9 9 9
2 2 4 4
0
223 223 223
0
0
0
10 8 66 84 84
0
0
0
0
2 13 15 15
0
0
0
0
32 172 1909 2113 2113
0
0
0
0
0
0
193 270 189 1915 2567 2567
0
0
0
0
0
65 65
39 18 220 277
2

3
J A N U A R I 2013

NO NAMA OBAT SATUAN Kode TK TJ TB KLP PMT APT total I


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydrida tab 200 Tablet ACT 0
2 Albendazol tab 400 mg Tablet ALB 0
3 Alopurinol 100 Tablet ALP1 0
4 Alopurinol 300 Tablet ALP2 37 37 37
5 Ambroxol tablet 30 mg Tablet AMB 0
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1 0
7 Aminophilin tab 200 mg Tablet AMN2 26 6 123 155 155
8 Amitriptilin Hcl tab 25 mg Tablet AMT 0
9 Amlodipin tab 10 mg Tablet AMD1 0
10 Amlodipin tab 5 mg Tablet AMD2 0
11 Amoksisilin 500 mg Kaplet AMOK5 48 30 1297 1375 1375
12 Amoksisilin kaps 250 mg Kapsul AMOK1 18 18 18
13 Amoksisilin SK 125mg/5ml Botol AMOK2 0
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Injeksi ) Ampul AMP 0
15 Antalgin (metampiron) tab 500 mg Tablet ANT1 316 279 1295 1890 1890
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2 0
17 Antasida DOEN Syrup Botol AND1 0
18 Antasida DOEN tab Komb Tablet AND2 374 87 127 27 430 1045 1045
19 Antibakteri DOEN salep Komb Tube ATB 0
20 Antifungi DOEN salep Komb Tube ATF 0
21 Antihemoroid DOEN Komb Suppositoria ATM 0
22 Antimigren DOEN tab Komb Tablet ATG 0
23 Antiparkinson DOEN tab Komb Tablet ATP 0
24 Aqua proinjeksi steril bebas pirogen Vial API 0
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC 52 76 571 699 699
26 Asam folat 1 mg Tablet AFOL 0
27 Asam mefenamat 500 mg Tablet ASMEF 546 546 546
28 Asetosal tab 100 mg Tablet AST 0
29 Asiklovir 400 mg Tablet ASK1 0
30 Asiklovir 5 % krim Tube ASK2 0
31 Attapulgite tablet komb (Diaform/Neo Diaform) Tablet ATT 0
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1 0
33 Atropin Sulfat tab 0,5 mg Tablet ATR2 0
34 Atropin tetes mata 0,5% Botol ATR3 0
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP 0
36 Betahistin Mesilat tablet 6 mg Tablet BMT 0
37 Betametason krim 0,1% Tube BTM 4 5 5 5 19 19
38 Bromheksin tablet 8 mg Tablet BRO 0
39 Dapson tab 100 mg Tablet DAP 0
40 Deksametason inj 5 mg/ml-ml Ampul DEK1 0
41 Deksametason tab 0.5 mg Tablet DEK2 222 118 414 947 1701 1701
42 Dekstrometorphan sirup 10mg/5ml 1 DET1 0
43 Dekstrometorphan tab 15 mg Tablet DET2 81 18 99 99
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1 0
45 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) Tube DIAZ2 0
46 Diazepam tab 2 mg Tablet DIAZ3 10 10 10
47 Diazepam tab 5 mg Tablet DIAZ4 0
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB 0
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 29 23 138 190 190
50 Digoksin tab 0.25 mg Tablet DGK1 0
51 Digoksin tab 0.5 mg Tablet DGK2 0
52 Dimenhidrinat tablet 50 mg Tablet DMD 0
53 Ekstrak Beladon 10 mg Tablet EB 326 326 326
54 Ephedrin Hcl tab 25 mg Tablet EP1 0
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2 0
56 Erithromisin 500 mg tab Tablet ERT1 0
57 Eritromisin 250 mg Tablet ERT2 0
58 Erithromisin sirup 200 mg/5 ml Botol ERT3 0
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1 0
60 Etambutol Hcl Tb 250 mg Tablet ETM 0
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1 0
62 Fenitoin Natrium kaps 100 mg Kapsul FN2 0
63 Fenitoin Natrium Kaps 30 mg Tablet FN3 0
64 Fenobarbital inj 50 mg/ml Ampul FBR1 0
65 Fenobarbital tab 100 mg Tablet FBR2 0
66 Fenobarbital tab 30 mg Tablet FBR3 0
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1 0
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2 0
69 Fenol gliserol tetes Telinga 10 % Botol FGT 0
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1 0
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2 9 89 98 98
72 Furosemid tab 40 mg Tablet FRO1 50 50 50
73 Furosemid Inj 10 mg/ml Ampul FRO2 0
74 Gameksan Lotion 1 % Botol GAM 0
75 Garam Oralit untuk 200 ml air Sachet GLIT1 35 144 66 146 391 391
76 Gemfibrozil 300 mg Tablet GEM 0
77 Gentamsin Salep Kulit 0,1% Tube GEN1 0
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2 0
79 Gentian Violet lart 1% Botol GV 0
80 Glibenklamid 5 mg Tablet GLIB 592 592 592
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 368 175 162 126 1032 1863 1863
82 Gliserin Botol GLR 0
83 Glukosa Lart Inf 10 % steril Botol GLU1 0
84 Glukosa Lart Inf 40 % steril Vial GLU2 0
85 Glukosa Lart Inf 5 % steril Botol GLU3 0
86 Grisiofulvin tab 125 mg Tablet GRI 0
87 Haloperidol tab 0.5 mg Tablet HAL1 0
88 Haloperidol tab 1.5 mg Tablet HAL2 0
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 40 6 285 331 331
90 Hidrokortison krim 2.5 % Tube HDR 10 10 10
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1 0
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2 0
93 Ibuprofen 200 mg Tablet IBU1 163 163 163
94 Ibuprofen 400 mg Tablet IBU2 654 654 654
95 Ichtyol salp Pot ICH 0
96 Iodiol softcaps Kapsul IOD 0
97 Isoniazid tab 300 mg Tablet ISN 0
98 Isosorbid dinitrat tab 5 mg Tablet ISO 0
99 Kalium Permanganat Pot KP 0
100 Kalium Diklofenak tab 50 mg Tablet KD 0
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 206 189 214 72 604 1285 1285
102 Kalsium Gluconas Injeksi Vial KGI 0
103 Kaptopril 12,5 mg Tablet KAP1 0
104 Kaptopril 25 mg Tablet KAP2 685 685 685
105 Karbamazepin tab 200 mg Tablet KAR 0
106 Ketamin inj 10 mg/ml Ampul KET 0
107 Klofazimil kaps 100 mg Kapsul KLOF 0
108 Klindamycin 150 mg Tablet KLIN 0
109 Kloramphenikol 250 mg Tablet KLOR1 14 288 343 645 645
110 Kloramphenikol salep mata 1 % Tube KLOR2 2 2 2
111 Kloramphenikol tetes telinga 3 % Botol KLOR3 1 3 5 9 9
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4 0
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5 0
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 565 325 322 171 2036 3419 3419
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1 0
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2 0
117 Kodein 10 mg tab Tablet KOD 0
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 180 236 424 840 840
119 Kotrimoksazole ped tab 120 mg Tablet KOT2 62 62 62
120 Kotrimoksazole Susp Botol KOT3 47 47 47
121 Kuinin Sulfat tab 222 mg Tablet KST 0
122 Levofloksasin tab 500 mg Tablet LEV 0
123 Lidokain 2% injeksi Ampul LIDO1 0
124 Lidokain Komp Inj Ampul LIDO2 0
125 Loperamid HCl tablet 2 mg Tablet LOP 0
126 Magnesium sulf inj 20%-25 ml Ampul MGS1 0
127 Magnesium sulf inj 40%-25 ml Ampul MGS2 0
128 Mebendazole sirup 100 mg/5 ml Botol MEB1 0
129 Mebendazole tab 100 mg Tablet MEB2 10 10 10
130 Metformin HCl Tab 500 mg Tablet MET 0
131 Metil Dopa tab 250 mg Tablet MDT 0
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1 0
133 Metil Ergometrin tab 0.125 mg Tablet ME2 10 10 10
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) Ampul MTK1 0
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2 0
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1 0
137 Metronidazol 250 mg Tablet MTR2 0
138 Metronidazol 500 mg Tablet MTR3 39 76 366 481 481
139 Mikonazole Krim / salep 2% Tube MOK 0
140 Mineral Mix sachet 8gr Sachet MMS 0
141 Mg Sulfat Serbuk 30 gram Sachet MGSS 0
142 Na. Bikarbonat tab 500 mg Tablet NAB 0
143 Na. Diklofenac 25 mg Tablet NAD1 56 56 56
144 Na. Diklofenac 50 mg Tablet NAD2 0
145 Na. Fluoresin tetes mata 2 % Botol NAF 0
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT 0
147 Natrium Klorida lart inf 0.9% Botol NAK 0
148 Nifedipin tab 10 mg Tablet NIF 0
149 Nistatin 100.000 iu tab vag Tablet NIS1 0
150 Nistatin 500.000 iu tab Tablet NIS2 0
151 OAT-FDC Kategori 1 Paket OAT1 0
152 OAT-FDC Kategori 2 Paket OAT2 0
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH 1 1 1
154 Obat Kategori Anak (kombipak) Paket OATA 0
155 Obat Kategori Sisipan Paket OKS 0
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1 0
157 Oksitetrasiklin SK 3% Tube OKTT2 1 6 7 7
158 Oksitetrasiklin SM 1 % Tube OKTT3 0
159 Oksitosin inj 10 iu/1ml Ampul OTS 0
160 Oseltamivir 75 mg Tablet OSE 0
161 Papaverin Injeksi 40 mg/ml Ampul PAP1 0
162 Papaverin tab 40 mg Tablet PAP2 0
163 Paraformaldehid tab 1 gr Tablet PAR 0
164 Parasetamol sirup 120 mg/5 ml Botol PARA1 12 12 12
165 Parasetamol tab 100 mg Tablet PARA2 8 8 8
166 Parasetamol tab 500 mg Tablet PARA3 597 667 2705 3969 3969
167 Petidin inj 50 mg/2 ml Ampul PET 0
168 Pilokarpin tetes mata 2 % Botol PIL 0
169 Pirantel pamoat tab 125 mg Tablet PIR 0
170 Pirazinamid tab 500 mg Tablet PIZ 0
171 Piridoksin tab 10 mg Tablet B6 231 20 162 523 936 936
172 Piroksicam 10 mg Tablet PIK1 0
173 Piroksicam 20 mg Tablet PIK2 0
174 Prazikuantel 600 mg tab Tablet PRAZ 0
175 Prednison 5 mg tab Tablet PRED 212 36 102 18 306 674 674
176 Primakuin 15 mg tab Tablet PRIM 0
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK 0
178 Propanolol 40 mg tab Tablet PROP 0
179 Propiltiourasil 100 mg tab Tablet PTU 0
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1 0
181 Ranitidin tab 150 mg Tablet RAN2 0
182 Reserpin 0,10 mg tab Tablet RES1 0
183 Reserpin 0,25 mg tab Tablet RES2 0
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1 0
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2 0
186 Rifampisin 300 mg kaps Tablet RIF1 0
187 Rifampisin 450 mg tab Tablet RIF2 0
188 Rifampisin 600 mg kaplet Tablet RIF3 0
189 Ringer Laktate lart infus Botol RL 0
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1 0
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS 0
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1 0
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2 0
194 Salbutamol 2 mg tab Tablet SAL1 0
195 Salbutamol 4 mg tab Tablet SAL2 0
196 Salep 2-4 komb Pot S2-4 1 14 15 15
197 Salisil Bedak 2 % Kotak SB2 1 1 2 2
198 Salisil Spiritus 10 % Botol SS 0
199 Sefadroxil 500 mg kapsul Tablet SEF 0
200 Sefotaxim Injeksi 1 gram Ampul SET 0
201 Seftriaxon Inj 1 gram Ampul STR 0
202 Sianokobalamin (Vit B12) inj Ampul B12 4 32 34 70 70
203 Simetidin tab 200 mg Tablet SIM 0
204 Simvastatin 10 mg tab Tablet SIV 0
205 Siprofloksasin 500 mg tab Tablet SPRO 161 161 161
206 Streptomisin inj 1500 mg /vial Vial STREP 0
207 Sulfasetamid tts mata 15% Botol SULF 8 8 8
208 Tablet tambah darah komb Tablet FE 0
209 Tetrakain tetes mata 0,5% Botol TTM 0
210 Tetrasiklin 250 mg Tablet TETR1 0
211 Tetrasiklin 500 mg Tablet TETR2 0
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 265 477 2262 3004 3004
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I 0
214 Thiamphenkol 500 mg cap Kapsul THIA1 0
215 Tiamfenikol Suspensi ( Conucol Dry Sirup ) Botol THAI2 0
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS 0
217 Tramadol 50 mg Tablet TD 0
218 Triheksipenidil Hcl 2 mg tab Tablet TPD 0
219 Vitamin B Kompleks tab Tablet VBC 100 391 27 495 144 6115 7272 7272
220 Yodium povidon 10 % 30 ml Botol YOD1 0
221 Yodium Povidon 10 % 300 ml Botol YOD2 0
222 Yodium Povidon 10% 1 Liter Botol YOD3 0
223 Zink 20 mg Tablet dispersible Tablet ZNK1 0
224 Zink Syrup Botol ZNK2 0
LUAR LPLPO / OBAT PELENGKAP 0
1 Adona injeksi Ampul ADI 0
2 Alinamin F injeksi Ampul ALIN 0
3 Antrain inj Ampul ATR 0
4 Asering Larutan Infus Botol ASER 0
5 Bismecon Gel Tube BIS 0
6 Bufacom (Triamsinolon in oral base) Tube BUF 0
7 Dulcolax supp 5 mg Suppositoria DUL1 0
8 Dulcolax tab Tablet DUL2 0
9 Fludane Syrup Botol FLUD1 0
10 Fludane Tablet Tablet FLUD2 0
11 Gitas Plus Inj Ampul GTP1 0
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2 0
13 Ka-En 3 A Botol KN3A 0
14 Ka-En 3 B Botol KN3B 0
15 Kombivent Inhalasi Ampul KOMI 0
16 Lakto B Sachet LKB 0
17 Lynoral tab Tablet LYN 0
18 Lysmin ( Lysin ) Sirup Botol LYS 0
19 Neurobion tablet Tablet NUER1 0
20 Neurovit E tablet Tablet NEUR2 0
21 Opixitrol eye drop Botol API 0
22 Pamol 125 mg Supp Suppositoria PARA4 0
23 Scabicid krim Tube SCAB 0
24 Tensigard Tablet TENSI 0
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR 0
OBAT GIGI 0
1 Air Raksa use Dental Botol ARD 0
2 Bonding Botol BON 0
3 Dentorit pasta ( Cavit G ) Set DEN 0
4 Devitalisasi pasta (non arsen) Botol DEV1 0
5 Devitalisasi pasta (arsen) Botol DEV2 0
6 Etching Botol ETC 0
7 Etil Klorida semprot Botol EKS 0
8 Eugenol cairan Botol EGC 0
9 Glass Ionomer cement ART / Fuji IX ART Besar Set GLC 0
10 Kalsium Hidroksida pasta Set KHP 0
11 Komposit A2 Anterior Set KA2A 0
12 Komposit A2 Posterior Set KA2P 0
13 Monokamper mentol cair (CHKM) Botol CHKM 0
14 Mummifying pasta Set MUMP 0
15 Polikresulen (Albothyl) Botol POLI 0
16 Semen seng fosfat serbuk & cair Set SSF 0
17 Silver Amalgam Serbuk 65-75 % Set SAS 0
18 Solare Tube SOLR 0
19 Spon Gelatin 1x1x1 cm cube SG11 0
19 Temporary stoping fletcher serbuk&cair Set TSF 0
20 Trikresolformalin (TKF) cair Botol TKF 0
PERBEKALAN KESEHATAN 0
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1 0
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2 0
3 Alat Suntik Sekali Pakai 1 ml Set ASS3 28 28 28
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 55 129 184 184
5 Alat Suntik Sekali Pakai 5 ml Set ASS5 3 5 8 8
6 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah Set GUT 0
7 Etanol 70 % 1 L Botol ETN 1 1 1
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2 0
9 Infusion Set Anak Set ISA 0
10 Infusion Set Dewasa Set ISD 0
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB 0
12 Kapas Berlemak 500 gr Bungkus KB5 0
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA 1 1 1
14 Kasa Pembalut 2 X 80 cm Roll KP1 0
15 Kasa Kompres 40/40 steril Roll KP2 5 5 5
16 Kasa Pembalut 4 X 15 cm Roll KP3 0
17 Kasa Pembalut 4 X 3 cm Roll KP4 0
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT 0
19 Masker Set MAS 0
20 Mess Biji MES 0
21 Pembalut gibs 3 inchi Biji GIB 0
22 Plester 5 yard X 2 inch Roll PLES 0
23 Pot Sputum diameter 7 cm Biji POT 0
24 Sarung Tangan Steril ( Handscoun) Set STS 0
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK 0
26 IV. Catheter no. 18 Set IV1 0
27 IV. Catheter no. 20 Set IV2 0
28 IV. Catheter no. 22 Set IV3 0
29 IV. Catheter no. 24 Set IV4 0
30 Wing nedle Set WN 0
REAGEN DASAR 0
1 Amoniak ( 100 ml ) Botol AM1 0
2 Anisol ( 100 ml ) Botol AN1 0
3 Aquadest steril 1 liter Botol AQ1 0
4 Asam asetat 6 % ( 100 ml ) Botol AA6 0
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) Botol AK1 0
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2 0
7 Barium Klorida ( 100 ml ) Botol BK1 0
8 Benedict ( 100 ml ) Botol BD1 0
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1 0
10 EDTA ( 100 ml ) Botol EDTA 0
11 Eosin 2 % ( 100 ml ) Botol ESN1 0
12 Etanol Asam 100ml Botol EA1 0
13 Eter Alkohol Botol EAL 0
14 Fauchet ( 100 ml ) Botol FAU1 0
15 Felling A Botol FELA 0
16 Felling B Botol FELB 0
17 Giemsa stain Botol GMS 0
18 Golongan Darah A,B,O Set GDA 0
19 Hayem ( 100 ml ) Botol HAY1 0
20 Iodium akohol ( 100 ml ) Botol IA1 0
21 Karbon Fuksin Botol KF1 0
22 Kinyoun ( 100 ml ) Botol KIN1 0
23 Lugol 1 % ( 100 ml ) Botol LUG1 0
24 Metanol Botol MET1 0
25 Metilen Biru ( 100 ml ) Botol MB1 0
26 NACL 0,9% ( 100 ml ) Botol NA1 0
27 Oil Imerson ( 100 ml ) Botol OI1 0
28 Reesecher ( 100 ml ) Botol RE1 0
29 Schlesinger ( 100 ml ) Botol SC1 0
30 Spiritus Bakar ( 1 liter ) Botol SB1 0
31 Turk ( 100 ml ) Botol TUR1 0
32 Widal Set WID1 0
33 Xylol ( 100 ml ) Botol XIL1 0
34 Zeil nelson set ( ZN set ) Set XZNS1 0
REAGEN KIMIA KLINIK 0
1 Malaria Test Stik MTT 0
2 Dengue Test Stik DT 0
3 HbsAg Test Stik HBS 0
4 HIV 1/2/0 divice test whole blood test step 1,2 dan 3 Stik HIV 0
5 HCV Test Stik HCV 0
6 Reagen Albumin Botol RA 0
7 Reagen Alkalin Fosfatase Botol RAF 0
8 Reagen Asam Urat Botol RAU 0
9 Reagen Billirubin Total Botol RBT 0
10 Reagen Billirubin Direct Botol RBD 0
11 Reagen Glukosa Botol RG 0
12 Reagen Kolesterol Botol RK 0
13 Reagen Kreatinin Botol RKN 0
14 Reagen SGOT Botol SGOT 0
15 Reagen SGPT Botol SGT 0
16 Reagen Total Protein Botol RTP 0
17 Reagen Trigliserida Botol RTG 0
18 Reagen Ureum Botol RU 0
19 Reagen VDRL carbon antigen Botol VDRL 0
20 Reagen TPHA Stik TPHA 0
21 Urine Strip 10 parameter Stik US1 0
C
MEI 2013

NO NAMA OBAT SATUAN Kode TK


1 2 3
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydrida tab 200 mg) Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 100 mg Tablet AMN2 124
8 Acyclovir Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5 71
12 Amoksisilin kaps 250 mg Kapsul AMOK1 20
13 Amoksisilin SK 125mg/5ml Botol AMOK2
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Injeksi ) Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2 224
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC 359
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo Diaform) Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM 9
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2 129
42 Dekstrometorphan sirup 10mg/5ml 1 DET1 1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 27
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1 3
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2 12
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1 93
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamsin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 383
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 160
90 Hidrokortison krim 2.5 % Tube HDR 3
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1 100
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 438
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1 93
110 Kloramphenikol salep mata 1 % Tube KLOR2 3
111 Kloramphenikol tetes telinga 3 % Botol KLOR3 3
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 547
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 175
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3 3
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2 50
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3 10
139 Mikonazole Krim / salep 2% Tube MOK
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH 1
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3 1
159 Oksitosin inj 10 iu/1ml Ampul OTS
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOPAMIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1 4
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3 699
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6 267
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED 206
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4 2
197 Salisil Bedak 2 % Kotak SB2 2
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 SCABICIED CREAM Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12 15
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 327
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sirup ) Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC 356
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Zink Syrup Botol ZNK2
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX ART Besar Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 45
5 Alat Suntik Sekali Pakai 5 ml Set ASS5 1
6 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah Set GUT
7 Etanol 70 % 1 L Botol ETN 1
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD 1
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA
14 Kasa Pembalut 2 X 80 cm Roll KP1
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3 1
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test step 1,2 dan 3 Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
TJ TB KLP PMT APT total I

0 0
2 2 2
74 74 74
0 0
66 66 66
0
53 37 205 419 419
71 71 71
0
0
29 18 1534 1652 1652
20 20
0
0
189 189 189
6 6 6
0
212 234 36 543 1249 1249
0
0
0
0
0
0
409 72 434 1274 1274
0
1325 1325 1325
0
0
0
0
0
0
0
0
0
1 2 6 18 18
0
0
1 1 2 2
324 207 162 645 1467 1467
27 1 29 29
188 188 188
0
0
0
0
0
39 23 8 93 190 190
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 5 5
20 72 115 219 219
115 115 115
0
0
54 92 18 62 319 319
0
0
0
0
845 845 845
550 234 225 1137 2529 2529
0
0
0
0
27 27 27
0
0
105 135 27 231 658 658
3 3 2 3 14 14
0
0
51 90 18 259 259
177 1177 1354 1354
2 2 2
0
0
0
0
0
406 306 99 930 2179 2179
0
0
40 12 669 721 721
0
0
0
0
25 189 179 486 486
5 2 3 13 13
3 3 9 9
0
0
720 351 369 2202 4189 4189
0
58 58 58
0
227 117 27 1241 1787 1787
29 29 29
10 3 1 6 23 23
0
0
3 3 3
0
0
0
0
0
0
0
0
0
50 50
0
0
0
0
53 10 160 233 233
0
0
0
0
0
117 117 117
0
0
0
0
0
0
0
0
5 3 9 9
0
0
0
0
1 2 2
0
0
0
0
0
6 8 8 26 26
0
324 622 297 3302 5244 5244
0
0
0
0
107 135 516 1025 1025
0
0
0
138 90 428 862 862
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3 3 7 15 15
3 4 6 15 15
5 5 5
0
0
10 10 10
13 4 8 56 96 96
0
5 5 5
54 54 54
0
18 18 18
0
0
0
0
280 378 2251 3236 3236
1 1 1
10 10 10
0
0
0
0
478 369 99 1791 3093 3093
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 2 2
104 23 16 157 345 345
4 5 5
0
1 1
0
0
1 1
0
0
1 3 4 4
0
0
1 1 3 3
0
0
0
0
0
1 1 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL PEMAKAIAN APOTEK,PUSTU DAN POLIND

NO NAMA OBAT SATUAN Kode T.Kulon Tb.Rejo


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydrida tab 200 mg) Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 200 mg Tablet AMN2 43 117
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5 51 162
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2 5
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Injeksi ) Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2 64 189
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb SuppositoriaATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC 63
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF 24
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo Diaform) Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM 1 5
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2 99 180
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 9 71
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1 1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1 2
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1 99 120
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamisin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 282 252
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 11
90 Hidrokortison krim 2.5 % Tube HDR 1
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1 125
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD 50
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 463 207
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2 119 40
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1 26 252
110 Kloramphenikol salep mata 1 % Tube KLOR2 2
111 Kloramphenikol tetes telinga 3 % Botol KLOR3
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 380 279
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 144 180
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3 1 3
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1 3
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2 60
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 mlMTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3 48 99
139 Mikonazole Krim / salep 2% Tube MOK 1 2
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1 3
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH 1
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3
159 Oksitosin inj 10 iu/1ml Ampul OTS
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOBUTRIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3 706 288
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6 115
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED 43 189
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4 1
197 Salisil Bedak 2 % Kotak SB2 7
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 Seftriaxon Inj 1 gram Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12 15
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO 32
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF 3
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 182 252
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I 7
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sirup ) Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC 418 135
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Zink Syrup Botol ZNK2
225 Scobutrin
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg SuppositoriaDUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp SuppositoriaPARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX ART Besar Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3 11 28
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 16 33
5 Alat Suntik Sekali Pakai 5 ml Set ASS5 4 15
6 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah Set GUT
7 Etanol 70 % 1 L Botol ETN 1
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 mlH2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD 1
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA
14 Kasa Pembalut 2 X 80 cm Roll KP1 1
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES 2
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test step 1,2 dan 3 Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
USTU DAN POLINDES

TJ.rejo Klampok Pamatan Apotek lain2 TOTAL

34
271

38 12 234

20
170 219 2600

2 42

126 63 36 454

95 914

26 96 1296

54
2
2 2 4

99 179 252 1299


1

157

23 24 128

10

12

2 10
18 66

66 114 189

2 8

1 1
660
174 225 1733

46

45 275
1 4 7

16 192 264
1000
2

12 258
166 537 207 1916

60
22 798
14

255
1 1
2
1

302 537 252 1650

85

123 100 641

2 7
56

120

29

23 45 48 275
4

10

299

1 2 4
100 540 108 3075

379

38 807

38

194

222
1 1 3
1 2

23

10
23 479

15
118
30 1570
1 5
10

304 537 252 2181

2
32 24 166

1 1

1
TOTAL PEMAKAIAN APOTEK,PUSTU DAN POLINDES

NO NAMA OBAT SATUAN Kode T.Kulon Tb.Rejo TJ.rejo


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydr Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 200 mg Tablet AMN2 31 168 48
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5 183 224
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2 3
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Inje Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2 106 199
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC 2307 171
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF 115 74
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo Diaform) Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM 1 1 1
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2 62 129 61
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 24 24 24
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1 2 1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1 7 7
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2 50
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1 104 85 54
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamisin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV 1
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 684 1752 293
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 47 36 35
90 Hidrokortison krim 2.5 % Tube 65 1
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1 19 1642 112
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD 71
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 280 17 245
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2 54
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1 713
110 Kloramphenikol salep mata 1 % Tube KLOR2 1 2
111 Kloramphenikol tetes telinga 3 % Botol KLOR3 6
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 663 377
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 77
119 Kotrimoksazole ped tab 120 mg Tablet KOT2 79
120 Kotrimoksazole Susp Botol KOT3 5 4
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1 2
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3 63 11 32
139 Mikonazole Krim / salep 2% Tube MOK 3
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3
159 Oksitosin inj 10 iu/1ml Ampul OTS 10
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOBUTRIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1 5 2 2
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3 1082 749
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6 379
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED 846 514 16
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL 1 1
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4 8
197 Salisil Bedak 2 % Kotak SB2 5 2
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 Seftriaxon Inj 1 gram Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO 50
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 38 208 9
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I 27 7
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sirup ) Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC 2149 1262 325
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Zink Syrup Botol ZNK2
225 Scobutrin
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX ART Besar Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3 10 68
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 38 298 50
5 Alat Suntik Sekali Pakai 5 ml Set ASS5 15 161
6 Catgut/Benang bedah no 3/0 (p&c) dengan jaru Set GUT
7 Etanol 70 % 1 L Botol ETN 1 1
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA
14 Kasa Pembalut 2 X 80 cm Roll KP1 2
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES 1
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test step 1,2 d Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
STU DAN POLINDES

Klampok Pamatan Apotek lain2 TOTAL

22

6 173
16

81 48 2495

29

117 36 470

873

1936

65
6

4
2
123 90 1406

124

24 18 81

1 1

1
7 78

63 132 98

2
640
90 1828
80

335
6

8 1415

48
549 189 1974

438
484
8

210
2 3 6
7 5
1

463 198 2299

30
65
766
30
5 4 3

2 30
14
50

27 282
7
3

32

1 5 1

168

3 7 5

460 180 3967

508

656
45

20

20

40
44
2 5 6
2 5 3

22

18
466

140
1150
4
88

549 198 3242


28
18 132

1
2
TOTAL PEMAKAIAN APOTEK,PUSTU DAN POLINDES

NO NAMA OBAT SATUAN Kode T.Kulon Tb.Rejo TJ.rejo


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquine anhydr Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 200 mg Tablet AMN2 20 112 24
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5 78 6
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2 4 1
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicillin Inj Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2 38 103
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC 725
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo Diaform) Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM 2 1 1
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2 110 129 40
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Trazepp ) Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 15 24 13
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1 4 3
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2 39 20
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1 59 85 36
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamisin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV 1
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 303 246 275
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 103 35 7
90 Hidrokortison krim 2.5 % Tube 65 2 1
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1 127 72
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD 20
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 280 17 160
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1 300
110 Kloramphenikol salep mata 1 % Tube KLOR2 3
111 Kloramphenikol tetes telinga 3 % Botol KLOR3 1
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 461 207 290
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 481
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3 2 3
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1 2
133 Metil Ergometrin tab 0.125 mg Tablet ME2
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3 12 11 59
139 Mikonazole Krim / salep 2% Tube MOK
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH 1
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3
159 Oksitosin inj 10 iu/1ml Ampul OTS
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOBUTRIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1 1 2 6
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3 657 207 420
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6 64
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED 12 135
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL 2
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4 1
197 Salisil Bedak 2 % Kotak SB2 1 2
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 Seftriaxon Inj 1 gram Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO 18
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 212 208 193
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I 5 9
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sirup ) Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC 657 409
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Zink Syrup Botol ZNK2
225 Scobutrin
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX ART Besar Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3 21 27
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 25 55
5 Alat Suntik Sekali Pakai 5 ml Set ASS5 14 20
6 Catgut/Benang bedah no 3/0 (p&c) dengan jar Set GUT
7 Etanol 70 % 1 L Botol ETN 1 1
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA 1
14 Kasa Pembalut 2 X 80 cm Roll KP1 2
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test step 1,2 Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
USTU DAN POLINDES

Klampok Pamatan Apotek lain2 TOTAL

38

6 227

48 1512

24

54 72 326

294

428
20
43

11
117 135 1056

60

25 25 22

24

48 18 87

10

1
695
144 1226
26

325
26

90 700
388
2

378 288 1948

445
46
10

13
2

441 1764

130
58
36 650
8
6

2 18
20
36 186
2

62

36

531 3113

570
9 728

20

26

115

4 3
4 3

15

100 150

121
1860
6

378 315 2400


25 25 189
20
TOTAL PEMAKAIAN APOTEK,PUSTU DAN POLINDES

NO NAMA OBAT SATUAN Kode T.Kulon Tb.Rejo TJ.rejo Klampok


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquin Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 200 mg Tablet AMN2
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vic Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo D Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Tra Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamisin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT
90 Hidrokortison krim 2.5 % Tube 65
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1
110 Kloramphenikol salep mata 1 % Tube KLOR2
111 Kloramphenikol tetes telinga 3 % Botol KLOR3
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2
134 Metoklopramid injeksi 5 mg/ml @2 ml ( to Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3
139 Mikonazole Krim / salep 2% Tube MOK
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3
159 Oksitosin inj 10 iu/1ml Ampul OTS
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOBUTRIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4
197 Salisil Bedak 2 % Kotak SB2
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 Seftriaxon Inj 1 gram Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sir Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Zink Syrup Botol ZNK2
225 Scobutrin
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit t Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX AR Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3
4 Alat Suntik Sekali Pakai 3 ml Set ASS4
5 Alat Suntik Sekali Pakai 5 ml Set ASS5
6 Catgut/Benang bedah no 3/0 (p&c) den Set GUT
7 Etanol 70 % 1 L Botol ETN
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA
14 Kasa Pembalut 2 X 80 cm Roll KP1
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test s Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
DAN POLINDES

Pamatan Apotek lain2 TOTAL

40

145

66 1348

36

54 341

1239

1805

85
5

11
1
99 664

245

96

27 29

189

24 75

1 4

790
90 978
30

428
5

66 47
793

144 1766

500
295
326

1
2

342 1437

130
70
6 544

18

27
27

6
10

42 110
6

104

168

13

288 1588

543
9 831

140

70

96

6
2

13

30
66

22

78
990
6
26

162 2593
80
79
TOTAL PEMAKAIAN APOTEK,PUSTU DAN POLINDES

NO NAMA OBAT SATUAN Kode T.Kulon Tb.Rejo TJ.rejo Klampok


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquine Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1 2
7 Aminophilin tab 200 mg Tablet AMN2 13 12
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5 123 148
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2 4 153
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicill Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2 102 84 126
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC 350
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo Dia Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM 3 3
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2 182 70 69
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Traze Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 8 15 23
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2 1
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1 3 1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1 4 2
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1 32 36 51
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamisin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 326 405 124
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 134 19
90 Hidrokortison krim 2.5 % Tube 65 2
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1 100 120 56 8
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD 31
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 484 312 360
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1 73
110 Kloramphenikol salep mata 1 % Tube KLOR2
111 Kloramphenikol tetes telinga 3 % Botol KLOR3 2
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 421 60 171 406
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 42 41 4
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3 5 2
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1 1
124 Lidokain Komp Inj Ampul LIDO2 2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2 8
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomi Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3 35 54
139 Mikonazole Krim / salep 2% Tube MOK 2
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3
159 Oksitosin inj 10 iu/1ml Ampul OTS
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOBUTRIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1 2
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3 625 197 448 320
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6 81
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED 18 136
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL 4 3
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4 1 1 2
197 Salisil Bedak 2 % Kotak SB2 8 2
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 Seftriaxon Inj 1 gram Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO 24 12
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF 1 2
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 245 396 176
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I 8 5
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sirup Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC 493 324 209 360
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Zink Syrup Botol ZNK2
225 Scobutrin
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX ART Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3 5 21
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 17 82 38 23
5 Alat Suntik Sekali Pakai 5 ml Set ASS5 8 31 5
6 Catgut/Benang bedah no 3/0 (p&c) denga Set GUT
7 Etanol 70 % 1 L Botol ETN
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA
14 Kasa Pembalut 2 X 80 cm Roll KP1
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test ste Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
AN POLINDES

Pamatan Apotek lain2 TOTAL

32

88

108 1351

39

81 377

843

904

37
1

1 18
72 199

44

21

21

34

36 38

740
126 645
18

515
2 4

50
78 422
507

225 73

69
60

351 1273

100
43
24
7

1
50

18 117
9

46

11

16

450 1028

448
18 675

34

66

36

9
2

15

116

98
103

28

288 1602
92
16
21 160

1
1
TOTAL PEMAKAIAN APOTEK,PUSTU DAN POLINDES

NO NAMA OBAT SATUAN Kode T.Kulon Tb.Rejo TJ.rejo Klampok


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquine an Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 200 mg Tablet AMN2 13 6
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5 106 73
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicilli Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2 151 61 90
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC 359
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo Diafo Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM 4
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2 112 100 45
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Trazep Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 11 15 17
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1 1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1 39 30 36
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamisin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 265 405 119
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 30 56
90 Hidrokortison krim 2.5 % Tube 65 1
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1 84 120
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 182 248 252
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1
110 Kloramphenikol salep mata 1 % Tube KLOR2
111 Kloramphenikol tetes telinga 3 % Botol KLOR3
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 450 291 59
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 51 31 4
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3 6 11
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3 10 37 14
139 Mikonazole Krim / salep 2% Tube MOK 1
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3
159 Oksitosin inj 10 iu/1ml Ampul OTS
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOBUTRIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3 483 125 400 258
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6 118
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED 117
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4 1 1 1
197 Salisil Bedak 2 % Kotak SB2 1
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 Seftriaxon Inj 1 gram Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO 18 38
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 196 397 94
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I 5
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sirup ) Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC 906 175 116 252
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Zink Syrup Botol ZNK2
225 Scobutrin
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX ART B Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3 2
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 14 55 30 17
5 Alat Suntik Sekali Pakai 5 ml Set ASS5 16 43 5
6 Catgut/Benang bedah no 3/0 (p&c) dengan Set GUT
7 Etanol 70 % 1 L Botol ETN 1 1
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA 1
14 Kasa Pembalut 2 X 80 cm Roll KP1
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES 1
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test step Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
AN POLINDES

Pamatan Apotek lain2 TOTAL

58

213

72 1295

33

45 249

957

852
263
36

5
141 726

801

50

22

167

90 34

730
198 1071
10

490
6

144 71
396

243 917

127
500
50

5
5

261 1015

80
10
96 331
30
10 13

25
24

1
28

60 99
3

186

6 3

297 1985

485
63 680

46

49

6 6
5

18

227

10

102
1000
16

180 1921
24

8
77
15
TOTAL PEMAKAIAN APOTEK,PUSTU DAN POLINDES

NO NAMA OBAT SATUAN Kode T.Kulon Tb.Rejo TJ.rejo Klampok


1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquin Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 200 mg Tablet AMN2 16 6
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5 61 27
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vic Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2 36 75 36
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo D Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM 1 1
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2 68 52
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Tr Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 11 21
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1 30 18 30
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamisin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 215 315 135
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 66 42
90 Hidrokortison krim 2.5 % Tube 65
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1 170
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 190 167 46
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1
110 Kloramphenikol salep mata 1 % Tube KLOR2
111 Kloramphenikol tetes telinga 3 % Botol KLOR3
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 275 177
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 36 98
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3 1
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2
134 Metoklopramid injeksi 5 mg/ml @2 ml ( t Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3 38 48
139 Mikonazole Krim / salep 2% Tube MOK
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3
159 Oksitosin inj 10 iu/1ml Ampul OTS 2
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOBUTRIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3 314 369 88
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6 34
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED 10
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4 2
197 Salisil Bedak 2 % Kotak SB2 2
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 Seftriaxon Inj 1 gram Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO 48 26
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF 2
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2 87
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 148 292 46
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I 3
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sir Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC 265 276
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Zink Syrup Botol ZNK2
225 Scobutrin
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 Scabicid krim Tube SCAB
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit t Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX A Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 14 36 36
5 Alat Suntik Sekali Pakai 5 ml Set ASS5 14 34 5
6 Catgut/Benang bedah no 3/0 (p&c) de Set GUT
7 Etanol 70 % 1 L Botol ETN
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA
14 Kasa Pembalut 2 X 80 cm Roll KP1
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 lite Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
DAN POLINDES

Pamatan Apotek lain2 TOTAL

46

1
142

10
42 1385

5 16

54 247

506

486
30
24

6
6 359

64

40

36

24

24 47

680
135 2669
14

500
3

24 410
712

144 674

73
39
130

135 665

190
175
36 372
30
6 4

13
13
50

16

84 70
5

50

430

2 3

162 1106

285
60 664

28

45

40

13

92

180
768
2
12

764
8
75

1
1

1
TOTAL PEMAKAIAN APOTEK,PUSTU DAN POLINDE

TB REJO
NO NAMA OBAT SATUAN Kode T.Kulon TB AGUST
JULI
1 2 3 4
1 ACT (Artesunat Tab 50 mg+Amodiaquine an Tablet ACT
2 Albendazol tab 400 mg Tablet ALB
3 Alopurinol 100 Tablet ALP1
4 Alopurinol 300 Tablet ALP2
5 Ambroxol tablet 30 mg Tablet AMB
6 Aminophilin inj 24 mg/ml-10 ml Ampul AMN1
7 Aminophilin tab 200 mg Tablet AMN2 35 30
8 Amitriptilin Hcl tab 25 mg Tablet AMT
9 Amlodipin tab 10 mg Tablet AMD1
10 Amlodipin tab 5 mg Tablet AMD2
11 Amoksisilin 500 mg Kaplet AMOK5 81 162
12 Amoksisilin kaps 250 mg Kapsul AMOK1
13 Amoksisilin SK 125mg/5ml Botol AMOK2 2
14 Ampisilin Serbuk Injeksi 1000 mg/ml ( Vicilli Ampul AMP
15 Antalgin (metampiron) tab 500 mg Tablet ANT1
16 Antalgin inj 250 mg/ml-2 ml Ampul ANT2
17 Antasida DOEN Syrup Botol AND1
18 Antasida DOEN tab Komb Tablet AND2 108 110
19 Antibakteri DOEN salep Komb Tube ATB
20 Antifungi DOEN salep Komb Tube ATF
21 Antihemoroid DOEN Komb Suppositoria ATM
22 Antimigren DOEN tab Komb Tablet ATG
23 Antiparkinson DOEN tab Komb Tablet ATP
24 Aqua proinjeksi steril bebas pirogen Vial API
25 Asam Askorbat (Vit C) tab 50 mg Tablet VITC 2 650
26 Asam folat 1 mg Tablet AFOL
27 Asam mefenamat 500 mg Tablet ASMEF 39
28 Asetosal tab 100 mg Tablet AST
29 Asiklovir 400 mg Tablet ASK1
30 Asiklovir 5 % krim Tube ASK2
31 Attapulgite tablet komb (Diaform/Neo Diaf Tablet ATT
32 Atropin Sulfat inj 0,25mg/ml-1 ml Ampul ATR1
33 Atropin Sulfat tab 0,5 mg Tablet ATR2
34 Atropin tetes mata 0,5% Botol ATR3
35 Benzatin benzil penisilin inj 2.4 jt iu/vial Vial BBP
36 Betahistin Mesilat tablet 6 mg Tablet BMT
37 Betametason krim 0,1% Tube BTM 3
38 Bromheksin tablet 8 mg Tablet BRO
39 Dapson tab 100 mg Tablet DAP
40 Deksametason inj 5 mg/ml-ml Ampul DEK1
41 Deksametason tab 0.5 mg Tablet DEK2 112 70
42 Dekstrometorphan sirup 10mg/5ml 1 DET1
43 Dekstrometorphan tab 15 mg Tablet DET2
44 Diazepam inj 5 mg/ml-2ml Ampul DIAZ1
45 Diazepam larutan rektal 4 mg/2 ml ( Trazep Tube DIAZ2
46 Diazepam tab 2 mg Tablet DIAZ3
47 Diazepam tab 5 mg Tablet DIAZ4
48 Dietilkarbamazin sitrat tab 100 mg Tablet DKB
49 Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul DFD 11 30
50 Digoksin tab 0.25 mg Tablet DGK1
51 Digoksin tab 0.5 mg Tablet DGK2
52 Dimenhidrinat tablet 50 mg Tablet DMD
53 Ekstrak Beladon 10 mg Tablet EB
54 Ephedrin Hcl tab 25 mg Tablet EP1
55 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml Ampul EP2
56 Erithromisin 500 mg tab Tablet ERT1
57 Eritromisin 250 mg Tablet ERT2
58 Erithromisin sirup 200 mg/5 ml Botol ERT3
59 Etakridin (Rivanol) Lart 0,1% Botol ETA1 2
60 Etambutol Hcl Tb 250 mg Tablet ETM
61 Fenitoin Natrium inj 50 mg/ml @ 2ml Ampul FN1
62 Fenitoin Natrium kaps 100 mg Kapsul FN2
63 Fenitoin Natrium Kaps 30 mg Tablet FN3
64 Fenobarbital inj 50 mg/ml Ampul FBR1
65 Fenobarbital tab 100 mg Tablet FBR2
66 Fenobarbital tab 30 mg Tablet FBR3
67 Fenoksimetil penisilin tab 250 mg Tablet FPT1
68 Fenoksimetil penisilin tab 500 mg Tablet FPT2
69 Fenol gliserol tetes Telinga 10 % Botol FGT
70 Fitomenadion (VitK) inj 10mg/ml-1ml Ampul VITK1
71 Fitomenadion (VitK) tab 10 mg Tablet VITK2 40
72 Furosemid tab 40 mg Tablet FRO1
73 Furosemid Inj 10 mg/ml Ampul FRO2
74 Gameksan Lotion 1 % Botol GAM
75 Garam Oralit untuk 200 ml air Sachet GLIT1 222 80
76 Gemfibrozil 300 mg Tablet GEM
77 Gentamisin Salep Kulit 0,1% Tube GEN1
78 Gentamycin 80 mg/2 ml injeksi Ampul GEN2
79 Gentian Violet lart 1% Botol GV
80 Glibenklamid 5 mg Tablet GLIB
81 Gliseril Guaiyakolat tab 100 mg Tablet GLIS 247 315
82 Gliserin Botol GLR
83 Glukosa Lart Inf 10 % steril Botol GLU1
84 Glukosa Lart Inf 40 % steril Vial GLU2
85 Glukosa Lart Inf 5 % steril Botol GLU3
86 Grisiofulvin tab 125 mg Tablet GRI
87 Haloperidol tab 0.5 mg Tablet HAL1
88 Haloperidol tab 1.5 mg Tablet HAL2
89 Hidroklortiazid (HCT) tab 25 mg Tablet HCT 64
90 Hidrokortison krim 2.5 % Tube 1
91 Hiosin N- Butilbromida Tab 10 mg Tablet HNB1
92 Hiosin N- Butilbromida Inj 20 mg/ml Ampul HNB2
93 Ibuprofen 200 mg Tablet IBU1 89 170 250
94 Ibuprofen 400 mg Tablet IBU2
95 Ichtyol salp Pot ICH
96 Iodiol softcaps Kapsul IOD
97 Isoniazid tab 300 mg Tablet ISN
98 Isosorbid dinitrat tab 5 mg Tablet ISO
99 Kalium Permanganat Pot KP
100 Kalium Diklofenak tab 50 mg Tablet KD
101 Kalsium Laktas (Kalk) tab 500 mg Tablet KALK 102
102 Kalsium Gluconas Injeksi Vial KGI
103 Kaptopril 12,5 mg Tablet KAP1
104 Kaptopril 25 mg Tablet KAP2
105 Karbamazepin tab 200 mg Tablet KAR
106 Ketamin inj 10 mg/ml Ampul KET
107 Klofazimil kaps 100 mg Kapsul KLOF
108 Klindamycin 150 mg Tablet KLIN
109 Kloramphenikol 250 mg Tablet KLOR1
110 Kloramphenikol salep mata 1 % Tube KLOR2 1
111 Kloramphenikol tetes telinga 3 % Botol KLOR3 2
112 Kloramfenikol Suspensi 125 mg/5 ml Botol KLOR4
113 Kloramfenikol Tetes mata 0,5% Botol KLOR5
114 Klorfeniramin maleat (CTM) tab 4 mg Tablet CTM 253 240
115 Klorpromazin Hcl inj 25 mg/I ml Ampul CPZ1
116 Klorpromazin Hcl tab 100 mg Tablet CPZ2
117 Kodein 10 mg tab Tablet KOD
118 Kotrimoksazole Dewasa tab 480 mg Tablet KOT1 48 150
119 Kotrimoksazole ped tab 120 mg Tablet KOT2
120 Kotrimoksazole Susp Botol KOT3 3 4
121 Kuinin Sulfat tab 222 mg Tablet KST
122 Levofloksasin tab 500 mg Tablet LEV
123 Lidokain 2% injeksi Ampul LIDO1
124 Lidokain Komp Inj Ampul LIDO2
125 Loperamid HCl tablet 2 mg Tablet LOP
126 Magnesium sulf inj 20%-25 ml Ampul MGS1
127 Magnesium sulf inj 40%-25 ml Ampul MGS2
128 Mebendazole sirup 100 mg/5 ml Botol MEB1
129 Mebendazole tab 100 mg Tablet MEB2
130 Metformin HCl Tab 500 mg Tablet MET 25
131 METOCLOPROMAZIN Tablet MDT
132 Metil Ergometrin Inj 0,200 mg-1 ml Ampul ME1
133 Metil Ergometrin tab 0.125 mg Tablet ME2
134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit Ampul MTK1
135 Metoklopramid tab 10 mg ( Tomit tab ) Tablet MTK2
136 Metronidazol Infus 500 mg/100 ml Botol 100 ml MTR1
137 Metronidazol 250 mg Tablet MTR2
138 Metronidazol 500 mg Tablet MTR3 29 60
139 Mikonazole Krim / salep 2% Tube MOK 1
140 Mineral Mix sachet 8gr Sachet MMS
141 Mg Sulfat Serbuk 30 gram Sachet MGSS
142 Na. Bikarbonat tab 500 mg Tablet NAB
143 Na. Diklofenac 25 mg Tablet NAD1
144 Na. Diklofenac 50 mg Tablet NAD2
145 Na. Fluoresin tetes mata 2 % Botol NAF
146 Na. Tiosulfat inj 25 %-10 ml Ampul NAT
147 Natrium Klorida lart inf 0.9% Botol NAK
148 Nifedipin tab 10 mg Tablet NIF
149 Nistatin 100.000 iu tab vag Tablet NIS1
150 Nistatin 500.000 iu tab Tablet NIS2
151 OAT-FDC Kategori 1 Paket OAT1
152 OAT-FDC Kategori 2 Paket OAT2
153 Obat Batuk hitam (OBH) sirup 100 ml Botol OBH 2
154 Obat Kategori Anak (kombipak) Paket OATA
155 Obat Kategori Sisipan Paket OKS
156 Oksitetrasiklin Hcl Inj 50 mg/10 ml Ampul OKTT1
157 Oksitetrasiklin SK 3% Tube OKTT2
158 Oksitetrasiklin SM 1 % Tube OKTT3 2
159 Oksitosin inj 10 iu/1ml Ampul OTS 3
160 Oseltamivir 75 mg Tablet OSE
161 Papaverin Injeksi 40 mg/ml Ampul PAP1
162 SCOBUTRIN Tablet PAP2
163 Paraformaldehid tab 1 gr Tablet PAR
164 Parasetamol sirup 120 mg/5 ml Botol PARA1 4
165 Parasetamol tab 100 mg Tablet PARA2
166 Parasetamol tab 500 mg Tablet PARA3 468 280
167 Petidin inj 50 mg/2 ml Ampul PET
168 Pilokarpin tetes mata 2 % Botol PIL
169 Pirantel pamoat tab 125 mg Tablet PIR
170 Pirazinamid tab 500 mg Tablet PIZ
171 Piridoksin tab 10 mg Tablet B6 18
172 Piroksicam 10 mg Tablet PIK1
173 Piroksicam 20 mg Tablet PIK2
174 Prazikuantel 600 mg tab Tablet PRAZ
175 Prednison 5 mg tab Tablet PRED
176 Primakuin 15 mg tab Tablet PRIM
177 Prokain Benzil Penisilin 3 Jt inj Vial PROK
178 Propanolol 40 mg tab Tablet PROP
179 Propiltiourasil 100 mg tab Tablet PTU
180 Ranitidin Inj 25 mg/ 2 ml Ampul RAN1
181 Ranitidin tab 150 mg Tablet RAN2
182 Reserpin 0,10 mg tab Tablet RES1
183 Reserpin 0,25 mg tab Tablet RES2
184 Retinol ( Vit A ) 200.000 iu Kap Kapsul VITA1
185 Retinol ( Vit.A) 100.000 UI Kapsul VITA2
186 Rifampisin 300 mg kaps Tablet RIF1
187 Rifampisin 450 mg tab Tablet RIF2
188 Rifampisin 600 mg kaplet Tablet RIF3
189 Ringer Laktate lart infus Botol RL
190 S. Anti Bisa Ular poli inj 5 ml(ABU I) Vial ABU1
191 S. Anti Difteri inj 20.000 iu ( ADS ) Vial ADS
192 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) Ampul ATS1
193 S. Anti Tetanus inj 20.000 iu/Amp ( ATS ) Vial ATS2
194 Salbutamol 2 mg tab Tablet SAL1
195 Salbutamol 4 mg tab Tablet SAL2
196 Salep 2-4 komb Pot S2-4
197 Salisil Bedak 2 % Kotak SB2
198 Salisil Spiritus 10 % Botol SS
199 Sefadroxil 500 mg kapsul Tablet SEF
200 Sefotaxim Injeksi 1 gram Ampul SET
201 Seftriaxon Inj 1 gram Ampul STR
202 Sianokobalamin (Vit B12) inj Ampul B12
203 Simetidin tab 200 mg Tablet SIM
204 Simvastatin 10 mg tab Tablet SIV
205 Siprofloksasin 500 mg tab Tablet SPRO 9
206 Streptomisin inj 1500 mg /vial Vial STREP
207 Sulfasetamid tts mata 15% Botol SULF
208 Tablet tambah darah komb Tablet FE
209 Tetrakain tetes mata 0,5% Botol TTM
210 Tetrasiklin 250 mg Tablet TETR1
211 Tetrasiklin 500 mg Tablet TETR2
212 Thiamin ( Vit B1 ) 50 mg tab Tablet VB1 166 290 270
213 Thiamin ( Vit B1 ) inj 100 mg/Amp Ampul B1I 3
214 Thiamphenkol 500 mg cap Kapsul THIA1
215 Tiamfenikol Suspensi ( Conucol Dry Sirup ) Botol THAI2
216 Tiopental Na. Serbuk 1000 mg/Amp Ampul TNS
217 Tramadol 50 mg Tablet TD
218 Triheksipenidil Hcl 2 mg tab Tablet TPD
219 Vitamin B Kompleks tab Tablet VBC 172
220 Yodium povidon 10 % 30 ml Botol YOD1
221 Yodium Povidon 10 % 300 ml Botol YOD2
222 Yodium Povidon 10% 1 Liter Botol YOD3
223 Zink 20 mg Tablet dispersible Tablet ZNK1
224 Noza Tablet
225 Scobutrin
LUAR LPLPO / OBAT PELENGKAP
1 Adona injeksi Ampul ADI
2 Alinamin F injeksi Ampul ALIN
3 Antrain inj Ampul ATR
4 Asering Larutan Infus Botol ASER
5 Bismecon Gel Tube BIS
6 Bufacom (Triamsinolon in oral base) Tube BUF
7 Dulcolax supp 5 mg Suppositoria DUL1
8 Dulcolax tab Tablet DUL2
9 Fludane Syrup Botol FLUD1
10 Fludane Tablet Tablet FLUD2
11 Gitas Plus Inj Ampul GTP1
12 Gitas Plus tablet / Spasmal tablet Tablet GTP2
13 Ka-En 3 A Botol KN3A
14 Ka-En 3 B Botol KN3B
15 Kombivent Inhalasi Ampul KOMI
16 Lakto B Sachet LKB
17 Lynoral tab Tablet LYN
18 Lysmin ( Lysin ) Sirup Botol LYS
19 Neurobion tablet Tablet NUER1
20 Neurovit E tablet Tablet NEUR2
21 Opixitrol eye drop Botol API
22 Pamol 125 mg Supp Suppositoria PARA4
23 surflo
24 Tensigard Tablet TENSI
25 Ultravita tab / Kurkumex tab / Lanovit tab Tablet ULTR
OBAT GIGI
1 Air Raksa use Dental Botol ARD
2 Bonding Botol BON
3 Dentorit pasta ( Cavit G ) Set DEN
4 Devitalisasi pasta (non arsen) Botol DEV1
5 Devitalisasi pasta (arsen) Botol DEV2
6 Etching Botol ETC
7 Etil Klorida semprot Botol EKS
8 Eugenol cairan Botol EGC
9 Glass Ionomer cement ART / Fuji IX ART B Set GLC
10 Kalsium Hidroksida pasta Set KHP
11 Komposit A2 Anterior Set KA2A
12 Komposit A2 Posterior Set KA2P
13 Monokamper mentol cair (CHKM) Botol CHKM
14 Mummifying pasta Set MUMP
15 Polikresulen (Albothyl) Botol POLI
16 Semen seng fosfat serbuk & cair Set SSF
17 Silver Amalgam Serbuk 65-75 % Set SAS
18 Solare Tube SOLR
19 Spon Gelatin 1x1x1 cm cube SG11
19 Temporary stoping fletcher serbuk&cair Set TSF
20 Trikresolformalin (TKF) cair Botol TKF
PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 0,05 ml Set ASS1
2 Alat Suntik Sekali Pakai 0,5 ml Set ASS2
3 Alat Suntik Sekali Pakai 1 ml Set ASS3
4 Alat Suntik Sekali Pakai 3 ml Set ASS4 14 35
5 Alat Suntik Sekali Pakai 5 ml Set ASS5
6 Catgut/Benang bedah no 3/0 (p&c) dengan Set GUT
7 Etanol 70 % 1 L Botol ETN
8 Hidrogen Peroksida ( H2O2 ) 3% Botol 100 ml H2O2
9 Infusion Set Anak Set ISA
10 Infusion Set Dewasa Set ISD
11 Jarum Jahit (Bedah) No 9 s/d 14 Biji JJB
12 Kapas Berlemak 500 gr Bungkus KB5
13 Kapas Pembalut/Absorben 250 gr Bungkus KPA
14 Kasa Pembalut 2 X 80 cm Roll KP1
15 Kasa Kompres 40/40 steril Roll KP2
16 Kasa Pembalut 4 X 15 cm Roll KP3
17 Kasa Pembalut 4 X 3 cm Roll KP4
18 Lisol (Kresol tersaponifikasi 50%) 1 liter Botol LKT
19 Masker Set MAS
20 Mess Biji MES
21 Pembalut gibs 3 inchi Biji GIB
22 Plester 5 yard X 2 inch Roll PLES
23 Pot Sputum diameter 7 cm Biji POT
24 Sarung Tangan Steril ( Handscoun) Set STS
25 Silk ( Benang Bedah Sutera) N0 3/0 Set SILK
26 IV. Catheter no. 18 Set IV1
27 IV. Catheter no. 20 Set IV2
28 IV. Catheter no. 22 Set IV3
29 IV. Catheter no. 24 Set IV4
30 Wing nedle Set WN
REAGEN DASAR
1 Amoniak ( 100 ml ) Botol AM1
2 Anisol ( 100 ml ) Botol AN1
3 Aquadest steril 1 liter Botol AQ1
4 Asam asetat 6 % ( 100 ml ) Botol AA6
5 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) Botol AK1
6 Asam Sulfosalisilat 20 % ( 100 ml ) Botol AS2
7 Barium Klorida ( 100 ml ) Botol BK1
8 Benedict ( 100 ml ) Botol BD1
9 Carbol Gentian Violet ( 100 ml ) Botol CGV1
10 EDTA ( 100 ml ) Botol EDTA
11 Eosin 2 % ( 100 ml ) Botol ESN1
12 Etanol Asam 100ml Botol EA1
13 Eter Alkohol Botol EAL
14 Fauchet ( 100 ml ) Botol FAU1
15 Felling A Botol FELA
16 Felling B Botol FELB
17 Giemsa stain Botol GMS
18 Golongan Darah A,B,O Set GDA
19 Hayem ( 100 ml ) Botol HAY1
20 Iodium akohol ( 100 ml ) Botol IA1
21 Karbon Fuksin Botol KF1
22 Kinyoun ( 100 ml ) Botol KIN1
23 Lugol 1 % ( 100 ml ) Botol LUG1
24 Metanol Botol MET1
25 Metilen Biru ( 100 ml ) Botol MB1
26 NACL 0,9% ( 100 ml ) Botol NA1
27 Oil Imerson ( 100 ml ) Botol OI1
28 Reesecher ( 100 ml ) Botol RE1
29 Schlesinger ( 100 ml ) Botol SC1
30 Spiritus Bakar ( 1 liter ) Botol SB1
31 Turk ( 100 ml ) Botol TUR1
32 Widal Set WID1
33 Xylol ( 100 ml ) Botol XIL1
34 Zeil nelson set ( ZN set ) Set XZNS1
REAGEN KIMIA KLINIK
1 Malaria Test Stik MTT
2 Dengue Test Stik DT
3 HbsAg Test Stik HBS
4 HIV 1/2/0 divice test whole blood test step Stik HIV
5 HCV Test Stik HCV
6 Reagen Albumin Botol RA
7 Reagen Alkalin Fosfatase Botol RAF
8 Reagen Asam Urat Botol RAU
9 Reagen Billirubin Total Botol RBT
10 Reagen Billirubin Direct Botol RBD
11 Reagen Glukosa Botol RG
12 Reagen Kolesterol Botol RK
13 Reagen Kreatinin Botol RKN
14 Reagen SGOT Botol SGOT
15 Reagen SGPT Botol SGT
16 Reagen Total Protein Botol RTP
17 Reagen Trigliserida Botol RTG
18 Reagen Ureum Botol RU
19 Reagen VDRL carbon antigen Botol VDRL
20 Reagen TPHA Stik TPHA
21 Urine Strip 10 parameter Stik US1
K,PUSTU DAN POLINDES

TJ.rejo Klampok Pamatan Apotek lain2 TOTAL

0
0
0
16 16
0
0
24 215 304
0
0
175 175
248 183 54 1756 2484
0
3 2 21 28
0
0
0
0
36 56 376 686
0
0
0
0
0
0
49 1054 1755
0
58 100 54 1524 1775
20 20
4 4
1 1
2 2
0
0
0
0
0
2 19 24
0
0
55 55
48 844 1074
0
0
0
0
66 66
0
0
11 13 15 79 159
0
0
0
0
50 50
1 1
0
0
0
1 1 4
0
0
0
0
0
0
0
0
0
0
31 31
152 192
0
0
71 71
36 57 54 449
14 14
0
0
0
600 600
184 171 1143 2060
0
0
0
0
366 366
0
0
14 833 911
2 34 37
0
0
16 100 625
674 674
0
0
0
0
0
0
182 156 207 1081 1728
0
130 130
345 345
20 20
0
0
0
0
1 2
3 2 7
0
0
178 243 3023 3937
0
70 70
65 65
84 96 6 298 682
0
3 2 5 17
0
0
36 36
1 32 33
0
0
0
0
4 4
153 178
0
0
0
0
8 8
0
0
7 24 100 220
1 4 6
0
0
0
0
0
0
0
0
0
0
0
0
0
1 3
0
0
0
0
5 7
3
0
0
0
0
1 2 4 5 16
0
528 228 189 1690 3383
0
0
0
0
1200 1218
0
0
0
36 699 735
0
0
0
0
0
130 130
0
0
0
0
0
0
0
2 2 4
0
0
0
0
58 58
0
1 1 4 6
1 1
0
0
0
0
0
0
0
14 60 83
0
61 61
0
0
0
122 122
132 681 1539
5 19 27
32 32
0
0
0
0
102 126 1487 1887
0
0
0
0
44 44
130 130
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8 8
36 25 31 132 273
5 5
0
0
0
0
2 1 3
0
0
0
1 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

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