DAK

STOK
NO NAMA OBAT AKHIR
A. O B A T
1 Air Raksa Dental Use -
2 Albendazole Tablet 400 mg -
3 Albendazole susp 200 mg/5 ml -
4 Alopurinol Tablet 100 mg 1,148
5 Alopurinol Tablet 300 mg -
6 Alprazolam 1 mg -
7 Ambroksol Tablet 30 mg 3,561
8 Ambroksol sirup 15 mg/5 ml 159
9 Aminofillin Injeksi 24 mg/ml-10 ml -
10 Aminofillin Tablet 200 mg 870
11 Amitriptillin Hcl Tablet Salut 25 mg 400
12 Amlodipin Tablet 5 mg 291
13 Amlodipin Tablet 10 mg 1,349
14 Amoksisillin Kapsul 250 mg 6,544
15 Amoksisillin Kaplet 500 mg 3,136
16 Amoksisillin Serbuk Injeksi 1000 mg -
17 Amoksisillin Sirup Kering 125 mg/5ml -
18 Amoksisillin Double Strengh Sirup Kering 250 mg/5 103
19 ml
Ampisilin Kapsul 250 mg -
20 Ampisillin Kaplet 500 mg -
21 Ampisilin Sirup 125 mg / 5 ml -
22 Ampisillin Injeksi 1000 mg -
23 Analgetik Plus -
24 Antasida Doen Suspensi Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg/5 -
25 ml
Antasida Doen Tablet, Kombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 mg 324
26 Antasida Plus Tablet 2,027
27 Antalgin (Metampiron) Tablet 500 mg 417
28 Antalgin Injeksi 250 mg/ml-2ml -
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + Polimiksin 1000 46
30 IU/g
Anti Hemoroid Doen komb 16
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam Salisilat 3% 34
32 Antimigren DOEN Kombinasi :
Ergotamin Tartrat 1 mg + Kofein 50 mg -
33 Anti Diare Suspensi -
34 Anti Diare Tablet 2,226
35 Anti Dotum Oral Tablet 1,367
36 Anti Hipertensi Kapsul -
37 Antihistamin Tablet kombinasi 1,650
38 Antispasmodik Tablet 158
39 Antitusiva Sirup 88
40 Antitusiva Tablet -
41 Asam Folat Tablet 1 mg -
42 Asam Askorbat (Vit. C) Tablet 50 mg 289
43 Asam Mefenamat Kapsul 500 mg 2,162
44 Acetylsistein Tablet 968
45 Asetosal 80 mg 201
46 Asetosal Tablet 100 mg -
47 Asetosal Tablet 500 mg -
48 Asiklovir Krim 5 % 18
49 Asiklovir Tablet 200 mg 102
50 Asiklovir Tablet 400 mg -
51 Attapulgit 755
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml 5
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml 26
54 Bahan Tambal Sementara -
55 Benzatin Benzil Penisilin Injeksi -
56 Betahistin Mesilat 6 mg 779
57 Betametason Krim 0,1 %- 5g 12
58 Bisakodil suppositoria 10 mg -
59 Bisoprolol Tablet 5 mg -
60 Bromheksin 8 mg 890
61 Cresotin Pasta -
62 Cresotin Liquid No 2 -
63 Deksametason Injeksi 5mg/ml-1ml 20
64 Deksametason Tablet 0,5 mg 8,955
65 Devitalisasi Pasta (Non Arsen) -
66 Diazepam tablet 2 mg 725
67 Diazepam tablet 5 mg -
68 Diazepam Injeksi i.v/i.m 5 mg/ml -
69 Diazepam Larutan Rektal 5 mg/ml 6
70 Diazepam Larutan Rektal 10 mg/ml 6
71 Dietilkarbamazin Sitrat Tablet 100 mg -
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml -
73 Digoksin Tablet 0,25 mg 197
74 Dimenhidrinat Tablet 50 mg 437
75 Domperidon Tablet 10 mg 459
76 Donperidon Suspensi 5 mg/5ml -
77 Efedrin Hcl Tablet 25 mg -
78 Ekstrak Belladone Tablet 10 mg -
79 Epinefrin HCl / Bitartrat
(Epinefrina / Adrenalina) Injeksi 13
80 0,1%/- 1ml Kapsul 250 mg
Eritromisin -
81 Eritromisin Kapsul 500 mg -
82 Eritromisin Sirup 200 mg / 5 ml -
83 Etambutol Tablet 500 mg -
84 Etanol 70 % 100 ml 61
85 Etil Klorida Semprot -100 ml 4
86 Eugenol Cairan -10 ml -
87 Fenitoin Natrium Kapsul 100 mg -
88 Fenobarbital tablet 30 mg 90
89 Fenobarbital injeksi 50 mg / ml 30
90 Fenoksimeti Penisilin 250 mg tablet -
91 Fenoksimeti Penisilin 500 mg tablet -
92 Fenol Gliserol TK -
93 Flufenazine decanoat injeksi 25 mg/ml -
94 Flukonazol Tablet 150 mg -
95 Fitomenadion tablet 10 mg -
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml -
97 Furosemid Tablet 40 mg 390
98 Furosemid Injeksi -
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium Klorida 0,30
gr, Trinatrium Sitrat dihidrat 0,58 gr, Glukosa 983
100 Anhidrat
Gemfibrozil2,70 g )200
Tablet 600mlmg
Air -
101 Gentian Violet -
102 Gentamisin injeksi 80 mg / 2 ml -
103 Gentamisin Salep Kulit 0,1 % 26
104 Glass Ionomer -
105 Glibenklamid Tablet 5 mg 1,257
106 Glimepiride 2 mg 2,773
107 Gliseril Guayakolat Tablet 100 mg 1,514
108 Gliseril Guayakolat sirup 120
109 Glukonas Kalsikus injeksi -
110 Glukosa Larutan Infus 5 % -
111 Glukosa Larutan Infus10 % 5
112 Griseofulvin Tablet 125 mg,micronized 180
113 Haloperidol Tablet 0,5 mg 141
114 Haloperidol Tablet 1,5 mg 2,180
115 Haloperidol Tablet 5 mg 565
116 Haloperidol Injeksi 5 mg/ml 9
117 Haloperidol Injeksi 50 mg/ml 3
118 Hidroklortiazid (HCT) Tablet 25 mg 1,408
119 Hidrokortison Krim 2,5 % 24
120 Ibuprofen Tablet 200 mg 919
121 Ibuprofen Tablet 400 mg -
122 Ibuprofen Suspensi 100 mg/5 ml 132
123 Ichtyol salep Kulit -
124 Isoniazid tablet 100 mg -
125 Isoniazid tablet 300 mg -
126 Isosorbid Dinitrat 5 mg 100
127 Kalium Diklofenak Tablet 25 mg -
128 Kalium Diklofenak Tablet 50 mg 452
129 Kalsium Hidroksida Pasta -
130 Kalsium Laktat Tablet 500 mg 130
131 Kaptopril 12,5 mg 2,310
132 Kaptopril 25 mg 1,891
133 Karbamazepin Tablet 200 mg -
134 Ketokonazole Krim 2 % - 15 gr 30
135 Ketokonazole Tablet 200 mg 248
136 Ketoprofen Tablet 100 mg -
137 Ketoprofen Injeksi 100 mg / 1 ml -
138 Ketorolac 10 mg injeksi -
139 Ketorolac 30 mg injeksi -
140 Klindamisin Kapsul 150 mg -
141 Klindamisin Kapsul 300 mg -
142 Kloramfenikol Kapsul 250 mg 383
143 Kloramfenikol Suspensi 125 mg/ 5 ml -
144 Kloramfenikol Salep Mata 1%-3,5 g 67
145 Kloramfenikol Salep Kulit 2 % 151
146 Kloramfenikol Tetes Mata -5 ml 37
147 Kloramfenikol Tetes Telinga 3%-5 ml 65
148 Klorfeniramin Maleat (CTM) Tablet 4 mg 1,197
149 Klorpromazin Hcl Tablet Salut 25 mg -
150 Klorpromazin Hcl Tablet Salut 100 mg -
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml 12
152 Kombinasi Ipatropium Bromide + Salbutamol
Sulphate for inhalation 2,5 ml -
153 Kombipak Cefixime + Azithromisin -
154 Kotrimoksazol Pedriatik Tablet,Kombinasi :
Sulfametoksazol 100 mg + Trimetroprim 20 mg -
155 Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 80 mg 1,374
156 Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + Trimetroprim 40 mg/5 266
157 ml
Lansoprazole 30 mg Kapsul -
158 Larutan mengadung Elektrolit (Na 130 mEq,Cl 109
mEq, Asetat 28 mEq) /Asering -
159 Larutan mengadung Elektrolit
(Nacl 1,125 gr , Dekstrosa 18,75 gr) -
160 Larutan mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, Na Lactat -
161 2,24
Lidokain injeksi 2 %27 gr)
gr, Dekstrosa 14
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 1 : 80.000- 60
163 2Lidokain
ml Spray -
164 Loperamid Tablet 2 mg 190
165 Loratadin tablet 10 mg -
166 Magnesium Sulfat (IV) 20 %-25 ml -
167 Magnesium Sulfat (IV) 40 %-25 ml -
168 MB Anak -
169 MB Dewasa -
170 Meloksikam tablet 15 mg -
171 Meloksikam Suppositoria -
172 Metformin Hcl Tablet 500 mg 2,075
173 Metformin Hcl Tablet 850 mg 810
174 Metildopa 500 mg 200
175 Methisoprinol 500 mg -
176 Metilergometrin Maleat (Metergin) Tablet 0,125 mg 260
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml 38
178 Metilprednisolon tablet 4 mg 166
179 Metoklopramid 10 mg 300
180 Metoklorpropamid Injeksi 5 mg/ 5 ml -
181 Metronidazol Tablet 250 mg 1,243
182 Metronidazole Tablet 500 mg 934
183 Metronidazole Sirup 125 mg -
184 Metronidazole Infus 500 mg /100 ml -
185 Mikonazole KrIm 2 % - 10 gr -
186 Multivitamin + Mineral tablet 3,160
187 Multivitamin sirup -
188 Mummifying Pasta -
189 Natrium Bikarbonat Tablet 500 mg 3,689
190 Natrum Diklofenak Tablet 25 mg 1,000
191 Natrium Diklofenak Tablet 50 mg 1,157
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml -
193 Nipedifin Tablet 10 mg -
194 Nistatin Suspensi 100.000 IU/ml -
195 Nistatin 100.000 IU/gram Tablet Vagina 92
196 Nistatin 500.000 IU/gram Tablet Salut 100
197 Obat Antitiuberkolosis Kategori Anak -
198 Obat Antitiuberkolosis Kategori 1 Dewasa -
199 Obat Antitiuberkolosis Kategori 2 Dewasa -
200 Obat Antitiuberkolosis Kategori 3 Dewasa -
201 Obat Anti Tuberkulosis FDC Kat Anak -
202 Obat Anti Tuberkulosis FDC Kat I & II -
203 Obat Anti Tuberkulosis FDC Kat I & III -
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa -
205 Obat Batuk Hitam (OBH) Cairan 100 ml 36
206 Obat Batuk Cair Sirup (Ekspektoran) (coredryl) 59
207 Obat Batuk Hitam Plus Sirup (indo plus) 113
208 Obat Flu Sirup (Flunax) -
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml -
210 Oksiterasiklin Salep Mata 1%-3,5g 34
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g 35
212 Oksitosin Injeksi 10 IU/ml-1ml -
213 Omeprazole injeksi 40mg/10ml -
214 Omeprazole Kapsul 20 mg 339
215 Ondansetron inj 4 mg/ 2 mL -
216 Parasetamol drop 100 mg/ml btl @ 15 ml (60 mg/0,6 m 108
217 Parasetamol Sirup 120 mg/5ml-60 ml -
218 Parasetamol Tablet 100 mg -
219 Parasetamol Tablet 500 mg 6,867
220 PB Anak 8
221 PB Dewasa -
222 Pehacain injeksi 100
223 Perak Sulfadiazin krim 1 % 35 gr -
224 Permetrin krim 5 % -
225 Piracetam Tablet 400 mg -
226 Piracetam Tablet 800 mg -
227 Piroksikam Tablet 20 mg 135
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 mg B -
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg 2,070
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg -
231 Povidon Iodida 10% 30 ml 9
232 Povidon Iodida 10% 60 ml -
233 Povidon Iodida 10% 300 ml 3
234 Prednison Tablet 5 mg 3,431
235 Primakuin tablet 15 mg -
236 Prokain Benzil Penisilin Injeksi 3.000.000 IU -
237 Propanolol Hcl Tablet 40 mg 420
238 Propilturasil Tablet 100 mg -
239 Ranitidin Injeksi 25 mg / ml -
240 Ranitidin Tablet 150 mg -
241 Retinol (Vit.A) 100.000 IU Kapsul -
242 Retinol (Vit.A) 200.000 IU Kapsul -
243 Reserpin Tablet 0, 25 mg -
244 Rifampisin Tablet 450 mg -
245 Ringer Laktat Larutan Infus Steril 500 ml -
246 Salbutamol Tablet 2 mg 158
247 Salbutamol Tablet 4 mg -
248 Salbutamol solution for Inhalation single dose units -
249 2,5 ml 2-4 Kombinasi :
Salep
Asam Salisilat 2 % + Belerang 25
250 Endap 4 % - 30
Salisil bedak 2%gram
-50 gr 99
251 Salep Luka Bakar 33
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup 47
253 Sefadroksil Tablet 500 mg -
254 Sefiksim Kapsul 100 mg -
255 Sefiksim 400 mg + Azitromisin 1000 mg -
256 Sefotaksim Injeksi 1 gr -
257 Seftriakson Injeksi 1 gr / vial -
258 Semen Seng Fosfat Serbuk & Cairan -
259 Setirizin Tablet 10 mg -
260 Setirizin Sirup 5 mg / 5 ml 56
261 Sianokobalamin Injeksi 500 mcg/ml-1ml -
262 Sianokobalamin Tablet 50 mcg -
263 Silver Amalgam Serbuk 65-75% -
264 Simetidin 200 mg Tablet 1,980
265 Simvastatin Tablet 10 mg 653
266 Siprofloksasin 500mg 583
267 Spironolakton Tablet 25 mg -
268 Sulfacetamid Tetes Mata 15 %-5ml -
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam Folat 0,25 -
270 mg
Temporary Stopping Fletcher (Fletcher) Serbuk & -
271 Cairan
Trikesol formalin ( T K F ) Cairan 10 ml -
272 Tetrasiklin Kapsul 250 mg -
273 Tetrasiklin Kapsul 500 mg 1,296
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml 60
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg 1,308
276 Thiamfenikol Kapsul 500 mg 118
277 Tramadol Injeksi 50 mg/ ml -
278 Tramadol Tablet 50 mg -
279 Triheksifenidil Hidroklorida Tablet 2 mg 925
280 Vitamin B .Komplek Tablet 133
281 Vitamin Neurotropik Tablet -
282 Zinc Tablet 20 mg 725
283 Zinc Sulfat 20 mg/5 ml 98
284 Obat Batuk Herbal 139
285 Obat Kumur/ Enkasari 64
286 Tablet Pemanis 4
287 Salep Betametason+Neomicin 27
288 Salep Kloramfenikol+Hidrokortison 49
289 Curcuma Tablet 456
B. BAHAN MEDIS HABIS PAKAI (BMHP) -
1 Abbocath No 18 ( IV Chateter 18 ) 88
2 Abbocath No 20 ( IV Chateter 20 ) 50
3 Abbocath No 22 ( IV Chateter 22 ) 89
4 Abbocath No 24 ( IV Chateter 24 ) -
5 Alat Gula, Kolesterol, Asam Urat -
6 Alat Suntik Sekali Pakai 1 ml 33
7 Alat Suntik Sekali Pakai 2,5 ml/3 ml 300
 8 Alat Suntik Sekali Pakai 5 ml 81
9 Alat Suntik Sekali Pakai 10 ml -
10 Alkohol Swab -
11 Auto Disposable Syringe (ADS) 0,05 ml -
12 Auto Disposable Syringe (ADS) 0,5 ml -
13 Auto Disposable Syringe (ADS) 5 ml -
14 Blood Set -
15 Catgut/Benang Bedah No.2/0 Plain 12
16 Catgut/Benang Bedah No.3/0 Cromic -
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml 7
18 Etanol 70 % 1.000 ml 3
19 Eter Alkohol -
20 Folley Catheter no 14 -
21 Folley Catheter no 16 -
22 Folley Catheter no 18 -
23 Infus set Anak 21
24 Infus set Dewasa 20
25 Iodina Test -
26 Kaca Slide -
27 Kapas Berlemak 500 gram -
28 Kapas Pembalut / Adsorbens 250 gram 6
29 Kassa Pembalut 2 m x 80 cm 3
30 Kassa Pembalut Hidrofil 4 m x 3 cm 50
31 Kassa Pembalut Hidrofil 4 m x 15 cm 50
32 Kassa Hidrofil Steril 16 x 16 30
33 Kassa Kompres 40 x 40 steril 94
34 Kertas Puyer 1
35 Kertas Saring -
36 Kertas Lensa -
37 Lysol 1,000 ml 1
38 Masker -
39 Masker N 95 -
40 Minyak Imersi -
41 Plester Kertas 18
42 Polifix 5 cm x 5 m 34
43 Pot Dahak 150
44 Rapid 2 HIV Fokus -
45 Rapid HIV 1 (SD HIV) -
46 Rapid HIV 2 (Intec HIV) 25
47 Rapid HIV 2 (Biomeriux HIV) 25
48 Rapid Tes SD Bioline HBSAG -
49 Rapid Test Syphilis -
50 Reagen CD 4 Control -
51 Reagen CD 4 -
52 Reagen Ziehl Nelson -
53 RPR Test Syphilis -
54 Silk( Benang Bedah Sutra ) No 3/0 25
55 Safety Box -
56 Sarung tangan Steril No 6 100
57 Sarung tangan Steril No 7 49
58 Sarung tangan Steril No 7,5 105
59 Sarung tangan Non Steril S -
60 Sarung tangan Non Steril M -
61 Sarung tangan Non Steril L -
62 Soudtimer -
63 Stik Pemeriksaan Gula Darah -
64 Stik Pemeriksaan Kolesterol -
65 Stik Pemeriksaan Asam Urat -
66 Supratul -
67 Urine Bag -
68 Wing Neddle No 23 -
69 Lancet 500
70 Detergent 5 L 1
71 Disinfektan 5L 1
72 Rapid HIV 2 (Oncoprobe) 25
JKN

NO NAMA OBAT STOK AKHIR

A. O B A T
1 Air Raksa Dental Use 0
2 Albendazole Tablet 400 mg 0
3 Albendazole susp 200 mg/5 ml 0
4 Alopurinol Tablet 100 mg 1200
5 Alopurinol Tablet 300 mg 0
6 Alprazolam 1 mg 0
7 Ambroksol Tablet 30 mg 1400
8 Ambroksol sirup 15 mg/5 ml 499
9 Aminofillin Injeksi 24 mg/ml-10 ml 0
10 Aminofillin Tablet 200 mg 0
11 Amitriptillin Hcl Tablet Salut 25 mg 300
12 Amlodipin Tablet 5 mg 9000
13 Amlodipin Tablet 10 mg 9000
14 Amoksisillin Kapsul 250 mg 0
15 Amoksisillin Kaplet 500 mg 17930
16 Amoksisillin Serbuk Injeksi 1000 mg 0
17 Amoksisillin Sirup Kering 125 mg/5ml 0
18 Amoksisillin Double Strengh Sirup Kering 250 0
19 mg/5 ml Kapsul 250 mg
Ampisilin 0
20 Ampisillin Kaplet 500 mg 0
21 Ampisilin Sirup 125 mg / 5 ml 0
22 Ampisillin Injeksi 1000 mg 0
23 Analgetik Plus 0
24 Antasida Doen Suspensi Kombinasi :
Magnesium Hidroksida 200 mg+ Alumunium 22
25 HidroksidaDoen
Antasida 200 Tablet,
mg/5 mlKombinasi : Magnesium
Hidroksida 200 mg+ Alumunium Hidroksida 200 15935
26 mg
Antasida Plus Tablet 10000
27 Antalgin (Metampiron) Tablet 500 mg 8000
28 Antalgin Injeksi 250 mg/ml-2ml 0
29 Anti Bakteri DOEN Salep Kombinasi :
Basitrasin 500 IU/g + 0
30 Polimiksin 1000 IU/g
Anti Hemoroid Doen komb 50
31 Anti Fungi DOEN Kombinasi :
Asam Benzoat 6% + Asam 0
32 Salisilat 3%DOEN Kombinasi :
Antimigren
Ergotamin Tartrat 1 mg + Kofein 50 0
33 mg
Anti Diare Suspensi 0
34 Anti Diare Tablet 0
35 Anti Dotum Oral Tablet 0
36 Anti Hipertensi Kapsul 0
37 Antihistamin Tablet kombinasi 14990
38 Antispasmodik Tablet 0
39 Antitusiva Sirup 500
40 Antitusiva Tablet 0
41 Asam Folat Tablet 1 mg 0
42 Asam Askorbat (Vit. C) Tablet 50 mg 20771
43 Asam Mefenamat Kapsul 500 mg 0
44 Acetylsistein Tablet 0
45 Asetosal 80 mg 400
46 Asetosal Tablet 100 mg 0
47 Asetosal Tablet 500 mg 0
48 Asiklovir Krim 5 % 0
49 Asiklovir Tablet 200 mg 0
50 Asiklovir Tablet 400 mg 2978
51 Attapulgit 0
52 Atropin Sulfat Injeksi 0,25 mg/ml-1ml 0
53 Aqua Pro Injeksi Steril, bebas Pirogen 20 ml 0
54 Bahan Tambal Sementara 0
55 Benzatin Benzil Penisilin Injeksi 0
56 Betahistin Mesilat 6 mg 6000
57 Betametason Krim 0,1 %- 5g 404
58 Bisakodil suppositoria 10 mg 0
59 Bisoprolol Tablet 5 mg 0
60 Bromheksin 8 mg 8090
61 Cresotin Pasta 0
62 Cresotin Liquid No 2 0
63 Deksametason Injeksi 5mg/ml-1ml 0
64 Deksametason Tablet 0,5 mg 0
65 Devitalisasi Pasta (Non Arsen) 0
66 Diazepam tablet 2 mg 0
67 Diazepam tablet 5 mg 0
68 Diazepam Injeksi i.v/i.m 5 mg/ml 0
69 Diazepam Larutan Rektal 5 mg/ml 0
70 Diazepam Larutan Rektal 10 mg/ml 0
71 Dietilkarbamazin Sitrat Tablet 100 mg 0
72 Difenhidramin HCl Injeksi 10 mg/ml-1ml 0
73 Digoksin Tablet 0,25 mg 500
74 Dimenhidrinat Tablet 50 mg 0
75 Domperidon Tablet 10 mg 0
76 Donperidon Suspensi 5 mg/5ml 75
77 Efedrin Hcl Tablet 25 mg 0
78 Ekstrak Belladone Tablet 10 mg 0
79 Epinefrin HCl / Bitartrat
(Epinefrina / Adrenalina) 0
80 Injeksi 0,1%/-
Eritromisin 1ml 250 mg
Kapsul 0
81 Eritromisin Kapsul 500 mg 0
82 Eritromisin Sirup 200 mg / 5 ml 0
83 Etambutol Tablet 500 mg 0
84 Etanol 70 % 100 ml 0
85 Etil Klorida Semprot -100 ml 0
86 Eugenol Cairan -10 ml 0
87 Fenitoin Natrium Kapsul 100 mg 0
88 Fenobarbital tablet 30 mg 0
89 Fenobarbital injeksi 50 mg / ml 0
90 Fenoksimeti Penisilin 250 mg tablet 3944
91 Fenoksimeti Penisilin 500 mg tablet 3230
92 Fenol Gliserol TK 0
93 Flufenazine decanoat injeksi 25 mg/ml 0
94 Flukonazol Tablet 150 mg 0
95 Fitomenadion tablet 10 mg 145
96 Fitomenadion (Vit K1) Injeksi 2 mg/ml-1ml 22
97 Furosemid Tablet 40 mg 131
98 Furosemid Injeksi 0
99 Garam Oralit I serbuk, kombinasi :
( Nacl 0,52 gr, Kalium
Klorida 0,30 gr, Trinatrium Sitrat dihidrat 0,58 2269
100 gr, Glukosa Tablet
Gemfibrozil Anhidrat 2,70
600 mg g )200 ml Air 0
101 Gentian Violet 0
102 Gentamisin injeksi 80 mg / 2 ml 0
103 Gentamisin Salep Kulit 0,1 % 349
104 Glass Ionomer 0
105 Glibenklamid Tablet 5 mg 0
106 Glimepiride 2 mg 4000
107 Gliseril Guayakolat Tablet 100 mg 8000
108 Gliseril Guayakolat sirup 695
109 Glukonas Kalsikus injeksi 0
110 Glukosa Larutan Infus 5 % 0
111 Glukosa Larutan Infus10 % 0
112 Griseofulvin Tablet 125 mg,micronized 0
113 Haloperidol Tablet 0,5 mg 770
114 Haloperidol Tablet 1,5 mg 280
115 Haloperidol Tablet 5 mg 0
116 Haloperidol Injeksi 5 mg/ml 0
117 Haloperidol Injeksi 50 mg/ml 0
118 Hidroklortiazid (HCT) Tablet 25 mg 0
119 Hidrokortison Krim 2,5 % 273
120 Ibuprofen Tablet 200 mg 10579
121 Ibuprofen Tablet 400 mg 4408
122 Ibuprofen Suspensi 100 mg/5 ml 102
123 Ichtyol salep Kulit 0
124 Isoniazid tablet 100 mg 0
125 Isoniazid tablet 300 mg 0
126 Isosorbid Dinitrat 5 mg 300
127 Kalium Diklofenak Tablet 25 mg 0
128 Kalium Diklofenak Tablet 50 mg 5952
129 Kalsium Hidroksida Pasta 0
130 Kalsium Laktat Tablet 500 mg 0
131 Kaptopril 12,5 mg 0
132 Kaptopril 25 mg 0
133 Karbamazepin Tablet 200 mg 0
134 Ketokonazole Krim 2 % - 15 gr 31
135 Ketokonazole Tablet 200 mg 0
136 Ketoprofen Tablet 100 mg 0
137 Ketoprofen Injeksi 100 mg / 1 ml 0
138 Ketorolac 10 mg injeksi 0
139 Ketorolac 30 mg injeksi 0
140 Klindamisin Kapsul 150 mg 0
141 Klindamisin Kapsul 300 mg 0
142 Kloramfenikol Kapsul 250 mg 0
143 Kloramfenikol Suspensi 125 mg/ 5 ml 0
144 Kloramfenikol Salep Mata 1%-3,5 g 220
145 Kloramfenikol Salep Kulit 2 % 200
146 Kloramfenikol Tetes Mata -5 ml 450
147 Kloramfenikol Tetes Telinga 3%-5 ml 500
148 Klorfeniramin Maleat (CTM) Tablet 4 mg 15213
149 Klorpromazin Hcl Tablet Salut 25 mg 0
150 Klorpromazin Hcl Tablet Salut 100 mg 0
151 Klorpromazin Hcl Injeksi 5 mg/ml-2ml 0
152 Kombinasi Ipatropium Bromide + Salbutamol
Sulphate for inhalation 2,5 ml 0
153 Kombipak Cefixime + Azithromisin 0
154 Kotrimoksazol Pedriatik Tablet,Kombinasi :
Sulfametoksazol 100 mg + Trimetroprim 20 mg 0
155 Kotrimoksazol Tablet, Kombinasi :
Sulfametoksazol 400 mg + Trimetroprim 1922
156 80 mg
Kotrimoksazol Suspensi Kombinasi :
Sulfametoksazol 200 mg + 0
157 Trimetroprim
Lansoprazole40 30mg/5 ml
mg Kapsul 2961
158 Larutan mengadung Elektrolit (Na 130 mEq,Cl
109 mEq, Asetat 28 mEq) /Asering 0
159 Larutan mengadung Elektrolit
(Nacl 1,125 gr , Dekstrosa 0
160 18,75
Larutangr)mengadung Karbohidrat + Elektrolit
(Nacl 1,75 gr, KCL 1,5 gr, 0
161 Na Lactatinjeksi
Lidokain 2,24 gr,
2 %Dekstrosa 27 gr) 187
162 Lidokain Komp Injeksi, Kombinasi :
Lidokain Hcl 2% +Epinefrin 165
163 1Lidokain
: 80.000-2 ml
Spray 0
164 Loperamid Tablet 2 mg 0
165 Loratadin tablet 10 mg 0
166 Magnesium Sulfat (IV) 20 %-25 ml 0
167 Magnesium Sulfat (IV) 40 %-25 ml 0
168 MB Anak 0
169 MB Dewasa 0
170 Meloksikam tablet 15 mg 6252
171 Meloksikam Suppositoria 0
172 Metformin Hcl Tablet 500 mg 4765
173 Metformin Hcl Tablet 850 mg 0
174 Metildopa 500 mg 0
175 Methisoprinol 500 mg 0
176 Metilergometrin Maleat (Metergin) Tablet 0,125 750
177 Metilergometrin Maleat Injeksi 0,200 mg-1ml 0
178 Metilprednisolon tablet 4 mg 0
179 Metoklopramid 10 mg 0
180 Metoklorpropamid Injeksi 5 mg/ 5 ml 0
181 Metronidazol Tablet 250 mg 0
182 Metronidazole Tablet 500 mg 1000
183 Metronidazole Sirup 125 mg 0
184 Metronidazole Infus 500 mg /100 ml 0
185 Mikonazole KrIm 2 % - 10 gr 131
186 Multivitamin + Mineral tablet 15000
187 Multivitamin sirup 0
188 Mummifying Pasta 0
189 Natrium Bikarbonat Tablet 500 mg 0
190 Natrum Diklofenak Tablet 25 mg 0
191 Natrium Diklofenak Tablet 50 mg 5000
192 Natrium Klorida Larutan infus 0,9%-Steril 500 ml 0
193 Nipedifin Tablet 10 mg 566
194 Nistatin Suspensi 100.000 IU/ml 0
195 Nistatin 100.000 IU/gram Tablet Vagina 192
196 Nistatin 500.000 IU/gram Tablet Salut 610
197 Obat Antitiuberkolosis Kategori Anak 0
198 Obat Antitiuberkolosis Kategori 1 Dewasa 0
199 Obat Antitiuberkolosis Kategori 2 Dewasa 0
200 Obat Antitiuberkolosis Kategori 3 Dewasa 0
201 Obat Anti Tuberkulosis FDC Kat Anak 0
202 Obat Anti Tuberkulosis FDC Kat I & II 0
203 Obat Anti Tuberkulosis FDC Kat I & III 0
204 Obat Anti Tuberkolosis FDC Sisipan Dewasa 0
205 Obat Batuk Hitam (OBH) Cairan 100 ml 372
206 Obat Batuk Cair Sirup (Ekspektoran) (coredryl) 540
207 Obat Batuk Hitam Plus Sirup (indo plus) 0
208 Obat Flu Sirup (Flunax) 0
209 Oksiterasiklin Hcl injeksi i.m.50 mg/ml-10 ml 0
210 Oksiterasiklin Salep Mata 1%-3,5g 200
211 Oksitetrasiklin Hcl Salep Kulit 3%-5g 450
212 Oksitosin Injeksi 10 IU/ml-1ml 0
213 Omeprazole injeksi 40mg/10ml 0
214 Omeprazole Kapsul 20 mg 4372
215 Ondansetron inj 4 mg/ 2 mL 0
216 Parasetamol drop 100 mg/ml btl @ 15 ml (60 mg/ 500
217 Parasetamol Sirup 120 mg/5ml-60 ml 389
218 Parasetamol Tablet 100 mg 0
219 Parasetamol Tablet 500 mg 23990
220 PB Anak 0
221 PB Dewasa 0
222 Pehacain injeksi 0
223 Perak Sulfadiazin krim 1 % 35 gr 0
224 Permetrin krim 5 % 0
225 Piracetam Tablet 400 mg 0
226 Piracetam Tablet 800 mg 0
227 Piroksikam Tablet 20 mg 2000
228 Pirantel Pamoat Tablet 365 mg (Setara dng 125 0
229 Piridoksin Hcl (Vit.B6) Tablet 10 mg 8796
230 Piridoksin Hcl (Vit.B6) Tablet 25 mg 0
231 Povidon Iodida 10% 30 ml 50
232 Povidon Iodida 10% 60 ml 0
233 Povidon Iodida 10% 300 ml 5
234 Prednison Tablet 5 mg 0
235 Primakuin tablet 15 mg 0
236 Prokain Benzil Penisilin Injeksi 3.000.000 IU 0
237 Propanolol Hcl Tablet 40 mg 0
238 Propilturasil Tablet 100 mg 0
239 Ranitidin Injeksi 25 mg / ml 0
240 Ranitidin Tablet 150 mg 1033
241 Retinol (Vit.A) 100.000 IU Kapsul 0
242 Retinol (Vit.A) 200.000 IU Kapsul 0
243 Reserpin Tablet 0, 25 mg 0
244 Rifampisin Tablet 450 mg 0
245 Ringer Laktat Larutan Infus Steril 500 ml 2
246 Salbutamol Tablet 2 mg 0
247 Salbutamol Tablet 4 mg 0
248 Salbutamol solution for Inhalation single dose 0
249 units 2,5
Salep 2-4mlKombinasi :
Asam Salisilat 2 % + 192
250 Belerang
Salisil bedak 2% -50 gr30 gram
Endap 4 % - 132
251 Salep Luka Bakar 0
252 Sefadroksil Sirup Kering 125 mg / 5 ml sirup 0
253 Sefadroksil Tablet 500 mg 64
254 Sefiksim Kapsul 100 mg 0
255 Sefiksim 400 mg + Azitromisin 1000 mg 0
256 Sefotaksim Injeksi 1 gr 0
257 Seftriakson Injeksi 1 gr / vial 0
258 Semen Seng Fosfat Serbuk & Cairan 0
259 Setirizin Tablet 10 mg 3518
260 Setirizin Sirup 5 mg / 5 ml 250
261 Sianokobalamin Injeksi 500 mcg/ml-1ml 0
262 Sianokobalamin Tablet 50 mcg 0
263 Silver Amalgam Serbuk 65-75% 0
264 Simetidin 200 mg Tablet 0
265 Simvastatin Tablet 10 mg 1349
266 Siprofloksasin 500mg 1600
267 Spironolakton Tablet 25 mg 0
268 Sulfacetamid Tetes Mata 15 %-5ml 0
269 Tablet Tambah Darah Kombinasi:
Besi II Sulfat 200 mg + Asam 4080
270 Folat 0,25 mg
Temporary Stopping Fletcher (Fletcher) Serbuk 0
271 & Cairanformalin ( T K F ) Cairan 10 ml
Trikesol 0
272 Tetrasiklin Kapsul 250 mg 0
273 Tetrasiklin Kapsul 500 mg 0
274 Thiamin Hcl (Vit B1) Injeksi 100 mg/ml-1ml 0
275 Tiamin Hcl /Mononitrat (Vit.B1) Tablet 50 mg 8300
276 Thiamfenikol Kapsul 500 mg 0
277 Tramadol Injeksi 50 mg/ ml 0
278 Tramadol Tablet 50 mg 0
279 Triheksifenidil Hidroklorida Tablet 2 mg 0
280 Vitamin B .Komplek Tablet 7979
281 Vitamin Neurotropik Tablet 8403
282 Zinc Tablet 20 mg 0
283 Zinc Sulfat 20 mg/5 ml 0
284 Obat Batuk Herbal 0
285 Obat Kumur/ Enkasari 0
286 Tablet Pemanis 0
287 Salep Betametason+Neomicin 0
288 Salep Kloramfenikol+Hidrokortison 0
289 Curcuma Tablet 0
0
B. BAHAN MEDIS HABIS PAKAI (BMHP) 0
1 Abbocath No 18 ( IV Chateter 18 ) 0
2 Abbocath No 20 ( IV Chateter 20 ) 0
3 Abbocath No 22 ( IV Chateter 22 ) 0
4 Abbocath No 24 ( IV Chateter 24 ) 0
 5 Alat Gula, Kolesterol, Asam Urat 0
6 Alat Suntik Sekali Pakai 1 ml 0
7 Alat Suntik Sekali Pakai 2,5 ml/3 ml 0
8 Alat Suntik Sekali Pakai 5 ml 0
9 Alat Suntik Sekali Pakai 10 ml 0
10 Alkohol Swab 0
11 Auto Disposable Syringe (ADS) 0,05 ml 0
12 Auto Disposable Syringe (ADS) 0,5 ml 1000
13 Auto Disposable Syringe (ADS) 5 ml 500
14 Blood Set 0
15 Catgut/Benang Bedah No.2/0 Plain 0
16 Catgut/Benang Bedah No.3/0 Cromic 0
17 Etakridin Larutan (Rivanol) 0,1% - 300 ml 0
18 Etanol 70 % 1.000 ml 0
19 Eter Alkohol 0
20 Folley Catheter no 14 0
21 Folley Catheter no 16 0
22 Folley Catheter no 18 0
23 Infus set Anak 0
24 Infus set Dewasa 0
25 Iodina Test 0
26 Kaca Slide 0
27 Kapas Berlemak 500 gram 0
28 Kapas Pembalut / Adsorbens 250 gram 0
29 Kassa Pembalut 2 m x 80 cm 0
30 Kassa Pembalut Hidrofil 4 m x 3 cm 0
31 Kassa Pembalut Hidrofil 4 m x 15 cm 0
32 Kassa Hidrofil Steril 16 x 16 100
33 Kassa Kompres 40 x 40 steril 0
34 Kertas Puyer 0
35 Kertas Saring 0
36 Kertas Lensa 0
37 Lysol 1,000 ml 0
38 Masker 5500
39 Masker N 95 0
40 Minyak Imersi 0
41 Plester Kertas 0
42 Polifix 5 cm x 5 m 0
43 Pot Dahak 0
44 Rapid 2 HIV Fokus 0
45 Rapid HIV 1 (SD HIV) 0
46 Rapid HIV 2 (Intec HIV) 0
47 Rapid HIV 2 (Biomeriux HIV) 0
48 Rapid Tes SD Bioline HBSAG 0
49 Rapid Test Syphilis 0
50 Reagen CD 4 Control 0
51 Reagen CD 4 0
52 Reagen Ziehl Nelson 0
53 RPR Test Syphilis 0
54 Silk( Benang Bedah Sutra ) No 3/0 0
55 Safety Box 0
56 Sarung tangan Steril No 6 0
57 Sarung tangan Steril No 7
58 Sarung tangan Steril No 7,5
59 Sarung tangan Non Steril S 1600
60 Sarung tangan Non Steril M 4100
61 Sarung tangan Non Steril L 0
62 Soudtimer 0
63 Stik Pemeriksaan Gula Darah 1175
64 Stik Pemeriksaan Kolesterol 170
65 Stik Pemeriksaan Asam Urat 450
66 Supratul 0
67 Urine Bag 0
68 Wing Neddle No 23 0
69 Lancet 1200
70 Detergent 5 L 0
71 Disinfektan 5L 0
72 Cairan Antiseptik Hand Rub 30
73 Bisturi 100
74 PP Test 1400
75 Gel USG 26