RANCANGAN KEBUTUHAN OBAT TAHUN 2017

NO NAMA OBAT SATUAN

1 Allopurinol tablet 100 mg tab
2 Albendazol 400 mg tab
3 Albendazol susp 200mg/5ml botol
4 Ambroxol tab tab
5 Ambroxol syr 15 mg/ml botol
6 Aminofilin injeksi 24 mg/ml-10ml tab
7 Aminofilin tablet 200 mg tab
8 Aminitriptilin HCL tablet salut 25 mg tab
9 Amlodipin 5 mg tab
10 Amlodipin 10 mg tab
11 Amoksilin kapsul 250 mg kapsul
12 Amoksilin kapsul 500 mg kaplet
13 Amoksilin sirup kering 125 mg/5ml botol
14 Antalgin (Metampiron) tablet 500 mg tablet
15 Antalgin Injeksi 250 mg/ml-2ml amp
16 Antasida DOEN Tab tablet
17 Antasida DOEN susp botol
18 Anti Bakteri Topikal ( Betason) tube
19 Anti Bakteri DOEN salep kombinasi tube
20 Anti Hemoroid supp
21 Antifungi DOEN kombinasi pot
22 Anti Migren tablet
23 Aqua Pro Inj Steril 20 ml botol
24 Aqua Pro Inj Steril 25 ml botol
25 Asam Askorbat (VIT c) tablet 50 mg tablet
26 Asam Folat 1 mg tablet
27 Asam Mefenamat 500 mg tablet
28 Asam Traneksamat inj 250mg/5 ml amp
29 Asetosal tab 100 mg tablet
30 Asiklovir Krim 5% tube
31 Asiklovir tablet 200 mg tablet
32 Asiklovir tablet 400 mg tablet
33 Atropin Sulfat injeksi 0,25 mg/ml-1ml amp
34 Betametason krim 0,1% tube
35 Cefixime 100mg tab
36 Cefixime 100mg/5ml botol
37 Cetirizine kaps kapsul
38 Deksametason injeksi 5 mg.ml-1ml amp
39 Deksametason tablet 0,5 mg tablet
40 Diazepam injeksi 5 mg/ml-2 ml amp
41 Diazepam tablet 2 mg tablet
42 Difenhidramin HCI injeksi 10 mg/ml-1ml amp
43 Digoksin tablet 0,25 mg tab
44 Domperidone tab 10 mg tablet
45 Domperidone syrup botol
46 Efedrin HCI tablet 25 mg tablet
47 Epinefrina HCI/Bitartrat inj. amp
48 Eritromisin kapsul 500 mg kapsul
49 Eritromisin sirup 200 mg/5 ml botol
50 Etakridin (Rivanol) 300 ml botol
51 Etakridin (Rivanol) 100 ml botol
52 Etanol 70% 1000 ml botol
53 Etanol 70% 100 ml botol
54 Fenitoin Natrium kapsul 30 mg kapsul
55 Fenol Gliserol botol
56 Fitomenadion (Vit.K1) inj 10 mg/ml-1ml amp
57 Fitomenadion (Vit.K1) tablet 10 mg tablet
58 Furosemid tablet 40 mg tablet
59 Furosemid inj 10 mg/ml vial
60 Garam oralit untuk 200 ml air kantong
61 Gential violet larutan 1% botol
62 Gentamisin/Genoint SM 0,3% 3,5mg tube
63 Gentamisin TM 0.3 % botol
64 Glibenklamid tablet 5 mg tablet
65 Gliseril Guayacolat tablet 100 mg tablet
66 Glukosa larutan infus 10% steril botol
67 Glukosa larutan infus 5% steril botol
68 Griseofulvin tablet 125 mg,micronized tab
69 Haloperidoi tablet 0,5 mg tab
70 Haloperidoi tablet 1,5 mg tab
71 Hidroklorotiazid (HCI) tablet 25 mg tablet
72 Hidrokortison krim 2,5% tube
73 Ibuprofen tablet 400mg tab
74 Isosorbid Dinitrat tablet sublingual 5mg tab
75 Kalium Diklofenak 50mg tablet
76 Kalsium laktat (kalk) tablet 500mg tablet
77 Kaptopril tablet 12,5mg tablet
78 Kaptopril tablet 25mg tablet
79 Ketoprofen inj 100mg ampul
80 Ketoconazol tab 200mg tab
81 Ketoconazole 2% krim 10g tube
82 Kloramfenikol kapsul 250mg kapsul
83 Kloramfenikol suspensi 125mg botol
 84 Kloramfenikol Salep Mata 1% tube
85 Kloramfenikol tetes telinga 3% botol
86 Klorfeniramin maleat (CTM) tablet 4mg tablet
87 Klorpromazin tablet salut 100 mg tablet
88 Klorpromazin inj i.m 5mg/ml 2ml(HCL) amp
89 Klindamycin kap 150mg kapsul
90 Klindamycin kap 300mg kapsul
91 Kotrimoksazol Suspensi komb botol
92 Kotrimoksazol tablet komb 480 mg tab
93 Lansoprazol 30mg kapsul
94 Lidokain Komp. Injeksi, Kombinasi: amp
95 Loperamid 2 mg tab
96 Loratadin 10mg tablet
97 Metformin tablet
98 Magnesium Sulfat inj 40%(Otsu MGSO4 40%) vial
99 Magnesium Sulfat inj 20%(Otsu MGSO4 20%) vial
100 Metilergometrin Maleat tablet 0,125mg tab
101 Metilergometrin Maleat inj.0,200mg-1ml amp
102 Metilprednisolone 8mg tab
103 Metronidazol tablet 250 mg tablet
104 Metronidazol tablet 500mg tablet
105 Mikonazol krim/salep 2% (nitrat) tube
106 Molasma tab 2,5mg tab
107 Multivitamin Kombinasi Dewasa ( Ramaton) tab
108 Multivitamin Anak Plus DHA sirup (Bionick Mild) botol
109 Multivitamin Bayi Drop (Bionick Sirup Drop) botol
110 Natrium Bikarbonat tablet 500mg tablet
111 Natrium Diklofenak 50mg tablet
112 Natrium Klorida larutan infus 0,9% steril botol
113 Neuritropik Plus Vit E ( Neurovit E) tab
114 Nifedipine tablet
115 Nistatin Tablet salut 100.000 IU/g tab
116 Obat Batuk Pilek Kombinasi (Hustab) tablet
117 Obat Batuk Flu Anak Kombinasi Sirup (flutamol sirup) botol
118 Obat Anti Diare (Diapecta) tablet
119 Obat infeksi Kulit dan Peradangan (Chlorampecort) tube
120 Obat Herbal Vitamin Penambah Asi tablet
121 Obat Anti Neuralgia (Neurodial) tablet
122 Obat Neurotropik Injeksi (Mersibion) ampul
123 Ofloxacin 400mg tab sal sel tab
124 Obat Batuk Hitam (OBH) cairan botol
125 Oksitetrasklin HCI salep mata 1% tube
126 Oksitosin injeksi 10 IU/ml-1ml amp
127 Ondansetron 4mg inj amp
128 Ondansetron 4mg tab tablet
129 Omeprazole 20mg kapsul
130 Paracetamol Syrup 120 mg/5ml botol
131 Parasetamol drops botol
132 Paracetamol Tablet 500 mg tablet
133 Phenobarbital inj inta vena amp
134 Phenobarbital 30 mg tablet
135 Piracetam inj amp
137 Pirantel tablet 125 mg tablet
137 Pirantel Syr botol
138 Piridoksin HCI (Vit.B6) tablet 10 mg tablet
139 Piroxicam 20 mg kapsul
140 Povidon Iodida 10% 30 ml botol
141 Povidon Iodida 10% 300 ml botol
142 Prednisone tablet 5 mg tablet
143 Propiltiouracyl tablet
144 Ranitidine inj amp
145 Ranitidine tab tablet
146 Ringer Laktat Larutan infus steril plabot
147 Salbutamol 2mg tablet
148 Salbutamol Inhalasi/Aerosol 100 mcg/dosis botol
148 Salbutamol 2mg/ 5ml syr botol
149 Salep 2-4 , 30g pot
150 Salisil bedak 2% kotak
151 Sefadroxyl 500 mg kapsul
152 Sefadroxyl syr botol
153 Sefotaxim inj vial
154 Seftriaxone Serbuk Inj 1 g vial
155 Serum anti bisa ular Polivalen inj 5ml (ABU I) vial
156 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S) ampul
157 Sianokobalamin (Vit. B12) Injeksi 500 mcg-ml amp
158 Simetidin tablet tablet
159 Simvastatin 20mg tablet
160 Siprofloksasin tablet 500 mg tablet
161 Spironolakton tablet
162 Thiamphenikol kap 500 mg kapsul
163 Thiamin HCI (Vit.B1) injeksi 100 mg/ml-1ml amp
164 Thiamin HCI/Mononitrat (Vit.B1) tablet 50 mg tablet
165 Tramadol inj 50mg/ml amp
166 Tramadol kapsul 50mg kapsul
167 Trihexyphenidil tab
168 Vaksin Rabies Vero kuur
169 Vitamin B komplek tablet tablet
170 Vitamin Peningkat Sistem Imun (Fituno) tablet
171 Zinkid 10mg/5ml syr botol
NO OBAT GIGI
1 Ethyl Clorida spray botol

NO ALAT KESEHATAN
1 Alat Suntik sekali pakai 1 ml set
2 Alat Suntik Sekali Pakai 2,5 ml set
3 Alat Suntik Sekali Pakai 5 ml set
4 Catgut/Benang No. 2/0-3/0 set
5 Folley Cateter NO. 18 Pcs
6 Folley Cateter NO. 16 Pcs
7 Infusion set anak set
8 Infusion set dewasa set
9 IV Catheter No.18 set
10 IV Catheter No.20 buah
11 IV Catheter No.22 buah
12 IV Catheter No.24 buah
13 Wing Neddle No.21 pcs
14 Wing Neddle No.23 pcs
15 Wing Neddle No.25 pcs
16 Handscoon 7 set
17 Handscoon 7,5 set
18 Handscoon M set
19 Handscoon L set
20 Plester 5 yard x 2 inch rol
21 Plester 5 cm x 4,5 m rol
22 Plester 4,5 m x 12,5 mm rol
23 Silk (Benang Bedah Sutera) No. 3/0 set
24 Kasa Gulung 15X4 gulung
25 Kasa Kompres 16x16 steril kotak
26 Kasa Steril 40 X 40 cm gulung
 27 Kapas pembalut absorben250 mg gulung
28 Kasa Hidrofil 4x 10 cm gulung
29 Masker pcs
30 Urine bag Pcs

III OBAT BRANDED

NO NAMA OBAT SATUAN
1 Bricasma turb 0,5 mg box
2 Curcuma syr botol
3 Kombinasi Metampiron dan vit B ( Goralgin ) tablet
4 Multivitamin ibu hamil dan menyusui (Ironyl) tablet
5 Multivitamin anak komb. Probiotik+DHA (Dhavit) Botol
6 Multivitamin anak komb.mengandung lysin botol
7 Obat Antibiotik Kombinasi (miraclav) Tablet
8 Obat Batuk Flu kombinasi anak ( Protexinal syr ) botol
9 Obat Flu Sirup (febrinex susp) Botol
10 Obat Batuk Flu kombinasi dewasa (Protexinal tab) tablet
11 Obat Flu Tablet Dewasa ( Flutab ) tablet
12 Obat Batuk Pilek Tablet (noza) Tablet
13 Obat Diare Tablet (nodiar) Tablet
14 Obat Gangguan Cerna/Multienzim (progastrik) Tablet
15 Obat Infeksi Kulit dan Peradangan (Chloramfecort) Tube 10gr
16 Pulmicort turb 200 box
17 Symbicort turb 160 dos box
18 Ulsafate / Sukralfat Susp 500mg/5ml botol
19 Zincpro drops 15 ml botol
III OBAT PROGRAM
NO NAMA OBAT SATUAN
1 ACT (Arthesunate+Amodiaquin) tab Tablet
2 Gentamicyn Injeksi Ampul
3 Mineral Mix Sacc
4 Obat Anti Tuberculosis kat. 1 Paket
5 Obat Anti Tuberculosis kat. 2 Paket
6 Obat Anti Tuberculosis anak Paket
7 Phytomenadion inj 2mg/ml amp
8 Retinol 100.000 IU kapsul lunak
9 Retinol 200.000 IU kapsul lunak
10 Tablet Tambah Darah tablet
11 Zink Tablet
017

KEBUTUHAN
3,600
1,000
100
7,200
500
180
1,000
1,000
3,600
3,600
5,400
120,000
1,800
5,000
300
72,000
500
360
450
180
100
1,800
360
 360
9,000
10,000
27,000
100
1,000
540
3,600
5,400
100
900
1,800
200
9,000
500
27,000
500
2,000
300
1,800
3,600
360
1,000
200
1,000
300
200
200
200
200
 1,800
180
200
1,800
3,600
100
3,600
360
360
360
9,000
36,000
200
500
1,800
1,800
1,800
5,400
450
36,000
1,000
9,000
10,800
36,000
36,000
200
500
360
5,400
360
 450
360
36,000
2,000
100
1,000
1,800
500
3,600
2,000
1,800
3,600
1,800
9,000
100
100
1,800
100
9,000
700
1,800
360
1,000
1,000
300
200
5,000
9,000
1,800
1,800
 1,000
1,000
3,600
750
1,000
200
2,700
2,000
100
300
630
450
500
2,700
2,500
2,000
3,600
250
126,000
200
2,000
100
1,800
100
9,000
9,000
200
100
9,000
2,000
 2,700
10,800
6,000
3,600
50
360
100
360
5,400
360
900
900
100
540
500
2,000
1,800
3,600
1,000
3,600
200
9,000
100
900
1,800
100
27,000
1,800
300
 100

5,000
10,000
7,200
648
50
100
360
900
300
1,800
3,600
1800
100
100
100
1,800
1,000
3,600
3,600
216
200
200
648
1,800
3,600
500
 90
1,800
3,600
100

STOCK AWAL
50
1800
3600
3600
900
300
500
750
500
5000
5000
5000
5000
5000
100
10
10
100
200
 STOCK AWAL
100
50
200
60
36
25
100
3000
5000
45000
3600

Pemohon
Petugas Farmasi

Maratus Sholikah
NIP: 198309202010012015
2016
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