DINAS KESEHATAN KOTA KENDARI

PUSKESMAS MATA
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS MATA
PER 31 DESEMBER 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 200 357.00 324.55 71,400.00 64,909 32.45 6,490.91

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
3 Anti Haemoroid DOEN Kombinasi 90 2,700.00 2,454.55 243,000.00 220,909 245.45 22,090.91
4 Albothyl Konsentrate 4 32,900.00 29,909.09 131,600.00 119,636 2,990.91 11,963.64
5 Allopurinol tablet 300 mg 1,600 233.00 211.82 372,800.00 338,909 21.18 33,890.91
6 Allopurinol tablet 100 mg - 90.00 81.82 - 0 8.18 0.00
7 Aminofilina injeksi 24 mg/ml - 10 ml 10 3,314.00 3,012.73 33,140.00 30,127 301.27 3,012.73
8 Amlodipin 10 mg 780 352.00 320.00 274,560.00 249,600 32.00 24,960.00
9 Amoksisilin kaplet 500 mg 4,000 357.00 324.55 1,428,000.00 1,298,182 32.45 129,818.18
10 Amoksisilin sirup kering 125 mg/5ml 85 2,560.00 2,327.27 217,600.00 197,818 232.73 19,781.82
11 Asam Askorbat (Vit C) tablet 250 mg - 110.00 100.00 - 0 10.00 0.00
12 Antimigren : Ergotamin-Coffein 300 149.00 135.45 44,700.00 40,636 13.55 4,063.64
13 Antasida Doen Tab. Strip 3,800 73.12 66.47 277,856.00 252,596 6.65 25,259.64
14 Antasida sirup - 2,213.00 2,011.82 - 0 201.18 0.00
15 Antibakteri doen kombinasi 50 2,741.00 2,491.82 137,050.00 124,591 249.18 12,459.09
16 Antifungi DOEN salep kombinasi - 2,096.00 1,905.45 - 0 190.55 0.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml - 1,500.00 1,363.64 - 0 136.36 0.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 300 52.00 47.27 15,600.00 14,182 4.73 1,418.18
20 Asam Askorbat (Vit C) tablet 50 mg 2,300 36.00 32.73 82,800.00 75,273 3.27 7,527.27
21 Asam Mefenamat tab 500 mg 2,400 127.00 115.45 304,800.00 277,091 11.55 27,709.09
22 Ambroxol tab - 185.98 169.07 - 0 16.91 0.00
23 Betametason krim 0.1% - 1,596.00 1,450.91 - 0 145.09 0.00
24 Betahistin tab 6 mg 480 1,246.66 1,133.33 598,396.80 543,997 113.33 54,399.71
25 Bioplacenton Gell 15 g 5 16,000.00 14,545.45 80,000.00 72,727 1,454.55 7,272.73
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 1,400 97.00 88.18 135,800.00 123,455 8.82 12,345.45
28 Captopril tablet 12,5 mg 600 90.00 81.82 54,000.00 49,091 8.18 4,909.09
29 Cetirizine tab 300 190.00 172.73 57,000.00 51,818 17.27 5,181.82
30 Cefadroxil Syrp 35 5,286.00 4,805.45 185,010.00 168,191 480.55 16,819.09
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

31 Cimetidin 200 mg 900 105.97 96.34 95,373.00 86,703 9.63 8,670.27

32 Ciprofloksacin 600 290.00 263.64 174,000.00 158,182 26.36 15,818.18
33 Domperidon tab 300 174.00 158.18 52,200.00 47,455 15.82 4,745.45
34 Deksametason injeksi 5 mg/ml - 1 ml - 1,850.00 1,681.82 - 0 168.18 0.00
35 Deksametason tablet 0,5 mg 7,000 71.89 65.35 503,230.00 457,482 6.54 45,748.18
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp - 5,286.00 4,805.45 - 0 480.55 0.00
38 Kalium Diklofenak 25mg tab - 389.41 354.01 - 0 35.40 0.00
39 Kalium Diklofenak 50mg tab 300 429.92 390.84 128,976.00 117,251 39.08 11,725.09
40 Diazepam tablet 2 mg 800 28.00 25.45 22,400.00 20,364 2.55 2,036.36
41 Difenhidramin HCl inj 10 mg/ml-1 ml 20 1,045.00 950.00 20,900.00 19,000 95.00 1,900.00
42 Domperidon suspensi 5 mg/5 ml 3 3,490.00 3,172.73 10,470.00 9,518 317.27 951.82
43 Doxycyclin 100 mg 600 250.00 227.27 150,000.00 136,364 22.73 13,636.36
44 Efedrin HCl tablet 25 mg 1,750 69.20 62.91 121,100.00 110,091 6.29 11,009.09
45 Ekstrak belladon 10 mg 500 43.00 39.09 21,500.00 19,545 3.91 1,954.55
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 300 1,023.00 930.00 306,900.00 279,000 93.00 27,900.00
48 Etakridin ( Rivanol ) larutan 0,1% 5 2,354.00 2,140.00 11,770.00 10,700 214.00 1,070.00
49 Etanol 70 % 1000 ml 3 20,000.00 18,181.82 60,000.00 54,545 1,818.18 5,454.55
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 3 105,000.00 95,454.55 315,000.00 286,364 9,545.45 28,636.36
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml 28 1,888.00 1,716.36 52,864.00 48,058 171.64 4,805.82
54 Fenobarbital tablet 30 mg 500 74.00 67.27 37,000.00 33,636 6.73 3,363.64
55 Formakresol 1 77,200.00 70,181.82 77,200.00 70,182 7,018.18 7,018.18
56 Fitomenadion (Vit.K1) inj. 30 3,754.00 3,412.73 112,620.00 102,382 341.27 10,238.18
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 200 698.00 634.55 139,600.00 126,909 63.45 12,690.91
58 Furosemid tablet 40 mg 300 101.00 91.82 30,300.00 27,545 9.18 2,754.55
59 Garam Oralit untuk 200 ml air 100 322.00 292.73 32,200.00 29,273 29.27 2,927.27
60 Glimepiride 2mg 500 458.00 416.36 229,000.00 208,182 41.64 20,818.18
61 Gentamycine Sulfat 0,1 % SK 20 2,478.00 2,252.73 49,560.00 45,055 225.27 4,505.45
62 Glibenklamid tablet 5 mg 300 126.00 114.55 37,800.00 34,364 11.45 3,436.36
63 Gliseril Guayakolat tablet 100 mg 3,000 31.00 28.18 93,000.00 84,545 2.82 8,454.55
64 Griseofulvin tablet 125 mg 500 200.00 181.82 100,000.00 90,909 18.18 9,090.91
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
66 Hidroklorotiazid (HCT) tablet 25 mg 1,000 49.00 44.55 49,000.00 44,545 4.45 4,454.55
67 Hidrokortison krim 2,5 % 72 2,938.00 2,670.91 211,536.00 192,305 267.09 19,230.55
68 Ibuprofen tablet 200 mg 2,500 96.21 87.46 240,525.00 218,659 8.75 21,865.91
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

69 Ibuprofen tablet 400 mg - 157.00 142.73 - 0 14.27 0.00

70 Kalsium Laktat (kalk) tablet 500 mg 2,500 69.00 62.73 172,500.00 156,818 6.27 15,681.82
71 Kalium Permanganat (PK) 10 4,041.00 3,673.64 40,410.00 36,736 367.36 3,673.64
72 KA-EN 3B - 14,220.00 12,927.27 - 0 1,292.73 0.00
Ketokonasol Cream - 2,697.00
73 2,451.82 - 0 245.18 0.00
Ketorolac Inj. 30 mg - 8,528.00 7,752.73 - 0 775.27 0.00
74
75 Kloramfenikol kapsul 250 mg 1,200 224.00 203.64 268,800.00 244,364 20.36 24,436.36

Klorfeniramin Maleat (CTM) tab. 4 mg 3,000 21.00

76 19.09 63,000.00 57,273 1.91 5,727.27
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 24 1,680.00
78 1,527.27 40,320.00 36,655 152.73 3,665.45
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg
79 +Kotrimoksazol
Trimetoprim tablet
40 mg /komb:
5 ml Sulfametoksazol 400 mg 100 2,298.00 2,089.09 229,800.00 208,909 208.91 20,890.91
80 + Trimetoprim 80 mg 1,000 146.00 132.73 146,000.00 132,727 13.27 13,272.73
81 Lisol 2 59,000.00 53,636.36 118,000.00 107,273 5,363.64 10,727.27
Lidokain komp. injeksi, Kombinasi: 1,350.00 - 0 135.00 0.00
82
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml - 1,485.00
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg - 124.50 113.18 - 0 11.32 0.00
86 Metformin 850mg 300 280.00 254.55 84,000.00 76,364 25.45 7,636.36
87 Loratadine 10 mg 650 170.00 154.55 110,500.00 100,455 15.45 10,045.45
Metilergometrin Maleat (Metilergometrin)
tablet salut 0,125 mg 800 169.00
88 153.64 135,200.00 122,909 15.36 12,290.91
89 Metilergometrin maleat inj 30 4,200.00 3,818.18 126,000.00 114,545 381.82 11,454.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 1,200 169.00 153.64 202,800.00 184,364 15.36 18,436.36
92 Metilprednisolon 8 mg 300 390.00 354.55 117,000.00 106,364 35.45 10,636.36
93 Miconazole krim 48 3,150.00 2,863.64 151,200.00 137,455 286.36 13,745.45
94 Metoclopramide 10 mg 300 100.00 90.91 30,000.00 27,273 9.09 2,727.27
95 Natrium Klorida larutan infus 0,9 % 4 5,170.00 4,700.00 20,680.00 18,800 470.00 1,880.00
96 Natrium diklofenak 50 mg 1,200 206.00 187.27 247,200.00 224,727 18.73 22,472.73
97 Nistatin tablet vaginal 100.000 IU/g 30 407.00 370.00 12,210.00 11,100 37.00 1,110.00
98 Novahexin tablet 2,400 50.00 45.45 120,000.00 109,091 4.55 10,909.09
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
100 Obat Batuk Hitam (OBH) 30 1,931.00 1,755.45 57,930.00 52,664 175.55 5,266.36
101 Ondansetron inj. 4 mg - 6,050.00 5,500.00 - 0 550.00 0.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

103 Obat anti TB kategori I / FDC - 396,000.00 360,000.00 - 0 36,000.00 0.00

104 Obat anti TB kategori I 19 316,920.00 288,109.09 6,021,480.00 5,474,073 28,810.91 547,407.27
105 Obat anti TB kategori II - 1,319,898.00 1,199,907.27 - 0 119,990.73 0.00
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata 25 1,680.00 1,527.27 42,000.00 38,182 152.73 3,818.18
108 Oksitetrasiklin HCl SK 3 % 50 2,261.00 2,055.45 113,050.00 102,773 205.55 10,277.27
109 Oksitosin injeksi 10 IU/ml - 1 ml 100 3,300.00 3,000.00 330,000.00 300,000 300.00 30,000.00
110 Omeprazol Kapsul 20 mg 300 221.00 200.91 66,300.00 60,273 20.09 6,027.27
111 Parasetamol sirup 120 mg/5 ml 50 1,535.00 1,395.45 76,750.00 69,773 139.55 6,977.27
112 Parasetamol tablet 500 mg 5,400 84.80 77.09 457,920.00 416,291 7.71 41,629.09
113 Papaverin - 128.00 116.36 - 0 11.64 0.00
114 Pehacain injeksi - 3,113.00 2,830.00 - 0 283.00 0.00
115 Pirantel Pamoat tab. 125 mg 30 43.17 39.25 1,295.10 1,177 3.92 117.74
116 Piridoksin HCl (Vit.B6) tablet 10 mg 2,000 28.16 25.60 56,320.00 51,200 2.56 5,120.00
117 Piroksikam 20 mg 1,400 92.00 83.64 128,800.00 117,091 8.36 11,709.09
118 Prednison tablet 5 mg 2,000 98.00 89.09 196,000.00 178,182 8.91 17,818.18
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg - 108.05 98.23 - 0 9.82 0.00
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg - 163.00 148.18 - 0 14.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 50 1,340.00 1,218.18 67,000.00 60,909 121.82 6,090.91
125 Ranitidin Tablet 150 mg 900 128.00 116.36 115,200.00 104,727 11.64 10,472.73
126 Retinol (vitamin A) Kaps 200.000 IU 50 505.00 459.09 25,250.00 22,955 45.91 2,295.45
127 Retinol (vitamin A) Kaps 100.000 IU - 286.00 260.00 - 0 26.00 0.00
128 Ringer Laktat larutan infus steril 38 5,720.00 5,200.00 217,360.00 197,600 520.00 19,760.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg - 70.00 63.64 - 0 6.36 0.00
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % - 1,350.00 1,227.27 - 0 122.73 0.00
133 Salep 2-4 36 2,420.00 2,200.00 87,120.00 79,200 220.00 7,920.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 50 1,400.00 1,272.73 70,000.00 63,636 127.27 6,363.64
135 Simvastatin 10 mg 900 177.00 160.91 159,300.00 144,818 16.09 14,481.82
136 Ulsidex tab - 477.00 433.64 - 0 43.36 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi - 90.00 81.82 - 0 8.18 0.00
140 Tetrasiklin HCl kapsul 500 mg 300 347.00 315.45 104,100.00 94,636 31.55 9,463.64
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

141 Tiamfenicol tab 500 mg 200 832.00 756.36 166,400.00 151,273 75.64 15,127.27
142 Spironolactone tab 25mg 200 350.00 318.18 70,000.00 63,636 31.82 6,363.64
143 Tiamin HCl / (Vit.B1) tab. 50 mg 6,000 51.00 46.36 306,000.00 278,182 4.64 27,818.18
144 Vitamin B Kompleks tablet 1,000 112.00 101.82 112,000.00 101,818 10.18 10,181.82
145 Yodium pov. Lar. 10 % 30 ml 6 4,375.00 3,977.27 26,250.00 23,864 397.73 2,386.36
146 Yodium pov. Lar. 10 % 60 ml - 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
148 Zinc Dispersible 2,400 496.50 451.36 1,191,600.00 1,083,273 45.14 108,327.27
149 DIGOXIN 100 103.00 93.64 10,300.00 9,364 9.36 936.36

TOTAL 3,969,075 3,608,250 21,001,656.90 19,092,415 360,824.99 1,909,241.54

PERBEKALAN KESEHATAN

150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

151 Abbocath No. 20 4 7,786.00 7,078.18 31,144.00 28,312.73 707.82 2,831.27
152 Abbocath No. 22 0 7,786.00 7,078.18 0.00 0.00 707.82 0.00
153 Abbocath No. 24 15 7,786.00 7,078.18 116,790.00 106,172.73 707.82 10,617.27
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 150 1,093.00 993.64 163,950.00 149,045.45 99.36 14,904.55
157 Alat suntik sekali pakai 2,5 ml 0 1,038.00 943.64 0.00 0.00 94.36 0.00
158 Alat suntik sekali pakai 3 ml 150 1,038.00 943.64 155,700.00 141,545.45 94.36 14,154.55
159 Alat suntik sekali pakai 5 ml 80 944.00 858.18 75,520.00 68,654.55 85.82 6,865.45
160 Bisturi 0 800.00 727.27 0.00 0.00 72.73 0.00
161 Cat Gut No.3/0 dgn Jarum Bedah 0 24,583.00 22,348.18 0.00 0.00 2,234.82 0.00
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 45 4,250.00 3,863.64 191,250.00 173,863.64 386.36 17,386.36
165 Infusion set anak 5 6,782.00 6,165.45 33,910.00 30,827.27 616.55 3,082.73
166 Infusion set dewasa 14 6,778.00 6,161.82 94,892.00 86,265.45 616.18 8,626.55
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 2 7,500.00 6,818.18 15,000.00 13,636.36 681.82 1,363.64
170 Kasa pembalut Hidrofil 34 m x 10 cm 0 607.00 551.82 0.00 0.00 55.18 0.00
171 Kasa Steril 16 x 16 cm 0 8,500.00 7,727.27 0.00 0.00 772.73 0.00
172 Kasa 40 x 80 cm 3 145,650.00 132,409.09 436,950.00 397,227.27 13,240.91 39,722.73
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
174 Plester 5 yard x 2 inci 2 23,625.00 21,477.27 47,250.00 42,954.55 2,147.73 6,347.27
175 Silk (Benang Bedah Sutra) 10 6,982.00 6,347.27 69,820.00 63,472.73 634.73 130,197.82
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

Total alkes 1,657,247.00 1,506,588.18 1,432,176.00 1,301,978.18 150,658.82 256,100.18

TOTAL KESELURUHAN 5,626,321.94 5,114,838.13 22,433,832.90 20,394,394 511,483.81 2,165,341.72

Mengetahui Kendari, 31 Desember 2015

Kepala puskesmas mata Pengelola Obat

drg . Mareyke Muskitta . M. KES NURBAYA, S.KEP

Nip . 19650522 2000012 2002 NIP. 19760212 200502 2 003
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS MATA
DATA SISA STOK OBAT PUSKESMAS MATA
PER 31 DESEMBER 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 200 357.00 324.55 71,400.00 64,909 32.45 6,490.91

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
3 Anti Haemoroid DOEN Kombinasi 90 2,700.00 2,454.55 243,000.00 220,909 245.45 22,090.91
4 Albothyl Konsentrate 4 32,900.00 29,909.09 131,600.00 119,636 2,990.91 11,963.64
5 Allopurinol tablet 300 mg 1,600 233.00 211.82 372,800.00 338,909 21.18 33,890.91
6 Allopurinol tablet 100 mg - 90.00 81.82 - 0 8.18 0.00
7 Aminofilina injeksi 24 mg/ml - 10 ml 10 3,314.00 3,012.73 33,140.00 30,127 301.27 3,012.73
8 Amlodipin 10 mg 780 352.00 320.00 274,560.00 249,600 32.00 24,960.00
9 Amoksisilin kaplet 500 mg 4,000 357.00 324.55 1,428,000.00 1,298,182 32.45 129,818.18
10 Amoksisilin sirup kering 125 mg/5ml 85 2,560.00 2,327.27 217,600.00 197,818 232.73 19,781.82
11 Asam Askorbat (Vit C) tablet 250 mg - 110.00 100.00 - 0 10.00 0.00
12 Antimigren : Ergotamin-Coffein 300 149.00 135.45 44,700.00 40,636 13.55 4,063.64
13 Antasida Doen Tab. Strip 3,800 73.12 66.47 277,856.00 252,596 6.65 25,259.64
14 Antasida sirup - 2,213.00 2,011.82 - 0 201.18 0.00
15 Antibakteri doen kombinasi 50 2,741.00 2,491.82 137,050.00 124,591 249.18 12,459.09
16 Antifungi DOEN salep kombinasi - 2,096.00 1,905.45 - 0 190.55 0.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml - 1,500.00 1,363.64 - 0 136.36 0.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 300 52.00 47.27 15,600.00 14,182 4.73 1,418.18
20 Asam Askorbat (Vit C) tablet 50 mg 2,300 36.00 32.73 82,800.00 75,273 3.27 7,527.27
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

21 Asam Mefenamat tab 500 mg 2,400 127.00 115.45 304,800.00 277,091 11.55 27,709.09
22 Ambroxol tab - 185.98 169.07 - 0 16.91 0.00
23 Betametason krim 0.1% - 1,596.00 1,450.91 - 0 145.09 0.00
24 Betahistin tab 6 mg 480 1,246.66 1,133.33 598,396.80 543,997 113.33 54,399.71
25 Bioplacenton Gell 15 g 5 16,000.00 14,545.45 80,000.00 72,727 1,454.55 7,272.73
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 1,400 97.00 88.18 135,800.00 123,455 8.82 12,345.45
28 Captopril tablet 12,5 mg 600 90.00 81.82 54,000.00 49,091 8.18 4,909.09
29 Cetirizine tab 300 190.00 172.73 57,000.00 51,818 17.27 5,181.82
30 Cefadroxil Syrp 35 5,286.00 4,805.45 185,010.00 168,191 480.55 16,819.09
31 Cimetidin 200 mg 900 105.97 96.34 95,373.00 86,703 9.63 8,670.27
32 Ciprofloksacin 600 290.00 263.64 174,000.00 158,182 26.36 15,818.18
33 Domperidon tab 300 174.00 158.18 52,200.00 47,455 15.82 4,745.45
34 Deksametason injeksi 5 mg/ml - 1 ml - 1,850.00 1,681.82 - 0 168.18 0.00
35 Deksametason tablet 0,5 mg 7,000 71.89 65.35 503,230.00 457,482 6.54 45,748.18
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp - 5,286.00 4,805.45 - 0 480.55 0.00
38 Kalium Diklofenak 25mg tab - 389.41 354.01 - 0 35.40 0.00
39 Kalium Diklofenak 50mg tab 300 389.41 354.01 116,823.00 106,203 35.40 10,620.27
40 Diazepam tablet 2 mg 800 28.00 25.45 22,400.00 20,364 2.55 2,036.36
41 Difenhidramin HCl inj 10 mg/ml-1 ml 20 1,045.00 950.00 20,900.00 19,000 95.00 1,900.00
42 Domperidon suspensi 5 mg/5 ml 3 3,490.00 3,172.73 10,470.00 9,518 317.27 951.82
43 Doxycyclin 100 mg 600 250.00 227.27 150,000.00 136,364 22.73 13,636.36
44 Efedrin HCl tablet 25 mg 1,750 69.20 62.91 121,100.00 110,091 6.29 11,009.09
45 Ekstrak belladon 10 mg 500 43.00 39.09 21,500.00 19,545 3.91 1,954.55
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 300 1,023.00 930.00 306,900.00 279,000 93.00 27,900.00
48 Etakridin ( Rivanol ) larutan 0,1% 5 2,354.00 2,140.00 11,770.00 10,700 214.00 1,070.00
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

49 Etanol 70 % 1000 ml 3 20,000.00 18,181.82 60,000.00 54,545 1,818.18 5,454.55

50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 3 105,000.00 95,454.55 315,000.00 286,364 9,545.45 28,636.36
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml 28 1,888.00 1,716.36 52,864.00 48,058 171.64 4,805.82
54 Fenobarbital tablet 30 mg 500 74.00 67.27 37,000.00 33,636 6.73 3,363.64
55 Formakresol 1 77,200.00 70,181.82 77,200.00 70,182 7,018.18 7,018.18
56 Fitomenadion (Vit.K1) inj. 30 3,754.00 3,412.73 112,620.00 102,382 341.27 10,238.18
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 200 698.00 634.55 139,600.00 126,909 63.45 12,690.91
58 Furosemid tablet 40 mg 300 101.00 91.82 30,300.00 27,545 9.18 2,754.55
59 Garam Oralit untuk 200 ml air 100 322.00 292.73 32,200.00 29,273 29.27 2,927.27
60 Glimepiride 2mg 500 458.00 416.36 229,000.00 208,182 41.64 20,818.18
61 Gentamycine Sulfat 0,1 % SK 20 2,478.00 2,252.73 49,560.00 45,055 225.27 4,505.45
62 Glibenklamid tablet 5 mg 300 126.00 114.55 37,800.00 34,364 11.45 3,436.36
63 Gliseril Guayakolat tablet 100 mg 3,000 31.00 28.18 93,000.00 84,545 2.82 8,454.55
64 Griseofulvin tablet 125 mg 500 200.00 181.82 100,000.00 90,909 18.18 9,090.91
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
66 Hidroklorotiazid (HCT) tablet 25 mg 1,000 49.00 44.55 49,000.00 44,545 4.45 4,454.55
67 Hidrokortison krim 2,5 % 72 2,938.00 2,670.91 211,536.00 192,305 267.09 19,230.55
68 Ibuprofen tablet 200 mg 2,500 96.21 87.46 240,525.00 218,659 8.75 21,865.91
69 Ibuprofen tablet 400 mg - 157.00 142.73 - 0 14.27 0.00
70 Kalsium Laktat (kalk) tablet 500 mg 2,500 69.00 62.73 172,500.00 156,818 6.27 15,681.82
71 Kalium Permanganat (PK) 10 4,041.00 3,673.64 40,410.00 36,736 367.36 3,673.64
72 KA-EN 3B - 14,220.00 12,927.27 - 0 1,292.73 0.00
Ketokonasol Cream - 2,697.00
73 2,451.82 - 0 245.18 0.00
Ketorolac Inj. 30 mg - 8,528.00 7,752.73 - 0 775.27 0.00
74
75 Kloramfenikol kapsul 250 mg 1,200 224.00 203.64 268,800.00 244,364 20.36 24,436.36
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

Klorfeniramin Maleat (CTM) tab. 4 mg 3,000 21.00

76 19.09 63,000.00 57,273 1.91 5,727.27
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 24 1,680.00
78 1,527.27 40,320.00 36,655 152.73 3,665.45
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg
79 Kotrimoksazol
+ Trimetoprim tablet
40 mg /komb:
5 ml Sulfametoksazol 400 100 2,298.00 2,089.09 229,800.00 208,909 208.91 20,890.91
80 mg 1,000 146.00 132.73 146,000.00 132,727 13.27 13,272.73
81 +Lisol
Trimetoprim 80 mg 2 59,000.00 53,636.36 118,000.00 107,273 5,363.64 10,727.27
Lidokain komp. injeksi, Kombinasi: 1,350.00 - 0 135.00 0.00
82
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml - 1,485.00
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg - 124.50 113.18 - 0 11.32 0.00
86 Metformin 850mg 300 280.00 254.55 84,000.00 76,364 25.45 7,636.36
87 Loratadine 10 mg 650 170.00 154.55 110,500.00 100,455 15.45 10,045.45
Metilergometrin Maleat (Metilergometrin)
tablet salut 0,125 mg 800 169.00
88 153.64 135,200.00 122,909 15.36 12,290.91
89 Metilergometrin maleat inj 30 4,200.00 3,818.18 126,000.00 114,545 381.82 11,454.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 1,200 169.00 153.64 202,800.00 184,364 15.36 18,436.36
92 Metilprednisolon 8 mg 300 390.00 354.55 117,000.00 106,364 35.45 10,636.36
93 Miconazole krim 48 3,150.00 2,863.64 151,200.00 137,455 286.36 13,745.45
94 Metoclopramide 10 mg 300 100.00 90.91 30,000.00 27,273 9.09 2,727.27
95 Natrium Klorida larutan infus 0,9 % 4 5,170.00 4,700.00 20,680.00 18,800 470.00 1,880.00
96 Natrium diklofenak 50 mg 1,200 206.00 187.27 247,200.00 224,727 18.73 22,472.73
97 Nistatin tablet vaginal 100.000 IU/g 30 407.00 370.00 12,210.00 11,100 37.00 1,110.00
98 Novahexin tablet 2,400 50.00 45.45 120,000.00 109,091 4.55 10,909.09
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
100 Obat Batuk Hitam (OBH) 30 1,931.00 1,755.45 57,930.00 52,664 175.55 5,266.36
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

101 Ondansetron inj. 4 mg - 6,050.00 5,500.00 - 0 550.00 0.00

102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
103 Obat anti TB kategori I / FDC - 396,000.00 360,000.00 - 0 36,000.00 0.00
104 Obat anti TB kategori I 19 316,920.00 288,109.09 6,021,480.00 5,474,073 28,810.91 547,407.27
105 Obat anti TB kategori II - 1,319,898.00 1,199,907.27 - 0 119,990.73 0.00
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata 25 1,680.00 1,527.27 42,000.00 38,182 152.73 3,818.18
108 Oksitetrasiklin HCl SK 3 % 50 2,261.00 2,055.45 113,050.00 102,773 205.55 10,277.27
109 Oksitosin injeksi 10 IU/ml - 1 ml 100 3,300.00 3,000.00 330,000.00 300,000 300.00 30,000.00
110 Omeprazol Kapsul 20 mg 300 221.00 200.91 66,300.00 60,273 20.09 6,027.27
111 Parasetamol sirup 120 mg/5 ml 50 1,535.00 1,395.45 76,750.00 69,773 139.55 6,977.27
112 Parasetamol tablet 500 mg 5,400 84.80 77.09 457,920.00 416,291 7.71 41,629.09
113 Papaverin - 128.00 116.36 - 0 11.64 0.00
114 Pehacain injeksi - 3,113.00 2,830.00 - 0 283.00 0.00
115 Pirantel Pamoat tab. 125 mg 30 43.17 39.25 1,295.10 1,177 3.92 117.74
116 Piridoksin HCl (Vit.B6) tablet 10 mg 2,000 28.16 25.60 56,320.00 51,200 2.56 5,120.00
117 Piroksikam 20 mg 1,400 92.00 83.64 128,800.00 117,091 8.36 11,709.09
118 Prednison tablet 5 mg 2,000 98.00 89.09 196,000.00 178,182 8.91 17,818.18
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg - 108.05 98.23 - 0 9.82 0.00
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg - 163.00 148.18 - 0 14.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 50 1,340.00 1,218.18 67,000.00 60,909 121.82 6,090.91
125 Ranitidin Tablet 150 mg 900 128.00 116.36 115,200.00 104,727 11.64 10,472.73
126 Retinol (vitamin A) Kaps 200.000 IU 50 505.00 459.09 25,250.00 22,955 45.91 2,295.45
127 Retinol (vitamin A) Kaps 100.000 IU - 286.00 260.00 - 0 26.00 0.00
128 Ringer Laktat larutan infus steril 38 5,720.00 5,200.00 217,360.00 197,600 520.00 19,760.00
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00

130 Salbutamol tablet 2 mg - 70.00 63.64 - 0 6.36 0.00
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % - 1,350.00 1,227.27 - 0 122.73 0.00
133 Salep 2-4 36 2,420.00 2,200.00 87,120.00 79,200 220.00 7,920.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 50 1,400.00 1,272.73 70,000.00 63,636 127.27 6,363.64
135 Simvastatin 10 mg 900 177.00 160.91 159,300.00 144,818 16.09 14,481.82
136 Ulsidex tab - 477.00 433.64 - 0 43.36 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi - 90.00 81.82 - 0 8.18 0.00
140 Tetrasiklin HCl kapsul 500 mg 300 347.00 315.45 104,100.00 94,636 31.55 9,463.64
141 Tiamfenicol tab 500 mg 200 832.00 756.36 166,400.00 151,273 75.64 15,127.27
142 Spironolactone tab 25mg 200 350.00 318.18 70,000.00 63,636 31.82 6,363.64
143 Tiamin HCl / (Vit.B1) tab. 50 mg 6,000 51.00 46.36 306,000.00 278,182 4.64 27,818.18
144 Vitamin B Kompleks tablet 1,000 112.00 101.82 112,000.00 101,818 10.18 10,181.82
145 Yodium pov. Lar. 10 % 30 ml 6 4,375.00 3,977.27 26,250.00 23,864 397.73 2,386.36
146 Yodium pov. Lar. 10 % 60 ml - 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
148 Zinc Dispersible 2,400 496.50 451.36 1,191,600.00 1,083,273 45.14 108,327.27
149 DIGOXIN 100 103.00 93.64 10,300.00 9,364 9.36 936.36

TOTAL 3,969,034 3,608,213 20,989,503.90 19,081,367 360,821.31 1,908,136.72

PERBEKALAN KESEHATAN

150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

151 Abbocath No. 20 4 7,786.00 7,078.18 31,144.00 28,312.73 707.82 2,831.27
152 Abbocath No. 22 0 7,786.00 7,078.18 0.00 0.00 707.82 0.00
153 Abbocath No. 24 15 7,786.00 7,078.18 116,790.00 106,172.73 707.82 10,617.27
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 150 1,093.00 993.64 163,950.00 149,045.45 99.36 14,904.55
157 Alat suntik sekali pakai 2,5 ml 0 1,038.00 943.64 0.00 0.00 94.36 0.00
158 Alat suntik sekali pakai 3 ml 150 1,038.00 943.64 155,700.00 141,545.45 94.36 14,154.55
159 Alat suntik sekali pakai 5 ml 80 944.00 858.18 75,520.00 68,654.55 85.82 6,865.45
160 Bisturi 0 800.00 727.27 0.00 0.00 72.73 0.00
161 Cat Gut No.3/0 dgn Jarum Bedah 0 24,583.00 22,348.18 0.00 0.00 2,234.82 0.00
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 45 4,250.00 3,863.64 191,250.00 173,863.64 386.36 17,386.36
165 Infusion set anak 5 6,782.00 6,165.45 33,910.00 30,827.27 616.55 3,082.73
166 Infusion set dewasa 14 6,778.00 6,161.82 94,892.00 86,265.45 616.18 8,626.55
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 2 7,500.00 6,818.18 15,000.00 13,636.36 681.82 1,363.64
170 Kasa pembalut Hidrofil 34 m x 10 cm 0 607.00 551.82 0.00 0.00 55.18 0.00
171 Kasa Steril 16 x 16 cm 0 8,500.00 7,727.27 0.00 0.00 772.73 0.00
172 Kasa 40 x 80 cm 3 145,650.00 132,409.09 436,950.00 397,227.27 13,240.91 39,722.73
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
174 Plester 5 yard x 2 inci 2 23,625.00 21,477.27 47,250.00 42,954.55 2,147.73 6,347.27
175 Silk (Benang Bedah Sutra) 10 6,982.00 6,347.27 69,820.00 63,472.73 634.73 130,197.82
Total alkes 1,657,247.00 1,506,588.18 1,432,176.00 1,301,978.18 150,658.82 256,100.18

TOTAL KESELURUHAN 5,626,281.43 5,114,801.30 22,421,679.90 20,383,345 511,480.13 2,164,236.90

Mengetahui Kendari, 31 Desember 2015

Kepala puskesmas mata Pengelola Obat
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

drg . Mareyke Muskitta . M. KES NURBAYA, S.KEP

Nip . 19650522 200012 2002 NIP. 19760212 200502 2 003
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 31 Oktober 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 170 357.00 324.55 60,690.00 55,173 32.45 5,517.27

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
3 Anti Haemoroid DOEN Kombinasi 80 2,700.00 2,454.55 216,000.00 196,364 245.45 19,636.36
4 Albothyl Konsentrate - 32,900.00 29,909.09 - 0 2,990.91 0.00
5 Allopurinol tablet 300 mg - 233.00 211.82 - 0 21.18 0.00
6 Allopurinol tablet 100 mg 700 90.00 81.82 63,000.00 57,273 8.18 5,727.27
7 Aminofilina injeksi 24 mg/ml - 10 ml - 3,314.00 3,012.73 - 0 301.27 0.00
8 Amlodipin 10 mg 510 352.00 320.00 179,520.00 163,200 32.00 16,320.00
9 Amoksisilin kaplet 500 mg - 357.00 324.55 - 0 32.45 0.00
10 Amoksisilin sirup kering 125 mg/5ml 7 2,560.00 2,327.27 17,920.00 16,291 232.73 1,629.09
11 Asam Askorbat (Vit C) tablet 250 mg - 110.00 100.00 - 0 10.00 0.00
12 Antimigren : Ergotamin-Coffein 300 149.00 135.45 44,700.00 40,636 13.55 4,063.64
13 Antasida Doen Tab. Strip 2,900 73.12 66.47 212,048.00 192,771 6.65 19,277.09
14 Antasida sirup - 2,213.00 2,011.82 - 0 201.18 0.00
15 Antibakteri doen kombinasi 50 2,741.00 2,491.82 137,050.00 124,591 249.18 12,459.09
16 Antifungi DOEN salep kombinasi - 2,096.00 1,905.45 - 0 190.55 0.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml - 1,500.00 1,363.64 - 0 136.36 0.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg - 52.00 47.27 - 0 4.73 0.00
20 Asam Askorbat (Vit C) tablet 50 mg - 36.00 32.73 - 0 3.27 0.00
21 Asam Mefenamat tab 500 mg 2,400 127.00 115.45 304,800.00 277,091 11.55 27,709.09
22 Ambroxol tab - 185.98 169.07 - 0 16.91 0.00
23 Betametason krim 0.1% - 1,596.00 1,450.91 - 0 145.09 0.00
24 Betahistin tab 6 mg 480 1,246.66 1,133.33 598,396.80 543,997 113.33 54,399.71
25 Bioplacenton Gell 15 g - 16,000.00 14,545.45 - 0 1,454.55 0.00
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 200 97.00 88.18 19,400.00 17,636 8.82 1,763.64
28 Captopril tablet 12,5 mg 600 90.00 81.82 54,000.00 49,091 8.18 4,909.09
29 Cetirizine tab - 190.00 172.73 - 0 17.27 0.00
30 Cefadroxil - 548.00 498.18 - 0 49.82 0.00
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

31 Cimetidin 200 mg 900 105.97 96.34 95,373.00 86,703 9.63 8,670.27

32 Ciprofloksacin 300 290.00 263.64 87,000.00 79,091 26.36 7,909.09
33 Domperidon tab 200 174.00 158.18 34,800.00 31,636 15.82 3,163.64
34 Deksametason injeksi 5 mg/ml - 1 ml - 1,850.00 1,681.82 - 0 168.18 0.00
35 Deksametason tablet 0,5 mg 1,200 71.89 65.35 86,268.00 78,425 6.54 7,842.55
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp 29 5,286.00 4,805.45 153,294.00 139,358 480.55 13,935.82
38 Kalium Diklofenak 25mg tab 300 389.41 354.01 116,823.00 106,203 35.40 10,620.27
39 Kalium Diklofenak 50mg tab - 429.92 390.84 - 0 39.08 0.00
40 Diazepam tablet 2 mg 382 28.00 25.45 10,696.00 9,724 2.55 972.36
41 Difenhidramin HCl inj 10 mg/ml-1 ml - 1,045.00 950.00 - 0 95.00 0.00
42 Domperidon suspensi 5 mg/5 ml - 3,490.00 3,172.73 - 0 317.27 0.00
43 Doxycyclin 100 mg 600 250.00 227.27 150,000.00 136,364 22.73 13,636.36
44 Efedrin HCl tablet 25 mg 1,750 69.20 62.91 121,100.00 110,091 6.29 11,009.09
45 Ekstrak belladon 10 mg 500 43.00 39.09 21,500.00 19,545 3.91 1,954.55
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 300 1,023.00 930.00 306,900.00 279,000 93.00 27,900.00
48 Etakridin ( Rivanol ) larutan 0,1% - 2,354.00 2,140.00 - 0 214.00 0.00
49 Etanol 70 % 1000 ml - 20,000.00 18,181.82 - 0 1,818.18 0.00
50 Etanol 70 % 100 ml 30 2,625.00 2,386.36 78,750.00 71,591 238.64 7,159.09
51 Etil klorida semprot 2 105,000.00 95,454.55 210,000.00 190,909 9,545.45 19,090.91
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml 28 1,888.00 1,716.36 52,864.00 48,058 171.64 4,805.82
54 Fenobarbital tablet 30 mg 171 74.00 67.27 12,654.00 11,504 6.73 1,150.36
55 Formakresol 1 77,200.00 70,181.82 77,200.00 70,182 7,018.18 7,018.18
56 Fitomenadion (Vit.K1) inj. - 3,754.00 3,412.73 - 0 341.27 0.00
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 200 698.00 634.55 139,600.00 126,909 63.45 12,690.91
58 Furosemid tablet 40 mg 200 101.00 91.82 20,200.00 18,364 9.18 1,836.36
59 Garam Oralit untuk 200 ml air - 322.00 292.73 - 0 29.27 0.00
60 Glimepiride 2mg 500 458.00 416.36 229,000.00 208,182 41.64 20,818.18
61 Gentamycine Sulfat 0,1 % SK 20 2,478.00 2,252.73 49,560.00 45,055 225.27 4,505.45
62 Glibenklamid tablet 5 mg 300 126.00 114.55 37,800.00 34,364 11.45 3,436.36
63 Gliseril Guayakolat tablet 100 mg 3,000 31.00 28.18 93,000.00 84,545 2.82 8,454.55
64 Griseofulvin tablet 125 mg - 200.00 181.82 - 0 18.18 0.00
65 Glukosa 5 % 25 5,566.00 5,060.00 139,150.00 126,500 506.00 12,650.00
66 Hidroklorotiazid (HCT) tablet 25 mg 1,000 49.00 44.55 49,000.00 44,545 4.45 4,454.55
67 Hidrokortison krim 2,5 % 24 2,938.00 2,670.91 70,512.00 64,102 267.09 6,410.18
68 Ibuprofen tablet 200 mg 2,500 96.21 87.46 240,525.00 218,659 8.75 21,865.91
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

69 Ibuprofen tablet 400 mg - 157.00 142.73 - 0 14.27 0.00

70 Kalsium Laktat (kalk) tablet 500 mg - 69.00 62.73 - 0 6.27 0.00
71 Kalium Permanganat (PK) 44 4,041.00 3,673.64 177,804.00 161,640 367.36 16,164.00
72 KA-EN 3B - 14,220.00 12,927.27 - 0 1,292.73 0.00
Ketokonasol Cream - 2,697.00
73 2,451.82 - 0 245.18 0.00
Ketorolac Inj. 30 mg - 8,528.00 7,752.73 - 0 775.27 0.00
74
75 Kloramfenikol kapsul 250 mg 1,200 224.00 203.64 268,800.00 244,364 20.36 24,436.36

Klorfeniramin Maleat (CTM) tab. 4 mg 3,000 21.00

76 19.09 63,000.00 57,273 1.91 5,727.27
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 24 1,680.00
78 1,527.27 40,320.00 36,655 152.73 3,665.45
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg
79 +Kotrimoksazol
Trimetoprim tablet
40 mg /komb:
5 ml Sulfametoksazol 400 mg 100 2,298.00 2,089.09 229,800.00 208,909 208.91 20,890.91
80 + Trimetoprim 80 mg 1,000 146.00 132.73 146,000.00 132,727 13.27 13,272.73
81 Lisol 2 59,000.00 53,636.36 118,000.00 107,273 5,363.64 10,727.27
Lidokain komp. injeksi, Kombinasi: 1,350.00 - 0 135.00 0.00
82
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml - 1,485.00
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg - 124.50 113.18 - 0 11.32 0.00
86 Metformin 850mg 200 280.00 254.55 56,000.00 50,909 25.45 5,090.91
87 Loratadine 10 mg 610 170.00 154.55 103,700.00 94,273 15.45 9,427.27
Metilergometrin Maleat (Metilergometrin)
tablet salut 0,125 mg 800 169.00
88 153.64 135,200.00 122,909 15.36 12,290.91
89 Metilergometrin maleat inj - 4,200.00 3,818.18 - 0 381.82 0.00
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 1,200 169.00 153.64 202,800.00 184,364 15.36 18,436.36
92 Metilprednisolon 8 mg 200 390.00 354.55 78,000.00 70,909 35.45 7,090.91
93 Miconazole krim - 3,150.00 2,863.64 - 0 286.36 0.00
94 Metoclopramide 10 mg - 100.00 90.91 - 0 9.09 0.00
95 Natrium Klorida larutan infus 0,9 % 4 5,170.00 4,700.00 20,680.00 18,800 470.00 1,880.00
96 Natrium diklofenak 50 mg 1,070 206.00 187.27 220,420.00 200,382 18.73 20,038.18
97 Nistatin tablet vaginal 100.000 IU/g 30 407.00 370.00 12,210.00 11,100 37.00 1,110.00
98 Novahexin tablet 2,400 50.00 45.45 120,000.00 109,091 4.55 10,909.09
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
100 Obat Batuk Hitam (OBH) 30 1,931.00 1,755.45 57,930.00 52,664 175.55 5,266.36
101 Ondansetron inj. 4 mg - 6,050.00 5,500.00 - 0 550.00 0.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

103 Obat anti TB kategori I / FDC - 396,000.00 360,000.00 - 0 36,000.00 0.00

104 Obat anti TB kategori I 11 316,920.00 288,109.09 3,486,120.00 3,169,200 28,810.91 316,920.00
105 Obat anti TB kategori II - 1,319,898.00 1,199,907.27 - 0 119,990.73 0.00
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata - 1,680.00 1,527.27 - 0 152.73 0.00
108 Oksitetrasiklin HCl SK 3 % 50 2,261.00 2,055.45 113,050.00 102,773 205.55 10,277.27
109 Oksitosin injeksi 10 IU/ml - 1 ml 100 3,300.00 3,000.00 330,000.00 300,000 300.00 30,000.00
110 Omeprazol Kapsul 20 mg 300 221.00 200.91 66,300.00 60,273 20.09 6,027.27
111 Parasetamol sirup 120 mg/5 ml 50 1,535.00 1,395.45 76,750.00 69,773 139.55 6,977.27
112 Parasetamol tablet 500 mg 9,400 84.80 77.09 797,120.00 724,655 7.71 72,465.45
113 Papaverin - 128.00 116.36 - 0 11.64 0.00
114 Pehacain injeksi - 3,113.00 2,830.00 - 0 283.00 0.00
115 Pirantel Pamoat tab. 125 mg 30 43.17 39.25 1,295.10 1,177 3.92 117.74
116 Piridoksin HCl (Vit.B6) tablet 10 mg 2,000 28.16 25.60 56,320.00 51,200 2.56 5,120.00
117 Piroksikam 20 mg 1,400 92.00 83.64 128,800.00 117,091 8.36 11,709.09
118 Prednison tablet 5 mg 2,000 98.00 89.09 196,000.00 178,182 8.91 17,818.18
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg - 108.05 98.23 - 0 9.82 0.00
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg - 163.00 148.18 - 0 14.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 50 1,340.00 1,218.18 67,000.00 60,909 121.82 6,090.91
125 Ranitidin Tablet 150 mg 900 128.00 116.36 115,200.00 104,727 11.64 10,472.73
126 Retinol (vitamin A) Kaps 200.000 IU 50 505.00 459.09 25,250.00 22,955 45.91 2,295.45
127 Retinol (vitamin A) Kaps 100.000 IU - 286.00 260.00 - 0 26.00 0.00
128 Ringer Laktat larutan infus steril 38 5,720.00 5,200.00 217,360.00 197,600 520.00 19,760.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg - 70.00 63.64 - 0 6.36 0.00
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % - 1,350.00 1,227.27 - 0 122.73 0.00
133 Salep 2-4 - 2,420.00 2,200.00 - 0 220.00 0.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 50 1,400.00 1,272.73 70,000.00 63,636 127.27 6,363.64
135 Simvastatin 10 mg 900 177.00 160.91 159,300.00 144,818 16.09 14,481.82
136 Ulsidex tab - 477.00 433.64 - 0 43.36 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi - 90.00 81.82 - 0 8.18 0.00
140 Tetrasiklin HCl kapsul 500 mg 300 347.00 315.45 104,100.00 94,636 31.55 9,463.64
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

141 Tiamfenicol tab 500 mg 200 832.00 756.36 166,400.00 151,273 75.64 15,127.27
142 Spironolactone tab 25mg - 350.00 318.18 - 0 31.82 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 6,000 51.00 46.36 306,000.00 278,182 4.64 27,818.18
144 Vitamin B Kompleks tablet 2,700 112.00 101.82 302,400.00 274,909 10.18 27,490.91
145 Yodium pov. Lar. 10 % 30 ml 12 4,375.00 3,977.27 52,500.00 47,727 397.73 4,772.73
146 Yodium pov. Lar. 10 % 60 ml - 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
148 Zinc Dispersible 2,400 496.50 451.36 1,191,600.00 1,083,273 45.14 108,327.27
149 - - 0 0.00 0.00

TOTAL 3,964,234 3,603,849 14,729,797.90 13,390,725 360,384.90 1,339,072.54

PERBEKALAN KESEHATAN

150 Abbocath No. 18 0 19,600.00 17,818.18 0.00 0.00 1,781.82 0.00

151 Abbocath No. 20 4 7,786.00 7,078.18 31,144.00 28,312.73 707.82 2,831.27
152 Abbocath No. 22 0 7,786.00 7,078.18 0.00 0.00 707.82 0.00
153 Abbocath No. 24 15 7,786.00 7,078.18 116,790.00 106,172.73 707.82 10,617.27
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 60 1,093.00 993.64 65,580.00 59,618.18 99.36 5,961.82
157 Alat suntik sekali pakai 2,5 ml 0 1,038.00 943.64 0.00 0.00 94.36 0.00
158 Alat suntik sekali pakai 3 ml 120 1,038.00 943.64 124,560.00 113,236.36 94.36 11,323.64
159 Alat suntik sekali pakai 5 ml 0 944.00 858.18 0.00 0.00 85.82 0.00
160 Bisturi 0 800.00 727.27 0.00 0.00 72.73 0.00
161 Cat Gut No.3/0 dgn Jarum Bedah 0 24,583.00 22,348.18 0.00 0.00 2,234.82 0.00
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 0 4,250.00 3,863.64 0.00 0.00 386.36 0.00
165 Infusion set anak 0 6,782.00 6,165.45 0.00 0.00 616.55 0.00
166 Infusion set dewasa 0 6,778.00 6,161.82 0.00 0.00 616.18 0.00
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 4 7,500.00 6,818.18 30,000.00 27,272.73 681.82 2,727.27
170 Kasa pembalut Hidrofil 34 m x 10 cm 7 607.00 551.82 4,249.00 3,862.73 55.18 386.27
171 Kasa Steril 16 x 16 cm 0 8,500.00 7,727.27 0.00 0.00 772.73 0.00
172 Kasa 40 x 80 cm 0 145,650.00 132,409.09 0.00 0.00 13,240.91 0.00
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
174 Plester 5 yard x 2 inci 2 23,625.00 21,477.27 47,250.00 42,954.55 2,147.73 6,347.27
175 Silk (Benang Bedah Sutra) 10 6,982.00 6,347.27 69,820.00 63,472.73 634.73 44,490.27
 Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

Total alkes 1,657,247.00 1,506,588.18 489,393.00 444,902.73 150,658.82 84,685.09

TOTAL KESELURUHAN 5,621,480.94 5,110,437.22 15,219,190.90 13,835,628 511,043.72 1,423,757.63

Mengetahui Kendari, 31 Desember 2015

Kepala puskesmas mata Pengelola Obat

drg . Mareyke Muskitta . M. KES NURBAYA, S.KEP

Nip . 19650522 2000012 2002 NIP. 19760212 200502 2 003
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 30 September 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 407 357.00 324.55 145,299.00 132,090 32.45 13,209.00

2 Acyklovir Krim 45 2,367.00 2,151.82 106,515.00 96,832 215.18 9,683.18
3 Anti Haemoroid DOEN Kombinasi 106 2,700.00 2,454.55 286,200.00 260,182 245.45 26,018.18
4 Albothyl Konsentrate 8 32,900.00 29,909.09 263,200.00 239,273 2,990.91 23,927.27
5 Allopurinol tablet 300 mg 425 233.00 211.82 99,025.00 90,023 21.18 9,002.27
6 Allopurinol tablet 100 mg 1,895 90.00 81.82 170,550.00 155,045 8.18 15,504.55
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 2,105 352.00 320.00 740,960.00 673,600 32.00 67,360.00
9 Amoksisilin kaplet 500 mg 15,355 357.00 324.55 5,481,735.00 4,983,395 32.45 498,339.55
10 Amoksisilin sirup kering 125 mg/5ml 443 2,560.00 2,327.27 1,134,080.00 1,030,982 232.73 103,098.18
11 Asam Askorbat (Vit C) tablet 250 mg 722 110.00 100.00 79,420.00 72,200 10.00 7,220.00
12 Antimigren : Ergotamin-Coffein 150 149.00 135.45 22,350.00 20,318 13.55 2,031.82
13 Antasida Doen Tab. Strip 16,285 73.12 66.47 1,190,759.20 1,082,508 6.65 108,250.84
14 Antasida sirup 587 2,213.00 2,011.82 1,299,031.00 1,180,937 201.18 118,093.73
15 Antibakteri doen kombinasi 24 2,741.00 2,491.82 65,784.00 59,804 249.18 5,980.36
16 Antifungi DOEN salep kombinasi - 2,096.00 1,905.45 - 0 190.55 0.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml - 1,500.00 1,363.64 - 0 136.36 0.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 380 52.00 47.27 19,760.00 17,964 4.73 1,796.36
20 Asam Askorbat (Vit C) tablet 50 mg 4,605 36.00 32.73 165,780.00 150,709 3.27 15,070.91
21 Asam Mefenamat tab 500 mg 9,435 127.00 115.45 1,198,245.00 1,089,314 11.55 108,931.36
22 Ambroxol tab 5,465 185.98 169.07 1,016,380.70 923,982 16.91 92,398.25
23 Betametason krim 0.1% 97 1,596.00 1,450.91 154,812.00 140,738 145.09 14,073.82
24 Betahistin tab 6 mg 440 1,246.66 1,133.33 548,530.40 498,664 113.33 49,866.40
25 Bioplacenton Gell 15 g - 16,000.00 14,545.45 - 0 1,454.55 0.00
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 810 97.00 88.18 78,570.00 71,427 8.82 7,142.73
28 Captopril tablet 12,5 mg 62 90.00 81.82 5,580.00 5,073 8.18 507.27
29 Cetirizine tab 1,275 190.00 172.73 242,250.00 220,227 17.27 22,022.73
30 Cefadroxil 1,670 548.00 498.18 915,160.00 831,964 49.82 83,196.36
31 Cimetidin 200 mg 30 105.97 96.34 3,179.10 2,890 9.63 289.01
32 Ciprofloksacin 4,810 290.00 263.64 1,394,900.00 1,268,091 26.36 126,809.09
33 Domperidon tab 3,960 174.00 158.18 689,040.00 626,400 15.82 62,640.00
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 4,985 71.89 65.35 358,371.65 325,792 6.54 32,579.24
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp 1 5,286.00 4,805.45 5,286.00 4,805 480.55 480.55
38 Kalium Diklofenak 25mg tab 250 389.41 354.01 97,352.50 88,502 35.40 8,850.23
39 Kalium Diklofenak 50mg tab 250 429.92 390.84 107,480.00 97,709 39.08 9,770.91
40 Diazepam tablet 2 mg 188 28.00 25.45 5,264.00 4,785 2.55 478.55
41 Difenhidramin HCl inj 10 mg/ml-1 ml 68 1,045.00 950.00 71,060.00 64,600 95.00 6,460.00
42 Domperidon suspensi 5 mg/5 ml - 3,490.00 3,172.73 - 0 317.27 0.00
43 Doxycyclin 100 mg 610 250.00 227.27 152,500.00 138,636 22.73 13,863.64
44 Efedrin HCl tablet 25 mg 1,081 69.20 62.91 74,805.20 68,005 6.29 6,800.47
45 Ekstrak belladon 10 mg 860 43.00 39.09 36,980.00 33,618 3.91 3,361.82
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 375 1,023.00 930.00 383,625.00 348,750 93.00 34,875.00
48 Etakridin ( Rivanol ) larutan 0,1% 2 2,354.00 2,140.00 4,708.00 4,280 214.00 428.00
49 Etanol 70 % 1000 ml 7 20,000.00 18,181.82 140,000.00 127,273 1,818.18 12,727.27
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 5 105,000.00 95,454.55 525,000.00 477,273 9,545.45 47,727.27
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 671 74.00 67.27 49,654.00 45,140 6.73 4,514.00
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. 30 3,754.00 3,412.73 112,620.00 102,382 341.27 10,238.18
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 28 698.00 634.55 19,544.00 17,767 63.45 1,776.73
58 Furosemid tablet 40 mg 235 101.00 91.82 23,735.00 21,577 9.18 2,157.73
59 Garam Oralit untuk 200 ml air 313 322.00 292.73 100,786.00 91,624 29.27 9,162.36
60 Glimepiride 2mg 690 458.00 416.36 316,020.00 287,291 41.64 28,729.09
61 Gentamycine Sulfat 0,1 % SK 73 2,478.00 2,252.73 180,894.00 164,449 225.27 16,444.91
62 Glibenklamid tablet 5 mg 590 126.00 114.55 74,340.00 67,582 11.45 6,758.18
63 Gliseril Guayakolat tablet 100 mg 10,025 31.00 28.18 310,775.00 282,523 2.82 28,252.27
64 Griseofulvin tablet 125 mg 174 200.00 181.82 34,800.00 31,636 18.18 3,163.64
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
66 Hidroklorotiazid (HCT) tablet 25 mg 1,840 49.00 44.55 90,160.00 81,964 4.45 8,196.36
67 Hidrokortison krim 2,5 % 63 2,938.00 2,670.91 185,094.00 168,267 267.09 16,826.73
68 Ibuprofen tablet 200 mg 150 96.21 87.46 14,431.50 13,120 8.75 1,311.95
69 Ibuprofen tablet 400 mg 200 157.00 142.73 31,400.00 28,545 14.27 2,854.55
70 Kalsium Laktat (kalk) tablet 500 mg 985 69.00 62.73 67,965.00 61,786 6.27 6,178.64
71 Kalium Permanganat (PK) 11 4,041.00 3,673.64 44,451.00 40,410 367.36 4,041.00
72 KA-EN 3B 34 14,220.00 12,927.27 483,480.00 439,527 1,292.73 43,952.73

Ketokonasol Cream 38 2,697.00

73 2,451.82 102,486.00 93,169 245.18 9,316.91
Ketorolac Inj. 30 mg 29 8,528.00 7,752.73 247,312.00 224,829 775.27 22,482.91
74
75 Kloramfenikol kapsul 250 mg 4,145 224.00 203.64 928,480.00 844,073 20.36 84,407.27

Klorfeniramin Maleat (CTM) tab. 4 mg 15,660 21.00

76 19.09 328,860.00 298,964 1.91 29,896.36
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 66 1,680.00
78 1,527.27 110,880.00 100,800 152.73 10,080.00
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 165 2,298.00 2,089.09 379,170.00 344,700 208.91 34,470.00
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 1,552 146.00 132.73 226,592.00 205,993 13.27 20,599.27
80 + Trimetoprim 80 mg
81 Lisol 1 59,000.00 53,636.36 59,000.00 53,636 5,363.64 5,363.64
82
Lidokain komp. injeksi, Kombinasi: - 1,485.00 1,350.00 - 0 135.00 0.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg 1,605 124.50 113.18 199,822.50 181,657 11.32 18,165.68
86 Metformin 850mg 500 280.00 254.55 140,000.00 127,273 25.45 12,727.27
87 Loratadine 10 mg 270 170.00 154.55 45,900.00 41,727 15.45 4,172.73
Metilergometrin Maleat (Metilergometrin) 254 169.00
88 tablet salut 0,125 mg 153.64 42,926.00 39,024 15.36 3,902.36
89 Metilergometrin maleat inj - 4,200.00 3,818.18 - 0 381.82 0.00
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 140 169.00 153.64 23,660.00 21,509 15.36 2,150.91
92 Metilprednisolon 8 mg 905 390.00 354.55 352,950.00 320,864 35.45 32,086.36
93 Miconazole krim 19 3,150.00 2,863.64 59,850.00 54,409 286.36 5,440.91
94 Metoclopramide 10 mg 376 100.00 90.91 37,600.00 34,182 9.09 3,418.18
95 Natrium Klorida larutan infus 0,9 % 270 5,170.00 4,700.00 1,395,900.00 1,269,000 470.00 126,900.00
96 Natrium diklofenak 50 mg 2,950 206.00 187.27 607,700.00 552,455 18.73 55,245.45
97 Nistatin tablet vaginal 100.000 IU/g 139 407.00 370.00 56,573.00 51,430 37.00 5,143.00
98 Novahexin tablet - 50.00 45.45 - 0 4.55 0.00
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
100 Obat Batuk Hitam (OBH) 50 1,931.00 1,755.45 96,550.00 87,773 175.55 8,777.27
101 Ondansetron inj. 4 mg 89 6,050.00 5,500.00 538,450.00 489,500 550.00 48,950.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
103 Obat anti TB kategori I / FDC 19 396,000.00 360,000.00 7,524,000.00 6,840,000 36,000.00 684,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II - 1,319,898.00 1,199,907.27 - 0 119,990.73 0.00
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata 45 1,680.00 1,527.27 75,600.00 68,727 152.73 6,872.73
108 Oksitetrasiklin HCl SK 3 % 34 2,261.00 2,055.45 76,874.00 69,885 205.55 6,988.55
109 Oksitosin injeksi 10 IU/ml - 1 ml 80 3,300.00 3,000.00 264,000.00 240,000 300.00 24,000.00
110 Omeprazol Kapsul 20 mg 470 221.00 200.91 103,870.00 94,427 20.09 9,442.73
111 Parasetamol sirup 120 mg/5 ml 894 1,535.00 1,395.45 1,372,290.00 1,247,536 139.55 124,753.64
112 Parasetamol tablet 500 mg 14,290 84.80 77.09 1,211,792.00 1,101,629 7.71 110,162.91
113 Papaverin 762 128.00 116.36 97,536.00 88,669 11.64 8,866.91
114 Pehacain injeksi 117 3,113.00 2,830.00 364,221.00 331,110 283.00 33,111.00
115 Pirantel Pamoat tab. 125 mg 99 43.17 39.25 4,273.83 3,885 3.92 388.53
116 Piridoksin HCl (Vit.B6) tablet 10 mg 4,635 28.16 25.60 130,521.60 118,656 2.56 11,865.60
117 Piroksikam 20 mg 2,320 92.00 83.64 213,440.00 194,036 8.36 19,403.64
118 Prednison tablet 5 mg 2,410 98.00 89.09 236,180.00 214,709 8.91 21,470.91
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
121 Propiltiourasil tablet 100 mg 100 404.00 367.27 40,400.00 36,727 36.73 3,672.73
122 Propranolol HCl tablet 40 mg 70 163.00 148.18 11,410.00 10,373 14.82 1,037.27
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 59 1,340.00 1,218.18 79,060.00 71,873 121.82 7,187.27
125 Ranitidin Tablet 150 mg 4,018 128.00 116.36 514,304.00 467,549 11.64 46,754.91
126 Retinol (vitamin A) Kaps 200.000 IU 600 505.00 459.09 303,000.00 275,455 45.91 27,545.45
127 Retinol (vitamin A) Kaps 100.000 IU 400 286.00 260.00 114,400.00 104,000 26.00 10,400.00
128 Ringer Laktat larutan infus steril 1,020 5,720.00 5,200.00 5,834,400.00 5,304,000 520.00 530,400.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 1,050 70.00 63.64 73,500.00 66,818 6.36 6,681.82
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 21 1,350.00 1,227.27 28,350.00 25,773 122.73 2,577.27
133 Salep 2-4 25 2,420.00 2,200.00 60,500.00 55,000 220.00 5,500.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 269 1,400.00 1,272.73 376,600.00 342,364 127.27 34,236.36
135 Simvastatin 10 mg 2,525 177.00 160.91 446,925.00 406,295 16.09 40,629.55
136 Ulsidex tab 440 477.00 433.64 209,880.00 190,800 43.36 19,080.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi 8,398 90.00 81.82 755,820.00 687,109 8.18 68,710.91
140 Tetrasiklin HCl kapsul 500 mg 30 347.00 315.45 10,410.00 9,464 31.55 946.36
141 Tiamfenicol tab 500 mg 1,993 832.00 756.36 1,658,176.00 1,507,433 75.64 150,743.27
142 Spironolactone tab 25mg 500 350.00 318.18 175,000.00 159,091 31.82 15,909.09
143 Tiamin HCl / (Vit.B1) tab. 50 mg 7,535 51.00 46.36 384,285.00 349,350 4.64 34,935.00
144 Vitamin B Kompleks tablet 12,000 112.00 101.82 1,344,000.00 1,221,818 10.18 122,181.82
145 Yodium pov. Lar. 10 % 30 ml 8 4,375.00 3,977.27 35,000.00 31,818 397.73 3,181.82
146 Yodium pov. Lar. 10 % 60 ml 13 6,379.00 5,799.09 82,927.00 75,388 579.91 7,538.82
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
148 Zinc Dispersible 2,415 496.50 451.36 1,199,047.50 1,090,043 45.14 109,004.32
149 - - 0 0.00 0.00

TOTAL 3,964,234 3,603,849 53,181,616.43 48,346,924 360,384.90 4,834,692.40

PERBEKALAN KESEHATAN

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 160 7,786.00 7,078.18 1,245,760.00 1,132,509.09 707.82 113,250.91
152 Abbocath No. 22 175 7,786.00 7,078.18 1,362,550.00 1,238,681.82 707.82 123,868.18
153 Abbocath No. 24 172 7,786.00 7,078.18 1,339,192.00 1,217,447.27 707.82 121,744.73
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 330 1,093.00 993.64 360,690.00 327,900.00 99.36 32,790.00
157 Alat suntik sekali pakai 2,5 ml 145 1,038.00 943.64 150,510.00 136,827.27 94.36 13,682.73
158 Alat suntik sekali pakai 3 ml 140 1,038.00 943.64 145,320.00 132,109.09 94.36 13,210.91
159 Alat suntik sekali pakai 5 ml 40 944.00 858.18 37,760.00 34,327.27 85.82 3,432.73
160 Bisturi 37 800.00 727.27 29,600.00 26,909.09 72.73 2,690.91
161 Cat Gut No.3/0 dgn Jarum Bedah 31 24,583.00 22,348.18 762,073.00 692,793.64 2,234.82 69,279.36
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 100 4,250.00 3,863.64 425,000.00 386,363.64 386.36 38,636.36
165 Infusion set anak 50 6,782.00 6,165.45 339,100.00 308,272.73 616.55 30,827.27
166 Infusion set dewasa 115 6,778.00 6,161.82 779,470.00 708,609.09 616.18 70,860.91
167 Jarum Hekting Otot Uk. Sedang (GT) 96 2,083.00 1,893.64 199,968.00 181,789.09 189.36 18,178.91
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 4 7,500.00 6,818.18 30,000.00 27,272.73 681.82 2,727.27
170 Kasa pembalut Hidrofil 34 m x 10 cm 105 607.00 551.82 63,735.00 57,940.91 55.18 5,794.09
171 Kasa Steril 16 x 16 cm 30 8,500.00 7,727.27 255,000.00 231,818.18 772.73 23,181.82
172 Kasa 40 x 80 cm 4 145,650.00 132,409.09 582,600.00 529,636.36 13,240.91 52,963.64
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
174 Plester 5 yard x 2 inci 13 23,625.00 21,477.27 307,125.00 279,204.55 2,147.73 37,448.91
175 Silk (Benang Bedah Sutra) 59 6,982.00 6,347.27 411,938.00 374,489.09 634.73 811,399.18
Total alkes 1,657,247.00 1,506,588.18 8,925,391.00 8,113,991.82 150,658.82 1,594,877.91

TOTAL KESELURUHAN 5,621,480.94 5,110,437.22 62,107,007.43 56,460,916 511,043.72 6,429,570.31

Mengetahui Kendari, 30 September 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat

Dr. Jeni Arni H.T Hj Ika Idrus

Nip. 19780125 200803 2 001 Nip. 19811007 200604 2 017
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 31 AGUSTUS 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 552 357.00 324.55 197,064.00 179,149 32.45 17,914.91

2 Acyklovir Krim 50 2,367.00 2,151.82 118,350.00 107,591 215.18 10,759.09
3 Anti Haemoroid DOEN Kombinasi 147 2,700.00 2,454.55 396,900.00 360,818 245.45 36,081.82
4 Albothyl Konsentrate 8 32,900.00 29,909.09 263,200.00 239,273 2,990.91 23,927.27
5 Allopurinol tablet 300 mg 60 233.00 211.82 13,980.00 12,709 21.18 1,270.91
6 Allopurinol tablet 100 mg 2,543 90.00 81.82 228,870.00 208,064 8.18 20,806.36
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 3,500 352.00 320.00 1,232,000.00 1,120,000 32.00 112,000.00
9 Amoksisilin kaplet 500 mg 19,640 357.00 324.55 7,011,480.00 6,374,073 32.45 637,407.27
10 Amoksisilin sirup kering 125 mg/5ml 263 2,560.00 2,327.27 673,280.00 612,073 232.73 61,207.27
11 Asam Askorbat (Vit C) tablet 250 mg 815 110.00 100.00 89,650.00 81,500 10.00 8,150.00
12 Antimigren : Ergotamin-Coffein 184 149.00 135.45 27,416.00 24,924 13.55 2,492.36
13 Antasida Doen Tab. Strip 20,340 73.12 66.47 1,487,260.80 1,352,055 6.65 135,205.53
14 Antasida sirup 200 2,213.00 2,011.82 442,600.00 402,364 201.18 40,236.36
15 Antibakteri doen kombinasi 24 2,741.00 2,491.82 65,784.00 59,804 249.18 5,980.36
16 Antifungi DOEN salep kombinasi - 2,096.00 1,905.45 - 0 190.55 0.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml - 1,500.00 1,363.64 - 0 136.36 0.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 460 52.00 47.27 23,920.00 21,745 4.73 2,174.55
20 Asam Askorbat (Vit C) tablet 50 mg 9,220 36.00 32.73 331,920.00 301,745 3.27 30,174.55
21 Asam Mefenamat tab 500 mg 11,984 127.00 115.45 1,521,968.00 1,383,607 11.55 138,360.73
22 Ambroxol tab 4,250 185.98 169.07 790,415.00 718,559 16.91 71,855.91
23 Betametason krim 0.1% 162 1,596.00 1,450.91 258,552.00 235,047 145.09 23,504.73
24 Betahistin tab 6 mg 794 1,246.66 1,133.33 989,848.04 899,862 113.33 89,986.19
25 Bioplacenton Gell 15 g 1 16,000.00 14,545.45 16,000.00 14,545 1,454.55 1,454.55
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 1,105 97.00 88.18 107,185.00 97,441 8.82 9,744.09
28 Captopril tablet 12,5 mg 215 90.00 81.82 19,350.00 17,591 8.18 1,759.09
29 Cetirizine tab 2,020 190.00 172.73 383,800.00 348,909 17.27 34,890.91
30 Cefadroxil 2,776 548.00 498.18 1,521,248.00 1,382,953 49.82 138,295.27
31 Cimetidin 200 mg 30 105.97 96.34 3,179.10 2,890 9.63 289.01
32 Ciprofloksacin 5,356 290.00 263.64 1,553,240.00 1,412,036 26.36 141,203.64
33 Darplex - 3,947.00 3,588.18 - 0 358.82 0.00
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 8,620 71.89 65.35 619,691.80 563,356 6.54 56,335.62
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp 29 5,286.00 4,805.45 153,294.00 139,358 480.55 13,935.82
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
40 Diazepam tablet 2 mg 225 28.00 25.45 6,300.00 5,727 2.55 572.73
41 Difenhidramin HCl inj 10 mg/ml-1 ml 73 1,045.00 950.00 76,285.00 69,350 95.00 6,935.00
42 Domperidon suspensi 5 mg/5 ml 124 3,490.00 3,172.73 432,760.00 393,418 317.27 39,341.82
43 Doxycyclin 100 mg 40 250.00 227.27 10,000.00 9,091 22.73 909.09
44 Efedrin HCl tablet 25 mg 1,158 69.20 62.91 80,133.60 72,849 6.29 7,284.87
45 Ekstrak belladon 10 mg 920 43.00 39.09 39,560.00 35,964 3.91 3,596.36
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 555 1,023.00 930.00 567,765.00 516,150 93.00 51,615.00
48 Etakridin ( Rivanol ) larutan 0,1% 7 2,354.00 2,140.00 16,478.00 14,980 214.00 1,498.00
49 Etanol 70 % 1000 ml 11 20,000.00 18,181.82 220,000.00 200,000 1,818.18 20,000.00
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 7 105,000.00 95,454.55 735,000.00 668,182 9,545.45 66,818.18
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 760 74.00 67.27 56,240.00 51,127 6.73 5,112.73
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. 60 3,754.00 3,412.73 225,240.00 204,764 341.27 20,476.36
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 65 698.00 634.55 45,370.00 41,245 63.45 4,124.55
58 Furosemid tablet 40 mg 75 101.00 91.82 7,575.00 6,886 9.18 688.64
59 Garam Oralit untuk 200 ml air 828 322.00 292.73 266,616.00 242,378 29.27 24,237.82
60 Glimepiride 2mg 920 458.00 416.36 421,360.00 383,055 41.64 38,305.45
61 Gentamycine Sulfat 0,1 % SK 93 2,478.00 2,252.73 230,454.00 209,504 225.27 20,950.36
62 Glibenklamid tablet 5 mg 200 126.00 114.55 25,200.00 22,909 11.45 2,290.91
63 Gliseril Guayakolat tablet 100 mg 15,564 31.00 28.18 482,484.00 438,622 2.82 43,862.18
64 Griseofulvin tablet 125 mg 275 200.00 181.82 55,000.00 50,000 18.18 5,000.00
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
66 Hidroklorotiazid (HCT) tablet 25 mg 1,895 49.00 44.55 92,855.00 84,414 4.45 8,441.36
67 Hidrokortison krim 2,5 % 103 2,938.00 2,670.91 302,614.00 275,104 267.09 27,510.36
68 Ibuprofen tablet 200 mg 190 96.21 87.46 18,279.90 16,618 8.75 1,661.81
69 Ibuprofen tablet 400 mg 1,434 157.00 142.73 225,138.00 204,671 14.27 20,467.09
70 Kalsium Laktat (kalk) tablet 500 mg 2,020 69.00 62.73 139,380.00 126,709 6.27 12,670.91
71 Kalium Permanganat (PK) 12 4,041.00 3,673.64 48,492.00 44,084 367.36 4,408.36
72 KA-EN 3B 57 14,220.00 12,927.27 810,540.00 736,855 1,292.73 73,685.45

Ketokonasol Cream 49 2,697.00

73 2,451.82 132,153.00 120,139 245.18 12,013.91
Ketorolac Inj. 30 mg 43 8,528.00 7,752.73 366,704.00 333,367 775.27 33,336.73
74
75 Kloramfenikol kapsul 250 mg 4,850 224.00 203.64 1,086,400.00 987,636 20.36 98,763.64

Klorfeniramin Maleat (CTM) tab. 4 mg 22,665 21.00

76 19.09 475,965.00 432,695 1.91 43,269.55
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 74 1,680.00
78 1,527.27 124,320.00 113,018 152.73 11,301.82
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 242 2,298.00 2,089.09 556,116.00 505,560 208.91 50,556.00
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 2,346 146.00 132.73 342,516.00 311,378 13.27 31,137.82
80 + Trimetoprim 80 mg
81 Lisol 2 59,000.00 53,636.36 118,000.00 107,273 5,363.64 10,727.27
82
Lidokain komp. injeksi, Kombinasi: - 1,485.00 1,350.00 - 0 135.00 0.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia - 1,200.00 1,090.91 - 0 109.09 0.00
85 Metformin 500mg 2,035 124.50 113.18 253,357.50 230,325 11.32 23,032.50
86 Metformin 850mg 500 280.00 254.55 140,000.00 127,273 25.45 12,727.27
87 Loratadine 10 mg 344 170.00 154.55 58,480.00 53,164 15.45 5,316.36
Metilergometrin Maleat (Metilergometrin) 84 169.00
88 tablet salut 0,125 mg 153.64 14,196.00 12,905 15.36 1,290.55
89 Metilergometrin maleat inj - 4,200.00 3,818.18 - 0 381.82 0.00
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 380 169.00 153.64 64,220.00 58,382 15.36 5,838.18
92 Metilprednisolon 8 mg 1,584 390.00 354.55 617,760.00 561,600 35.45 56,160.00
93 Miconazole krim 36 3,150.00 2,863.64 113,400.00 103,091 286.36 10,309.09
94 Metoclopramide 10 mg 511 100.00 90.91 51,100.00 46,455 9.09 4,645.45
95 Natrium Klorida larutan infus 0,9 % 105 5,170.00 4,700.00 542,850.00 493,500 470.00 49,350.00
96 Natrium diklofenak 50 mg 4,914 206.00 187.27 1,012,284.00 920,258 18.73 92,025.82
97 Nistatin tablet vaginal 100.000 IU/g 143 407.00 370.00 58,201.00 52,910 37.00 5,291.00
98 Novahexin tablet - 50.00 45.45 - 0 4.55 0.00
99 Nodiar - 1,037.00 942.73 - 0 94.27 0.00
100 Obat Batuk Hitam (OBH) 64 1,931.00 1,755.45 123,584.00 112,349 175.55 11,234.91
101 Ondansetron inj. 4 mg - 6,050.00 5,500.00 - 0 550.00 0.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
103 Obat anti TB kategori I / FDC 26 396,000.00 360,000.00 10,296,000.00 9,360,000 36,000.00 936,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II - 1,319,898.00 1,199,907.27 - 0 119,990.73 0.00
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata 49 1,680.00 1,527.27 82,320.00 74,836 152.73 7,483.64
108 Oksitetrasiklin HCl SK 3 % 81 2,261.00 2,055.45 183,141.00 166,492 205.55 16,649.18
109 Oksitosin injeksi 10 IU/ml - 1 ml 140 3,300.00 3,000.00 462,000.00 420,000 300.00 42,000.00
110 Omeprazol Kapsul 20 mg 745 221.00 200.91 164,645.00 149,677 20.09 14,967.73
111 Parasetamol sirup 120 mg/5 ml 674 1,535.00 1,395.45 1,034,590.00 940,536 139.55 94,053.64
112 Parasetamol tablet 500 mg 23,490 84.80 77.09 1,991,952.00 1,810,865 7.71 181,086.55
113 Papaverin 962 128.00 116.36 123,136.00 111,942 11.64 11,194.18
114 Pehacain injeksi 202 3,113.00 2,830.00 628,826.00 571,660 283.00 57,166.00
115 Pirantel Pamoat tab. 125 mg 127 43.17 39.25 5,482.59 4,984 3.92 498.42
116 Piridoksin HCl (Vit.B6) tablet 10 mg 6,575 28.16 25.60 185,152.00 168,320 2.56 16,832.00
117 Piroksikam 20 mg 2,460 92.00 83.64 226,320.00 205,745 8.36 20,574.55
118 Prednison tablet 5 mg 2,825 98.00 89.09 276,850.00 251,682 8.91 25,168.18
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg 90 163.00 148.18 14,670.00 13,336 14.82 1,333.64
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 149 1,340.00 1,218.18 199,660.00 181,509 121.82 18,150.91
125 Ranitidin Tablet 150 mg 6,290 128.00 116.36 805,120.00 731,927 11.64 73,192.73
126 Retinol (vitamin A) Kaps 200.000 IU 750 505.00 459.09 378,750.00 344,318 45.91 34,431.82
127 Retinol (vitamin A) Kaps 100.000 IU 450 286.00 260.00 128,700.00 117,000 26.00 11,700.00
128 Ringer Laktat larutan infus steril 706 5,720.00 5,200.00 4,038,320.00 3,671,200 520.00 367,120.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 1,970 70.00 63.64 137,900.00 125,364 6.36 12,536.36
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 34 1,350.00 1,227.27 45,900.00 41,727 122.73 4,172.73
133 Salep 2-4 29 2,420.00 2,200.00 70,180.00 63,800 220.00 6,380.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 281 1,400.00 1,272.73 393,400.00 357,636 127.27 35,763.64
135 Simvastatin 10 mg 1,535 177.00 160.91 271,695.00 246,995 16.09 24,699.55
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi 10,180 90.00 81.82 916,200.00 832,909 8.18 83,290.91
140 Tetrasiklin HCl kapsul 500 mg 50 347.00 315.45 17,350.00 15,773 31.55 1,577.27
141 Tiamfenicol tab 500 mg 2,168 832.00 756.36 1,803,776.00 1,639,796 75.64 163,979.64
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 9,305 51.00 46.36 474,555.00 431,414 4.64 43,141.36
144 Vitamin B Kompleks tablet 17,780 112.00 101.82 1,991,360.00 1,810,327 10.18 181,032.73
145 Yodium pov. Lar. 10 % 30 ml 8 4,375.00 3,977.27 35,000.00 31,818 397.73 3,181.82
146 Yodium pov. Lar. 10 % 60 ml 17 6,379.00 5,799.09 108,443.00 98,585 579.91 9,858.45
147 Yodium pov. Lar. 10 % 300 ml 1 14,700.00 13,363.64 14,700.00 13,364 1,336.36 1,336.36
148 Zinc Dispersible - 496.50 451.36 - 0 45.14 0.00
149 - - 0 0.00 0.00

TOTAL 4,188,641 3,807,855 60,105,550.08 54,641,409 380,785.54 5,464,140.92

PERBEKALAN KESEHATAN

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 180 7,786.00 7,078.18 1,401,480.00 1,274,072.73 707.82 127,407.27
152 Abbocath No. 22 257 7,786.00 7,078.18 2,001,002.00 1,819,092.73 707.82 181,909.27
153 Abbocath No. 24 281 7,786.00 7,078.18 2,187,866.00 1,988,969.09 707.82 198,896.91
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 675 1,093.00 993.64 737,775.00 670,704.55 99.36 67,070.45
157 Alat suntik sekali pakai 2,5 ml 690 1,038.00 943.64 716,220.00 651,109.09 94.36 65,110.91
158 Alat suntik sekali pakai 3 ml 175 1,038.00 943.64 181,650.00 165,136.36 94.36 16,513.64
159 Alat suntik sekali pakai 5 ml 100 944.00 858.18 94,400.00 85,818.18 85.82 8,581.82
160 Bisturi 57 800.00 727.27 45,600.00 41,454.55 72.73 4,145.45
161 Cat Gut No.3/0 dgn Jarum Bedah 63 24,583.00 22,348.18 1,548,729.00 1,407,935.45 2,234.82 140,793.55
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 800 4,250.00 3,863.64 3,400,000.00 3,090,909.09 386.36 309,090.91
165 Infusion set anak 101 6,782.00 6,165.45 684,982.00 622,710.91 616.55 62,271.09
166 Infusion set dewasa 189 6,778.00 6,161.82 1,281,042.00 1,164,583.64 616.18 116,458.36
167 Jarum Hekting Otot Uk. Sedang (GT) 96 2,083.00 1,893.64 199,968.00 181,789.09 189.36 18,178.91
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 10 7,500.00 6,818.18 75,000.00 68,181.82 681.82 6,818.18
170 Kasa pembalut Hidrofil 34 m x 10 cm 242 607.00 551.82 146,894.00 133,540.00 55.18 13,354.00
171 Kasa Steril 16 x 16 cm 27 8,500.00 7,727.27 229,500.00 208,636.36 772.73 20,863.64
172 Kasa 40 x 80 cm 5 145,650.00 132,409.09 728,250.00 662,045.45 13,240.91 66,204.55
173 Masker 160 1,125.00 1,022.73 180,000.00 163,636.36 102.27 16,363.64
174 Plester 5 yard x 2 inci 24 23,625.00 21,477.27 567,000.00 515,454.55 2,147.73 58,394.91
175 Silk (Benang Bedah Sutra) 92 6,982.00 6,347.27 642,344.00 583,949.09 634.73 1,558,882.00
Total alkes 1,657,247.00 1,506,588.18 17,147,702.00 15,588,820.00 150,658.82 3,066,218.55

TOTAL KESELURUHAN 5,845,887.91 5,314,443.55 77,253,252.08 70,230,229 531,444.36 8,530,359.46

Mengetahui Kendari, 31 Agustus 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat

Dr. Jeni Arni H.T Hj Ika Idrus

Nip. 19780125 200803 2 001 Nip. 19811007 200604 2 017
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 31 JULI 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 307 357.00 324.55 109,599.00 99,635 32.45 9,963.55

2 Acyklovir Krim 33 2,367.00 2,151.82 78,111.00 71,010 215.18 7,101.00
3 Anti Haemoroid DOEN Kombinasi 60 2,700.00 2,454.55 162,000.00 147,273 245.45 14,727.27
4 Albothyl Konsentrate 3 32,900.00 29,909.09 98,700.00 89,727 2,990.91 8,972.73
5 Allopurinol tablet 300 mg 210 233.00 211.82 48,930.00 44,482 21.18 4,448.18
6 Allopurinol tablet 100 mg 1,138 90.00 81.82 102,420.00 93,109 8.18 9,310.91
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 1,735 352.00 320.00 610,720.00 555,200 32.00 55,520.00
9 Amoksisilin kaplet 500 mg 13,935 357.00 324.55 4,974,795.00 4,522,541 32.45 452,254.09
10 Amoksisilin sirup kering 125 mg/5ml 169 2,560.00 2,327.27 432,640.00 393,309 232.73 39,330.91
11 Asam Askorbat (Vit C) tablet 250 mg - 110.00 100.00 - 0 10.00 0.00
12 Antimigren : Ergotamin-Coffein 155 149.00 135.45 23,095.00 20,995 13.55 2,099.55
13 Antasida Doen Tab. Strip 13,460 73.12 66.47 984,195.20 894,723 6.65 89,472.29
14 Antasida sirup 88 2,213.00 2,011.82 194,744.00 177,040 201.18 17,704.00
15 Antibakteri doen kombinasi 24 2,741.00 2,491.82 65,784.00 59,804 249.18 5,980.36
16 Antifungi DOEN salep kombinasi 6 2,096.00 1,905.45 12,576.00 11,433 190.55 1,143.27
17 Aqua pro Injeksi steril, bebas pirogen,20 ml - 1,500.00 1,363.64 - 0 136.36 0.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 231 52.00 47.27 12,012.00 10,920 4.73 1,092.00
20 Asam Askorbat (Vit C) tablet 50 mg 3,387 36.00 32.73 121,932.00 110,847 3.27 11,084.73
21 Asam Mefenamat tab 500 mg 4,414 127.00 115.45 560,578.00 509,616 11.55 50,961.64
22 Ambroxol tab 2,970 185.98 169.07 552,360.60 502,146 16.91 50,214.60
23 Betametason krim 0.1% 96 1,596.00 1,450.91 153,216.00 139,287 145.09 13,928.73
24 Betahistin tab 6 mg 504 1,246.66 1,133.33 628,316.64 571,197 113.33 57,119.69
25 Bioplacenton Gell 15 g 3 16,000.00 14,545.45 48,000.00 43,636 1,454.55 4,363.64
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 630 97.00 88.18 61,110.00 55,555 8.82 5,555.45
28 Captopril tablet 12,5 mg 534 90.00 81.82 48,060.00 43,691 8.18 4,369.09
29 Cetirizine tab 100 190.00 172.73 19,000.00 17,273 17.27 1,727.27
30 Cefadroxil 3,052 548.00 498.18 1,672,496.00 1,520,451 49.82 152,045.09
31 Cimetidin 200 mg 70 105.97 96.34 7,417.90 6,744 9.63 674.35
32 Ciprofloksacin 6,315 290.00 263.64 1,831,350.00 1,664,864 26.36 166,486.36
33 Darplex - 3,947.00 3,588.18 - 0 358.82 0.00
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 2,300 71.89 65.35 165,347.00 150,315 6.54 15,031.55
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp 51 5,286.00 4,805.45 269,586.00 245,078 480.55 24,507.82
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
40 Diazepam tablet 2 mg 251 28.00 25.45 7,028.00 6,389 2.55 638.91
41 Difenhidramin HCl inj 10 mg/ml-1 ml 78 1,045.00 950.00 81,510.00 74,100 95.00 7,410.00
42 Domperidon suspensi 5 mg/5 ml - 3,490.00 3,172.73 - 0 317.27 0.00
43 Doxycyclin 100 mg - 250.00 227.27 - 0 22.73 0.00
44 Efedrin HCl tablet 25 mg 751 69.20 62.91 51,969.20 47,245 6.29 4,724.47
45 Ekstrak belladon 10 mg 960 43.00 39.09 41,280.00 37,527 3.91 3,752.73
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 790 1,023.00 930.00 808,170.00 734,700 93.00 73,470.00
48 Etakridin ( Rivanol ) larutan 0,1% 5 2,354.00 2,140.00 11,770.00 10,700 214.00 1,070.00
49 Etanol 70 % 1000 ml 4 20,000.00 18,181.82 80,000.00 72,727 1,818.18 7,272.73
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 11 105,000.00 95,454.55 1,155,000.00 1,050,000 9,545.45 105,000.00
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 872 74.00 67.27 64,528.00 58,662 6.73 5,866.18
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. 60 3,754.00 3,412.73 225,240.00 204,764 341.27 20,476.36
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 65 698.00 634.55 45,370.00 41,245 63.45 4,124.55
58 Furosemid tablet 40 mg 135 101.00 91.82 13,635.00 12,395 9.18 1,239.55
59 Garam Oralit untuk 200 ml air 299 322.00 292.73 96,278.00 87,525 29.27 8,752.55
60 Glimepiride 2mg 990 458.00 416.36 453,420.00 412,200 41.64 41,220.00
61 Gentamycine Sulfat 0,1 % SK 25 2,478.00 2,252.73 61,950.00 56,318 225.27 5,631.82
62 Glibenklamid tablet 5 mg 330 126.00 114.55 41,580.00 37,800 11.45 3,780.00
63 Gliseril Guayakolat tablet 100 mg 3,489 31.00 28.18 108,159.00 98,326 2.82 9,832.64
64 Griseofulvin tablet 125 mg 205 200.00 181.82 41,000.00 37,273 18.18 3,727.27
65 Glukosa 5 % - 5,566.00 5,060.00 - 0 506.00 0.00
66 Hidroklorotiazid (HCT) tablet 25 mg 2,030 49.00 44.55 99,470.00 90,427 4.45 9,042.73
67 Hidrokortison krim 2,5 % 5 2,938.00 2,670.91 14,690.00 13,355 267.09 1,335.45
68 Ibuprofen tablet 200 mg 130 96.21 87.46 12,507.30 11,370 8.75 1,137.03
69 Ibuprofen tablet 400 mg 1,264 157.00 142.73 198,448.00 180,407 14.27 18,040.73
70 Kalsium Laktat (kalk) tablet 500 mg 1,330 69.00 62.73 91,770.00 83,427 6.27 8,342.73
71 Kalium Permanganat (PK) 21 4,041.00 3,673.64 84,861.00 77,146 367.36 7,714.64
72 KA-EN 3B 33 14,220.00 12,927.27 469,260.00 426,600 1,292.73 42,660.00

Ketokonasol Cream 32 2,697.00

73 2,451.82 86,304.00 78,458 245.18 7,845.82
Ketorolac Inj. 30 mg 26 8,528.00 7,752.73 221,728.00 201,571 775.27 20,157.09
74
75 Kloramfenikol kapsul 250 mg 5,420 224.00 203.64 1,214,080.00 1,103,709 20.36 110,370.91

Klorfeniramin Maleat (CTM) tab. 4 mg 5,080 21.00

76 19.09 106,680.00 96,982 1.91 9,698.18
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 81 1,680.00
78 1,527.27 136,080.00 123,709 152.73 12,370.91
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 98 2,298.00 2,089.09 225,204.00 204,731 208.91 20,473.09
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 2,312 146.00 132.73 337,552.00 306,865 13.27 30,686.55
80 + Trimetoprim 80 mg
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82
Lidokain komp. injeksi, Kombinasi: - 1,485.00 1,350.00 - 0 135.00 0.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 76 1,200.00 1,090.91 91,200.00 82,909 109.09 8,290.91
85 Metformin 500mg 1,945 124.50 113.18 242,152.50 220,139 11.32 22,013.86
86 Metformin 850mg 500 280.00 254.55 140,000.00 127,273 25.45 12,727.27
87 Loratadine 10 mg 130 170.00 154.55 22,100.00 20,091 15.45 2,009.09
Metilergometrin Maleat (Metilergometrin) 184 169.00
88 tablet salut 0,125 mg 153.64 31,096.00 28,269 15.36 2,826.91
89 Metilergometrin maleat inj 19 4,200.00 3,818.18 79,800.00 72,545 381.82 7,254.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 110 169.00 153.64 18,590.00 16,900 15.36 1,690.00
92 Metilprednisolon 8 mg - 390.00 354.55 - 0 35.45 0.00
93 Miconazole krim 28 3,150.00 2,863.64 88,200.00 80,182 286.36 8,018.18
94 Metoclopramide 10 mg 731 100.00 90.91 73,100.00 66,455 9.09 6,645.45
95 Natrium Klorida larutan infus 0,9 % 48 5,170.00 4,700.00 248,160.00 225,600 470.00 22,560.00
96 Natrium diklofenak 50 mg 1,480 206.00 187.27 304,880.00 277,164 18.73 27,716.36
97 Nistatin tablet vaginal 100.000 IU/g 53 407.00 370.00 21,571.00 19,610 37.00 1,961.00
98 Novahexin tablet 140 50.00 45.45 7,000.00 6,364 4.55 636.36
99 Nodiar 148 1,037.00 942.73 153,476.00 139,524 94.27 13,952.36
100 Obat Batuk Hitam (OBH) 17 1,931.00 1,755.45 32,827.00 29,843 175.55 2,984.27
101 Ondansetron inj. 4 mg 15 6,050.00 5,500.00 90,750.00 82,500 550.00 8,250.00
102 Obat anti TB kategori anak 2 236,490.00 214,990.91 472,980.00 429,982 21,499.09 42,998.18
103 Obat anti TB kategori I / FDC 2 396,000.00 360,000.00 792,000.00 720,000 36,000.00 72,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II 1 1,319,898.00 1,199,907.27 1,319,898.00 1,199,907 119,990.73 119,990.73
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata - 1,680.00 1,527.27 - 0 152.73 0.00
108 Oksitetrasiklin HCl SK 3 % 49 2,261.00 2,055.45 110,789.00 100,717 205.55 10,071.73
109 Oksitosin injeksi 10 IU/ml - 1 ml 60 3,300.00 3,000.00 198,000.00 180,000 300.00 18,000.00
110 Omeprazol Kapsul 20 mg 240 221.00 200.91 53,040.00 48,218 20.09 4,821.82
111 Parasetamol sirup 120 mg/5 ml 309 1,535.00 1,395.45 474,315.00 431,195 139.55 43,119.55
112 Parasetamol tablet 500 mg 17,485 84.80 77.09 1,482,728.00 1,347,935 7.71 134,793.45
113 Papaverin 190 128.00 116.36 24,320.00 22,109 11.64 2,210.91
114 Pehacain injeksi 65 3,113.00 2,830.00 202,345.00 183,950 283.00 18,395.00
115 Pirantel Pamoat tab. 125 mg 39 43.17 39.25 1,683.63 1,531 3.92 153.06
116 Piridoksin HCl (Vit.B6) tablet 10 mg 9,210 28.16 25.60 259,353.60 235,776 2.56 23,577.60
117 Piroksikam 20 mg 718 92.00 83.64 66,056.00 60,051 8.36 6,005.09
118 Prednison tablet 5 mg 60 98.00 89.09 5,880.00 5,345 8.91 534.55
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg 100 163.00 148.18 16,300.00 14,818 14.82 1,481.82
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 149 1,340.00 1,218.18 199,660.00 181,509 121.82 18,150.91
125 Ranitidin Tablet 150 mg 3,567 128.00 116.36 456,576.00 415,069 11.64 41,506.91
126 Retinol (vitamin A) Kaps 200.000 IU 2,000 505.00 459.09 1,010,000.00 918,182 45.91 91,818.18
127 Retinol (vitamin A) Kaps 100.000 IU 1,000 286.00 260.00 286,000.00 260,000 26.00 26,000.00
128 Ringer Laktat larutan infus steril 558 5,720.00 5,200.00 3,191,760.00 2,901,600 520.00 290,160.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 770 70.00 63.64 53,900.00 49,000 6.36 4,900.00
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 9 1,350.00 1,227.27 12,150.00 11,045 122.73 1,104.55
133 Salep 2-4 21 2,420.00 2,200.00 50,820.00 46,200 220.00 4,620.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 285 1,400.00 1,272.73 399,000.00 362,727 127.27 36,272.73
135 Simvastatin 10 mg 620 177.00 160.91 109,740.00 99,764 16.09 9,976.36
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi 6,130 90.00 81.82 551,700.00 501,545 8.18 50,154.55
140 Tetrasiklin HCl kapsul 500 mg 70 347.00 315.45 24,290.00 22,082 31.55 2,208.18
141 Tiamfenicol tab 500 mg 2,358 832.00 756.36 1,961,856.00 1,783,505 75.64 178,350.55
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 11,125 51.00 46.36 567,375.00 515,795 4.64 51,579.55
144 Vitamin B Kompleks tablet 4,645 112.00 101.82 520,240.00 472,945 10.18 47,294.55
145 Yodium pov. Lar. 10 % 30 ml 6 4,375.00 3,977.27 26,250.00 23,864 397.73 2,386.36
146 Yodium pov. Lar. 10 % 60 ml 2 6,379.00 5,799.09 12,758.00 11,598 579.91 1,159.82
147 Yodium pov. Lar. 10 % 300 ml 1 14,700.00 13,363.64 14,700.00 13,364 1,336.36 1,336.36
148 Zinc Dispersible - 496.50 451.36 - 0 45.14 0.00
149 - - 0 0.00 0.00

TOTAL 4,188,641 3,807,855 37,478,263.32 34,071,148 380,785.54 3,407,114.85

PERBEKALAN KESEHATAN

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 220 7,786.00 7,078.18 1,712,920.00 1,557,200.00 707.82 155,720.00
152 Abbocath No. 22 65 7,786.00 7,078.18 506,090.00 460,081.82 707.82 46,008.18
153 Abbocath No. 24 113 7,786.00 7,078.18 879,818.00 799,834.55 707.82 79,983.45
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 785 1,093.00 993.64 858,005.00 780,004.55 99.36 78,000.45
157 Alat suntik sekali pakai 2,5 ml 540 1,038.00 943.64 560,520.00 509,563.64 94.36 50,956.36
158 Alat suntik sekali pakai 3 ml 85 1,038.00 943.64 88,230.00 80,209.09 94.36 8,020.91
159 Alat suntik sekali pakai 5 ml 35 944.00 858.18 33,040.00 30,036.36 85.82 3,003.64
160 Bisturi 70 800.00 727.27 56,000.00 50,909.09 72.73 5,090.91
161 Cat Gut No.3/0 dgn Jarum Bedah 52 24,583.00 22,348.18 1,278,316.00 1,162,105.45 2,234.82 116,210.55
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 100 4,250.00 3,863.64 425,000.00 386,363.64 386.36 38,636.36
165 Infusion set anak 38 6,782.00 6,165.45 257,716.00 234,287.27 616.55 23,428.73
166 Infusion set dewasa 165 6,778.00 6,161.82 1,118,370.00 1,016,700.00 616.18 101,670.00
167 Jarum Hekting Otot Uk. Sedang (GT) 96 2,083.00 1,893.64 199,968.00 181,789.09 189.36 18,178.91
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 10 7,500.00 6,818.18 75,000.00 68,181.82 681.82 6,818.18
170 Kasa pembalut Hidrofil 34 m x 10 cm 158 607.00 551.82 95,906.00 87,187.27 55.18 8,718.73
171 Kasa Steril 16 x 16 cm 6 8,500.00 7,727.27 51,000.00 46,363.64 772.73 4,636.36
172 Kasa 40 x 80 cm 0 145,650.00 132,409.09 0.00 0.00 13,240.91 0.00
173 Masker 100 1,125.00 1,022.73 112,500.00 102,272.73 102.27 10,227.27
174 Plester 5 yard x 2 inci 6 23,625.00 21,477.27 141,750.00 128,863.64 2,147.73 62,203.27
175 Silk (Benang Bedah Sutra) 98 6,982.00 6,347.27 684,236.00 622,032.73 634.73 839,307.73
Total alkes 1,657,247.00 1,506,588.18 9,232,385.00 8,393,077.27 150,658.82 1,665,729.09

TOTAL KESELURUHAN 5,845,887.91 5,314,443.55 46,710,648.32 42,464,226 531,444.36 5,072,843.94

Mengetahui Kendari, 31 Juli 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat

Dr. Jeni Arni H.T Hj Ika Idrus

Nip. 19780125 200803 2 001 Nip. 19811007 200604 2 017
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 30 JUNI 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 472 357.00 324.55 168,504.00 153,185 32.45 15,318.55

2 Acyklovir Krim 40 2,367.00 2,151.82 94,680.00 86,073 215.18 8,607.27
3 Anti Haemoroid DOEN Kombinasi 85 2,700.00 2,454.55 229,500.00 208,636 245.45 20,863.64
4 Albothyl Konsentrate 4 32,900.00 29,909.09 131,600.00 119,636 2,990.91 11,963.64
5 Allopurinol tablet 300 mg 250 233.00 211.82 58,250.00 52,955 21.18 5,295.45
6 Allopurinol tablet 100 mg 534 90.00 81.82 48,060.00 43,691 8.18 4,369.09
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 2,657 352.00 320.00 935,264.00 850,240 32.00 85,024.00
9 Amoksisilin kaplet 500 mg 17,215 357.00 324.55 6,145,755.00 5,587,050 32.45 558,705.00
10 Amoksisilin sirup kering 125 mg/5ml 238 2,560.00 2,327.27 609,280.00 553,891 232.73 55,389.09
11 Ampicillin Inj im/iv 1000 mg/vial - 4,700.00 4,272.73 - 0 427.27 0.00
12 Antimigren : Ergotamin-Coffein 66 149.00 135.45 9,834.00 8,940 13.55 894.00
13 Antasida Doen Tab. Strip 16,255 73.12 66.47 1,188,565.60 1,080,514 6.65 108,051.42
14 Antasida sirup 131 2,213.00 2,011.82 289,903.00 263,548 201.18 26,354.82
15 Antibakteri doen kombinasi 24 2,741.00 2,491.82 65,784.00 59,804 249.18 5,980.36
16 Antifungi DOEN salep kombinasi 20 2,096.00 1,905.45 41,920.00 38,109 190.55 3,810.91
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 11 1,500.00 1,363.64 16,500.00 15,000 136.36 1,500.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 360 52.00 47.27 18,720.00 17,018 4.73 1,701.82
20 Asam Askorbat (Vit C) tablet 50 mg 5,857 36.00 32.73 210,852.00 191,684 3.27 19,168.36
21 Asam Mefenamat tab 500 mg 6,564 127.00 115.45 833,628.00 757,844 11.55 75,784.36
22 Ambroxol tab 4,270 185.98 169.07 794,134.60 721,941 16.91 72,194.05
23 Betametason krim 0.1% 171 1,596.00 1,450.91 272,916.00 248,105 145.09 24,810.55
24 Betahistin tab 6 mg 205 1,246.66 1,133.33 255,565.30 232,332 113.33 23,233.21
25 Bioplacenton Gell 15 g 4 16,000.00 14,545.45 64,000.00 58,182 1,454.55 5,818.18
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 1,020 97.00 88.18 98,940.00 89,945 8.82 8,994.55
28 Captopril tablet 12,5 mg 750 90.00 81.82 67,500.00 61,364 8.18 6,136.36
29 Cetirizine tab 784 190.00 172.73 148,960.00 135,418 17.27 13,541.82
30 Cefadroxil 3,914 548.00 498.18 2,144,872.00 1,949,884 49.82 194,988.36
31 Cimetidin 200 mg 80 105.97 96.34 8,477.60 7,707 9.63 770.69
32 Ciprofloksacin 6,920 290.00 263.64 2,006,800.00 1,824,364 26.36 182,436.36
33 Darplex - 3,947.00 3,588.18 - 0 358.82 0.00
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 5,222 71.89 65.35 375,409.58 341,281 6.54 34,128.14
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp 68 5,286.00 4,805.45 359,448.00 326,771 480.55 32,677.09
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
40 Diazepam tablet 2 mg 261 28.00 25.45 7,308.00 6,644 2.55 664.36
41 Difenhidramin HCl inj 10 mg/ml-1 ml 84 1,045.00 950.00 87,780.00 79,800 95.00 7,980.00
42 Domperidon suspensi 5 mg/5 ml 68 3,490.00 3,172.73 237,320.00 215,745 317.27 21,574.55
43 Doxycyclin 100 mg 24 250.00 227.27 6,000.00 5,455 22.73 545.45
44 Efedrin HCl tablet 25 mg 815 69.20 62.91 56,398.00 51,271 6.29 5,127.09
45 Ekstrak belladon 10 mg 970 43.00 39.09 41,710.00 37,918 3.91 3,791.82
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 920 1,023.00 930.00 941,160.00 855,600 93.00 85,560.00
48 Etakridin ( Rivanol ) larutan 0,1% 7 2,354.00 2,140.00 16,478.00 14,980 214.00 1,498.00
49 Etanol 70 % 1000 ml 9 20,000.00 18,181.82 180,000.00 163,636 1,818.18 16,363.64
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 3 105,000.00 95,454.55 315,000.00 286,364 9,545.45 28,636.36
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 989 74.00 67.27 73,186.00 66,533 6.73 6,653.27
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. 68 3,754.00 3,412.73 255,272.00 232,065 341.27 23,206.55
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 65 698.00 634.55 45,370.00 41,245 63.45 4,124.55
58 Furosemid tablet 40 mg 155 101.00 91.82 15,655.00 14,232 9.18 1,423.18
59 Garam Oralit untuk 200 ml air 604 322.00 292.73 194,488.00 176,807 29.27 17,680.73
60 Gentamycine injeksi 40 mg/ml - 3,415.00 3,104.55 - 0 310.45 0.00
61 Gentamycine Sulfat 0,1 % SK 54 2,478.00 2,252.73 133,812.00 121,647 225.27 12,164.73
62 Glibenklamid tablet 5 mg 340 126.00 114.55 42,840.00 38,945 11.45 3,894.55
63 Gliseril Guayakolat tablet 100 mg 7,509 31.00 28.18 232,779.00 211,617 2.82 21,161.73
64 Griseofulvin tablet 125 mg 235 200.00 181.82 47,000.00 42,727 18.18 4,272.73
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
66 Hidroklorotiazid (HCT) tablet 25 mg 2,110 49.00 44.55 103,390.00 93,991 4.45 9,399.09
67 Hidrokortison krim 2,5 % 52 2,938.00 2,670.91 152,776.00 138,887 267.09 13,888.73
68 Ibuprofen tablet 200 mg 240 96.21 87.46 23,090.40 20,991 8.75 2,099.13
69 Ibuprofen tablet 400 mg 2,124 157.00 142.73 333,468.00 303,153 14.27 30,315.27
70 Kalsium Laktat (kalk) tablet 500 mg - 69.00 62.73 - 0 6.27 0.00
71 Kalium Permanganat (PK) 21 4,041.00 3,673.64 84,861.00 77,146 367.36 7,714.64
72 KA-EN 3B 42 14,220.00 12,927.27 597,240.00 542,945 1,292.73 54,294.55

Ketokonasol Cream 39 2,697.00

73 2,451.82 105,183.00 95,621 245.18 9,562.09
Ketorolac Inj. 30 mg 38 8,528.00 7,752.73 324,064.00 294,604 775.27 29,460.36
74
75 Kloramfenikol kapsul 250 mg 5,908 224.00 203.64 1,323,392.00 1,203,084 20.36 120,308.36

Klorfeniramin Maleat (CTM) tab. 4 mg 10,265 21.00

76 19.09 215,565.00 195,968 1.91 19,596.82
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 93 1,680.00
78 1,527.27 156,240.00 142,036 152.73 14,203.64
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 174 2,298.00 2,089.09 399,852.00 363,502 208.91 36,350.18
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 2,746 146.00 132.73 400,916.00 364,469 13.27 36,446.91
80 + Trimetoprim 80 mg
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82
Lidokain komp. injeksi, Kombinasi: - 1,485.00 1,350.00 - 0 135.00 0.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 202 1,200.00 1,090.91 242,400.00 220,364 109.09 22,036.36
85 Metformin 500mg 315 124.50 113.18 39,217.50 35,652 11.32 3,565.23
86 Metformin 850mg 500 280.00 254.55 140,000.00 127,273 25.45 12,727.27
87 Loratadine 10 mg 219 170.00 154.55 37,230.00 33,845 15.45 3,384.55
Metilergometrin Maleat (Metilergometrin) 184 169.00
88 tablet salut 0,125 mg 153.64 31,096.00 28,269 15.36 2,826.91
89 Metilergometrin maleat inj 19 4,200.00 3,818.18 79,800.00 72,545 381.82 7,254.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 230 169.00 153.64 38,870.00 35,336 15.36 3,533.64
92 Metilprednisolon 8 mg 42 390.00 354.55 16,380.00 14,891 35.45 1,489.09
93 Miconazole krim 41 3,150.00 2,863.64 129,150.00 117,409 286.36 11,740.91
94 Metoclopramide 10 mg 1,071 100.00 90.91 107,100.00 97,364 9.09 9,736.36
95 Natrium Klorida larutan infus 0,9 % 85 5,170.00 4,700.00 439,450.00 399,500 470.00 39,950.00
96 Natrium diklofenak 50 mg 994 206.00 187.27 204,764.00 186,149 18.73 18,614.91
97 Nistatin tablet vaginal 100.000 IU/g 67 407.00 370.00 27,269.00 24,790 37.00 2,479.00
98 Novahexin tablet 355 50.00 45.45 17,750.00 16,136 4.55 1,613.64
99 Nodiar 216 1,037.00 942.73 223,992.00 203,629 94.27 20,362.91
100 Obat Batuk Hitam (OBH) 44 1,931.00 1,755.45 84,964.00 77,240 175.55 7,724.00
101 Ondansetron inj. 4 mg 45 6,050.00 5,500.00 272,250.00 247,500 550.00 24,750.00
102 Obat anti TB kategori anak 2 236,490.00 214,990.91 472,980.00 429,982 21,499.09 42,998.18
103 Obat anti TB kategori I / FDC 11 396,000.00 360,000.00 4,356,000.00 3,960,000 36,000.00 396,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II 1 1,319,898.00 1,199,907.27 1,319,898.00 1,199,907 119,990.73 119,990.73
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata - 1,680.00 1,527.27 - 0 152.73 0.00
108 Oksitetrasiklin HCl SK 3 % 96 2,261.00 2,055.45 217,056.00 197,324 205.55 19,732.36
109 Oksitosin injeksi 10 IU/ml - 1 ml 80 3,300.00 3,000.00 264,000.00 240,000 300.00 24,000.00
110 Omeprazol Kapsul 20 mg 770 221.00 200.91 170,170.00 154,700 20.09 15,470.00
111 Parasetamol sirup 120 mg/5 ml 620 1,535.00 1,395.45 951,700.00 865,182 139.55 86,518.18
112 Parasetamol tablet 500 mg 24,290 84.80 77.09 2,059,792.00 1,872,538 7.71 187,253.82
113 Papaverin 462 128.00 116.36 59,136.00 53,760 11.64 5,376.00
114 Pehacain injeksi 93 3,113.00 2,830.00 289,509.00 263,190 283.00 26,319.00
115 Pirantel Pamoat tab. 125 mg 64 43.17 39.25 2,762.88 2,512 3.92 251.17
116 Piridoksin HCl (Vit.B6) tablet 10 mg 11,385 28.16 25.60 320,601.60 291,456 2.56 29,145.60
117 Piroksikam 20 mg 1,182 92.00 83.64 108,744.00 98,858 8.36 9,885.82
118 Prednison tablet 5 mg 372 98.00 89.09 36,456.00 33,142 8.91 3,314.18
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg 100 163.00 148.18 16,300.00 14,818 14.82 1,481.82
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 112 1,340.00 1,218.18 150,080.00 136,436 121.82 13,643.64
125 Ranitidin Tablet 150 mg 5,434 128.00 116.36 695,552.00 632,320 11.64 63,232.00
126 Retinol (vitamin A) Kaps 200.000 IU 2,000 505.00 459.09 1,010,000.00 918,182 45.91 91,818.18
127 Retinol (vitamin A) Kaps 100.000 IU 1,000 286.00 260.00 286,000.00 260,000 26.00 26,000.00
128 Ringer Laktat larutan infus steril 755 5,720.00 5,200.00 4,318,600.00 3,926,000 520.00 392,600.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 80 70.00 63.64 5,600.00 5,091 6.36 509.09
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 19 1,350.00 1,227.27 25,650.00 23,318 122.73 2,331.82
133 Salep 2-4 23 2,420.00 2,200.00 55,660.00 50,600 220.00 5,060.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 290 1,400.00 1,272.73 406,000.00 369,091 127.27 36,909.09
135 Simvastatin 10 mg 1,010 177.00 160.91 178,770.00 162,518 16.09 16,251.82
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi 8,112 90.00 81.82 730,080.00 663,709 8.18 66,370.91
140 Tetrasiklin HCl kapsul 500 mg 90 347.00 315.45 31,230.00 28,391 31.55 2,839.09
141 Tiamfenicol tab 500 mg 2,540 832.00 756.36 2,113,280.00 1,921,164 75.64 192,116.36
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 12,132 51.00 46.36 618,732.00 562,484 4.64 56,248.36
144 Vitamin B Kompleks tablet 10,125 112.00 101.82 1,134,000.00 1,030,909 10.18 103,090.91
145 Yodium pov. Lar. 10 % 30 ml 6 4,375.00 3,977.27 26,250.00 23,864 397.73 2,386.36
146 Yodium pov. Lar. 10 % 60 ml 4 6,379.00 5,799.09 25,516.00 23,196 579.91 2,319.64
147 Yodium pov. Lar. 10 % 300 ml 2 14,700.00 13,363.64 29,400.00 26,727 1,336.36 2,672.73
148 Zinc Dispersible 1,300 496.50 451.36 645,450.00 586,773 45.14 58,677.27
149 - - 0 0.00 0.00

TOTAL 4,196,188 3,814,716 50,369,760.81 45,790,692 381,471.63 4,579,069.16

PERBEKALAN KESEHATAN

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 250 7,786.00 7,078.18 1,946,500.00 1,769,545.45 707.82 176,954.55
152 Abbocath No. 22 123 7,786.00 7,078.18 957,678.00 870,616.36 707.82 87,061.64
153 Abbocath No. 24 163 7,786.00 7,078.18 1,269,118.00 1,153,743.64 707.82 115,374.36
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 890 1,093.00 993.64 972,770.00 884,336.36 99.36 88,433.64
157 Alat suntik sekali pakai 2,5 ml 173 1,038.00 943.64 179,574.00 163,249.09 94.36 16,324.91
158 Alat suntik sekali pakai 3 ml 190 1,038.00 943.64 197,220.00 179,290.91 94.36 17,929.09
159 Alat suntik sekali pakai 5 ml 50 944.00 858.18 47,200.00 42,909.09 85.82 4,290.91
160 Bisturi 100 800.00 727.27 80,000.00 72,727.27 72.73 7,272.73
161 Cat Gut No.3/0 dgn Jarum Bedah 82 24,583.00 22,348.18 2,015,806.00 1,832,550.91 2,234.82 183,255.09
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 600 4,250.00 3,863.64 2,550,000.00 2,318,181.82 386.36 231,818.18
165 Infusion set anak 78 6,782.00 6,165.45 528,996.00 480,905.45 616.55 48,090.55
166 Infusion set dewasa 237 6,778.00 6,161.82 1,606,386.00 1,460,350.91 616.18 146,035.09
167 Jarum Hekting Otot Uk. Sedang (GT) 96 2,083.00 1,893.64 199,968.00 181,789.09 189.36 18,178.91
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 13 7,500.00 6,818.18 97,500.00 88,636.36 681.82 8,863.64
170 Kasa pembalut Hidrofil 34 m x 10 cm 133 607.00 551.82 80,731.00 73,391.82 55.18 7,339.18
171 Kasa Steril 16 x 16 cm 11 8,500.00 7,727.27 93,500.00 85,000.00 772.73 8,500.00
172 Kasa 40 x 80 cm 1 145,650.00 132,409.09 145,650.00 132,409.09 13,240.91 13,240.91
173 Masker 200 1,125.00 1,022.73 225,000.00 204,545.45 102.27 20,454.55
174 Plester 5 yard x 2 inci 19 23,625.00 21,477.27 448,875.00 408,068.18 2,147.73 71,089.45
175 Silk (Benang Bedah Sutra) 112 6,982.00 6,347.27 781,984.00 710,894.55 634.73 1,320,223.27
Total alkes 1,657,247.00 1,506,588.18 14,522,456.00 13,202,232.73 150,658.82 2,599,639.73

TOTAL KESELURUHAN 5,853,434.91 5,321,304.46 64,892,216.81 58,992,924 532,130.45 7,178,708.89

Mengetahui Kendari, 30 Juni 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat

Dr. Putu Agustin Kusumawati Hj Ika Idrus

Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 30 MEI 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 518 357.00 324.55 184,926.00 168,115 32.45 16,811.45

2 Acyklovir Krim 46 2,367.00 2,151.82 108,882.00 98,984 215.18 9,898.36
3 Anti Haemoroid DOEN Kombinasi 116 2,700.00 2,454.55 313,200.00 284,727 245.45 28,472.73
4 Albothyl Konsentrate 4 32,900.00 29,909.09 131,600.00 119,636 2,990.91 11,963.64
5 Allopurinol tablet 300 mg 280 233.00 211.82 65,240.00 59,309 21.18 5,930.91
6 Allopurinol tablet 100 mg 1,119 90.00 81.82 100,710.00 91,555 8.18 9,155.45
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 3,550 352.00 320.00 1,249,600.00 1,136,000 32.00 113,600.00
9 Amoksisilin kaplet 500 mg 21,085 357.00 324.55 7,527,345.00 6,843,041 32.45 684,304.09
10 Amoksisilin sirup kering 125 mg/5ml 332 2,560.00 2,327.27 849,920.00 772,655 232.73 77,265.45
11 Ampicillin Inj im/iv 1000 mg/vial - 4,700.00 4,272.73 - 0 427.27 0.00
12 Antimigren : Ergotamin-Coffein 122 149.00 135.45 18,178.00 16,525 13.55 1,652.55
13 Antasida Doen Tab. Strip 19,845 73.12 66.47 1,451,066.40 1,319,151 6.65 131,915.13
14 Antasida sirup 216 2,213.00 2,011.82 478,008.00 434,553 201.18 43,455.27
15 Antibakteri doen kombinasi 25 2,741.00 2,491.82 68,525.00 62,295 249.18 6,229.55
16 Antifungi DOEN salep kombinasi 22 2,096.00 1,905.45 46,112.00 41,920 190.55 4,192.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 11 1,500.00 1,363.64 16,500.00 15,000 136.36 1,500.00
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 515 52.00 47.27 26,780.00 24,345 4.73 2,434.55
20 Asam Askorbat (Vit C) tablet 50 mg 8,312 36.00 32.73 299,232.00 272,029 3.27 27,202.91
21 Asam Mefenamat tab 500 mg 9,230 127.00 115.45 1,172,210.00 1,065,645 11.55 106,564.55
22 Atropin Sulfat injeksi - 1,400.00 1,272.73 - 0 127.27 0.00
23 Betametason krim 0.1% 237 1,596.00 1,450.91 378,252.00 343,865 145.09 34,386.55
24 Betahistin tab 6 mg 559 1,246.66 1,133.33 696,882.94 633,530 113.33 63,352.99
25 Bioplacenton Gell 15 g 1 16,000.00 14,545.45 16,000.00 14,545 1,454.55 1,454.55
26 Biolisin smart syrup - 9,900.00 9,000.00 - 0 900.00 0.00
27 Captopril tablet 25 mg 1,200 97.00 88.18 116,400.00 105,818 8.82 10,581.82
28 Captopril tablet 12,5 mg 1,355 90.00 81.82 121,950.00 110,864 8.18 11,086.36
29 Cetirizine tab 1,320 190.00 172.73 250,800.00 228,000 17.27 22,800.00
30 Cefadroxil 1,936 548.00 498.18 1,060,928.00 964,480 49.82 96,448.00
31 Cimetidin 200 mg 100 105.97 96.34 10,597.00 9,634 9.63 963.36
32 Ciprofloksacin 7,492 290.00 263.64 2,172,680.00 1,975,164 26.36 197,516.36
33 Darplex 3 3,947.00 3,588.18 11,841.00 10,765 358.82 1,076.45
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 8,624 71.89 65.35 619,979.36 563,618 6.54 56,361.76
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Cefadroxil Syrp 91 5,286.00 4,805.45 481,026.00 437,296 480.55 43,729.64
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
40 Diazepam tablet 2 mg 290 28.00 25.45 8,120.00 7,382 2.55 738.18
41 Difenhidramin HCl inj 10 mg/ml-1 ml 89 1,045.00 950.00 93,005.00 84,550 95.00 8,455.00
42 Domperidon suspensi 5 mg/5 ml 111 3,490.00 3,172.73 387,390.00 352,173 317.27 35,217.27
43 Doxycyclin 100 mg 24 250.00 227.27 6,000.00 5,455 22.73 545.45
44 Efedrin HCl tablet 25 mg 88 69.20 62.91 6,089.60 5,536 6.29 553.60
45 Ekstrak belladon 10 mg 980 43.00 39.09 42,140.00 38,309 3.91 3,830.91
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 1,095 1,023.00 930.00 1,120,185.00 1,018,350 93.00 101,835.00
48 Etakridin ( Rivanol ) larutan 0,1% 10 2,354.00 2,140.00 23,540.00 21,400 214.00 2,140.00
49 Etanol 70 % 1000 ml 12 20,000.00 18,181.82 240,000.00 218,182 1,818.18 21,818.18
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 5 105,000.00 95,454.55 525,000.00 477,273 9,545.45 47,727.27
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 1,087 74.00 67.27 80,438.00 73,125 6.73 7,312.55
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. 98 3,754.00 3,412.73 367,892.00 334,447 341.27 33,444.73
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 194 698.00 634.55 135,412.00 123,102 63.45 12,310.18
58 Furosemid tablet 40 mg 190 101.00 91.82 19,190.00 17,445 9.18 1,744.55
59 Garam Oralit untuk 200 ml air 831 322.00 292.73 267,582.00 243,256 29.27 24,325.64
60 Gentamycine injeksi 40 mg/ml - 3,415.00 3,104.55 - 0 310.45 0.00
61 Gentamycine Sulfat 0,1 % SK 93 2,478.00 2,252.73 230,454.00 209,504 225.27 20,950.36
62 Glibenklamid tablet 5 mg 400 126.00 114.55 50,400.00 45,818 11.45 4,581.82
63 Gliseril Guayakolat tablet 100 mg 12,074 31.00 28.18 374,294.00 340,267 2.82 34,026.73
64 Griseofulvin tablet 125 mg 295 200.00 181.82 59,000.00 53,636 18.18 5,363.64
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
66 Hidroklorotiazid (HCT) tablet 25 mg 2,280 49.00 44.55 111,720.00 101,564 4.45 10,156.36
67 Hidrokortison krim 2,5 % 74 2,938.00 2,670.91 217,412.00 197,647 267.09 19,764.73
68 Ibuprofen tablet 200 mg 280 96.21 87.46 26,938.80 24,490 8.75 2,448.98
69 Ibuprofen tablet 400 mg 2,367 157.00 142.73 371,619.00 337,835 14.27 33,783.55
70 Kalsium Laktat (kalk) tablet 500 mg - 69.00 62.73 - 0 6.27 0.00
71 Kalium Permanganat (PK) 24 4,041.00 3,673.64 96,984.00 88,167 367.36 8,816.73
72 KA-EN 3B 51 14,220.00 12,927.27 725,220.00 659,291 1,292.73 65,929.09

Ketokonasol Cream 53 2,697.00

73 2,451.82 142,941.00 129,946 245.18 12,994.64
Ketorolac Inj. 30 mg 12 8,528.00 7,752.73 102,336.00 93,033 775.27 9,303.27
74
75 Kloramfenikol kapsul 250 mg 6,690 224.00 203.64 1,498,560.00 1,362,327 20.36 136,232.73

Klorfeniramin Maleat (CTM) tab. 4 mg 17,965 21.00

76 19.09 377,265.00 342,968 1.91 34,296.82
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 113 1,680.00
78 1,527.27 189,840.00 172,582 152.73 17,258.18
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 244 2,298.00 2,089.09 560,712.00 509,738 208.91 50,973.82
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 3,006 146.00 132.73 438,876.00 398,978 13.27 39,897.82
80 + Trimetoprim 80 mg
81 Lisol 1 59,000.00 53,636.36 59,000.00 53,636 5,363.64 5,363.64
82
Lidokain komp. injeksi, Kombinasi: 11 1,485.00 1,350.00 16,335.00 14,850 135.00 1,485.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 280 1,200.00 1,090.91 336,000.00 305,455 109.09 30,545.45
85 Magnesium sulfat 20% - 1,539.80 1,399.82 - 0 139.98 0.00
86 Magnesium sulfat 40% - 11,947.90 10,861.73 - 0 1,086.17 0.00
87 Loratadine 10 mg 50 170.00 154.55 8,500.00 7,727 15.45 772.73
Metilergometrin Maleat (Metilergometrin) 294 169.00
88 tablet salut 0,125 mg 153.64 49,686.00 45,169 15.36 4,516.91
89 Metilergometrin maleat inj 19 4,200.00 3,818.18 79,800.00 72,545 381.82 7,254.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 450 169.00 153.64 76,050.00 69,136 15.36 6,913.64
92 Metilprednisolon 8 mg 420 390.00 354.55 163,800.00 148,909 35.45 14,890.91
93 Miconazole krim 51 3,150.00 2,863.64 160,650.00 146,045 286.36 14,604.55
94 Metoclopramide 10 mg 1,416 100.00 90.91 141,600.00 128,727 9.09 12,872.73
95 Natrium Klorida larutan infus 0,9 % 100 5,170.00 4,700.00 517,000.00 470,000 470.00 47,000.00
96 Natrium diklofenak 50 mg 2,071 206.00 187.27 426,626.00 387,842 18.73 38,784.18
97 Nistatin tablet vaginal 100.000 IU/g 101 407.00 370.00 41,107.00 37,370 37.00 3,737.00
98 Novahexin tablet 1,050 50.00 45.45 52,500.00 47,727 4.55 4,772.73
99 Nodiar 258 1,037.00 942.73 267,546.00 243,224 94.27 24,322.36
100 Obat Batuk Hitam (OBH) 63 1,931.00 1,755.45 121,653.00 110,594 175.55 11,059.36
101 Ondansetron inj. 4 mg - 6,050.00 5,500.00 - 0 550.00 0.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
103 Obat anti TB kategori I / FDC 17 396,000.00 360,000.00 6,732,000.00 6,120,000 36,000.00 612,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II 1 1,319,898.00 1,199,907.27 1,319,898.00 1,199,907 119,990.73 119,990.73
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata - 1,680.00 1,527.27 - 0 152.73 0.00
108 Oksitetrasiklin HCl SK 3 % 130 2,261.00 2,055.45 293,930.00 267,209 205.55 26,720.91
109 Oksitosin injeksi 10 IU/ml - 1 ml 100 3,300.00 3,000.00 330,000.00 300,000 300.00 30,000.00
110 Omeprazol Kapsul 20 mg 1,140 221.00 200.91 251,940.00 229,036 20.09 22,903.64
111 Parasetamol sirup 120 mg/5 ml 415 1,535.00 1,395.45 637,025.00 579,114 139.55 57,911.36
112 Parasetamol tablet 500 mg 32,285 84.80 77.09 2,737,768.00 2,488,880 7.71 248,888.00
113 Papaverin 697 128.00 116.36 89,216.00 81,105 11.64 8,110.55
114 Pehacain injeksi 160 3,113.00 2,830.00 498,080.00 452,800 283.00 45,280.00
115 Pirantel Pamoat tab. 125 mg 97 43.17 39.25 4,187.49 3,807 3.92 380.68
116 Piridoksin HCl (Vit.B6) tablet 10 mg 13,390 28.16 25.60 377,062.40 342,784 2.56 34,278.40
117 Piroksikam 20 mg 1,762 92.00 83.64 162,104.00 147,367 8.36 14,736.73
118 Prednison tablet 5 mg 666 98.00 89.09 65,268.00 59,335 8.91 5,933.45
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 95 108.05 98.23 10,264.75 9,332 9.82 933.16
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg 100 163.00 148.18 16,300.00 14,818 14.82 1,481.82
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 190 1,340.00 1,218.18 254,600.00 231,455 121.82 23,145.45
125 Ranitidin Tablet 150 mg 2,769 128.00 116.36 354,432.00 322,211 11.64 32,221.09
126 Retinol (vitamin A) Kaps 200.000 IU 2,000 505.00 459.09 1,010,000.00 918,182 45.91 91,818.18
127 Retinol (vitamin A) Kaps 100.000 IU 1,000 286.00 260.00 286,000.00 260,000 26.00 26,000.00
128 Ringer Laktat larutan infus steril 712 5,720.00 5,200.00 4,072,640.00 3,702,400 520.00 370,240.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 750 70.00 63.64 52,500.00 47,727 6.36 4,772.73
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 25 1,350.00 1,227.27 33,750.00 30,682 122.73 3,068.18
133 Salep 2-4 28 2,420.00 2,200.00 67,760.00 61,600 220.00 6,160.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 290 1,400.00 1,272.73 406,000.00 369,091 127.27 36,909.09
135 Simvastatin 10 mg 1,460 177.00 160.91 258,420.00 234,927 16.09 23,492.73
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron - 402.00 365.45 - 0 36.55 0.00
139 Tablet tambah darah kombinasi 10,320 90.00 81.82 928,800.00 844,364 8.18 84,436.36
140 Tetrasiklin HCl kapsul 500 mg 100 347.00 315.45 34,700.00 31,545 31.55 3,154.55
141 Tiamfenicol tab 500 mg 2,660 832.00 756.36 2,213,120.00 2,011,927 75.64 201,192.73
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 13,125 51.00 46.36 669,375.00 608,523 4.64 60,852.27
144 Vitamin B Kompleks tablet 16,550 112.00 101.82 1,853,600.00 1,685,091 10.18 168,509.09
145 Yodium pov. Lar. 10 % 30 ml 7 4,375.00 3,977.27 30,625.00 27,841 397.73 2,784.09
146 Yodium pov. Lar. 10 % 60 ml 4 6,379.00 5,799.09 25,516.00 23,196 579.91 2,319.64
147 Yodium pov. Lar. 10 % 300 ml 4 14,700.00 13,363.64 58,800.00 53,455 1,336.36 5,345.45
148 Zinc Dispersible 1,635 496.50 451.36 811,777.50 737,980 45.14 73,797.95
149 - - 0 0.00 0.00

TOTAL 4,210,485 3,827,714 58,660,880.24 53,328,073 382,771.38 5,332,807.29

PERBEKALAN KESEHATAN

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 348 7,786.00 7,078.18 2,709,528.00 2,463,207.27 707.82 246,320.73
152 Abbocath No. 22 180 7,786.00 7,078.18 1,401,480.00 1,274,072.73 707.82 127,407.27
153 Abbocath No. 24 195 7,786.00 7,078.18 1,518,270.00 1,380,245.45 707.82 138,024.55
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 1,010 1,093.00 993.64 1,103,930.00 1,003,572.73 99.36 100,357.27
157 Alat suntik sekali pakai 2,5 ml 484 1,038.00 943.64 502,392.00 456,720.00 94.36 45,672.00
158 Alat suntik sekali pakai 3 ml 200 1,038.00 943.64 207,600.00 188,727.27 94.36 18,872.73
159 Alat suntik sekali pakai 5 ml 67 944.00 858.18 63,248.00 57,498.18 85.82 5,749.82
160 Bisturi 119 800.00 727.27 95,200.00 86,545.45 72.73 8,654.55
161 Cat Gut No.3/0 dgn Jarum Bedah 124 24,583.00 22,348.18 3,048,292.00 2,771,174.55 2,234.82 277,117.45
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 1,100 4,250.00 3,863.64 4,675,000.00 4,250,000.00 386.36 425,000.00
165 Infusion set anak 118 6,782.00 6,165.45 800,276.00 727,523.64 616.55 72,752.36
166 Infusion set dewasa 309 6,778.00 6,161.82 2,094,402.00 1,904,001.82 616.18 190,400.18
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 16 7,500.00 6,818.18 120,000.00 109,090.91 681.82 10,909.09
170 Kasa pembalut Hidrofil 34 m x 10 cm 200 607.00 551.82 121,400.00 110,363.64 55.18 11,036.36
171 Kasa Steril 16 x 16 cm 12 8,500.00 7,727.27 102,000.00 92,727.27 772.73 9,272.73
172 Kasa 40 x 80 cm 1 145,650.00 132,409.09 145,650.00 132,409.09 13,240.91 13,240.91
173 Masker 240 1,125.00 1,022.73 270,000.00 245,454.55 102.27 24,545.45
174 Plester 5 yard x 2 inci 22 23,625.00 21,477.27 519,750.00 472,500.00 2,147.73 35,544.73
175 Silk (Benang Bedah Sutra) 56 6,982.00 6,347.27 390,992.00 355,447.27 634.73 1,817,037.27
Total alkes 1,657,247.00 1,506,588.18 19,987,410.00 18,170,372.73 150,658.82 3,586,824.55

TOTAL KESELURUHAN 5,867,732.13 5,334,301.94 78,648,290.24 71,498,446 533,430.19 8,919,631.84

Mengetahui Kendari, 30 Mei 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat

Dr. Putu Agustin Kusumawati Hj Ika Idrus

Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 30 APRIL 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 247 357.00 324.55 88,179.00 80,163 32.45 8,016.27

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
3 Anti Haemoroid DOEN Kombinasi 35 2,700.00 2,454.55 94,500.00 85,909 245.45 8,590.91
4 Albothyl Konsentrate - 32,900.00 29,909.09 - 0 2,990.91 0.00
5 Allopurinol tablet 300 mg 180 233.00 211.82 41,940.00 38,127 21.18 3,812.73
6 Allopurinol tablet 100 mg 169 90.00 81.82 15,210.00 13,827 8.18 1,382.73
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 1,360 352.00 320.00 478,720.00 435,200 32.00 43,520.00
9 Amoksisilin kaplet 500 mg 5,920 357.00 324.55 2,113,440.00 1,921,309 32.45 192,130.91
10 Amoksisilin sirup kering 125 mg/5ml 87 2,560.00 2,327.27 222,720.00 202,473 232.73 20,247.27
11 Ampicillin Inj im/iv 1000 mg/vial - 4,700.00 4,272.73 - 0 427.27 0.00
12 Antimigren : Ergotamin-Coffein 91 149.00 135.45 13,559.00 12,326 13.55 1,232.64
13 Antasida Doen Tab. Strip 3,715 73.12 66.47 271,640.80 246,946 6.65 24,694.62
14 Antasida sirup 26 2,213.00 2,011.82 57,538.00 52,307 201.18 5,230.73
15 Antibakteri doen kombinasi 25 2,741.00 2,491.82 68,525.00 62,295 249.18 6,229.55
16 Antifungi DOEN salep kombinasi 1 2,096.00 1,905.45 2,096.00 1,905 190.55 190.55
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 1 1,500.00 1,363.64 1,500.00 1,364 136.36 136.36
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 144 52.00 47.27 7,488.00 6,807 4.73 680.73
20 Asam Askorbat (Vit C) tablet 50 mg 3,847 36.00 32.73 138,492.00 125,902 3.27 12,590.18
21 Asam Mefenamat tab 500 mg 2,890 127.00 115.45 367,030.00 333,664 11.55 33,366.36
22 Atropin Sulfat injeksi - 1,400.00 1,272.73 - 0 127.27 0.00
23 Betametason krim 0.1% 72 1,596.00 1,450.91 114,912.00 104,465 145.09 10,446.55
24 Betahistin tab 6 mg 402 1,246.66 1,133.33 501,157.32 455,598 113.33 45,559.76
25 Bioplacenton Gell 15 g - 16,000.00 14,545.45 - 0 1,454.55 0.00
26 Biolisin smart syrup 13 9,900.00 9,000.00 128,700.00 117,000 900.00 11,700.00
27 Captopril tablet 25 mg 1,126 97.00 88.18 109,222.00 99,293 8.82 9,929.27
28 Captopril tablet 12,5 mg 420 90.00 81.82 37,800.00 34,364 8.18 3,436.36
29 Cetirizine tab 740 190.00 172.73 140,600.00 127,818 17.27 12,781.82
30 Cefadroxil 415 548.00 498.18 227,420.00 206,745 49.82 20,674.55
31 Cimetidin 200 mg 110 105.97 96.34 11,656.70 10,597 9.63 1,059.70
32 Ciprofloksacin 1,714 290.00 263.64 497,060.00 451,873 26.36 45,187.27
33 Darplex 3 3,947.00 3,588.18 11,841.00 10,765 358.82 1,076.45
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 3,079 71.89 65.35 221,349.31 201,227 6.54 20,122.66
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Dekstromethorfan syrp - 1,467.40 1,334.00 - 0 133.40 0.00
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
40 Diazepam tablet 2 mg 341 28.00 25.45 9,548.00 8,680 2.55 868.00
41 Difenhidramin HCl inj 10 mg/ml-1 ml 60 1,045.00 950.00 62,700.00 57,000 95.00 5,700.00
42 Domperidon suspensi 5 mg/5 ml 49 3,490.00 3,172.73 171,010.00 155,464 317.27 15,546.36
43 Doxycyclin 100 mg 24 250.00 227.27 6,000.00 5,455 22.73 545.45
44 Efedrin HCl tablet 25 mg 536 69.20 62.91 37,091.20 33,719 6.29 3,371.93
45 Ekstrak belladon 10 mg 980 43.00 39.09 42,140.00 38,309 3.91 3,830.91
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 690 1,023.00 930.00 705,870.00 641,700 93.00 64,170.00
48 Etakridin ( Rivanol ) larutan 0,1% 6 2,354.00 2,140.00 14,124.00 12,840 214.00 1,284.00
49 Etanol 70 % 1000 ml 2 20,000.00 18,181.82 40,000.00 36,364 1,818.18 3,636.36
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 4 105,000.00 95,454.55 420,000.00 381,818 9,545.45 38,181.82
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 1,174 74.00 67.27 86,876.00 78,978 6.73 7,897.82
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. 8 3,754.00 3,412.73 30,032.00 27,302 341.27 2,730.18
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg - 698.00 634.55 - 0 63.45 0.00
58 Furosemid tablet 40 mg 20 101.00 91.82 2,020.00 1,836 9.18 183.64
59 Garam Oralit untuk 200 ml air 32 322.00 292.73 10,304.00 9,367 29.27 936.73
60 Gentamycine injeksi 40 mg/ml - 3,415.00 3,104.55 - 0 310.45 0.00
61 Gentamycine Sulfat 0,1 % SK 26 2,478.00 2,252.73 64,428.00 58,571 225.27 5,857.09
62 Glibenklamid tablet 5 mg 145 126.00 114.55 18,270.00 16,609 11.45 1,660.91
63 Gliseril Guayakolat tablet 100 mg 2,262 31.00 28.18 70,122.00 63,747 2.82 6,374.73
64 Griseofulvin tablet 125 mg 80 200.00 181.82 16,000.00 14,545 18.18 1,454.55
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
66 Hidroklorotiazid (HCT) tablet 25 mg 445 49.00 44.55 21,805.00 19,823 4.45 1,982.27
67 Hidrokortison krim 2,5 % 38 2,938.00 2,670.91 111,644.00 101,495 267.09 10,149.45
68 Ibuprofen tablet 200 mg - 96.21 87.46 - 0 8.75 0.00
69 Ibuprofen tablet 400 mg 879 157.00 142.73 138,003.00 125,457 14.27 12,545.73
70 Kalsium Laktat (kalk) tablet 500 mg - 69.00 62.73 - 0 6.27 0.00
71 Kalium Permanganat (PK) 7 4,041.00 3,673.64 28,287.00 25,715 367.36 2,571.55
72 KA-EN 3B 22 14,220.00 12,927.27 312,840.00 284,400 1,292.73 28,440.00

Ketokonasol Cream 11 2,697.00

73 2,451.82 29,667.00 26,970 245.18 2,697.00
Ketorolac Inj. 30 mg 7 8,528.00 7,752.73 59,696.00 54,269 775.27 5,426.91
74
75 Kloramfenikol kapsul 250 mg 2,335 224.00 203.64 523,040.00 475,491 20.36 47,549.09

Klorfeniramin Maleat (CTM) tab. 4 mg 1,190 21.00

76 19.09 24,990.00 22,718 1.91 2,271.82
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 44 1,680.00
78 1,527.27 73,920.00 67,200 152.73 6,720.00
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 48 2,298.00 2,089.09 110,304.00 100,276 208.91 10,027.64
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 963 146.00 132.73 140,598.00 127,816 13.27 12,781.64
80 + Trimetoprim 80 mg
81 Lisol 1 59,000.00 53,636.36 59,000.00 53,636 5,363.64 5,363.64
82
Lidokain komp. injeksi, Kombinasi: 42 1,485.00 1,350.00 62,370.00 56,700 135.00 5,670.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 122 1,200.00 1,090.91 146,400.00 133,091 109.09 13,309.09
85 Magnesium sulfat 20% - 1,539.80 1,399.82 - 0 139.98 0.00
86 Magnesium sulfat 40% - 11,947.90 10,861.73 - 0 1,086.17 0.00
87 Loratadine 10 mg 160 170.00 154.55 27,200.00 24,727 15.45 2,472.73
Metilergometrin Maleat (Metilergometrin) 294 169.00
88 tablet salut 0,125 mg 153.64 49,686.00 45,169 15.36 4,516.91
89 Metilergometrin maleat inj 19 4,200.00 3,818.18 79,800.00 72,545 381.82 7,254.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 18 169.00 153.64 3,042.00 2,765 15.36 276.55
92 Metilprednisolon 8 mg 760 390.00 354.55 296,400.00 269,455 35.45 26,945.45
93 Miconazole krim 14 3,150.00 2,863.64 44,100.00 40,091 286.36 4,009.09
94 Metoclopramide 10 mg 75 100.00 90.91 7,500.00 6,818 9.09 681.82
95 Natrium Klorida larutan infus 0,9 % 20 5,170.00 4,700.00 103,400.00 94,000 470.00 9,400.00
96 Natrium diklofenak 50 mg 360 206.00 187.27 74,160.00 67,418 18.73 6,741.82
97 Nistatin tablet vaginal 100.000 IU/g 27 407.00 370.00 10,989.00 9,990 37.00 999.00
98 Novahexin tablet 630 50.00 45.45 31,500.00 28,636 4.55 2,863.64
99 Nodiar 266 1,037.00 942.73 275,842.00 250,765 94.27 25,076.55
100 Obat Batuk Hitam (OBH) 38 1,931.00 1,755.45 73,378.00 66,707 175.55 6,670.73
101 Ondansetron inj. 4 mg - 6,050.00 5,500.00 - 0 550.00 0.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
103 Obat anti TB kategori I / FDC 4 396,000.00 360,000.00 1,584,000.00 1,440,000 36,000.00 144,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II 1 1,319,898.00 1,199,907.27 1,319,898.00 1,199,907 119,990.73 119,990.73
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata - 1,680.00 1,527.27 - 0 152.73 0.00
108 Oksitetrasiklin HCl SK 3 % 59 2,261.00 2,055.45 133,399.00 121,272 205.55 12,127.18
109 Oksitosin injeksi 10 IU/ml - 1 ml 20 3,300.00 3,000.00 66,000.00 60,000 300.00 6,000.00
110 Omeprazol Kapsul 20 mg 444 221.00 200.91 98,124.00 89,204 20.09 8,920.36
111 Parasetamol sirup 120 mg/5 ml 31 1,535.00 1,395.45 47,585.00 43,259 139.55 4,325.91
112 Parasetamol tablet 500 mg 5,205 84.80 77.09 441,384.00 401,258 7.71 40,125.82
113 Papaverin 424 128.00 116.36 54,272.00 49,338 11.64 4,933.82
114 Pehacain injeksi - 3,113.00 2,830.00 - 0 283.00 0.00
115 Pirantel Pamoat tab. 125 mg 121 43.17 39.25 5,223.57 4,749 3.92 474.87
116 Piridoksin HCl (Vit.B6) tablet 10 mg 5,055 28.16 25.60 142,348.80 129,408 2.56 12,940.80
117 Piroksikam 20 mg 238 92.00 83.64 21,896.00 19,905 8.36 1,990.55
118 Prednison tablet 5 mg 874 98.00 89.09 85,652.00 77,865 8.91 7,786.55
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 98 108.05 98.23 10,588.90 9,626 9.82 962.63
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg - 163.00 148.18 - 0 14.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 41 1,340.00 1,218.18 54,940.00 49,945 121.82 4,994.55
125 Ranitidin Tablet 150 mg 1,078 128.00 116.36 137,984.00 125,440 11.64 12,544.00
126 Retinol (vitamin A) Kaps 200.000 IU - 505.00 459.09 - 0 45.91 0.00
127 Retinol (vitamin A) Kaps 100.000 IU - 286.00 260.00 - 0 26.00 0.00
128 Ringer Laktat larutan infus steril 901 5,720.00 5,200.00 5,153,720.00 4,685,200 520.00 468,520.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 85 70.00 63.64 5,950.00 5,409 6.36 540.91
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 2 1,350.00 1,227.27 2,700.00 2,455 122.73 245.45
133 Salep 2-4 6 2,420.00 2,200.00 14,520.00 13,200 220.00 1,320.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg 294 1,400.00 1,272.73 411,600.00 374,182 127.27 37,418.18
135 Simvastatin 10 mg 1,015 177.00 160.91 179,655.00 163,323 16.09 16,332.27
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. 4 24,800.00 22,545.45 99,200.00 90,182 2,254.55 9,018.18
138 Supra Livron 150 402.00 365.45 60,300.00 54,818 36.55 5,481.82
139 Tablet tambah darah kombinasi 6,170 90.00 81.82 555,300.00 504,818 8.18 50,481.82
140 Tetrasiklin HCl kapsul 500 mg 100 347.00 315.45 34,700.00 31,545 31.55 3,154.55
141 Tiamfenicol tab 500 mg 855 832.00 756.36 711,360.00 646,691 75.64 64,669.09
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 3,990 51.00 46.36 203,490.00 184,991 4.64 18,499.09
144 Vitamin B Kompleks tablet 2,470 112.00 101.82 276,640.00 251,491 10.18 25,149.09
145 Yodium pov. Lar. 10 % 30 ml 4 4,375.00 3,977.27 17,500.00 15,909 397.73 1,590.91
146 Yodium pov. Lar. 10 % 60 ml - 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
148 Zinc Dispersible 250 496.50 451.36 124,125.00 112,841 45.14 11,284.09
149 - - 0 0.00 0.00

TOTAL 4,206,667 3,824,242 23,077,264.60 20,979,331 382,424.23 2,097,933.15

PERBEKALAN KESEHATAN

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 148 7,786.00 7,078.18 1,152,328.00 1,047,570.91 707.82 104,757.09
152 Abbocath No. 22 90 7,786.00 7,078.18 700,740.00 637,036.36 707.82 63,703.64
153 Abbocath No. 24 57 7,786.00 7,078.18 443,802.00 403,456.36 707.82 40,345.64
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 110 1,093.00 993.64 120,230.00 109,300.00 99.36 10,930.00
157 Alat suntik sekali pakai 2,5 ml 410 1,038.00 943.64 425,580.00 386,890.91 94.36 38,689.09
158 Alat suntik sekali pakai 3 ml 200 1,038.00 943.64 207,600.00 188,727.27 94.36 18,872.73
159 Alat suntik sekali pakai 5 ml 70 944.00 858.18 66,080.00 60,072.73 85.82 6,007.27
160 Bisturi 29 800.00 727.27 23,200.00 21,090.91 72.73 2,109.09
161 Cat Gut No.3/0 dgn Jarum Bedah 28 24,583.00 22,348.18 688,324.00 625,749.09 2,234.82 62,574.91
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 200 4,250.00 3,863.64 850,000.00 772,727.27 386.36 77,272.73
165 Infusion set anak 63 6,782.00 6,165.45 427,266.00 388,423.64 616.55 38,842.36
166 Infusion set dewasa 142 6,778.00 6,161.82 962,476.00 874,978.18 616.18 87,497.82
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 0 7,500.00 6,818.18 0.00 0.00 681.82 0.00
170 Kasa pembalut Hidrofil 34 m x 10 cm 74 607.00 551.82 44,918.00 40,834.55 55.18 4,083.45
171 Kasa Steril 16 x 16 cm 3 8,500.00 7,727.27 25,500.00 23,181.82 772.73 2,318.18
172 Kasa 40 x 80 cm 1 145,650.00 132,409.09 145,650.00 132,409.09 13,240.91 13,240.91
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
174 Plester 5 yard x 2 inci 7 23,625.00 21,477.27 165,375.00 150,340.91 2,147.73 23,484.91
175 Silk (Benang Bedah Sutra) 37 6,982.00 6,347.27 258,334.00 234,849.09 634.73 618,673.00
Total alkes 1,657,247.00 1,506,588.18 6,805,403.00 6,186,730.00 150,658.82 1,222,311.91

TOTAL KESELURUHAN 5,863,913.53 5,330,830.48 29,882,667.60 27,166,061 533,083.05 3,320,245.05

Mengetahui Kendari, 30 April 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat

Dr. Putu Agustin Kusumawati Hj Ika Idrus

Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 31 MARET 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 322 357.00 324.55 114,954.00 104,504 32.45 10,450.36

2 Acyklovir Krim 28 2,367.00 2,151.82 66,276.00 60,251 215.18 6,025.09
3 Anti Haemoroid DOEN Kombinasi 17 2,700.00 2,454.55 45,900.00 41,727 245.45 4,172.73
4 Albothyl Konsentrate 1 32,900.00 29,909.09 32,900.00 29,909 2,990.91 2,990.91
5 Allopurinol tablet 300 mg 230 233.00 211.82 53,590.00 48,718 21.18 4,871.82
6 Allopurinol tablet 100 mg 545 90.00 81.82 49,050.00 44,591 8.18 4,459.09
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 790 352.00 320.00 278,080.00 252,800 32.00 25,280.00
9 Amoksisilin kaplet 500 mg 6,830 357.00 324.55 2,438,310.00 2,216,645 32.45 221,664.55
10 Amoksisilin sirup kering 125 mg/5ml 92 2,560.00 2,327.27 235,520.00 214,109 232.73 21,410.91
11 Ampicillin Inj im/iv 1000 mg/vial - 4,700.00 4,272.73 - 0 427.27 0.00
12 Antimigren : Ergotamin-Coffein 36 149.00 135.45 5,364.00 4,876 13.55 487.64
13 Antasida Doen Tab. Strip 8,115 73.12 66.47 593,368.80 539,426 6.65 53,942.62
14 Antasida sirup 119 2,213.00 2,011.82 263,347.00 239,406 201.18 23,940.64
15 Antibakteri doen kombinasi 25 2,741.00 2,491.82 68,525.00 62,295 249.18 6,229.55
16 Antifungi DOEN salep kombinasi 11 2,096.00 1,905.45 23,056.00 20,960 190.55 2,096.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 2 1,500.00 1,363.64 3,000.00 2,727 136.36 272.73
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 265 52.00 47.27 13,780.00 12,527 4.73 1,252.73
20 Asam Askorbat (Vit C) tablet 50 mg 8,455 36.00 32.73 304,380.00 276,709 3.27 27,670.91
21 Asam Mefenamat tab 500 mg 3,995 127.00 115.45 507,365.00 461,241 11.55 46,124.09
22 Atropin Sulfat injeksi - 1,400.00 1,272.73 - 0 127.27 0.00
23 Betametason krim 0.1% 149 1,596.00 1,450.91 237,804.00 216,185 145.09 21,618.55
24 Betahistin tab 6 mg 128 1,246.66 1,133.33 159,572.48 145,066 113.33 14,506.59
25 Bioplacenton Gell 15 g 5 16,000.00 14,545.45 80,000.00 72,727 1,454.55 7,272.73
26 Biolisin smart syrup 155 9,900.00 9,000.00 1,534,500.00 1,395,000 900.00 139,500.00
27 Captopril tablet 25 mg 1,503 97.00 88.18 145,791.00 132,537 8.82 13,253.73
28 Captopril tablet 12,5 mg 640 90.00 81.82 57,600.00 52,364 8.18 5,236.36
29 Cetirizine tab 140 190.00 172.73 26,600.00 24,182 17.27 2,418.18
30 Cefadroxil 1,192 548.00 498.18 653,216.00 593,833 49.82 59,383.27
31 Cimetidin 200 mg 230 105.97 96.34 24,373.10 22,157 9.63 2,215.74
32 Ciprofloksacin 2,390 290.00 263.64 693,100.00 630,091 26.36 63,009.09
33 Darplex 3 3,947.00 3,588.18 11,841.00 10,765 358.82 1,076.45
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 6,506 71.89 65.35 467,716.34 425,197 6.54 42,519.67
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Dekstromethorfan syrp - 1,467.40 1,334.00 - 0 133.40 0.00
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
40 Diazepam tablet 2 mg 418 28.00 25.45 11,704.00 10,640 2.55 1,064.00
41 Difenhidramin HCl inj 10 mg/ml-1 ml - 1,045.00 950.00 - 0 95.00 0.00
42 Domperidon suspensi 5 mg/5 ml 45 3,490.00 3,172.73 157,050.00 142,773 317.27 14,277.27
43 Doxycyclin 100 mg 24 250.00 227.27 6,000.00 5,455 22.73 545.45
44 Efedrin HCl tablet 25 mg 727 69.20 62.91 50,308.40 45,735 6.29 4,573.49
45 Ekstrak belladon 10 mg 980 43.00 39.09 42,140.00 38,309 3.91 3,830.91
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 950 1,023.00 930.00 971,850.00 883,500 93.00 88,350.00
48 Etakridin ( Rivanol ) larutan 0,1% 7 2,354.00 2,140.00 16,478.00 14,980 214.00 1,498.00
49 Etanol 70 % 1000 ml 3 20,000.00 18,181.82 60,000.00 54,545 1,818.18 5,454.55
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 6 105,000.00 95,454.55 630,000.00 572,727 9,545.45 57,272.73
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 1,414 74.00 67.27 104,636.00 95,124 6.73 9,512.36
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. 30 3,754.00 3,412.73 112,620.00 102,382 341.27 10,238.18
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 3 698.00 634.55 2,094.00 1,904 63.45 190.36
58 Furosemid tablet 40 mg 50 101.00 91.82 5,050.00 4,591 9.18 459.09
59 Garam Oralit untuk 200 ml air 340 322.00 292.73 109,480.00 99,527 29.27 9,952.73
60 Gentamycine injeksi 40 mg/ml - 3,415.00 3,104.55 - 0 310.45 0.00
61 Gentamycine Sulfat 0,1 % SK 6 2,478.00 2,252.73 14,868.00 13,516 225.27 1,351.64
62 Glibenklamid tablet 5 mg 285 126.00 114.55 35,910.00 32,645 11.45 3,264.55
63 Gliseril Guayakolat tablet 100 mg 6,285 31.00 28.18 194,835.00 177,123 2.82 17,712.27
64 Griseofulvin tablet 125 mg 185 200.00 181.82 37,000.00 33,636 18.18 3,363.64
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
66 Hidroklorotiazid (HCT) tablet 25 mg 900 49.00 44.55 44,100.00 40,091 4.45 4,009.09
67 Hidrokortison krim 2,5 % 60 2,938.00 2,670.91 176,280.00 160,255 267.09 16,025.45
68 Ibuprofen tablet 200 mg - 96.21 87.46 - 0 8.75 0.00
69 Ibuprofen tablet 400 mg 218 157.00 142.73 34,226.00 31,115 14.27 3,111.45
70 Kalsium Laktat (kalk) tablet 500 mg 530 69.00 62.73 36,570.00 33,245 6.27 3,324.55
71 Kalium Permanganat (PK) 7 4,041.00 3,673.64 28,287.00 25,715 367.36 2,571.55
72 KA-EN 3B 40 14,220.00 12,927.27 568,800.00 517,091 1,292.73 51,709.09

Ketokonasol Cream 20 2,697.00

73 2,451.82 53,940.00 49,036 245.18 4,903.64
Ketorolac Inj. 30 mg 7 8,528.00 7,752.73 59,696.00 54,269 775.27 5,426.91
74
75 Kloramfenikol kapsul 250 mg 3,020 224.00 203.64 676,480.00 614,982 20.36 61,498.18

Klorfeniramin Maleat (CTM) tab. 4 mg 8,995 21.00

76 19.09 188,895.00 171,723 1.91 17,172.27
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 30 1,680.00
78 1,527.27 50,400.00 45,818 152.73 4,581.82
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 115 2,298.00 2,089.09 264,270.00 240,245 208.91 24,024.55
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 1,396 146.00 132.73 203,816.00 185,287 13.27 18,528.73
80 + Trimetoprim 80 mg
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82
Lidokain komp. injeksi, Kombinasi: 93 1,485.00 1,350.00 138,105.00 125,550 135.00 12,555.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 47 1,200.00 1,090.91 56,400.00 51,273 109.09 5,127.27
85 Magnesium sulfat 20% - 1,539.80 1,399.82 - 0 139.98 0.00
86 Magnesium sulfat 40% - 11,947.90 10,861.73 - 0 1,086.17 0.00
87 Loratadine 10 mg 245 170.00 154.55 41,650.00 37,864 15.45 3,786.36
Metilergometrin Maleat (Metilergometrin) 294 169.00
88 tablet salut 0,125 mg 153.64 49,686.00 45,169 15.36 4,516.91
89 Metilergometrin maleat inj 19 4,200.00 3,818.18 79,800.00 72,545 381.82 7,254.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 300 169.00 153.64 50,700.00 46,091 15.36 4,609.09
92 Metilprednisolon 8 mg 150 390.00 354.55 58,500.00 53,182 35.45 5,318.18
93 Miconazole krim 11 3,150.00 2,863.64 34,650.00 31,500 286.36 3,150.00
94 Metoclopramide 10 mg 408 100.00 90.91 40,800.00 37,091 9.09 3,709.09
95 Natrium Klorida larutan infus 0,9 % 57 5,170.00 4,700.00 294,690.00 267,900 470.00 26,790.00
96 Natrium diklofenak 50 mg 1,551 206.00 187.27 319,506.00 290,460 18.73 29,046.00
97 Nistatin tablet vaginal 100.000 IU/g 42 407.00 370.00 17,094.00 15,540 37.00 1,554.00
98 Novahexin tablet 1,005 50.00 45.45 50,250.00 45,682 4.55 4,568.18
99 Nodiar 270 1,037.00 942.73 279,990.00 254,536 94.27 25,453.64
100 Obat Batuk Hitam (OBH) 16 1,931.00 1,755.45 30,896.00 28,087 175.55 2,808.73
101 Ondansetron inj. 4 mg 5 6,050.00 5,500.00 30,250.00 27,500 550.00 2,750.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
103 Obat anti TB kategori I / FDC 9 396,000.00 360,000.00 3,564,000.00 3,240,000 36,000.00 324,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II 1 1,319,898.00 1,199,907.27 1,319,898.00 1,199,907 119,990.73 119,990.73
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata 15 1,680.00 1,527.27 25,200.00 22,909 152.73 2,290.91
108 Oksitetrasiklin HCl SK 3 % 80 2,261.00 2,055.45 180,880.00 164,436 205.55 16,443.64
109 Oksitosin injeksi 10 IU/ml - 1 ml 60 3,300.00 3,000.00 198,000.00 180,000 300.00 18,000.00
110 Omeprazol Kapsul 20 mg 155 221.00 200.91 34,255.00 31,141 20.09 3,114.09
111 Parasetamol sirup 120 mg/5 ml 311 1,535.00 1,395.45 477,385.00 433,986 139.55 43,398.64
112 Parasetamol tablet 500 mg 16,805 84.80 77.09 1,425,064.00 1,295,513 7.71 129,551.27
113 Papaverin 572 128.00 116.36 73,216.00 66,560 11.64 6,656.00
114 Pehacain injeksi - 3,113.00 2,830.00 - 0 283.00 0.00
115 Pirantel Pamoat tab. 125 mg 142 43.17 39.25 6,130.14 5,573 3.92 557.29
116 Piridoksin HCl (Vit.B6) tablet 10 mg 7,360 28.16 25.60 207,257.60 188,416 2.56 18,841.60
117 Piroksikam 20 mg 297 92.00 83.64 27,324.00 24,840 8.36 2,484.00
118 Prednison tablet 5 mg 874 98.00 89.09 85,652.00 77,865 8.91 7,786.55
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 98 108.05 98.23 10,588.90 9,626 9.82 962.63
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg - 163.00 148.18 - 0 14.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 95 1,340.00 1,218.18 127,300.00 115,727 121.82 11,572.73
125 Ranitidin Tablet 150 mg 1,261 128.00 116.36 161,408.00 146,735 11.64 14,673.45
126 Retinol (vitamin A) Kaps 200.000 IU - 505.00 459.09 - 0 45.91 0.00
127 Retinol (vitamin A) Kaps 100.000 IU - 286.00 260.00 - 0 26.00 0.00
128 Ringer Laktat larutan infus steril 1,275 5,720.00 5,200.00 7,293,000.00 6,630,000 520.00 663,000.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 410 70.00 63.64 28,700.00 26,091 6.36 2,609.09
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 8 1,350.00 1,227.27 10,800.00 9,818 122.73 981.82
133 Salep 2-4 8 2,420.00 2,200.00 19,360.00 17,600 220.00 1,760.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg - 1,400.00 1,272.73 - 0 127.27 0.00
135 Simvastatin 10 mg 1,445 177.00 160.91 255,765.00 232,514 16.09 23,251.36
136 Suldox tab - 520.30 473.00 - 0 47.30 0.00
137 Stesolid Supp. 5 24,800.00 22,545.45 124,000.00 112,727 2,254.55 11,272.73
138 Supra Livron 960 402.00 365.45 385,920.00 350,836 36.55 35,083.64
139 Tablet tambah darah kombinasi 2,070 90.00 81.82 186,300.00 169,364 8.18 16,936.36
140 Tetrasiklin HCl kapsul 500 mg - 347.00 315.45 - 0 31.55 0.00
141 Tiamfenicol tab 500 mg 320 832.00 756.36 266,240.00 242,036 75.64 24,203.64
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 7,035 51.00 46.36 358,785.00 326,168 4.64 32,616.82
144 Vitamin B Kompleks tablet 10,480 112.00 101.82 1,173,760.00 1,067,055 10.18 106,705.45
145 Yodium pov. Lar. 10 % 30 ml 8 4,375.00 3,977.27 35,000.00 31,818 397.73 3,181.82
146 Yodium pov. Lar. 10 % 60 ml 5 6,379.00 5,799.09 31,895.00 28,995 579.91 2,899.55
147 Yodium pov. Lar. 10 % 300 ml - 14,700.00 13,363.64 - 0 1,336.36 0.00
148 Zinc Dispersible 820 496.50 451.36 407,130.00 370,118 45.14 37,011.82
149 - - 0 0.00 0.00

TOTAL 4,206,667 3,824,242 34,463,485.76 31,330,442 382,424.23 3,133,044.16

PERBEKALAN KESEHATAN

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 210 7,786.00 7,078.18 1,635,060.00 1,486,418.18 707.82 148,641.82
152 Abbocath No. 22 276 7,786.00 7,078.18 2,148,936.00 1,953,578.18 707.82 195,357.82
153 Abbocath No. 24 105 7,786.00 7,078.18 817,530.00 743,209.09 707.82 74,320.91
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 390 1,093.00 993.64 426,270.00 387,518.18 99.36 38,751.82
157 Alat suntik sekali pakai 2,5 ml 580 1,038.00 943.64 602,040.00 547,309.09 94.36 54,730.91
158 Alat suntik sekali pakai 3 ml 200 1,038.00 943.64 207,600.00 188,727.27 94.36 18,872.73
159 Alat suntik sekali pakai 5 ml 80 944.00 858.18 75,520.00 68,654.55 85.82 6,865.45
160 Bisturi 41 800.00 727.27 32,800.00 29,818.18 72.73 2,981.82
161 Cat Gut No.3/0 dgn Jarum Bedah 33 24,583.00 22,348.18 811,239.00 737,490.00 2,234.82 73,749.00
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 250 4,250.00 3,863.64 1,062,500.00 965,909.09 386.36 96,590.91
165 Infusion set anak 36 6,782.00 6,165.45 244,152.00 221,956.36 616.55 22,195.64
166 Infusion set dewasa 160 6,778.00 6,161.82 1,084,480.00 985,890.91 616.18 98,589.09
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 4 7,500.00 6,818.18 30,000.00 27,272.73 681.82 2,727.27
170 Kasa pembalut Hidrofil 34 m x 10 cm 215 607.00 551.82 130,505.00 118,640.91 55.18 11,864.09
171 Kasa Steril 16 x 16 cm 3 8,500.00 7,727.27 25,500.00 23,181.82 772.73 2,318.18
172 Kasa 40 x 80 cm 1 145,650.00 132,409.09 145,650.00 132,409.09 13,240.91 13,240.91
173 Masker 60 1,125.00 1,022.73 67,500.00 61,363.64 102.27 6,136.36
174 Plester 5 yard x 2 inci 15 23,625.00 21,477.27 354,375.00 322,159.09 2,147.73 41,892.00
175 Silk (Benang Bedah Sutra) 66 6,982.00 6,347.27 460,812.00 418,920.00 634.73 950,951.73
Total alkes 1,657,247.00 1,506,588.18 10,460,469.00 9,509,517.27 150,658.82 1,869,687.55

TOTAL KESELURUHAN 5,863,913.53 5,330,830.48 44,923,954.76 40,839,959 533,083.05 5,002,731.71

Mengetahui Kendari, 31 Maret 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat

Dr. Putu Agustin Kusumawati Hj Ika Idrus

Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL. CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 28 FEBRUARI 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 377 357.00 324.55 134,589.00 122,354 32.45 12,235.36

2 Acyklovir Krim 34 2,367.00 2,151.82 80,478.00 73,162 215.18 7,316.18
3 Anti Haemoroid DOEN Kombinasi 46 2,700.00 2,454.55 124,200.00 112,909 245.45 11,290.91
4 Albothyl Konsentrate 3 32,900.00 29,909.09 98,700.00 89,727 2,990.91 8,972.73
5 Allopurinol tablet 300 mg 260 233.00 211.82 60,580.00 55,073 21.18 5,507.27
6 Allopurinol tablet 100 mg 770 90.00 81.82 69,300.00 63,000 8.18 6,300.00
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 520 352.00 320.00 183,040.00 166,400 32.00 16,640.00
9 Amoksisilin kaplet 500 mg 12,450 357.00 324.55 4,444,650.00 4,040,591 32.45 404,059.09
10 Amoksisilin sirup kering 125 mg/5ml 220 2,560.00 2,327.27 563,200.00 512,000 232.73 51,200.00
11 Ampicillin Inj im/iv 1000 mg/vial - 4,700.00 4,272.73 - 0 427.27 0.00
12 Antimigren : Ergotamin-Coffein 88 149.00 135.45 13,112.00 11,920 13.55 1,192.00
13 Antasida Doen Tab. Strip 10,850 73.12 66.47 793,352.00 721,229 6.65 72,122.91
14 Antasida sirup 97 2,213.00 2,011.82 214,661.00 195,146 201.18 19,514.64
15 Antibakteri doen kombinasi 25 2,741.00 2,491.82 68,525.00 62,295 249.18 6,229.55
16 Antifungi DOEN salep kombinasi 11 2,096.00 1,905.45 23,056.00 20,960 190.55 2,096.00
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 4 1,500.00 1,363.64 6,000.00 5,455 136.36 545.45
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 520 52.00 47.27 27,040.00 24,582 4.73 2,458.18
20 Asam Askorbat (Vit C) tablet 50 mg 11,735 36.00 32.73 422,460.00 384,055 3.27 38,405.45
21 Asam Mefenamat tab 500 mg 6,664 127.00 115.45 846,328.00 769,389 11.55 76,938.91
22 Atropin Sulfat injeksi - 1,400.00 1,272.73 - 0 127.27 0.00
23 Betametason krim 0.1% 184 1,596.00 1,450.91 293,664.00 266,967 145.09 26,696.73
24 Betahistin tab 6 mg 168 1,246.66 1,133.33 209,438.88 190,399 113.33 19,039.90
25 Bioplacenton Gell 15 g 2 16,000.00 14,545.45 32,000.00 29,091 1,454.55 2,909.09
26 Biolisin smart syrup 196 9,900.00 9,000.00 1,940,400.00 1,764,000 900.00 176,400.00
27 Captopril tablet 25 mg 1,750 97.00 88.18 169,750.00 154,318 8.82 15,431.82
28 Captopril tablet 12,5 mg 915 90.00 81.82 82,350.00 74,864 8.18 7,486.36
29 Cetirizine tab 315 190.00 172.73 59,850.00 54,409 17.27 5,440.91
30 Cefadroxil 749 548.00 498.18 410,452.00 373,138 49.82 37,313.82
31 Cimetidin 200 mg 280 105.97 96.34 29,671.60 26,974 9.63 2,697.42
32 Ciprofloksacin 1,044 290.00 263.64 302,760.00 275,236 26.36 27,523.64
33 Darplex - 3,947.00 3,588.18 - 0 358.82 0.00
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 8,931 71.89 65.35 642,049.59 583,681 6.54 58,368.14
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Dekstromethorfan syrp - 1,467.40 1,334.00 - 0 133.40 0.00
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
40 Diazepam tablet 2 mg 487 28.00 25.45 13,636.00 12,396 2.55 1,239.64
41 Difenhidramin HCl inj 10 mg/ml-1 ml - 1,045.00 950.00 - 0 95.00 0.00
42 Domperidon suspensi 5 mg/5 ml 80 3,490.00 3,172.73 279,200.00 253,818 317.27 25,381.82
43 Doxycyclin 100 mg 252 250.00 227.27 63,000.00 57,273 22.73 5,727.27
44 Efedrin HCl tablet 25 mg 757 69.20 62.91 52,384.40 47,622 6.29 4,762.22
45 Ekstrak belladon 10 mg 990 43.00 39.09 42,570.00 38,700 3.91 3,870.00
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 140 1,023.00 930.00 143,220.00 130,200 93.00 13,020.00
48 Etakridin ( Rivanol ) larutan 0,1% 7 2,354.00 2,140.00 16,478.00 14,980 214.00 1,498.00
49 Etanol 70 % 1000 ml 5 20,000.00 18,181.82 100,000.00 90,909 1,818.18 9,090.91
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 2 105,000.00 95,454.55 210,000.00 190,909 9,545.45 19,090.91
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 554 74.00 67.27 40,996.00 37,269 6.73 3,726.91
55 Formakresol - 77,200.00 70,181.82 - 0 7,018.18 0.00
56 Fitomenadion (Vit.K1) inj. - 3,754.00 3,412.73 - 0 341.27 0.00
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 78 698.00 634.55 54,444.00 49,495 63.45 4,949.45
58 Furosemid tablet 40 mg 62 101.00 91.82 6,262.00 5,693 9.18 569.27
59 Garam Oralit untuk 200 ml air 602 322.00 292.73 193,844.00 176,222 29.27 17,622.18
60 Gentamycine injeksi 40 mg/ml - 3,415.00 3,104.55 - 0 310.45 0.00
61 Gentamycine Sulfat 0,1 % SK 30 2,478.00 2,252.73 74,340.00 67,582 225.27 6,758.18
62 Glibenklamid tablet 5 mg 475 126.00 114.55 59,850.00 54,409 11.45 5,440.91
63 Gliseril Guayakolat tablet 100 mg 10,845 31.00 28.18 336,195.00 305,632 2.82 30,563.18
64 Griseofulvin tablet 125 mg 315 200.00 181.82 63,000.00 57,273 18.18 5,727.27
65 Glukosa 5 % 17 5,566.00 5,060.00 94,622.00 86,020 506.00 8,602.00
66 Hidroklorotiazid (HCT) tablet 25 mg 1,265 49.00 44.55 61,985.00 56,350 4.45 5,635.00
67 Hidrokortison krim 2,5 % 84 2,938.00 2,670.91 246,792.00 224,356 267.09 22,435.64
68 Ibuprofen tablet 200 mg - 96.21 87.46 - 0 8.75 0.00
69 Ibuprofen tablet 400 mg 623 157.00 142.73 97,811.00 88,919 14.27 8,891.91
70 Kalsium Laktat (kalk) tablet 500 mg 2,275 69.00 62.73 156,975.00 142,705 6.27 14,270.45
71 Kalium Permanganat (PK) 8 4,041.00 3,673.64 32,328.00 29,389 367.36 2,938.91
72 KA-EN 3B 60 14,220.00 12,927.27 853,200.00 775,636 1,292.73 77,563.64

Ketokonasol Cream 29 2,697.00

73 2,451.82 78,213.00 71,103 245.18 7,110.27
Ketorolac Inj. 30 mg 11 8,528.00 7,752.73 93,808.00 85,280 775.27 8,528.00
74
75 Kloramfenikol kapsul 250 mg 1,040 224.00 203.64 232,960.00 211,782 20.36 21,178.18

Klorfeniramin Maleat (CTM) tab. 4 mg 15,664 21.00

76 19.09 328,944.00 299,040 1.91 29,904.00
77 Kloroquin fosfat tab 250mg - 22.40 20.36 - 0 2.04 0.00
Kloramfenikol Salep Mata 1 % 15 1,680.00
78 1,527.27 25,200.00 22,909 152.73 2,290.91
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg 170 2,298.00 2,089.09 390,660.00 355,145 208.91 35,514.55
79 + Trimetoprim tablet
40 mg komb:
/ 5 ml Sulfametoksazol 400 mg
Kotrimoksazol 1,990 146.00 132.73 290,540.00 264,127 13.27 26,412.73
80 + Trimetoprim 80 mg
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82
Lidokain komp. injeksi, Kombinasi: 195 1,485.00 1,350.00 289,575.00 263,250 135.00 26,325.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 100 1,200.00 1,090.91 120,000.00 109,091 109.09 10,909.09
85 Magnesium sulfat 20% - 1,539.80 1,399.82 - 0 139.98 0.00
86 Magnesium sulfat 40% - 11,947.90 10,861.73 - 0 1,086.17 0.00
87 Loratadine 10 mg 285 170.00 154.55 48,450.00 44,045 15.45 4,404.55
Metilergometrin Maleat (Metilergometrin) 394 169.00
88 tablet salut 0,125 mg 153.64 66,586.00 60,533 15.36 6,053.27
89 Metilergometrin maleat inj 19 4,200.00 3,818.18 79,800.00 72,545 381.82 7,254.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 449 169.00 153.64 75,881.00 68,983 15.36 6,898.27
92 Metilprednisolon 8 mg 590 390.00 354.55 230,100.00 209,182 35.45 20,918.18
93 Miconazole krim 28 3,150.00 2,863.64 88,200.00 80,182 286.36 8,018.18
94 Metoclopramide 10 mg 760 100.00 90.91 76,000.00 69,091 9.09 6,909.09
95 Natrium Klorida larutan infus 0,9 % 82 5,170.00 4,700.00 423,940.00 385,400 470.00 38,540.00
96 Natrium diklofenak 50 mg 2,530 206.00 187.27 521,180.00 473,800 18.73 47,380.00
97 Nistatin tablet vaginal 100.000 IU/g 56 407.00 370.00 22,792.00 20,720 37.00 2,072.00
98 Novahexin tablet 1,260 50.00 45.45 63,000.00 57,273 4.55 5,727.27
99 Nodiar 302 1,037.00 942.73 313,174.00 284,704 94.27 28,470.36
100 Obat Batuk Hitam (OBH) 32 1,931.00 1,755.45 61,792.00 56,175 175.55 5,617.45
101 Ondansetron inj. 4 mg 5 6,050.00 5,500.00 30,250.00 27,500 550.00 2,750.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
103 Obat anti TB kategori I / FDC 11 396,000.00 360,000.00 4,356,000.00 3,960,000 36,000.00 396,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II 1 1,319,898.00 1,199,907.27 1,319,898.00 1,199,907 119,990.73 119,990.73
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata 16 1,680.00 1,527.27 26,880.00 24,436 152.73 2,443.64
108 Oksitetrasiklin HCl SK 3 % 109 2,261.00 2,055.45 246,449.00 224,045 205.55 22,404.45
109 Oksitosin injeksi 10 IU/ml - 1 ml 80 3,300.00 3,000.00 264,000.00 240,000 300.00 24,000.00
110 Omeprazol Kapsul 20 mg 354 221.00 200.91 78,234.00 71,122 20.09 7,112.18
111 Parasetamol sirup 120 mg/5 ml 390 1,535.00 1,395.45 598,650.00 544,227 139.55 54,422.73
112 Parasetamol tablet 500 mg 27,300 84.80 77.09 2,315,040.00 2,104,582 7.71 210,458.18
113 Papaverin 742 128.00 116.36 94,976.00 86,342 11.64 8,634.18
114 Pehacain injeksi - 3,113.00 2,830.00 - 0 283.00 0.00
115 Pirantel Pamoat tab. 125 mg 153 43.17 39.25 6,605.01 6,005 3.92 600.46
116 Piridoksin HCl (Vit.B6) tablet 10 mg 10,075 28.16 25.60 283,712.00 257,920 2.56 25,792.00
117 Piroksikam 20 mg 888 92.00 83.64 81,696.00 74,269 8.36 7,426.91
118 Prednison tablet 5 mg 954 98.00 89.09 93,492.00 84,993 8.91 8,499.27
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 98 108.05 98.23 10,588.90 9,626 9.82 962.63
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg - 163.00 148.18 - 0 14.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml 130 1,340.00 1,218.18 174,200.00 158,364 121.82 15,836.36
125 Ranitidin Tablet 150 mg 2,422 128.00 116.36 310,016.00 281,833 11.64 28,183.27
126 Retinol (vitamin A) Kaps 200.000 IU - 505.00 459.09 - 0 45.91 0.00
127 Retinol (vitamin A) Kaps 100.000 IU - 286.00 260.00 - 0 26.00 0.00
128 Ringer Laktat larutan infus steril 440 5,720.00 5,200.00 2,516,800.00 2,288,000 520.00 228,800.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg 194 70.00 63.64 13,580.00 12,345 6.36 1,234.55
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 19 1,350.00 1,227.27 25,650.00 23,318 122.73 2,331.82
133 Salep 2-4 13 2,420.00 2,200.00 31,460.00 28,600 220.00 2,860.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg - 1,400.00 1,272.73 - 0 127.27 0.00
135 Simvastatin 10 mg 1,780 177.00 160.91 315,060.00 286,418 16.09 28,641.82
136 Suldox tab 73 520.30 473.00 37,981.90 34,529 47.30 3,452.90
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron 1,120 402.00 365.45 450,240.00 409,309 36.55 40,930.91
139 Tablet tambah darah kombinasi 5,120 90.00 81.82 460,800.00 418,909 8.18 41,890.91
140 Tetrasiklin HCl kapsul 500 mg - 347.00 315.45 - 0 31.55 0.00
141 Tiamfenicol tab 500 mg 720 832.00 756.36 599,040.00 544,582 75.64 54,458.18
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 8,300 51.00 46.36 423,300.00 384,818 4.64 38,481.82
144 Vitamin B Kompleks tablet 17,890 112.00 101.82 2,003,680.00 1,821,527 10.18 182,152.73
145 Yodium pov. Lar. 10 % 30 ml 9 4,375.00 3,977.27 39,375.00 35,795 397.73 3,579.55
146 Yodium pov. Lar. 10 % 60 ml 5 6,379.00 5,799.09 31,895.00 28,995 579.91 2,899.55
147 Yodium pov. Lar. 10 % 300 ml 2 14,700.00 13,363.64 29,400.00 26,727 1,336.36 2,672.73
148 Zinc Dispersible 1,455 496.50 451.36 722,407.50 656,734 45.14 65,673.41
149 - - 0 0.00 0.00

TOTAL 4,206,667 3,824,242 37,709,960.78 34,281,783 382,424.23 3,428,178.25

PERBEKALAN KESEHATAN

150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09

151 Abbocath No. 20 40 7,786.00 7,078.18 311,440.00 283,127.27 707.82 28,312.73
152 Abbocath No. 22 174 7,786.00 7,078.18 1,354,764.00 1,231,603.64 707.82 123,160.36
153 Abbocath No. 24 50 7,786.00 7,078.18 389,300.00 353,909.09 707.82 35,390.91
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 120 1,093.00 993.64 131,160.00 119,236.36 99.36 11,923.64
157 Alat suntik sekali pakai 2,5 ml 358 1,038.00 943.64 371,604.00 337,821.82 94.36 33,782.18
158 Alat suntik sekali pakai 3 ml 200 1,038.00 943.64 207,600.00 188,727.27 94.36 18,872.73
159 Alat suntik sekali pakai 5 ml 0 944.00 858.18 0.00 0.00 85.82 0.00
160 Bisturi 51 800.00 727.27 40,800.00 37,090.91 72.73 3,709.09
161 Cat Gut No.3/0 dgn Jarum Bedah 76 24,583.00 22,348.18 1,868,308.00 1,698,461.82 2,234.82 169,846.18
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 130 4,250.00 3,863.64 552,500.00 502,272.73 386.36 50,227.27
165 Infusion set anak 58 6,782.00 6,165.45 393,356.00 357,596.36 616.55 35,759.64
166 Infusion set dewasa 146 6,778.00 6,161.82 989,588.00 899,625.45 616.18 89,962.55
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 7 7,500.00 6,818.18 52,500.00 47,727.27 681.82 4,772.73
170 Kasa pembalut Hidrofil 34 m x 10 cm 245 607.00 551.82 148,715.00 135,195.45 55.18 13,519.55
171 Kasa Steril 16 x 16 cm 5 8,500.00 7,727.27 42,500.00 38,636.36 772.73 3,863.64
172 Kasa 40 x 80 cm 2 145,650.00 132,409.09 291,300.00 264,818.18 13,240.91 26,481.82
173 Masker 140 1,125.00 1,022.73 157,500.00 143,181.82 102.27 14,318.18
174 Plester 5 yard x 2 inci 9 23,625.00 21,477.27 212,625.00 193,295.45 2,147.73 57,760.18
175 Silk (Benang Bedah Sutra) 91 6,982.00 6,347.27 635,362.00 577,601.82 634.73 749,902.00
Total alkes 1,657,247.00 1,506,588.18 8,248,922.00 7,499,020.00 150,658.82 1,480,474.45

TOTAL KESELURUHAN 5,863,913.53 5,330,830.48 45,958,882.78 41,780,803 533,083.05 4,908,652.71

Mengetahui Kendari, 28 Februari 2015

Kepala Puskesmas Lepo - lepo Pengelola Obat

Dr. Putu Agustin Kusumawati Hj Ika Idrus

Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017
 DINAS KESEHATAN KOTA KENDARI
PUSKESMAS LEPO-LEPO
JL.CRISTINA MARTHA TIAHAHU
DATA SISA STOK OBAT PUSKESMAS LEPO-LEPO
PER 31 JANUARI 2015
Kuantitas Harga Satuan Harga Satuan Total harga Total Harga
NO NAMA OBAT PPN PPN TOTAL
Unit (Include PPN) (tanpa PPN) (Include PPn) Tanpa PPN
1 2 3 4 5 6 7 8 9

1 Acyclovir 400 mg 140 357.00 324.55 49,980.00 45,436 32.45 4,543.64

2 Acyklovir Krim 25 2,367.00 2,151.82 59,175.00 53,795 215.18 5,379.55
3 Anti Haemoroid DOEN Kombinasi 4 2,700.00 2,454.55 10,800.00 9,818 245.45 981.82
4 Albothyl Konsentrate 1 32,900.00 29,909.09 32,900.00 29,909 2,990.91 2,990.91
5 Allopurinol tablet 300 mg 270 233.00 211.82 62,910.00 57,191 21.18 5,719.09
6 Allopurinol tablet 100 mg 360 90.00 81.82 32,400.00 29,455 8.18 2,945.45
7 Aminofilina injeksi 24 mg/ml - 10 ml 5 3,314.00 3,012.73 16,570.00 15,064 301.27 1,506.36
8 Amlodipin 10 mg 160 352.00 320.00 56,320.00 51,200 32.00 5,120.00
9 Amoksisilin kaplet 500 mg 3,390 357.00 324.55 1,210,230.00 1,100,209 32.45 110,020.91
10 Amoksisilin sirup kering 125 mg/5ml 175 2,560.00 2,327.27 448,000.00 407,273 232.73 40,727.27
11 Ampicillin Inj im/iv 1000 mg/vial - 4,700.00 4,272.73 - 0 427.27 0.00
12 Antimigren : Ergotamin-Coffein 100 149.00 135.45 14,900.00 13,545 13.55 1,354.55
13 Antasida Doen Tab. Strip 640 73.12 66.47 46,796.80 42,543 6.65 4,254.25
14 Antasida sirup - 2,213.00 2,011.82 - 0 201.18 0.00
15 Antibakteri doen kombinasi 25 2,741.00 2,491.82 68,525.00 62,295 249.18 6,229.55
16 Antifungi DOEN salep kombinasi 12 2,096.00 1,905.45 25,152.00 22,865 190.55 2,286.55
17 Aqua pro Injeksi steril, bebas pirogen,20 ml 6 1,500.00 1,363.64 9,000.00 8,182 136.36 818.18
18 Aqua pro Injeksi steril, bebas pirogen,1000 ml - 17,386.00 15,805.45 - 0 1,580.55 0.00
19 Asam Folat 1 mg 190 52.00 47.27 9,880.00 8,982 4.73 898.18
20 Asam Askorbat (Vit C) tablet 50 mg 5,730 36.00 32.73 206,280.00 187,527 3.27 18,752.73
21 Asam Mefenamat tab 500 mg 1,360 127.00 115.45 172,720.00 157,018 11.55 15,701.82
22 Atropin Sulfat injeksi - 1,400.00 1,272.73 - 0 127.27 0.00
23 Betametason krim 0.1% 48 1,596.00 1,450.91 76,608.00 69,644 145.09 6,964.36
24 Betahistin tab 6 mg 102 1,246.66 1,133.33 127,159.32 115,599 113.33 11,559.94
25 Bioplacenton Gell 15 g 6 16,000.00 14,545.45 96,000.00 87,273 1,454.55 8,727.27
26 Biolisin smart syrup 3 9,900.00 9,000.00 29,700.00 27,000 900.00 2,700.00
27 Captopril tablet 25 mg 222 97.00 88.18 21,534.00 19,576 8.82 1,957.64
28 Captopril tablet 12,5 mg - 90.00 81.82 - 0 8.18 0.00
29 Cetirizine tab 130 190.00 172.73 24,700.00 22,455 17.27 2,245.45
30 Cefadroxil 420 548.00 498.18 230,160.00 209,236 49.82 20,923.64
31 Cimetidin 200 mg 284 105.97 96.34 30,095.48 27,360 9.63 2,735.95
32 Ciprofloksacin 682 290.00 263.64 197,780.00 179,800 26.36 17,980.00
33 Darplex 1 3,947.00 3,588.18 3,947.00 3,588 358.82 358.82
34 Deksametason injeksi 5 mg/ml - 1 ml 77 1,850.00 1,681.82 142,450.00 129,500 168.18 12,950.00
35 Deksametason tablet 0,5 mg 2,310 71.89 65.35 166,065.90 150,969 6.54 15,096.90
36 Dekstromethorfan tablet - 102.00 92.73 - 0 9.27 0.00
37 Dekstromethorfan syrp - 1,467.40 1,334.00 - 0 133.40 0.00
38 Dentorit - 218,500.00 198,636.36 - 0 19,863.64 0.00
39 Diazepam injeksi 5 mg/ml - 2 ml - 2,578.00 2,343.64 - 0 234.36 0.00
40 Diazepam tablet 2 mg 868 28.00 25.45 24,304.00 22,095 2.55 2,209.45
41 Difenhidramin HCl inj 10 mg/ml-1 ml 30 1,045.00 950.00 31,350.00 28,500 95.00 2,850.00
42 Domperidon suspensi 5 mg/5 ml 4 3,490.00 3,172.73 13,960.00 12,691 317.27 1,269.09
43 Doxycyclin 100 mg 252 250.00 227.27 63,000.00 57,273 22.73 5,727.27
44 Efedrin HCl tablet 25 mg 759 69.20 62.91 52,522.80 47,748 6.29 4,774.80
45 Ekstrak belladon 10 mg - 43.00 39.09 - 0 3.91 0.00
46 Epinefrina / Adrenalina Injeksi 0,1% - 1,650.00 1,500.00 - 0 150.00 0.00
47 Erytromisin 500 mg 180 1,023.00 930.00 184,140.00 167,400 93.00 16,740.00
48 Etakridin ( Rivanol ) larutan 0,1% - 2,354.00 2,140.00 - 0 214.00 0.00
49 Etanol 70 % 1000 ml 1 20,000.00 18,181.82 20,000.00 18,182 1,818.18 1,818.18
50 Etanol 70 % 100 ml - 2,625.00 2,386.36 - 0 238.64 0.00
51 Etil klorida semprot 1 105,000.00 95,454.55 105,000.00 95,455 9,545.45 9,545.45
52 Eugenol Cairan - 45,833.00 41,666.36 - 0 4,166.64 0.00
53 Fenobarbital Inj. 50 mg/ml - 1,888.00 1,716.36 - 0 171.64 0.00
54 Fenobarbital tablet 30 mg 1,070 74.00 67.27 79,180.00 71,982 6.73 7,198.18
55 Formakresol 1 77,200.00 70,181.82 77,200.00 70,182 7,018.18 7,018.18
56 Fitomenadion (Vit.K1) inj. 20 3,754.00 3,412.73 75,080.00 68,255 341.27 6,825.45
57 Fitomenadion (Vit.K1) tablet salut gula 10 mg 8 698.00 634.55 5,584.00 5,076 63.45 507.64
58 Furosemid tablet 40 mg 62 101.00 91.82 6,262.00 5,693 9.18 569.27
59 Garam Oralit untuk 200 ml air 107 322.00 292.73 34,454.00 31,322 29.27 3,132.18
60 Gentamycine injeksi 40 mg/ml - 3,415.00 3,104.55 - 0 310.45 0.00
61 Gentamycine Sulfat 0,1 % SK 15 2,478.00 2,252.73 37,170.00 33,791 225.27 3,379.09
62 Glibenklamid tablet 5 mg 140 126.00 114.55 17,640.00 16,036 11.45 1,603.64
63 Gliseril Guayakolat tablet 100 mg 4,594 31.00 28.18 142,414.00 129,467 2.82 12,946.73
64 Griseofulvin tablet 125 mg 135 200.00 181.82 27,000.00 24,545 18.18 2,454.55
65 Glukosa 5 % 20 5,566.00 5,060.00 111,320.00 101,200 506.00 10,120.00
66 Hidroklorotiazid (HCT) tablet 25 mg 775 49.00 44.55 37,975.00 34,523 4.45 3,452.27
67 Hidrokortison krim 2,5 % 26 2,938.00 2,670.91 76,388.00 69,444 267.09 6,944.36
68 Ibuprofen tablet 200 mg - 96.21 87.46 - 0 8.75 0.00
69 Ibuprofen tablet 400 mg 774 157.00 142.73 121,518.00 110,471 14.27 11,047.09
70 Kalsium Laktat (kalk) tablet 500 mg 1,180 69.00 62.73 81,420.00 74,018 6.27 7,401.82
71 Kalium Permanganat (PK) 13 4,041.00 3,673.64 52,533.00 47,757 367.36 4,775.73
72 KA-EN 3B 20 14,220.00 12,927.27 284,400.00 258,545 1,292.73 25,854.55

Ketokonasol Cream 32 2,697.00

73 2,451.82 86,304.00 78,458 245.18 7,845.82

74 Ketorolac Inj. 30 mg 12 8,528.00 7,752.73 102,336.00 93,033 775.27 9,303.27

75 Kloramfenikol kapsul 250 mg 1,160 224.00 203.64 259,840.00 236,218 20.36 23,621.82

Klorfeniramin Maleat (CTM) tab. 4 mg 2,239 21.00

76 19.09 47,019.00 42,745 1.91 4,274.45
77 Kloroquin fosfat tab 250mg 1,000 22.40 20.36 22,400.00 20,364 2.04 2,036.36
Kloramfenikol Salep Mata 1 % 4 1,680.00
78 1,527.27 6,720.00 6,109 152.73 610.91
Kotrimoksazol Susp. komb: Sulfametoksazol 200 mg
79 143 2,298.00 2,089.09 328,614.00 298,740 208.91 29,874.00
+ Trimetoprim tablet
Kotrimoksazol 40 mg /komb:
5 ml Sulfametoksazol 400 mg
80 490 146.00 132.73 71,540.00 65,036 13.27 6,503.64
+ Trimetoprim 80 mg
81 Lisol - 59,000.00 53,636.36 - 0 5,363.64 0.00
82 Lidokain komp. injeksi, Kombinasi: 1,350.00 81,675.00 74,250 135.00 7,425.00
Lidokain HCl 2%+Epinefrin1:80.000 - 2 ml 55 1,485.00
83 Lidokain Inj. - 1,000.00 909.09 - 0 90.91 0.00
84 Lodia 70 1,200.00 1,090.91 84,000.00 76,364 109.09 7,636.36
85 Magnesium sulfat 20% - 1,539.80 1,399.82 - 0 139.98 0.00
86 Magnesium sulfat 40% - 11,947.90 10,861.73 - 0 1,086.17 0.00
87 Loratadine 10 mg 325 170.00 154.55 55,250.00 50,227 15.45 5,022.73
Metilergometrin Maleat (Metilergometrin) 94 169.00
88 tablet salut 0,125 mg 153.64 15,886.00 14,442 15.36 1,444.18
89 Metilergometrin maleat inj 19 4,200.00 3,818.18 79,800.00 72,545 381.82 7,254.55
90 Metronidazol 250 mg - 130.00 118.18 - 0 11.82 0.00
91 Metronidazol 500 mg 305 169.00 153.64 51,545.00 46,859 15.36 4,685.91
92 Metilprednisolon 8 mg 68 390.00 354.55 26,520.00 24,109 35.45 2,410.91
93 Miconazole krim 40 3,150.00 2,863.64 126,000.00 114,545 286.36 11,454.55
94 Metoclopramide 10 mg 119 100.00 90.91 11,900.00 10,818 9.09 1,081.82
95 Natrium Klorida larutan infus 0,9 % 100 5,170.00 4,700.00 517,000.00 470,000 470.00 47,000.00
96 Natrium diklofenak 50 mg 168 206.00 187.27 34,608.00 31,462 18.73 3,146.18
97 Nistatin tablet vaginal 100.000 IU/g 95 407.00 370.00 38,665.00 35,150 37.00 3,515.00
98 Novahexin tablet 514 50.00 45.45 25,700.00 23,364 4.55 2,336.36
99 Nodiar 354 1,037.00 942.73 367,098.00 333,725 94.27 33,372.55
100 Obat Batuk Hitam (OBH) 32 1,931.00 1,755.45 61,792.00 56,175 175.55 5,617.45
101 Ondansetron inj. 4 mg 4 6,050.00 5,500.00 24,200.00 22,000 550.00 2,200.00
102 Obat anti TB kategori anak - 236,490.00 214,990.91 - 0 21,499.09 0.00
103 Obat anti TB kategori I / FDC 5 396,000.00 360,000.00 1,980,000.00 1,800,000 36,000.00 180,000.00
104 Obat anti TB kategori I - 316,920.00 288,109.09 - 0 28,810.91 0.00
105 Obat anti TB kategori II 1 1,319,898.00 1,199,907.27 1,319,898.00 1,199,907 119,990.73 119,990.73
106 Obat anti TB sisipan - 175,899.00 159,908.18 - 0 15,990.82 0.00
107 Oksitetrasiklin HCl Salep mata 7 1,680.00 1,527.27 11,760.00 10,691 152.73 1,069.09
108 Oksitetrasiklin HCl SK 3 % 25 2,261.00 2,055.45 56,525.00 51,386 205.55 5,138.64
109 Oksitosin injeksi 10 IU/ml - 1 ml - 3,300.00 3,000.00 - 0 300.00 0.00
110 Omeprazol Kapsul 20 mg 149 221.00 200.91 32,929.00 29,935 20.09 2,993.55
111 Parasetamol sirup 120 mg/5 ml 244 1,535.00 1,395.45 374,540.00 340,491 139.55 34,049.09
112 Parasetamol tablet 500 mg 11,580 84.80 77.09 981,984.00 892,713 7.71 89,271.27
113 Papaverin 369 128.00 116.36 47,232.00 42,938 11.64 4,293.82
114 Pehacain injeksi - 3,113.00 2,830.00 - 0 283.00 0.00
115 Pirantel Pamoat tab. 125 mg 71 43.17 39.25 3,065.07 2,786 3.92 278.64
116 Piridoksin HCl (Vit.B6) tablet 10 mg 836 28.16 25.60 23,541.76 21,402 2.56 2,140.16
117 Piroksikam 20 mg 312 92.00 83.64 28,704.00 26,095 8.36 2,609.45
118 Prednison tablet 5 mg 1,198 98.00 89.09 117,404.00 106,731 8.91 10,673.09
119 Prokain penisilin inj. 3 jt IU - 3,750.00 3,409.09 - 0 340.91 0.00
120 Primaquin 15mg 126 108.05 98.23 13,614.30 12,377 9.82 1,237.66
121 Propiltiourasil tablet 100 mg - 404.00 367.27 - 0 36.73 0.00
122 Propranolol HCl tablet 40 mg - 163.00 148.18 - 0 14.82 0.00
123 Prokurma sirup - 10,440.00 9,490.91 - 0 949.09 0.00
124 Ranitidin Inj. 25 mg/ml - 1,340.00 1,218.18 - 0 121.82 0.00
125 Ranitidin Tablet 150 mg 414 128.00 116.36 52,992.00 48,175 11.64 4,817.45
126 Retinol (vitamin A) Kaps 200.000 IU - 505.00 459.09 - 0 45.91 0.00
127 Retinol (vitamin A) Kaps 100.000 IU - 286.00 260.00 - 0 26.00 0.00
128 Ringer Laktat larutan infus steril 332 5,720.00 5,200.00 1,899,040.00 1,726,400 520.00 172,640.00
129 Rockles 13 ml - 914,500.00 831,363.64 - 0 83,136.36 0.00
130 Salbutamol tablet 2 mg - 70.00 63.64 - 0 6.36 0.00
131 Salbutamol Tab. 4 mg - 93.00 84.55 - 0 8.45 0.00
132 Salisil Bedak 2 % 8 1,350.00 1,227.27 10,800.00 9,818 122.73 981.82
133 Salep 2-4 21 2,420.00 2,200.00 50,820.00 46,200 220.00 4,620.00
134 Sianocobalamin (Vit. B12) Inj. 500 mcg - 1,400.00 1,272.73 - 0 127.27 0.00
135 Simvastatin 10 mg 120 177.00 160.91 21,240.00 19,309 16.09 1,930.91
136 Suldox tab 73 520.30 473.00 37,981.90 34,529 47.30 3,452.90
137 Stesolid Supp. - 24,800.00 22,545.45 - 0 2,254.55 0.00
138 Supra Livron 1,230 402.00 365.45 494,460.00 449,509 36.55 44,950.91
139 Tablet tambah darah kombinasi 3,120 90.00 81.82 280,800.00 255,273 8.18 25,527.27
140 Tetrasiklin HCl kapsul 500 mg - 347.00 315.45 - 0 31.55 0.00
141 Tiamfenicol tab 500 mg 58 832.00 756.36 48,256.00 43,869 75.64 4,386.91
142 Tiamin HCl (Vit.B1) inj. - 682.00 620.00 - 0 62.00 0.00
143 Tiamin HCl / (Vit.B1) tab. 50 mg 1,775 51.00 46.36 90,525.00 82,295 4.64 8,229.55
144 Vitamin B Kompleks tablet 3,460 112.00 101.82 387,520.00 352,291 10.18 35,229.09
145 Yodium pov. Lar. 10 % 30 ml - 4,375.00 3,977.27 - 0 397.73 0.00
146 Yodium pov. Lar. 10 % 60 ml 6,379.00 5,799.09 - 0 579.91 0.00
147 Yodium pov. Lar. 10 % 300 ml 1 14,700.00 13,363.64 14,700.00 13,364 1,336.36 1,336.36
148 Zinc Dispersible 30 496.50 451.36 14,895.00 13,541 45.14 1,354.09
149 - - 0 0.00 0.00

TOTAL 4,206,667 3,824,242 16,362,192.33 14,874,720 382,424.23 1,487,472.03

PERBEKALAN KESEHATAN
150 Abbocath No. 18 5 19,600.00 17,818.18 98,000.00 89,090.91 1,781.82 8,909.09
151 Abbocath No. 20 90 7,786.00 7,078.18 700,740.00 637,036.36 707.82 63,703.64
152 Abbocath No. 22 29 7,786.00 7,078.18 225,794.00 205,267.27 707.82 20,526.73
153 Abbocath No. 24 102 7,786.00 7,078.18 794,172.00 721,974.55 707.82 72,197.45
154 Alat suntik sekali pakai 0,5 ml KI 0 1,000.00 909.09 0.00 0.00 90.91 0.00
155 Alat suntik sekali pakai 0,05 ml KI 0 3,013.00 2,739.09 0.00 0.00 273.91 0.00
156 Alat suntik sekali pakai 1 ml 240 1,093.00 993.64 262,320.00 238,472.73 99.36 23,847.27
157 Alat suntik sekali pakai 2,5 ml 110 1,038.00 943.64 114,180.00 103,800.00 94.36 10,380.00
158 Alat suntik sekali pakai 3 ml 0 1,038.00 943.64 0.00 0.00 94.36 0.00
159 Alat suntik sekali pakai 5 ml 28 944.00 858.18 26,432.00 24,029.09 85.82 2,402.91
160 Bisturi 74 800.00 727.27 59,200.00 53,818.18 72.73 5,381.82
161 Cat Gut No.3/0 dgn Jarum Bedah 14 24,583.00 22,348.18 344,162.00 312,874.55 2,234.82 31,287.45
162 CatGut Plain Roll 0 969,815.00 881,650.00 0.00 0.00 88,165.00 0.00
163 Glass Ionomer 0 395,000.00 359,090.91 0.00 0.00 35,909.09 0.00
164 Handscoen non steril 90 4,250.00 3,863.64 382,500.00 347,727.27 386.36 34,772.73
165 Infusion set anak 40 6,782.00 6,165.45 271,280.00 246,618.18 616.55 24,661.82
166 Infusion set dewasa 100 6,778.00 6,161.82 677,800.00 616,181.82 616.18 61,618.18
167 Jarum Hekting Otot Uk. Sedang (GT) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
168 Jarum Hekting Kulit Uk. Sedang (GR) 0 2,083.00 1,893.64 0.00 0.00 189.36 0.00
169 Kapas pembalut 250 gr 0 7,500.00 6,818.18 0.00 0.00 681.82 0.00
170 Kasa pembalut Hidrofil 34 m x 10 cm 200 607.00 551.82 121,400.00 110,363.64 55.18 11,036.36
171 Kasa Steril 16 x 16 cm 0 8,500.00 7,727.27 0.00 0.00 772.73 0.00
172 Kasa 40 x 80 cm 0 145,650.00 132,409.09 0.00 0.00 13,240.91 0.00
173 Masker 0 1,125.00 1,022.73 0.00 0.00 102.27 0.00
174 Plester 5 yard x 2 inci 4 23,625.00 21,477.27 94,500.00 85,909.09 2,147.73 8,590.91
175 Silk (Benang Bedah Sutra) 19 6,982.00 6,347.27 132,658.00 120,598.18 634.73 12,059.82
Total alkes 0 1,657,247.00 1,506,588.18 4,305,138.00 3,913,761.82 150,658.82 391,376.18

TOTAL KESELURUHAN 5,863,913.53 5,330,830.48 20,667,330.33 18,788,482 533,083.05 1,878,848.21

Mengetahui Kendari, 31 Januari 2015

Kepala Puskesmas Lepo - leppo Pengelola Obat

Dr. Putu Agustin Kusumawati Hj Ika Idrus SKM

Nip. 19740816 200212 2 005 Nip. 19811007 200604 2 017