Laporan Obat Ed 2016: No. Nama Barang Unit ED Jumlah HPP

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LAPORAN OBAT ED 2016

No. Nama Barang Unit ED Jumlah HPP

1 Adona (AC-17) 10ml 5 mg/ml Injeksi TANABE Pelayanan Farmasi RI 1/2/2016 8 22.880,00
2 Alletrol Compositum 1 - Tetes mata ERELLA Pelayanan Farmasi RI 31/07/2016 1 11.352,00
3 Amiodarone 3ml 50 mg/ml Injeksi DARYA VARIA Pelayanan Farmasi RI 31/08/2016 8 12.355,20
4 Amiodarone 3ml 50 mg/ml Injeksi DARYA VARIA Pelayanan Farmasi RI 1/8/2016 20 12.355,20

5 Co-Amoxiclave 625 mg Tablet salut gula INDOFARMA Gudang Farmasi 1/8/2016 20 5.556,10
6 Diane 35 21`s 1 - Tablet BAYER KT Pelayanan Farmasi 31/08/2016 21 98.978,00
7 Fixacep 200 mg Kapsul FAHRENHEIT Pelayanan Farmasi RI 1/6/2016 40 25.300,00

8 Ketomed 60ml 2 % Solutio SURYA DERMATO MEDICA Lab Gudang Farmasi 1/8/2016 1 40.040,00

9 Ketomed 60ml 2 % Solutio SURYA DERMATO MEDICA Lab Pelayanan Farmasi 1/8/2016 3 40.040,00
10 Lidokain 2% 2 ml Injeksi BERNOFARM Pelayanan Farmasi 14/07/2016 2 1.650,00
11 Oralit Sachet 200ml 1 - Serbuk KIMIA FARMA Pelayanan Farmasi RI 14/07/2016 42 610,00
Sub Total

183.040,00
11.352,00
98.841,60
247.104,00

111.122,00
2.078.538,00
1.012.000,00

40.040,00

120.120,00
3.300,00
25.620,00
DATA OBAT KADALUARSA

No. Nama Barang ED Jumlah HPP Sub Total


15 Amiodarone 3ml 50 mg/ml Injeksi DARYA VARIA 1/5/2016 3.00 Rp 12,355.20 Rp 37,065.60
20 Amlodipine 10 mg Tablet NOVELL 9/1/2016 30.00 Rp 1,863.40 Rp 55,902.00
52 Atofar 40 mg Tablet FAHRENHEIT 12/31/2016 44.00 Rp 10,450.00 Rp 459,800.00
53 Atropine 1ml FORNAS 0.25 mg/ml Injeksi ETHICA 5/1/2016 1.00 Rp 2,021.02 Rp 2,021.02
54 Atropine 1ml FORNAS 0.25 mg/ml Injeksi ETHICA 5/1/2016 12.00 Rp 2,021.02 Rp 24,252.25
63 Bralifex Plus 5ml 1 - Tetes mata SANBE 9/19/2016 1.00 Rp 46,200.00 Rp 46,200.00
65 Bunascan Epidural 20ml 0.5 % Injeksi FAHRENHEIT 11/1/2016 5.00 Rp 70,400.00 Rp 352,000.00
113 Clabat 60ml 1 - Sirup Kering INTERBAT 12/1/2016 4.00 Rp 81,600.00 Rp 326,400.00
117 Combantrin 10mL 125 mg/5ml Suspensi PFIZER 1/1/2017 1.00 Rp 13,711.50 Rp 13,711.50
140 Diane 35 21`s 1 - Tablet BAYER KT 8/31/2016 2.00 Rp 98,978.00 Rp 197,956.00
155 Erythromycin 60mL 200 mg/5ml Sirup Kering INDOFARMA 11/1/2016 6.00 Rp 8,911.10 Rp 53,466.60
158 Faktu 1 - Suppositoria PHAROS 10/1/2016 20.00 Rp 8,250.00 Rp 165,000.00
162 Fargoxin 2ml FORNAS 0.25 mg/ml Injeksi FAHRENHEIT 12/1/2016 11.00 Rp 38,500.00 Rp 423,500.00
163 Farmabes 5ml FORNAS 5 mg/ml Injeksi FAHRENHEIT 10/31/2016 2.00 Rp 121,000.00 Rp 242,000.00
167 Farmalat 10 mg Tablet Sublingual FAHRENHEIT 5/1/2016 20.00 Rp 440.00 Rp 8,800.00
168 Farmalat 10 mg Tablet Sublingual FAHRENHEIT 5/1/2016 5.00 Rp 440.00 Rp 2,200.00
169 Fatral FORNAS 50 mg Tablet Salut FAHRENHEIT 12/1/2016 30.00 Rp 11,000.00 Rp 330,000.00
172 Fima Hes 200 Flexy Bag 500ml 1 - Infus KALBE FARMA 8/1/2016 3.00 Rp 89,650.00 Rp 268,950.00
190 Hepagard 1 - Kapsul PHAROS 10/1/2016 60.00 Rp 2,797.00 Rp 167,820.00
193 Hyperhep B 1 - Injeksi DIPA PHARMALAB 10/1/2016 2.00 Rp 2,504,700.00 Rp 5,009,400.00
222 Ketoprofen 2ml 50 mg/ml Injeksi NOVELL 4/2/2016 1.00 Rp 5,649.60 Rp 5,649.60
257 Nairet 5ml 1 - Injeksi OTTO 12/26/2016 6.00 Rp 16,500.00 Rp 99,000.00
276 Otsu - D40 25ml 40 % Injeksi OTSUKA 8/9/2016 1.00 Rp 4,897.43 Rp 4,897.43
297 Proinfark 10mL 20 mg Injeksi PHAPROS 7/1/2016 3.00 Rp 13,200.00 Rp 39,600.00
298 Proinfark 10mL 20 mg Injeksi PHAPROS 9/23/2016 2.00 Rp 13,200.00 Rp 26,400.00
317 Reco 10ml 0.5 % Tetes mata GLOBAL MULTI PHARMALAB 4/1/2016 10.00 Rp 7,012.50 Rp 70,125.00
318 Reco 10ml 0.5 % Tetes mata GLOBAL MULTI PHARMALAB 10/2/2016 1.00 Rp 7,012.50 Rp 7,012.50
346 Thrombophob 20g 200 IU/gram Gel TUNGGAL IDAMAN ABADI 00/00/0000 1.00 Rp 51,975.00 Rp 51,975.00
347 Tiaryt 3ml 50 mg/ml Injeksi FAHRENHEIT 4/1/2016 2.00 Rp 27,500.00 Rp 55,000.00
356 Ventolin 200 doses FORNAS 0.1 mg Inhaler GLAXO SMITH KLINE 9/5/2016 1.00 Rp 98,868.00 Rp 98,868.00
370 Volox 100ml 5 mg/ml Infus INTERBAT 6/1/2016 5.00 Rp 297,000.00 Rp 1,485,000.00

TOTAL Rp 10,129,972.50

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