RENCANA KEBUTUHAN OBAT DA

NO NAMA OBAT & KEKUATAN SATUAN MEREK

1 2 3 4
I.ANTI INFEKSI
1 Acyclovir 400 mg Tablet OGB
2 Amoxicilin 500 mg Tablet
3 Cefadroxil 500 mg Tablet Cefadroxil 500 mg
4 Cotrimoxazol 480 mg Tablet
5 Ciprofloxacin 500 mg Tablet OGB
6 Metronidazol Tablet OGB
7 Thianfonicol Kapsul OGB

II.OBAT SALURAN NAPAS

II.1. Antitusif.Expectoran.Mukolitik.
8 Ambroxol HCL 30 mg Tablet
9 Ambroxal syrup Botol
10 Bromhexin Solution 2mg/ml Botol
11 Bromhexin HCL 8mg ( Hustab ) Tablet hustab
12 Dextromethrophan 15 mg Tablet
13 Fradiomisin 2,5 mg, Gramisidin-s 1 mg Tablet FG THROCHES
14 Gliceryl Goalakolat tablet
15 Budesonide Inhaler 100 mcg
16 OBH Syrup 100 ml Botol
17 OBH Syrup 100 ml Herbal Botol OBH HERBAL
18 Theofilline ( Bronsolvol ) 150 mg Tablet Bronsolvan
19 Salbutamol 2,5 mg/2,5 ml nebulezer ampul
20 Salbutamol 2,5 mg/2,5 ml inhaler aerosol
II.2. ANTI ALERGI
21 Aminophylin 200 mg Tablet
22 CTM 4 mg Tablet
23 Dexametason 0.5 mg Tablet
25 Loratadine 10 mg Tablet
26 Mebhidrolin Napadisilat 50 mg Tablet INTERHISTIN
27 Methyl prednisolon 4 mg Tablet
28 Salbutamol 2 mg Tablet
29 Pseudoephedrin HCL Tablet
II.3. ANTI COMMON COLD, ANTIPIRETIK
30 Paracetamol 500 mg Tablet PARACETAMOL 500 MG
31 Paracetamol 500 mg,DMP HBr 15 mg, PPA 12,5. CTM 2 mg Tablet ALPARA
32 Acetosal Tablet
III. ANALGETIKA,ANTI INFLAMASI,ANTI RHEUMATIK
33 Allopurinol 100mg Tablet
34 Asam mefenamat 500mg Tablet
35 Methampyron 500 mg Tablet antalgin
36 Methil salisilat 102mg,Menthol 54,4 mg,Eugenol 13,6mg Tube Molakrim
37 Natrium diklofenak 50mg Tablet OGB
38 Piroxicam 20mg Tablet
39 Vit,B1,B6,B12 Methampiron 500mg Tablet Neuralgin
IV. TRANQUILIZER
40 AlprazolaM 11mg Tablet
41 Diazepam 2mg Tablet
42 Diazepam 5mg Tablet
28 Haloperidol 5 mg/ml Tablet
29 Haloperidol 5 mg Supp
30 Diazepam 5mg/ml ampul
V. ANTI DIARE,SPASMOLITIKUM,ANTACIDE
31 Antasida tablet
32 Antasida + simetikon botol polisylane
33 Enzim pencernaan tablet Enzyplex
34 Attapulgit aktifchollodial 630 mg Tablet PURALEX
35 Bisacodyl 5mg Tablet Bicolak
36 Polimigel 400mg Tablet
37 Hyoscine N Butyl Bromide 10mg Tablet
38 Loperamida 2mg Tablet
39 Acitivated Charcoal Tablet norit
40 Omeprazole 20mg Tablet OGB
41 Garam Oralit Serbuk Sachet
42 Metampiron 500mg, Extrak belladona 10mg,Papaverin HCI 25mg Tablet spasminal
43 Ranitidin 150mg Tablet ranitidine
44 Simetidin 200mg Tablet OGB

VI.ANTIMIGREN
45 Ergotamin Tartrat 1mg, Caffein 50mg Tablet

VII. Anti emetikum /anti vertigo

46 Betahistin Mesylate 6mg Tablet
46 Dimenhydrinate 50mg Tablet Histigo
46 Metoclopramide 10mg Tablet xylastin
46 Domperidon 10mg Tablet OGB
46 Ondansetron Injeksi Ampul

VIII. ANTIDIABETIK ORAL

62 Glibenclamid 5mg Tablet OGB
63 Glicazide 30mg Tablet Glidabet
64 Metformin HCL 500mg Tablet OGB

IX. HEMOSTATIK
65 Asam Tranekasamat 500mg Kaplet Lexatrans 500
66 Vit K

X. OBAT KARDIOVASKULER
X.1 ANTI HIPERTENSI
67 Amlodipin Tablet OGB
68 Captopril 12,5mg Tablet
69 Captopril 25mg Tablet Captopril 25mg
70 Digoxin 0,25mg Tablet Digoxin 0,25mg
71 diltizem 30mg Tablet
72 Isosorbid Dinitrat 5mg (ISDN) Tablet OGB
73 Nifedipine 10mg Tablet OGB
74 Asam Asetil Salisilat 80mg Tablet
75 Simvastatin 10mg Tablet OGB
X.2 DIURETIKA
76 Forosemide 40 mgOGB Tablet OGB
77 HCT 25mg Tablet

XI. OBAT METABOLISME ENZIM danVITAMIN

78 Vit. B1 100mg,Vit. B6 100mg, Vit. B12 5000mg Kaplet NEUROPHIL
79 Vit. B1 100mg,Vit. B6 200mg, Vit. B12 200mcg Tablet BETRION
80 Vitamin C 500mg Kapsul VITALONG C
81 Vitamin dan Zat besi Tablet INBION
82 Vitamin C Tablet

XII. INFEKSI PADA KULIT

83 Acyclovir Zalf 5g Tube OGB
84 Betametason 5g Tube
85 Chloramphenicol salep kulit 15g Tube KLORFESON
86 Difenhidramin 2%, Kalamin 15%, Seng oksida 5%, Gliserin 5 % Botol Caladin
87 Kloramfenikol20mg, Hidrokortison Asetat 25mg Tube CHLORAMFECORT
88 Ekstrak Plasenta 10%, Neomisin sulfat 0,5% Tube BIOPLACENTON
89 Gentamycin salep kulit 0,1% mg Tube OGB
90 Minyak Kayu Putih 30ml Botol OGB
91 Myconazole zalf kulit 2% 10 mg Tube OGB
92 Salicil Talk 10g Botol OGB
93 Heparin 20.000 IU Gel Tube INVICLOT

XIII. INFEKSI PADA MATA

94 Chloramphenicole tetes mata Botol
95 Chloramphenicole salep mata 1% 5g Tube OGB
96 Gentamycin tetes mata 0.3% 5ml Botol OGB
97 Neomycin 3,5mg, Polimixin 6000 iu, Dexamethasone Botol INMATROL EYE DROP

XIV. OBAT MULUT

98 Polikresulen 360mg/g 10ml Botol ALBOTHYL
99 Borax Glycerine 10% Botol GOM

XV. INFEKSI PADA TELINGA

100 Chloramphenicole tetes telinga 3% Botol ERLAMYCETIN
101 Chlorafemicol 5%, Polymyxin, Benzocain, Nipagin

XVI. OBAT-OBAT SUNTIK

102 Epinefrin (Adrenalin Bitartrat) 0,1% Ampul
103 Aquadest inj
104 Aminophyllin inj 24 mg/ml Ampul OGB
105 Antalgin 250 mg, Pyramidon 50 mg, Lidokain HCl 15 mg Vial
106 Asam Metakresol Sulfonat dan Metanal 50 mg Supp
107 Asam Traneksamat inj Ampul
108 Ipatropium Bromida 0.5 mg, salbutamol 2.5 mg Ampul
109 Dexamethasone inj 1mg/ml Ampul
110 Dextrose 40% BOTOL
111 Dextrose 5% BOTOL
112 Diazepam inj 5 mg Ampul
113 Diphenhydramine 10mg/ml Ampul
114 Clorpromazim inj ( CPZ ) Vial
115 Hyosin N Butil Bromide 20mg/ml Ampul
116 Ketoprofen supp Supp
117 lidocaine 2% inj 0,02ml Ampul
118 NaCl 0.9% 500 ml BOTOL
119 Metoklopramide HCl inj Ampul
120 Omeprazole inj Vial
121 Lidocaine HCl 20 mg, Adrenaline 12.5 mcg Ampul
122 Ranitidin inj Vial
123 Ringer Laktat 500 ml BOTOL
124 Vit. B1, B6, B12 inj
125 Insulin (pen) short acting

VII. ALAT KESEHATAN dan OBAT LUAR

126 Alkohol 70% 1000 ml Botol
127 Alkohol Swabs pcs
128 Methyl Salisilat 102 mg, Menthol 54,4 mg, Eugenol 13,6 20 mg pot
129 Bisacodyl 10 mg ( Dulcolak) supp supp
130 Catgut Plain 3.0 rol
131 Disposible syringe 1 cc pcs
132 Disposible syringe 10 cc pcs
133 Disposible syringe 3 cc pcs
134 Disposible syringe 5cc pcs
135 Ethyl Chlorida spray Botol
136 Eau de Cologne Botol
137 Foley Catheter No 16 pcs
138 Foley Catheter No 18 pcs Sewon
139 Infus set ( prime stop dan air stop ) PCS
140 IV Catheter 20 G ( wing with inject port,safety klip ) pcs
141 IV Catheter 22 G ( wing with inject port,safety klip ) pcs
142 IV Catheter 24 G pcs OPTIVA
143 Jelly EKG TUBE OPTIVA
144 Kantong plastik ukuran besar ( 12 cm x 20 cm ) pcs
145 Kantong plastik ukuran kecil ( 7 cm x 10 cm ) pcs
146 Kantong plastik ukuran sedang ( 10 cmx 15 cm ) pcs
147 Kapas 0,5 kg rol
148 Kassa steril 16x16 box
149 Lancet pcs
150 Larutan H2O2 fls
151 Leukoplast 1,25x5 m roll
152 Masker pcs MAESINDO
153 Masker N95 box
154 Masker Oksigen rebriting box
155 Masker Oksigen non rebriting
156 Nasal canula pcs
157 Needle 25 G
158 Pempers uk. Xl box
159 Pempers uk. L box
160 Plester dengan povidone iodine lembar
161 Povidone Iodine solution 30 ml botol
162 Rivanol 250 ml Botol
163 Sarung tangan No 7 pcs
164 Sarung tangan No 7 Steril
165 Sarung tangan No 7,5
166 sarung tangan no 7,5 steril
167 Sarung tangan No 8 NON STERIL
168 Framycetine sulfat gauze dressing
169 Stick Glukose test ( Accu Check AKTIF / ferforma ) lembar ACCU CHECK
170 h CG Strip stick ONEMED
171 Planotes reagensia stick
172 Pot urine 30 ml KIT
173 Urine Bag
174 Verband3,6 x 10/10 unit
175 Verband3,6 x 15/10 roll
176 Wing needle 23 G roll
177 Xylocain jelly tube
178 abocat 22
179 Kertas USG
180 Kertas EKG Roll
181 Regulator Oksigen pcs
182 Selang Oksigen pcs
KEBUTUHAN OBAT DAN PERBEKKES HAJI EMBARKASI TAHUN 2013
STOK AWAL PER PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK PER
01 JANUARI 2013 TAHUN 2013 TAHUN 2013 TAHUN 2013 31 DESEMBER 2013
5 6 7= 5+6 8 9 = 7-8

350 350 700 450 250

0 5000 5000 3400 1600
0 5000 5,000 2,400 2,600
3296 1900 5196 4696 500
0 5018 5018 1318 3700
1228 0 1228 498 730
394 200 594 294 300

3582 0 3582 1182 2400

0 0 0 0 0
0 0 0 0 0
704 500 1204 919 285
730 1600 2330 1430 900
0 240 240 240 0
1460 0 1460 0 1460
0 10 10 2 8
0 0 0 0 0
284 0 284 272 12
980 0 980 280 700
2600 10 2610 1 2609
0 0 0 0 0

383 0 383 0 383

412 1000 1412 1412 0
333 2200 2533 2533 0
1319 0 1319 1319 0
4 1300 1304 1304 0
2176 2100 4276 4076 200
2418 20 2438 338 2100
0 0 0 0 0

5992 0 5992 4933 1059

2865 4050 6915 5865 1050
0 500 500 200 300

0 1000 1000 500 500

7397 8900 16297 10297 6000
3266 0 3266 2816 450
72 0 72 72 0
2139 2100 4239 3189 1050
0 1000 1000 800 200
4485 0 4485 3985 500

0 200 200 83 117

0 0 0 0 0
0 500 500 16 484
0 0 0 0 0
0 0 0 0 0
0 30 30 0 30

5330 0 5330 4130 1200

0 1000 1000 94 906
 0 1100 1100 1100 0
3319 0 3319 1419 1900
1546 0 1546 1186 360
0 0 0 0 0
990 990 1980 0 1980
1113 0 1113 0 1113
0 110 110 110 0
642 0 642 579 63
1341 0 1341 5 1336
0 1200 1200 600 600
1704 2058 3762 3762 0
92 700 792 612 180

808 0 808 0 808

0 210 210 210 0

3701 0 3701 0 3701
0 400 400 395 5
0 0 0 0 0
40 50 90 55 35

194 100 294 294 0

1097 1000 2097 670 1427
6 400 406 387 19

240 0 240 180 80

0 100 100 100 0

194 720 914 674 240

0 0 0 0 0
762 2300 3062 2962 100
98 0 98 0 98
385 370 755 595 160
311 100 411 56 355
188 400 588 371 217
0 500 500 10 490
0 420 420 246 174

191 188 379 36 343

1972 1000 2972 23 2949

0 5000 5000 5000 0

0 5000 5000 5000 0
0 2000 2000 2000 0
15 700 715 715 0
0 0 0 0 0

43 18 61 54 7
143 0 143 0 143
58 0 58 5 53
94 0 94 70 24
43 18 61 46 15
46 0 46 40 6
29 0 29 29 0
 61 50 111 111 0
27 0 27 27 0
13 25 38 38 0
46 0 46 38 8

94 0 94 94 0
14 13 27 8 19
25 12 37 37 0
0 30 30 30 0

7 20 27 27 0
0 0 0 0 0

23 0 23 23 0
0 0 0 0 0

120 0 120 0 120

0 2 2 0 2
30 0 30 2 28
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
31 0 31 0 31
195 10 205 0 205
41 0 41 18 23
36 0 36 34 2
0 30 30 0 30
120 90 210 181 29
0 20 20 1 19
165 0 165 3 163
0 20 20 10 10
0 0 0 0 0
99 0 99 97 2
6 0 6 0 6
0 0 0 0 0
0 0 0 0 0
0 20 20 10 10
229 0 229 22 207
0 0 0 0 0
0 0 0 0 0

9 0 9 1 8
1500 400 1900 1825 75
0 0 0 0 0
0 0 0 0 0
15 0 15 0 15
180 0 180 150 30
93 293 386 336 50
589 515 1104 924 180
200 100 300 200 100
0 0 0 0 0
0 0 0 0 0
39 0 39 1 38
10 0 10 3 7
0 100 100 12 88
100 0 100 0 100
100 0 100 0 100
 0 0 0 0 0
0 5 5 4 1
3027 0 3027 2021 1006
10088 0 10088 9738 350
5807 0 5807 4605 1202
2 2 4 0 4
300 0 300 62 238
0 2400 2400 2300 100
5 0 5 1 4
37 0 37 26 11
1137 1500 2637 2471 166
0 0 0 0 0
7 6 13 8 5
0 6 6 0 6
0 6 6 2 4
0 100 100 45 55
0 11 11 8 3
7 11 18 14 4
900 0 900 296 604
0 3 3 3 0
4 0 4 0 4
0 50 50 6 44
0 50 50 8 42
0 50 50 1 49
0 50 50 14 36
0 50 50 0 50
60 0 60 3 57
0 2000 2000 1500 500
0 12500 12500 12500 0
0 0 0 0 0
0 12500 12500 12500 0
6 8 14 4 10
200 0 200 11 189
200 0 200 0 200
0 0 0 0 0
16 2 18 2 16
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
10 0 10 8 2
USULAN KEBUTUHAN
MASA KADALUARSA
TAHUN 2014
10 11

500 2014 mei

4000 2016 okt
2500 2018 feb
5000 2016 jun
2000 2016 jan
0 2016 sep
200 2015 des

0 2015 mei
0
0
800
1500 2014 sep
1000
0
0
300
300 2014 jun
0
0
50

0
2000
3000
1500
1500
4000
0 2016 mei
0

4000
5000
0

500
5000
2500
200
2500
1000
4000

0
100
0
20
20
0

3000
0
4000
2000
1000

0
0
500
600
0
600
5000
700

300
0
400
0
50

500
0
400

200
200

600
0
3000
0

0
200
0
200

0
0

10 000
10 000
10 000
1000
0

50
0
0
50
50
50
20
200
50
50
50

50
0
50
50

50
50

50
0

0
0

0
20
0
0
0
10
40
0
200
0
0
10
0
100
0
0
0
20
100 2014 JUN
0
0

0
2000
0
0

200
300
800
200
0
0
0
0
0
0
0
 0
5
2000
5000
4000
0
0
2300
0
20
2000
100
5
0
0
0
10
20
0
5
0
0

0
0
0
0
1500
12500
0
12500
10
0
0
0
0
30
5
5
0
10