Usulan Obat Pkm 2016
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141 Kalsium Hidroksida Pasta tube 266,200.00 142 Kalsium Laktat (Kalk) tab 500 mg tablet 5305 76.00 143 Kapas Pembalut Adsorben 250 gr bks 6 16,313.00 144 Kaporit bks 145 Karbamazepin tablet 200 mg tablet 269.00 146 Kasa Hydropil Steril 16 x 16 kotak 7,569.00 147 Kasa Kompres Steril 40 x 40 2,088.00 148 Kasa Pembalut 2 m x 80 cm roll 10,049.00 149 Kasa pembalut 40 x 80 cm roll 5 137,025.00 150 Kasa Pembalut Elastis 3 inci roll 7 7,700.00 151 Kasa pembalut hidrofil 4 m x 10 cm roll 101 1,958.00 152 Kasa pembalut hidrofil 4 m x 3 cm roll 770.00 153 Kertas Lakmus lembar 154 Kertas Perkamen lembar 5,000.00 155 Ketokonazol Krim 2% tube 2,697.00 156 Ketokonazol Tablet 200 mg tablet 1800 320.00 157 Ketorolac injeksi 30mg/ml ampul 58 2,665.00 158 Klindamisin Kapsul 150 mg kapsul 405.00 159 Klindamisin Kapsul 300 mg kapsul 350 580.00 160 Kloramfenikol kapsul 250 mg kapsul 230 250.00 161 Kloramfenikol Kapsul 500 mg kapsul 935.00 162 Kloramfenikol Salep Mata 1 % tube 10 1,680.00 163 Kloramfenikol Suspensi 125 mg/5ml botol 454 4,050.00 164 Kloramfenikol Tetes Mata 0,5% botol 20,360.00 165 Kloramfenikol Tetes Telinga 3 % botol 1,759.00 166 Klorfeniramin Maleat (CTM) tab 4 mg tablet 9918 54.00 167 Klorfenol kamfer Menthol (CHKM) botol 240,000.00 168 Kloroquin fosfat tablet 250 mg tablet 112.00 169 Klorpramazine tab salut 100 mg (HCl) tablet 39 165.00 170 Klorpromazine injeksi i.m 25 mg/ml - 1 ml ampul 1,210.00 171 Klorpromazine injeksi i.m 5 mg/ml - 2 ml ampul 1,155.00 172 Klorpromazine tab salut 25 mg (HCl) tablet 75.00 173 Kodein tab 10 mg tablet 550.00 174 tablet 5886 46.00 175 Komposit Resin (TM, Master Fill) set 83,700.00 176 Kotrimoksazole DOEN I (dewasa) 480 mg tablet 4393 146.24 177 Kotrimoksazole DOEN II (pediatrik) 120 mg tablet 2278 79.00 178 Kotrimoksazole suspensi botol 179 2,122.94 179 Kuinin dihidroklorida inj. 25%-2 ml ampul 6,820.00 180 Kuinin sulfat tablet 222 mg (7 h2o) tablet 594.00 181 Lanzoprazol kapsul 30 mg kapsul 521.00 182 Larutan benedict botol 13,000.00 183 Larutan Burowi botol 184 Larutan eosin 2% botol 126,000.00 185 Larutan etanol asam botol 24,000.00 186 Larutan Giemza Stain botol 142,000.00 187 Larutan Karbol Fuksin botol 45,000.00 188 botol 189 Larutan Metilen Biru botol 24,000.00 190 Larutan Peroksida (H₂O₂) botol Kombinasi Tablet Salut : Besi (II) Sulfat 7 H₂O 200 mg, Asam Folat 0,25 mg (Tablet tambah darah kombinasi) Larutan Mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq)/Asering
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Transcript of Usulan Obat Pkm 2016
141 Kalsium Hidroksida Pasta tube 266,200.00
142 Kalsium Laktat (Kalk) tab 500 mg tablet 5305 76.00
143 Kapas Pembalut Adsorben 250 gr bks 6 16,313.00
144 Kaporit bks
145 Karbamazepin tablet 200 mg tablet 269.00
146 Kasa Hydropil Steril 16 x 16 kotak 7,569.00
147 Kasa Kompres Steril 40 x 40 2,088.00
148 Kasa Pembalut 2 m x 80 cm roll 10,049.00
149 Kasa pembalut 40 x 80 cm roll 5 137,025.00
150 Kasa Pembalut Elastis 3 inci roll 7 7,700.00
151 Kasa pembalut hidrofil 4 m x 10 cm roll 101 1,958.00
152 Kasa pembalut hidrofil 4 m x 3 cm roll 770.00
153 Kertas Lakmus lembar
154 Kertas Perkamen lembar 5,000.00
155 Ketokonazol Krim 2% tube 2,697.00
156 Ketokonazol Tablet 200 mg tablet 1800 320.00
157 Ketorolac injeksi 30mg/ml ampul 58 2,665.00
158 Klindamisin Kapsul 150 mg kapsul 405.00
159 Klindamisin Kapsul 300 mg kapsul 350 580.00
160 Kloramfenikol kapsul 250 mg kapsul 230 250.00
161 Kloramfenikol Kapsul 500 mg kapsul 935.00
162 Kloramfenikol Salep Mata 1 % tube 10 1,680.00
163 Kloramfenikol Suspensi 125 mg/5ml botol 454 4,050.00
164 Kloramfenikol Tetes Mata 0,5% botol 20,360.00
165 Kloramfenikol Tetes Telinga 3 % botol 1,759.00
166 Klorfeniramin Maleat (CTM) tab 4 mg tablet 9918 54.00
167 Klorfenol kamfer Menthol (CHKM) botol 240,000.00
168 Kloroquin fosfat tablet 250 mg tablet 112.00
169 Klorpramazine tab salut 100 mg (HCl) tablet 39 165.00
170 Klorpromazine injeksi i.m 25 mg/ml - 1 ml ampul 1,210.00
171 Klorpromazine injeksi i.m 5 mg/ml - 2 ml ampul 1,155.00
172 Klorpromazine tab salut 25 mg (HCl) tablet 75.00
173 Kodein tab 10 mg tablet 550.00
174 tablet 5886 46.00
175 Komposit Resin (TM, Master Fill) set 83,700.00
176 Kotrimoksazole DOEN I (dewasa) 480 mg tablet 4393 146.24
177 Kotrimoksazole DOEN II (pediatrik) 120 mg tablet 2278 79.00
178 Kotrimoksazole suspensi botol 179 2,122.94
179 Kuinin dihidroklorida inj. 25%-2 ml ampul 6,820.00
180 Kuinin sulfat tablet 222 mg (7 h2o) tablet 594.00
181 Lanzoprazol kapsul 30 mg kapsul 521.00
182 Larutan benedict botol 13,000.00
183 Larutan Burowi botol
184 Larutan eosin 2% botol 126,000.00
185 Larutan etanol asam botol 24,000.00
186 Larutan Giemza Stain botol 142,000.00
187 Larutan Karbol Fuksin botol 45,000.00
188 botol
189 Larutan Metilen Biru botol 24,000.00
190 Larutan Peroksida (H₂O₂) botol
Kombinasi Tablet Salut : Besi (II) Sulfat 7 H₂O 200 mg, Asam Folat 0,25 mg (Tablet tambah darah kombinasi)
Larutan Mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq)/Asering
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403,180
97,878
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685,125
53,900
197,758
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576,000
154,570
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203,000
57,500
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16,800
1,838,700
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535,572
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6,435
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270,756
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642,432
179,962
380,006
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PEMERINTAH KABUPATEN BONEDINAS KESEHATAN
UPTD PUSKESMAS CENRANAJl. KH. ZAINUDDIN NO. KELURAHAN CENRANA
USULAN KEBUTUHAN OBAT PUSKESMAS TAHUN 2016
NO NAMA OBAT SATUAN KEBUTUHAN
1 Air Raksa Dental botol 108,195.00
2 Air Untuk Injeksi 25 ml (Aqua pro inj steril, bebas pirogen) botol 600 5,800.00
3 Air Untuk Irigasi Larutan Infus 1000 ml (Aquadest steril) botol 14,000.00
4 Alat Suntik Sekali Pakai 0,5 ml set 1,360.00
5 Alat Suntik sekali pakai 1 ml set 2700 1,202.00
6 Alat Suntik Sekali Pakai 2,5 ml set 6250 1,142.00
7 Alat Suntik sekali pakai 5 ml set 1800 1,142.00
8 Alat Suntik sekali pakai 10 ml set 1000
9 Albendazol 400 mg tablet 6100 363.00
10 Alopurinol tab 100 mg tablet 36500 106.00
11 Alprazolam 0,5 mg tablet 700 810.00
12 Alprazolam 1 mg tablet 245.00
13 Ambroksol Sirup 15 mg/ml botol 500 2,722.00
14 Ambroksol tab 30 mg tablet 34500 89.31
15 Aminofillin Injeksi 24 mg/ml ampul 800 4,200.00
16 Aminofillin tab 200 mg tablet 4500 86.00
17 Amitriptilin tab salut 25 mg (HCl) tablet salut 123.00
18 Amlodipin tablet 5 mg tablet 9900 197.00
19 Amoksisilin Kaplet 500 mg kaplet 80000 292.00
20 Amoksisilin Serbuk Injeksi 1000 mg ampul
21 Amoksisilin Kapsul 250 mg kapsul 250 220.24
22 Amoksisilin srp kering 125 mg/5ml botol 1600 2,511.00
23 Amonium Oksalat botol
24 Ampisillin kaplet 500 mg kaplet
25 Ampisillin serbuk inj i.m/i.v 1000 mg/ml ampul 5,610.00
26 Ampisillin sirup kering 125 mg/5 ml botol
27 Antalgin injeksi 250 mg/ml - 2 ml ampul 400 1,500.00
28 Antalgin tablet 500 mg tablet 141.85
29 Antasida DOEN II Suspensi botol 1300 2,300.00
30 Antasida DOEN tablet tablet 96700 78.00
31 Anti Skabies tube 18,900.00
32 Antifungi DOEN (Salep Putih) pot 140 2,096.33
33 Antihemoroid DOEN kombinasi supp 20 3,350.00
34 Antihemoroid Tablet tablet 3800 1,552.00
35 Antimigren :Ergotamin Tartrat 1 mg + Kofein 50mg tablet 149.00
36 As. Askorbat (Vit C) tab 100 mg tablet
37 As. Askorbat (Vit C) tab 250 mg tablet 15500 167.00
38 As. Askorbat (Vit C) tab 50 mg tablet 28200 105.00
39 Asam klorida 0,1 N botol 28,000.00
40 Asam Mefenamat Tablet 500 mg tablet 38500 122.00
41 Asam sulfasalisilat 20 % botol 10 190,000.00
42 Asam Traneksamat Injeksi 100mg/ml ampul 110 3,250.00
HARGA SATUAN
43 Aseptic Gel 500 ml + Dispenser
44 Asetosal 80 mg tablet 163.00
45 Asetosal tablet 100 mg tablet 110.00
46 Asetosal tablet 500 mg tablet 178.00
47 Asiklovir krim 5% tube 450 2,367.00
48 Asiklovir tablet 200 mg tablet 2700 251.00
49 Atropin Inj i.m/i.v/s.k 0,25 mg/ml (sulfat) ampul 1,485.00
50 Atropin Sulfat tab 0,5 mg tablet 81.00
51 Atropin sulfat tetes mata 0,5 % (Sulfat) botol 13,500.00
52 Attapulgit tablet 220.00
53 Benzatin Benzil Penicillin 1,2 juta IU/vial vial 10,780.00
54 Benzatin Benzil Penicillin 2,4 juta IU/vial vial 14,740.00
55 Betahistin Tablet 6 mg tablet 1,016.00
56 Betametason krim 0,1 % tube 1500 1,596.00
57 Bisacodil Suppositoria 5 mg supp 40 4,990.00
58 Bisakodil Suppositoria 10 mg supp 6,045.00
59 Bisturi pcs 200 1,800.00
60 Bonding (TM, Master Bond) set 3 93,000.00
61 Cairan KN3B botol 120 15,000.00
62 Cairan Pelunak Karang Gigi
63 Calcii Gluconas ampul
64 Captopril tab 25 mg tablet 16500 100.00
65 Catgut/benang bedah no 2/0 - 3/0 (plain &chromic) kotak 5500 7,286.25
66 Cefotaksim Injeksi 1 g vial 2000 3,500.00
67 Deksametason inj i.v 5 mg/ml ampul 1400 1,738.00
68 Deksametason tab 0,5 mg tablet 73800 74.00
69 Dentorit kotak 300,000.00
70 Devitalisasi pasta (non arsen) btl/ktk 1,250,000.00
71 Diazepam Inj 5 mg/ml ampul 100 4,598.00
72 Diazepam Rectal 5 mg/2,5 ml tube 12,751.00
73 Diazepam tab 2 mg tablet 18400 47.00
74 Diazepam tab 5 mg tablet 179.00
75 Difenhidramin Inj i.m 10 mg/ml (HCl) ampul 1100 1,156.00
76 Digoksin Tablet 0,25 mg tablet 103.00
77 Diltiazem HCl Tablet 30 mg tablet 141.00
78 Dimenhidrinat Tablet 50 mg tablet 109.00
79 Doksisiklin kapsul 100 mg kapsul 298.00
80 Domperidon sirup 5 mg/5 ml botol 250 3,490.00
81 Domperidon Tablet 10 mg tablet 174.00
82 Efedrin Tablet 25 mg (HCl) tablet 3000 56.39
83 Ephinefrin (Adrenalin) inj 0,1 % (sebagai HCl) ampul 180 8,910.00
84 Eritromisin Kapsul 500 mg kapsul 1,023.00
85 Etakridini larutan 0,1 % botol 3,328.00
86 Etambutol tab 250 mg tablet 330.00
87 Etanol 70% 100 ml botol 200 2,625.00
88 Etanol 70% 1000 ml botol 50 28,058.00
89 Etil klorida spray botol 18 115,500.00
90 ETSA (TM,Actinol) set 32,550.00
91 Eugenol cairan botol 18,333.00
92 Fenobarbital Inj i.m/ i.v 50 mg/ml ampul 1,980.00
93 Fenobarbital tab 100 mg tablet 242.00
94 Fenobarbital tab 30 mg tablet 149.00
95 Fenol Gliserol tetes telinga 10 % botol 140 1,108.80
96 Fitomenadion (Vitamin K) inj 10 mg/ml ampul 350 1,723.00
97 Fitomenadion (Vitamin K1) 10 mg tablet 3650 640.59
98 Fluor tablet 0,5 mg tablet
99 Foly Cateter pcs 100 39,150.00
100 Furosemide Injeksi 10mg/ml ampul 1300 2,012.00
101 Furosemide tab 40 mg tablet 84.00
102 Gameksan Lotion 1 %
103 Garam Oralit untuk 200 ml air sachet 2900 317.00
104 Gemfibrozil Kapsul 300 mg kapsul 318.00
105 Gentamisin 40 mg/ml Inj ampul 3,739.00
106 Gentamisin Salep Kulit 0,1% tube 650 1,469.00
107 Gentamisin Sulfat Tetes Mata 0,3% botol 900 3,513.00
108 Gentian Violet larutan 1 % botol 250 985.00
109 Glass Ionomer Cement ART set/btl 4 434,500.00
110 Glibenklamida tab 5 mg tablet 7500 61.00
111 Glimepirid Tab 2 mg tablet 458.00
112 Gliseril Guaikolat tab 100 mg tablet 25000 30.69
113 Gliserin botol 4,578.64
114 Glukosa larutan infus 10 % botol 6,300.00
115 Glukosa larutan infus 40 % botol 1,960.00
116 Glukosa larutan infus 5 % botol 60 5,844.00
117 Griseofulvin tab 125 mg Micronized tablet 3650 241.00
118 Gutta Percha No. 15-45 kotak 102,000.00
119 Haloperidol 5 mg Tab tablet 2000 105.00
120 Haloperidol Injeksi 5 mg/ml ampul 6,875.00
121 Haloperidol tab 1,5 mg tablet 76.00
122 Hidroklortiazid (HCT) tab 25 mg tablet 220 163.00
123 Hidrokortison cream 2,5 % tube 2,827.00
124 I.V. Catheter No 18 pcs 4,959.00
125 I.V. Catheter No 20 pcs 500 4,959.00
126 I.V. Catheter No 22 pcs 750 4,959.00
127 I.V. Catheter No 24 pcs 280 4,959.00
128 I.V. Catheter No.26 pcs 150 5,351.00
129 Ibuprofen sirup 100mg/5 ml botol 3,849.00
130 Ibuprofen tab 200 mg tablet 23700 121.00
131 Ibuprofen tab 400 mg tablet 157.00
132 Infuset anak set 240 4,568.00
133 Infuset dewasa set 1100 4,176.00
134 Insektisida Cair botol
135 Iodina Test botol 50 1,650.00
136 Isoniazid tab 300 mg tablet 174.00
137 Isosorbid Dinitrat tab sublingual 5 mg tablet 90 98.00
138 Jarum Jahit Bedah No. 9 s/d 14 lusin 150 27,000.00
139 Jelly 80 g tube 20 50,000.00
140 Kalium Permanganat serbuk ktg
141 Kalsium Hidroksida Pasta tube 266,200.00
142 Kalsium Laktat (Kalk) tab 500 mg tablet 20000 76.00
143 Kapas Pembalut Adsorben 250 gr bks 40 16,313.00
144 Kaporit bks
145 Karbamazepin tablet 200 mg tablet 269.00
146 Kasa Hydropil Steril 16 x 16 kotak 7,569.00
147 Kasa Kompres Steril 40 x 40 2,088.00
148 Kasa Pembalut 2 m x 80 cm roll 10,049.00
149 Kasa pembalut 40 x 80 cm roll 50 137,025.00
150 Kasa Pembalut Elastis 3 inci roll 7 7,700.00
151 Kasa pembalut hidrofil 4 m x 10 cm roll 1000 1,958.00
152 Kasa pembalut hidrofil 4 m x 3 cm roll 200 770.00
153 Kertas Lakmus lembar
154 Kertas Perkamen lembar 5,000.00
155 Ketokonazol Krim 2% tube 150 2,697.00
156 Ketokonazol Tablet 200 mg tablet 1100 320.00
157 Ketorolac injeksi 30mg/ml ampul 225 2,665.00
158 Klindamisin Kapsul 150 mg kapsul 405.00
159 Klindamisin Kapsul 300 mg kapsul 510 580.00
160 Kloramfenikol kapsul 250 mg kapsul 1800 250.00
161 Kloramfenikol Kapsul 500 mg kapsul 935.00
162 Kloramfenikol Salep Mata 1 % tube 120 1,680.00
163 Kloramfenikol Suspensi 125 mg/5ml botol 200 4,050.00
164 Kloramfenikol Tetes Mata 0,5% botol 500 20,360.00
165 Kloramfenikol Tetes Telinga 3 % botol 150 1,759.00
166 Klorfeniramin Maleat (CTM) tab 4 mg tablet 83500 54.00
167 Klorfenol kamfer Menthol (CHKM) botol 240,000.00
168 Kloroquin fosfat tablet 250 mg tablet 112.00
169 Klorpramazine tab salut 100 mg (HCl) tablet 2500 165.00
170 Klorpromazine injeksi i.m 25 mg/ml - 1 ml ampul 3000 1,210.00
171 Klorpromazine injeksi i.m 5 mg/ml - 2 ml ampul 1,155.00
172 Klorpromazine tab salut 25 mg (HCl) tablet 75.00
173 Kodein tab 10 mg tablet 1000 550.00
174 tablet 37400 46.00
175 Komposit Resin (TM, Master Fill) set 83,700.00
176 Kotrimoksazole DOEN I (dewasa) 480 mg tablet 13500 146.24
177 Kotrimoksazole DOEN II (pediatrik) 120 mg tablet 13000 79.00
178 Kotrimoksazole suspensi botol 1200 2,122.94
179 Kuinin dihidroklorida inj. 25%-2 ml ampul 6,820.00
180 Kuinin sulfat tablet 222 mg (7 h2o) tablet 594.00
181 Lanzoprazol kapsul 30 mg kapsul 3000 521.00
182 Larutan benedict botol 13,000.00
183 Larutan Burowi botol
184 Larutan eosin 2% botol 126,000.00
185 Larutan etanol asam botol 24,000.00
186 Larutan Giemza Stain botol 142,000.00
187 Larutan Karbol Fuksin botol 45,000.00
188 botol
189 Larutan Metilen Biru botol 24,000.00
190 Larutan Peroksida (H₂O₂) botol
191 Larutan Turk botol 89,000.00
192 Larvasida Butiran ktg 10 85,000.00
193 Lidokain injeksi 2% ampul 830 929.00
194 Lidokain kompositum injeksi 2% (+ Epinefrin 1 : 80.000) ampul 1,499.00
195 Lisol 1 Liter botol 20 53,505.00
196 Loperamid Tablet 2 mg tablet 10200 97.00
197 Loratadine Tablet 10 mg tablet 5000 170.00
198 Magnesium sulfat inj. (i,v) 20 %-25 ml botol 2,800.00
199 Magnesium sulfat inj. (i,v) 40 %-25 ml botol 6 3,500.00
200 Magnesium Sulfat Serbuk 30 g kotak 1,129.00
201 Malation btl 1 liter 230,970.00
202 Masker pcs 2500 1,237.00
203 Meloksikam 15 mg tablet
Kombinasi Tablet Salut : Besi (II) Sulfat 7 H₂O 200 mg, Asam Folat 0,25 mg (Tablet tambah darah kombinasi)
Larutan Mengandung Elektrolit (Na 130 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 mEq)/Asering
204 Metanol botol 35,000.00
205 Metformin Tab 500 mg tablet 500 118.00
206 Metilergometrin Maleat injeksi 0,200 mg - 1 ml ampul 12 2,750.00
207 Metilergometrin Maleat tab salut 0,125 mg tablet 194 147.00
208 Metilprednisolon Tablet 4 mg tablet 30000 230.00
209 Metoklopramid Injeksi 5 mg/ml ampul 200 1,060.00
210 Metoklopramid Sirup 5mg/5ml botol 500 2,900.00
211 Metoklopramid Tablet 10 mg tablet 7600 110.00
212 Metronidazol Infus 500 mg/100 ml botol 12,980.00
213 Metronidazole tablet 250 mg tablet 116.00
214 Metronidazole tablet 500 mg tablet 4500 169.00
215 Mikonazol Krim 2% tube 500 3,150.00
216 Mineral Mix bungkus 40 2,695.00
217 Multivitamin Sirup botol 1000 17,366.00
218 Multivitamin Tablet tablet 5000 29.00
219 Mummifying pasta btl/ktk 193,600.00
220 Na. Diklofenak Tab 25 mg tablet 15750 148.00
221 Na. Diklofenak Tab 50 mg tablet 193.00
222 Natrium Bikarbonat
223 Natrium klorida lar.infus 0,9 % steril botol 450 5,170.00
224 Nifedipin tab 10 mg tablet 1500 127.00
225 Nistatin 100.000 iu/g tablet vaginal tablet 528.00
226 Nistatin 500.000 iu tablet salut tablet 704.00
227 Obat Antimalaria Paket paket
228 Obat Antituberkulosis FDC Anak paket 189,100.00
229 Obat antituberkulosis FDC kategori 1 paket 5 395,900.00
230 Obat antituberkulosis FDC kategori 2 paket 5 1,317,000.00
231 Obat antituberkulosis FDC Sisipan paket 175,000.00
232 Obat antituberkulosis Kombipak Kategori 1 paket 317,015.00
233 Obat Batuk Hitam (O.B.H) Cairan botol 500 1,339.80
234 Obat Batuk Kombinasi Sirup botol 9,200.00
235 Obat Flu Kombinasi Tablet tablet 500 398.00
236 Objek Gelas dos 135 35,000.00
237 Oil Emersi botol 160,000.00
238 Oksitetrasiklin HCl injeksi i.m 50 mg/ml ampul
239 Oksitetrasiklin hcl salep mata tube 500 1,680.00
240 Oksitetrasiklin salep kulit 3 % tube 500 1,646.00
241 Oksitosin Inj 10 IU/ml - 1 ml ampul 750 2,000.00
242 Omeperazol Kapsul 20 mg kapsul 19300 221.00
243 Papaverin Tablet 40 mg tablet 65550 128.00
244 Paper Point No. 15-45 kotak 95,000.00
245 Paracetamol tab 100 mg tablet 10000 34.51
246 Paracetamol tab 500 mg tablet 70000 88.00
247 Paraformaldehid (Formalin) 1 gram
248 Parasetamol drop 100 mg/ml btl @15 ml (60 mg/0,6 ml) botol 5,720.00
249 Parasetamol sirup 120 mg/ 5 ml botol 2100 1,535.00
250 Pembalut Gypsona roll
251 Perak Sulfadiazin krim 1 % tube
252 Petidin hcl inj 50 mg/ml - 2 ml ampul 15,950.00
253 Pilokarpin tetes mata 2 % (HCl/Nitrat) botol
254 Pirantel pamoat tablet Score (base) 125 mg tablet 550 343.00
255 Pirantel Suspensi 125mg/5ml botol 70 9,100.00
256 Pirasetam Tablet 400 mg tablet 1000 194.00
257 Pirazinamide Tablet 500 mg tablet
258 Piridoksin (Vit B6) tab 10 mg (HCl) tablet 12200 121.00
259 Piroksikam Tablet 10 mg tablet 6750 72.47
260 Plester 1,5 yard x 2 inch roll 500 6,510.00
261 Plester 2,5 cm x 4,5 cm roll 245
262 Plester 5 yard x 2 inch roll 150 25,988.00
263 Plester 7,5 cm x 4,5 cm roll
264 Polikresulen Cairan botol
265 Pot dahak pot 3000 1,000.00
266 Prednison tab 5 mg tablet 24000 125.00
267 Primakuin tab 15 mg tablet 205.00
268 Probenesid Tab/kapsul/kaplet 500 mg tablet
269 Prokain Banzil Penisillin g Injeksi 3 jt IU/vial ampul 7,910.00
270 Propanolol tab 40 mg (HCl) tablet 1200 114.00
271 Propiltiourasil tablet 100 mg tablet 1650 351.00
272 Ranitidin Injeksi 25 mg / 2 ml ampul 720 1,340.00
273 Ranitidin Tablet 150 mg tablet 30000 132.00
274 Reagen Ziel Nelsen paket
275 Retinol (Vitamin A) 100.000 IU Kap.lunak kapsul 1000 286.00
276 Retinol (vitamin A) 200.000 IU kap.lunak kapsul 5250 505.00
277 Rifampisin kaplet 600 mg kaplet 1,209.00
278 Rifampisin kapsul 300 mg kapsul 671.00
279 Rifampisin kapsul 450 mg kapsul 868.00
280 Ringer Laktat lar.infus botol 3000 5,720.00
281 Salbutamol Inhalasi/ aerosol 100 mcg/ dosis botol 70,125.00
282 Salbutamol tablet 2 mg tablet 12400 65.00
283 Salbutamol tablet 4 mg tablet 10000 99.00
284 Salep 2-4 kombinasi pot 150 2,200.00
285 Salisil bedak 2 % kotak 2200 1,350.00
286 Sarung Tangan Karet psg 2200 4,675.00
287 Sarung Tangan Obgin psg 2500 20,000.00
288 Sarung Tangan Steril psg 9,000.00
289 Sefadroksil Kapsul 500 mg kapsul 2500 529.00
290 Sefadroksil Syrup botol 5000 5,286.00
291 Sefixim Syrup botol 200 9,400.00
292 Selang Oksigen Anak set 13,000.00
293 Selang Oksigen Dewasa set 13,000.00
294 Semen seng Fosfat serbuk dan cairan set 102,850.00
295 Serum Anti Tetanus (Kuda) 15.000 IU ampul 97,000.00
296 Setirizine Tab 10 mg tablet 5000 190.00
297 Setrizine Sirup 5 mg/ml botol 8,799.00
298 Sianokobalamin (Vit B12) tablet tablet 7000 63.00
299 Sianokobolamin (vitamin B 12) Injeksi 500 mcg/ml ampul 3000 1,050.00
300 Silk (benang bedah sutera) no 30 kotak 200 3,987.50
301 Silver Amalgam serbuk 65 - 75% botol 5000 237,540.00
302 Simetidin Tablet 200 mg tablet 115.52
303 Simvastatin Tablet 10 mg tablet 23200 177.00
304 Siprofloksasin Tablet 500 mg tablet 16000 265.00
305 Spiritus botol 4 40,000.00
306 Spons Gelatin Cubicles 1x1x1 cm buah 10,000.00
307 Stomach Tube No. 14 tube
308 Stomach Tube No. 18 tube
309 Strip Pemeriksaan Asam Urat botol 50 150,000.00
310 Strip Pemeriksaan glukosa botol 50 150,000.00
311 Strip Pemeriksaan Kolesterol botol 50 195,000.00
312 Strip Pemeriksaan Protein Urea botol 50 250,000.00
313 Sukralfat Susp 500 mg/5 ml botol 14,450.00
314 Sukralfat Tablet 500 mg tablet 477.00
315 Temporary Stopping Fletcher serbuk dan cairan set 37,400.00
316 Tes Golongan Darah set 50 230,000.00
317 Tes Widal set 450,000.00
318 Tetrakain HCl tetes mata 0,5 % botol 100 11,500.00
319 Tetrasiklin kap.250 mg kapsul 1000 162.00
320 Tetrasiklin kapsul 500 mg kapsul 325.00
321 Tiamazol Tablet 5 mg tablet
322 Tiamfenikol Kapsul 500 mg kapsul 440.00
323 Tiamin (Vitamin B1) tab. 50 mg (HCl Nitrat) tablet 10000 41.58
324 Tiamin HCl (vitamin B1) inj.100 mg/ml ampul 1665 730.00
325 Tramadol Injeksi 50 mg/ml ampul 6,000.00
326 Tramadol Tablet 50 mg tablet 196.35
327 Triheksifenidil hidroklorida tablet 2 mg tablet 1000 44.00
328 Trikresol Formalin (TKF) Cairan botol 37,300.00
329 Urine Bag kantong 3,915.00
330 Vaksin Rabies Vero set 78,000.00
331 Vaksin Tetanus Toxoid vial 14,498.00
332 Valsartan Tablet 80 mg tablet 3,510.00
333 Vitamin B Kompleks tablet tablet 90000 112.00
334 Yodium Povidon 1 Liter botol 5 28,058.00
335 Yodium Povidon 30 ml botol 3,785.00
336 Yodium Povidon 300 ml botol 100 23,490.00
337 Yodium Povidon 60 ml botol 70 4,829.00
338 Zink Sirup 20 mg/ 5 ml botol 100 8,140.00
339 Zink Tablet 20 mg tablet 1500 521.00
TOTAL
Watampone, 2016
Kepala UPTD Puskesmas Cenrana Pengelola Obat
H. ABDUL. RAHMAN ALY, SKM, M.Kes RAHMAWATI NIP. 19681025 198803 1 004 Nip. 19720305 200604 2 016
MengetahuiKepala Dinas Kesehatan
Kabupaten Bone
dr. Hj. Khasma, M.KesNIP. 19600920 198712 2 001
PEMERINTAH KABUPATEN BONEDINAS KESEHATAN
UPTD PUSKESMAS CENRANAJl. KH. ZAINUDDIN NO. KELURAHAN CENRANA
USULAN KEBUTUHAN OBAT PUSKESMAS TAHUN 2016
JUMLAH HARGA KET
-
3,480,000
-
-
3,245,400
7,137,500
2,055,600
-
2,214,300
3,869,000
567,000
-
1,361,000
3,081,195
3,360,000
387,000
-
1,950,300
23,360,000
-
55,060
4,017,600
-
-
-
-
600,000
-
2,990,000
7,542,600
-
293,486
67,000
5,897,600
-
-
2,588,500
2,961,000
-
4,697,000
1,900,000
357,500
-
-
-
-
1,065,150
677,700
-
-
-
-
-
-
-
2,394,000
199,600
-
360,000
279,000
1,800,000
-
-
1,650,000
40,074,375
7,000,000
2,433,200
5,461,200
-
-
459,800
-
864,800
-
1,271,600
-
-
-
-
872,500
-
169,170
1,603,800
-
-
-
525,000
1,402,900
2,079,000
-
-
-
-
-
155,232
603,050
2,338,154
-
3,915,000
2,615,600
-
-
919,300
-
-
954,850
3,161,700
246,250
1,738,000
457,500
-
767,250
-
-
-
350,640
879,650
-
210,000
-
-
35,860
-
-
2,479,500
3,719,250
1,388,520
802,650
-
2,867,700
-
1,096,320
4,593,600
-
82,500
-
8,820
4,050,000
1,000,000
-
-
1,520,000
652,520
-
-
-
-
-
6,851,250
53,900
1,958,000
154,000
-
-
404,550
352,000
599,625
-
295,800
450,000
-
201,600
810,000
10,180,000
263,850
4,509,000
-
-
412,500
3,630,000
-
-
550,000
1,720,400
-
1,974,240
1,027,000
2,547,528
-
-
1,563,000
-
-
-
-
-
-
-
-
-
-
850,000
771,070
-
1,070,100
989,400
850,000
-
21,000
-
-
3,092,500
-
-
59,000
33,000
28,518
6,900,000
212,000
1,450,000
836,000
-
-
760,500
1,575,000
107,800
17,366,000
145,000
-
2,331,000
-
-
2,326,500
190,500
-
-
-
-
1,979,500
6,585,000
-
-
669,900
-
199,000
4,725,000
-
-
840,000
823,000
1,500,000
4,265,300
8,390,400
-
345,100
6,160,000
-
-
3,223,500
-
-
-
-
188,650
637,000
194,000
-
1,476,200
489,173
3,255,000
-
3,898,200
-
-
3,000,000
3,000,000
-
-
-
136,800
579,150
964,800
3,960,000
-
286,000
2,651,250
-
-
-
17,160,000
-
806,000
990,000
330,000
2,970,000
10,285,000
50,000,000
-
1,322,500
26,430,000
1,880,000
-
-
-
-
950,000
-
441,000
3,150,000
797,500
1,187,700,000
-
4,106,400
4,240,000
160,000
-
-
-
7,500,000
7,500,000
9,750,000
12,500,000
-
-
-
11,500,000
-
1,150,000
162,000
-
-
-
415,800
1,215,450
-
-
44,000
-
-
-
-
-
10,080,000
140,290
-
2,349,000
338,030
814,000
781,500
1,733,141,375
Watampone, 2016
Pengelola Obat
RAHMAWATI Nip. 19720305 200604 2 016
