DAFTAR HARGA OBAT 2017

NO NAMA OBAT SATUAN HARGA SATUAN

1 2 3 4
1 Abocath No. 18 pcs 9,100.00
2 Abocath No. 20 pcs 9,100.00
3 Abocath No. 22 pcs 9,100.00
4 Abocath No. 24 pcs 9,100.00
5 Abocath No. 26 pcs 10,660.00
6 Aciclovyr cream tube 3,880.00
7 Aciclovyr 200 mg Tab Tablet 287.00
8 Amoxicillin Syrup Botol 4,296.00
9 Amoxicillin Tablet 500mg Tablet 192.00
10 Antalgin 500 mg tab Tablet 137.00
11 Ambroxol tab 30 mg Tablet 190.00
12 Ambroxol syr 15 mg/ ml Botol 6,197.00
13 Antihaemorroid doen kombinasi supp 2,433.00
14 Asam ascorbat 250 mg (Vit.C) tab Tablet 166.00
15 Asam Ascorbat ( Vit.C ) tab 50 mg tablet 144.00
16 Asam mefenamat tab 500 mg tablet 139.00
17 Asifit Kapsul 2,085.00
18 Aqua pro inj steril vial 6,790.00
19 Arthem inj ampul 26,600.00
20 Betamethasone cream 0.1% Tube 1,550.00
21 Bethasone cream Tube 8,079.00
22 Bisturi No. 11 pcs 6,375.00
23 Ceterizin tab Tablet 384.00
24 Cimetidin tab 200 mg Tablet 365.00
25 Chloramfenikol cap 250 mg Kapsul 284.00
26 Cloramfenikol tetes mata 0,5 % Botol 3,142.00
27 Cloramfenikol susp 125 mg Botol 5,474.00
28 Chloramphecort H cream Tube 10,130.00
29 Codein 10 mg Tablet 687.00
30 Cotrimoxazole susp 240 mg Btl 60 ml 4,868.00
31 Ciprofloxazin tab 100 mg Tablet 324.00
32 Cotrimoxazole Ped 120 mg tab Tablet 94.00
33 Cotrimoxazole 480 mg tab Tablet 258.00
34 Catgut Chromic 3/0 Pcs 14,500.00
35 Captopril tab 12,5 mg Tablet 112.00
36 Clorpromazine tab 100 mg Tablet 144.00
37 Clorpheniramine maleat CTM 4 mg tablet 29.00
38 Chloroquin tab Tablet 3,163.00
39 Disposibble syringe 3 cc Pcs 792.00
40 Disposibble syringe 5 cc Pcs 979.00
41 Dexamethason tab 0,5 mg tablet 48.00
41 Dimenhidrimnat tablet tablet 122.00
43 Doxyciclin kaps 100 mg Tablet 310.00
44 Erytromisin kaps 250 mg Kapsul 605.00
45 Erytromisin syr Botol 60 ml 9,700.00
46 Ergotamin Caffein Tablet 270.00
47 Etanol /Alkohol 70% Btl @ 1000 ml 16,250.00
48 Etambutol 250 mg Tablet 480.00
49 Fitomenadion (Vit.K)inj ampul 1,909.00
50 Fituno Capsul Kapsul 4,163.00
51 Foley Cateter No. 16 pcs 23,546.00
52 Foley Cateter No. 18 pcs 23,546.00
53 Glucose 5 % Kolf 6,900.00
54 Gentian Violet Btl 10 ml 2,230.00
55 Glimepiride 3 mg tab Tablet 320.00
56 Gliseryl Guaiacolat Tablet 37.00
57 Griseufulvin 125 mg tab tablet 285.00
58 Gentamicin salep kulit 0,1% tube 2,230.00
59 Hidrocortisone crem 2.5% Tube @ 5 gr 3,036.00
60 Hidrochlortiazide tab 25 mg tablet 129.00
61 Hancoen steril 7,5 Pcs 9,880.00
62 Hancoen non steril pcs 6,500.00
63 Infus Set Anak set 6,630.00
64 Infus Set Dewasa set 6,240.00
65 Ibuprofen tab 200 mg tablet 350.00
66 Ibuprofen 200 mg/ml syr Botol 60 ml 5,500.00
67 Ketokonazole cream 2% Tube 10 gr 2,988.00
68 Kasa Steril 16x16 Steril Box 5,950.00
69 Kasa Pembalut Hydro 4x10 cm roll 1,600.00
70 Kasa pembalut hydro 4 x 15 cm Roll 6,311.00
71 Kasa pembalut hydro 4 x 3 cm Roll 1,290.00
72 Kasa pembalut hydro 4 x 5 cm Roll 2,100.00
73 Kasa pembalut hydro 4 x 7 cm Roll 2,947.00
74 Kasa pembalut hydro 40 x 80 cm Roll 183,545.00
75 Kasa Kompres 40/40 steril pack 11,000.00
76 Kapas pembalut 250 gr pack 13,400.00
77 Kapas berlemak 1000 gr pack 59,088.00
78 Kapas berlemak 500 gr Pack 30,385.00
79 Kapas pembalut 100 gr pack 10,360.00
80 Kapas pembalut 25 gr pack 4,658.00
81 Kalsium Laktat 500 mg tablet 95.00
82 Lidokain comp. 2 % Injeksi ampul 2,424.00
 83 Metilprednisolone 4 mg tablet 180.00
84 Methylergotamin 0,125 mg Tablet 365.00
85 Meloxicam 15 mg tab tablet 7,292.00
86 Masker tali 3 ply pcs 1,125.00
87 Metformin HCl tab 850 mg tab tablet 400.00
88 Natrium Chlorida lar inf 0.9% Btl 500 ml 6,410.00
89 Neurodial tab Tablet 1,150.00
90 Neurovit E tab tablet 540.00
91 Obat Batuk Hitam (OBH Cairan) Btl 100 ml 4,698.00
92 Obat Antituberkolosis 2 FDC pkt 1,310,909.00
93 Obat Antituberkolosis 1 FDC pkt 467,978.00
94 Oxytetraciclin salep mata 1% tube 2,364.00
95 Oxyetetraciclin salep kulit 3% tube 2,200.00
96 Oralit saset 480.00
97 Plester/Hipaviks 5 cm x5 m roll 76,000.00
98 Paracetamol Sirup Botol 2,925.00
99 Paracetamol Tablet 500 mg Tablet
100 Parmaton Formula Tablet 5,050.00
101 Prednisone tab 5 mg tablet 75.00
102 Pyridoxin (vit B6 10 mg HCl) tab tablet 157.00
103 Penilbutazone 200 mg tab Tablet 1,000.00
104 Piroxicam kaps 20 mg Kapsul 200.00
105 Phenobarbital tab 30 mg tablet 178.00
106 Papaverin tab 40 mg tablet 117.00
107 Pyrantel Syrup 125 mg Botol 11,835.00
108 Pyrantel 125 mg Tab Tablet 334.00
109 Popidone Iodida Botol 18,245.00
110 Ringer Laktat Kolf 7,150.00
111 Rivanol Botol 2,000.00
112 Simvastatin 20 mg Tab Tablet 250.00
113 Silk 2/0 Pcs 5,334.00
114 Silk 3/0 Pcs 15,068.00
115 Sianocobalamin inj (vit B12 500mg) ampul 1,417.00
116 Tetracyclin kaps 500 mg tablet 324.00
117 Thiamin HCl (Vit.B1) tab 50 mg tablet 145.00
118 Tablet Tambah Darah tablet 400.00
119 Urine Bag Pcs 7,150.00
120 Vicillin Vial
121 Vitamin B komp tab tablet 128.00
122 Vitamin A 100.000 UI Capsul 355.00
123 Vitamin A 200.000 UI Capsul 636.00
124 Wing Needle no.21 pcs 2,259.00
125 Wing Needle no.23 pcs 2,259.00
126 Wing Needle 25 G pcs 2,259.00
127 Wing Needle 27 G pcs 2,259.00
128 Zink tab dispersible 20 mg tablet 573.00
 LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT (LB2) PKD
NAMA PUSKESMAS : WAPLAU BULAN : MARET
KECAMATAN : WAPLAU TAHUN : 2018

NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN (4+5) PEMAKAIAN SISA STOK (6-7) KETERANGAN

1 2 3 4 5 6 7 8 9
1 Abocath No. 18 pcs 0 30 30 0 0
2 Abocath No. 20 pcs 0 29 29 7 22
3 Abocath No. 22 pcs 0 31 31 1 30
4 Abocath No. 24 pcs 0 30 30 2 28
5 Abocath No. 26 pcs 0 30 30 0 30
6 Aciclovyr cream tube 0 50 50 0 50
7 Aciclovyr 200 mg Tab Tablet 0 5000 5000 100 4900
8 Amoxicillin Syrup Botol 0 250 200 1 199
9 Amoxicillin Tablet 500mg Tablet 0 10000 10000 470 9530
10 Antalgin 500 mg tab Tablet 160 0 160 10 150
11 Ambroxol tab 30 mg Tablet 0 4500 4500 130 4370
12 Ambroxol syr 15 mg/ ml Botol 307 0 307 24 283
13 Antihaemorroid doen kombinasi supp 280 0 280 0 280
14 Asam ascorbat 250 mg (Vit.C) tab Tablet 2732 48000 50732 534 50198
15 Asam Ascorbat ( Vit.C ) tab 50 mg tablet 0 0 0 0 0
16 Asam mefenamat tab 500 mg tablet 0 1500 1500 80 1420
17 Asifit Kapsul 0 50 50 10 40
18 Aqua pro inj steril vial 6 0 6 0 6
19 Arthem inj ampul 0 0 0 0 0
20 Betamethasone cream 0.1% Tube 0 125 125 12 113
21 Bethasone cream Tube 0 0 0 0 0
22 Bisturi No. 11 pcs 0 10 10 0 10
23 Ceterizin tab Tablet 810 300 1110 5 1105 Exp. Maret 2018
24 Cimetidin tab 200 mg Tablet 1560 5200 6760 400 6360
25 Chloramfenikol cap 250 mg Kapsul 3410 5600 9010 390 8971
26 Cloramfenikol tetes mata 0,5 % Botol 0 0 0 0 0
27 Cloramfenikol susp 125 mg Botol 0 0 0 0 0
28 Chloramphecort H cream Tube 152 0 152 30 122
29 Codein 10 mg Tablet 100 1000 1100 0 1100
30 Cotrimoxazole susp 240 mg Btl 60 ml 0 0 0 0 0
31 Ciprofloxazin tab 100 mg Tablet 3115 10000 13115 200 12915
32 Cotrimoxazole Ped 120 mg tab Tablet 0 0 0 0 0
33 Cotrimoxazole 480 mg tab Tablet 1430 10000 11430 660 10770
34 Catgut Chromic 3/0 Pcs 0 72 72 0 0
35 Captopril tab 12,5 mg Tablet 12960 10400 23360 930 22430
36 Clorpromazine tab 100 mg Tablet 2920 1000 3920 0 3920
37 Clorpheniramine maleat CTM 4 mg tablet 5132 20000 25132 3120 22012
38 Chloroquin tab Tablet 4100 0 4100 0 4100
39 Disposibble syringe 3 cc Pcs 0 300 300 30 270
40 Disposibble syringe 5 cc Pcs 406 500 906 1 905
41 Dexamethason tab 0,5 mg tablet 0 10000 10000 418 9582
41 Dimenhidrimnat tablet tablet 15100 700 15800 10 15790
43 Doxyciclin kaps 100 mg Tablet 0 0 0 0 0
44 Erytromisin kaps 250 mg Kapsul 2940 0 2940 0 2900
45 Erytromisin syr Botol 60 ml 43 0 43 0 43
46 Ergotamin Caffein Tablet 0 400 400 0 400
47 Etanol /Alkohol 70% Btl @ 1000 ml 0 5 5 1 4
48 Etambutol 250 mg Tablet 0 0 0 0 0
49 Fitomenadion (Vit.K)inj ampul 0 52 52
50 Fituno Capsul Kapsul 0 300 300 150 150
51 Foley Cateter No. 16 pcs 0 0 0 0 0
52 Foley Cateter No. 18 pcs 0 5 5 0 5
53 Glucose 5 % Kolf 180 100 280 0 280
54 Gentian Violet Btl 10 ml 0 0 0 0 0
55 Glimepiride 3 mg tab Tablet 0 6300 6300 220 6080
56 Gliseryl Guaiacolat Tablet 3482 10000 13482 2706 10776
57 Griseufulvin 125 mg tab tablet 5290 0 5290 60 5230
58 Gentamicin salep kulit 0,1% tube 253 100 353 37 316
59 Hidrocortisone crem 2.5% Tube @ 5 gr 0 72 72 3 69
60 Hidrochlortiazide tab 25 mg tablet 6300 0 6300 410 5890
61 Hancoen steril 7,5 Pcs 22 25 47 7 40
62 Hancoen non steril pcs 0 0 0 0 0
63 Infus Set Anak set 200 100 300 0 300
64 Infus Set Dewasa set 306 100 406 9 397
65 Ibuprofen tab 200 mg tablet 8020 10000 18020 785 17235
66 Ibuprofen 200 mg/ml syr Botol 60 ml 0 0 0 0 0
67 Ketokonazole cream 2% Tube 10 gr 0 50 50 4 46
68 Kasa Steril 16x16 Steril Box 44 20 44 7 37
69 Kasa Pembalut Hydro 4x10 cm roll 147 50 197 19 178
70 Kasa pembalut hydro 4 x 15 cm Roll 0 25 25 0 25
71 Kasa pembalut hydro 4 x 3 cm Roll 0 0 0 0 0
72 Kasa pembalut hydro 4 x 5 cm Roll 0 0 0 0 0
73 Kasa pembalut hydro 4 x 7 cm Roll 0 0 0 0 0
74 Kasa pembalut hydro 40 x 80 cm Roll 0 1 1 0 0
75 Kasa Kompres 40/40 steril pack 0 50 50 0 50
76 Kapas pembalut 250 gr pack 0 10 10 0 10
77 Kapas berlemak 1000 gr pack 0 2 2 0 2
78 Kapas berlemak 500 gr Pack 0 1 1 0 1
79 Kapas pembalut 100 gr pack 6 0 6 0 6
80 Kapas pembalut 25 gr pack 2 0 2 1 1
81 Kalsium Laktat 500 mg tablet 1590 0 1590 360 1230
82 Lidokain comp. 2 % Injeksi ampul 0 120 120
83 Metilprednisolone 4 mg tablet 0 0 0 0 0
84 Methylergotamin 0,125 mg Tablet 0 500 500 0 500
85 Meloxicam 15 mg tab tablet 0 0 0 0 0
86 Masker tali 3 ply pcs 50 100 150 4 146
87 Metformin HCl tab 850 mg tab tablet 100 0 100 0 100
88 Natrium Chlorida lar inf 0.9% Btl 500 ml 178 200 378 4 374
89 Neurodial tab Tablet 120 500 620 13 607
90 Neurovit E tab tablet 0 0 0 0 0
91 Obat Batuk Hitam (OBH Cairan) Btl 100 ml 324 250 574
92 Obat Antituberkolosis 2 FDC pkt 2 0 2
93 Obat Antituberkolosis 1 FDC pkt 14 0 14
94 Oxytetraciclin salep mata 1% tube 14 100 114
95 Oxyetetraciclin salep kulit 3% tube 0 0 0 0 0
96 Oralit saset 711 100 811 233 578
97 Plester/Hipaviks 5 cm x5 m roll 13 10 23 2 21
98 Paracetamol Sirup Botol 184 84 268 52 216
99 Paracetamol Tablet 500 mg Tablet 0 1000 1000 225 775
100 Parmaton Formula Tablet 0 250 250 110 140
101 Prednisone tab 5 mg tablet 3470 20000 23470 575 22895
102 Pyridoxin (vit B6 10 mg HCl) tab tablet 0 0 0 0 0
103 Penilbutazone 200 mg tab Tablet 1870 1500 3370 640 2730
104 Piroxicam kaps 20 mg Kapsul 5530 10400 15930 770 15160
105 Phenobarbital tab 30 mg tablet 275 2500 2775 0 2775
106 Papaverin tab 40 mg tablet 13060 300 13360 600 12760
107 Pyrantel Syrup 125 mg Botol 0 50 50 1 49
108 Pyrantel 125 mg Tab Tablet 0 1500 1500 18 1320
109 Popidone Iodida Botol 0 5 5 2 3
110 Ringer Laktat Kolf 316 300 616 8 606
111 Rivanol Botol 78 10 88 1 87
112 Simvastatin 20 mg Tab Tablet 0 10000 10000 200 9800
113 Silk 2/0 Pcs 0 0 0 0 0
114 Silk 3/0 Pcs 0 0 0 0 0
115 Sianocobalamin inj (vit B12 500mg) ampul 0 0 0 0 0
116 Tetracyclin kaps 500 mg tablet 5800 2700 8500 210 8290
117 Thiamin HCl (Vit.B1) tab 50 mg tablet 0 7000 7000 550 6450
118 Tablet Tambah Darah tablet 5800 0 5800 440 5360
119 Urine Bag Pcs 0 1 1 0 0
120 Vicillin Vial 30 30 60 0 60
121 Vitamin B komp tab tablet 0 0 0 0 0
122 Vitamin A 100.000 UI (Biru) Capsul 3850 0 3850
123 Vitamin A 200.000 UI (Merah) Capsul 1900 0 1900
124 Wing Needle no.21 pcs 0 0 0 0 0
125 Wing Needle no.23 pcs 0 0 0 0 0
126 Wing Needle 25 G pcs 0 0 0 0 0
127 Wing Needle 27 G pcs 0 0 0 0 0
128 Calsium laktat Box/100 0 8400 8400 360 8040
129 Miconazole krim Box/25 tube 0 100 100 25 75
130 Antasida doen Tablet Box/100 tab 0 1000 1000 123 877
131 Cotrimoxazole sirup Botol 0 50 50 0 50
132 Efedrin tab Btl/100 tab 0 1000 1000 230 770
133 Salep 24 Box/24 pot 0 24 24 0 24
134 Obat Antituberkolosis kat. Anak Paket 0 2 2 0 2
135 Cyanocobalamin inj. Box/100 amp 0 100 100 16 84
136 Metronidazole tab Box/100 tab 0 300 300 0 300
137 Zink tab dispersible 20 mg tablet 150 500 650 85 565

MENGETAHUI
PENGELOLAH OBAT PKD KEPALA PUSKESMAS

(KARMILA TOMIA, S.Farm) (SALMA SOLISA, SKM)

NIP. 19750615 1999903 2 008