You are on page 1of 266

NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol Kapsul
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol Kapsul
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Zink Sirup ( Zircum Kid)
NO Nama Obat

6 Acyclovir 400 mg

7 Asiklovir krim 5%

11 Alopurinol tablet 100 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

18 Amlodipin 5 mg.

20 Antasida DOEN tablet

21 Antasida DOEN sirup

24 Antifungi DOEN kombinasi : 3 - 6

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

29 Betametson krim 0,1%

34 Cetrizin tab

36 Deksametason tablet 0,5 mg

42 Domperidon tablet 10 mg.

45 Eritromisin sirup 200mg/5ml

50 Eugenol cairan

53 Fenobarbital tablet 30 mg

56 Furosemid tablet 40 mg

59 Garam oralit untuk 200 ml air


62 Gentian Violet larutan 1%

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg

70 Griseofulvin tablet 125 mg, Micronized

72 Haloperidol tablet 1,5 mg

75 Hidrokortoson krim 2,5 %

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%

90 Ketokonazol tablet 200 mg.

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

99 Klorpromazin HCL tablet salut 100 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi


103 Kotrimaksazol tablet 480 mg

106 Lansoprazol 30 mg. kaps.

108 Loperamide

113 Metformin 500 mg

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

126 Obat Batuk Hitam (O.B.H) cairan

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg

136 Pirocicam 20 mg

138 Povidon lodida 10%

139 Prednison tablet 5 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg


143 Ranitidin tab 150 mg

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%

159 Tablet Tambah Darah besi II sulfat

162 Tetrasiklin HCL kapsul 500 mg

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol Kapsul


173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol Kapsul
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet

173 Ambroxol sirup

174 OBP Sirup

175 Diafrom

176 Salap Hitam

177 Sucralfat sirup

1178 OBH sirup

179 Zink tablet 20 mg.


180 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol tablet
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sucralfat sirup
180 Zink Sirup ( Zircum Kid)
178 OBH sirup
NO Nama Obat

6 Acyclovir 400 mg

7 Asiklovir krim 5%

11 Alopurinol tablet 100 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

18 Amlodipin 5 mg.

20 Antasida DOEN tablet

21 Antasida DOEN sirup

24 Antifungi DOEN kombinasi : 3 - 6

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

29 Betametson krim 0,1%

31 Captopril 12.5 mg.

32 Captopril 25 mg

34 Cetrizin tab

36 Deksametason tablet 0,5 mg

42 Domperidon tablet 10 mg.

45 Eritromisin sirup 200mg/5ml

50 Eugenol cairan

53 Fenobarbital tablet 30 mg
56 Furosemid tablet 40 mg

59 Garam oralit untuk 200 ml air

62 Gentian Violet larutan 1%

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg

70 Griseofulvin tablet 125 mg, Micronized

72 Haloperidol tablet 1,5 mg

75 Hidrokortoson krim 2,5 %

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%

90 Ketokonazol tablet 200 mg.

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

99 Klorpromazin HCL tablet salut 100 mg


101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

106 Lansoprazol 30 mg. kaps.

108 Loperamide

113 Metformin 500 mg

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

126 Obat Batuk Hitam (O.B.H) cairan

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg

136 Pirocicam 20 mg

138 Povidon lodida 10%

139 Prednison tablet 5 mg


141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%

159 Tablet Tambah Darah besi II sulfat

162 Tetrasiklin HCL kapsul 500 mg

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol sirup

173 OBP Sirup

174 Diafrom

175 Salap Hitam

176 Sucralfat sirup

177 Zink tablet 20 mg.


178 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet

173 Ambroxol sirup

174 OBP Sirup

175 Diafrom

176 Salap Hitam

177 Sucralfat sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol tablet
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol tablet
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol tablet
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
180 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet

173 Ambroxol sirup

174 OBP Sirup

175 Diafrom

176 Salap Hitam

177 Sukralfat Syr

178 RECO tetes mata

179 RECO Tetes telinga

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol tablet
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga

180 Zink Sirup ( Zircum Kid)


NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol tablet
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol tablet
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Ambroxol tablet
173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
172 Zink Sirup ( Zircum Kid)
NO Nama Obat

6 Acyclovir 400 mg

7 Asiklovir krim 5%

11 Alopurinol tablet 100 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

18 Amlodipin 5 mg.

20 Antasida DOEN tablet

21 Antasida DOEN sirup

24 Antifungi DOEN kombinasi : 3 - 6

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

29 Betametson krim 0,1%

31 Captopril 12.5 mg.

32 Captopril 25 mg

34 Cetrizin tab

36 Deksametason tablet 0,5 mg

42 Domperidon tablet 10 mg.

45 Eritromisin sirup 200mg/5ml

50 Eugenol cairan

53 Fenobarbital tablet 30 mg
56 Furosemid tablet 40 mg

59 Garam oralit untuk 200 ml air

62 Gentian Violet larutan 1%

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

75 Hidrokortoson krim 2,5 %

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%

90 Ketokonazol tablet 200 mg.

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

99 Klorpromazin HCL tablet salut 100 mg


101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

106 Lansoprazol 30 mg. kaps.

108 Loperamide

113 Metformin 500 mg

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

126 Obat Batuk Hitam (O.B.H) cairan

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg

136 Pirocicam 20 mg

138 Povidon lodida 10%

139 Prednison tablet 5 mg


141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%

159 Tablet Tambah Darah besi II sulfat

162 Tetrasiklin HCL kapsul 500 mg

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

167 Triheksifenidil Hidroklorida tablet 2 mg

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet


173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
172 Zink Sirup ( Zircum Kid)
NO Nama Obat

6 Acyclovir 400 mg

7 Asiklovir krim 5%

11 Alopurinol tablet 100 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

18 Amlodipin 5 mg.

20 Antasida DOEN tablet

21 Antasida DOEN sirup

24 Antifungi DOEN kombinasi : 3 - 6

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

29 Betametson krim 0,1%

31 Captopril 12.5 mg.

32 Captopril 25 mg

34 Cetrizin tab

36 Deksametason tablet 0,5 mg

42 Domperidon tablet 10 mg.

45 Eritromisin sirup 200mg/5ml

50 Eugenol cairan

53 Fenobarbital tablet 30 mg
56 Furosemid tablet 40 mg

59 Garam oralit untuk 200 ml air

62 Gentian Violet larutan 1%

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

75 Hidrokortoson krim 2,5 %

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%

90 Ketokonazol tablet 200 mg.

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

99 Klorpromazin HCL tablet salut 100 mg


101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

106 Lansoprazol 30 mg. kaps.

108 Loperamide

113 Metformin 500 mg

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

126 Obat Batuk Hitam (O.B.H) cairan

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg

136 Pirocicam 20 mg

138 Povidon lodida 10%

139 Prednison tablet 5 mg


141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%

159 Tablet Tambah Darah besi II sulfat

162 Tetrasiklin HCL kapsul 500 mg

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

167 Triheksifenidil Hidroklorida tablet 2 mg

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet


173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
172 Zink Sirup ( Zircum Kid)
NO Nama Obat

6 Acyclovir 400 mg

7 Asiklovir krim 5%

11 Alopurinol tablet 100 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

18 Amlodipin 5 mg.

20 Antasida DOEN tablet

21 Antasida DOEN sirup

24 Antifungi DOEN kombinasi : 3 - 6

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

29 Betametson krim 0,1%

31 Captopril 12.5 mg.

32 Captopril 25 mg

34 Cetrizin tab

36 Deksametason tablet 0,5 mg

42 Domperidon tablet 10 mg.

45 Eritromisin sirup 200mg/5ml

50 Eugenol cairan

53 Fenobarbital tablet 30 mg
56 Furosemid tablet 40 mg

59 Garam oralit untuk 200 ml air

62 Gentian Violet larutan 1%

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

75 Hidrokortoson krim 2,5 %

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%

90 Ketokonazol tablet 200 mg.

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

99 Klorpromazin HCL tablet salut 100 mg


101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

113 Metformin 500 mg

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

126 Obat Batuk Hitam (O.B.H) cairan

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg

136 Pirocicam 20 mg

138 Povidon lodida 10%


139 Prednison tablet 5 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%

159 Tablet Tambah Darah besi II sulfat

162 Tetrasiklin HCL kapsul 500 mg

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

167 Triheksifenidil Hidroklorida tablet 2 mg

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet


173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
172 Zink Sirup ( Zircum Kid)
NO Nama Obat

6 Acyclovir 400 mg

7 Asiklovir krim 5%

11 Alopurinol tablet 100 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

18 Amlodipin 5 mg.

20 Antasida DOEN tablet

21 Antasida DOEN sirup

24 Antifungi DOEN kombinasi : 3 - 6

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

29 Betametson krim 0,1%

31 Captopril 12.5 mg.

32 Captopril 25 mg

34 Cetrizin tab

36 Deksametason tablet 0,5 mg

42 Domperidon tablet 10 mg.

45 Eritromisin sirup 200mg/5ml

50 Eugenol cairan

53 Fenobarbital tablet 30 mg
56 Furosemid tablet 40 mg

59 Garam oralit untuk 200 ml air

62 Gentian Violet larutan 1%

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

75 Hidrokortoson krim 2,5 %

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%

90 Ketokonazol tablet 200 mg.

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

99 Klorpromazin HCL tablet salut 100 mg


101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

113 Metformin 500 mg

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

126 Obat Batuk Hitam (O.B.H) cairan

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg

136 Pirocicam 20 mg

138 Povidon lodida 10%


139 Prednison tablet 5 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%

159 Tablet Tambah Darah besi II sulfat

162 Tetrasiklin HCL kapsul 500 mg

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

167 Triheksifenidil Hidroklorida tablet 2 mg

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet


173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
180 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

1 Air Raksa dental use

2 Abocath No. 20

3 Abocath No. 22

4 Abocath No. 24

5 Acyclovir 200 mg

6 Acyclovir 400 mg

7 Asiklovir krim 5%

8 Alat suntik sekali pakai 1 ml

9 Alat suntik sekali pakai 2.5 ml

10 Alat suntik sekali pakai 5 ml

11 Alopurinol tablet 100 mg

12 Aminofilin injeksi 24 mg / ml - 10 ml

13 Aminofilin tablet 200 mg

14 Amitriptilin HCL tablet salut 25 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

17 Amoksisilin sirup kering Forte 250 mg/5 mg

18 Amlodipin 5 mg.

19 Antalgin (Metampiron) tablet 500 mg

20 Antasida DOEN tablet


21 Antasida DOEN sirup

22 Anti bakteri DOEN salap Basitrasin

23 Anti hemoroid DOEN kombinasi

24 Antifungi DOEN kombinasi : 3 - 6

25 Antimigren DOEN kombinasi (Ergotamin)

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

28 Attapulgit tablet ( Puralex )

29 Betametson krim 0,1%

30 Bisakodil Supp. ( Stolax )

31 Captopril 12.5 mg.

32 Captopril 25 mg

33 Cat gut/benang bedah No. 2/0 - 3/0

34 Cetrizin tab

35 Deksametason injeksi 5 mg/ml - 1 ml

36 Deksametason tablet 0,5 mg

37 Diazepam injeksi 5 mg/ml - 2 ml

38 Diazepam tablet 2 mg

39 Diazepam tablet 5 mg

40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml

41 Digoksin tablet 0,25 mg.

42 Domperidon tablet 10 mg.

43 Ekstrak Belladona tab 10 mg


44 Eritromisin kapsul 500mg

45 Eritromisin sirup 200mg/5ml

46 Etakridin (Rivanol) larutan 0,1%

47 Etanol 70%

48 Etanol 70%

49 Etil klorida semprot

50 Eugenol cairan

51 Fenol gliserol tts telinga 10%

52 Fenitoin natrium kapsul 100 mg

53 Fenobarbital tablet 30 mg

54 Fitomenadion (vit.K1) tab. salut gula 10 mg

55 Fitomenadion (vit.K1) Injeksi

56 Furosemid tablet 40 mg

57 Furosemide Inj. 10 mg/ml.

58 Gameksan emulsi 1%

59 Garam oralit untuk 200 ml air

60 Gentamisin Sulfat salep kulit 0,1 %

61 Gentamisin Sulfat tetes mata 0,3%

62 Gentian Violet larutan 1%

63 Glass lonomer cement (GC IX)

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg


67 Glukosa larutan infus 5% steril

68 Glukosa 10%

69 Glukosa larutan infus 40% steril

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

72 Haloperidol tablet 1,5 mg

73 Handscoon

74 Haloperidol tablet 5 mg

75 Hidrokortoson krim 2,5 %

76 Hodroklorotiazid (HCT) tablet 25 mg

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

80 Infusion set anak

81 Infusion set dewasa

82 Isosorbit Dinitrat tablet Sublingual 5 ml

83 Kalsium Hidroksida pasta

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

86 Kapas pembalut/Absorben 250 gram

87 Kasa kompres 16/16 steril

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%
90 Ketokonazol tablet 200 mg.

91 Ketorolac Inj 10mg/ml

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

97 Klorfenol Kanfer Mentol (CHKM)

98 Klorokuin tablet 150 mg

99 Klorpromazin HCL tablet salut 100 mg

100 Klorpromazin HCL tablet salut 25 mg

101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

104 Kotrimaksazol tablet pediatrik 120 mg

105 Kuinin (Kina) tablet 200 mg

106 Lansoprazol 30 mg. kaps.

107 Lidokain HCL inj. 2%

108 Loperamide

109 Loratadin tablet 10 mg.

110 Masker

111 Mebendazol tablet 100 mg

112 Meloksikam 7,5 mg


113 Metformin 500 mg

114 Metilergometrin maleat tab. salut 0,125 mg

115 Metilergometrin maleat inj. 0,200 mg - 1 ml

116 Metoklopramid tablet 10 mg.

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

119 Mummifying pasta

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

124 Nistatin tablet salut 500.000 IU

125 Nistatin tablet salut 100.000 IU

126 Obat Batuk Hitam (O.B.H) cairan

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

132 Parasetamol tablet 100 mg.

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg


136 Pirocicam 20 mg

137 Plester 5 yards x 2 inch

138 Povidon lodida 10%

139 Prednison tablet 5 mg

140 Primakuin tablet 15 mg

141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

144 Ranitidin Inj. 25 mg/ml.

145 Ringer laktat larutan infus steril

146 Salap 2 - 4, kombinasi :

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

149 Sefadroksil kapsul 500 mg.

150 Serum Anti Bisa Ular (ABU I) Inj.

151 Serum Anti tetanus Inj.1.500 IU (ATS)

152 Serum Anti tetanus Inj. 20.000 IU (ATS)

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml

154 Silk (Benang bedang Sutera) No. 3/0

155 Simetidin tablet 200 mg.

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%


159 Tablet Tambah Darah besi II sulfat

160 Temporary Stopping Fletcher (Fletcher)

161 Tetrasiklin HCL kapsul 250 mg

162 Tetrasiklin HCL kapsul 500 mg

163 Tiamfenikol kapsul 500 mg.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

166 Tramadol kapsul 50 mg.

167 Triheksifenidil Hidroklorida tablet 2 mg

168 Urine bag

169 Vitamin B Komplek tablet

170 Vitamin Sirup

171 Zink tablet 20 mg.


172 Zink Sirup ( Zircum Kid)
NO Nama Obat

6 Acyclovir 400 mg

7 Asiklovir krim 5%

11 Alopurinol tablet 100 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

18 Amlodipin 5 mg.

20 Antasida DOEN tablet

21 Antasida DOEN sirup

24 Antifungi DOEN kombinasi : 3 - 6

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

29 Betametson krim 0,1%

31 Captopril 12.5 mg.

32 Captopril 25 mg

34 Cetrizin tab

36 Deksametason tablet 0,5 mg

42 Domperidon tablet 10 mg.

45 Eritromisin sirup 200mg/5ml

50 Eugenol cairan

53 Fenobarbital tablet 30 mg
56 Furosemid tablet 40 mg

59 Garam oralit untuk 200 ml air

62 Gentian Violet larutan 1%

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

75 Hidrokortoson krim 2,5 %

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%

90 Ketokonazol tablet 200 mg.

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

99 Klorpromazin HCL tablet salut 100 mg


101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

106 Lansoprazol 30 mg. kaps.

108 Loperamide

113 Metformin 500 mg

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

126 Obat Batuk Hitam (O.B.H) cairan

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg

136 Pirocicam 20 mg

138 Povidon lodida 10%

139 Prednison tablet 5 mg


141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%

159 Tablet Tambah Darah besi II sulfat

162 Tetrasiklin HCL kapsul 500 mg

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

167 Triheksifenidil Hidroklorida tablet 2 mg

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet


173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
172 Zink Sirup ( Zircum Kid)
NO Nama Obat

6 Acyclovir 400 mg

7 Asiklovir krim 5%

11 Alopurinol tablet 100 mg

15 Amoksisilin kaplet 500 mg

16 Amoksisilin sirup kering 125 mg/5 ml

18 Amlodipin 5 mg.

20 Antasida DOEN tablet

21 Antasida DOEN sirup

24 Antifungi DOEN kombinasi : 3 - 6

26 Asam askorbat (vit.C) tablet 50 mg

27 Asam Mefenamat tablet 500 mg

29 Betametson krim 0,1%

31 Captopril 12.5 mg.

32 Captopril 25 mg

34 Cetrizin tab

36 Deksametason tablet 0,5 mg

42 Domperidon tablet 10 mg.

45 Eritromisin sirup 200mg/5ml

50 Eugenol cairan

53 Fenobarbital tablet 30 mg
56 Furosemid tablet 40 mg

59 Garam oralit untuk 200 ml air

62 Gentian Violet larutan 1%

64 Glimepirid

65 Glibenklamid tablet 5 mg

66 Gliseril Guayakolat 100 mg

70 Griseofulvin tablet 125 mg, Micronized

71 Haloperidol tablet 0,5 mg

75 Hidrokortoson krim 2,5 %

77 Ibuprofen tablet 200 mg

78 Ibuprofen tablet 400 mg

79 Ibuprofen susp. 60 ml.

84 Kalsium laktat (Kalk) tablet 500 mg

85 Karbamazepin tablet 200 mg

88 Kasa pembalut Hidrofil 4 m x 10 cm

89 Ketokonazol krim 2%

90 Ketokonazol tablet 200 mg.

92 Kloramfinekol kapsul 250 mg

93 Kloramfinekol salap mata 1%

94 Kloramfinekol tetes telinga 3%

95 Kloramfenikol susp. 125 mg/ml

96 Klorfeniramin Maleat (CTM) tablet 4 mg

99 Klorpromazin HCL tablet salut 100 mg


101 Kodein 10 mg

102 Kotrimaksazol suspensi

103 Kotrimaksazol tablet 480 mg

106 Lansoprazol 30 mg. kaps.

108 Loperamide

113 Metformin 500 mg

117 Metronidazol tablet 250 mg

118 Mikonazol krim / salap 2% nitrat

120 Natrium bikarbonat tablet 500 mg

121 Natrium Diklofenac 50 mg

122 Natrium klorida larutan infus 0,9% steril

123 Nifedipin

126 Obat Batuk Hitam (O.B.H) cairan

128 Oksitetrasiklin HCL salap mata 1%

129 Oksitetrasiklin HCL salap 3%

130 Omeprazol 20 mg. kaps.

131 Parasetamol sirup 120 mg/5 ml

133 Parasetamol tablet 500 mg

134 Pirantel tablet 125 mg

135 Piridoksin HCL(Vit.B6) tablet 10 mg

136 Pirocicam 20 mg

138 Povidon lodida 10%

139 Prednison tablet 5 mg


141 Propiltiorasil (PTU) tab

142 Propranolol HCL tablet 40 mg

143 Ranitidin tab 150 mg

147 Salbutamol tablet 2 mg

148 Salisil bedak 2%

156 Simvastatin tablet 10 mg.

157 Siprofloksasin tablet 500 mg

158 Sulfasetamida Natrium tetes mata 15%

159 Tablet Tambah Darah besi II sulfat

162 Tetrasiklin HCL kapsul 500 mg

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg

167 Triheksifenidil Hidroklorida tablet 2 mg

169 Vitamin B Komplek tablet

170 Vitamin Sirup

172 Ambroxol tablet


173 Ambroxol sirup
174 OBP Sirup
175 Diafrom
176 Salap Hitam
177 Sukralfat Syr
178 RECO tetes mata
179 RECO Tetes telinga
172 Zink Sirup ( Zircum Kid)
REKAP PEMBERIAN OBAT PUSTU PUSKESMAS UJONG RIMBA

Pemberian Obat Pustu


NO Nama Obat
Bulan Januari

1 2 Pustu Gumpueng Pustu Usi Pustu J.Manyang Poskesdes Rinti

11 Alopurinol tablet 100 mg 200 100

13 Aminofilin tablet 200 mg 100

15 Amoksisilin kaplet 500 mg 100 100 100

16 Amoksisilin sirup kering 125 mg/5 ml 10 10 10

19 Antalgin (Metampiron) tablet 500 mg 100 50

20 Antasida DOEN tablet 200 200 200

24 Antifungi DOEN kombinasi : 3 - 6 5 5 5

26 Asam askorbat (vit.C) tablet 50 mg 200 100 100

36 Deksametason tablet 0,5 mg 0 0 0

46 Etakridin (Rivanol) larutan 0,1% 1

59 Garam oralit untuk 200 ml air 10

62 Gentian Violet larutan 1% 2 2

65 Glibenklamid tablet 5 mg 100

66 Gliseril Guayakolat 100 mg 500 200 100

70 Griseofulvin tablet 125 mg, Micronized 50

75 Hidrokortoson krim 2,5 % 5 5

77 Ibuprofen tablet 200 mg 200 200 200

84 Kalsium laktat (Kalk) tablet 500 mg 200 100 200

86 Kapas pembalut/Absorben 250 gram 1

87 Kasa kompres 16/16 steril 2 1

88 Kasa pembalut Hidrofil 4 m x 10 cm 2 1

94 Kloramfinekol tetes telinga 3% 2 2

96 Klorfeniramin Maleat (CTM) tablet 4 mg 500 500 200

102 Kotrimaksazol suspensi 5 5

103 Kotrimaksazol tablet 480 mg 100 100

117 Metronidazol tablet 250 mg 100


120 Natrium bikarbonat tablet 500 mg 100 100

126 Obat Batuk Hitam (O.B.H) cairan 0 0

130 Omeprazol 20 mg. kaps. 30 30 30

131 Parasetamol sirup 120 mg/5 ml 15 10 10

133 Parasetamol tablet 500 mg 500 500 500

134 Pirantel tablet 125 mg 10

135 Piridoksin HCL(Vit.B6) tablet 10 mg 200 100 100

136 Pirocicam 20 mg 0

139 Prednison tablet 5 mg 200 100 200

147 Salbutamol tablet 2 mg 500

148 Salisil bedak 2% 3 3

161 Tetrasiklin HCL kapsul 250 mg 100 50

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg 100 200 100

169 Vitamin B Komplek tablet 200 100 100

172 OBP (obat batuk putih) 5 5


Jumlah
Pemberian
Ket

300

100

300

30

150

600

15

400

10

100

800

50

10

600

500

1200

10

200

100
200

90

35

1500

10

400

500

500

150

400

400
LAPORAN PEMAKAIAN DAN LEMBARAN PERMINTAAN OBAT (LPLPO)
T A H U N 2015
PUSKESMAS : DOKUMEN NOMOR
KECAMATAN : IFK
KABUPATEN : PIDIE PELAPORAN PERIODE : PUSKESMAS
PROVINSI : ACEH PERMINTAAN PERIODE :

Pemberian
NO Nama Obat Kemasan Stok Awal Penerimaan Persediaan Pemakaian Sisa Stock Stok Optimum Permintaan
DAK

1 2 3 4 5 6 7 8 9 15
1 Air Raksa dental use 100 gram

2 Abocath No. 20 pcs

3 Abocath No. 22 pcs

4 Abocath No. 24 pcs

5 Acyclovir 200 mg ktk 10x10 tablet

6 Acyclovir 400 mg ktk 10x10 tablet

7 Asiklovir krim 5% Tube 5 gr

8 Alat suntik sekali pakai 1 ml 100 pcs

9 Alat suntik sekali pakai 2.5 ml 100 pcs

10 Alat suntik sekali pakai 5 ml 100 pcs

11 Alopurinol tablet 100 mg 100 tablet

12 Aminofilin injeksi 24 mg / ml - 10 ml 30 ampul

13 Aminofilin tablet 200 mg 100 tablet

14 Amitriptilin HCL tablet salut 25 mg 100 tablet

15 Amoksisilin kaplet 500 mg 100 kaplet

16 Amoksisilin sirup kering 125 mg/5 ml 60 ml


17 Amoksisilin sirup kering Forte 250 mg/5 mg 60 ml

18 Amlodipin 5 mg. ktk 30 tab.

19 Antalgin (Metampiron) tablet 500 mg 1000 tablet

20 Antasida DOEN tablet 1000 tablet

21 Antasida DOEN sirup btl 60 ml.

22 Anti bakteri DOEN salap Basitrasin 25 tube @ 5 g

23 Anti hemoroid DOEN kombinasi ktk 10 supp.

24 Antifungi DOEN kombinasi : 3 - 6 24 pot @ 30 g

25 Antimigren DOEN kombinasi (Ergotamin) 100 tablet

26 Asam askorbat (vit.C) tablet 50 mg 1000 tablet

27 Asam Mefenamat tablet 500 mg 100 tablet

28 Attapulgit tablet ( Puralex ) 50 tab/ktk

29 Betametson krim 0,1% 25 tube @5 g

30 Bisakodil Supp. ( Stolax ) 6 supp

31 Captopril 12.5 mg. 100 tab/ktk

32 Captopril 25 mg 100 tablet/ktk

33 Cat gut/benang bedah No. 2/0 - 3/0 24 x 70 cm

34 Cetrizin tab 50 tab/ktk

35 Deksametason injeksi 5 mg/ml - 1 ml 100 ampul

36 Deksametason tablet 0,5 mg 1000 tablet

37 Diazepam injeksi 5 mg/ml - 2 ml 30 ampul

38 Diazepam tablet 2 mg 1000 tablet

39 Diazepam tablet 5 mg 250 tablet


40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml 30 ampul

41 Digoksin tablet 0,25 mg. 100 tab

42 Domperidon tablet 10 mg. 100 tab

43 Ekstrak Belladona tab 10 mg 1000/btl

44 Eritromisin kapsul 500mg ktk 10 x 10 tab.

45 Eritromisin sirup 200mg/5ml btl 60 ml

46 Etakridin (Rivanol) larutan 0,1% 300 ml

47 Etanol 70% 1000 ml

48 Etanol 70% 100 ml

49 Etil klorida semprot 100 ml

50 Eugenol cairan 120 btl dus@10ml

51 Fenol gliserol tts telinga 10% ktk 24 btl @ 5 ml.

52 Fenitoin natrium kapsul 100 mg 250 kapsul

53 Fenobarbital tablet 30 mg 1000 tablet

54 Fitomenadion (vit.K1) tab. salut gula 10 mg 100 tablet

55 Fitomenadion (vit.K1) Injeksi Ampul

56 Furosemid tablet 40 mg 250 tablet

57 Furosemide Inj. 10 mg/ml. ktk 25 amp.

58 Gameksan emulsi 1% btl 30 ml.

59 Garam oralit untuk 200 ml air 100 kantong

60 Gentamisin Sulfat salep kulit 0,1 % tube

61 Gentamisin Sulfat tetes mata 0,3% Btl 5 ml

62 Gentian Violet larutan 1% 10 ml


63 Glass lonomer cement (GC IX) Set

64 Glimepirid 100 tab/ktk

65 Glibenklamid tablet 5 mg 100 tablet

66 Gliseril Guayakolat 100 mg 4 bks @250 tab

67 Glukosa larutan infus 5% steril 500 ml

68 Glukosa 10% btl 500 ml.

69 Glukosa larutan infus 40% steril amp 25 ml.

70 Griseofulvin tablet 125 mg, Micronized 100 tablet

71 Haloperidol tablet 0,5 mg 10 strip @10 tab

72 Haloperidol tablet 1,5 mg 100 tablet

73 Handscoon 50 pcs/ktk

74 Haloperidol tablet 5 mg 100 tablet

75 Hidrokortoson krim 2,5 % 24 tube @5 g

76 Hodroklorotiazid (HCT) tablet 25 mg 1000 tablet

77 Ibuprofen tablet 200 mg 100 tablet

78 Ibuprofen tablet 400 mg 100 tablet

79 Ibuprofen susp. 60 ml. btl 60 ml.

80 Infusion set anak Set

81 Infusion set dewasa Set

82 Isosorbit Dinitrat tablet Sublingual 5 ml 100 tablet

83 Kalsium Hidroksida pasta 2 tube

84 Kalsium laktat (Kalk) tablet 500 mg 1000 tablet

85 Karbamazepin tablet 200 mg 100 tablet


86 Kapas pembalut/Absorben 250 gram Bungkus

87 Kasa kompres 16/16 steril Bungkus

88 Kasa pembalut Hidrofil 4 m x 10 cm Rol

89 Ketokonazol krim 2% tube 15 gr

90 Ketokonazol tablet 200 mg. ktk 5 x 10 tab.

91 Ketorolac Inj 10mg/ml ktk 5 amp

92 Kloramfinekol kapsul 250 mg 120 Kaplet

93 Kloramfinekol salap mata 1% tube 5 gr.

94 Kloramfinekol tetes telinga 3% btl 5 ml.

95 Kloramfenikol susp. 125 mg/ml btl 60 ml.

96 Klorfeniramin Maleat (CTM) tablet 4 mg 1000 tablet

97 Klorfenol Kanfer Mentol (CHKM) 10 ml

98 Klorokuin tablet 150 mg 1000 tablet

99 Klorpromazin HCL tablet salut 100 mg 250 tablet

100 Klorpromazin HCL tablet salut 25 mg 1000 tablet

101 Kodein 10 mg 100 tablet

102 Kotrimaksazol suspensi 60 ml

103 Kotrimaksazol tablet 480 mg 100 tablet

104 Kotrimaksazol tablet pediatrik 120 mg 100 tablet

105 Kuinin (Kina) tablet 200 mg 60 tablet

106 Lansoprazol 30 mg. kaps. 2 x 10 kaps.

107 Lidokain HCL inj. 2% ktk 100 amp.

108 Loperamide ktk 100 tab


109 Loratadin tablet 10 mg. ktk 5 x 10 tab.

110 Masker 20 pcs/ktk

111 Mebendazol tablet 100 mg ktk 5 x 6 tab.

112 Meloksikam 7,5 mg 50 tab/ktk

113 Metformin 500 mg 100 tab/ktk

114 Metilergometrin maleat tab. salut 0,125 mg ktk 10 x 10 tab.

115 Metilergometrin maleat inj. 0,200 mg - 1 ml 30 ampul.

116 Metoklopramid tablet 10 mg. 100 tab.

117 Metronidazol tablet 250 mg Box 100 tab

118 Mikonazol krim / salap 2% nitrat 100 tablet

119 Mummifying pasta botol

120 Natrium bikarbonat tablet 500 mg 1000 tablet

121 Natrium Diklofenac 50 mg ktk 5x10 tablet

122 Natrium klorida larutan infus 0,9% steril 500 ml

123 Nifedipin ktk 10x10 tablet

124 Nistatin tablet salut 500.000 IU ktk 10x10 tablet

125 Nistatin tablet salut 100.000 IU ktk 10x10 tablet

126 Obat Batuk Hitam (O.B.H) cairan 100 ml

127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml 10 vial

128 Oksitetrasiklin HCL salap mata 1% tube 3,5 gr.

129 Oksitetrasiklin HCL salap 3% tube 5 g

130 Omeprazol 20 mg. kaps. 3 x 10 kps

131 Parasetamol sirup 120 mg/5 ml btl 60 ml.


132 Parasetamol tablet 100 mg. 100 tab

133 Parasetamol tablet 500 mg 100 tablet

134 Pirantel tablet 125 mg 60 tablet

135 Piridoksin HCL(Vit.B6) tablet 10 mg 1000 tablet

136 Pirocicam 20 mg 120 kaplet

137 Plester 5 yards x 2 inch rol

138 Povidon lodida 10% 30 ml

139 Prednison tablet 5 mg 1000 tablet

140 Primakuin tablet 15 mg 1000 tablet

141 Propiltiorasil (PTU) tab 1000 tablet

142 Propranolol HCL tablet 40 mg 100 tablet

143 Ranitidin tab 150 mg 100 tablet

144 Ranitidin Inj. 25 mg/ml. ktk 25 amp.

145 Ringer laktat larutan infus steril 500 ml

146 Salap 2 - 4, kombinasi : 24 pot @30 g

147 Salbutamol tablet 2 mg 100 tablet

148 Salisil bedak 2% 50 gr

149 Sefadroksil kapsul 500 mg. 50 kaps.

150 Serum Anti Bisa Ular (ABU I) Inj. ktk 10 vial

151 Serum Anti tetanus Inj.1.500 IU (ATS) ktk 10 amp.

152 Serum Anti tetanus Inj. 20.000 IU (ATS) vial

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml 100 Ampul

154 Silk (Benang bedang Sutera) No. 3/0 100 ampul


155 Simetidin tablet 200 mg. 100 tab.

156 Simvastatin tablet 10 mg. 3 x 10 tab.

157 Siprofloksasin tablet 500 mg 5 x 10 tab.

158 Sulfasetamida Natrium tetes mata 15% ktk 24 btl @ 5 ml.

159 Tablet Tambah Darah besi II sulfat 1000 tablet

160 Temporary Stopping Fletcher (Fletcher) set/ 100 g

161 Tetrasiklin HCL kapsul 250 mg 1000 tablet

162 Tetrasiklin HCL kapsul 500 mg 100 tablet

163 Tiamfenikol kapsul 500 mg. 100 kaps.

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml 30 ampul

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg 1000 tablet

166 Tramadol kapsul 50 mg. 50 kaps.

167 Triheksifenidil Hidroklorida tablet 2 mg ktk 10 x 10 tab.

168 Urine bag pcs

169 Vitamin B Komplek tablet 100 tablet/ktk

170 Vitamin Sirup 60 ml

171 Zink tablet 20 mg. 100 tab.


172 Zink Sirup ( Zircum Kid) 60 ml
SIGLI, ..2
MENGETAHUI/MENYETUJUI: YANG MENYERAHKAN: YANG MEMINTA/MELAPORKAN: YANG MENERIMA:
KEPALA DINAS KESEHATAN KEPALA INSTALASI FARMASI KEPALA PUSKESMAS, PETUGAS PENGELOLA OBA
KABUPATEN PIDIE DINAS KESEHATAN PIDIE .. PUSKESMAS,...............

drg. MOHD. RIZA FAISAL, MARS. ULIA MAKSUM, S. Farm., APT . .


NIP. 19721006 200112 1 003 NIP. 19851007 200904 2 010 NIP.
NOMOR TANGGAL

Pemberian
KET
LAIN-LAIN

17
SIGLI, ..20.
YANG MENERIMA:
PETUGAS PENGELOLA OBAT
PUSKESMAS,...............

.
NIP.
LAPORAN HARIAN PENGGUNAAN O
PUSKESMAS UJONG RIM

Bulan : JANUARI :

NO Nama Obat Tanggal

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Air Raksa dental use 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Abocath No. 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Abocath No. 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Abocath No. 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Acyclovir 200 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Acyclovir 400 mg 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0
7 Asiklovir krim 5% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alat suntik sekali pakai 1 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Alat suntik sekali pakai 2.5 ml 0 0 20 0 0 0 0 0 0 10 0 0 0 0 0 0
10 Alat suntik sekali pakai 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Alopurinol tablet 100 mg 0 0 10 50 40 30 0 0 40 70 60 20 30 0 0 20
12 Aminofilin injeksi 24 mg / ml - 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Aminofilin tablet 200 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Amitriptilin HCL tablet salut 25 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Amoksisilin kaplet 500 mg 0 0 0 0 206 296 0 0 171 310 210 280 189 0 0 260
16 Amoksisilin sirup kering 125 mg/5 ml 0 0 7 5 8 6 0 0 5 12 13 5 7 0 0 6
17 Amoksisilin sirup kering Forte 250 mg/5 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Amlodipin 5 mg. 0 0 8 0 15 10 0 0 40 6 8 10 0 0 0 10
19 Antalgin (Metampiron) tablet 500 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Antasida DOEN tablet 0 0 46 100 50 86 0 0 80 130 76 90 100 0 0 112
21 Antasida DOEN sirup 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Anti bakteri DOEN salap Basitrasin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Anti hemoroid DOEN kombinasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antifungi DOEN kombinasi : 3 - 6 0 0 0 0 3 3 0 0 2 3 2 0 2 0 0 5
25 Antimigren DOEN kombinasi (Ergotamin) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Asam askorbat (vit.C) tablet 50 mg 0 0 360 280 280 288 0 0 370 240 220 320 284 0 0 380
27 Asam Mefenamat tablet 500 mg 0 0 126 130 120 80 0 0 106 120 100 90 40 0 0 60
28 Attapulgit tablet ( Puralex ) 0 0 20 0 30 20 0 0 40 10 20 20 30 0 0 30
29 Betametson krim 0,1% 0 0 0 0 0 10 0 0 3 4 5 5 9 0 0 5
30 Bisakodil Supp. ( Stolax ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Captopril 12.5 mg. 0 0 0 0 5 0 0 0 6 0 5 0 3 0 0 6
32 Captopril 25 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Cat gut/benang bedah No. 2/0 - 3/0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Cetrizin tab 0 0 30 0 20 10 0 0 0 10 10 0 10 0 0 0
35 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Deksametason tablet 0,5 mg 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Diazepam tablet 2 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Diazepam tablet 5 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Digoksin tablet 0,25 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Domperidon tablet 10 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Ekstrak Belladona tab 10 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Eritromisin kapsul 500mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Eritromisin sirup 200mg/5ml 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
46 Etakridin (Rivanol) larutan 0,1% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Etanol 70% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Etanol 70% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 Etil klorida semprot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Eugenol cairan 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0
51 Fenol gliserol tts telinga 10% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Fenitoin natrium kapsul 100 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 Fenobarbital tablet 30 mg 0 0 0 0 20 0 0 0 0 0 0 0 1 0 0 0
54 Fitomenadion (vit.K1) tab. salut gula 10 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Fitomenadion (vit.K1) Injeksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Furosemid tablet 40 mg 0 0 0 0 0 5 0 0 4 0 10 0 10 0 0 10
57 Furosemide Inj. 10 mg/ml. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 Gameksan emulsi 1% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 Garam oralit untuk 200 ml air 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 Gentamisin Sulfat salep kulit 0,1 % 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 Gentamisin Sulfat tetes mata 0,3% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 Gentian Violet larutan 1% 0 0 0 0 0 5 0 0 1 0 0 0 1 0 0 0
63 Glass lonomer cement (GC IX) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Glimepirid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Glibenklamid tablet 5 mg 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0
66 Gliseril Guayakolat 100 mg 0 0 6 30 15 29 0 0 40 54 54 29 25 0 0 47
67 Glukosa larutan infus 5% steril 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Glukosa 10% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Glukosa larutan infus 40% steril 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 Griseofulvin tablet 125 mg, Micronized 0 0 0 0 0 12 0 0 10 0 0 0 0 0 0 0
71 Haloperidol tablet 0,5 mg 0 0 0 0 0 20 0 0 0 0 20 0 20 0 0 0
72 Haloperidol tablet 1,5 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 Handscoon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 Haloperidol tablet 5 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Hidrokortoson krim 2,5 % 0 0 6 0 14 2 0 0 0 0 3 0 1 0 0 1
76 Hodroklorotiazid (HCT) tablet 25 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 Ibuprofen tablet 200 mg 0 0 10 30 20 20 0 0 30 20 40 30 40 0 0 20
78 Ibuprofen tablet 400 mg 0 0 60 0 20 60 0 0 30 40 20 20 50 0 0 20
79 Ibuprofen susp. 60 ml. 0 0 0 2 1 2 0 0 2 2 0 1 2 0 0 2
80 Infusion set anak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Infusion set dewasa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Isosorbit Dinitrat tablet Sublingual 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
83 Kalsium Hidroksida pasta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Kalsium laktat (Kalk) tablet 500 mg 0 0 24 40 33 46 0 0 57 42 50 26 36 0 0 80
85 Karbamazepin tablet 200 mg 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0
86 Kapas pembalut/Absorben 250 gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 Kasa kompres 16/16 steril 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10
88 Kasa pembalut Hidrofil 4 m x 10 cm 0 0 0 0 0 1 0 0 0 0 5 0 0 0 0 10
89 Ketokonazol krim 2% 0 0 0 0 3 2 0 0 0 1 0 0 0 0 0 0
90 Ketokonazol tablet 200 mg. 0 0 0 0 10 0 0 0 0 26 5 0 14 0 0 0
91 Ketorolac Inj 10mg/ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 Kloramfinekol kapsul 250 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 Kloramfinekol salap mata 1% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
94 Kloramfinekol tetes telinga 3% 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0
95 Kloramfenikol susp. 125 mg/ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Klorfeniramin Maleat (CTM) tablet 4 mg 0 0 366 320 304 362 0 0 268 438 404 332 340 0 0 373
97 Klorfenol Kanfer Mentol (CHKM) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Klorokuin tablet 150 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
99 Klorpromazin HCL tablet salut 100 mg 0 0 0 0 0 20 0 0 20 0 20 0 20 0 0 20
100 Klorpromazin HCL tablet salut 25 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
101 Kodein 10 mg 0 0 0 0 0 0 0 0 10 0 10 0 10 0 0 10
102 Kotrimaksazol suspensi 0 0 2 5 2 4 0 0 10 2 2 3 1 0 0 0
103 Kotrimaksazol tablet 480 mg 0 0 12 20 24 10 0 0 10 10 0 12 0 0 0 16
104 Kotrimaksazol tablet pediatrik 120 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 Kuinin (Kina) tablet 200 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
106 Lansoprazol 30 mg. kaps. 0 0 28 30 18 0 0 0 20 20 10 0 20 0 0 16
107 Lidokain HCL inj. 2% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 Loperamide 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
109 Loratadin tablet 10 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
110 Masker 0 0 0 50 0 0 0 0 0 0 50 0 0 0 0 0
111 Mebendazol tablet 100 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Meloksikam 7,5 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Metformin 500 mg 0 0 20 50 40 20 0 0 0 0 10 20 20 0 0 0
114 Metilergometrin maleat tab. salut 0,125 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Metilergometrin maleat inj. 0,200 mg - 1 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Metoklopramid tablet 10 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
117 Metronidazol tablet 250 mg 0 0 60 0 30 30 0 0 0 20 0 10 10 0 0 20
118 Mikonazol krim / salap 2% nitrat 0 0 1 0 0 3 0 0 1 5 4 0 4 0 0 1
119 Mummifying pasta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
120 Natrium bikarbonat tablet 500 mg 0 0 96 0 60 50 0 0 60 56 79 92 45 0 0 95
121 Natrium Diklofenac 50 mg 0 0 140 130 160 60 0 0 150 140 30 100 90 0 0 60
122 Natrium klorida larutan infus 0,9% steril 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0
123 Nifedipin 0 0 0 5 0 0 0 0 10 0 6 0 6 0 0 12
124 Nistatin tablet salut 500.000 IU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
125 Nistatin tablet salut 100.000 IU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 Obat Batuk Hitam (O.B.H) cairan 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0
127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
128 Oksitetrasiklin HCL salap mata 1% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
129 Oksitetrasiklin HCL salap 3% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Omeprazol 20 mg. kaps. 0 0 24 30 63 54 0 0 5 72 5 25 46 0 0 24
131 Parasetamol sirup 120 mg/5 ml 0 0 6 0 9 6 0 0 3 10 3 5 5 0 0 6
132 Parasetamol tablet 100 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Parasetamol tablet 500 mg 0 0 373 320 326 423 0 0 464 608 400 434 466 0 0 503
134 Pirantel tablet 125 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
135 Piridoksin HCL(Vit.B6) tablet 10 mg 0 0 13 0 0 3 0 0 22 20 14 33 0 0 0 10
136 Pirocicam 20 mg 0 0 40 0 30 10 10 0 14 0 0 0 0 0 0 0
137 Plester 5 yards x 2 inch 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0
138 Povidon lodida 10% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Prednison tablet 5 mg 0 0 30 0 40 5 0 0 33 112 56 34 28 0 0 36
140 Primakuin tablet 15 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
141 Propiltiorasil (PTU) tab 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0
142 Propranolol HCL tablet 40 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Ranitidin tab 150 mg 0 0 66 60 76 30 0 0 33 0 48 45 29 0 0 72
144 Ranitidin Inj. 25 mg/ml. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
145 Ringer laktat larutan infus steril 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
146 Salap 2 - 4, kombinasi : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Salbutamol tablet 2 mg 0 0 10 30 10 20 0 0 20 70 20 12 50 0 0 40
148 Salisil bedak 2% 0 0 2 0 5 12 0 0 1 4 2 2 0 0 0 0
149 Sefadroksil kapsul 500 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 Serum Anti Bisa Ular (ABU I) Inj. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151 Serum Anti tetanus Inj.1.500 IU (ATS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 Serum Anti tetanus Inj. 20.000 IU (ATS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Silk (Benang bedang Sutera) No. 3/0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
155 Simetidin tablet 200 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Simvastatin tablet 10 mg. 0 0 9 0 19 0 0 0 13 10 10 0 5 0 0 4
157 Siprofloksasin tablet 500 mg 0 0 226 0 20 30 0 0 25 30 24 10 28 0 0 0
158 Sulfasetamida Natrium tetes mata 15% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 Tablet Tambah Darah besi II sulfat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Temporary Stopping Fletcher (Fletcher) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
161 Tetrasiklin HCL kapsul 250 mg 0 0 0 0 20 0 0 0 10 20 0 20 0 0 0 20
162 Tetrasiklin HCL kapsul 500 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
163 Tiamfenikol kapsul 500 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg 0 0 40 90 80 180 0 0 130 170 190 150 100 0 0 260
166 Tramadol kapsul 50 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Triheksifenidil Hidroklorida tablet 2 mg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168 Urine bag 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
169 Vitamin B Komplek tablet 0 0 211 267 194 117 0 0 191 200 228 223 130 0 0 264
170 Vitamin Sirup 0 0 0 0 1 0 0 0 1 4 1 6 6 0 0 1
171 Zink tablet 20 mg. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Zink Sirup ( Zircum Kid) 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 1
173 Sukralfat Syr 0 0 0 3 3 4 0 0 5 3 4 2 2 0 0 5
174 Ambroxol Tab 0 0 0 20 50 30 0 0 70 30 40 30 30 0 0 20
175 Ambroxol syr 0 0 2 1 0 3 0 0 2 0 2 0 1 0 0 2
176 Obat Batuk Putih (O.B.P ) cairan 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2
177 Alat Suntik Sekali Pakai 3 cc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Ihtiol Slp 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1
179 Pehakain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 Methilprednison 0 0 0 0 0 30 0 0 30 40 50 30 40 0 0 60

KEPALA PUSKESMAS,
UJONG RIMBA
Dr. MARHAMAH
NIP. 19821012 200904 2 003
GUNAAN OBAT DAN BMHP
UJONG RIMBA

Tanggal
Jlmh Pustu Jumlah Total

17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 20 10 40 0 40

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 40 0 40

0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 5 0 5

40 50 20 0 0 0 40 50 60 70 0 0 0 50 60 810 300 1110

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 100

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

265 140 292 362 0 0 346 354 282 257 190 0 0 290 0 4700 300 5000

14 7 5 16 0 0 12 14 18 9 9 0 0 5 2 185 30 215

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 14 0 127 0 0 10 6 10 4 0 0 0 17 4 309 0 309

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 150

50 72 60 106 0 0 220 146 195 200 140 0 0 305 200 2564 600 3164

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 2 1 3 0 0 4 2 2 1 3 0 0 10 0 50 15 65

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
215 217 220 269 0 0 360 269 387 366 411 0 0 565 299 6600 400 7000

83 80 86 86 0 0 96 50 60 125 120 0 0 101 100 1959 0 1959

10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 240 0 240

5 7 5 5 0 0 7 10 3 4 4 0 0 5 0 96 0 96

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 12 0 18 0 0 0 0 10 0 0 0 0 0 0 65 0 65

0 0 0 0 0 0 24 0 0 0 10 0 0 6 0 40 0 40

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 10 46 30 0 0 10 30 5 30 41 0 0 0 20 322 0 322

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 28

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 1 0 0 5 0 0 12 9 28 0 28

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1

0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1

0 0 0 1 0 0 1 0 1 1 0 0 0 1 0 10 0 10

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 61 0 61

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 10 0 0 0 5 0 5 5 0 0 0 6 10 80 0 80

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 1 1 0 0 0 1 0 0 0 1 0 0 0 0 11 4 15

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 5 0 0 0 0 10 0 15 0 15

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 100 110

70 47 25 51 0 0 102 84 108 43 103 0 0 195 89 1246 800 2046

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 50 72

1 0 20 0 0 0 20 0 20 0 0 0 0 0 0 121 0 121

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 50 0 0 0 0 0 0 50 0 0 0 0 0 100 0 100

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

12 2 4 4 0 0 9 6 10 10 5 0 0 0 0 89 10 99

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

30 30 20 30 0 0 0 10 30 40 40 0 0 50 30 570 600 1170

10 30 50 100 0 0 70 20 0 0 0 0 0 0 0 600 0 600

1 0 1 0 0 0 2 0 2 1 0 0 0 1 0 22 0 22

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

38 59 1042 54 0 0 60 78 45 43 61 0 0 80 40 2034 500 2534

0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 40 0 40

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1

0 0 0 5 0 0 0 5 0 5 0 0 0 0 0 25 3 28

0 10 0 0 0 0 15 0 0 0 15 0 0 0 0 56 3 59

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 6
10 0 20 15 0 0 10 20 15 20 0 0 0 0 20 185 0 185

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 6

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

374 331 392 460 0 0 583 472 545 449 536 0 0 891 565 9105 1200 10305

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 20 20 0 0 0 20 20 0 20 0 0 0 20 0 220 0 220

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 10 0 10 0 0 0 15 0 10 0 0 0 10 0 95 0 95

2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 10 43

0 10 0 0 0 0 18 0 10 0 17 0 0 10 24 203 200 403

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 182 0 182

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 120

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 20 20 20 0 0 20 10 30 20 20 0 0 30 10 390 0 390

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

20 10 10 20 0 0 0 50 10 30 30 0 0 80 20 460 100 560

4 1 4 1 0 0 2 4 3 2 5 0 0 4 4 53 0 53

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

80 45 80 64 0 0 126 123 66 54 69 0 0 167 68 1575 200 1775

40 120 50 170 0 0 120 110 80 83 80 0 0 183 120 2216 0 2216


0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2

0 0 6 0 0 0 12 0 0 0 0 0 0 0 0 57 0 57

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 4

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 18 30 30 0 0 60 71 20 20 32 0 0 63 30 722 90 812

6 4 3 9 0 0 5 7 9 7 8 0 0 6 6 123 35 158

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

510 263 623 1628 0 0 889 599 577 439 486 0 0 1001 618 11950 1500 13450

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10

10 33 2 22 0 0 25 6 20 22 10 0 0 80 10 355 400 755

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 0 104

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

45 58 38 7 0 0 154 44 0 0 0 0 0 0 0 720 500 1220

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 20 0 0 0 0 0 0 0 0 0 0 10 0 50 0 50

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

46 72 24 60 0 0 60 45 56 56 0 0 0 73 45 996 0 996

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 2 0 0 1 0 0 0 2 0 5 0 5

10 0 10 45 0 0 30 40 20 30 30 0 0 50 16 563 500 1063

0 0 0 3 0 0 3 1 3 3 2 0 0 7 4 54 6 60

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 10 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 10 0 14 0 0 10 10 5 0 10 0 0 10 0 149 0 149

0 20 0 6 0 0 10 22 0 32 80 0 0 70 36 669 0 669

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 20 0 0 0 0 10 0 0 0 20 0 0 0 40 180 150 330

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

155 300 1070 178 0 0 162 170 135 180 120 0 0 240 246 4346 400 4746

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

141 161 1147 129 0 0 0 0 0 0 0 0 0 0 0 3603 400 4003

7 3 1 1 0 0 5 1 3 1 5 0 0 4 4 55 0 55
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 7 0 7
7 3 2 8 0 0 7 4 6 8 4 0 0 0 0 80 0 80
10 20 20 30 0 0 30 20 0 0 0 0 0 0 0 450 0 450
0 2 0 2 0 0 3 0 1 0 1 0 0 3 0 25 0 25
0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 6 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 5 0 5
0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 10
50 30 40 50 0 0 60 80 50 30 10 0 0 20 0 700 0 700

Ujong Rimba, 03 Februari 2017


PETUGAS PENGELOLA OBAT
ERLINA NURDIN
NIP.19780605 200504 2 003
LAPORAN PEMAKAIAN DAN LEMBARAN PE
T A H U N 2017
PUSKESMAS : UJONG RIMBA
KECAMATAN : MUTIARA TIMUR
KABUPATEN : PIDIE PELAPORAN PERIODE
PROVINSI : ACEH PERMINTAAN PERIODE

NO Nama Obat Kemasan Stok Awal Penerimaan Persediaan

1 2 3 4 5 6
1 Air Raksa dental use 100 gram 0 0
2 Abocath No. 20 pcs 5 5
3 Abocath No. 22 pcs 5 5
4 Abocath No. 24 pcs 5 5
5 Acyclovir 200 mg ktk 10x10 tablet 146 146
6 Acyclovir 400 mg ktk 10x10 tablet 151 151
7 Asiklovir krim 5% Tube 5 gr 0 0
8 Alat suntik sekali pakai 1 ml 100 pcs 0 0
9 Alat suntik sekali pakai 2.5 ml 100 pcs 67 67
10 Alat suntik sekali pakai 5 ml 100 pcs 31 31
11 Alopurinol tablet 100 mg 100 tablet 469 1000 1469
12 Aminofilin injeksi 24 mg / ml - 10 ml 30 ampul 0 0
13 Aminofilin tablet 200 mg 100 tablet 105 105
14 Amitriptilin HCL tablet salut 25 mg 100 tablet 335 335
15 Amoksisilin kaplet 500 mg 100 kaplet 0 5000 5000
16 Amoksisilin sirup kering 125 mg/5 ml 60 ml 70 150 220
17 Amoksisilin sirup kering Forte 250 mg/5 mg 60 ml 0 0
18 Amlodipin 5 mg. ktk 30 tab. 114 300 414
19 Antalgin (Metampiron) tablet 500 mg 1000 tablet 890 890
20 Antasida DOEN tablet 1000 tablet 3783 1000 4783
21 Antasida DOEN sirup btl 60 ml. 0 0
22 Anti bakteri DOEN salap Basitrasin 25 tube @ 5 g 0 0
23 Anti hemoroid DOEN kombinasi ktk 10 supp. 0 0
24 Antifungi DOEN kombinasi : 3 - 6 24 pot @ 30 g 130 130
25 Antimigren DOEN kombinasi (Ergotamin) 100 tablet 0 0
NO Nama Obat Kemasan Stok Awal Penerimaan Persediaan

1 2 3 4 5 6
26 Asam askorbat (vit.C) tablet 50 mg 1000 tablet 0 7000 7000
27 Asam Mefenamat tablet 500 mg 100 tablet 216 2500 2716
28 Attapulgit tablet ( Puralex ) 50 tab/ktk 503 503
29 Betametson krim 0,1% 25 tube @5 g 0 96 96
30 Bisakodil Supp. ( Stolax ) 6 supp 10 10
31 Captopril 12.5 mg. 100 tab/ktk 29 100 129
32 Captopril 25 mg 100 tablet/ktk 89 24 113
33 Cat gut/benang bedah No. 2/0 - 3/0 24 x 70 cm 0 100 100
34 Cetrizin tab 50 tab/ktk 322 322
35 Deksametason injeksi 5 mg/ml - 1 ml 100 ampul 22 22
36 Deksametason tablet 0,5 mg 1000 tablet 28 28
37 Diazepam injeksi 5 mg/ml - 2 ml 30 ampul 0 0
38 Diazepam tablet 2 mg 1000 tablet 0 0
39 Diazepam tablet 5 mg 250 tablet 0 0
40 Difenhidramin HCL injeksi 10 mg/ml - 1 ml 30 ampul 0 0
41 Digoksin tablet 0,25 mg. 100 tab 0 0
42 Domperidon tablet 10 mg. 100 tab 0 0
43 Ekstrak Belladona tab 10 mg 1000/btl 0 0
44 Eritromisin kapsul 500mg ktk 10 x 10 tab. 0 0
45 Eritromisin sirup 200mg/5ml btl 60 ml 1 30 31
46 Etakridin (Rivanol) larutan 0,1% 300 ml 1 1 2
47 Etanol 70% 1000 ml 0 2 2
48 Etanol 70% 100 ml 0 0
49 Etil klorida semprot 100 ml 2 2
50 Eugenol cairan 120 btl dus@10ml 4 8 12
51 Fenol gliserol tts telinga 10% ktk 24 btl @ 5 ml. 0 0
52 Fenitoin natrium kapsul 100 mg 250 kapsul 0 0
53 Fenobarbital tablet 30 mg 1000 tablet 66 66
54 Fitomenadion (vit.K1) tab. salut gula 10 mg 100 tablet 341 341
55 Fitomenadion (vit.K1) Injeksi Ampul 10 10
NO Nama Obat Kemasan Stok Awal Penerimaan Persediaan

1 2 3 4 5 6
56 Furosemid tablet 40 mg 250 tablet 153 153
57 Furosemide Inj. 10 mg/ml. ktk 25 amp. 0 0
58 Gameksan emulsi 1% btl 30 ml. 0 0
59 Garam oralit untuk 200 ml air 100 kantong 41 41
60 Gentamisin Sulfat salep kulit 0,1 % tube 0 0
61 Gentamisin Sulfat tetes mata 0,3% Btl 5 ml 0 0
62 Gentian Violet larutan 1% 10 ml 16 16
63 Glass lonomer cement (GC IX) Set 0 0
64 Glimepirid 100 tab/ktk 155 155
65 Glibenklamid tablet 5 mg 100 tablet 268 268
66 Gliseril Guayakolat 100 mg 4 bks @250 tab 3684 3684
67 Glukosa larutan infus 5% steril 500 ml 10 10
68 Glukosa 10% btl 500 ml. 0 0
69 Glukosa larutan infus 40% steril amp 25 ml. 0 0
70 Griseofulvin tablet 125 mg, Micronized 100 tablet 73 73
71 Haloperidol tablet 0,5 mg 10 strip @10 tab 480 480
72 Haloperidol tablet 1,5 mg 100 tablet 0 0
73 Handscoon 50 pcs/ktk 120 120
74 Haloperidol tablet 5 mg 100 tablet 250 250
75 Hidrokortoson krim 2,5 % 24 tube @5 g 3 96 99
76 Hodroklorotiazid (HCT) tablet 25 mg 1000 tablet 810 810
77 Ibuprofen tablet 200 mg 100 tablet 546 1000 1546
78 Ibuprofen tablet 400 mg 100 tablet 0 600 600
79 Ibuprofen susp. 60 ml. btl 60 ml. 91 91
80 Infusion set anak Set 0 0
81 Infusion set dewasa Set 0 0
82 Isosorbit Dinitrat tablet Sublingual 5 ml 100 tablet 78 78
83 Kalsium Hidroksida pasta 2 tube 0 0
84 Kalsium laktat (Kalk) tablet 500 mg 1000 tablet 3784 3784
85 Karbamazepin tablet 200 mg 100 tablet 380 380
NO Nama Obat Kemasan Stok Awal Penerimaan Persediaan

1 2 3 4 5 6
86 Kapas pembalut/Absorben 250 gram Bungkus 1 4 5
87 Kasa kompres 16/16 steril Bungkus 0 32 32
88 Kasa pembalut Hidrofil 4 m x 10 cm Rol 37 50 87
89 Ketokonazol krim 2% tube 15 gr 6 6
90 Ketokonazol tablet 200 mg. ktk 5 x 10 tab. 189 189
91 Ketorolac Inj 10mg/ml ktk 5 amp 0 0
92 Kloramfinekol kapsul 250 mg 120 Kaplet 0 0
93 Kloramfinekol salap mata 1% tube 5 gr. 0 0
94 Kloramfinekol tetes telinga 3% btl 5 ml. 6 6
95 Kloramfenikol susp. 125 mg/ml btl 60 ml. 0 0
96 Klorfeniramin Maleat (CTM) tablet 4 mg 1000 tablet 1379 10000 11379
97 Klorfenol Kanfer Mentol (CHKM) 10 ml 0 0
98 Klorokuin tablet 150 mg 1000 tablet 0 0
99 Klorpromazin HCL tablet salut 100 mg 250 tablet 398 398
100 Klorpromazin HCL tablet salut 25 mg 1000 tablet 0 0
101 Kodein 10 mg 100 tablet 350 350
102 Kotrimaksazol suspensi 60 ml 43 43
103 Kotrimaksazol tablet 480 mg 100 tablet 41 600 641
104 Kotrimaksazol tablet pediatrik 120 mg 100 tablet 0 0
105 Kuinin (Kina) tablet 200 mg 60 tablet 0 0
106 Lansoprazol 30 mg. kaps. 2 x 10 kaps. 182 182
107 Lidokain HCL inj. 2% ktk 100 amp. 0 0
108 Loperamide ktk 100 tab 0 0
109 Loratadin tablet 10 mg. ktk 5 x 10 tab. 0 0
110 Masker 20 pcs/ktk 150 150
111 Mebendazol tablet 100 mg ktk 5 x 6 tab. 0 0
112 Meloksikam 7,5 mg 50 tab/ktk 0 0
113 Metformin 500 mg 100 tab/ktk 155 500 655
114 Metilergometrin maleat tab. salut 0,125 mg ktk 10 x 10 tab. 0 0
115 Metilergometrin maleat inj. 0,200 mg - 1 ml 30 ampul. 0 0
NO Nama Obat Kemasan Stok Awal Penerimaan Persediaan

1 2 3 4 5 6
116 Metoklopramid tablet 10 mg. 100 tab. 0 0
117 Metronidazol tablet 250 mg Box 100 tab 184 500 684
118 Mikonazol krim / salap 2% nitrat 100 tablet 5 48 53
119 Mummifying pasta botol 0 0
120 Natrium bikarbonat tablet 500 mg 1000 tablet 703 2000 2703
121 Natrium Diklofenac 50 mg ktk 5x10 tablet 451 2000 2451
122 Natrium klorida larutan infus 0,9% steril 500 ml 5 20 25
123 Nifedipin ktk 10x10 tablet 163 163
124 Nistatin tablet salut 500.000 IU ktk 10x10 tablet 0 0
125 Nistatin tablet salut 100.000 IU ktk 10x10 tablet 0 0
126 Obat Batuk Hitam (O.B.H) cairan 100 ml 4 4
127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml 10 vial 0 0
128 Oksitetrasiklin HCL salap mata 1% tube 3,5 gr. 0 0
129 Oksitetrasiklin HCL salap 3% tube 5 g 0 0
130 Omeprazol 20 mg. kaps. 3 x 10 kps 496 600 1096
131 Parasetamol sirup 120 mg/5 ml btl 60 ml. 67 200 267
132 Parasetamol tablet 100 mg. 100 tab 0 0
133 Parasetamol tablet 500 mg 100 tablet 1450 12000 13450
134 Pirantel tablet 125 mg 60 tablet 198 198
135 Piridoksin HCL(Vit.B6) tablet 10 mg 1000 tablet 1536 300 1836
136 Pirocicam 20 mg 120 kaplet 104 104
137 Plester 5 yards x 2 inch rol 0 5 5
138 Povidon lodida 10% 30 ml 0 10 10
139 Prednison tablet 5 mg 1000 tablet 1220 1220
140 Primakuin tablet 15 mg 1000 tablet 0 0
141 Propiltiorasil (PTU) tab 1000 tablet 160 160
142 Propranolol HCL tablet 40 mg 100 tablet 0 0
143 Ranitidin tab 150 mg 100 tablet 8 1000 1008
144 Ranitidin Inj. 25 mg/ml. ktk 25 amp. 68 68
145 Ringer laktat larutan infus steril 500 ml 0 0
NO Nama Obat Kemasan Stok Awal Penerimaan Persediaan

1 2 3 4 5 6
146 Salap 2 - 4, kombinasi : 24 pot @30 g 18 18
147 Salbutamol tablet 2 mg 100 tablet 493 1000 1493
148 Salisil bedak 2% 50 gr 15 50 65
149 Sefadroksil kapsul 500 mg. 50 kaps. 0 0
150 Serum Anti Bisa Ular (ABU I) Inj. ktk 10 vial 0 0
151 Serum Anti tetanus Inj.1.500 IU (ATS) ktk 10 amp. 0 0
152 Serum Anti tetanus Inj. 20.000 IU (ATS) vial 0 0
153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml 100 Ampul 0 0
154 Silk (Benang bedang Sutera) No. 3/0 100 ampul 0 0
155 Simetidin tablet 200 mg. 100 tab. 0 0
156 Simvastatin tablet 10 mg. 3 x 10 tab. 224 224
157 Siprofloksasin tablet 500 mg 5 x 10 tab. 0 1000 1000
158 Sulfasetamida Natrium tetes mata 15% ktk 24 btl @ 5 ml. 0 0
159 Tablet Tambah Darah besi II sulfat 1000 tablet 0 0
160 Temporary Stopping Fletcher (Fletcher) set/ 100 g 0 0
161 Tetrasiklin HCL kapsul 250 mg 1000 tablet 52 600 652
162 Tetrasiklin HCL kapsul 500 mg 100 tablet 0 0
163 Tiamfenikol kapsul 500 mg. 100 kaps. 0 0
164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml 30 ampul 0 0
165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg 1000 tablet 2626 3000 5626
166 Tramadol kapsul 50 mg. 50 kaps. 0 0
167 Triheksifenidil Hidroklorida tablet 2 mg ktk 10 x 10 tab. 0 0
168 Urine bag pcs 0 0
169 Vitamin B Komplek tablet 100 tablet/ktk 3 4000 4003
170 Vitamin Sirup 60 ml 67 67
171 Zink tablet 20 mg. 100 tab. 0 0
172 Zink Sirup ( Zircum Kid) 60 ml 27 27
173 Sukralfat Syr 30 50 80
174 Ambroxol Tab 500 500
175 Ambroxol syr 25 25
176 Obat Batuk Putih (O.B.P ) cairan 28 28
NO Nama Obat Kemasan Stok Awal Penerimaan Persediaan

1 2 3 4 5 6
177 Alat Suntik Sekali Pakai 3 cc 150 40 190
178 Ihtiol Slp 6 6
179 Pehakain 0 30 30
180 Methilpretnison 0 1000 1000

MENGETAHUI/MENYETUJUI: YANG MENYERAHKAN:


KEPALA DINAS KESEHATAN KEPALA INSTALASI FARMASI
KABUPATEN PIDIE DINAS KESEHATAN PIDIE

dr.H.Fajriman.Sp.S,M.Si.Med RATNA DEWI, SKM


NIP. 19700909 2001121003 Nip. 19721019 2000032 2 005
LEMBARAN PERMINTAAN OBAT (LPLPO)
A H U N 2017
DOKUMEN NOMOR TANGGAL
IFK
LAPORAN PERIODE : JANUARI PUSKESMAS
RMINTAAN PERIODE : FEBRUARI

Pemberian
Pemakaian Sisa Stock Stok Optimum Permintaan KET
DAK LAIN-LAIN
7 8 9 15 17

0 0 0 -
0 5 0 (5)
0 5 0 (5)
0 5 0 (5)
0 146 0 (146)
40 111 76 (35)
0 0 0 -
0 0 0 -
40 27 76 49
5 26 10 (17)
1110 359 2109 1,750
0 0 0 -
100 5 190 185
0 335 0 (335)
5000 0 9500 9,500
215 5 409 404
0 0 0 -
309 105 587 482
150 740 285 (455)
3164 1619 6012 4,393
0 0 0 100
0 0 0 100
0 0 0 -
65 65 124 59
0 0 0 -
Pemberian
Pemakaian Sisa Stock Stok Optimum Permintaan KET
DAK LAIN-LAIN
7 8 9 15 17

7000 0 13300 13,300


1959 757 3722 2,965
240 263 456 193
96 0 182 182
0 10 0 (10)
65 64 124 60
40 73 76 3
0 100 0 (100)
322 0 612 612
0 22 0 (22)
28 0 53 8,000
0 0 0 -
0 0 0 -
0 0 0 500
0 0 0 -
0 0 0 -
0 0 0 500
0 0 0 -
0 0 0 1,000
28 3 53 50
1 1 2 1
1 1 2 1
0 0 0 -
1 1 2 1
10 2 19 17
0 0 0 -
0 0 0 -
61 5 116 111
0 341 0 (341)
0 10 0 (10)
Pemberian
Pemakaian Sisa Stock Stok Optimum Permintaan KET
DAK LAIN-LAIN
7 8 9 15 17

80 73 152 79
0 0 0 -
0 0 0 -
10 31 19 (12)
0 0 0 -
0 0 0 -
15 1 29 28
0 0 0 -
15 140 29 (112)
110 158 209 51
2046 1638 3887 2,249
0 10 0 (10)
0 0 0 -
0 0 0 -
72 1 137 500
121 359 230 (129)
0 0 0 -
100 20 190 170
0 250 0 (250)
99 0 188 188
0 810 0 (810)
1170 376 2223 1,847
600 0 1140 1,140
22 69 42 (27)
0 0 0 -
0 0 0 -
0 78 0 (78)
0 0 0 -
2534 1250 4815 3,565
40 340 76 (264)
Pemberian
Pemakaian Sisa Stock Stok Optimum Permintaan KET
DAK LAIN-LAIN
7 8 9 15 17

1 4 2 (2)
28 4 53 49
59 28 112 84
6 0 11 50
185 4 352 348
0 0 0 -
0 0 0 500
0 0 0 -
6 0 11 11
0 0 0 20
10305 1074 19580 18,506
0 0 0 -
0 0 0 -
220 178 418 240
0 0 0 -
95 255 181 (75)
43 0 82 82
403 238 766 528
0 0 0 -
0 0 0 -
182 0 346 346
0 0 0 30
0 0 0 -
0 0 0 -
120 30 228 198
0 0 0 -
0 0 0 -
390 265 741 476
0 0 0 -
0 0 0 -
Pemberian
Pemakaian Sisa Stock Stok Optimum Permintaan KET
DAK LAIN-LAIN
7 8 9 15 17

0 0 0 -
560 124 1064 940
53 0 101 101
0 0 0 -
1775 928 3373 2,445
2216 235 4210 3,975
2 23 4 (19)
57 106 108 2
0 0 0 -
0 0 0 -
4 0 8 8
0 0 0 -
0 0 0 50
0 0 0 50
812 284 1543 1,259
158 109 300 191
0 0 0 -
13450 0 25555 25,555
10 188 19 (169)
755 1081 1435 354
104 0 198 198
2 3 4 1
0 10 0 (10)
1220 0 2318 2,318
0 0 0 -
50 110 95 (15)
0 0 0 -
996 12 1892 1,880
0 68 0 (68)
0 0 0 -
Pemberian
Pemakaian Sisa Stock Stok Optimum Permintaan KET
DAK LAIN-LAIN
7 8 9 15 17

5 13 10 (4)
1063 430 2020 1,590
60 5 114 109
0 0 0 500
0 0 0 -
0 0 0 -
0 0 0 -
10 -10 19 29
0 0 0 -
0 0 0 -
149 75 283 208
669 331 1271 940
0 0 0 -
0 0 0 300
0 0 0 -
330 322 627 305
0 0 0 -
0 0 0 -
0 0 0 -
4746 880 9017 8,137
0 0 0 -
0 0 0 -
0 0 0 -
4003 0 7606 7,606
55 12 105 93
0 0 0 -
7 20 13 (7)
80 0 152 152
450 50 855 805
25 0 48 48
6 22 11 (11)
Pemberian
Pemakaian Sisa Stock Stok Optimum Permintaan KET
DAK LAIN-LAIN
7 8 9 15 17
0 190 0 (190)
5 1 10 9
10 20 19 (1)
700 300 1330 1,030

SIGLI, Februari 2017


YANG MEMINTA/MELAPORKAN: YANG MENERIMA:
KEPALA PUSKESMAS, PETUGAS PENGELOLA OBAT
UJONG RIMBA PUSKESMAS UJONG RIMBA

Dr. MARHAMAH ERLINA NURDIN


NIP. 19821012 200904 2 003 NIP.19780605 200504 2 003

You might also like