DAFTAR OBAT NON FORNAS RSU CILINCING TAHUN 2017

SUMBER DANA BLUD 2017

NO NAMA BARANG SPESIFIKASI SATUAN JUMLAH Total Qty YANG DIPAKAI JUMLAH (Rp)

NAMA
RSUK Cilincing HPS MEREK DAGANG RSUK Cilincing
prinsipal

1 Ambroksol Syr 15mg/5ml 60 Ml Sirup 60 ml Botol 5,000 5,000 PT 5,500.00

Ambroxol Syr 15 27,500,000
PHAPROS mg/5 ml
2 Ambroksol Tablet 30 Mg Tablet Tablet 100,000 100,000 Erela 191.00 Ambroxol 19,100,000
Ampisilin 1 gram + Sulbaktam 500 mg
3 Vial Vial 50 50 SANBE FA 142,175.00 CINAM INJEKSI 7,108,750
injeksi
Antibakteri, kombinasi : basitrasin 500
4 UI/g+ Polimiskin B 10.000 UI/g Tube Tube 500 500 INDOFAR 3,321.00 generik 1,660,500
MA
5 Asam traneksamat tab 500 mg Tablet Tablet 8,000 8,000 SANBE FA 2,695.00 PLASMINEX TABLET 21,560,000

PT
6 Asiklovir Krim 5 % Tube, 10 g Tube 1,000 1,000 3,146.00 Acyclovir 5% 3,146,000
PHAPROS

7 Atorvastatin 20mg tab Tablet Tablet 2,000 2,000 PT DEXA 13,200.00 STATOR 20 MG 26,400,000
MEDICA

8 Besi II Sulfat , Folic acid, Magnesium, Vit Sirup, 100 ml botol 1,000 1,000 PT Darya-V 31,460.00 FERLIN Syrup 100 31,460,000
A, Copper, vit B

Beta karoten 6000 IU, Extract billberry 80

9 mg, Vitamin C 100 mg, Vitamin E 25 mg, Tablet Tablet 5,000 5,000 INDOFAR 2,280.00 BIO VISION 11,400,000
Lutein 3 mg, Lycopene 2 mg, Zn 10 mg MA

10 Betametason valerat 0,1 % + neomisin Tube, 15 g Tube 500 500 BERNOFA 16,000.00 BENOSON N 5GR 8,000,000
sulfat 0,5 % RM

PT Ferron
Par
11 Cetirizine Drop Botol, 15 ml Botol 100 100 62,205.00 HISTRIN DROP 6,220,500
Pharmaeu
ticals

12 Chlorhexidine Botol, 60 ml Botol 100 100 Minorock 20,869.00 MINOSEP GARGLE 2,086,900

13 Curcuma Root Sirup Botol, 60 ml Botol 500 500 SANBE FA 35,255.00 SANBE KIDS EMULSION 17,627,500
Deksametason 0,1%, Neomisin sulfat 3,5
14 mg, Polimiksin-B-Sulfat 6000 UI tetes Botol, 5 ml Botol 1,000 1,000 SANBE FA 27,500.00 POLIDEMISIN ED 27,500,000
mata

15 Diazepam 2 mg + Metampiron 500 mg Tablet Tablet 5,000 5,000 PT 1,142.00 Metaneuron 5,710,000
PHAPROS

16 Ekstrak plasenta 10 %, neomisin sulfat Tube @ 15 gram Tube 500 500 Kalbe 16,335.00 Bioplacenton 8,167,500
0.5 % Gel Farma

17 Elemen Besi + Asam Folat oral drop 15 Botol 15 ml Botol 100 100 Merk 35,042.00 Sangobion drop 3,504,200
mg/ml

18 Flavoxate hidroklorida 200 mg Tablet Tablet 1,000 1,000 INDOFAR 2,687.00 urispas 200 mg 2,687,000
MA
PT DEXA
19 Gabapentin 300 mg Kapsul Kapsul 5,000 5,000 MEDICA 5,898.00 GAPENAL 29,490,000

PT. Molex
20 Gentamycin Salep Kulit Tube 3.5 gr Tube 2,000 2,000 3,080.00 Gentalex Krim 6,160,000
Ayus

Ciubros
21 Gentian Violet Larutan 1 % Botol 5 ml Botol 100 100 2,750.00 generik 275,000
Farma

22 Gliseril guaiakolat 100 mg Tablet Tablet 5,000 5,000 Erlimpex 48.00 Glyceril Guaiacolat 240,000

Hyoscine-N-butylbromide 10 mg,
23 Tablet Tablet 10,000 10,000 Ifars 1,734.00 Scopma Plus 17,340,000
Paracetamol 500 mg
24 Ibuprofen Supp 125mg Supp Suppos 500 500 Pharos 6,465.00 Proris 3,232,500
25 Kalium Diklofenak 25 mg tablet Tablet Tablet 5,000 5,000 SANBE FA 1,320.00 EFLAGEN 25 6,600,000

26 Kalium Diklofenak 50 Mg Tablet Tablet Tablet 50,000 50,000 Erlimpex 293.00 Erphaflam 14,650,000

27 Kaolin + pektin tablet Strip @ 10 tablet Tablet 5,000 5,000 corsa 350.00 Neo Diaform 1,750,000

Kaplet mengandung:Acetaminofen 500

mg, Gliseril guaiacolat 50 mg,
28 Fenilpropanolamin HCl 15 mg, Kaplet Kaplet 50,000 50,000 SANBE FA 715.00 TUZALOS 35,750,000
Dekstrometorfan HBr 15 mg,
Chlorfeniramine maleat

29 Karboksimetilselulosa 5 mg tetes mata Strip 5 Ml dose strip 1,000 1,000 cendo 29,000.00 cendo cenfresh 29,000,000
mini dose 0,6 Ml minidose

30 Ketorolac tablet 10 mg Tablet 10 mg Tablet 2,000 2,000 Etercon 2,367.00 Ketorolac tablet 10 mg 4,734,000

31 Kloramfenikol 2% + Hydrokortison 2,5% Tube 10 gr Tube 1,000 1,000 kimia 18,000.00 cloramfecort cream 18,000,000
krim farma

32 Kloramfenikol tetes telinga 3 % Botol 5 ml Botol 500 500 Erela 6,958.00 Chloramphenicol Tetes 3,479,000
Telinga 3%

33 Kloramfenikol tts mata 0,5% Botol 5 ml Botol 500 500 Erela 10,285.00 Erlamycetin Tetes Mata 5,142,500

34 Kombinasi Fe, Asam folat, Vitamin B Kapsul Kapsul 10,000 10,000 PT. Molex 440.00 Vitalex Kapsul 4,400,000
Ayus

PT DEXA
35 Lactobacillus serbuk Sachet Sachet 2,000 2,000 MEDICA 4,537.00 LACIDOFIL SACHET 9,074,000
 DAFTAR OBAT NON FORNAS RSU CILINCING TAHUN 2017
SUMBER DANA BLUD 2017

NO NAMA BARANG SPESIFIKASI SATUAN JUMLAH Total Qty YANG DIPAKAI JUMLAH (Rp)

NAMA
RSUK Cilincing HPS MEREK DAGANG RSUK Cilincing
prinsipal

36 Lincomycin 500 MG Kapsul Kapsul 5,000 5,000 PT. Molex 1,925.00 Pritalinc 500 Kapsul 9,625,000
Ayus

37 Loratadine 5 mg, pseudoephedrine Tablet Tablet 5,000 5,000 PT DEXA 4,207.00 RHINOS SR 21,035,000
sulfate 120 mg MEDICA

38 L-Ornithine-L-Aspartate injeksi 500 Ampul Ampul 50 50 Pertiwi 72,000.00 Livola 3,600,000

mg/ml Agung

PT Ferron
Par
39 Mecobalamin 500 mg Kapsul Kapsul 3,000 3,000 2,158.00 NERFECO CAP 500MG 6,474,000
Pharmaeu
ticals

PT. Molex
40 Meloksikam Tablet 7,5 Mg Tablet Tablet 5,000 5,000 2,200.00 Melocid Tablet 11,000,000
Ayus

41 Metronidazole Inj Botol 100 ml Botol 500 500 PT 19,800.00

Metronidazol 500 9,900,000
PHAPROS mg/ 100 ml

Micobacterium Tuberculosisi 0,4 mcg +

42 disodium fosfat 7,6 mg+Potasium fosfat Vial 1,5 ml Vial 30 30 PT. 638,400.00 PPD 19,152,000
1,45 mg +sodium klorida 4,8 mg (PPD Biofarma
RT23)
43 Misoprostol Tablet 200 Mcg Tablet 200 mcg Tablet 600 600 Dipa 6,352.00 Inflesco 200 3,811,200
44 Multivitamin + Lysine Drop Botol 10 ml botol 2,000 2,000 Erela 4,004.00 Caviplex drop 8,008,000
45 Multivitamin + Lysine Sirup Anak botol 60 ml Botol 3,000 3,000 SANBE FA 21,285.00 ELKANA SYRUP 63,855,000
46 Mupirosin Krim Tube 5 gr Tube 500 500 SANBE FA 40,755.00 PIBAKSIN OINTMENT 20,377,500
Neomisin 3,5 mg + Polimiksin 16.250 IU
47 + Fenilefrin 1,2 mg + asam borat 1,769 Botol 5 ml Botol 500 500 SANBE FA 19,800.00 POLIFRISIN ED 9,900,000
mg/ ml tetes mata
48 Nifuroksazide sirup 250 mg/5 ml botol 60 ml Botol 500 500 PT Darya-V 54,395.00 NIFURAL SYRUP 60 ML 27,197,500
49 Nistatin 100.000 IU 12 ml drop Botol Botol 500 500 SANBE FA 32,725.00 NYMIKO SUSPENSI 16,362,500
PT DEXA
50 Noretisteron tab 5 mg Tablet Tablet 500 500 MEDICA 3,300.00 NORELUT 1,650,000

51 OBH sirup 100 ml botol kaca coklat Botol 1,000 1,000 INDOFAR 10,725.00 OBH INDOPLUS 10,725,000
MA
SANBE AKILEN TETES TELINGA
52 Ofloxacin 3mg/ml tetes telinga botol 3 mg/1 mL x 5 Botol 100 100 51,238.00 5,123,800
FARMA DROPS

53 Oxytetrasiklin salep Kulit Tube 5 gram Tube 500 500 1,875.00 generik 937,500
indofarma

54 Oxytetrasiklin salep mata Tube 5 gram Tube 500 500 PT. Pfizer 10,907.00 Terramycin Ophth 5,453,500

55 Parasetamol supp 250mg Suppos Suppos 1,000 1,000 Interbat 13,500.00 Pamol 250mg Supp 13,500,000

PT Ferron
56 Pregabalin kapsul 150 mg Kapsul Kapsul 500 500 Par 10,043.00 PGB CAPSULE 150 MG 5,021,500
Pharmaeu
ticals

57 Pseudoephedrine Hcl 15 mg + Botol Botol 1,000 1,000 PT DEXA 28,050.00 RHINOS JUNIOR 28,050,000
klorfeniramin maleat 1 mg sirup MEDICA
58 Ranitidin sirup 75 mg/5 ml Botol 60 ml Botol 500 500 NOVELL 42,500.00 Ranivel 21,250,000

PT Ferron
59 Sefiksim kapsul/kaplet 200 mg kapsul Kapsul 1,000 1,000 Par 10,395.00 TRIXIM 200 MG CAP 10,395,000
Pharmaeu (BOX/10)
ticals

SANBE
60 Siprofloksasin 3 mg/ml tetes mata botol 5 ml Botol 500 500 44,179.00 BAQUINOR ED 22,089,500
FARMA
Tablet Flu Batuk Bromheksin,
61 Tablet Tablet 20,000 20,000 PT Darya-V 866.00 PARATUSIN TABLET 17,320,000
Difenhidramin, Parasetamol

62 Thiamphenicol sirup 125/5ml botol Botol 100 100 PT. Molex 7,150.00 Thiamfilex DS 715,000
Ayus

63 Tiap 100 gram mengandung Heparin Tube 20 gr gel Tube 500 500 nordmark 58,000.00 Thrombophop 29,000,000
sodum 20.000 IU

64 Tramadol 37,5 mg + PCT 325 mg tablet Tablet 10,000 10,000 OTTO 4,235.00 Tramifen 42,350,000

65 Tramadol Kapsul 50 Mg kapsul Kapsul 5,000 5,000 Erlimpex 3,168.00 Dolocap 15,840,000

66 Vit B1 100 mg, B6 200 mg, B12 200 mcg Ampul 3 ml Ampul 1,000 1,000 PT. Merck 7,703.00 Neurobion Inj 7,703,000
injeksi

Vit B1 100mg + Vit B6 200mg + Vit B12 PT. Molex

67 200ug tablet tablet Tablet 20,000 20,000 Ayus 660.00 Molaneuron Tablet 13,200,000

68 Vitamin C injeksi 500 mg/5 mL Ampul Ampul 500 500 Ethica 11,286.00 EXTRACE 500 5,643,000
371,330 TOTAL 906,420,350
 DAFTAR OBAT NON FORNAS RSU CILINCING TAHUN 2017
SUMBER DANA BLUD 2017

NO NAMA BARANG SPESIFIKASI SATUAN JUMLAH Total Qty YANG DIPAKAI JUMLAH (Rp)

NAMA
RSUK Cilincing HPS MEREK DAGANG RSUK Cilincing
prinsipal

2000000000
1,093,579,650
 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

1 Amitriptilin tab.salut 25 mg. TAB 10,000 143 1,430,000

2 Amoksilin sirup kering 125mg/5ml BTL

2,000 2,090 4,180,000

3 Amoksilin sirup kering 250mg/5ml BTL

3,000 3,984 11,952,000
4 Antihemoroid Doen Kombinasi SUP 500 3,045 1,522,500
5 Betametason krim 0,1 % TUBE 2,000 1,380 2,760,000
6 Combivent Inh Vial 3,000 4,995 14,985,000

7 Deksametason inj. 5mg/ml-1ml AMP

5,000 1,500 7,500,000
8 Deksametason tablet 0,5 mg. TAB 100,000 44 4,400,000
9 Diazepam 5 mg tab TAB 10,000 117 1,170,000
Fitomenadion (Vit.K10
10 AMP
inj.10mg/ml-1ml 10,000 695 6,950,000
11 Furosemida tablet 40 mg. TAB 10,000 78 780,000
12 Garam Oralit 200 ml air ZAK 10,000 264 2,640,000
13 Glukose larutan infus 5 % steril BTL 1,000 6,900 6,900,000

14 Glukose larutan infus 10 % steril BTL

1,000 7,500 7,500,000
15 Hidrokortison krim 2,5 % TUBE 2,000 2,650 5,300,000
16 Ibuprofen tablet 200 mg. TAB 50,000 105 5,250,000
17 Ibuprofen Tablet 400 mg. TAB 20,000 127 2,540,000

18 Kalsium Laktat (Kalk) tab.500 mg. TAB

100,000 63 6,300,000
19 Kloramphenikol kapsul 500 mg. KAP 5,000 1,007 5,035,000

20 Kloramphenikol salep mata 1 % TUBE

3,000 1,798 5,394,000
Klorfeniramin Maleat (CTM) tablet
21 TAB
4 mg. 100,000 42 4,200,000
22 Kodein tablet 10 mg. TAB 10,000 550 5,500,000
Metil Ergometrin Maleat inj.0,2000
23 AMP
mg-1 ml 1,000 2,684 2,684,000

24 Natrium klorida infus 0,9% steril BTL

5,000 6,410 32,050,000

25 Oksitosina injeksi 10 IU / ml-1ml BTL

2,000 1,900 3,800,000
26 Parasetamol tablet 500 mg. TAB 200,000 56 11,200,000
27 Prednison tablet 5 mg. TAB 20,000 91 1,820,000

28 Ringer laktat Larutan infus steril BTL

8,000 7,150 57,200,000
29 Salbutamol tablet 2 mg. TAB 100,000 66 6,600,000
30 Salisil Bedak 2 % ZAK 500 1,025 512,500
Sianokobalamin (Vit.B.12) inj.500
31 AMP
mcg / ml 1,500 1,098 1,647,000
Yodium Povidon larutan 10 % 60
32 BTL
ml 500 6,550 3,275,000
33 Antasida DOEN suspensi BTL 3,000 2,025 6,075,000
34 Asam folat 4 mg. tablet TAB 30,000 63 1,890,000
 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

Asam Mefenamat 500 mg tablet

35 TAB
salut selaput 100,000 106 10,600,000
36 Bisacodyl 5 mg suppos tube 1,000 5,670 5,670,000
37 Bisacodyl 10 mg suppos tube 1,000 5,800 5,800,000
38 Doxycyclin kapsul 100 mg. KAP 5,000 269 1,345,000
39 Erytromycin kapsul 500 mg. KAP 3,000 730 2,190,000
40 Kaptopril 12,5 mg tablet TAB 100,000 59 5,900,000
41 Kaptopril 25 mg tablet TAB 100,000 68 6,800,000
42 Metronidazole tablet 500 mg TAB 50,000 133 6,650,000
43 Miconazole 2 % krim TUBE 2,000 3,250 6,500,000
44 Nifedipin 10 mg. tablet TAB 20,000 104 2,080,000
45 Salbutamol 4 mg.tablet TAB 50,000 83 4,150,000
46 Sefadroksil 500 mg kapsul KAP 20,000 510 10,200,000
47 Siprofloksasin 500 mg tablet KAP 30,000 281 8,430,000
48 Siprofloksasin 2% Infus Botol 500 11,489 5,744,500
49 Clindamycin 300 Mg kap 5,000 603 3,015,000
50 Candesartan 16 Mg Tab tab 1,000 5,400 5,400,000
51 Candesartan 8 Mg Tab tab 1,000 3,465 3,465,000
52 Flixotide Nebule 0,5Mg amp 500 14,500 7,250,000
53 Fluconazol 150 Mg Tablet tab 100 18,000 1,800,000
54 Gliclazid 80 Mg Tablet tab 30,000 235 7,050,000
55 Kaen 3 A botol 1,500 10,000 15,000,000
56 Lansoprazol 30 Mg Tab kapsul 68,000 319 21,692,000
57 Levofloxacin Infus 5 mg/ml Botol 500 27,999 13,999,500
58 Loperamid 2 Mg Tablet tab 10,000 85 850,000
59 Metronidazole sirup 125 mg botol 1,000 3,800 3,800,000
60 Ondansetron 4 Mg Tab tab 20,000 472 9,440,000
61 Propanolol HCL tablet 10 mg. tab 5,000 60 300,000
62 Pulmicort 0.25 Mg/ Ml ampul 2,000 9,725 19,450,000
63 Ramipril 5 Mg Tab tab 10,000 610 6,100,000
64 Spironolacton 25 Mg Tab tab 5,000 294 1,470,000
65 Sukralfat 500 mg sirup botol 3,000 9,578 28,734,000
66 Telmisartan tab 40mg tab 5,000 3,900 19,500,000
67 Valsartan 80 Mg tab 10,000 1,800 18,000,000
68 Atropin sulfat injeksi amp 500 1,672 836,000
69 Betahistin 6 mg TAB 20,000 149 2,980,000
70 Bisoprolol 5 mg tab 30,000 330 9,900,000
71 Cefotaxime injeksi amp 3,000 5,500 16,500,000
72 Cetirizine 10 mg tab 30,000 143 4,290,000
73 Domperidon 10 mg TAB 30,000 118 3,540,000
74 Domperidon sirup BTL 4,000 3,000 12,000,000
75 Glimepirid 1 mg TAB 20,000 218 4,360,000
76 Glimepirid 2 mg Tab 20,000 289 5,780,000
77 Ibupropen suspensi bototl 3,000 2,475 7,425,000
78 Inhaler Ventolin Vial 5,000 4,000 20,000,000
79 Ketorolac inj 30 mg vial 3,000 1,290 3,870,000
80 Ketoconazole SK tube 1,000 2,545 2,545,000
81 Klopidogrel 75 mg tab 7,000 2,000 14,000,000
82 Lidocain injeksi 2 % amp 1,000 860 860,000
83 Loratadine 10 mg tab tab 50,000 134 6,700,000
 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

84 Metformin 500 mg SET 150,000 100 15,000,000

85 Metil Prednisolon 4 mg TAB 50,000 194 9,700,000
86 Na. Diklofenak 25 mg tab TAB 10,000 145 1,450,000
87 Omeprazole 20 mg kapsul kapsul 10,000 160 1,600,000
88 Ondansetron 4 mg injeksi ampul 7,000 1,650 11,550,000
89 Parasetamol drop botol 3,000 5,200 15,600,000
90 Ranitidine injeksi amp 6,000 1,390 8,340,000
91 Sefiksim 100 mg TAB 50,000 590 29,500,000
92 Sefiksim sirup botol 2,500 7,490 18,725,000
93 Simvastatin 20 mg TAB 30,000 252 7,560,000
94 Simvastatin 10 mg TAB 20,000 131 2,620,000
95 Cetirizine 5 mg SIRUP BTL 2,500 6,745 16,862,500
96 Gliquidon TAB 7,000 1,000 7,000,000
97 Asering 500 ml botol 1,500 9,275 13,912,500
98 Zink Sirup Botol 1,500 6,290 9,435,000
99 Levemir Insulin Pcs 200 85,000 17,000,000
100 Pantocain 2% Cendo Botol 50 11,500 575,000
101 TARIVID TT 3% Botol 200 45,089 9,017,800
102 Avamys Spray Botol 100 103,000 10,300,000

103 Symbicort Turb 80/4,5 mcg 60 dosis Botol

100 121,000 12,100,000

104 SPIRIVA Powder Inhalation 18 mcg Kotak

500 14,750 7,375,000
105 Asetil sistein 200 mg tab tablet 15,000 426 6,390,000
106 Acarbose 50 mg tab 10,000 657 6,570,000
107 Acarbose 100 mg tab 10,000 908 9,080,000
108 Karbogliserin Tetes Telinga 10% Botol 1,000 2,500 2,500,000
109 Kolkisin 500 mcg tablet 2,000 3,845 7,690,000
110 KCL Infus Botol 500 3,099 1,549,500
111 Xylocain Jelly 2% Tube 300 40,000 12,000,000

112
Asam Traneksamat injeksi 50mg/ ml vial 300 2,445 733,500
113 Alprazolam 0,5 mg tab tab 5,000 126 630,000
114 Fitomenadion 10 mg tab 10,000 695 6,950,000
115 Vaksin TT vial 500 14,498 7,249,000
116 Levofloxacin 500 mg tab tab 30,000 495 14,850,000
117 Bisoprolol 2,5 mg tab tab 50,000 650 32,500,000
118 Potasium L aspartat tab 10,000 690 6,900,000
119 Spiriva + Handihaler kotak 100 162,000 16,200,000

Total Jumlah (Rp.) 983,917,800

 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH

 RAB OBAT E CATALOG 2017

NO NAMA OBAT SAT JUMLAH HARGA JUMLAH