SYRUP SUPPOSITORIA addendum Spesifikasi pengadaan obat obatan rumah sakit

NO NAMA OBAT SATUAN VOL 93 M eloksikam t ablet 15 mg kt k 5 x 10 t ablet 108.0 94 M eloksikam t ablet 7,5 mg kt k 5 x 10 t ablet 72.0 95 M et ampiron t ablet 500 mg kt k 10 x 10 t ablet 90.0 96 M et formin HCl t ablet 500 mg kt k 10 x 10 t ablet 180.0 97 M et ilprednisolon t ablet 4 mg kt k 10 x 10 t ablet 108.0 98 M et ilprednisolon t ablet 8 mg kt k 10 x 10 t ablet 18.0 99 M et oklopramide t ablet 10 mg kt k 10 x 10 t ablet 54.0 100 M et ronidazol t ablet 500 mg kt k 10 x 10 t ablet 108.0 101 Nat rium diklofenak t ablet 50 mg kt k 5 x 10 t ablet 108.0 102 Nifedipin t ablet 10 mg kt k 10 x 10 t ablet 36.0 103 Nist at in t ab salut 500.000 IU g kt k 10 x 10 t ablet 18.0 104 Ofloxacin t ablet 200 mg kt k 5 x 10 t ablet 108.0 105 Omeprazol kapsul 20 mg kt k 3 x 10 kapsul 60.0 106 Paraset amol t ablet 500 mg kt k 10 x 10 t ablet 2,700.0 107 Piracet am t ablet 800 mg kt k 10 x 10 t ablet 36.0 108 Piridoksin Vit amin B6 t ablet 25 mg HCL bt l 1000 t ablet 36.0 109 Piroksikam t ablet 20 mg kt k 10 x 10 t ablet 36.0 110 Prednison t ablet 5 mg bt l 1000 t ablet 13.0 111 Primakuin t ablet 15 mg bt l 1000 t ablet 10.8 112 Propilt iourasil t ablet 100 mg bt l 100 t ablet 36.0 113 Propanolol t ablet 10 mg HCl kt k 10 x 10 t ablet 36.0 114 Propanolol t ablet 40 mg HCl bt l 100 t ablet 18.0 115 Ranit idin t ablet 150 mg kt k 10 x 10 t ablet 63.0 116 Salbut amol t ablet 2 mg Sebagai Sulfat kt k 10 x 10 t ablet 270.0 117 Salbut amol t ablet 4 mg Sebagai Sulfat kt k 10 x 10 t ablet 18.0 118 Sefadroksil kapsul 500 mg kt k 10 x 10 kapsul 90.0 119 Sefiksim kapsul 100 mg kt k 3x 10 kapsul 5.4 120 Simet idin t ablet 200 mg kt k 10 x 10 t ablet 54.0 121 Simvast at in t ablet 10 mg kt k 5 x 10 t ablet 180.0 122 Siprofloksasin t ablet 500 mg Sebagai HCl kt k 10 x 10 t ablet 180.0 123 Spironolakt on t ablet 100 mg kt k 10 x 10 t ablet 36.0 124 Besi II Sulfat 200 mg+Asam Folat 0,25 mg t ablet 1 sase 30 t ablet 600.0 t ablet t ambah darah kombinasi 125 Terbut alin t ablet 2,5 mg kt k 5 x 10 t ablet 36.0 126 Tiamfenikol kapsul 500 mg kt k 10 x 10 t ablet 360.0 127 Tiamin Vit amin B1 t ablet 50 mg HCl Nit rat bt l 1000 t ablet 18.0 128 Tramadol t ablet 50 mg kt k 5 x 10 t ablet 90.0 129 Triheksilfenidil t ablet 2 mg kt k 10 x 10 t ablet 9.0 130 Verapamil t ablet 80 mg HCl kt k 10 x 10 t ablet 9.0 131 Vit amin B Kompleks t ablet bt l 1000 t ablet 18.0 132 Zinc t ablet 20 mg kt k 10 x 10 t ablet 90.0

C. SYRUP

133 Amoksisillin sirup kering 125 mg 5 ml bt l 60 ml 2,700.0 134 Ant asida DOEN II suspensi, kombinasi : bt l 60 ml 900.0 Aluminium Hidroksida 200 mg 5 ml M agnesium Hidroksida 200 mg 5 ml 135 Dekst romet orfan sirup 10 mg 5 ml HBr bt l 60 ml 540.0 136 Domperidon suspensi 5 mg 5 ml bt l 60 ml 540.0 137 Ibuprofen suspensi 100 mg 5 ml bt l 60 ml 450.0 138 Kot rimoksazol suspensi komb : bt l 60 ml 3,600.0 Sulfamet oksazol 200 mg+Trimet oprim 40 mg 5ml 139 M et oklopramide sirup 5 mg 5 ml bt l 60 ml 540.0 140 Paraset amol drops bt l 15 ml 900.0 141 Paraset amol sirup 120 mg 5 ml bt l 60 ml 9,000.0 142 Pirant el sirup 125 mg 5 ml bt l 60 ml 180.0 143 Sefadroksil Sirup kering 125 mg 5 ml bt l 60 ml 900.0 144 Sefiksim sirup kering 100 mg 5 ml bt l 30 ml 900.0 NO NAMA OBAT SATUAN VOL

D. SUPPOSITORIA

145 Ant ihemoroid DOEN kombinasi: kt k 10 suppo 18.0 Bismut subgalat 150 mg Heksaklorofen 2,5 mg E. INFUS 146 Dekst ran 70-larut an infus 6 st eril bt l 500 ml 540.0 147 Glukosa larut an infus 10 st eril bt l 500 ml 360.0 148 Glukosa larut an infus 40 st eril kt k 10 amp 25 ml 18.0 149 Glukosa larut an infus 5 st eril bt l 500 ml 5,400.0 150 M et ronidazol infus 500 mg 100 ml bt l 100 ml 270.0 151 Nat rium Klorida larut an infus 0,9 bt l 500 ml 9,000.0 152 Ringer Lakt at larut an infus bt l 500 ml 18,000.0 F. CAIRAN GELLY 153 Povidon Iodida larut an 10 bt l 60 ml 720.0 G. TETES SALEP POW DER 154 Asiklovir krim 5 kt k 25 t ube 5 gram 21.6 155 Bet amet ason krim 0,1 sebagai Valerat kt k 25 t ube 5 gram 216.0 156 Kloramfenikol salep mat a 1 t ube 5 g 900.0 157 Kloramfenikol Tet es M at a 0,5 bt l 5 ml 900.0 158 Kloramfenikol Tet es Telinga 3 bt l 5 ml 900.0 159 Gent amisin Salep Kulit 0,1 kt k 25 t ube 5 gram 14.4 160 Hidrokort ison krim 2,5 t ube 5 g 5,400.0 161 Ket okonazol krim 2 t ube 15 gram 450.0 162 M ikonazol krim salep 2 Nit rat t ube 450.0 163 Oksit et rasiklin HCl salep mat a 1 kt k 25 t ube 3,5 gr 36.0 164 Oksit et rasiklin salep kulit 3 kt k 25 t ube 5 gram 144.0 165 Salisil bedak 2 kt k 50 gram 2,700.0 166 Tet rakain HCl t et es mat a 0,5 kt k 24 bt l 5 ml 3.8

A. INJEKSI