INJEKSI TABLET addendum Spesifikasi pengadaan obat obatan rumah sakit

A. INJEKSI

1 Aminofillin Injeksi 24 mg ml Kt k 30 amp 10 ml 15 2 ampisilin serbuk injeksi i.m. i.v. 1000 mg vial kt k 10 Vial 180 3 Aqua pro Injeksi St eril, Bebas Pirogen kt k 10 vial 20 ml 2,592 4 At ropin injeksi i.m. i.v s.k. 0,25 mg ml Sulfat kt k 30 amp 1 ml 18 5 Deksamet ason injeksi i.v. 5 mg ml kt k 100 amp 1 ml 27 6 Diazepam Injeksi 5mg ml kt k 30 amp 2 ml 18 7 Difenhidramin injeksi i.m. 10 mg ml HCl kt k 30 amp 1 ml 48 8 Efinefrin Adrenalin injeksi 0,1 sebagai HCl kt k 30 amp 1 ml 6 9 Fenit oin Nat rium Injeksi 50 mg ml amp 2 ml 36 10 Fenobarbit al Injeksi i.m. i.v. 50 mg ml kt k 30 amp 1 ml 12 11 Fit omenadion Vit amin K1 injeksi 10 mg ml kt k 30 amp 1 ml 30 12 Furosemid injeksi i.v i.m. 10 mg ml kt k 25 amp 2 ml 36 13 Gent amicin Inj 80 mg ml kt k 1 Vial 2 ml 1,800 14 Gent amicin Injeksi 40 mg ml kt k 5 amp 200 15 Ket orolac injeksi 10 mg kt k 5 amp 1 ml 126 16 Ket orolac injeksi 30 mg kt k 6 amp 1 ml 60 17 Klorpromazin injeksi 1.m. 25 mg ml HCl kt k 30 amp 2 ml 3 18 Kuinin Dihidroklorida Injeksi 25 - 2 ml kt k 30 amp 15 19 Lidokain Injeksi 2 HCl +Epinefrin 1:80.000 - 2 ml kt k 30 amp 2 ml 300 20 M agnesium Sulfat inj IV 40 - 25ml kt k 10 vial 18 21 M et ampiron Injeksi 250 mg kt k 30 amp 2 ml 3 22 M et ilergomet rin M aleat injeksi 0,200 mg-1 ml kt k 30 amp 3 23 M et oklorpramid injeksi 5 mg ml kt k 10 amp 2 ml 90 24 M orfin injeksi 10 mg ml kt k 10 amp 1 ml 2 25 Oksit et rasiklin HCl injeksi i.m. 50 mg.ml-10 ml kt k 10 vial 9 26 Oksit osin Injeksi 10IU ml-1ml kt k 30 amp 360 27 papaverin injeksi 40 mg ml kt k 100 amp 1 ml 9 28 Pet idin injeksi 50 mg ml kt k 10 amp 2 29 Piracet am injeksi 1 g 5 ml kt k 10 amp 18 30 Prokain Benzil Penisilin G. injeksi 3 jt IU vial kt k 30 vial 15 ml 2 31 Ranit idin injeksi 25 mg 2 ml kt k 25 amp 36 32 Sefot aksim injeksi 1 gram per vial kt k 1 vial 360 33 Seft riakson serbuk injeksi 750 mg vial kt k 1 vial 10 ml 360 34 Sianokobalamin Vit amin B12 injeksi 500 mcg kt k 100 amp 1 ml 2 35 Tramadol injeksi 50 mg ml kt k 5 amp 90

B. TABLET

36 Asiklovir t ablet 400 mg kt k 5 x 10 t ablet 18.0 37 Albendazol t ablet t ablet kunyah 400 mg kt k 5 x 6 t ablet 18.0 38 Alopurinol t ablet 100 mg kt k 10 x 10 t ablet 18.0 39 Alprazolam t ablet 0,5 mg kt k 10 x 10 t ablet 18.0 40 Ambroxol t ablet 30 mg kt k 10 x 10 t ablet 180.0 41 Aminofilin t ablet 200 mg bt l 100 t ablet 18.0 42 Amit ript ilin t ablet salut 25 mg HCl kt k 10 x 10 t ablet 18.0 43 Amlodipin t ablet 10 mg kt k 5 x 10 t ablet 180.0 OBAT GENERIK TAHUN ANGGARAN 2012 NO NAMA OBAT SATUAN VOL PEMERINTAH KABUPATEN SUMBAWA BARAT DINAS KESEHATAN Jln. Bung Karno Kompleks Kemutar Telu Center KTC Taliwang Kabupaten Sumbawa Barat Telp. 0372 81833; Fax. 0372 81833. Email : dinkes_ksbyahoo.co.id SPESI FI KASI TEKNI S PENGADAAN OBAT- OBATAN DI NAS KESEHATAN KABUPATEN SUMBAWA BARAT NO NAMA OBAT SATUAN VOL 44 Amlodipin t ablet 5 mg kt k 5 x 10 t ablet 180.0 45 Amoksisilin kaplet 250 mg kt k 10 x 10 kapsul 360.0 46 Amoksisilin kaplet 500 mg kt k 10 x 10 kaplet 2,520.0 Ant asida DOEN I Tablet Kunyah, kombinasi : kt k 10 x 10 t ablet 1,080.0 Alumunium Hidroksida 200 mg M agnesium Hidroksida 200 mg 48 Ant imigren Ergot amin Tart rat 1 mg+Kofein 50 mg bt l 100 t ablet 81.0 49 Asam M efenamat kapsul 500 mg kt k 10 x 10 t ablet 720.0 50 Asam Aset ilsalisilat t ablet 100 mg Aset osal kt k 10 x 10 t ablet 36.0 51 Bet ahist in M esilat t ablet 6 mg kt k 3 x 10 t ablet 18.0 52 Bromheksin t ablet 8 mg kt k 10 x 10 t ablet 90.0 53 Cet irizine t ablet 10 mg kt k 5 x 10 t ablet 72.0 54 Deksamet ason t ablet 1,5 mg kt k 10 x10 t ablet 540.0 55 Dekst romet orfan t ablet 15 mg HBr kt k 10 x10 t ablet 54.0 56 Diazepam t ablet 2 mg kt k 10 x10 t ablet 18.0 57 Diazepam t ablet 5 mg kt k 10 x10 t ablet 36.0 58 Digoksin t ablet 0,25 mg kt k 10 x10 t ablet 72.0 59 Dilt iazem HCl t ablet 30 mg kt k 10 x10 t ablet 36.0 60 Dimenhidrinat t ablet 50 mg bt l 100 t ablet 36.0 61 Domperidon t ablet 10 mg kt k 10 x10 t ablet 36.0 62 Ekst rak Belladona t ablet 10 mg bt l 1000 t ablet 1.0 63 Efedrin t ablet 25 mg HCl bt l 250 t ablet 36.0 64 Erit romisin kapsul 250 mg kt k 10 x10 t ablet 36.0 65 Famot idine t ablet 20 mg kt k 5 x 10 t ablet 126.0 66 Fenit oin kapsul 100 mg bt l 250 kapsul 4.0 67 Furosemid t ablet 40 mg kt k 10 x10 t ablet 72.0 Garam Oralit I Serbuk, kombinasi : kt k 100 sachet 90.0 Nat rium 0,52 gram Nat rium Klorida 0,30 gram Trinat rium Sit rat Dihidrat 0,58 gram Glukosa Anhidrat 2,70 gram 69 Gemfibrozil kapsul 300 mg kt k 10 x10 kapsul 54.0 70 Glibenklamida t ablet 5 mg kt k 10 x10 t ablet 90.0 71 Glimepiride t ablet 1 mg kt k 5 x10 t ablet 180.0 72 Gliseril guaiakolat t ablet 100 mg bt l 1000 t ablet 36.0 73 Griseofulvin t ablet 125 mg kt k 10 x 10 t ablet 9.0 74 Haloperidol t ablet 1,5 mg kt k 10 x10 t ablet 36.0 75 Haloperidol t ablet 5 mg kt k 10 x 10 t ablet 18.0 76 Hyoscine -N-But ilbromide t ablet 10 mg kt k 10 x10 t ablet 36.0 77 Ibuprofen t ablet 400 mg kt k 10 x10 t ablet 180.0 78 Isosorbit Dinit rat t ablet sublingual 5 mg kt k 10 x10 t ablet 54.0 79 Kalsium Lakt at Kalk t ablet 500 mg bt l 1000 t ablet 27.0 80 Kapt opril 25 mg kt k 10 x 10 t ablet 90.0 81 Karbamazepin t ablet 200 g kt k 10 x 10 t ablet 18.0 82 Ket okonazol t ablet 200 mg kt k 5 x10 t ablet 216.0 83 Ket oprofen t ablet 100 mg kt k 10 x10 t ablet 18.0 84 Klorfeniramina M aleat CTM t ablet 4 mg bt l 1000 t ablet 54.0 85 Klorokuin t ablet 150 mg bt l 1000 t ablet 1.0 86 Klorpromazin t ablet salut 100 mg HCl bt l 250 t ablet 7.2 87 Kodein t ablet 10 mg bt l 250 t ablet 2.0 88 Kot rimoksazol DOEN I dew asa kt k 10 x 10 t ablet 360.0 kombinasi : Sulfamet oksazol 400 mg Trimet oprim 80 mg 89 Lansoprazol kapsul 30 mg kt k 2 x 10 Kapsul 540.0 90 Levofloksasin t ablet 500 mg kt k 5 x 10 t ablet 108.0 91 Loperamid Tablet 2 mg kt k 10 x 10 t ablet 36.0 92 Lorat adin t ablet 10 mg kt k 5 x 10 t ablet 180.0 47 68 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