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