NO NAMA OBAT KEMASAN HARGA JUMLAH TOTAL
ANTIBIOTIK
1 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet Rp 55.000 5 Rp 275.000
2 Amoksisilin kaplet 250 mg ktk 10 x 10 kaplet Rp 40.000 5 Rp 200.000
3 Amoksisilin sirup 250 mg/ 5 ml btl 60 ml Rp 8.000 50 Rp 400.000
4 Ketokonazol tablet 200 mg ktk 5 x 10 tablet Rp 30.000 2 Rp 60.000
5 Kloramfenikol kapsul 250 mg btl 1000 kapsul Rp 310.000 1 Rp 310.000
6 Kotrimoksazol 480 mg ktk 10 x 10 tablet Rp 25.000 3 Rp 75.000
7 Kotrimoksazol Sirup btl 60 ml Rp 7.000 20 Rp 140.000
8 Metronidazol tablet 500 mg ktk 10 x 10 tablet Rp 33.000 2 Rp 66.000
9 Siprofloksasin tablet 500 mg ktk 10 x 10 tablet Rp 42.000 2 Rp 84.000
10 Tiamfenikol kapsul 500 mg ktk 10 x 10 kapsul Rp 85.000 2 Rp 170.000
11 Pirantel Pamoat Tablet 125mg satuan terkecil Rp 9.000 50 Rp 450.000
TOTAL Rp 2.230.000
ANALGETIK-ANTIPIRETIK-ANTIINFLAMASI
1 Asam Mefenamat kaplet 500 mg ktk 10 x 10 kaplet Rp 26.000 5 Rp 130.000
2 Ibuprofen tablet 400 mg ktk 10 x 10 kaplet Rp 30.000 10 Rp 300.000
3 Natrium Diklofenak tablet 50 mg ktk 5 x 10 kaplet Rp 16.000 5 Rp 80.000
4 Natrium Diklofenak tablet 25 mg ktk 5 x 10 kaplet Rp 13.000 5 Rp 65.000
5 Parasetamol tablet 500 mg btl 1000 tablet Rp 70.000 10 Rp 700.000
6 Parasetamol sirup 120 mg / 5 ml btl 60 ml Rp 5.000 50 Rp 250.000
7 Piroksikam tablet 10 mg ktk 10 x 10 tablet Rp 14.000 2 Rp 28.000
8 Piroksikam tablet 20 mg ktk 10 x 10 tablet Rp 17.000 2 Rp 34.000
9 Antalgin 500 mg satuan terkecil Rp 250 200 Rp 50.000
TOTAL Rp 1.637.000
ANTIALERGI-STEROID
1Klorfeniramina Maleat (CTM) tablet 4 mg
btl 1000 tablet Rp 35.000 1 Rp 35.000
2 Deksametason tablet 0,5 mg btl 1000 tablet Rp 78.000 1 Rp 78.000
3 Prednison tablet 5 mg btl 1000 tablet Rp 87.000 1 Rp 87.000
4 Cyproheptadine ktk 10 x 10 tablet Rp 25.000 2 Rp 50.000
TOTAL Rp 250.000
ANTIHIPERTENSI-CARDIOVASKULAR
1 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet Rp 15.000 5 Rp 75.000
2 Kaptopril tablet 25 mg ktk 10 x 10 tablet Rp 21.000 5 Rp 105.000
3 Furosemid tablet 40 mg btl 250 tablet Rp 27.000 2 Rp 54.000
4 Hidroklorotiazida tablet 25 mg btl 1000 tablet Rp 52.000 1 Rp 52.000
5Asam Asetilsalisilat tablet 500 mg (Asetosal)
ktk 10 x 10 tablet Rp 23.000 3 Rp 69.000
6 Nifedipin tablet 10 mg ktk 10 x 10 tablet Rp 20.000 3 Rp 60.000
TOTAL Rp 415.000
OBAT GASTROINTESTINAL
1 Antasida tablet kunyah ktk 10 x 10 tablet Rp 23.000 5 Rp 115.000
2 Antasida sirup btl 60 ml Rp 7.000 50 Rp 350.000
3 Simetidin tablet 200 mg ktk 10 x 10 tablet Rp 18.000 2 Rp 36.000
4 Ranitidin tablet 150 mg ktk 10 x 10 tablet Rp 32.000 2 Rp 64.000
5 Metoklopramide tablet 10 mg ktk 10 x 10 tablet Rp 16.000 2 Rp 32.000
6 Metoklopramide tablet 5 mg ktk 10 x 10 tablet Rp 12.000 2 Rp 24.000
7 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul Rp 18.000 5 Rp 90.000
8 Garam Oralit I serbuk ktk 100 bungkus Rp 53.000 5 Rp 265.000
9 Spasminal satuan terkecil Rp 700 200 Rp 140.000
10 Diaform satuan terkecil Rp 250 200 Rp 50.000
11 Dulcolax/Bisacodyl satuan terkecil Rp 1.500 200 Rp 300.000
12 Vitazym ktk 10 x 10 tablet Rp 45.000 2 Rp 90.000
TOTAL Rp 1.556.000
OBAT ASMA
1 Salbutamol tablet 4 mg ktk 10 x 10 tablet Rp 15.000 5 Rp 75.000
2 Salbutamol tablet 2 mg ktk 10 x 10 tablet Rp 13.000 5 Rp 65.000
3 Aminofilin tablet 200 mg btl 1000 tablet Rp 126.000 1 Rp 126.000
4 Teosal ktk 10 x 10 tablet Rp 25.000 2 Rp 50.000
TOTAL Rp 316.000
OBAT FLU-BATUK
1 Efedrin tablet 25 mg (HCl) btl 1000 tablet Rp 71.000 1 Rp 71.000
2 Ambroxol tablet 30 mg ktk 10 x 10 tablet Rp 18.000 5 Rp 90.000
3 Gliseril guaiakolat tablet 100 mg btl 1000 tablet Rp 40.000 1 Rp 40.000
4Obat Batuk Hitam ( O.B.H. ) cairan
btl 200 ml Rp 5.000 50 Rp 250.000
5 Demacolin satuan terkecil Rp 500 200 Rp 100.000
6 Alpara/Paratusin/Intunal F satuan terkecil Rp 650 400 Rp 260.000
7 Bromheksin tablet 8 mg ktk 10 x 10 tablet Rp 7.000 3 Rp 21.000
8 Baby cought syrup 60 ml Rp 4.500 25 Rp 112.500
TOTAL Rp 944.500
ROBORANTIA
1Sianokobalamin (vitamin B12) tablet
btl 1000 tablet Rp 20.000 1 Rp 20.000
2 Vitamin C tablet 100 mg 500 tablet Rp 31.000 2 Rp 62.000
3 Calcium lactat satuan terkecil Rp 300 200 Rp 60.000
5 Neuromec/Zecaneuron satuan terkecil Rp 500 200 Rp 100.000
6 Univit/Caviplex syrup 60 ml Rp 6.000 25 Rp 150.000
TOTAL Rp 392.000
OBAT LUAR
1 Salep 2-4 ktk 24 pot 30 gram Rp 42.000 2 Rp 84.000
2 Mikonazol krim/salep 2 % tube 10 gram Rp 5.000 20 Rp 100.000
3 Ketokonazol krim 2% tube 15 gram Rp 11.000 30 Rp 330.000
4 Hidrokortison krim 2,5 % ktk 24 tube 5 gram Rp 100.000 2 Rp 200.000
5 Betametason krim 0.1 % ktk 25 tube 5 gram Rp 65.000 2 Rp 130.000
6 Gentamisin salep kulit 0.1% ktk 25 tube 5 gram Rp 64.000 2 Rp 128.000
7 Erlamycetin tetes mata tube Rp 10.000 25 Rp 250.000
8 Erlamycetin tetes telinga tube Rp 5.000 25 Rp 125.000
9 Scabicid tube Rp 12.000 20 Rp 240.000
10 Acyclovir tube Rp 13.000 20 Rp 260.000
11 Bioplacenton tube Rp 18.000 20 Rp 360.000
TOTAL Rp 1.847.000
LAIN LAIN
1 Alopurinol tablet 300 mg ktk 3 x 10 tablet Rp 12.000 2 Rp 24.000
2 Alopurinol tablet 100 mg ktk 10 x 10 tablet Rp 19.000 2 Rp 38.000
3 Glibenklamida tablet 5 mg ktk 10 x 10 tablet Rp 12.000 2 Rp 24.000
4 Metformin HCl tablet 500 mg ktk 10 x 10 tablet Rp 37.000 2 Rp 74.000
5 Simvastatin tablet 5 mg ktk 3 x 10 tablet Rp 12.000 2 Rp 24.000
TOTAL Rp 184.000
TOTAL KESELURUHAN Rp 9.771.500
LAMPIRAN II DAFTAR OBATBAKTI KESEHATAN (400 pasien) kira2 kalau 200 pasien Nama obat Jmlh Allopurinol 100 mg 2 box 1 box Aminophilin 200 mg 200 tablet 100 tab Amoxicillin 500 mg 30 box 15 box Amoxicillin syrup 100 botol 50 btl Antalgin 500mg 4 pot 2 pot Antasida doen 4 pot 2 pot Asam mefenamat 500mg 5 box 3 box Captopril 25 mg 20 box 10 box Chorpheniramin maleat 4 mg 3 pot 2 pot Ciprofloxaxin 500 mg 10 box 5 box Corsalit 1 box 1 box Cotrimoxazole 500 mg 5 box 3 box Daily vita 15 box 8box Dexamethason 0.5 mg 3 pot 1pot
Dextral 4 box 2 box Dextrometrophan 15 mg 3 pot 2 pot Digoxin 0,25 mg 2 box 1box Efedrin 25 mg 1 pot 1pot Eritromisin 500 mg 2 box 1 box Erla tetes mata 72 flas 40 flas Erla tetes telinga 36 flas 20 flas Furosemid 40 mg 2 box 1 box Gentian violet 2 box 1 box Glibenclamide 5 mg 3 box 2 box Glyseril guaiacolat 3 pot 1 pot Griseofulvin 500 3 box 1 box Hct 25 mg 1 pot 1 pot Hidrocortison 4 box 2 box ISDN 5 mg 1 box 2 box Kloramfenicol 250mg 1 pot 1 poy Klorfeson 48 tube 25 tube Loperamid 2mg 2 box 1 box Metfromin 200 mg 3 box 2 box Metronidazol 500 mg 5 box 3 box Mikonazol 4 box 2 box Neo Diaform 1 pot 1 pot Nifedipin 10 mg 10 box 5 box Obh itrasal 1 box 1 box Obp itrasal 1 box 1 box Optium strip gds 2 box 1 box Papaverin 40 mg 1 pot 1 pot Parasetamol 500mg 3 pot 2 pot Parasetamol syrup itrasal 1 box 1 box Piroxicam 20 mg 15 box 7 box Prednison 5 mg 2 pot 1 pot Primadex forte 10 box 5box Profut ( ciproheptadin) 4 box 2box Pyrantel pamoat 125mg 2 box 1 box Ranitidin 6 box 3 box SAKARIN 1 kaleng 1 kaleng Salbutamol 2 mg 2 box 1 box Salep 2-4 2 box 1 box Spasminal 2 box 1 box
Univit syr 2 box 1 box Vitamin b complex 6 pot 3 POT Vitamin c 100mg 3 pot 1 POT Vitazym 20 box 10 box