A.

Tahap Seleksi Obat dan Sistem Formularium

2. Melakukan analisis kesesuaian penggunaan obat dengan formularium rumah sakit
ANALISIS KESESUAIAN PENGGUNAAN OBAT DENGAN FORMULARIUM RUMAH SAKIT
No Tanggal No. Resep Jumlah R/ Nama Obat Formularium (0/1) Nama dokter inisial
Cotrimoxazol Tab 1
1 08-8-2019 A1275 2 Paracetamol Tab 500 mg 1 dr. JSB, Sp.U
Meloxicam Tab 15 mg 1
Ranitidine Tab 150 mg 1
2 08-8-2019 A1269 3 Prednisone Tab 1 dr. WL, Sp.OT
Resperidone Tab 2 mg 1
Trihexyphenidil Tab 2 mg 1
3 08-8-2019 A1288 3 Chlorpromazin Tab 100 mg 1 dr. Sp.KJ
Lansoprazole Cap 30 mg 1
Rebamipide Tab 100 mg 1
4 08-8-2019 A1242 3 Domperidone Tab Hexp 1 dr. FS, Sp.PD
Meloxicam Tab 15 mg 1
Ranitidine Tab 150 mg 1
5 A1402 3 Mecobalamin 250 mg 1 dr. WL, Sp,OT
Paracetamol Tab 500 mg 1
6 08-8-2019 A1436 2 Cefixime Cap 100 mg 1 dr.KDR, Sp.PD
Metformin Tab 500 mg 1
Amlodipin Tab 10 mg 1
7 08-8-2019 A1227 3 Mecobalamin 250 mg 1 dr. FS, Sp.PD
Acarbose Tab 50 mg 1
Amlodipin Tab 10 mg 1
8 08-8-2019 A1250 3 Glibenklamid Tab 5 mg 1 dr. FS, Sp.PD
Risperidone Tab 2 mg 1
9 A1252 2 Clozapin Tab 25 mg 1 dr. UF,Sp.KJ
10 08-8-2019 A1293 3 Paracetamol Tab 500 mg 1 dr. WH, Sp.B
Nystatin Tab 1
 Doxycicline Cap 100 mg 1
Doxycicline Cap 100 mg 1
11 08-8-2019 A1432 2 Asam Mefenamat Tab 500 mg 1 dr. WH, Sp.B
12 A02920 2 Ranitidine tab 150 mg 1 dr. SA, SpOT
12-8-2019 Meloxicam tab 15 mg 1
13 12-8-2019 A02705 1 Diamicron MR tab 60 mg 1 dr. AR, SpPD
14 12-8-2019 A02822 6 Carbamazepine Tab 200 mg 1 Dr. WS, SpS
Omeprazole cap 20 mg 1
Adalat Oros Tab 30 mg 1
Clonidine tab 1
Eperisone tab 50 mg 1
Trihexyphennidil tab 2 mg 1
15 A02875 5 Rifampicin tab 450 mg 1 Dr. KN, SpPP
INH tab 100 mg 1
Pyrazinamide tab 500 mg 1
Etambutol tab 500 mg 1
12-8-2019 Vit b 6 tab 10 mg 1
16 A02841 7 Kalium Diclofenak tab 25 mg 1 dr. YK, SpS
Mecobalamin cap 500 mg 1
Ranitidine tab 150 mg 1
Eperisone tab 50 mg 1
Tramadol cap 50 mg 1
Paracetamol tab 500 mg 1
Gabapentin cap 300 mg 1
17 12-8-2019 A02854 1 Polydex Eye Drop 5 cc 1 dr. MIS, Sp.M
18 12-8-2019 A02859 3 Rifampicin tab 450 mg 1 dr. KND, Sp.P
INH tab 100 mg 1
Etambutol tab 500 mg 1
19 A02862 2 Lansoprazolecap 30 mg 1 dr. KD, Sp.PD
12-8-2019 Sucralfate Susp 100 ml 1
20 A02815 4 Lansoprazole cap 30 mg 1 dr. KD, Sp.PD
 Ondansetrone tab 8 mg 1
Nitrokaf Retard 2,5 mg 1
Furosemide tab 40 mg 1
21 12-8-2019 B02179 2 Nitrokaf Retard 2,5 mg 1 dr. KD, Sp.PD
Furosemide tab 40 mg 1
22 14-08-2019 D00942 7 Lancid Rap 1 dr. S
Sumagesic tab 1
Imboost Force Es Cap 1
OBH IKA 200 ml 1
Phenobarbital tab 30 mg 1
Avil tab 25 mg 1
Codein tab 20 mg 1
23 14-08-2019 D00948 5 Azomax Sir 15 ml 1 dr. SW, Sp.A
Isoprinosin sir 50 ml 1
Cerini Sir 1
Vosedon susp 60 ml 1
Curmunos sir 60 ml 1
24 14-08-2019 D00951 7 INH tab 300 mg 1 dr. CYI, Sp.P
Etambutol tab 500 mg 1
Pyrazinamid tab 500 mg 1
Rifampicin tab 450 mg 1
Curcuma FCT Bliser 1
Lansoprazole cap 30 mg 1
Ambroxol tab 30 mg 1
25 14-08-2019 D00955 4 Tempra Forte Sirup 60 ml 1 dr. SW, Sp.A
Isoprinosin sir 60 ml 1
Cefixime Dry Sir 100 mg 1
Ferriz Sir 1
26 14-08-2019 D00936 3 Nova-T 1 Dr. EP, SpOG
Cefixime Cap 100 mg 1
Mefinal cap 500 mg 1
27 14-08-2019 D00940 4 Paratusin tab 1 Dr. S
Lansoprazole cap 30 mg 1
Imboost Force Cap 1
Cetirizine tab 10 mg 1
28 14-08-2019 D00952 5 Azithromycin Tab 500 mg 1 Dr. CYI Sp.P
Meloxicam tab 15 mg 1
Metyl Prednisolon tab 4 mg 1
Salbutamol tab 2mg 1
Ambroxol tab 30 mg 1
29 14-08-2019 D00956 3 Sangabion Cap 1 Dr. T, SpOG
Folamil Genio 1
Cal-95 tab 1
30 14-08-2019 D00970 1 Cortamine syr 1 Dr. PSP, Sp.A
31 14-08-2019 D00936 3 Nova-T 1 Dr. EP, SpOG
Cefixime Cap 100 mg 1
Mefinal cap 500 mg 1
32 13-08-2019 A3600 2 Harnal Occas Tab 0,4mg 1 dr. S
Avodart Tab 0,5mg 1
33 14-08-2019 A3663 4 Meloxicam Tab 7,5mg 1
Eperisone Tab 50mg 1 dr. WS., SpS
Gabapentin cap 300mg 1
Mecobalamin cap 500mg 1
34 14-08-2019 A3675 2 Phenytoin Cap 100mg 1 dr. WS., SpS
Folic Acid Tab 1mg 1
35 14-08-2019 A3669 6 Na Bicarbonas 1 dr. KDR.,Sp
Ca Carbonas 1
Vit B12 50mcg 1
Folic Acid 1
Betahistine tab 6mg 1
Cetrizine Tab 10mg 1
36 14-08-2019 A3132 4 Candesartan 8mg 1 dr. AP. ,SpJP
 Digoxin 0,25mg 1
Aspilets 80mg 1
Spironolactone 25mg 1
37 22-08-2019 A05977 2 Cefixime cap 100 mg 1 dr. JSB, Sp.U
Paracetamol tab 1
38 22-08-2019 A05963 2 Neurodex tab 1 dr. JSB, Sp.U
Furosemide tab 40 mg 1
39 22-08-2019 A05995 2 Cefadroxil cap 500 mg 1 Dr. WH, Sp.B
Gentamycin oint 5 G KF 1
40 22-08-2019 A05973 4 Natrii Diclofenac tab 25 mg 1 dr. JSB, Sp.U
Lansoprazole cap 30 mg 1
Cefixime cap 100 mgfurosemid tab 1
40 mg
41 22-08-2019 A05997 4 Furosemide tab 40 mg 1 Dr. BSS, Sp.PJ
Amlodipine tab 10 mg 1
Aspilet tab 80 mg 1
HCT tab 25 mg 1
42 22-08-2019 A05951 3 Acetylcystein cap 200 mg 1 Dr. WS, Sp.S
Trihexphenidil tab 2 mg 1
Levopar tab 1
43 22-08-2019 A06040 4 Amlodipine tab 10 mg 1 Dr. IH, SpPD
Candesartan tab 16 mg 1
Asam mefenamat cap 500 mg 1
Vit B12 25 mcg 1
44 22-08-2019 A06061 4 V Bloc Tab 6,25 mg 1 Dr. BSS, SpPJ
Furosemid Tab 40 mg 1
Candesartan tab 8 mg 1
Lansoprazole cap 30 mg 1
45 22-08-2019 A06010 2 Meloxicaam tab 7,5 mg 1 Dr. WL, SpOT
Ranitidine tab 150 mg 1
46 22-08-2019 A05963 2 Neurodex Tab 1 Dr, JSB, SpU
47 22-08-2019 A06096 3 Amlodipine tab 10 mg 1 Dr. AR, SpPD
Candesartan tab 8 mg 1
Ambroxol tab 30 mg 1
48 22-08-2019 A06018 2 Clindamycine cap 300 mg 1 Dr. AT, SpOG
Asam mefenamat cap 500 mg 1
49 22-08-2019 A05967 2 Natrii Diklofenac tab 25 mg 1 Dr. JSB, SpU
Lansoprazole cap 30 mg 1
50 22-08-2019 A05965 5 Clopidogrel tab 75 mg 1 Dr. BSS, SpPJ
Candesartan tab 8 mg 1
Neurodex tab 1
Bisoprolol tab 5 mg 1
Kendaron tab 1
51 26-08-2019 A6986 3 Mecobalamin 500mg 1 dr.YK., SpS
Simvastatin tab 20mg 1
Alprazolam tab 0,5mg 1
52 26-08-2019 A6985 6 Flunarizin tab 10mg 1 dr.AF., SpPD
Levofloxacin tab 1
Pamol tab 1
Ondansetron tab 4mg 1
Lansoprazole cap 30mg 1
Betahistine tab 6mg 1
53 A7117 4 Tablet tambah darah 1 dr.K., SpPD
Folic acid 1
26-08-2019
Vitamin B12 25mcg 1
Methyl prednisolon tab 4mg 1
54 A7057 2 Bisoprolol tab 5mg 1 dr.AZZD.,Sp
26-08-2019
Nitrokaf retard 2,5mg 1
55 26-Aug-19 A7168 4 Rifampicin tab 450mg 1 dr.KND., SpP
Isoniazid 300mg 1
Meloxicam tab 7,5mg 1
Vit B6 10mg 1
56 A6969 4 Lansoprazole cap 20mg 1 Dr. AF., SpPD
Domperidon tab 10 mg 1
Digoxin tab 0,25 mg 1
Spironolacton tab 25 mg 1
57 A7012 4 Folic acid 1mg 1 Dr. WS., SpS
Phenytoin cap ika 1
Depakote er 500mg tab 1
Miniaspi tab 80 mg 1
58 A7044 8 Lansoprazole cap 30 mg 1 dr.AZZD
Aspilets tab 80mg 1
Clopidogrel cap 75mg 1
Nitrokaf retard 2,5 mg 1
Lasix tab 1
Atorvastatin tab 20mg 1
Amlodipin tab 10mg 1
Nevodio 5mg 0
59 A7115 5 Bisoprolol tab 5mg 1 dr.AZZD
Atorvastatin ca tab 20mg 1
Furosemid tab 40mg 1
Simarc 2 tab 1
Candesartan tab 8 mg 1
60 A7087 2 Adalat oros tab 30mg 1 dr.KDR
Candesartan tab 16mg 1
61 A5952 4 Furosemid tab 40mg 1 dr.RP., SpJP
Clopidogrel tab 75mg 1
Micardis tab 40mg 1
Nitrokaf retard 2,5 mg 1
62 A7085 2 Avodart tab 0,5mg 1 dr.S
Harnal occas tab 0,4mg 1
63 A7131 4 Nitrokaf retard 2,5mg 1 dr.BSS
Clopidogrel tab 75mg 1
 Bisoprolol tab 5mg 1
Furosemid tab 40mg 1
64 A7163 4 Rifampicin tab 450mg 1 Dr. KND.,SpP
INH tab 300mg 1
Meloxicam tab 7,5mg 1
Vit B6 tab 10mg (pyridoxin) 1
65 A7251 2 Tramadol tab 50mg 1 drCYIS., ApP
Alprazolam tab 0,5mg 1
66 A7176 3 Cefexime 100mg 1 dr.KD.,SpPD.,KGEH
Metformin tab 500mg 1
Glimepiride tab 1mg 1
Cetirizine Tab 10 mg 1
Gentamycin Oint 5 g 1
67 27-08-2019 A7462 2 Desoximetasone CR 0,25% 15 g 1 dr. FM, Sp.KK
Cefixime Cap 100 mg 1
Salbutamol Tab 2 mg 1
68 27-08-2019 A7481 2 Ambroxol Tab 30 mg 1 dr. CYIS, Sp.P
Cefixime Cap 100 mg 1
69 27-08-2019 A7484 2 Metronidazole Tab 500 mg 1 dr. JSB, Sp.U
70 27-08-2019 A7500 1 Harnal Occas Tab 0,4 mg 1 dr. JSB, Sp.U
Harnal Occas Tab 0,4 mg 1
71 27-08-2019 A7466 2 Avodart Tab 0,5 mg 1 dr. JSB, Sp.U
Codein Tab 20 mg 1
72 27-08-2019 A7468 2 Paracetamol Tab Promed 1 dr. FM, Sp.THT
73 27-08-2019 A7478 1 Harnal Occas Tab 0,4 mg 1 dr. JSB, Sp.U
74 27-08-2019 A7494 1 Protagenta MD/PCS 1 dr. DOI, Sp.M
Protagenta MD/PCS 1
75 27-08-2019 A7483 2 Eyefresh Plus MDS/PCS 1 dr. DOI, Sp.M
Simvastatin Tab 20 mg 1 dr. AF, Sp,PD
76 27-08-2019 A7477 2 Cefixime Cap 100 mg 1
77 27-08-2019 A7473 2 Doxycicline Cap 100 mg 1 dr. WH, Sp.B
 Asam Mefenamat Tab 500 mg 1
78 27-08-2019 A7476 1 Kalium Diklofenak Tab 25 mg 1 dr. AP,Sp.JP
79 27-08-2019 A7446 1 Harnal Occas Tab 0,4 mg 1 dr. JSB, Sp.U
80 Candesartan Tab 16 mg 1
27-08-2019 A7437 2 Bisoprolol Tab 5 mg 1 dr. AP,Sp.JP
81 27-08-2019 A7461 1 Cetirizine Tab 10 mg 1 dr. FM, Sp. KK
Candesartan Tab 16 mg 1
Aspilet Tab 80 mg 1
82 27-08-2019 A7497 3 Gemfibrozil Cap 300 mg 1 dr. AP,Sp.JP
Harnal Occas Tab 0,4 mg 1
83 27-08-2019 A7475 2 Avodart Tab 0,5 mg 1 dr. JSB, Sp.U
84 27-08-2019 A7484 1 Cetirizine Tab 10 mg 1 dr. FM, Sp. KK
85 27-08-2019 A7456 1 Cetirizine Tab 10 mg 1 dr. FM, Sp. KK
Perhydrol 3% 50 cc 1
86 27-08-2019 A7472 2 Pipet Drop 1 dr. FMP, Sp.THT
87 27-08-2019 A7498 1 Harnal Occas Tab 0,4 mg 1 dr. JSB, Sp.U
Candesartan Tab 16 mg 1
Amlodipin Tab 10 mg 1
88 27-08-2019 A7416 3 Bisoprolol Tab 5 mg 1 dr. AP,Sp.JP
89 D2021 4 Acarbose tab 50mg 1 dr.PSP.,SpA
Amaryl tab 1mg 1
Glucophage XR tab 1000mg 1
Crestor tab 20mg 1
90 D1769 1 Alganax 0,5mg 1 dr.MDPS.,SpKJ
91 E1771 3 OBH Ika 100ml 1
Folavit tab 400mg 1
Vit B6 tab 10mg 1
92 D2022 6 Fartolin exp syr 1 dr.DD.,SpA
Cetirizine syr 50ml 1
Tempra forte syr 60ml 1
Cortamine syr 1
 Azomax syr 15ml 1
Ventolin inhaler 100 mcg 1
93 Y0285 4 Asam mefenamat tab 500mg 1 dr.T.,SpOG
Cefixime cap 200mg 1
Sangobion 1
Metergin (Metil ergotamin) 1
94 E1761 1 Ossovit cap 1 dr.EP.,SpOG
95 D2011 4 Isoprinosin tab 1 dr.SW.,SpA
Zycin tab 500mg 1
Tempra forte syr 60ml 1
Ranivel syr 60ml 1
96 D1926 3 Transpulmin syr 60cc 1 dr.SW.,SpA
Cerini syr 1
28-08-2019
Celestamin syr 30cc 1
97 D2052 2 Amlodipine tab 5mg 1 dr.IH.,SpPD
Captopril tab 25mg 1
98 D2047 3 Rifampicin cap 600mg 1 dr.IH.,SpPD
INH tab 300mg 1
Mediamer B6 tab 1
99 E1792 2 Gentamycin eye drop 0,3% 1 dr.PSP.,SpA
Cetrizine drop 1
Phenytoin cap 1
100 A1440 2 Carbamazepin Tab 200 1 dr. AM, Sp,S

Kesimpulan :
Dari data analisis diatas dapat disimpulkan bahwa terdapat ketidaksesuaian antara penggunaan obat di Rumah Sakit Islam Jakarta Cempaka Putih dengan
formularium rumah sakit Islam Jakarta Cempaka Putih . Hal tersebut dibuktikan dengan adanya 100 resep dengan jumlah item resep 300 terdapat 1 item obat
yang tidak sesuai dengan formularium rumah sakit yaitu Nevodio dengan persentase 0,33%.