SISA STOK OBAT BULAN 2020-01

DEPO FARMASI CATHLAB

No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

1 Acetylcisteine BKK 200 Mg Tablet INDOFARMA, PT 6 0 0 6 382.00 2,292.00

2 Alkohol 70 % 1000 ml Larutan AFIFARMA LABORATORIES,

PT 1 0 0 1 25,750.00 25,750.00
3 Amiodarone BKK 50 mg/ml Injeksi DARYA VARIA
LABORATORIES, PT 4 0 0 4 8,700.09 34,800.36

4 Amlodipine besilate BKK 10 Mg Tablet TEMPO SCAN

PACIFIC, PT 19 0 0 19 93.00 1,767.00

5 Amlodipine besilate BKK 5 Mg Tablet TEMPO SCAN

PACIFIC, PT 13 0 0 13 70.00 910.00

6 Asam Mefenamat BKK 500 Mg Tablet MERSIFARMA

TIRMAKU MERCUSANA, PT 10 0 0 10 102.99 1,029.90
7 Atropin BKK 0.25 mg/ml Injeksi ETHICA, PT 25 0 0 25 1,595.00 39,875.00

8
Betahistine Mesilate BKK 6 Mg Tablet DEXA MEDICA, PT 9 0 0 9 110.00 990.00
9 Bisoprolol 5 Mg Tablet HEXPHARM JAYA, PT 13 0 0 13 260.00 3,380.00

10
Brilinta BKK 90 Mg Tablet ASTRAZENECA INDONESIA, PT 125 0 0 125 7,799.99 974,998.75
11 Captopril BKK 12.5 Mg Tablet KIMIA FARMA, PT 6 0 0 6 62.00 372.00
12 Cetadop (Dopamin) 40 mg/ml Injeksi ETHICA, PT 5 0 0 5 6,160.00 30,800.00

13 Cetadop (Dopamine HCl) BKK 200 mg/5 mL Injeksi ETHICA,

PT 2 0 0 2 6,160.00 12,320.00
14 Clopidogrel BKK 75 Mg Tablet DEXA MEDICA, PT 16 0 0 16 1,318.00 21,088.00

15
Deksamethasone BKK 5 mg/ml Injeksi MEPROFARM, PT 8 0 0 8 1,097.00 8,776.00
16 Dextrose BKK 5 % Infus WIDATRA BHAKTI, PT 2 0 0 2 6,899.99 13,799.98
17 Dobutamin 250 Mg Injeksi Etercon Pharma 5 0 0 5 11,842.99 59,214.95

18
Dobutamine HCl BKK 50 mg/ml Injeksi DEXA MEDICA, PT 2 0 0 2 11,278.98 22,557.96
19 Dormicum 15 mg/3 mL Injeksi BOEHRINGER ING, PT 10 0 0 10 49,308.70 493,087.00

20 Epinefrin (Adrenalin) (0,1%) BKK 1 mg/ml Injeksi ETHICA,

PT 38 0 0 38 1,408.00 53,504.00

21
Fargoxin 0.5 mg/2 mL Injeksi PRATAPA NIRMALA, PT 10 0 0 10 25,300.00 253,000.00

22
Fargoxin BKK 0 mg/ml Injeksi PRATAPA NIRMALA, PT 1 0 0 1 25,300.00 25,300.00
23 Fresofol (Propofol) 1 % Injeksi FRESENIUS KABI, PT 8 0 0 8 11,308.00 90,464.00
24 Furosemide BKK 40 mg. Injeksi DEXA MEDICA, PT 30 0 0 30 1,333.00 39,990.00
25 Gentamycin 5gr 0.1 Tube Salep INDOFARMA, PT 1 0 0 1 3,285.81 3,285.81
26 Gentamycin DK - Salep Dinas Kesehatan 10 0 0 10 - -

27
Inviclot (Heparin) BKK 5000 UI/mL Injeksi Pratapa Nirmala 12 0 0 12 43,995.01 527,940.12
No. Nama Barang Awal Masuk Keluar Sisa HPP Asset
28 Iodine povidone 300 ml 10 % Larutan Onemed 7 0 0 7 18,000.00 126,000.00

29 Isosorbid Dinitrat BKK 5 Mg Tablet YARINDO FARMATAMA,

PT 19 0 0 19 89.00 1,691.00
30 Isosorbid Dinitrat mg/ml Injeksi Etercon Pharma 4 0 0 4 22,297.00 89,188.00
31 Lidocaine BKK 2 % Injeksi PHAPROS, PT 90 0 0 90 1,140.01 102,600.90

32 Meylon 25 ml (Natrium Bikarbonat) BKK 8.4 % Injeksi

OTSUKA INDONESIA, PT 2 0 0 2 6,448.20 12,896.40

33 Miniaspi (Asam Asetilsalisilat / Asetosal) BKK 80 Mg Tablet

MERSIFARMA TIRMAKU MERCUSANA, PT 26 0 0 26 105.00 2,730.00
34 NaCl 500 ml BKK 0.9 % Infus WIDATRA BHAKTI, PT 44 0 0 44 6,410.00 282,040.00

35 Nicardipin BKK mg/ml Injeksi DARYA VARIA

LABORATORIES, PT 13 0 0 13 24,000.02 312,000.26
36 Nifedipin 10 Mg Tablet DEXA MEDICA, PT 11 0 0 11 122.55 1,348.05
37 Norepineprin BKK 1 mg/ml Injeksi ETHICA, PT 8 0 0 8 25,839.00 206,712.00

38 NTG nitrogliserin mg/ml Injeksi FERRON

PAR PHARMACEUTICALS, PT 12 0 0 12 53,625.00 643,500.00

39 Omeprazol 40 mg/10 mL Injeksi DARYA VARIA

LABORATORIES, PT 3 0 0 3 9,897.83 29,693.49

40
Omeprazole 40 Mg Injeksi MAHAKAM BETA FARMA, PT 3 0 0 3 9,212.50 27,637.50

41
Ondansentron inj BKK 4 mg/2 mL Injeksi DEXA MEDICA, PT 12 0 0 12 1,070.00 12,840.00

42 OTSU - MgSO4 (Magnesium sulfat) BKK 40 % Injeksi

OTSUKA INDONESIA, PT 6 0 0 6 3,796.10 22,776.60

43 Otsu WI (Air untuk injeksi) BKK 25 ml Injeksi OTSUKA

INDONESIA, PT 4 0 0 4 2,860.00 11,440.00
44 Parasetamol 500 Mg Tablet KIMIA FARMA, PT 5 0 0 5 195.00 975.00
45 Pethidine 50 mg/ml Injeksi KIMIA FARMA, PT 3 0 0 3 19,481.00 58,443.00
46 Ramipril BKK 5 Mg Tablet DEXA MEDICA, PT 10 0 0 10 245.00 2,450.00

47 Ranitidin BKK 25 mg/ml Injeksi SOHO

INDUSTRIPHARMASI, PT 9 0 0 9 1,155.00 10,395.00
48 Sagestam 80 Mg Injeksi SANBE FARMA, PT 10 0 0 10 8,074.72 80,747.20
49 Scanlux 300 BKK 50 ml Injeksi 17 0 1 16 187,000.00 2,992,000.00
50 Scanlux 370 BKK 100 ml Injeksi 6 0 0 6 410,553.00 2,463,318.00

51 Vicillin SX (Ampisilin 1000 mg + Sulbaktam 500 mg) 1500

mg/vial Injeksi MEIJI INDONESIA, PT 4 0 0 4 33,996.38 135,985.52

52 Xylocain (Lidokain jeli) BKK 2 % Gel ASTRAZENECA

INDONESIA, PT 4 0 0 4 41,600.02 166,400.08

53 Xylocain (Lidokain spray) BKK 10 % Spray ASTRAZENECA

INDONESIA, PT 1 0 0 1 177,215.98 177,215.98

54 Xylocain PDF 20 ml 2 % Injeksi ASTRAZENECA INDONESIA,

PT 8 0 0 8 54,327.24 434,617.92
Total Sediaan 11,148,934.73
 SISA STOK BAHAN MEDIS HABIS PAKAI BULAN 2020-01
DEPO FARMASI CATHLAB

No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

1 Alcohol Swab BKK Alkes 100 0 0 100 100.00 10,000.00
2 Bipolar Pacing 0 Alkes REKAMELIUM INDO SELARAS, PT 4 0 0 4 2,640,000.00 10,560,000.00
3 Bisturi 10 BKK 60 0 0 60 3,000.00 180,000.00
4 Bisturi 11 BKK 60 0 0 60 2,790.00 167,400.00
5 Blood Set TR 0 - Alkes TERUMO, PT 50 0 0 50 13,975.50 698,775.00
6 BMW Wire Buah Alkes Tawadha, PT 6 0 0 6 1,200,001.00 7,200,006.00
7 Cath Folley 16 BKK 0 Alkes Axion Healthindo 9 0 0 9 11,565.40 104,088.60
Discofic Ekor (Polymed 3 Way Stop Cock/Tubing
8 10cm) 1 - Alkes POLYWIN QUICK, PT 1 0 0 1 13,640.00 13,640.00
9 Discofix BKK - Alkes Sentra Asia Gemilang, PT 30 0 0 30 5,720.00 171,600.00
10 Disposible 50 cc BKK 1 0 0 1 6,930.00 6,930.00
11 Disposible Spuit 1 ccTuberkulin BKK 100 0 0 100 1,430.00 143,000.00
12 Disposible Spuit 10 cc BKK 1 - Alkes TERUMO, PT 107 0 0 107 1,870.00 200,090.00
13 Disposible Spuit 3 cc BKK - Alkes TERUMO, PT 10 0 0 10 1,137.99 11,379.90
14 Disposible Spuit 5 cc BKK - Alkes TERUMO, PT 20 0 0 20 1,599.91 31,998.20
15 ETT Endotracheal no. 7 BKK 0 - Alkes Work, PT 2 0 0 2 19,000.00 38,000.00
16 ETT Endotracheal no. 7.5 BKK - Alkes Work, PT 3 0 0 3 19,000.00 57,000.00
17 Fine Cross BKK 0 MBS, PT 5 0 0 5 4,362,985.00 21,814,925.00
18 Fine Cross MBS, PT 1 0 0 1 5,491,282.50 5,491,282.50
19 Fixomul 5 x 5 BKK - Alkes BSN Medical, PT 4 0 0 4 42,800.01 171,200.04

20 Guide Wire 0.38 x 150 Alkes REKAMELIUM INDO SELARAS, PT 4 0 0 4 158,444.00 633,776.00
21 Guidezilla - Alkes PT NUGRA KASERA 1 0 0 1 6,050,000.00 6,050,000.00
22 Guiding Goodman (Profit) 11 0 0 11 1,650,000.00 18,150,000.00
23 Heartrail Guiding BKK - Alkes MBS, PT 37 0 1 36 1,850,716.00 66,625,776.00
24 Inflation Device 1 - Alkes OTSUKA INDONESIA, PT 8 0 0 8 449,956.54 3,599,652.32
25 Infus Set Adult BKK - Alkes TERUMO, PT 20 0 0 20 7,320.73 146,414.60
26 Leukomed IV Film BKK 50 0 0 50 2,760.00 138,000.00
27 Maag Slang 16 BKK - Alkes TERUMO, PT 1 0 0 1 12,430.00 12,430.00
28 Maag Slang 18 BKK - Alkes TERUMO, PT 3 0 0 3 12,430.00 37,290.00
29 Manifold Alkes REKAMELIUM INDO SELARAS, PT 21 0 0 21 103,207.16 2,167,350.36
30 Marquis Stop Cock REKAMELIUM INDO SELARAS, PT 13 0 2 11 38,278.71 421,065.81
31 Masker BKK 0 Alkes Axion Healthindo 250 0 0 250 499.98 124,995.00

Masker O2 Non Rebriting Adult so-1359 1 - Alkes

32 SALTER/ GEA 4 0 0 4 16,500.00 66,000.00
33 Maverick Ballon BKK - Alkes 11 0 0 11 1,933,000.30 21,263,003.30

34 Merit Cath JL 5F 4.0 - Alkes REKAMELIUM INDO SELARAS, PT 5 0 0 5 285,152.47 1,425,762.35

35 Merit Cath JL 6F 3.5 - Alkes REKAMELIUM INDO SELARAS, PT 8 0 0 8 285,152.07 2,281,216.56

36 Merit Cath JR 5F 4.0 - Alkes REKAMELIUM INDO SELARAS, PT 6 0 0 6 285,151.00 1,710,906.00

No. Nama Barang Awal Masuk Keluar Sisa HPP Asset

37 Merit Cath JR 6F 3.5 - Alkes REKAMELIUM INDO SELARAS, PT 9 0 0 9 285,152.00 2,566,368.00

38 Merit Cath Pigtail Alkes REKAMELIUM INDO SELARAS, PT 5 0 0 5 341,000.00 1,705,000.00

Microshield 2 skin cleanser 500ml BKK 0 JOHNSON &
39 JOHNSON, PT 6 0 0 6 57,381.01 344,286.06
Monitoring Pressure Kit BTR4812 3 (Bulk Pack With
40 n Box) - Alkes PT IDS 1 0 1 0 277,200.00 -
41 Needle 18 BKK - Alkes TERUMO, PT 65 0 0 65 310.99 20,214.35
42 Needle Angiography REKAMELIUM INDO SELARAS, PT 8 0 0 8 48,744.41 389,955.28
43 Nichiban 24 0 2 22 88,000.00 1,936,000.00
44 Opsite 45 X 28 CM 1 - Alkes 2 0 0 2 114,400.00 228,800.00
45 Opticros Pcs Alkes Boston, PT 2 0 0 2 13,200,000.00 26,400,000.00
46 Optitorque Cath BKK 0 - Alkes MBS, PT 12 0 2 10 321,621.30 3,216,213.00
47 Paket AFL 0 - Alkes Rekamelindo 1 0 0 1 31,542,500.00 31,542,500.00
48 Paket SVT 0 Alkes REKAMELIUM INDO SELARAS, PT 1 0 0 1 27,472,500.00 27,472,500.00
49 Peneng Kuning Adult 1 - Alkes SUKMA SEJATI, PT 100 0 0 100 1,078.00 107,800.00
Perfusor Syringe 50 CC White BKK 1 - Alkes B BRAUN,
50 PT 10 0 0 10 20,000.20 200,002.00
51 Pilot 50 GW/150 GW 10 0 0 10 1,200,000.00 12,000,000.00
52 Polysorb 2/0 GL 123 TAP 1 - Alkes SURGIKA PT 8 0 0 8 62,047.60 496,380.80
53 Postofix-PU 6cm x 7 cm 0 - Alkes 13 0 0 13 10,066.98 130,870.74
prelude femoral 6f Buah Alkes REKAMELIUM INDO SELARAS,
54 PT 5 0 0 5 201,084.35 1,005,421.75
prelude femoral 7f Buah Alkes REKAMELIUM INDO SELARAS,
55 PT 2 0 0 2 210,084.31 420,168.62
Pressure Monitoring 12 x 30 Alkes REKAMELIUM INDO
56 SELARAS, PT 31 0 2 29 46,284.01 1,342,236.29
Pressure Monitoring 60 x 152 REKAMELIUM INDO SELARAS,
57 PT 25 0 0 25 46,274.00 1,156,850.00
58 Red dot Solid 0 - Alkes Medico Electrodes Int 100 0 0 100 1,231.01 123,101.00
59 Sarung Tangan BKK 0 Alkes Axion Healthindo 300 0 0 300 484.00 145,200.00
60 Sarung Tangan Steril Ansel 7.5 - Alkes Ansell, PT 50 0 0 50 9,900.00 495,000.00
61 Sarung Tangan Steril Ansel 8 - Alkes Ansell, PT 50 0 0 50 9,900.00 495,000.00

Sarung Tangan Steril Non Powder Ansel 6 - Alkes

62 Ansell, PT 50 0 0 50 11,000.00 550,000.00

Sarung Tangan Steril Non Powder Ansel 6.5 - Alkes

63 Ansell, PT 40 0 0 40 11,000.00 440,000.00

Sarung Tangan Steril Non Powder Ansel 7 - Alkes

64 Ansell, PT 50 0 0 50 11,000.00 550,000.00
65 Sensia DR set PT NUGRA KASERA 1 0 0 1 22,165,000.00 22,165,000.00
66 sensia seso1 set PT NUGRA KASERA 3 0 0 3 13,695,000.00 41,085,000.00
67 Sikat OK 1 - Alkes 8 0 0 8 6,250.20 50,001.60
68 Sofsilk 0 SS 680 CUT 1 - Alkes SURGIKA PT 10 0 0 10 47,917.10 479,171.00
69 Sofsilk 2/0 GS 833 BKK - Alkes SURGIKA PT 7 0 0 7 43,000.00 301,000.00
70 Sofsilk 2/0 SS 685 Cut BKK - Alkes SURGIKA PT 8 0 0 8 42,726.64 341,813.12
 No. Nama Barang Awal Masuk Keluar Sisa HPP Asset
71 Stent Biomatrix Alpha 1 - Alkes PT IDS 1 0 0 1 7,370,000.00 7,370,000.00
72 Stent Coroflex Isar BKK - Alkes 9 0 0 9 6,900,000.01 62,100,000.09
73 Stent Promus Element BKK - Alkes 15 0 0 15 5,512,500.40 82,687,506.00
74 Stent Resolute BKK - Alkes Medtronic 3 0 0 3 6,582,000.01 19,746,000.03
75 Topi Disposible Nurse Cap BKK 100 0 0 100 333.91 33,391.00
76 Topi Disposible Surgeon Cap BKK 200 0 0 200 704.00 140,800.00
77 Transradial Cath 6F Medicins 0 12 0 1 11 440,000.00 4,840,000.00
78 Troge 22 BKK 1 - Alkes PT GLOBAL MULTIPHARMALAB 30 0 0 30 14,624.06 438,721.80
79 Uniflex 3 inch (7.5x4.5 m) - Alkes BSN Medical, PT 3 0 0 3 20,300.50 60,901.50
80 Uniflex 4 inch (10x4.5 m) 1 - Alkes BSN Medical, PT 3 0 0 3 24,800.01 74,400.03
81 Verban 4 x 10 BKK 7 0 0 7 2,414.50 16,901.50
82 Wire PTCA Fielder XT A Alkes PT IDS 13 0 0 13 2,375,000.00 30,875,000.00
83 Wire PTCA GAIA Alkes PT IDS 3 0 0 3 2,800,000.50 8,400,001.50
84 Wire PTCA Sion Blue Alkes PT IDS 47 0 0 47 1,350,000.00 63,450,000.00
85 Wire S Angled Alkes MBS, PT 15 0 2 13 173,448.00 2,254,824.00
86 Y-Conector Pack - Alkes OTSUKA INDONESIA, PT 10 0 0 10 189,998.60 1,899,986.00
Total Sediaan 636,215,240.60