EVALUASI KETERSEDIAAN DAN KESESUAIAN OBAT TERHADAP FORMULARIUM

PUSKESMAS SEKIP PALEMBANG

TAHUN 2017

OBAT SESUAI RESEP SESUAI

NO NAMA OBAT SATUAN FORMULARIUM FORMULARIUM RENCANA TINDAK LANJUT
YA TIDAK YA TIDAK
1 Alat Suntik 0,5 ml set
2 Alat Suntik 1 ml set
3 Alat Suntik 2,5/3 ml set
4 Alat Suntik 5 ml set
5 Albendazol tab 400 mg tablet
6 Alupurinol tab 100 mg tablet
7 Alupurinol tab 300 mg tablet
8 Alprazolam tab tablet
9 Ambroxol sirup 15 mg/ml botol
10 Ambroxol tab 30 mg tablet
11 Aminofilin tab 200 mg tablet
12 Amitriptilin tab 25 mg tablet
13 Amlodipin tab 10 mg tablet
14 Amlodipin tab 5 mg tablet
15 Amoksisilin kap 250 mg kaplet
16 Amoksisilin kap 500 mg kaplet
17 Amoksisilin sirup 125 mg/ 5ml botol
18 Amoksisilin sirup 250 mg/ 5ml botol
19 Amoksisilin + Asam Klavulanat tab 625 mg tablet
20 Ampisilin serbuk injeksi 500 mg/vial vial
21 Ampisilin sirup 125 mg/ 5ml botol
22 Antalgin/ Metampiron tablat 500 mg tablet
23 Antasida DOEN tablet tablet
24 Antasida DOEN suspensi botol
25 Antibakteri DOEN salep kombinasi pot
26 Antifungi DOEN kombinasi (whitefield) pot
27 Antihemoroid DOEN Kombinasi (Superhoid) suppos
28 Antimalaria DOEN kombinasi Pirimetamin+Sulfadoksin tablet
29 Antimigrain OEN Kombinasi(Ergotamin Tatrat) tablet
30 Antiparkinson DOEN Kombinasi tablet
31 Aquadest steril 500 ml botol
32 Aqua pro inj steril bebas pirogen vial
33 Articulating Paper kotak
34 Asam Askorbat 50 mg tablet
35 Asam Askorbat 250 mg tablet
36 Asam Folat 0,4 mg (Starfolat) tablet
37 Asam Mefenamat 500 mg tablet
38 Asetosal tab 100 mg tablet
39 Asiklovir tab 200 mg tablet
40 Asiklovir tab 400 mg tablet
41 Asiklovir krim 5% tube
42 Attapulgite (Puralex 630 mg) tablet
43 Atropin Sulfat inj 0,25 mg/ml-1ml ampul
44 Atropin Sulfat 0,5 mg tablet tablet
45 Besi Sulfat tab 200 mg+Asam folat 0,25 mg tablet
46 Betahistin Mesilat tab 6 mg tablet
47 Betametason krim 0,1 % tube
48 Bisakodil (Laxacord) tablet
49 Bisoprolol tab 5 mg tablet
50 Boraxgliserin 5 % botol
51 Catgut 3/0 (Plain & Chromic) saset
52 Calamin Lotion (Calamed Lotion) botol
53 Caviton tube
54 Cetirizine tab 10 mg tablet
55 Cetirizine syrup botol
56 Chlorfenol Camfer Mentol (CHKM ) botol
57 Chlorfeniramini Maleat (CTM) tab 4 mg tablet
58 Chlorpromazine (CPZ) tab 100 mg tablet
59 Codein tablet
60 Copper T set
61 Deksametason inj 5 mg/ml-1 ml ampul
62 Deksametason tab 0,5 mg tablet
63 Dekstrometrophan sirup 10 mg/5ml botol
64 Dekstrometorfan tablet 15 mg tablet
65 Devitalisasi pasta ( non arsen) botol
66 Diazepam inj 5 mg/2 ml ampul
67 Diazepam tab 2 mg tablet
68 Dietilkarbamazin sitrat tab 100 mg tablet
69 Diltiazem tab tablet
70 Difenhidramin inj 10 mg/ml-1 ml ampul
71 Digoxin 0,25 mg tablet
72 Doksisiklin kap 100 mg kapsul
73 Domperidon tab 10 mg tablet
74 Domperidon syr botol
75 Efedrin Hcl tab 25 mg tablet
76 Efinefrin Hcl (Adrenalin inj) 0,1% 300 ml ampul
77 Eritromisin kap 250 mg kapsul
78 Eritromisin kap 500 mg kapsul
79 Eritromisin sirup 200 mg/5 ml botol
80 Etakridin (Rivanol) larutan 0,1 % 300 ml botol
81 Etanol 70 % 1 liter botol
82 Etilklorida semprot botol
83 Eugenol cairan botol
84 Fenobarbital inj 50 mg/ml ampul
85 Fenobarbital tab 30 mg tablet
86 Fenofibrat tab tablet
87 Fenoksimetil Penisillin 500 mg tablet
88 Fenol Gliserol tetes telinga 10 % botol
89 Fitomenadion / Vit K inj 10 mg/ml ampul
90 Fitomenadion / Vit K tab 10 mg tablet
91 Fluor tab 0,5 mg tablet
92 Furosemid tab 40 mg tablet
93 Gameksan Lotion 1 % botol
94 Garam Oralit serbuk saset
95 Gemfibrozil 300 mg tablet
96 Gentamisin inj 80 mg/2 ml ampul
97 Gentamisin inj 40 mg/ml
98 Gentamisin salep kulit 0,1 % tube
99 Gentian Violet larutan 1 % botol
100 Glass Ionomer Cement ART botol
101 Glibenklamide tab 5 mg tablet
102 Glimepiride 1 mg tablet
103 Glimepiride 2 mg tablet
104 Gliquidone tab 30 mg tablet
105 Gliseril Guaikolat tab 100 mg tablet
106 Glukosa larutan infus 5 % botol
107 Glukosa larutan infus 10 % botol
108 Glukosa larutan infus 40 % botol
109 Griseofulvin tab 125 mg micronized tablet
110 Haloperidol tab 1,5 mg tablet
111 Haloperidol tab 5 mg tablet
112 Haloperidol inj ampul
113 Handscoen set
114 Hidroklorthiazid (HCT) tab 25 mg tablet
115 Hidrokortison krim 2,5 % tube
116 Hyoscine N-Butilbromida tab 10 mg tablet
Hyoscine N-Butilbromida tab 10 mg+paracetamol 500 mg
117 (Spashi Plus) kaplet
118 Ibuprofen 200 mg tablet
119 Ibuprofen 400 mg tablet
120 Ibuprofen 100 mg/5 ml botol
121 Ibuprofen 200 mg/5 ml botol
122 Infusion set anak set
123 Infusion set dewasa set
124 Isosorbid Dinitrat tab 5 mg subligual tablet
125 IV Catheter no.20 G set
126 IV Catheter no.22 G set
127 IV Catheter no.24 G set
128 Kalium Permanganat Serbuk pot
129 Kalsium Hidoksida Pasta botol
130 Kalsium Laktat tablet
131 Kapas Pembalut Absorben 250 gr rol
132 Kaptopril tab 12,5 mg tablet
133 Kaptopril tab 25 mg tablet
134 Karbamazepin tab 200 mg tablet
135 Kasa Hidofil Steril 16 x 16 cm rol
136 Kasa Pembalut Hidrofil 4 m x 15 cm rol
137 Ketokonazol tab 200 mg tablet
138 Ketokonazol salep kulit tube
139 Klindamisin kap 300 mg kapsul
140 Klobazam tab 10 mg tablet
141 Kloramfenikol 250 mg kapsul
142 Kloramfenikol salep mata 1 % tube
143 Kloramfenikol tetes mata 0,5 % botol
144 Kloramfenikol tetes telinga 3 % botol
Kloramfenicol Basa 20 mg+Prednisolon 2,5 mg (Klorfeson
145 Krim) tube
Kloramfenicol Basa 10 mg/ml Tetes Telinga (Reco Tetes
146 Telinga) botol
Kloramfenicol Basa 5 mg/ml Tetes Mata (Reco Tetes
147 Mata) botol
148 klorin cairan botol
Kombinasi Fe+Calsium+Asam
Folat+Thiamin+Piridoksin+Sianokobalamin (Vitromega)
149 kapsul
150 kotrimoksazol suspensi botol
151 kotrimoksazol DOEN I (dewasa) tablet
152 Kotrimoksazol DOEN II (pediatrik) tablet
153 Kuinin (Kina) tab 200 mg tablet
154 Kuinin (Kina) injeksi ampul
155 Kresol 50% (Lisol) botol
156 Lansoprazole tablet
157 Lidokain inj 2 % ampul
158 Lidokain komp inj 2% + Efinefrin ampul
159 Loperamide tab 2mg tablet
160 Loratadine tab 10 mg tablet
161 Magnesium Sulfat inj IV 20%-25 ml ampul
162 Magnesium Sulfat inj IV 40%-25 ml ampul
163 Masker set
164 Mebendazol sirup 100mg/ 5ml botol
165 Mebendazol tab 100 mg tablet
166 Meloksikam tab 15 mg tablet
167 Metformin tab 500 mg tablet
168 Metformin tab 850 mg tablet
169 Metilergometrin tab 0,125 mg tablet
170 Metilergometrin Maleat inj 0,200mg-1ml ampul
171 Metilprednisolon tab 4 mg tablet
172 Metoklopramide tab 10 mg tablet
173 Metronidazol tab 250 mg tablet
174 Metronidazol tab 500 mg tablet
175 Metronidazol supp 500 mg (Flagyl) supp
176 Mikonazol salep kulit 2% tube
177 Mineral Mix sachet
178 Mummifying pasta botol
179 Natrium Clorida larutan infus 0,9 % botol
180 Natrium Diklofenak 25 mg tablet
181 Natrium Diklofenak 50 mg tablet
182 Natrium Tiroksin (Euthyrox) 100 kotak
183 Nifedipin tab 10 mg tablet
184 Nistatin100.000 IU tab vagina tablet
185 Nistatin Larutan Oral 100 IU drop (Kandistatin Drop) botol
186 Obat Anti Tuberkulosis Kategori 1 paket
187 Obat Anti Tuberkulosis Kategori 2 paket
188 Obat Anti Tuberkulosis Combipack Kategori I paket
189 Obat Anti Tuberkulosis Sisipan paket
190 Obat Anti Tuberkulosis Anak paket
191 Obat Batuk Hitam (OBH) botol
192 Omeprazol 20 mg kapsul kapsul
193 Obat Suntik KB I (Medroxyprogesteron Acetat) vial
194 Obat Suntik KB II (MPA + Estradiol) vial
195 Oksimetazolin tts hidung (Iliadin Drops) botol
196 Oksitetrasiklin salep kulit 3 % tube
197 Oksitetrasiklin salep mata 1 % tube
198 Oksitoksin inj 10 mg/ml ampul
199 Oseltamivir tab tablet
200 Papaverin tab 40 mg tablet
201 Parasetamol drop botol
202 Parasetemol sirup botol
203 Parasetamol 100 mg tablet
204 Parasetamol 500 mg tablet
205 Pil KB I( Ethinylestradiol+Levonorgestrel) blister
206 Pirantel Pamoat tab score 125 mg tablet
207 Pirantel Syr 125 mg/5 ml botol
208 Piridoksin (VIT B6) tab 10 mg tablet
209 Piroksikam tab 10 mg tablet
210 Piroksikam tab 20 mg tablet
211 Plester 5 yard x 2 inci rol
212 Povidon Iodida 10 % 30 ml botol
213 Povidon Iodida 10 % 300 ml botol
214 Prednison tab 5 mg tablet
215 Primaquin 15 mg tablet
216 Procain Benzil Penicillin vial
217 Propanolol HCl 10 mg tablet
218 Propiltiourasil (PTU) 100 mg tablet
219 Ramipril 2,5 mg tablet
220 Ramipril 5 mg tablet
221 Ranitidin tab 150 mg tablet
222 Retinol (Vitamin A) 100.000 IU kapsul
223 Retinol (Vitamin A) 200.000 IU kapsul
224 Ringer Laktat larutan infus botol
225 Rifamfisin 600 mg kapsul kapsul
226 Risperidon tab 2 mg tablet
227 Salbutamol tab 2 mg tablet
228 Salbutamol tab 4 mg tablet
Salbutamol serb inhaler 200 mcg/kaps (Ventolin
229 Rotacaps) kotak
Salbutamol serb inhaler 200 mcg/kaps + rotahaler
230 (Ventolin Rotahaler) kotak
231 Salep 2-4 Kombinasi pot
232 Salisil Bedak 2 % saset
233 Sefadroksil sirup 125mg/5 ml botol
234 Sefadroksil kap 250 mg kapsul
235 Sefadroksil kap 500 mg kapsul
236 Semen Seng Fosfat P+L botol
237 Serum ATS 1500 UI/ml ( Tetagam ) ampul
238 Sionokobalamin inj (Vit B12) 500 mg ampul
239 Sionokobalamin (Vit B12) tab 500 mg tablet
240 Silk benang bedah sutra 3/0 saset
241 Simetidin tab 200 mg tablet
242 Simvastatin tab 10 mg tablet
243 Siprofloxaxacin tab 500 mg kapsul
244 Solare Anterior/Posterior botol
245 Susuk KB II (Levonogestrel) set
246 Temporary Stopping Fletcher P+L botol
247 Teofilin tablet 150 mg tablet
248 Tetrasiklin kap 250 mg kapsul
249 Tetrasiklin kap 500 mg kapsul
250 Tiamfenikol kap 250 mg kapsul
251 Tiamfenikol kap 500 mg kapsul
252 Tiamin (Vit B1) tablet 50 mg tablet
253 Triheksilfenidil (THP) HCL 2 mg tablet
254 Trikresol formalin (TKF) botol
255 Vitamin B Kompleks tab tablet
256 Wing Needle No. 25 G set
257 Zink Syr 20 mg/5 ml (Zirkum Kid Sirup) botol
258 Zink tab tablet
259 Albothyl botol
260 Alkohol Swab kotak
261 Becefort syr botol
262 Beta Ce tablet
263 Bevita Syr botol
264 Bexe tab tablet
265 Biocal-C tablet
266 Bionemi tablet
267 Bioneuron tab tablet
268 Bioplacenton Zalf tube
269 Burnazin cream botol
270 Candesartan 6 mg tablet
271 Candesartan 8 mg tablet
272 Daryantulle tablet
273 Dexanta Syr botol
274 Diadium tablet
275 Diastop tablet
276 Divask 5 mg tablet
277 Dulcolax tab tablet
278 Esvat 20 mg tablet
279 FG. Troches tablet
280 Glucodex tablet
281 H2O2 3% botol
282 Hemafort tablet
283 Hemogard tablet
284 Lacoldin tab tablet
285 Lapisiv syr botol
286 Lapistan tab tablet
287 Megazing tab tablet
288 Neo Diaform tablet
289 Nerva tab tablet
290 Nodiar tab tablet
291 Noza tablet
292 Ositin tab tablet
293 Pehapral tablet
294 Poncodryl DMP Syr botol
295 Poncodryl Syr botol
296 Thrombophop Zalf tube
297 Vioquin tablet
298 Spironolakton tablet
299 Ventolin Nebulizer ampul
300 Eu De Cologne botol
301 Kassa 40x40cm kapsul
302 Acetylsistein Pot
303 Dulcolax anak botol
304 Stesolid Rectal
305 Handscoen Steril
306 Gentamicin TM 0.3 %
307 Gentamicin SM 0.3 %
308 Scabimite Cream
309 Leukoplast 2.5cmx4.5cm Roll
310 Molexflu Tablet
311 Molexflu Syr Botol
312 Bevalex Tube