rencana pengadaan obat 2014

8/15/2019 Rencana Pengadaan Obat 2014

1/48

RENCANA PENGADAAN OBAT DAN PE

UNTUK PELAYANAN KESEH

TAHUN 2012

HARGA NO NAMA OBAT KEMASAN KEMASAN

(HNA + PPN)*

$ % & '

$ Aloprinol ta"let $// m0 $// ta"let1strip1"lister 2 kotak $&2%//

% Amino3ilin ta"let %// m0 $// ta"let 1 "otol $/2'/

& Amino3ilin in4eksi %' m01ml &/ ampl 1 kotak 2///

' Amitripilin ta"let salt % m0 (H56) $// ta"let1strip1"lister 2 kotak $$2//

Amoksisilin kapsl %/ m0 $%/ kapsl1strip1"lister2 kotak &&2///

Amoksisilin kaplet // m0 $// kaplet1strip2 kotak &2///

Amoksisilin sirp kerin0 $% m01 m0 Botol / ml &2//

Metampiron ta"let // m0 $/// ta"let 1 "otol $2/

. Metampiron in4eksi %/ m0 &/ ampl 1 kotak &2//

$/ "tl $/// ta"let &/2&/

$$ Anti Bakteri 7OEN sale" kom"inasi 8 Basitrasin // 9!10 + polimiksin $/:/// 9!10 % t"e ; 0 1 kotak %2.%/

$% Anti#emoroi< 7OEN kom"inasi 8 Bismt S"0alat $/ m0 + Heksakloro3en %/ m0 $/ spp 1 kotak %/2///

$& Anti3n0i 7OEN Kom"inasi 8 Asam Ben=oat > + Asam Salisilat &> %' pot ; &/ 0 1 kotak '$2%/

$' Antimi0ren 8 Er0otamin tartrat $ m0 + Ko3ein / m0 $// ta"let 1 "otol $/2%/

$ Antiparkinson 7OEN ta"let kom"inasi 8 Kar"i %' "tl ; ml 1 kotak 2%$

%% Atropin in4eksi l:m1l?1s:k: /2% m01m6 - $ m6 (sl3at) &/ ampl 1 kotak &&2///

%& Betametason krim /2$ > % t"e ; 0 1 kotak '2/

%' 7eksametason 9n4eksi 9:?: m01ml $// ampl 1kotak $2///

% 7eksametason ta"let /2 m0 $/// ta"let 1 "otol %'2/./

% 7ekstran /-lartan in3s > steril Botol // ml &2%

% 7ekstrometor3an sirp $/ m01 ml (HBr) Botol / ml %2//

% 7ekstrometor3an ta"let $ m0 (HBr) $/// ta"let 1 "otol &2'/

Antasi


2/48

%. 7ia=epam 9n4eksi m01ml &/ ampl 1 kotak $2/'&

&/ 7ia=epam ta"let % m0 $/// ta"let 1 "otol $&2%//

&$ 7ia=epam ta"let m0 %/ ta"let 1 "otol $/2///

&% 7i3en#i "tl // ml 2%

Glkosa lartan in3s '/> steril (pro


3/48

' Klorproma=in in4eksi i:m m01ml-%ml (H56) &/ ampl 1 kotak $.2/

Klorproma=in in4eksi i:m % m01ml (H56) &/ ampl 1 kotak %%2///

Klorproma=in ta"let salt % m0 (H56) $/// ta"let 1 "otol &2&//

Klorproma=in H5l ta"let salt $// m0 (H56) $/// ta"let 1 "otol &2$./

Anti Malaria 7OEN Kom"inasi Pirimetamin % m0 + Sl3a % t"e ; &2 0 1 kotak '2///

$/$ Oksitetrasiklin in4eksi 9:m: / m01ml-$/ ml $/ ?ial 1 kotak &$2///

$/% Oksitosin in4eksi $/ !91ml-$ ml &/ ampl 1 kotak &2/

$/& ParaDetamol sirp $%/ m0 1 ml Botol / ml %2&//

$/' ParaDetamol ta"let $// m0 $// ta"let 1 "otol &2//

$/ ParaDetamol ta"let // m0 $/// ta"let 1 "otol &&2// $/ Pilokarpin tetes mata % > (H561Nitrat) "otol ; ml 2%$'

$/ Pirantel ta": SDore ("ase) $% m0 ktk &/ , % sDore $2//

$/ Piri


4/48

$$ Reserpin ta"let /2% m0 $/// ta"let 1"otol 2///

$$ Rin0er 6aktat lartan in3s "tl // ml 2%//

$$ Salep %-'2 kom"inasi8 Asam Salisilat %> + Beleran0 en


5/48

$/ E0enol Dairan $% "otol ; $/ ml 1 ktk $/ t"e $2&/

$ Gentamisin Sl3at tetes mata ml "tl &2&//

$ Ketokona=ol ta"let %//m0 ktk1,$/ $2//

$ 6isol "tl 2///

$. Meloksikam ta"let 2 m0 ktk1,$/ '/2//

%/ Mikona=ol krim 1salep % > t"e $/ 0r &2///

%$ Natrim


6/48

&% Asam olat m0 "tl $/// '2///

&& Metakresol Sl3onat soltion "tl &$2$

&' Metampiron ta"let // m0 ktk $/,$/ ta"let $&2//

&Btl / ml &2/

&ktk $/,$/ ta"let kna# $&2//

& 7eksametason ta"let /2 m0 Ktk $/,$/ ta"let 2//

& 7ekstrometor3an ta"let $ m0 (HBr) Ktk $/,$/ ta"let .2.//&. 7ia=epam ta"let % m0 "tl $// ta"let %2//

'/ E3e "tl ml $2%//

'& Klorproma=in H5l ta"let salt $// m0 (H56) "tl %/ ta"let %2/

'' ParaDetamol ta"let // m0 ktk $/,$/ ta"let $/2//

' Beta#istin Mesilat ta" m0 ktk1&,$/ %2%/

' Brom#eksin ta"let m0 ktk $/,$/ &2%

' 5etri=in ta"let $/ m0 ktk $/,$/ $2

' Garam Oralit ser"k Kom"inasi ktk % saD#et $/2/%

'. 9"pro3en sspensi $//m01ml "tl / ml &2//

/ Kalim


7/48

Masker %/ pDs1kotak %%2//

!rine "a0 pDs '2///

ole Dat#eter pDs 2'.

. Caksin ?ar ?ial $$2///

O"at ia

$ Alpra=olam /: m0 kotak 1$// 2//

%Alpra=olam $ m0 kotak 1$//

./2///

& 5lo"a=am ta"let $/ m0 kotak 1$// .2///

' Tri3lopera=in ta"let m0 kotak 1$// &2///

9mnisasi

$ Spit /: ml ntk iminisasi "ai (7PT25ampak) "i4i %2&/

% Spit /2 ml ntk B9AS (7T2TT25ampak) "i4i %2&/

& Spit /2 ml ntk imnisasi !S


8/48

$ 7iamon< Bor Hi0# Spee< Bi4i &

$. E,tra l ta" 7os $// kaplet &

%/ Biopra


9/48

' Tran3si Set 1 Bloo< Set Set

LolaDort krim T"e $/

lol Botol

Tensimeter Set

Termometer 7i0ital Set

. Stetoskop Set %&/

/ Amal0am 5air Bi4i

$ Proris spp $% m0 %, spositoria %% Pe#aDain in4: 7os %/ ampl % m6 $

& O,o3erin Botol &/ m6 lartan &

' Otopain tetes telin0a Botol m6 &/

OD#o Botol

N Allo Bi4i &//

Nerotropin in4: 7os % ?ial ; $/ m6

Nero"ion in4:/// 7os %/ ampl

. Ne"aDetin po


10/48

$$/ Termometer Raksa Set

BAHAN 7AN A6AT 6ABORATOR9!M

$ Stik Gla 7ara# Stik .

% Rea0en BTA Kit %..

& Pot Sptm Bi4i $

' O"4ek Glass Bi4i Kertas tisse mikroskop Bn0ks $%

H" Sa#li Set

Alat tes 0la


11/48

TOTA6 Rp

$/.,'

&2&&.2//

&22'//

-

'/%2//

$%$2.2///

2&$2&'2///

(&2/2///) %2$./2/

-

-

'$22/

/2///

$2//2///

-

-

($2%$/2///)

$$2$$/2///

-

-

-

-

(&&2///)

&/2%2/

$&2$%2///

%22&//

-

(2&2///)

$2'&2%/


12/48

(&.2&)

%2/.&2%//

(%'/2///)

($2%%'2///)

$/2%&/2///

2.$%2%'/

-

-(&2$2///)

-

-

%&.2'//2///

-

-

(2%2//)

(%2&.%2//)

%%2//2/

-

-

%%2/2///

($2//2&//)

22///

%2%%.2$2&%/

-

(%.22$//)

(%$2/%2.)

($2'%2'//)

$%2.'/2///

'22$/

(%2/%2$')

(%2/2.&/)

%&2$$.2&//

2$&$2%/

(.2/&/2///)

%&2%2///

(.$2///)

$2/$2&.%2///

&2/2///

(2)

%2$.2%&

-

-

.2/.%2//

2$'2///

'2//$22///


13/48

-

-

-

%$2''2./

-

(%2.%2///)

%'$2$%2///

-

-

-

2.%$2///

-

-

($2//2/)

-

-

$2

(2$.2///)

($2'&/2///)

-

-

(2%.$2%//)

-

-

($&2%$&2//)

($'2'%2///)

-

($22///)

-'2/$$2%//

($2&/2///)

2/2&.&2'//

-

-

%'2.$2$//

(%2%/2///)

($/2/'2//)

$2/.%2%/2///

($2/$2///)

-

-

-


14/48

-

(%2$$2'//)

(&2.&2///)

($2%%2//)

-

-

-

-

-

/2'$&2///

$%2/%2$

-

('%2$/'2///)

%//2%2///

(%&$2///)

2'/2%2'//

-

($&2')

-

%22$/2'//

-

-

-

-

-

$/2/2///

(%/2///)

-

-

-

-

-

'2//

-

$'.2&

'$2'&

..$2%

-

.2%

-

-

-

-

-

-

$$2/%2///


15/48

.2&/2///

-

-

-

-

$2.2//

'2///

TOTA6 Rp

$/.,'

$2'.2///

%2&2%/

-

/.2.$2//

$2.2/

2.2%'/

%&2$%2&

$.2//2///

($2&/2///)

-

'&'2.'2///

-

'%2'

-

-

$2%%$2///

$%2%&2//

/2///

%2%'2///

-

'2&'2''

-

$&.2&2//

2/&2/

.$2%/2'/

-

%$2&.%2///

%2.%&2.//

$&'22///

$2&$.2.//

$&2%&/2///


16/48

$/2'%$2///

-

$2$.&2//

-

'%&2&2//

$2%2///&2%&2//

/2///

$&.22.//

&/2.'2/

'%/2///

$2.2///

$2.$2%2//

$&2/%2'//

-

(&2.$2/)

$2/.2/

-

-

-

-

-

-

-

$%2%&2//

-

'/2&/

-

$&2$2///

-

-%2//

2'$$2//

&2&$2.'

-

.2.&2/

-

-

-

-

$'.2&/2///

-

-

&$2/2///


17/48

$2/2///

-

-

-

-

-

-

-&.2%/2///

-

-

-

-

-

-

-

-

-

-

-

-

-

TOTA6 Rp

$/.,'

$2///

$&2///

./2///

$2'$2//

(%&2$//)

&'.2.

&2$/2///

'/2///

'2///

'$2//

$$2//

$22//

$2//2///

%22///

($2//)

2&/2$/%2'2&//


18/48

%$2///

$2./2///

'2/2///

$/2&/2///

$.2$$/2///

%&2//

..2//

'2''2///2'/2///

%2//

&$2../

'2%//

&2%

%.2//

'2$2///

'$$2%//

2'//2///

$2%&2/

$2$%$2'//

%2//2///

$2/''2///

'/2///

%&2%/

2%%/2///

2&

$/2//2///

%2'&/2///

&'2'//

($/2$')

&2$/2///

(2/'/)

2///

$2%..2//

$$.2%//

&'$2%

2'2//

&2/2///

&''2///

2//

../2///

(2.//)

(2.//)

&2&.%

$2'//

-

$$2%//


19/48

-

$2'2///

-

-

-

$2&&2///

-

%/2///'.2///

$2$&2//

$2//2///

-

$2%/2///

$2$&'2///

&$2///

.&2///

.%2///

&2%2//

-

$.2///

2&//2///

$2''/2///

$2%/2///

%2%/2///

$2'$2///

'.2///

$&2///

%&'2///

%'&2///

$2&/2///

%2///

&'2'//

$/2///

'/2///

-

-

%2$/2///

$%2//

%2///

'2%/

'2///

$2/2//

$/2///

%2/2%'

%2'/2//

&$2///


20/48

-

&2&&/2///

$2$2/

.//2///

%/2///$&2///

-

'/2///

-

-

$'2'//2///

$/2//2///

.2///2///

'/2///

$/2///

2.//2///

&2//2///

2///

%/2///

&2..2&&&


21/48

RENCANA PENGADAAN OBAT DAN PERBEKALAN KESEHATAN

UNTUK PELAYANAN KESEHATAN DASAR

TAHUN 201)

UPT KES*AS SUKA+AT# ##

TOTA

NO NAMA OBAT KEMASAN

HARGA S9SA STOK JUMLAH

EKATA6OG PER PEMAKAIAN

$-ODt-$& $-ODt-$&

$ % & ' 6

$ Aloprinol ta"let $// m0 $// ta"let1strip1"lister 2 kotak %$/:// &/ 34

% Amino3ilin ta"let %// m0 $// ta"let 1 "otol :$ '. 1,5

& Amino3ilin in4eksi %' m01ml &/ ampl 1 kotak &2%'/:// /

' Amitripilin ta"let salt % m0 (H56) $// ta"let1strip1"lister 2 kotak /

Amoksisilin kapsl %/ m0 $%/ kapsl1strip1"lister2 kotak %/:$ &// 1,1

Amoksisilin kaplet // m0 $// kaplet1strip2 kotak %%/:// $/2$ 68,0

Amoksisilin sirp kerin0 $% m01 m0 Botol / ml %2%:.% &'. 1,0

Metampiron ta"let // m0 $/// ta"let 1 "otol $$:// 6

. Antal0in ta"let // m0 Bo,1 $/ , $/ 1,8

$/ Metampiron in4eksi %/ m0 &/ ampl 1 kotak

$$ "tl $/// ta"let 4,4

$% % t"e ; 0 1 kotak 40

$& $/ spp 1 kotak 2

$' Anti3n0i 7OEN Kom"inasi 8 Asam Ben=oat > + Asam Salisilat &> %' pot ; &/ 0 1 kotak 4

$ Antimi0ren 8 Er0otamin tartrat $ m0 + Ko3ein / m0 $// ta"let 1 "otol

$ ktk $/ , $/ ta"let

$ A@a Pro 9n4eksi Steril2 "e"as piro0en $/ ?ial ;%/ ml 1 kotak

$ Asam Askor"at (?itamin 5) ta"let / m0 $/// ta"let 1 "otol 19,3

$. Asam Asetisalisilat ta"let $// m0 (Asetosal) ktk $/ , $/ ta"let

%/ Asam Asetisalisilat ta"let // m0 (Asetosal) ktk $/ , $/ ta"let

%$ Atropin sl3at ta"let /2 m0 // ta"let 1 "otol

%% Atropin tetes mata /2> %' "tl ; ml 1 kotak

%& Atropin in4eksi l:m1l?1s:k: /2% m01m6 - $ m6 (sl3at) &/ ampl 1 kotak

%' Betametason krim /2$ > % t"e ; 0 1 kotak 8

% 7eksametason 9n4eksi 9:?: m01ml $// ampl 1kotak

% 7eksametason ta"let /2 m0 $/// ta"let 1 "otol 12,3

% 7ekstran /-lartan in3s > steril Botol // ml

% 7ekstrometor3an sirp $/ m01 ml (HBr) Botol / ml 2

%. 7ekstrometor3an ta"let $ m0 (HBr) $/// ta"let 1 "otol 64

&/ 7ia=epam 9n4eksi m01ml &/ ampl 1 kotak

&$ 7ia=epam ta"let m0 %/ ta"let 1 "otol

&% 7i3en#i


22/48



EKATA6OG PER PEMAKAI

$-No?-$& $-ODt-$&

$ % & ' 6

Haloperi %' "otol ; ml 1 kotak

& Kloraniramina mealeat (5TM) ta"let ' m0 $/// ta"let 1 "otol 65,

' Klorproma=in in4eksi i:m m01ml-%ml (H56) &/ ampl 1 kotak

Klorproma=in in4eksi i:m % m01ml (H56) &/ ampl 1 kotak

Klorproma=in ta"let salt % m0 (H56) $/// ta"let 1 "otol

Klorproma=in H5l ta"let salt $// m0 (H56) $/// ta"let 1 "otol

Anti Malaria 7OEN Kom"inasi Pirimetamin % m0 + Sl3a-% ml $/ ?ial 1 kotak

Ma0nesim Sl3at ser"k &/ 0ram $/ sase ; &/ 0r 1 kotak

Me"en


23/48

$$ Rin0er 6aktat lartan in3s "tl // ml



EKATA6OG PER PEMAKAI

$-No?-$& $-ODt-$&

$ % & ' 6

$$ Salep %-'2 kom"inasi8 Asam Salisilat %> + Beleran0 en


24/48

Catatan Unt!" #te$ Obat ta$bahan %ang be&s!$be& 'a&i Dana DAK



EKATA6OG PER PEMAKAIA

$-No?-$& $-ODt-$&

$ % & ' 6

$ Am"ro,ol Srp "tl1/ml 6

% Am"ro,ol ta"let &/ m0 ktk1$// 14,9

& Anti Bakteri 7oen salep kom"inasi8 ktk1% t"e 4

' Asam me3enamat ta"let //m0 ktk1$// 22,3

Asiklo?ir krim > t"e 0ram 2

Asiklo?ir ta"let %//m0 ktk1$/,$/

Asiklo?ir ta"let '// m0 ktk1$/,$/ 3,3

7e?italisasi Pasta ktk

. 7oksisiklin kapsl $//m0 ktk1$/,$/

$/ Er0otamin tartrat "tl1$//

$$ Ert#romiDin kapsl //m0 ktk1$/,$/ 1,2

$% Ert#romiDin Srp %// m0 1 ml "tl / ml

$& enitoin Natrim kapsl &/ m0 "tl %/

$' Gentamisin salep klit /2$> ktk $/ t"e 3

$ Gentamisin Sl3at tetes mata ml "tl 2

$ Ketokona=ol ta"let %//m0 ktk1,$/ 2

$6isol

"tl$ Meloksikam ta"let 2 m0 ktk1,$/ 2,0

$. Mikona=ol krim 1salep % > t"e $/ 0r 2

%/ Natrim


25/48

& Ketokona=ol ta"let %// m0 Ktk , $/ ta"let

' Klor3enol Kam3er Ment#ol (5HKM) Botol $/ml

Klorampenikol salep mata $ > t"e 0ram

Klorampenikol tetes mata /2 > Btl ml

6i Ktk $// amp; % ml

6operami< ta"let % m0 ktk $/,$/ ta"let 6



EKATA6OG PER PEMAKAIA

$-No?-$& $-ODt-$&

$ % & ' 6

. 6orata


26/48

23,665,334.66

KEBUTUHAN JUMLAH

RIIL HARGA

tahun 2014 KEBUTUHAN

=6/12*10+(10% 8!7"5

449 94,248

1,993 173,707

0 0

100 0

1,562 321,229

89,847 19,766,366

1,412 3,215,922

809 93,863

2,385 0

0 0

5,875 0

529 0

289 0

65 0

1,000 0

500 0

100 0

25,477 0

1,000 0

0 0

0 0

0 0

0 0

1,140 0

100 0

16,310 0

0 0

362 0

854 0

50 0

500 0

482 0

0 0

22,626 0

1,000 0

0 00 0

0 0

0 0

5,755 0

0 0

0 0

0 0

0 0

132 0

500 0

50 0

4,818 0

55 05,085 0

39,898 0


27/48

KEBUTUHAN JUMLAH

RIIL HARGA


=6/12*10+(10% 8!7"5

0 0

2,851 0

11,765 0

178 0

3,663 0

16,728 0

25 0

9,237 0

17,928 0

11,352 0

792 0

0 0

0 0

5,000 0

169 0

86,478 0

0 0

0 0

0 0

0 0

0 0

517 0

9,299 0

0 0

0 0

0 0

0 0

5 0

0 0

50 0

500 0

0 0

0 0

180 0

5,273 0

0 0

161 0

0 0

0 0

331 0

566 0

128 0

0 0

25 0

1,754 00 0

2,401 0


28/48

20 0

KEBUTUHAN JUMLAH

RIIL HARGA


=6/12*10+(10% 8!7"5

682 0

682 0

10 0

0 0

0 0

500 0

0 0

0 0

62 0

9 0

0 0

3,371 0

0 0

52,098 0

0 0

859 0

0 0

100,857 0

0 0

0 0

1,083 0

92 0103 0

100 0

10 0

25 0

25 0

35 0

25 0

100 0

117 0

100 0

38 0529 0

500 0

0 0

1,057 0

533 0

5 0

5 0

5 0

5 0

0

5 0

119 0

7 0


29/48

KEBUTUHAN JUMLAH

RIIL HARGA


=6/12*10+(10%) 8!7"5

876 0

19,799 0

529 0

29,503 0

327 0

1,000 0

4,367 0

5 0

5,066 0

500 0

1,618 0

500 0

500 0

520 0

330 0

351 0

0 0

2,645 0

388 0

5,610 0

0 0

3,361 0

0 0

6,306 0

0 0

0 0

1,107 0

5,273 0

301 0

6,336 0

2,369 0

2,385 0

500 0

27,865 0

11,496 0

0 0

185 0

22,626 0

0 0

169 0226 0

96,724 0


30/48

0 0

0 0

0 0

0 0

0 0

890 0

KEBUTUHAN JUMLAH

RIIL HARGA


=6/12*10+(10% 8!7"5

759 0

20 0

17,167 0

0 0

5,000 0

999 0120 0

6,455 0

0 0

0 0

895 0

1,132 0

0 0

0 0

0 0

36,903 0

0 0

0 0

1,265 0

0 0

0 0

0 0

TOTAL 0


31/48

PEMAKAIUPT K

O AMA OBABU

#AUA$I EB$UA$IMA$ET AP$IL MEI #UI

1 A#$ $a%&a '( 0 0 0 0 0 0

2 A)#n*+#n # 0 0 0 0 0 0

3 A)#n*+#n 110 120 60 160 140 120

4 A)*"#-##n 90 100 275 526 49 20

5 A)*"#-##n ' 124 120 73 95 87 100

6 A)*"###n 5 6447 6648 5092 6982 6780 6405

7 A&a) )(.( 2381 2393 1586 2387 2210 2190

8 Anta/#n 50 108 30 80 110 80 55

9 Anta'a '* 2281 1641 529 0 0 0

10 Aua $* #n 0 0 0 0 0 0

11 Aua &t($# 0 0 0 0 0 0

12 A&a) a&-*$ 1735 1457 1977 1151 1228 1361

13 A&a) (n* 4 0 6 4 4 7

14 A&a) &a# 0 0 3 4 3 0

15 Auu$#n* 10 0 50 70 10 50

16 Ant# h()*$* 46 20 24 19 14 22

17 A--*#$ 4 147 276 334 400 120 439

18 A--*#$ &% 25 22 35 44 9 26

19 A)$*"* 3 1068 1300 1053 2244 1394 761

20 A)#t$#t##n 3 21 0 3 3 021 A)$*"* & 37 49 47 40 59 71

22 A--*#$ 2 0 0 0 0 0 0

23 A&(t*&a 50 0 0 0 0 0 0

24 A*-ath n* 0 0 0 0 0 0

25 A*-ath n* 0 0 0 0 0 0

26 A*-ath n* 0 0 0 0 0 0

27 B( II &u. 1572 1940 1855 2753 2881 2490

28 B(ta)(ta&* 63 92 55 88 97 77

29 Ba-#t$a-#n 1 31 19 30 30 48 46

30 B*n' )at$#" 0 0 0 0 0 031 B**' t(&t & 0 0 0 0 0 0

32 :at /ut 2 0 0 0 0 0

33 :*$t#&*n #n 0 0 0 0 0 0

34 :a-#'*$ 0 0 0 0 0 0

35 :$*;*"a- 746 740 503 1491 730 1353

36 :$(&*.at 0 0 0 0 0 0

37 :at*$# 12 1666 2062 2357 3037 3047 717


32/48

38 :at*$# 2 2200 2080 1430 2610 80 0

39 :*aa) 70 38 0 70 0 30

40


33/48

81 Iu$*(n 350 15 0 1050 0 0

82 In.u& &(t an 0 0 0 0 0 0

83 In.u& &(t '( 0 0 0 0 0 0

84 Ja$u) ('a 0 0 0 5 1 0

85 Ja$u) ('a 0 0 0 0 0 0

86 Kau) ($ 0 0 0 0 0 0

87 Kau) a%t 749 852 1101 865 355 487

88 Kaa& 250 0 0 0 0 5 1

89 Ka&a 40 " 4 0 0 0 0 0 0

90 Ka&a 2 " 80 0 0 0 0 0 0

91 Ka&a 4 " 15 0 0 0 10 1 0

92 Ka&a 4 " 3 3 2 5 3 4 2

93 Ka&a 80 " 4 0 0 0 3 0 0

94 K*$a).(n#- 0 0 0 0 0 0

95 K*$* &) 1 4 4 2 2 9 10

96 K*$* TT 3 0 11 8 22 12 21

97 :TM 5821 7375 4993 7494 7401 5891

98 K*$$*)a# 40 31 0 0 0 0

99 K*$$*)a# 0 0 0 0 0 0

100 K*t$#)*"a* 36 48 38 36 27 30

101 K*t$#)*"a* 475 582 492 521 625 1331

102 Ka$a)a( 0 0 0 0 0 100

103 K(t*%(na* 12 38 10 30 19 7

104 L#'*-a#n #n 15 2 2 2 1 7

105 Lu'#*)# 10 0 0 0 0 0 0

106 L#&* 0 0 0 0 0 0107 M(ta%$(&* 0 1 1 0 0 1

108 M(t# E$/*) 0 0 20 40 10 0

109 M(t$*n#'a* 5 0 10 0 10 10

110 M(t$*n#'a* 438 306 345 326 553 530

111 M*n*%*$ : 0 0 0 0 1 0

112 Mu)#+#n/ 0 1 0 0 0 0

113 M#-$*a% (n 0 0 0 0 2 4

114 M#-*na* 22 21 18 16 24 42

115 M(t.*$)#n 1045 1005 995 1465 1991 514

116 Ma&%($ 20 25 12 4 23 0117 M#na% *$ 0 0 0 0 0 0

118 M(*"#-a) 150 160 180 170 150 418

119 N(u$*#*n # 0 0 0 0 0 0

120 Nat$#u) -* 3 3 7 12 4 4

121 N#&tat#n 100 29 25 22 21 10 21

122 Na'#(n 50 860 380 55 175 390 530

123 ?BH 22 34 32 37 52 54


34/48

124 ?"t(t$a @M 10 11 2 5 10 6

125 ?"t(t$a @K 17 29 29 8 20 27

126 Pa$a&(ta)* 107 114 16 99 159 157

127 Pa$a&(ta)* 159 1660 0 0 0 0

128 P#$ant( 12 0 0 0 0 0 0

129 P#$#'*"#n 10 811 989 1845 1441 812 1610

130 P$('n#&*n 5 540 1165 388 1985 1224 802

131 Paa($#n 0 0 641 0 0 0

132 P#$*"#-a) 2 150 250 270 610 450 206

133 P#$*"#-a) 1 320 400 0 330 410 749

134 P$*n#ta 0 0 0 0 0 0

135 P(&t($ 1 1 3 1 0 5

136 R#n/($ a%ta 0 0 0 0 0 0

137 @auta)* 0 0 0 18 0 0

138 @auta)* 449 439 458 481 641 548

139 @a#- ta% 45 56 27 64 70 53

140 @()(n &(n/ 0 0 0 0 1 0

141 @#an*-*aa 14 50 75 29 16 33

142 @#% (nan/ 1 1 0 11 3 0

143 @#($ a)a 0 0 0 0 0 0

144 @u.a-(ta)# 11 3 0 11 2 6

145 @u$a#$*n 0 0 0 0 0 0

146 @anta E 0 0 0 0 0 0

147 @(**#' &t$# 0 0 0 0 0 0

148 @u$atu 0 0 0 0 0 0

149 @u#t 3 -- 27 70 75 40 35 5150 T()*$a$ & 0 0 0 0 0 0

151 Th#a)#n( 5 3167 3547 2896 4241 3634 4779

152 T%. 0 0 0 0 0 0

153 T(&t %(ha)# 2 3 4 1 0 2

154 T(t$a%#n 270 196 230 342 180 370

155 Th#a).(n#-* 60 50 114 134 40 60

156 T*$an# )( 0 0 0 0 0 0

157 T$#h("(n# 60 135 55 30 166 45

158 T$#*)#n( E 0 0 0 0 0 0

159 #t B %*) 7195 9014 3202 9419 8520 6786160 a#&an( 2 0 0 0 0 0 0

161 a#&an( 5 0 0 0 0 0 0

162 Can#t $u 0 0 0 0 0 0

163 ($t#.*$) 4 0 290 0 0 0

164 P$(nat#n u 0 0 0 0 0 0

165 :(ta% )*a$ 0 1 2 1 0 0

166 T$##n 0 0 0 0 0 0


35/48

167 H#a#( 0 4 0 0 10 12

168 Ba-#n 0 1 1 0 0 0

169 D#n- 235 270 185 560 540 180

170 P(ha-a#n 0 0 0 0 0 0

171 T#&&u 0 0 0 0 0 0

172 @u#t 10-- 0 0 0 0 0 0

173 @t(&*#' @u 0 0 0 0 5 0

174 Han' &-h** 2 0 0 0 0 0

175 #n/ n('( 0 0 0 0 0 0

176 R(-*#t 0 0 0 0 0 0

177 B(ta'#n( 30 1 1 0 1 2 0

178 K*$* t(t(& 3 1 4 0 0 11

179 B(tah#&t#n 5 100 92 160 80 180

180 M(th P$(' 43 76 146 225 160 140

181


36/48

211 Anta'a


37/48

OBAT TA!U 2013 SMAS SUKA"ATI II

ATOTAL

!A$&A

#ULI A&USTUS SEPTEMB OKTOBE$ O'EMBEESEMBE SATUA

0 0 0 0 0 0 0 103,000

0 0 0 0 0 0 0

190 110 280 220 220 220 1950 80

43 20 20 40 40 40 1263 238

168 82 112 109 109 109 1288 3,400

7675 6767 8070 7200 7200 7200 82466 370

2366 1922 2684 2232 2232 2232 26815 132

100 50 0 0 0 0 613 67

0 0 0 0 0 0 4451 31

0 0 0 0 0 0 0

0 0 0 0 0 0 0 15,000

1701 3422 3168 2101 2101 2101 23503 19

4 6 7 7 7 7 63 1,154

2 5 5 2 2 2 28 825

70 10 40 30 30 30 400 120

17 27 11 19 19 19 257 1,470

319 302 500 471 471 471 4250 571

22 11 22 32 32 32 312 3,000

1786 2124 1588 1681 1681 1681 18361 113

30 0 850 3 3 3 919 9287 68 122 84 84 84 832 2,584

0 0 0 0 0 0 0 266

0 0 0 0 0 0 0

0 0 0 0 0 0 0 22,500

0 0 0 0 0 0 0

0 0 0 0 0 0 0 22,500

4048 3039 3254 4125 4125 4125 36207 27

79 89 118 106 106 106 1076 1,800

44 45 60 48 48 48 497 2,150

0 0 0 0 0 0 0 87,5000 0 0 0 0 0 0 361,000

0 0 0 0 0 0 2 8,897

0 0 0 0 0 0 0 15,500

0 0 0 0 0 0 0 115,000

1253 1094 1635 1141 1141 1141 12968 265

0 0 0 0 0 0 0 396,500

551 145 0 0 0 0 13582 71


38/48

200 0 0 0 0 0 8600 138

50 0 700 0 0 0 958 950

0 0 0 0 0 0 0 908

536 316 698 418 418 418 13192 39

0 0 0 0 0 0 647 36

13 31 33 26 26 26 326 2,400

0 0 0 0 0 0 0 650,500

12 3 30 0 0 0 140 17

0 0 0 0 0 0 0

0 0 0 0 0 0 0 2,368

0 0 5 25 25 25 415 689

0 0 0 0 0 0 0 83

0 0 0 0 0 0 0 36,000

0 0 0 0 0 0 68 800

0 0 0 0 0 0 0

1498 1403 2302 2386 2386 2386 21913 21

0 0 0 0 0 0 0

0 0 1 0 0 0 2 1,254

0 0 0 1 1 1 21 22,499

9 0 2 1 1 1 19 105,000

0 0 0 0 0 0 1 45,833

117 159 184 81 81 81 1388 565

0 0 0 0 0 0 0

0 0 10 0 0 0 286 31

0 0 0 0 0 0 0 44

0 0 0 0 0 0 00 10 10 0 0 0 50 978

0 0 0 0 0 0 0

70 255 340 355 355 355 2506 768

319 361 489 306 306 306 4262 305

3 4 7 4 4 4 50 450

3201 2269 4580 2371 2371 2371 34968 23

665 385 170 463 463 463 4778 60

0 0 0 0 0 0 0 3,630

0 0 0 0 0 0 0

20 60 20 50 50 50 427 11120 17 45 31 31 31 312 2,973

45 30 66 32 32 32 458 1,650

732 757 1195 736 736 736 10385 25

0 1 3 0 0 0 135 2,485

30 30 90 90 90 90 2340 122

0 0 0 0 0 0 4 500

1421 1064 1573 1826 1826 1826 16325 148


39/48

280 610 420 50 50 50 2875 73

0 0 0 0 0 0 0 22,500

0 0 0 0 0 0 0

0 2 0 0 0 0 8 2,875

0 0 0 0 0 0 0 2,875

0 0 0 0 0 0 0 3,500

579 500 632 878 878 878 8754 39

2 2 2 1 1 1 15 10,348

0 0 0 0 0 0 0 1,266

0 0 0 0 0 0 0 7,999

2 2 0 0 0 0 15 3,066

2 0 1 0 0 0 22 666

0 1 1 0 0 0 5 7,999

0 0 0 0 0 0 0 150

4 6 6 9 9 9 74 1,563

12 14 15 13 13 13 154 1,000

7343 6744 6057 6395 6395 6395 78304 7

15 15 25 45 45 45 261 68

0 0 0 0 0 0 0

48 30 50 49 49 49 490 2,839

663 804 1022 530 530 530 8105 100

0 0 0 500 500 500 1600 246

0 20 70 60 60 60 386 372

4 1 9 18 18 18 97 821

0 0 0 0 0 0 0 3,228

0 0 0 0 0 0 0 11,0000 0 0 0 0 0 3 31,618

10 20 0 0 0 0 100 110

31 20 20 30 30 30 196 105

446 100 584 367 367 367 4729 135

0 0 0 0 0 0 1 107,800

0 0 0 0 0 0 1

1 0 0 0 0 0 7 22,000

29 52 37 33 33 33 360 3,000

1465 1185 1845 1495 1495 1495 15995 149

0 0 0 0 0 0 84 1,2000 0 0 0 0 0 0 103,100

416 247 73 40 40 40 2084 420

0 0 0 0 0 0 0 4,600

2 5 4 2 2 2 50 10,590

32 17 46 28 28 28 307 289

661 309 370 520 520 520 5290 218

48 53 56 41 41 41 511 1,250


40/48

4 26 12 11 11 11 119 1,357

21 24 17 36 36 36 300 1,675

185 164 169 159 159 159 1647 1,725

0 0 0 0 0 0 1819 46

0 0 0 0 0 0 0 194

1096 1189 1213 1832 1832 1832 16502 10

604 914 1463 2400 2400 2400 16285 40

0 0 0 0 0 0 641 63

64 50 290 206 206 206 2958 147

513 948 930 290 290 290 5470 75

0 0 0 0 0 0 0

4 4 5 19 19 19 81 16,400

0 0 0 0 0 0 0 4,579

0 0 0 0 0 0 18 84

420 697 365 279 279 279 5335 97

61 64 23 54 54 54 625 1,025

0 0 1 0 0 0 2 93,500

26 52 26 33 33 33 420 520

1 7 1 0 0 0 25 12,000

0 0 0 0 0 0 0 325,000

5 2 3 4 4 4 55 3,445

0 0 0 0 0 0 0 383

0 0 0 0 0 0 0 1,163

0 0 0 0 0 0 0 128,500

0 0 0 0 0 0 0

22 13 2 1 1 1 292 5850 0 0 1 1 1 3 34,000

4733 3803 4965 3703 3703 3703 46874 24

0 0 0 1 1 1 3 125,000

1 1 14 12 12 12 64 4,400

301 140 385 140 140 140 2834 186

30 150 30 10 10 10 698 401

0 0 0 0 0 0 0

25 15 45 75 75 75 801 41

0 0 0 0 0 0 0 1,163

8073 6752 9574 7872 7872 7872 92151 220 0 0 0 0 0 0 200

0 0 0 0 0 0 0 250

0 0 0 0 0 0 0 10,850

0 0 0 0 0 0 294 275

0 0 0 0 0 0 0 530

0 0 0 0 0 0 4 650,000

0 0 0 0 0 0 0


41/48

1 0 2 1 1 1 32 61,900

0 0 0 0 0 0 2 10,700

0 20 115 150 150 150 2555 600

0 0 0 0 0 0 0

0 0 0 0 0 0 0 6,000

0 0 0 0 0 0 0 3,500

0 0 0 0 0 0 5 29,800

0 0 0 0 0 0 2 7,000

0 0 0 0 0 0 0 1,950

0 0 0 0 0 0 0 6,726

0 0 2 1 1 1 10 14,500

26 7 24 24 24 24 148 2,500

180 70 170 140 140 140 1457 924

35 4 10 0 0 0 839 51

50 0 0 0 0 0 50 21

0 0 0 0 0 0 0

130 124 150 110 110 110 1769 76

70 80 210 160 160 160 2301

20 20 20 20 20 20 230 25

0 0 0 0 0 0 0 47,500

0 0 0 0 0 0 11 1,919

10 10 10 10 10 10 160 108

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 00 0 0 0 0 0 0

15 85 45 15 15 15 275 314

60 150 94 55 55 55 685 333

496 436 1258 590 590 590 5980 20

0 0 0 10 10 10 777 408

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 396,500

0 0 0 0 0 0 0

0 0 0 0 0 0 0 1,5000 0 0 0 0 0 0

0 0 25 0 0 0 135

22 4 0 0 0 0 109

0 0 0 0 0 0 0

0 0 0 0 0 0 0

10 10 10 0 0 0 30 83

70 90 20 44 44 44 762


42/48

0 0 0 0 0 0 0

0 0 0 0 0 0 10

0 0 10 260 260 260 1430

10892 8134 8580 6470 6470 6470 86216 131

0 0 0 0 0 0 0 7,200

4 4 2 0 0 0 43 770

248 274 130 200 200 200 2207 115

0 0 0 0 0 0 2 650,000

2248 2276 2771 1730 1730 1730 24570 162

81 66 453 0 0 0 900 1,100

1329 895 1294 2504 2504 2504 13717

4 2 0 7 7 7 33

8 2 0 2 2 2 21

3 2 0 9 9 9 37

1005 1640 2610 1285 1285 1285 11480 99

810 2160 1480 2180 2180 2180 13990 152

1000 0 0 0 0 0 2500

0 0 0 0 0 0 20

0 0 0 0 0 0 20

30 0 0 0 0 0 100

2 2 5 0 0 0 10

795 0 0 120 120 120 1560

160 0 40 20 20 20 260 300

7 37 27 25 25 25 146 3200

0 0 0 550 550 550 1650 238

0 0 0 0 0 0 0

0 0 0 0 0 0 00 0 0 5 5 5 15 27000

0 0 0 15 15 15 45 14000

0

TOTAL


43/48

TOTAL

!A$&A

F

F

156,585

300,594

4,379,200

30,512,420

3,538,239

41,071

135,889

F

F

438,096

72,702

23,098

48,000

377,790

2,428,153

936,000

2,079,750

84,6402,149,888

F

F

F

F

F

988,451

1,936,800

1,068,550

FF

17,794

F

F

3,436,520

F

962,964


44/48

1,184,650

910,100

F

508,552

23,059

782,400

F

2,310

F

F

286,089

F

F

54,400

F

454,476

F

2,508

472,479

1,995,000

45,833

784,206

F

8,895

F

F48,884

F

1,924,608

1,298,035

22,500

812,656

286,680

F

F

47,384927,576

755,700

255,886

335,408

286,159

2,000

2,408,101


45/48

210,910

F

F

23,000

F

F

344,295

155,220

F

F

45,995

14,660

39,995

F

115,662

154,000

508,976

17,798

F

1,391,110

810,500

394,320

143,592

79,669

F

F94,854

10,996

20,580

638,415

107,800

F

154,000

1,080,000

2,383,255

100,800F

875,801

F

529,500

88,695

1,151,527

638,750


46/48

161,483

502,500

2,841,075

82,765

F

165,020

651,400

40,383

434,826

410,250

F

1,328,400

F

1,512

520,109

640,625

187,000

218,400

300,000

F

189,489

F

F

F

F

170,820102,000

1,119,351

375,000

281,600

526,982

280,177

F

32,657

F

2,045,752F

F

F

80,850

F

2,600,000

F


47/48

1,980,800

21,400

1,533,000

F

F

F

149,000

14,000

F

F

145,000

370,000

1,346,268

42,722

1,045

F

134,975

F

5,750

F

21,109

17,256

F

F

F

FF

86,213

228,105

119,600

317,272

F

F

F

F

FF

F

F

F

F

2,477

F


48/48

F

F

F

11,315,850

F

33,110

253,805

1,300,000

3,980,340

990,000

F

F

F

F

1,136,520

2,126,480

F

F

F

F

F

F

78,000

467,200

392,700

F

F405,000

630,000

F

131,299,824

rencana pengadaan obat 2014

Documents