SPESIFIKASI
PA/KPA : dr. Ratna Budi Hapsari, MKM
K/L/D/I : Kementerian Kesehatan
Satker/SKPD : Balai Besar Kekarantinaan Kesehatan Medan
PPK : Rakhmad KP Parinduri,AMK,SKM,MM
Pekerjaan
:
Pengadaan Obat-Obatan Poliklinik
Lokasi : Balai Besar Kekarantinaan Kesehatan Medan
Tahun Anggaran : 2024
No. Uraian Spesifikasi dan Gambar
Pengadaan Obat-Obatan Poliklinik
Pengadaan Obat-Obatan Poliklinik 1 Paket - Expired Date obat-obatan Minimal 2
Tahun (2027)
- Uraian Barang Sediaan Vol Satuan
1 Acyclovir zalf 5% 5 gr 12 tube
2 Adalat Oros (10 tab/strip) 30 MG Blister 50 strip
3 Allopurinol 100 mg 300 tablet
4 Amlodipine tab 5 mg 200 tablet
5 Amlodipine tab 10 mg 400 tablet
6 Amoxan tab 500 mg 150 tablet
7 amoxicillin syrup (Amoxan 125 mg Dry Syrup) 100 botol
8 Antimo 75 tablet
9 Cardio Aspirin 100 mg 150 tablet
10 Asam Mefenamat 500 mg 350 tablet
11 Attapulgit aktif tab 600 mg 600 mg 110 tablet
12 Avigan 200 mg 100 tablet
13 B com C. 500 mg 450 tablet
14 Becefort 50 kaplet
Betadine Waterproof Plaster Luka Anti Air (5 pcs/pak) tube
15 50
16 Betadine Oitment 10 gr 40 tube
17 Betahistin Mesilate tab 6 mg 300 tablet
18 Betason N Zalf 5 gr 30 tube
19 Biogesic 100 tablet
20 Bioplacenton Gel 15 gr 17 tube
21 Bisolvon 30 tablet
22 Bisoprolol tab 5 mg 10 tablet
23 Burnazine 10 mg 5 tube
24 candesartan 16 mg 100 tablet
25 Captopril tablet 12,5 mg 100 tablet
26 Captopril tablet 25 mg 50 tablet
27 Cal-95 250 kapsul
28 Cefadroxil cap 500 mg 100 tablet
29 Cendo Xytrol Minidose (5 tube/strip) 0,6 ml 20 strip
30 Cetirizin tab 10 mg 10 mg 75 tablet
31 Cetirizine syr 60 ml 40 botol
32 Cetirizin tab 10 mg 50 tablet
33 Chlorampenicol ear drops 10 ml 35 botol
34 Ciprofloxacin cap 500 mg 50 tablet
35 Cotrimoxazole syr 125 ml 100 botol
36 Cotrimoxozale 480 mg 180 tablet
37 Daktarin 10 mg 25 tube
38 Dexamethasone inj 5 mg 23 amp
39 Dextrose 5% 500 ml 15 fls
40 Diatabs (4 tab/strip) 25 strip
41 Diazepam inj 5mg/ml 20 amp
42 Domperidon 10 mg 100 tablet
43 Dumin tab 125 mg 100 tablet
44 Dumin Rectal Tube 125 mg/2.5 ml 15 tube
45 Erlamicetin tetes telinga 10 ml 10 botol
46 Furosemid 40 mg 60 tablet
47 Furosemid Inj 10 mg/ml 50 amp
48 Gentamycin zalf 10 15 tube
49 Glibenclamide 5 mg 50 tablet
50 Cataflam 25 mg 100 tablet
51 Hydrocortisone Cream 2,5% 5 gr 40 tube
52 Ibuprofen 400 mg 150 tablet
53 ISDN 5 mg 180 tablet
54 kalnex inj 100 mg/ml 5 amp
55 Kenalog in orabase 5 gr 10 tube
56 Lansoprazole 30 mg 200 tablet
57 Loperamide 2 mg 100 tablet
58 Loratadine 10 mg 150 tablet
59 Squalene 500 mg 15 botol
60 Metformin 500 mg 150 tablet
61 Methyl Prednisolon tab 4 mg 70 tablet
62 Metoklopramid inj 10 mg 2 amp
63 Metronidazole tab 500 mg 150 tablet
64 Miconazole nitrante 2% 10 gr 7 tube
65 Mucobat syrup 15mg/5 ml 5 ml 25 botol
66 Antioksidan Nutriweel My boost 25 botol
67 Mylanta liquid 50 ml 20 botol
68 N- acetylcystein kapsul 200 mg 410 tablet
69 NaCl Infus 500 ml 45 fls
70 Natrium Diklofenak 50 mg 100 tablet
71 Omeprazole 20 mg 100 tablet
72 Ondansetron tab 4mg 200 tablet
73 Ondeansetron Inj 4mg 26 amp
74 Oralit 200 ml 100 sach
75 Paracetamol(ernite pharma) 500 mg 1250 tablet
76 Ever E 250 iU 500 kaplet
77 Parasetamol syrup 120 mg/5 mg 75 botol
78 Pehacain inj 20 mg/ml 10 amp
79 Polysilane tab 140 strip
80 Polysilane syrup 100 ml 25 botol
81 Ranitidin 150 mg 210 tablet
82 Ranitidine inj 25 mg 35 amp
83 Renovit (1 strip isi 4 tab) 80 strip
84 RL Infus 500 ml 30 fls
85 SA/Epineprin 0,25 mg/ml 35 amp
86 Salbutamol tab 2 mg 200 tablet
87 Simvastatin 10 mg 200 tablet
88 Sucralfate syrup 100cc 25 botol
89 Trombopop Gel 20gr 15 tube
90 Ventolin inhaler 100mcg/puff 3 tube
91 Sanmol 120 Mg/5 ml 60 ml 70 botol
92 zinc with vit B6 20 botol
93 Zink tablet 10mg/5ml 140 tablet
94 Antasida 400 tablet
95 Ambroxol HCL 320 tablet
96 Hyoscine N-Butylbromide inj 10 amp
97 Betadine Cair 15 ml 20 botol
98 OBH syr 20 botol
99 Metronidazole syrup 125mg/5 ml 60 ml 12 botol
100 Alpara 100 tablet
101 Cendo Fenicol 0,5% Tetes Mata 5 ml 20 botol
102 Dexametason 0,5 mg 80 tablet
103 Diclofenac Sodium 50 mg 150 tablet
104 Lidocain inj 15 amp
105 Dexamethasone salep 2,5mg/g 15 gr 20 tube
106 Nifedipine 10mg 19 tablet
107 Vital EAR OIL 10ml 10 botol
108 Ondansetron HCI sirup 4mg/5mg 5ml 60 botol
109 Domperidon sirup 1mg/ml 60 ml 70 botol
110 Ketoconazole 200mg 100 tablet
111 Acyclovir Tab 400mg 30 tablet
112 Ketoconazole salep 20mg 10 tube
113 interlac tablet box 30 kaplet 5 box
114 Interlac Probiotik Mini Pack 125 Sachet
Medan, 25 April 2025
Pejabat Pembuat Komitmen
Rakhmad KP Parinduri,AMK,SKM,MM
NIP. 197508062003121001