[ABSTRAK
Fornas merupakan daftar obat acuan yang digunakan dalam program JaminanKesehatan Nasional sehingga perlu diteliti penggunaanya dilapangan. Penelitianini bertujuan untuk melihat proporsi penggunaan obat yang sesuai Fornas danmenganalisa faktor-faktor yang mempengaruhi penggunaan obat yang sesuaiFornas di Unit Rawat Jalan RSUD Kota Padangsidimpuan. Metodenya adalahmetode kuantitatif (deskriptif analitik dengan 380 data rekam medis) dan metodekualitatif melalui wawancara mendalam dan telaah dokumen. Proporsipenggunaan obat Fornas hanya 83,2%. Pencapaian yang tidak mencapai 100% inidipengaruhi oleh tidak adanya prosedur internal penggunaan obat Fornas,disfungsi Instalasi Farmasi, Tim Farmasi dan Terapi belum terbentuk, tidakadanya evaluasi dari manajemen rumah sakit, metode pengarahan atau sosialisasihanya bersifat lisan serta terbatasnya dukungan dana dari APBD. Saran daripenelitian ini adalah melakukan metode lain untuk sosialisasi, merevitalisasiinstalasi farmasi, membentuk Tim Farmasi dan Terapi, mempertimbangkan opsiperubahan status menjadi BLUD, meninjau ulang kerjasama dengan Apotek KPNdan menerapkan sistem satu pintu dalam pelayanan kefarmasian serta melakukanadvokasi kepada pemerintah Kota Padangsidimpuan untuk mengembangkanRSUD Kota Padangsidimpuan.

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ABSTRACT
The national formulary is list of reference medicines that used in national healthinsurance program. Thus it is important to do research towards its use at thehospital. This research aims to evaluate the proportion of the national formularymedicines used in accordance with the national formulary and analyze the factorsthat influence it at Kota Padangsidimpuan hospital. The method of this study ismixed of quantitative (descriptive analytic by using data from 380 medicalrecords) and qualitative (by doing in-depth interview and documentary review).Proportion of the national formulary medicines used in Kota Padangsidimpuanhospital only reach 83,2%. This is influenced by several factors: no internalprocedur of the use of national formulary medicines, disfunction of pharmacydepartment, no pharmacy and therapy team, no evaluation done by management.no written dissemination method and limited support by local government budget(APBD). This study suggestied to do written dissemination method, revitalizepharmacy department, established pharmacy and therapy committee, consider tochange into BLUD status, application o a one-door system in pharmaceuticalservices and advocate Padangsidimpuan local government to promote KotaPadangsidimpuan hospital., The national formulary is list of reference medicines that used in national healthinsurance program. Thus it is important to do research towards its use at thehospital. This research aims to evaluate the proportion of the national formularymedicines used in accordance with the national formulary and analyze the factorsthat influence it at Kota Padangsidimpuan hospital. The method of this study ismixed of quantitative (descriptive analytic by using data from 380 medicalrecords) and qualitative (by doing in-depth interview and documentary review).Proportion of the national formulary medicines used in Kota Padangsidimpuanhospital only reach 83,2%. This is influenced by several factors: no internalprocedur of the use of national formulary medicines, disfunction of pharmacydepartment, no pharmacy and therapy team, no evaluation done by management.no written dissemination method and limited support by local government budget(APBD). This study suggestied to do written dissemination method, revitalizepharmacy department, established pharmacy and therapy committee, consider tochange into BLUD status, application o a one-door system in pharmaceuticalservices and advocate Padangsidimpuan local government to promote KotaPadangsidimpuan hospital.]