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{"sheet":"1.7","index":0,"n_rows":94,"n_cols":12,"rows_kept":94,"merged":[[0,0,0,11],[1,0,1,11],[2,0,2,11],[3,0,3,11],[83,4,84,7],[83,8,84,8],[83,9,84,9],[83,10,84,10],[83,11,84,11],[86,1,86,2],[86,7,86,11],[88,1,88,12],[90,1,90,12],[92,7,92,11],[93,7,93,11]],"flags":["formulas_cached_only"]}
[]
["Sprawa nrZP16.PN.2019                                                                                          Załącznik nr.3/1,7"]
["FORMULARZ ASORTYMENTOWO-CENOWY"]
["(zamawiający zastrzega sobie prawo do zakupu mniejszych ilości towaru)"]
[null,"Nazwa asortymentu","dawka","postać leku","J.m.","Ilość","Uwagi","Cena jedn. Netto (zł)","Wart. netto (zł)","VAT %","VAT (zł)","Wartość brutto (zł)"]
[1,"akarboza","100 mg","tabl.","op.",4,"op.30szt"]
[2,"akarboza","50 mg","tabl.","op.",1,"op.30szt"]
[3,"alax ",null,"draż.","op.",49,"op.20szt"]
[4,"albuminian taniny","0,5 g","tabl.","op.",1,"op.20szt"]
[5,"aspargin lub podobne",null,"tabl.","op.",19,"op.50szt"]
[6,"bellergot lub podobne",null,"draż.","op.",1,"op.30szt"]
[7,"hidrasec lub podobne","30mg","saszet.","op.",13,"op16 szt,"]
[8,"bisakodyl","5 mg","tabl.","op.",1,"op.30szt"]
[9,"bisakodyl","10 mg","czopki","op.",2,"op.5szt"]
[10,"chlorek potasu","315 mg K","kaps.o przedłużonym uwalnianiu","op.",480,"op.100 szt"]
[11,"chlorek potasu","391 mg K","tabl. prolongatum","op.",7,"op. 60 szt."]
[12,"chlorek potasu","782 mg K/5 g","saszetki b/cukru","op.",1,"op.20szt 3g"]
[13,"czopki glicerynowe","1 g","czopki","op.",3,"op.10szt"]
[14,"czopki glicerynowe","2 g","czopki","op.",5,"op.10szt"]
[15,"dimenhydrynat","50 mg","tabl.","op.",16,"op.5szt"]
[16,"cyjanokobalamina","1000mcg w 2 ml","inj.","op.",3,"op.5amp"]
[17,"sulfalazyna","500 mg","tabl.dojelit.","op.",2,"op.50szt"]
[18,"gastrolit",null,"saszetki","op.",31,"op.15szt"]
[19,"gelatum aluminii phosphorici",0.045,"zawiesina","op.",12,"op.250ml"]
[20,"lakcid",null,"liofil. Doust.","op.",10,"op.50amp"]
[21,"laktuloza",null,"syrop","op.",124,"op.150ml"]
[22,"loperamid","2 mg","tabl.","op.",73,"op.30szt"]
[23,"magnez","34mg jonów magnezu/tabl.","tabl","op.",1,"op.50szt"]
[24,"tamsulozyna","0,4mg","kaps.o przedł.uwaln.","op.",50,"op.30szt"]
[25,"fenofibrat","267mg","kaps.","op.",3,"op.30szt"]
[26,"metoklopramid","10 mg","tabl.","op.",15,"op.50szt"]
[27,"metoklopramid","0,01g/2ml","inj.","op.",16,"op.5amp"]
[28,"multivitamina",null,"draż.","op.",10,"op.50szt"]
[29,"atropina","0,001 g/1ml","inj.","op.",7,"op.10amp"]
[30,"nifuroksazyd",0.04,"zawiesina","op.",12,"op.100g"]
[31,"metformina","XR 500 mg","tabl.o p/uwal.","op.",8,"op. 60 szt."]
[32,"tolperyzon","50mg","tabl.powl.","op.",5,"op.30szt"]
[33,"ornityna","0,15g","tabl.","op.",10,"op.40szt"]
[34,"calcium carbonicum","1 g","kaps.","op.",2,"op.30szt"]
[35,"witamina B2","3 mg","draż.","op.",2,"op.50szt"]
[36,"papaweryna","0,4g/2ml","inj.","op.",1,"op.10amp"]
[37,"ranitydyna","0,05%/100 ml","płyn do wlewów","op.",10,"op.100ml 1szt"]
[38,"raphacholin C lub podobne",null,"draż.","op.",1,"op.30szt"]
[39,"rutozyd + vit.C","0,025g+0,1g","tabl.","op.",200,"op.125 tabl."]
[40,"salicylan choliny","0,0871g","żel stomatologiczny","op.",9,"op.10g"]
[41,"dimetykon","50 mg","kaps.","op.",16,"op.100 szt"]
[42,"smektyn dwuoktanoscienny","3,76 g","saszetki","op.",19,"op. 30szt"]
[43,"sylimaryna","35 mg","draż.","op.",3,"op.60szt"]
[44,"sylimaryna","70 mg","draż.","op.",1,"op.30szt"]
[45,"wapń","min.116mg jonów wapnia/5ml","syrop","op.",36,"op.150g"]
[46,"wapń (glukobionian)","10%/10 ml","inj.","op.",1,"op.10amp"]
[47,"witamina A+E","30,000j+70mg","kaps.","op.",5,"op.30szt"]
[48,"witamina B complex",null,"tabl.","op.",10,"op.50szt"]
[49,"witamina B1","25 mg","tabl.","op.",1,"op.50szt"]
[50,"witamina C ","200 mg","tabl.","op.",16,"op.50szt"]
[51,"witamina C + wapń +rutyna","0,1g+0,1g+0,05g","kaps.","op.",150,"op.30szt"]
[52,"magnez","20mg jonów magnezu/tabl.","tabl","op.",113,"op.50szt"]
[53,"wapń","177 mg jonów","tabl.musuj.b/smakowe","op.",224,"op.12szt"]
[54,"węgiel aktywowany","300 mg ","tabl.","op.",5,"op.20szt"]
[55,"atropina","0,25 mg","tabl.","op.",4,"op.20szt"]
[56,"metformina","XR 750 mg","tabl.o przedłuż.uwal.","op.",24,"op.30szt"]
[57,"Dicoflor 30 lub podobne",null,"kaps.","op.",140,"op.30szt"]
[58,"metformina","500mg","tabl.powlekane","op.",21,"op. 60 szt."]
[59,"metformina","850 mg","tabl.powlekane","op.",25,"op. 60 szt."]
[60,"metformina","1 g","tabl.powlekane","op.",63,"op. 60 szt."]
[61,"metformina","XR 1g","tabl.o przedłuż.uwal.","op.",42,"op. 60 szt."]
[62,"ranitydyna","150 mg","tabl.powlekane","op.",27,"op. 60 szt."]
[63,"rectanal lub podobne","Płyn 150 ml",null,"szt.",12,"op.1szt"]
[64,"pantoprazol","20 mg","tabl.dojelit.","op.",350,"op.28szt"]
[65,"pantoprazol","40 mg","fiol.","szt.",300,"op.1fiol"]
[66,"tolperyzon","150 mg","tabl.powlekane","op.",2,"op.30szt"]
[67,"pirydoksyna","50 mg","tabl","op.",1,"op.50szt"]
[68,"chlorek potasu 15%","150mg/ml","Inj.10 ml","op.",5,"op 20 amp."]
[69,"glucagen","1mg","fiol.","szt.",4,"op,1fiol"]
[70,"pancreatinum","150mg","kaps.dojelitowe","op.",1,"op.20szt"]
[71,"nifuroksazyd","200mg","tabl.powlekane","op.",187,"op.12szt"]
[72,"omeprazol","40 mg","inj.i.v.","fiol",20,"op.1fiol"]
[73,"atorwastatyna","20 mg","tabl.","op.",90,"op.30szt"]
[74,"omeprazol","20mg","kaps.","op.",660,"op.28szt"]
[75,"rosuwastatyna","20mg","tabl.powl.","op.",110,"op.30szt"]
[76,"symwastatyna","20 mg","tabl.","op.",120,"op.28szt"]
[77,"symwastatyna","40 mg","tabl.","op.",220,"op.28szt"]
[78,"atorwastatyna","40 mg","tabl.","op.",460,"op.30szt"]
[{"$nulls":4},"Razem (zł)"]
[]
[]
[null,"SŁOWNIE (zŁ)"]
[]
[null,"Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
[null,"VAT:……………………………………………………………………………………………………………………..........................."]
[]
[null,"Brutto:…………………………………………………………………………………………………………………............................",{"$nulls":5},"………………………………………………"]
[{"$nulls":7},"Pieczęć i podpis wykonawcy"]