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{"sheet":"Pakiet 6","index":0,"n_rows":46,"n_cols":11,"rows_kept":46,"merged":[[0,0,0,10],[1,0,1,10],[2,0,2,10],[3,0,3,10],[36,4,36,7],[44,7,44,10],[45,7,45,10]],"flags":["formulas_cached_only"]}
[]
["Sprawa nr ZP.PN.16.2019                                                                                                                                       Załacznik nr.3/6"]
["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)","Wartość VAT","Wartość brutto (zł)"]
[1,"sól sodowa kwasu walproinowego+kwas walproinowy","200mg+87 mg","tabl.powl.o przedłuż.uwalnianiu","op.",5,"op.30 szt."]
[2,"sól sodowa kwasu walproinowego+kwas walproinowy","333mg+145mg","tabl.powl.o przedłuż.uwalnianiu","op.",9,"op.30 szt."]
[3,"amiodaron","0,15g/3ml","inj.","op.",65,"op.6 amp."]
[4,"amiodaron","0,2 g","tabl.","op.",80,"op.30 szt."]
[5,"dekstrometorfan","15 mg","tabl.","op.",300,"op.20 szt."]
[6,"adenozyna","6mg/2ml","inj.","op.",2,"op.6 fiol."]
[7,"dekstrometorfan","0,15g/100ml","syrop junior","op.",25,"op.100 ml"]
[8,"drotaweryna","40 mg","tabl.","op.",45,"op.20 szt."]
[9,"drotaweryna","80 mg","tabl.","op.",86,"op.20 szt."]
[10,"drotaweryna","0,04g/2ml","inj.","op.",17,"op.5 amp."]
[11,"sulfonian polistyrenu A","proszek",null,"op.",2,"op.454g."]
[12,"betaksolol","20 mg","tabl.powlekane","op.",97,"op.28szt"]
[13,"monoazotan izosorbidu","10 mg","tabl.","op.",11,"op.60 szt."]
[14,"monoazotan izosorbidu","20 mg ","tabl.","op.",2,"op.60 szt."]
[15,"monoazotan izosorbidu","60 mg","tabl.","op.",4,"op.30 szt."]
[16,"monoazotan izosorbidu","100 mg ","tabl.","op.",6,"op.30 szt."]
[17,"kwas traneksamowy","500mg/5ml","amp.","op.",20,"op.5amp"]
[18,"sól sodowa enoksaparyny","40 mg","amp.strzyk.","op.",50,"op,10amp.strzyk"]
[19,"sól sodowa enoksaparyny","60  mg","amp.strzyk.","op.",250,"op,10amp.strzyk"]
[20,"sól sodowa enoksaparyny","80mg","amp.strzyk.","op.",300,"op,10amp.strzyk"]
[21,"sotalol","40mg","tabl.","op.",15,"op.60 szt."]
[22,"sotalol","80mg","tabl.","op.",34,"op.30 szt."]
[23,"klopidogrel","75mg","tabl.powl.","op.",360,"op.28tabl."]
[24,"ramipryl","2,5mg","tabl.","op.",25,"op.28 tabl."]
[25,"ramipryl","5 mg","tabl.","op.",65,"op.28 tabl."]
[26,"ramipryl","10 mg ","tabl.","op.",30,"op.28 tabl."]
[27,"klopidogrel","300mg","tabl.powl.","op.",5,"op.30 tabl."]
[28,"glimepiryd","2 mg","tabl.","op.",17,"op,30tabl."]
[29,"glimepiryd","3 mg","tabl.","op.",1,"op,30tabl."]
[30,"glimepiryd","4 mg","tabl.","op.",8,"op,30tabl."]
[31,"ambroksol","0,015mg/2ml","płyn do inhalacji z nebulizatora","op.",70,"op.100 ml"]
[{"$nulls":4},"Razem (zł)"]
["SŁOWNIE (zŁ)"]
[]
["Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
["VAT:……………………………………………………………………………………………………………………..........................."]
[]
["Brutto:…………………………………………………………………………………………………………………............................"]
[{"$nulls":7},"………………………………………………"]
[{"$nulls":7},"Pieczęć i podpis wykonawcy"]