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{"sheet":"Pakiet 6","index":0,"n_rows":50,"n_cols":11,"rows_kept":50,"merged":[[0,0,0,10],[1,0,1,10],[2,0,2,10],[3,0,3,10],[48,7,48,10],[49,7,49,10]],"flags":["formulas_cached_only"]}
[]
["Sprawa nr.ZP.16.PN.2018                                                                                                                                                                                                                                           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.",5,"op.30 szt."]
[3,"amiodaron","0,15g/3ml","inj.","op.",75,"op.6 amp."]
[4,"amiodaron","0,2 g","tabl.","op.",90,"op.30 szt."]
[5,"atenolol","25 mg","tabl.","op.",1,"op.60 szt."]
[6,"dekstrometorfan","15 mg","tabl.","op.",545,"op.20 szt."]
[7,"atenolol","50mg","tabl.","op.",1,"op.30 szt."]
[8,"adenozyna","6mg/2ml","inj.","op.",1,"op.6 fiol."]
[9,"acetylocysteina","0,6g","sasz.do rozp.","op.",1,"op 20 sasz."]
[10,"acetylocysteina","0,2g","sasz.do rozp.","op.",1,"op 20 sasz."]
[11,"dekstrometorfan","0,15g/100ml","syrop junior","op.",25,"op.100 ml"]
[12,"drotaweryna","40 mg","tabl.","op.",50,"op.20 szt."]
[13,"drotaweryna","80 mg","tabl.","op.",61,"op.20 szt."]
[14,"drotaweryna","0,04g/2ml","inj.","op.",6,"op.5 amp."]
[15,"sulfonian polistyrenu A","proszek",null,"op.",2,"op.454g."]
[16,"betaksolol","20 mg","tabl.powlekane","op.",90,"op.28szt"]
[17,"monoazotan izosorbidu","10 mg","tabl.","op.",2,"op.60 szt."]
[18,"monoazotan izosorbidu","20 mg ","tabl.","op.",4,"op.60 szt."]
[19,"monoazotan izosorbidu","60 mg","tabl.","op.",4,"op.30 szt."]
[20,"monoazotan izosorbidu","100 mg ","tabl.","op.",6,"op.30 szt."]
[21,"kwas traneksamowy","500mg/5ml","amp.","op.",25,"op.5amp"]
[22,"sól sodowa enoksaparyny","40 mg","amp.strzyk.","op.",59,"op,10amp.strzyk"]
[23,"sól sodowa enoksaparyny","60  mg","amp.strzyk.","op.",274,"op,10amp.strzyk"]
[24,"sól sodowa enoksaparyny","80mg","amp.strzyk.","op.",363,"op,10amp.strzyk"]
[25,"sotalol","40mg","tabl.","op.",18,"op.60 szt."]
[26,"sotalol","80mg","tabl.","op.",55,"op.30 szt."]
[27,"klopidogrel","75mg","tabl.powl.","op.",376,"op.28tabl."]
[28,"ramipryl","2,5mg","tabl.","op.",10,"op.28 tabl."]
[29,"ramipryl","5 mg","tabl.","op.",10,"op.28 tabl."]
[30,"ramipryl","10 mg ","tabl.","op.",10,"op.28 tabl."]
[31,"glimepiryd","1 mg","tabl.","op.",1,"op,30tabl."]
[32,"glimepiryd","2 mg","tabl.","op.",13,"op,30tabl."]
[33,"glimepiryd","3 mg","tabl.","op.",1,"op,30tabl."]
[34,"glimepiryd","4 mg","tabl.","op.",19,"op,30tabl."]
[{"$nulls":6},"Razem (zł)"]
[]
["SŁOWNIE (zŁ)"]
[]
["Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
["VAT:……………………………………………………………………………………………………………………..........................."]
[]
["Brutto:…………………………………………………………………………………………………………………............................"]
[{"$nulls":7},"………………………………………………"]
[{"$nulls":7},"Pieczęć i podpis wykonawcy"]