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{"sheet":"1.11","index":0,"n_rows":110,"n_cols":12,"rows_kept":110,"merged":[[0,0,0,11],[1,0,1,11],[2,0,2,11],[3,0,3,11],[99,4,99,7],[100,0,100,1],[102,0,102,11],[104,0,104,11],[108,7,108,11],[109,7,109,11]],"flags":["formulas_cached_only"]}
[]
["Sprawa nr.ZP.16.PN.2018                                                                                                                                                                                                                                                  Załącznik nr.3/1,11"]
["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,"chloropromazyna",{"v":0.04,"d":"4%"},"krople doustne","op.",1,"op. 10g"]
[2,"difenhydramina+nafazolina+kwas borowy","1mg+0,33mg+19mg/ml","krople oczne","op.",1,"op,10ml"]
[3,"doksepina","10mg","kaps.","op.",1,"op.30szt"]
[4,"doksepina","25mg","kaps.","op.",1,"op.30szt"]
[5,"gentamycyna+deksametazon","0,5+0,03%","maść oczna","op.",10,"op.3g"]
[6,"gentamycyna",{"v":0.003,"d":"0.30%"},"krople oczne","op.",22,"op.5ml"]
[7,"hydrokortyzon+oksytetracyklina","10mg+10mg/1g","maść oczna","op.",1,"op.3g"]
[8,"hydroksyzyna","10mg","tabl.","op.",58,"op.30szt"]
[9,"hydroksyzyna","25mg","tabl.","op.",400,"op.30szt"]
[10,"hydroksyzyna",{"v":0.002,"d":"0.20%"},"syrop","op.",23,"op.250g"]
[11,"kromoglikan disodowy",{"v":0.02,"d":"2%"},"krople oczne","op.",14,"op,10ml"]
[12,"kwas acetylosalicylowy","0,5g","tabl.dojelitowe","op.",1,"op.10szt"]
[13,"kwas acetylosalicylowy","0,3g","tabl.","op.",1,"op.10szt"]
[14,"lidokaina typA",{"v":0.02,"d":"2%"},"żel","op.",1,"op.30g"]
[15,"lidokaina",{"v":0.02,"d":"2%"},"roztwór do wstrzykiwań","op.",2,"fiolki  50 ml  op.5 fiol."]
[16,"metamizol","0,5g","tabl.","op.",433,"op.12szt"]
[17,"metamizol","2,5g/5ml","inj.","op.",5,"op.5amp"]
[18,"metamizol","1g/2ml","inj.","op.",1,"op.5amp"]
[19,"milocardin lub podobne","0,3g+0,3g+ 0,021g+ 0,003g+7,2g/15ml","krople doustne","op.",1,"op.15g"]
[20,"neomycyna",{"v":0.005,"d":"0.50%"},"maść oczna","op.",1,"op.3g"]
[21,"lorazepam","2,5 mg","tabl.","op.",1,"op.25szt"]
[22,"neomycyna+gramicydyna+ fludrokortyzon","2,5mg+0,25mg+1mg/1ml","zaw.do oczu i uszu","op.",30,"op.5ml"]
[23,"opipramol","50mg","tabl.","op.",13,"op.20szt"]
[24,"paracetamol","0,5g","tabl.","op.",3,"op 20 szt. "]
[25,"paracetamol","0,12g/5ml","syrop/zaw.doustna","op.",25,"op.150g"]
[26,"paracetamol","0,25g","czopki","op.",3,"op.10szt"]
[27,"paracetamol","0,5g","czopki","op.",2,"op.10szt"]
[28,"paracetamol","0,125 g","czopki","op.",1,"op.10szt"]
[29,"piracetam","1,2g","tabl.","op.",11,"op.60szt"]
[30,"piracetam","0,8g","tabl.","op.",6,"op.60szt"]
[31,"piracetam","1g/5ml","inj.","op.",2,"op.12amp"]
[32,"promazyna","0,025g","tabl.","op.",1,"op.60szt"]
[33,"salicylamid+vit.C+rutozyd","0,3g+0,1g+0,005g","tabl.","op.",1,"op.20szt"]
[34,"salicylan choliny",{"v":0.2,"d":"20%"},"krople do uszu","op.",3,"op.10g"]
[35,"sulfacetamid",{"v":0.1,"d":"10%"},"krople oczne","op.",35,"op.12szt"]
[36,"diazepam","5mg/2,5ml,","wlewki ","op.",1,"op.5szt"]
[37,"tramadol","0,05g","kaps.","op.",531,"op.20szt"]
[38,"tramadol","0,1g/2ml","inj.","op.",16,"op.5amp"]
[39,"tramadol","0,1g","tabl.prol.","op.",3,"op. 30szt."]
[40,"winpocetyna","5mg","tabl.","op.",81,"op.50 szt"]
[41,"lidokaina typ U",{"v":0.02,"d":"2%"},"żel","op.",4,"op.30g"]
[42,"oxytetracyklina+polimiksyna+hydrokortizon","(5mg+10000j.m+15 mg)/ml","krople do oczu i\nuszu,zawiesina","op.",1,"op.5ml"]
[43,"deksapantenol","0,25g/5g","żel do oczu","op.",1,"op.5g"]
[44,"walerianian mentolu","3,25g/5g","krople doustne","op.",1,"op.5g"]
[45,"walerianian mentolu","60 mg","tabl.do ssania","op.",1,"op.10szt"]
[46,"perazyna","25 mg","tabl.","op.",18,"op.20szt"]
[47,"perazyna","100 mg","tabl.","op.",4,"op.30szt"]
[48,"paracetamol","0,5g","tab","op.",478,"op.50 szt"]
[49,"karbamazepina","200mg","tab","op.",2,"op.50 szt"]
[50,"karbamazepina","200mg","tab. zmod.uwal","op.",1,"op.50 szt"]
[51,"karbamazepina","400mg","tab. zmod.uwal","op.",1,"op.50 szt"]
[52,"amitryptylina","25mg","tab.powl.","op.",1,"op.50 szt"]
[53,"haloperydol","1mg","tabl.","op.",6,"op.40szt"]
[54,"haloperydol","2mg/ml","krople doustne","op.",1,"op.10ml"]
[55,"haloperydol","5mg/ml","inj.","op.",1,"op.10amp"]
[56,"diazepam","0,01g/2ml","inj.","op.",1,"op,5amp"]
[57,"diazepam","2mg","tabl.","op.",1,"op.20szt"]
[58,"dihydroergotamina","0,002g/ml","krople doustne","op.",1,"op.15g"]
[59,"estazolam","2mg","tabl.","op.",226,"op.20szt"]
[60,"fenobarbital","0,015g","czopki","op.",1,"op.10szt"]
[61,"fluoksetyna","10mg","tabl.","op.",1,"op.28szt"]
[62,"fluoksetyna","20mg","tabl.","op.",1,"op.30szt"]
[63,"klorazepan dipotasowy","10mg","kaps.","op.",8,"op.30szt"]
[64,"klorazepan dipotasowy","5mg","kaps.","op.",29,"op.30szt"]
[65,"temazepam","10mg","tabl.","op.",1,"op.20szt"]
[66,"diazepam","5mg","tabl.","op.",10,"op.20szt"]
[67,"alprazolam","1 mg","tab","op.",1,"op.30szt"]
[68,"mianseryna","10mg","tab.powl.","op.",1,"op.30szt"]
[69,"mianseryna","30mg","tab.powl.","op.",1,"op.30szt"]
[70,"mianseryna","60mg","tab.powl.","op.",1,"op.30szt"]
[71,"węglan litu","250mg","tab","op.",1,"op.60szt"]
[72,"mirtazapina","30mg","tab.powl.","op.",2,"op.30szt"]
[73,"olanzapina","5mg","tab.powl.","op.",1,"op.30szt"]
[74,"rysperydon","2mg","tab.powl.","op.",1,"op.20szt"]
[75,"rysperydon","1 mg","tab.powl.","op.",1,"op.20szt"]
[76,"sulpiryd","50mg","kaps.","op.",1,"op.24szt"]
[77,"sulpiryd","100mg","kaps.","op.",1,"op.24szt"]
[78,"zopiklon","7,5mg","tab.powl.","op.",1,"op.20szt"]
[79,"zolpidem","10mg","tab.powl.","op.",1,"op.20szt"]
[80,"fluwoksamina","100mg","tab.powl.","op.",1,"op.30szt"]
[81,"paroksetyna","20mg","tab.powl.","op.",1,"op.30szt"]
[82,"sertralina","50mg","tab.powl.","op.",1,"op.28szt"]
[83,"sertralina","100mg","tab.powl.","op.",1,"op.28szt"]
[84,"wenlafaksyna","75mg","kaps.o przed.uw.","op.",1,"op.28szt"]
[85,"flupentyksol","0,5mg","draż,","op.",1,"op.50 szt"]
[86,"trazodon","150mg","tab.o przed.uwal.","op.",1,"op.20szt"]
[87,"alprazolam","0,5mg","tab","op.",1,"op.30szt"]
[88,"klomipramina","75mg","tab.o przed.uwal.","op.",1,"op.20szt"]
[89,"chlorprotyksen","15mg","tab.powl.","op.",1,"op.50 szt"]
[90,"chlorprotyksen","50mg","tab.powl.","op.",1,"op.50 szt"]
[91,"cytalopram","20mg","tab.powl.","op.",28,"op.28szt"]
[92,"prydynol","5mg","tab","op.",1,"op.50 szt"]
[93,"moklobemid","150mg","tab.powl.","op.",1,"op.30szt"]
[94,"biperyden","5mg/ml","inj.","op.",1,"op.5amp"]
[{"$nulls":4},"Razem (zł)"]
["SŁOWNIE (zŁ)"]
[]
["Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
["VAT:……………………………………………………………………………………………………………………..........................."]
[]
["Brutto:…………………………………………………………………………………………………………………............................"]
[]
[{"$nulls":7},"………………………………………………"]
[{"$nulls":7},"Pieczęć i podpis wykonawcy"]