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{"sheet":"Ryby","index":0,"n_rows":75,"n_cols":12,"rows_kept":75,"merged":[[0,0,0,11],[1,0,1,11],[2,0,2,11],[3,0,3,11],[64,4,64,7],[65,0,65,1],[67,0,67,11],[69,0,69,11],[73,7,73,11],[74,7,74,11]],"flags":["formulas_cached_only"]}
["Załącznik nr 3/1.5               "]
["nr sprawy ZP.12.PN.2017"]
["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,"acyklowir","0,8g ","tabl.","op.",8]
[2,"acyklowir","0,2g","tabl.","op.",1]
[3,"acyklowir","0,4g","tabl.","op.",1]
[4,"amikacyna","0,25g/2ml","inj.","fiol.",10]
[5,"amikacyna","0,5g/2ml","inj.","fiol.",385]
[6,"amoksycylina","0,25g","tabl.","op.",2]
[7,"amoksycylina","0,5g","tabl.","op.",36]
[8,"amoksycylina","1,0g","tabl.","op.",32]
[9,"amoksycylina","0,75g","tabl.","op.",1]
[10,"amoksycylina","0,25g/5ml","proszek do sporz.zaw.doustnej","op.",7]
[11,"amoksycylina + kwas klawulanowy","0,25g+0,125g","tabl.","op.",1]
[12,"amoksycylina+kwas klawulanowy","0,5g+0,125g","tabl.","op.",23,"op.14tabl."]
[13,"amoksycylina+kwas klawulanowy","0,875g+0,125g","tabl.","op.",128]
[14,"amoksycylina+kwas klawulanowy","0,4g+0,057g/5ml","proszek do sporz.zaw.doustnej","op.",31,"op.140ml"]
[15,"kloksacylina","500 mg","tabl.powl.","op.",13]
[16,"kloksacylina","1 g","fiol.","szt.",10]
[17,"amoksycylina+kwas klawulanowy","1g+0,2g","proszek do sporz.rozt. do wstrz. i wlewów krop","op.",100,"op.1fiol."]
[18,"cefadroksyl","0,25g/5ml","proszek do sporz.zaw.doustnej","op.",1,"op.po 60ml"]
[19,"cefaklor","0,25g/5ml","proszek do sporz.zaw.doustnej","op.",1]
[20,"ceftriakson","1 g","inj.","fiol.",2629]
[21,"cefuroksym","0,75g","inj.","fiol.",10]
[22,"cefuroksym","0,125g/5ml","proszek do sporz.zaw.doustnej","op.",1]
[23,"cefuroksym","0,25g/5ml","proszek do sporz.zaw.doustnej","op.",3]
[24,"cefuroksym","0,25g","tabl.","op.",8]
[25,"cefuroksym","0,5g","tabl.","op.",50]
[26,"lincomycyn","600mg/2ml","inj.","fiol.",10]
[27,"cyprofloksacyna","100mg/10ml","inj.","op.",1]
[28,"cyprofloksacyna","0,5g","tabl.","op.",65]
[29,"doksycyklina","0,1g","kaps.","op.",26]
[30,"gentamycyna","0,04g/1ml","inj.","op.",125,"i.m.i.v."]
[31,"gentamycyna","0,08g/2ml","inj.","op.",9,"i.m.i.v."]
[32,"inozyna pranobeks","0,5g","tabl.","op.",56]
[33,"ketokonazol","0,2g","tabl.","op.",1,"op a 10 szt."]
[34,"klarytromycyna","0,5g","tabl.","op.",10]
[35,"klarytromycyna","0,25g/5ml","proszek do sporz.zaw.doustnej","op.",18,"op. 100ml"]
[36,"klarytromycyna","0,125g/5ml","proszek do sporz.zaw.doustnej","op.",1,"op.100ml"]
[37,"klarytromycyna","0,25g","tabl.","op.",3,"op.14tabl."]
[38,"klindamycyna","0,3g","tabl.powlekane","op.",21]
[39,"klindamycyna","0,3g/2ml","inj.","fiol.",20]
[40,"klindamycyna","0,6g/2ml","inj.","fiol.",140,"Op 5 amp,"]
[41,"kwas pipemidowy","0,2g","kaps.","op.",1]
[42,"metronidazol","0,25g","tabl.","op.",72]
[43,"penicylina fenoksymetylowa","1,5 mln jedn.","tabl.","op.",75,"op a12szt"]
[44,"penicylina fenoksymetylowa","1 mln jedn.","tabl.","op.",1,"op.a 12szt"]
[45,"sulfametoksazol+trimetoprim","480mg/5ml","inj.","op.",21]
[46,"sulfametoksazol+trimetoprim","0,8g+0,16g","tabl.","op.",80]
[47,"sulfametoksazol+trimetoprim","0,4g+0,08g","tabl.","op.",1]
[48,"sulfametoksazol+trimetoprim","0,2g+0,04g/5ml","zaw.doustna","op.",3]
[49,"cefadroksyl","0,5 g","kaps.","op.",1]
[50,"ceftazydym","1 g.","inj.","op.",10]
[51,"cyprofloksacyna","200mg/100ml","wlew dożylny","fl.",680]
[52,"Ampicylina + sulbaktam","1,5g","inj.","fiol.",10]
[53,"sultamycylina","0,375g","tabl.powl.","op.",1]
[54,"ryfaksymina","200mg","tabl.powlekane","op.",24,"op a 14 szt."]
[55,"norfloksacyna","0,4g","tabl.","op.",12]
[56,"inozyna pranobeks","50mg/ml","syrop","op.",30]
[57,"kolistyna","1000000 j.m.","fiol.","szt.",1,"op a 20fiol"]
[58,"penicyllinum crystallisatum","3000000 j.m.","fiol.","szt.",10]
[59,"penicylina fenoksymetylowa","750000jm/5ml","zaw.doustna","op.",10,"op.150ml,"]
[{"$nulls":4},"Razem (zł)"]
["SŁOWNIE (zŁ)"]
[]
["Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
["VAT:……………………………………………………………………………………………………………………..........................."]
[]
["Brutto:…………………………………………………………………………………………………………………............................"]
[]
[{"$nulls":7},"………………………………………………"]
[{"$nulls":7},"Pieczęć i podpis wykonawcy"]