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{"sheet":"Ryby","index":0,"n_rows":91,"n_cols":12,"rows_kept":91,"merged":[[0,0,0,11],[1,0,1,11],[2,0,2,11],[3,0,3,11],[80,4,80,7],[81,0,81,1],[83,0,83,11],[85,0,85,11],[87,0,87,6],[89,7,89,11],[90,7,90,11]],"flags":["formulas_cached_only"]}
["Załącznik nr 3/1.7               "]
["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,"akarboza","100 mg","tabl.","op.",13]
[2,"akarboza","50 mg","tabl.","op.",2]
[3,"alax ",null,"draż.","op.",138]
[4,"albuminian taniny","0,5 g","tabl.","op.",1]
[5,"aspargin lub podobne",null,"tabl.","op.",27]
[6,"bellergot lub podobne",null,"draż.","op.",1]
[7,"algeldrat","340mg w 5ml","zawiesina doustna","op.",1]
[8,"bisakodyl","5 mg","tabl.","op.",1,"op.250ml"]
[9,"bisakodyl","10 mg","czopki","op.",15]
[10,"chlorek potasu","315 mg K","kaps.o przedłużonym uwalnianiu","op.",277]
[11,"chlorek potasu","391 mg K","tabl. prolongatum","op.",1,"op.100 szt"]
[12,"chlorek potasu","782 mg K/5 g","saszetki","op.",1,"tabl. powlekane "]
[13,"cocarboxylaza","50 mg","inj.","op.",1,"bez cukru"]
[14,"czopki glicerynowe","1 g","czopki","op.",2]
[15,"czopki glicerynowe","2 g","czopki","op.",16]
[16,"dimenhydrynat","50 mg","tabl.","op.",5]
[17,"cyjanokobalamina","1000mcg w 2 ml","inj.","op.",1]
[18,"nikotynamid","50mg","tabl.","op.",1]
[19,"sulfalazyna","500 mg","tabl.dojelit.","op.",7]
[20,"gastrolit",null,"saszetki","op.",11]
[21,"gelatum aluminii phosphorici",0.045,"zawiesina","op.",18]
[22,"lakcid",null,"liofil. Doust.","op.",4]
[23,"laktuloza",null,"syrop","op.",143,"op.50amp"]
[24,"loperamid","2 mg","tabl.","op.",52,"op.150ml"]
[25,"magnez","34mg jonów magnezu/tabl.","tabl","op.",1,"op.30tab"]
[26,"tamsulozyna","0,4mg","caps.o przedł.uwaln.","op.",55]
[27,"fenofibrat","267mg","caps.","op.",5]
[28,"metoklopramid","10 mg","tabl.","op.",28]
[29,"metoklopramid","0,01g/2ml","inj.","op.",20]
[30,"multivitamina",null,"draż.","op.",6]
[31,"atropina","0,001 g/1ml","inj.","op.",1]
[32,"nifuroksazyd",0.04,"zawiesina","op.",18]
[33,"nutriplant lub podobne","prep.zloz.","kaps.","op.",1]
[34,"nystatyna","500,000j","draż.","op.",27]
[35,"nystatyna","100,000j./ml","zawiesina","op.",1]
[36,"ornityna","0,15g","tabl.","op.",125]
[37,"calcium carbonicum","1 g","kaps.","op.",6]
[38,"witamina B2","3 mg","draż.","op.",9]
[39,"papaweryna","0,4g/2ml","inj.","op.",1]
[40,"ranitydyna","0,05%/100 ml","płyn do wlewów","op.",10]
[41,"raphacholin C lub podobne",null,"draż.","op.",1]
[42,"rutozyd + vit.C","0,025g+0,1g","tabl.","op.",298]
[43,"salicylan choliny","0,0871g","żel stomatologiczny","op.",14,"op.90tab"]
[44,"dimetykon","50 mg","kaps.","op.",20]
[45,"smektyn dwuoktanoscienny","3,76 g","saszetki","op.",22,"op.100 szt"]
[46,"sylimaryna","35 mg","draż.","op.",1,"op. 30szt"]
[47,"sylimaryna","70 mg","draż.","op.",1]
[48,"wapń","min.116mg jonów wapnia/5ml","syrop","op.",39]
[49,"wapń (glukobionian)","10%/10 ml","inj.","op.",2]
[50,"witamina A+E","30,000j+70mg","kaps.","op.",13,"op.10amp"]
[51,"witamina B complex",null,"tabl.","op.",12]
[52,"witamina B1","25 mg","tabl.","op.",1]
[53,"witamina C ","100 mg","tabl.","op.",2]
[54,"witamina C ","200 mg","tabl.","op.",24]
[55,"witamina C + wapń +rutyna","0,1g+0,1g+0,05g","kaps.","op.",83]
[56,"magnez","20mg jonów magnezu/tabl.","tabl","op.",266]
[57,"wapń","177 mg jonów","tabl.musuj.","op.",276]
[58,"węgiel aktywowany","300 mg ","tabl.","op.",4,"b/smakowe"]
[59,"atropina","0,25 mg","tabl.","op.",1]
[60,"metformina","XR 750 mg","tabl.o przedłuż.uwal.","op.",44]
[61,"Dicoflor 30 lub podobne",null,"kaps.","op.",120]
[62,"floridral",null,"saszetki","op.",1,"op.zaw.30kaps."]
[63,"metformina","500mg","tabl.powlekane","op.",9]
[64,"metformina","850 mg","tabl.powlekane","op.",46,"op. 60 szt."]
[65,"metformina","1 g","tabl.powlekane","op.",33,"op. 60 szt."]
[66,"metformina","XR 1g","tabl.o przedłuż.uwal.","op.",14,"op. 60 szt."]
[67,"ranitydyna","150 mg","tabl.powlekane","op.",34,"op. 60 szt."]
[68,"rectanal lub podobne","Płyn 150 ml",null,"szt.",20,"op. 60 szt."]
[69,"pantoprazol","20 mg","tabl.dojelit.","op.",250]
[70,"pantoprazol","40 mg","fiol.","szt.",61]
[71,"tolperyzon","150 mg","tabl.powlekane","op.",2]
[72,"pirydoksyna","50 mg","tabl","op.",1]
[73,"chlorek potasu 15%","150mg/ml","Inj.10 ml","op.",3]
[74,"glucagen","1mg","fiol.","szt.",3,"op 20 amp."]
[75,"pancreatinum","150mg","kaps.dojelitowe","op.",1]
[{"$nulls":4},"Razem (zł)"]
["SŁOWNIE (zŁ)"]
[]
["Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
["VAT:……………………………………………………………………………………………………………………..........................."]
[]
["Brutto:…………………………………………………………………………………………………………………............................"]
[]
[{"$nulls":7},"………………………………………………"]
[{"$nulls":7},"Pieczęć i podpis wykonawcy"]