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{"sheet":"Ryby","index":0,"n_rows":111,"n_cols":12,"rows_kept":111,"merged":[[0,0,0,11],[1,0,1,11],[2,0,2,11],[3,0,3,11],[100,4,100,7],[101,0,101,1],[103,0,103,11],[105,0,105,11],[109,7,109,11],[110,7,110,11]],"flags":["formulas_cached_only"]}
["Załącznik nr 3/1.11               "]
["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,"chloropromazyna",{"v":0.04,"d":"4%"},"krople doustne","op.",1,"op.po 10ml."]
[2,"difenhydramina+nafazolina+kwas borowy","1mg+0,33mg+19mg/ml","krople oczne","op.",1]
[3,"doksepina","10mg","kaps.","op.",1]
[4,"doksepina","25mg","kaps.","op.",1]
[5,"gentamycyna+deksametazon","0,5+0,03%","maść oczna","op.",7]
[6,"gentamycyna",{"v":0.003,"d":"0.30%"},"krople oczne","op.",13]
[7,"hydrokortyzon+oksytetracyklina","10mg+10mg/1g","maść oczna","op.",1]
[8,"hydroksyzyna","10mg","tabl.","op.",75]
[9,"hydroksyzyna","25mg","tabl.","op.",376]
[10,"hydroksyzyna",{"v":0.002,"d":"0.20%"},"syrop","op.",16]
[11,"kromoglikan disodowy",{"v":0.02,"d":"2%"},"krople oczne","op.",9]
[12,"kwas acetylosalicylowy","0,5g","tabl.dojelitowe","op.",1]
[13,"kwas acetylosalicylowy","0,3g","tabl.","op.",1]
[14,"lidokaina",{"v":0.02,"d":"2%"},"żel","op.",1,"typ A"]
[15]
[16,"lidokaina",{"v":0.02,"d":"2%"},"roztwór do wstrzykiwań","fiol.",1,"fiolki po 50 ml"]
[17,"metamizol","0,5g","tabl.","op.",298]
[18,"metamizol","2,5g/5ml","inj.","op.",11]
[19,"metamizol","1g/2ml","inj.","op.",1]
[20,"milocardin lub podobne","0,3g+0,3g+ 0,021g+ 0,003g+7,2g/15ml","krople doustne","op.",1]
[21,"neomycyna",{"v":0.005,"d":"0.50%"},"maść oczna","op.",3]
[22,"lorazepam","2,5 mg","tabl.","op.",1]
[23,"neomycyna+gramicydyna+ fludrokortyzon","2,5mg+0,25mg+1mg/1ml","zaw.do oczu i uszu","op.",30]
[24,"opipramol","50mg","tabl.","op.",4]
[25,"paracetamol","0,5g","tabl.","op.",12,"Op 20 szt. "]
[26,"paracetamol","0,12g/5ml","syrop/zaw.doustna","op.",10]
[27,"paracetamol","0,25g","czopki","op.",2]
[28,"paracetamol","0,5g","czopki","op.",1]
[29,"paracetamol","0,125 g","czopki","op.",1]
[30,"piracetam","1,2g","tabl.","op.",9,"op.60szt"]
[31,"piracetam","0,8g","tabl.","op.",7,"op.60szt"]
[32,"piracetam","1g/5ml","inj.","op.",1]
[33,"promazyna","0,025g","tabl.","op.",1]
[34,"salicylamid+vit.C+rutozyd","0,3g+0,1g+0,005g","tabl.","op.",1]
[35,"salicylan choliny",{"v":0.2,"d":"20%"},"krople do uszu","op.",4]
[36,"sulfacetamid",{"v":0.1,"d":"10%"},"krople oczne","op.",30,"op.12szt"]
[37,"diazepam","5mg/2,5ml,","wlewki ","op.",1]
[38,"tramadol","0,05g","kaps.","op.",614]
[39,"tramadol","0,1g/2ml","inj.","op.",1]
[40,"tramadol","0,1g","tabl.prol.","op.",12,"op.po 30szt."]
[41,"winpocetyna","5mg","tabl.","op.",65]
[42,"lidokaina",{"v":0.02,"d":"2%"},"żel","op.",4,"typ U"]
[43,"oxytetracyklina+polimiksyna+hydrokortizon","(5mg+10000j.m+15 mg)/ml","krople do oczu i\nuszu,zawiesina","op.",1]
[44,"deksapantenol","0,25g/5g","żel do oczu","op.",1]
[45,"walerianian mentolu","3,25g/5g","krople doustne","op.",1]
[46,"walerianian mentolu","60 mg","tabl.do ssania","op.",1]
[47,"perazyna","25 mg","tabl.","op.",2]
[48,"perazyna","100 mg","tabl.","op.",1]
[49,"paracetamol","0,5g","tab","op.",342,"op.50 szt"]
[50,"karbamazepina","200mg","tab","op.",1]
[51,"karbamazepina","200mg","tab. zmod.uwal","op.",1]
[52,"karbamazepina","400mg","tab. zmod.uwal","op.",1]
[53,"amitryptylina","25mg","tab.powl.","op.",1]
[54,"haloperydol","1mg","tabl.","op.",1]
[55,"haloperydol","2mg/ml","krople doustne","op.",1,"op.10ml"]
[56,"haloperydol","5mg/ml","inj.","op.",1]
[57,"diazepam","0,01g/2ml","inj.","op.",5]
[58,"diazepam","2mg","tabl.","op.",4]
[59,"dihydroergotamina","0,002g/ml","krople doustne","op.",1]
[60,"estazolam","2mg","tabl.","op.",267]
[61,"fenobarbital","0,015g","czopki","op.",1]
[62,"fluoksetyna","10mg","tabl.","op.",1]
[63,"fluoksetyna","20mg","tabl.","op.",1]
[64,"klorazepan dipotasowy","10mg","kaps.","op.",5]
[65,"klorazepan dipotasowy","5mg","kaps.","op.",33]
[66,"temazepam","10mg","tabl.","op.",2]
[67,"diazepam","5mg","tabl.","op.",12]
[68,"alprazolam","1 mg","tab","op.",1]
[69,"mianseryna","10mg","tab.powl.","op.",1]
[70,"mianseryna","30mg","tab.powl.","op.",1]
[71,"mianseryna","60mg","tab.powl.","op.",1]
[72,"węglan litu","250mg","tab","op.",1]
[73,"mirtazapina","30mg","tab.powl.","op.",1]
[74,"olanzapina","5mg","tab.powl.","op.",1]
[75,"rysperydon","2mg","tab.powl.","op.",1]
[76,"rysperydon","1 mg","tab.powl.","op.",2]
[77,"sulpiryd","50mg","kaps.","op.",1]
[78,"sulpiryd","100mg","kaps.","op.",1]
[79,"zopiklon","7,5mg","tab.powl.","op.",1]
[80,"zolpidem","10mg","tab.powl.","op.",1,"op.20szt"]
[81,"fluwoksamina","100mg","tab.powl.","op.",1]
[82,"paroksetyna","20mg","tab.powl.","op.",1]
[83,"sertralina","50mg","tab.powl.","op.",1]
[84,"sertralina","100mg","tab.powl.","op.",1]
[85,"wenlafaksyna","75mg","kaps.o przed.uw.","op.",1]
[86,"flupentyksol","0,5mg","draż,","op.",1]
[87,"trazodon","150mg","tab.o przed.uwal.","op.",1]
[88,"alprazolam","0,5mg","tab","op.",1]
[89,"klomipramina","75mg","tab.o przed.uwal.","op.",1]
[90,"chlorprotyksen","15mg","tab.powl.","op.",1]
[91,"chlorprotyksen","50mg","tab.powl.","op.",1]
[92,"cytalopram","20mg","tab.powl.","op.",19]
[93,"prydynol","5mg","tab","op.",1]
[94,"moklobemid","150mg","tab.powl.","op.",1]
[95,"biperyden","5mg/ml","inj.","op.",1]
[{"$nulls":4},"Razem (zł)"]
["SŁOWNIE (zŁ)"]
[]
["Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
["VAT:……………………………………………………………………………………………………………………..........................."]
[]
["Brutto:…………………………………………………………………………………………………………………............................"]
[]
[{"$nulls":7},"………………………………………………"]
[{"$nulls":7},"Pieczęć i podpis wykonawcy"]