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{"sheet":"Ryby","index":0,"n_rows":64,"n_cols":12,"rows_kept":64,"merged":[[0,0,0,11],[1,0,1,11],[2,0,2,11],[3,0,3,11],[62,7,62,11],[63,7,63,11]],"flags":["formulas_cached_only"]}
["Załącznik nr 3/6               "]
["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)","Wartość VAT","Wartość \nbrutto \nw zł.","Wartość brutto (zł)"]
[1,"sól sodowa kwasu walproinowego+kwas walproinowy","200mg+87 mg","tabl.powl.o przedłuż.uwalnianiu","op.",8]
[2,"sól sodowa kwasu walproinowego+kwas walproinowy","333mg+145mg","tabl.powl.o przedłuż.uwalnianiu","op.",7]
[3,"amiodaron","0,15g/3ml","inj.","op.",79]
[4,"amiodaron","0,2 g","tabl.","op.",97]
[5,"atenolol","25 mg","tabl.","op.",1]
[6,"dekstrometorfan","15 mg","tabl.","op.",264]
[7,"amlodypina","5 mg","tabl.","op.",50]
[8,"amlodypina","10 mg","tabl.","op.",50]
[9,"atenolol","50mg","tabl.","op.",1]
[10,"adenozyna","6mg/2ml","inj.","op.",1]
[11,"spiramycyna","1,5 mln jedn.","tabl.","op.",1]
[12,"spiramycyna","3 mln jedn.","tabl.powl.","op.",1]
[13,"acetylocysteina","0,6g","sasz.do rozp.","op.",1]
[14,"acetylocysteina","0,2g","sasz.do rozp.","op.",1]
[15,"doksazosyna","4 mg","tabl.","op.",39]
[16,"dekstrometorfan","0,15g/100ml","syrop","op.",23]
[17,"drotaweryna","40 mg","tabl.","op.",79]
[18,"drotaweryna","80 mg","tabl.","op.",85]
[19,"drotaweryna","0,04g/2ml","inj.","op.",10]
[20,"nifuroksazyd","200mg","kaps.","op.",194]
[21,"omeprazol","40 mg","inj.i.v.","fiol",128]
[22,"sulfonian polistyrenu A","proszek",null,"op.",5]
[23,"betaksolol","20 mg","tabl.powlekane","op.",72]
[24,"monoazotan izosorbidu","10 mg","tabl.","op.",2]
[25,"monoazotan izosorbidu","20 mg ","tabl.","op.",1]
[26,"monoazotan izosorbidu","60 mg","tabl.","op.",3]
[27,"monoazotan izosorbidu","100 mg ","tabl.","op.",1]
[28,"kwas traneksamowy","500mg/5ml","amp.","op.",2]
[29,"sól sodowa enoksaparyny","40 mg","amp.strzyk.","op.",92]
[30,"sól sodowa enoksaparyny","60  mg","amp.strzyk.","op.",522]
[31,"sól sodowa enoksaparyny","80mg","amp.strzyk.","op.",374]
[32,"flukonazol","200mg/100ml","flak.","op.",5]
[33,"sotalol","40mg","tabl.","op.",25]
[34,"sotalol","80mg","tabl.","op.",64]
[35,"klopidogrel","75mg","tabl.powl.","op.",205]
[36,"atorwastatyna","20 mg","tabl.","op.",80]
[37,"ramipryl","2,5mg","tabl.","op.",40]
[38,"ramipryl","5 mg","tabl.","op.",40]
[39,"ramipryl","10 mg ","tabl.","op.",40]
[40,"omeprazol","20mg","kaps.","op.",789]
[41,"rosuwastatyna","20mg","tabl.powl.","op.",30]
[42,"symwastatyna","20 mg","tabl.","op.",100]
[43,"symwastatyna","40 mg","tabl.","op.",490]
[44,"glimepiryd","1 mg","tabl.","op.",1]
[45,"glimepiryd","2 mg","tabl.","op.",1]
[46,"glimepiryd","3 mg","tabl.","op.",1]
[47,"glimepiryd","4 mg","tabl.","op.",1]
[48,"atorwastatyna","40 mg","tabl.","op.",110]
[{"$nulls":6},"Razem (zł)"]
[]
["SŁOWNIE (zŁ)"]
[]
["Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
["VAT:……………………………………………………………………………………………………………………..........................."]
[]
["Brutto:…………………………………………………………………………………………………………………............................"]
[{"$nulls":7},"………………………………………………"]
[{"$nulls":7},"Pieczęć i podpis wykonawcy"]