| A 1 | B 2 |
Sıra No | Mal Kaleminin Adı ve Kısa Açıklaması | Birimi | Miktarı | Teklif Edilen Birim Fiyat (Para birimi belirtilerek) | Tutarı (Para birimi belirtilerek) |
1 | Acetazolamide 250mg tb | adet | 3.000 | | |
2 | Adrenalin 0,5mg/ml amp | adet | 10.000 | | |
3 | Allopurinol 300mg tb | adet | 1.500 | | |
4 | Alverin citrate 60mg + Simethicone 300mg kaps | adet | 600 | | |
5 | Aminophylline 240mg amp | adet | 300 | | |
6 | Anti Human T Lenfosit immunglobulin (Tavşan immunglobulini) 20mg/ml 5ml flk | adet | 20 | | |
7 | Asiaticoside 40 mg/g 40 g pom | adet | 600 | | |
8 | Baclofen 10mg tb | adet | 250 | | |
9 | Betahistine 2HCl 8mg tb | adet | 360 | | |
10 | Biperidene lactate 5mg/ml amp | adet | 1.000 | | |
11 | Bupivacaine HCl 5mg/ml 4ml amp | adet | 750 | | |
12 | Calcitriol 0,5mcg kaps | adet | 600 | | |
13 | Calcium folinate 300mg flk | adet | 800 | | |
14 | Chlorpromazine 25mg/5ml amp | adet | 150 | | |
15 | Dacarbazine 200mg flk | adet | 350 | | |
16 | Dimenhydrinate 50mg amp | adet | 1.000 | | |
17 | Diphenoxylate HCl 2,5mg+Atropine sulfate 0,025mg tb | adet | 1.000 | | |
18 | Domperidon 10mg tb | adet | 1.200 | | |
19 | Doxazosin mesylate 2mg tb | adet | 7.500 | | |
20 | Ferroglycine sulfate 567,7mg kaps | adet | 1.400 | | |
21 | Furosemide 40mg tb | adet | 1.200 | | |
22 | Granisetron HCl 3mg amp | adet | 5.000 | | |
23 | Hydrotalcite 500mg çig. tb | adet | 2.400 | | |
24 | Hydrotalcite 500mg/5ml 200ml süsp | adet | 500 | | |
25 | Hydroxyproyl methylcellulose 3mg/ml 15ml damla | adet | 300 | | |
26 | İnsülin glarjin 100 IU/ml 3 ml enjeksiyon kalemi | adet | 60 | | |
27 | İrinotecan HCl 100mg flk | adet | 500 | | |
28 | İyomeprol 816,5 mg/ml 100ml flk | adet | 300 | | |
29 | Kolekalsiferol (Vitamin-D3) 300.000 IU/1 ml IM/oral amp | adet | 100 | | |
30 | Kolekalsiferol (Vitamin-D3) 50.000 IU/15 ml oral damla | adet | 500 | | |
31 | Kondroidin polisülfat %0,445 40g krem/jel | adet | 200 | | |
32 | Lidocaine HCL 40mg + Epinephrine 0,025mg 2ml amp | adet | 10.000 | | |
33 | L-Ornitin-L-Aspartat 3g saşe | adet | 600 | | |
34 | L-Ornitin-L-Aspartat 5g amp | adet | 600 | | |
35 | Mesalazine 250mg tb | adet | 2.500 | | |
36 | Mikafungin sodyum 50 mg IV flk | adet | 50 | | |
37 | Mikafungin sodyum 100 mg IV flk | adet | 200 | | |
38 | Mycophenolate mofetil 500mg tb | adet | 700 | | |
39 | Naproxen %10 50 g jel | adet | 100 | | |
40 | Nimodipine 10 mg flk | adet | 1.000 | | |
41 | Nimodipine 30 mg tb | adet | 1.500 | | |
42 | Octreotide 0,1mg/ml amp | adet | 700 | | |
43 | Omalizumab 150mg flk | adet | 30 | | |
44 | Oxytetracycline HCL 30 mg + Polymyxin-B sulfate 10.000 IU/g 14.2 g deri mer. | adet | 500 | | |
45 | Paliperidon 150mg kull.hazır enj. | adet | 50 | | |
46 | Pegile lipozomal doksorubicin HCl 20mg flk | adet | 40 | | |
47 | Phenprobamate 200mg + Paracetamol (Acetaminophen) 200mg tb | adet | 200 | | |
48 | Posaconazole 40 mg/ml 105ml süsp | adet | 50 | | |
49 | Proparacaine HCl %0,5 15ml oft.sol | adet | 500 | | |
50 | Remifentanil HCl 2mg flk | adet | 1.000 | | |
51 | Risperidone 2mg tb | adet | 2.100 | | |
52 | Risperidone 50mg flk | adet | 30 | | |
53 | Spironolactone 100mg tb | adet | 640 | | |
54 | Spironolactone 25mg tb | adet | 800 | | |
55 | Tiotropium Br 18mcg inh.kaps | kutu | 50 | | |
56 | Tropicamide %0,5 5ml damla | adet | 500 | | |
57 | Urea (Carbamide) %2 200ml hydro emül | adet | 250 | | |
58 | Urea (Carbamide) %4 200ml lipo emül | adet | 600 | | |
59 | Varfarin sodyum 5mg tb | adet | 840 | | |
60 | Zoledronic acid monohydrate 4mg flk | adet | 700 | | |
61 | Multiple elektrolit sol. PH 7,4 1000 cc (PVC/PP) setsiz | adet | 200 | | |
62 | Steril distile su 1000 ml | adet | 3.600 | | |
63 | Glutamin içeren semielementel toz beslenme ürünü 76g | adet | 400 | | |
Toplam Tutar (K.D.V Hariç) | |