| 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 | ZOLEDRONİK ASİT MONOHİDRAT 5MG FLK.(ACLASTA VB) | adet | 75 | | |
2 | BRENTUKSİMAB VEDOTİN 50 MG FLK (ADCETRİS VB) | adet | 60 | | |
3 | DOXORUBİCİN HCL ( ADRİAMYCİN ) 10 MG FLAKON. | adet | 400 | | |
4 | DOXORUBİCİN HCL ( ADRİAMYCİN ) 50 MG FLAKON. | adet | 850 | | |
5 | CYTARABİNE 100 MG.FLK.(ALEXAN VB) | adet | 150 | | |
6 | CYTARABİNE 1000 MG.FLK.(ALEXAN VB) | adet | 450 | | |
7 | AZASİTİDİN 100MG FLK.(VİDAZA VB) | adet | 650 | | |
8 | BENDAMUSTİN HİDROKORÜR 25MG FLAKON.(BENDAMUS VB) | adet | 200 | | |
9 | BENDAMUSTİN HİDROKORÜR 100MG FLAKON.(BENDAMUS VB) | adet | 200 | | |
10 | BLEOMİSİN HCL 15 MG AMP. | adet | 110 | | |
11 | ZOLEDRONİK ASİT MONOHİDRAT 4MG FLK.(ZOMETA VB) | adet | 1.400 | | |
12 | İBANDRONİK ASİT SODYUM MONOHİDRAT TUZU 3MG KULL.HAZ.ŞIRINGA.( BONVİVA VB) | adet | 25 | | |
13 | BORTEZOMİB 3.5MG IV/SC ENJEKSİYONLUK ÇÖZELTİ İÇİN TOZ İÇEREN FLAKON( VELCADE VB) | adet | 550 | | |
14 | PEGİLE LİPZOMAL DOKSORUBİSİ,N HİDROKLORÜR 20MG FLK.(CAELYX VB) | adet | 140 | | |
15 | CALCIUM FOLİNAT 100 MG FLAKON | adet | 400 | | |
16 | CALCIUM FOLİNAT 300 MG FLAKON | adet | 1.900 | | |
17 | CARBOPLATİN 150 MG. FLAKON. | adet | 150 | | |
18 | CARBOPLATİN 450 MG. FLAKON. | adet | 550 | | |
19 | CİSPLATİN 25 MG FLAKON | adet | 500 | | |
20 | CİSPLATİN 50 MG FLAKON | adet | 1.550 | | |
21 | CİSPLATİN 100 MG FLAKON | adet | 500 | | |
22 | DAKARBAZİN 100MG FLAKON.(DETİCENE VB) | adet | 150 | | |
23 | DAKARBAZİN 200MG FLAKON.(DETİCENE VB) | adet | 150 | | |
24 | DAUNORUBİSİN HİDROKLORÜR 20MG FLK.( DAUNOMİCİNA VB) | adet | 200 | | |
25 | DOSETAXEL 20 MG FLK. (TAXOTERE VB.) | adet | 400 | | |
26 | DOSETAXEL 40 MG FLK. (DOXEL VB.) | adet | 550 | | |
27 | DOSETAXEL 80 MG FLK. (TAXOTERE VB.) | adet | 300 | | |
28 | PAKLİTAKSEL 100 MG FLK (TAXOL) | adet | 500 | | |
29 | PACLİTAXEL 150MG.FLAKON. SETLİ (SİNDAXEL VB) | adet | 1.300 | | |
30 | PACLİTAXEL 300MG.FLAKON. SETLİ (SİNDAXEL VB) | adet | 500 | | |
31 | LÖPROLİD ASETAT 22.5MG KULL.HAZIR. ŞIRINGA.(LUCRİN VR ELİGARD VB) | adet | 230 | | |
32 | LÖPROLİD ASETAT 45 MG KULL.HAZIR. ŞIRINGA.(LUCRİN VR ELİGARD VB) | adet | 60 | | |
33 | APREPİTANT 125 MG+80 MG KAP. (EMEND VB.) | adet | 1.200 | | |
34 | CYCLOPHOSPHAMİDE 500 MG FLK.(ENDOXAN VB) | adet | 280 | | |
35 | CYCLOPHOSPHAMİDE 1000 MG FLK.(ENDOXAN VB) | adet | 960 | | |
36 | SETUXİMAB 100 MG FLAKON (ERBİTUX VB) | adet | 150 | | |
37 | SETUXİMAB 500 MG FLAKON (ERBİTUX VB) | adet | 100 | | |
38 | ETOPOSİDE 50 MG FLAKON | adet | 300 | | |
39 | ETOPOSİDE 100 MG FLAKON | adet | 1.000 | | |
40 | FLUDARABİN MONOFOSFAT 50MG FLAKON.(FLUDARA VB) | adet | 50 | | |
41 | 5-FLUOROURASİL 1000MG FLAKON. | adet | 5.100 | | |
42 | GEMCİTABİNE HCI 200 MG. FLK.(GEMZAR VB) | adet | 1.000 | | |
43 | GEMCİTABİNE HCL 1400MG FLK.(GEMKO VB) | adet | 120 | | |
44 | GRANİSETRON 3MG AMPUL.(KYTRİL VB) | adet | 8.500 | | |
45 | İFOSFAMİDE 500MG FLK. (HOLOXAN VB.) | adet | 60 | | |
46 | İFOSFAMİDE 1000MG FLK. (HOLOXAN VB.) | adet | 60 | | |
47 | TOPOTEKAN 4MG FLK.(HYCAMTİN VB) | adet | 20 | | |
48 | İRİNOTECAN HYDROCHLORİDE TRİHYDRATE 40 MG/2 ML. FLK.(CAMPTO VB.) | adet | 300 | | |
49 | İRİNOTECAN HYDROCHLORİDE TRİHYDRATE 100 MG/5 ML. FLK.(CAMPTO VB.) | adet | 800 | | |
50 | CALCIUM FOLİNAT 50 MG FLAKON | adet | 400 | | |
51 | L-ASPARAGİNASE 10000İÜ FLK.( LEUNASE VB) | adet | 300 | | |
52 | OXALİPLATİN 50 MG FLAKON. (ELOXATİN VB) | adet | 250 | | |
53 | OXALİPLATİN 100 MG FLAKON. (ELOXATİN VB) | adet | 1.000 | | |
54 | OXALİPLATİN 150 MG FLAKON. (LİNOXA VB) | adet | 500 | | |
55 | METHOTREXATE 50 MG.FLK.(ZEXATE VB ) | adet | 250 | | |
56 | METHOTREXATE 500MG FLK. | adet | 40 | | |
57 | METOTREKSAT 5000 MG/50 ML FLK (METHOTREKSAT 5000/50) | adet | 15 | | |
58 | MİTOKSANTRON HİDROKLORÜR 20MG FLAKON (MİTOXANTRONVB) | adet | 25 | | |
59 | VİNORELBİNE DİTARTARATE 10 MG.FLK.(NAVELBİNE VB) | adet | 60 | | |
60 | VİNORELBİNE DİTARTARATE 50 MG.FLK.(NAVELBİNE VB) | adet | 40 | | |
61 | NİVOLUMAB 100 MG FLK (OPDİVO VB) | adet | 45 | | |
62 | NİVOLUMAB 40 MG FLK (OPDİVO VB) | adet | 20 | | |
63 | PALONOSETRON HCL 250MCG FLAKON.(ALOXİ VB) | adet | 4.200 | | |
64 | PEMETREKSET 100MG FLAKON.( PEMTREX VB) | adet | 450 | | |
65 | PEMETREKSET 500MG FLAKON.(ALİMTA VB) | adet | 250 | | |
66 | EPİRUBİCİNE 50 MG FLAKON | adet | 100 | | |
67 | RALTİTREXED 2MG FLAKON.(TOMUDEX VB) | adet | 50 | | |
68 | MESNA 400 MG / ML AMP.(ÜROMİTAXEN VB) | adet | 1.800 | | |
69 | PANİTUMUMAB 100MG 5ML FLK.(VECTİBİX VB) | adet | 45 | | |
70 | PANİTUMUMAB 400MG 20ML FLK.(VECTİBİXVB) | adet | 40 | | |
71 | VİNCRİSTİNE SULFATE 2 MG FLAKON. | adet | 500 | | |
72 | VİNBLASTİN SÜLFAT 10MG FLK.(VİNKO VB) | adet | 70 | | |
73 | DENOSUMAB 120 MG/1.7 ML FLK ( XGEVA 120 MG /1,7 ML FLK) | adet | 40 | | |
74 | GOSERELİN ASETAT 3.6MG SUBKÜTAN İMPLANT. (ZOLADEX DEPOT VB) | adet | 250 | | |
75 | GOSERELİN ASETAT 10.8MG SUBKÜTAN İMPLANT.( ZOLADEX LA VB) | adet | 10 | | |
76 | KARFİLZOMİB 60 MG FLK (KYPROLİS 60 MG FLK ) | adet | 50 | | |
77 | LENOGRASTİM 33600000İÜ LİYOFİLİZE TOZ İÇEREN FLAKON.(GRANOCYTE VB) | adet | 600 | | |
Toplam Tutar (K.D.V Hariç) | |