| 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 | 5-FLOROURASIL 1000 MG - Parenteral | adet | 2.000 | | |
2 | AFLIBERSEPT 100 MG - Parenteral | adet | 200 | | |
3 | ALBUMIN %20 50 ML - Parenteral | adet | 5.000 | | |
4 | ANTI-INSAN TIMOSITGLOBULINI (TAVSAN) 20 MG/ML 5 ML - Parenteral | adet | 300 | | |
5 | ARSENİK TRİOKSİT 10 MG/10 ML -Parenteral | adet | 120 | | |
6 | AZASITIDIN 100 MG - Parenteral | adet | 750 | | |
7 | BENDAMUSTIN HCL 100 MG - Parenteral | adet | 170 | | |
8 | BEVASIZUMAB 400 MG - Parenteral | adet | 600 | | |
9 | BLINATUMOMAB 38,5 MCG- Parenteral | adet | 84 | | |
10 | BORTEZOMIB 3,5 MG - Parenteral | adet | 450 | | |
11 | BUSULFAN 60 MG/10 ML -Parenteral | adet | 200 | | |
12 | C1 ESTERAZ INHIBITORU 500 IU/5 ML - Parenteral | adet | 30 | | |
13 | DAKARBAZIN 100 MG - Parenteral | adet | 100 | | |
14 | DEFERASIROKS 250 MG - Ağızdan katı) | adet | 240 | | |
15 | DENOSUMAB 120 MG/1.7 ML - Parenteral | adet | 220 | | |
16 | DESITABIN 50 mg - Parenteral | adet | 100 | | |
17 | DOKSORUBISIN HCL 10 MG - Parenteral | adet | 1.100 | | |
18 | DOKSORUBISIN HCL 50 MG - Parenteral | adet | 350 | | |
19 | DOSETAKSEL 20 MG - Parenteral | adet | 1.200 | | |
20 | DOSETAKSEL 80 MG - Parenteral | adet | 800 | | |
21 | ENJEKSİYONLUK DİSTİLE SU 10 ML -Parenteral | adet | 500 | | |
22 | EPIRUBISIN HCL 10MG - Parenteral | adet | 720 | | |
23 | EPIRUBISIN HCL 50 MG - Parenteral | adet | 150 | | |
24 | ETOPOSID 100 MG - Parenteral | adet | 1.800 | | |
25 | FAKTOR IX, II, VII VE X (KOMBINE KOAGULASYON FAKTORU) 250 IU - 500 IU Parenteral | adet | 50 | | |
26 | FAKTOR VII A REKOMBINANT - EPTACOG ALFA (ACTIVATED) 1.0 MG (50 KIU) - Parenteral | adet | 15 | | |
27 | FAKTOR VIII INHIBITOR BAYPAS AKTIVITESI 500 IU-Paranteral | adet | 80 | | |
28 | FAKTOR VIII+VON WILLEBRAND FACTOR 500 IU - Parenteral | adet | 200 | | |
29 | FAKTÖR VIII REKOMBINANT KOAGÜLASYONU 500 IU -Parenteral | adet | 50 | | |
30 | FILGRASTIM 15 MIU - Parenteral | adet | 100 | | |
31 | FILGRASTIM 30 MIU - Parenteral | adet | 4.000 | | |
32 | FİBRİNOJEN (İNSAN) 1000 MG - Parenteral | adet | 12 | | |
33 | FLUDARABIN 50 MG - Parenteral | adet | 120 | | |
34 | GEMSITABIN HCL 1000 MG - Parenteral | adet | 1.400 | | |
35 | GEMSITABIN HCL 200 MG - Parenteral | adet | 2.700 | | |
36 | IBANDRONIK ASIT 6 MG/6 ML - Parenteral | adet | 50 | | |
37 | IDARUBISIN HCL 10 MG/10 ML - Parenteral | adet | 140 | | |
38 | IFOSFAMIDE 1 GR - Parenteral | adet | 900 | | |
39 | IMMUNGLOBULIN HEPATIT B 200 IU KHE - Parenteral | adet | 24 | | |
40 | IMMUNGLOBULIN HEPATIT B 500 IU IV FLK - Parenteral | adet | 200 | | |
41 | IMMUNGLOBULIN IV (INSAN) (SPESIFIK OLMAYAN) 100 MG/ ML 100 ML 10 GR - Parenteral | adet | 1.000 | | |
42 | IMMUNGLOBULIN IV (INSAN) (SPESIFIK OLMAYAN) 50 MG/ML 100 ML 5 GR - Parenteral | adet | 250 | | |
43 | IPILIMUMAB 50 MG - Parenteral | adet | 60 | | |
44 | IRINOTEKAN HCL TRIHIDRAT 100 MG/5 ML - Parenteral | adet | 500 | | |
45 | IRINOTEKAN HCL TRIHIDRAT 40 MG/2 ML - Parenteral | adet | 800 | | |
46 | KABAZİTAKSEL 60 MG - Parenteral | adet | 40 | | |
47 | KARBOPLATIN 450 MG - Parenteral | adet | 200 | | |
48 | KARBOPLATIN 50 MG - Parenteral | adet | 1.200 | | |
49 | KARFILZOMIB 60 MG - Parenteral | adet | 230 | | |
50 | KARMUSTİN 100 MG - Parenteral | adet | 50 | | |
51 | KLADRIBIN 10 MG - Parenteral | adet | 40 | | |
52 | L-ASPARAGINAZ 10.000 IU - Parenteral | adet | 180 | | |
53 | MEGESTROL 160 MG - Ağızdan katı | adet | 1.080 | | |
54 | MERKAPTOPURIN 50 MG - Ağızdan katı | adet | 300 | | |
55 | METOTREKSAT 50 MG - Parenteral | adet | 100 | | |
56 | METOTREKSAT 500 MG - Parenteral | adet | 100 | | |
57 | MITOKSANTRON 20 MG/10 ML - Parenteral | adet | 20 | | |
58 | MITOMICIN C 20 MG - Parenteral | adet | 20 | | |
59 | OKSALIPLATIN 50 MG/10 ML - Parenteral | adet | 2.500 | | |
60 | ONABOTULINUM TOKSIN TIP A 100 IU - Parenteral | adet | 600 | | |
61 | PAKLITAKSEL 100 MG/16.7 ML - Parenteral | adet | 1.000 | | |
62 | PAKLITAKSEL 30 MG/5 ML - Parenteral | adet | 2.500 | | |
63 | PANITUMUMAB 100 MG - Parenteral | adet | 200 | | |
64 | PEMETREKSET DISODYUM 100 MG - Parenteral | adet | 130 | | |
65 | PERTUZUMAB 420 MG - Parenteral | adet | 50 | | |
66 | PLERİKSAFOR 24 MG/1.2 ML - Parenteral | adet | 40 | | |
67 | RASBURIKAZ 1,5 MG FLK | adet | 5 | | |
68 | RITUKSIMAB 100 MG/10 ML - Parenteral | adet | 2.000 | | |
69 | RITUKSIMAB 500 MG/50 ML - Parenteral | adet | 120 | | |
70 | SIKLOFOSFAMID 1000 MG - Parenteral | adet | 600 | | |
71 | SIKLOFOSFAMID 500 MG - Parenteral | adet | 1.000 | | |
72 | SISPLATIN 10 MG - Parenteral | adet | 2.000 | | |
73 | SISPLATIN 50 MG - Parenteral | adet | 1.600 | | |
74 | SITARABIN 40 MG - Parenteral | adet | 600 | | |
75 | TEMOZOLOMID 100 MG - Ağızdan katı | adet | 40 | | |
76 | TIOGUANIN 40 MG - Agizdan kati | adet | 100 | | |
77 | TOPOTEKAN 4 MG - Parenteral | adet | 30 | | |
78 | TRASTUZUMAB 150 MG - Parenteral | adet | 2.400 | | |
79 | VINBLASTIN SULFAT 1 MG/ML - Parenteral | adet | 100 | | |
80 | VINCRISTIN SULFAT 1 MG/1 ML - Parenteral | adet | 400 | | |
81 | ZOLEDRONIK ASIT 4 MG - Parenteral | adet | 400 | | |
Toplam Tutar (K.D.V Hariç) | |