| 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 | ACYCLOVİR 250MG FLK | adet | 800 | | |
2 | ADRENALİN 1 MG AMPUL 2 ML | adet | 40.000 | | |
3 | AMİADORANE HCL AMP 150 MG/3ML | adet | 48 | | |
4 | AMPHOTERECIN B LIPOZOMAL 50 MG FLK | adet | 800 | | |
5 | BERACTANT 25 MG/ML İNTRATEKAL SÜSP. | adet | 55 | | |
6 | BLEOMYCİN HCL 15 MG AMP | adet | 20 | | |
7 | CALCİUM GLUCONAT LEVULİNAT AMP %10 | adet | 20.000 | | |
8 | CIPROFLOXACIN HCL 200 MG FLK | adet | 1.300 | | |
9 | CLINDAMYCIN PHOSPHATE 300 MG AMP | adet | 1.000 | | |
10 | DACARBAZINE (DTIC) 100 MG FLK | adet | 70 | | |
11 | DOPAMİNE HCL 200 MG AMP | adet | 800 | | |
12 | DOXORUBICINE HCL 10 MG FLK | adet | 300 | | |
13 | EPHEDRİN HCL AMP | adet | 300 | | |
14 | FILGRASTIM 30 M.U ENJEKTÖR | adet | 300 | | |
15 | FLUCONAZOLE 2 MG/ML FLK | adet | 500 | | |
16 | FUROSEMİDE 20 MG/2ML AMP. | adet | 5.200 | | |
17 | GLYCEROL TRİNİTRATE AMP 10MG/10ML | adet | 700 | | |
18 | İFOSFAMİDE 1 G FLK | adet | 40 | | |
19 | İLOPROST 20 MCG/ML AMP | adet | 100 | | |
20 | İNSÜLİN KRİSTALİZE 100 IU PENSİLL | adet | 150 | | |
21 | İNSULİN LİSPRO (REOCOMBİNAT DNA ANJİNLİ) 100 IU ML KARTUŞ | adet | 40 | | |
22 | KASPOFUNGİN ASETAT 50 MG FLK | adet | 150 | | |
23 | KETAMİNE 50 MG/ML FLK | adet | 750 | | |
24 | MAGNESIUM SULFATE AMP %15 | adet | 8.000 | | |
25 | METHOTREXATE 500 MG FLK | adet | 110 | | |
26 | METHYL PREDNİSOLONE 250 MG AMP | adet | 1.400 | | |
27 | OCTREOTİDE 0,1 MG/ML AMP | adet | 250 | | |
28 | ONDANSETRON 4 MG AMP | adet | 7.700 | | |
29 | PHENYTOIN Na 250 MG/5ML AMP | adet | 250 | | |
30 | PİPERACİLİN +TAZOBACTAM 2,25 FLK | adet | 1.500 | | |
31 | RİFAMYCİN 250 MG AMP | adet | 400 | | |
32 | SODYUM BİKARBONAT %8,4 10ML AMP | adet | 2.000 | | |
33 | TRIMETHOPRIM/ SULFAMETHOXAZOLE 80/400 MG AMPUL | adet | 250 | | |
34 | VANCOMYCIN HCL 0,5 G FLK | adet | 5.000 | | |
35 | VORİKONAZOL 200 MG FLK | adet | 300 | | |
36 | TRAMADOL 100 MG/2 ML AMPUL | adet | 1.900 | | |
37 | LEVOSİMENDAN 2.5 MG/ML FLK | adet | 25 | | |
38 | BETAMETHASONE DİSODİUMPHOSPHATE 3MG +BETAMETHASONE ASETAT 3MG | adet | 350 | | |
39 | FİTOMENADİON 2 MG AMPUL | adet | 2.400 | | |
40 | PORACTANT 1,5 ML FLAKON | adet | 40 | | |
41 | REKOMBİNANT İNSAN DOKU TİPİ PLAZMİNOJEN AKTİVATÖRÜ 1 MG/ML10 MG FLAKON | adet | 40 | | |
42 | PROSTAGLANDIN 500 MCG / ML AMP | adet | 300 | | |
43 | D VİT-3 DAMLA | adet | 200 | | |
44 | FENİLEFRİN HCl %2,5 DAMLA | adet | 100 | | |
45 | SORBİTOL+TWEEN 80 LAVMAN | adet | 8.500 | | |
46 | NITRAFURAZONE 56 GR %0,2 POMAD | adet | 250 | | |
47 | ALBUMIN HUMAN %20 100 ML FLK | adet | 500 | | |
48 | İMMUNGLOBULİN 5 GR FLK | adet | 120 | | |
49 | LİNEZOLİD 2MG/ML SOLÜSYON 300ML | adet | 1.000 | | |
50 | SERUM SODYUM KLORUR %0,9 100 CC(PVC) | adet | 10.000 | | |
51 | SUCRALFAT SÜSP. | adet | 40 | | |
52 | TRIMETHOPRIM/SULFAMETHOXAZOLE 40/200 MG SÜSP. | adet | 180 | | |
53 | ACETYLSALICYLIC ACID 500 MG TAB | adet | 2.200 | | |
54 | CALCİUM ACETATE 1000MG TB | adet | 180 | | |
55 | FERROGLYCINE SULFATE 567.7 MG KAPSÜL | adet | 1.500 | | |
56 | NAPROXEN NA 275 MG TB | adet | 800 | | |
57 | SPIRONOLACTON A 25 MG TB | adet | 1.300 | | |
Toplam Tutar (K.D.V Hariç) | |