| 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 | Poractant 240 mg/ 3 ml Flakon | ADET | 20,000 | | |
2 | İbuprofen Pediatrik Şr | ADET | 200,000 | | |
3 | Paracetamol 1g İnfüzyon Solüsyonu | ADET | 3000,000 | | |
4 | Paracetamol Tab | ADET | 10000,000 | | |
5 | Paracetamol + Phenobarbital Supp | ADET | 1000,000 | | |
6 | Tizanidine HCl 6 mg.tablet | ADET | 60,000 | | |
7 | Thiocolchicoside 4 Mg Ampul | ADET | 1000,000 | | |
8 | Amikacin Sulfate 100 Mg Flk/Amp | ADET | 2000,000 | | |
9 | Amphotericin B Lipozomal 50 Mg IV Flk | ADET | 1500,000 | | |
10 | Caspofungin Acetate 50 mg. Flakon | ADET | 600,000 | | |
11 | Caspofungin Acetate 70 mg. Flakon | ADET | 30,000 | | |
12 | Cefazolin Sodium HCL 1gr Flk İM/İV | ADET | 10000,000 | | |
13 | Cefotaxime Sodium 1 gr. Flakon | ADET | 1500,000 | | |
14 | Ciprofloxacin 200 Mg Flk | ADET | 2000,000 | | |
15 | Clarithromycin 500 Mg Tab. | ADET | 100,000 | | |
16 | Linezolid 600 mg/300 ml Enfüzyon Solüsyonu | ADET | 2000,000 | | |
17 | Moksifloksasin 400 mg/250 ml Flakon | ADET | 1000,000 | | |
18 | Piperacilin Sodium+Tazobactam Sodium 4.5 Gr İ.M-İ.V. | ADET | 5000,000 | | |
19 | Rifamycin Sv+Lidocain HCL 250 Mg Amp | ADET | 10000,000 | | |
20 | Sodium Ampicilin-Sodium Sulbactam 1 Gr Flk İM/İV | ADET | 5000,000 | | |
21 | Acetazolamide Tablet | ADET | 1000,000 | | |
22 | Amiodarone HCL Amp | ADET | 1000,000 | | |
23 | Atorvastatin Calcium 20 Mg Film Tablet | ADET | 10000,000 | | |
24 | Carvedilol 25 mg. Tablet | ADET | 1000,000 | | |
25 | Clopidogrel 75 Mg. Tab. | ADET | 4000,000 | | |
26 | Gliclazide MR 30 Mg Tab | ADET | 1000,000 | | |
27 | Glycerol Trinitrate veya Gliseril Trinitrate 10 mg/ml. Amp/Flk. | ADET | 5000,000 | | |
28 | İloprost Ampul | ADET | 400,000 | | |
29 | İnsülin lispro veya aspart + insülin lispro veya aspart protamin kartuş/flakon | ADET | 100,000 | | |
30 | Metformine HCL 1000 Mg Tab | ADET | 4000,000 | | |
31 | Metoprolol Succinate 50 Mg Tab | ADET | 6000,000 | | |
32 | Ramipril 2.5 Mg Tablet | ADET | 2000,000 | | |
33 | Spironolactone-Hydrochlorothiazide 25 Mg Tab | ADET | 1500,000 | | |
34 | Telmisartan 80 mg + Hidroklorotiyazid 12.5 mg Tablet | ADET | 448,000 | | |
35 | Valsartan/Hydrochlorothiazide 160/12.5 mg. Film Tablet | ADET | 500,000 | | |
36 | Düşük Moleküllü Heparin (2000iü-3200iü) Arası (K.H.E.) | ADET | 1000,000 | | |
37 | Düşük Moleküllü Heparin (3800iü-5000iü) Arası (K.H.E.) | ADET | 10000,000 | | |
38 | "Erythropoietin 4000-5000 İ.Ü. Hazır Şırınga (1 İ.Ü. Fiyatına göre değerlendirilecek) " | ADET | 30,000 | | |
39 | Heparin Sodium 25.000 IU/5 Ml | ADET | 5000,000 | | |
40 | Warfarin Sodium 5 mg. Tablet | ADET | 1000,000 | | |
41 | Formoterol fumarate 12 mcg + Budenozid 400 mcg inhaler kapsül | ADET | 50,000 | | |
42 | İpratropium Br –Salbutamol 2.5 Mg Flk. | ADET | 10000,000 | | |
43 | İpratropium Br –Salbutamol İnhaler | ADET | 200,000 | | |
44 | Domperidone 10 Mg Film Tablet | ADET | 3000,000 | | |
45 | Lansoprazol 30 mg. Kapsül | ADET | 10000,000 | | |
46 | Omeprazol Kap | ADET | 10000,000 | | |
47 | Pantoprazol 40 mg.Tablet | ADET | 2000,000 | | |
48 | Fluocortolone-Flocortoinecapronate-Clemizolundesilat-Cinchocaline HCl Supp. | ADET | 600,000 | | |
49 | Fluocortolone-Flocortoinecapronate-Clemizolundesilat-Cinchocaline HCl pomad | ADET | 300,000 | | |
50 | Lidocaine Pomad | ADET | 200,000 | | |
51 | Nitrofurazone Pom | ADET | 500,000 | | |
52 | Silversulfadiazine 400 gr. Pomad | ADET | 100,000 | | |
53 | Tiokonazol 10 mg. %1 Deri Kremi | ADET | 30,000 | | |
54 | Amifostin Flakon | ADET | 100,000 | | |
55 | Bortezomib 3.5 mg flakon | ADET | 100,000 | | |
56 | Carboplatine 150 Mg Flk | ADET | 300,000 | | |
57 | Carboplatine 450 Mg Flk | ADET | 150,000 | | |
58 | Cisplatin 10 Mg Flk | ADET | 1000,000 | | |
59 | Cisplatin 100 Mg. Flk | ADET | 200,000 | | |
60 | Cisplatin 25 Mg Flk | ADET | 200,000 | | |
61 | Doxorubicin HCL 10 Mg Flk (Adriamycine) | ADET | 2000,000 | | |
62 | Etoposide 100 Mg Amp./Flk. | ADET | 500,000 | | |
63 | Fluorouracil 1gr Flk | ADET | 1000,000 | | |
64 | Folinik Asit 100 Mg Flk/Amp | ADET | 200,000 | | |
65 | Granisetron HCL 3 Mg/3 Ml Ampul | ADET | 2000,000 | | |
66 | Granülosit Koloni Stimulan Faktör (G-CSF) kullanıma hazır şırında veya flakon (1 İ.Ü' e verilen fiyat üzerinden değerlendirilecek) | ADET | 1000,000 | | |
67 | Okzaliplatin 100 mg. Flakon | ADET | 200,000 | | |
68 | Okzaliplatin 50 mg. Flakon | ADET | 150,000 | | |
69 | Tamsulosin Hidroklorür 0.4 mg. Kapsül | ADET | 1000,000 | | |
70 | Tropisetron 5 Mg Kapsül | ADET | 400,000 | | |
71 | Vinorelbin ditartarat 10 mg Flakon | ADET | 50,000 | | |
72 | Vinorelbin ditartarat 50 mg Flakon | ADET | 200,000 | | |
73 | Zolledronik Acid 4 Mg Flk. | ADET | 100,000 | | |
74 | Albumin Human %20 Serum 100 ml. | ADET | 1000,000 | | |
75 | Anti Rho(D)Ig(Human) 1500 İU flk. (1 İ.Ü Fiyatına göre değerlendirilecektir) | ADET | 50,000 | | |
76 | İmmunglobulin G (Human IV) 10 Gr Flakon | ADET | 200,000 | | |
77 | İmmunglobulin G (Human IV) 5 Gr Flakon | ADET | 200,000 | | |
78 | Betamethasone Disodiumphosphate+Betamethasone Acetate 3 Mg Amp. | ADET | 100,000 | | |
79 | Fentanyl Transdermal Flaster 100 Mg. | ADET | 50,000 | | |
80 | Gabapentin 100 Mg Kapsül | ADET | 500,000 | | |
81 | Haloperidol 5 mg/ml Amp | ADET | 1000,000 | | |
82 | Levetirasetam 250 mg. Tablet | ADET | 500,000 | | |
83 | Lorazepam 2.5 Mg Tablet | ADET | 500,000 | | |
84 | Pramipeksol dihidroklorur 0,25 mg.tablet | ADET | 300,000 | | |
85 | Qetiapin Fumarate 200 mg. Film Tablet | ADET | 1000,000 | | |
86 | Risperidone 4 mg. Film Tablet | ADET | 500,000 | | |
87 | Zuclopenthixol asetat 50 Mg/Ml Amp | ADET | 50,000 | | |
88 | Diosmin –Hesperidin Tab | ADET | 1000,000 | | |
89 | Propranolol HCL Tab | ADET | 1000,000 | | |
90 | Mr Kontrası İçin 15-20 Ml Flk. | ADET | 100,000 | | |
91 | Noniyonik 300/100 ML. Flk | ADET | 3000,000 | | |
92 | Calcium Diacetate 700 mg.tablet | ADET | 700,000 | | |
93 | Ketamine HCL Flk | ADET | 200,000 | | |
94 | Prilocaine HCl %2 Flk | ADET | 2000,000 | | |
Toplam Tutar (K.D.V Hariç) | |