| 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 | Adenozin 10mg/2ml iv 10amp Adenosin IV 10amp | adet | 800 | | |
| 2 | Adenozin 50mg/10ml iv 10flk Adenosin LM IV 50mg 10flk | adet | 200 | | |
| 3 | Adsorbe difteri ve tetanos aşısı Td-VAC ım 0.5ml 1amp | adet | 5.000 | | |
| 4 | Alprostadil 500mcg amp Alprostadil 500mcg/ml 5amp | adet | 100 | | |
| 5 | Amiodaron amp Cordarone amp | adet | 8.400 | | |
| 6 | Asetilsistein 10amp Asist 10amp | adet | 160.000 | | |
| 7 | Atropin 0.50mg amp Atropin 0.50mg amp | adet | 35.000 | | |
| 8 | Betametazon (sodyum fosfat/asetat) amp Celestone amp | adet | 2.000 | | |
| 9 | Bupivakain HCl %0.5 20ml flk Marcain flk | adet | 3.500 | | |
| 10 | Bupivakain HCl %0.5 amp Marcain heavy 5amp | adet | 6.500 | | |
| 11 | Calcium(glukonat/levülinat)10ml amp Calcium picken amp | adet | 40.000 | | |
| 12 | Deksametazon 8mg/2ml amp Deksamet 100amp | adet | 85.000 | | |
| 13 | Deksketoprofen trometamol 50mg amp Arveles IV 6amp | adet | 19.800 | | |
| 14 | Deksmedetomidin flk Precedex 5flk | adet | 3.000 | | |
| 15 | Desmopressin asetat 15mcg amp Octostim 15mcg/ml amp | adet | 5 | | |
| 16 | Desmopressin asetat 4mcg amp Minirin 4mcg/ml 10amp | adet | 200 | | |
| 17 | Digoksin amp Digoxin 5amp | adet | 1.000 | | |
| 18 | Diklofenak sodyum 75mg 10amp Miyadren 10amp | adet | 40.000 | | |
| 19 | Diltiazem 25mg amp Diltizem-L 25mg amp | adet | 2.700 | | |
| 20 | Dimenhidrinat amp Dramamine 5amp | adet | 5.500 | | |
| 21 | Enoksaparin 40mg 10enj Clexan 0.4ml 10enj | adet | 15.000 | | |
| 22 | Enoksaparin 60mg 2enj Clexan 0.6ml 2enj | adet | 40.000 | | |
| 23 | Enoksaparin 80mg 2enj Clexan 0.8ml 2enj | adet | 5.000 | | |
| 24 | Eser element konsantresi IV amp Addamel N amp | adet | 5.000 | | |
| 25 | Famotidin 20mg amp-flk Nevofam-L 20mg 2amp | adet | 34.000 | | |
| 26 | Feniramin 5amp Avil 5amp | adet | 35.000 | | |
| 27 | Fenitoin 250mg amp Phenhydan 5amp | adet | 7.500 | | |
| 28 | Flumazenil 0.5mg amp Anexate 0.5mg 5amp | adet | 6.500 | | |
| 29 | Furosemid amp Lasix amp | adet | 400.000 | | |
| 30 | Gadobutrol 7.5ml flk Gadovist 7.5ml flk | adet | 100 | | |
| 31 | Gentamisin 20mg amp Genta 20mg amp | adet | 800 | | |
| 32 | Gentamisin 40mg amp Genta 40mg amp | adet | 6.000 | | |
| 33 | Gentamisin 80mg amp Genta 80mg amp | adet | 9.000 | | |
| 34 | Gliserol trinitrat 1mg/ml 10ml amp Perlinganit amp | adet | 50.000 | | |
| 35 | Heparin 25.000IU flk Nevparin flk | adet | 25.000 | | |
| 36 | Hidroksiprogesteron kaproat amp Proluton Depot amp | adet | 900 | | |
| 37 | Hiyosin-N-butilbromür 20mg 6amp Spazmotek 6amp | adet | 24.000 | | |
| 38 | İnsülin analogu kısa etkili(kalem-kartuş) Novorapid-Humalog lispro-Apidra | adet | 2.000 | | |
| 39 | İnsülin analogu uzun etkili(kalem-kartuş) Levemir flexipen-Lantus Optipen | adet | 3.000 | | |
| 40 | İnsülin regüler(insan) 100İÜ/ml flk Humulin R flk- Acrapid HM flk | adet | 2.000 | | |
| 41 | K1 vitamini 10mg/ml amp Konakion 10mg/ml 5amp | adet | 2.500 | | |
| 42 | K1 vitamini 2mg/0,2ml amp Konakion 2mg/0,2ml 5amp | adet | 2.500 | | |
| 43 | Kafein sitrat 20mg/ml 10amp Peyona 20mg/ml inf. Oral Çöz | adet | 2.000 | | |
| 44 | Kalsitriol 1mcg amp Calcijex 1mcg 25amp | adet | 2.500 | | |
| 45 | Ketamin HCl 50mg/ml flk Ketalar flk | adet | 2.500 | | |
| 46 | Klindamisin 300mg amp Cleocin 300mg amp | adet | 1.500 | | |
| 47 | Lidocain /epinefrin amp Jetokain 2ml amp | adet | 25.000 | | |
| 48 | Lidokain 100mg/5ml 5amp Jetmonal %2 5amp | adet | 13.000 | | |
| 49 | Lidokain 500mg/5ml 3amp Aritmal %10 3amp | adet | 3.600 | | |
| 50 | L-karnitin amp Carnitene 1gr 5amp | adet | 1.250 | | |
| 51 | Magnezyum sulfat 1500mg/10ml amp Magnezyum sulfat 10ml amp | adet | 70.000 | | |
| 52 | Meglumin Gadoterat 15ml flk Dotarem 15ml flk | adet | 100 | | |
| 53 | Metamizol 1000mg/2ml amp Novalgin amp | adet | 6.000 | | |
| 54 | Metilprednizolon asetat 40mg 1flk Depo-Medrol flk | adet | 120 | | |
| 55 | Metilprednizolon sody.süks.20mg amp Prednol-L 20mg amp | adet | 16.000 | | |
| 56 | Metilprednizolon sody.süks.250mg amp Prednol-L 250mg amp | adet | 1.500 | | |
| 57 | Metilprednizolon sody.süks.40mg amp Prednol-L 40mg amp | adet | 23.000 | | |
| 58 | Metoklopramid amp Primperan amp | adet | 100.000 | | |
| 59 | Metoprolol amp Beloc amp | adet | 2.700 | | |
| 60 | Midazolam 5mg/5ml amp Dormicum 5mg amp | adet | 15.000 | | |
| 61 | Milrinon 10mg iv amp Milricor amp | adet | 10 | | |
| 62 | Morfin 0.01gr amp Morfin 10amp | adet | 5.000 | | |
| 63 | MR kontrast madde 15ml flk Magnevist 15ml flk | adet | 1.800 | | |
| 64 | Non iyonik radyo-opak(350-370)100ml flk Omnipague 100ml flk | adet | 14.000 | | |
| 65 | Non iyonik radyo-opak(350-370)50ml flk Omnipague 50ml flk | adet | 1.000 | | |
| 66 | Norepinefrin bitartarat 4mg 10amp Steradin iv 4mg 10amp | adet | 70.000 | | |
| 67 | Oksitosin 5İÜ/ml amp Postuitrin 3amp | adet | 30.000 | | |
| 68 | Ondansetron 8mg 1 amp Zofer 8mg amp | adet | 45.000 | | |
| 69 | Palonosetron HCl 250mcg flk Aloxi flk | adet | 3.600 | | |
| 70 | Papaverin 50mg/2ml amp Papaverin 10amp | adet | 2.000 | | |
| 71 | Parasetamol 1000mg infüzyon sol flk Perfalgan flk | adet | 140.000 | | |
| 72 | Petidin 50mg/ml(2ml) amp Aldolan amp | adet | 1.500 | | |
| 73 | Pirasetam amp Nootropil 12amp | adet | 1.920 | | |
| 74 | Pnömokok 23-polivalan aşı Pneumo-23 1 flk | adet | 20 | | |
| 75 | Potasyum klorür 750mg/10ml amp Potasyum klorür amp | adet | 140.000 | | |
| 76 | Prilokain HCl %2 20mg flk Citanest flk | adet | 25.000 | | |
| 77 | Propofol 1000mg/50ml flk Propofol %2 50ml flk | adet | 2.000 | | |
| 78 | Propofol 200mg/20ml amp Propofol 5ampul | adet | 10.000 | | |
| 79 | Propofol 500mg/50ml flk Propofol %1 50ml flk | adet | 5.000 | | |
| 80 | Protamin HCl amp Protamin amp | adet | 3.000 | | |
| 81 | Proton pompası inhibitörü I.V.flk Nexium 40mg flk-Pantpas flk-Losec flk | adet | 140.000 | | |
| 82 | Ranitidin 50mg 2ml amp Ranitap amp | adet | 60.000 | | |
| 83 | Remifentanil 5mg/10ml flk Ultiva 5mg 5flk | adet | 4.250 | | |
| 84 | Risperidon 25mg flk Risperdal consta 25mg flk | adet | 50 | | |
| 85 | Risperidon 37.5mg flk Risperdal consta 37.5mg flk | adet | 20 | | |
| 86 | Rocuronyum bromür 50mg/ 5ml flk Esmeron 10flk | adet | 10.000 | | |
| 87 | Siklosporin 50mg/ml amp Sandimmun Neoral 10amp | adet | 7.500 | | |
| 88 | Sisatraküryum Bezilat 10mg/5ml amp Nimbex 5ampul | adet | 500 | | |
| 89 | Sodyum bicarbonat 840mg/10ml amp Sodyum bicarbonat 10ml amp | adet | 50.000 | | |
| 90 | Sodyum diatrizoat/meglumin diatrizoat 50ml Urografin %76 50ml flk | adet | 1.000 | | |
| 91 | Sodyum klorür 90mg/10ml amp Sodyum klorür 10ml amp | adet | 25.000 | | |
| 92 | Somatostatin 3mg IV amp-flk Somatosan 3mg amp | adet | 1.500 | | |
| 93 | Sulfamet./Trimetoprim(400/80)mg amp Bactrim amp | adet | 2.000 | | |
| 94 | Terlipresin asetat 1mg flk Glypressin flk | adet | 2.500 | | |
| 95 | Tetrakosaktid 1mg/ml amp Synacthen amp | adet | 600 | | |
| 96 | Tiyokolşikozid 4mg amp Muscoril 4mg 6amp | adet | 6.000 | | |
| 97 | Tiyopental sodyum 1g flk Pental sodyum 1gr flk | adet | 2.000 | | |
| 98 | Tramadol 100mg amp Contramal amp | adet | 90.000 | | |
| 99 | Traneksamik asit 250mg/2.5ml amp Transamin %10 10amp | adet | 17.000 | | |
| 100 | Triamsinolon asetonid 40mg İM amp Kenacort-A amp | adet | 1.700 | | |
| 101 | Trimetobenzamid amp Emedur 6amp | adet | 180 | | |
| 102 | Triptorelin asetat 3,75mg enj. Decapeptyl depot 3,75mg enj | adet | 10 | | |
| 103 | Tropisetron 5mg amp Navoban amp | adet | 3.300 | | |
| 104 | Valetamat bromur amp Epidosin 5amp | adet | 1.250 | | |
| 105 | Vitamin B Kompleks amp Beheptal amp | adet | 23.000 | | |
| 106 | Vitamin B12 amp Dodex 5amp | adet | 2.000 | | |
| 107 | Vitamin C 500mg amp Vitabiol C 5amp | adet | 5.000 | | |
| 108 | Vitamin D3 amp Devit-3 amp | adet | 600 | | |
| 109 | Yağda ve suda çözünen multivitamin 4flk Cernevit 4flk | adet | 10.000 | | |
| Toplam Tutar (K.D.V Hariç) | |