1. The subject of the contract is the successive supply of various medicines to the entities listed in section I.1 of the notice (with the exception of:
Podkarpackie Medical Center in Rzeszów Independent Public Health Care Institution).
A detailed description of the subject of the contract is included in Annex 4 to the Specification of Conditions
Orders (SWZ).
2. 2. The complete offer consists of (obligatory):
1. The offer is prepared in accordance with the template of Annex 1 to the SWZ. Offer form.
2. Completed Offer and price form in accordance with the template constituting Annex 4 to the SWZ
3. Declaration in the form of a European Single Procurement Document referred to in Chapter XVII
item 1 of the SWZ – drawn up and submitted in accordance with the requirements of the SWZ (Annex 2 to the SWZ)
4. The declaration referred to in Chapter XVII, point 6.2 of the SWZ according to Annex 7 to the SWZ – if applicable
5. Declaration on the absence of grounds for exclusion according to Annex 8 to the SWZ
AlteplaseThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 1
(Annex 4 to swz).
ArgipressinumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 10
(Annex 4 to swz).
Methotrexate 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 100
(Annex 4 to swz).
Methotrexat amp-strzThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 101
(Annex 4 to swz).
PhytomenadioneThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 102
(Annex 4 to swz).
PoractantThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 103
(Annex 4 to swz).
Caffeine citrateThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 104
(Annex 4 to swz).
Drugs for intensive care of newborn 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 105
(Annex 4 to swz).
Drugs for intensive care of newborn baby 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 106
(Annex 4 to swz).
Ondansetron 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 107
(Annex 4 to swz).
Ondansetron 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 108
(Annex 4 to swz).
Omeprazole 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 109
(Annex 4 to swz).
rivaroxabanThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 11
(Annex 4 to swz).
Omeprazole 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 110
(Annex 4 to swz).
pantoprazoleThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 111
(Annex 4 to swz).
Glucose productThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 112
(Annex 4 to swz).
PikosiarczanThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 113
(Annex 4 to swz).
MacrogolThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 114
(Annex 4 to swz).
ornithineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 115
(Annex 4 to swz).
denosumabThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 116
(Annex 4 to swz).
FibrinogenThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 117
(Annex 4 to swz).
Filgrastim 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 118
(Annex 4 to swz).
Filgrastim 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 119
(Annex 4 to swz).
ApixabanThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 12
(Annex 4 to swz).
Lactobacillus sp. 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 120
(Annex 4 to swz).
EPOETIN ALPHAThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 121
(Annex 4 to swz).
Epoetin beta and derivativesThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 122
(Annex 4 to swz).
Epoetin beta and derivativesThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 123
(Annex 4 to swz).
DesmopressinThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 124
(Annex 4 to swz).
SevelamerThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 125
(Annex 4 to swz).
MilgammaThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 126
(Annex 4 to swz).
Thioctic acidThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 127
(Annex 4 to swz).
AmantadineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 128
(Annex 4 to swz).
Aqua pro inj.The subject of the contract is the successive delivery of various medicines in the amount specified in Package 129
(Annex 4 to swz).
AnticoagulantsThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 13
(Annex 4 to swz).
0,9% NaCl pro inj. 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 130
(Annex 4 to swz).
0,9% NaCl pro inj. 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 131
(Annex 4 to swz).
Calium chlorine. Inj.The subject of the contract is the successive delivery of various medicines in the amount specified in Package 132
(Annex 4 to swz).
Intravenous ironThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 133
(Annex 4 to swz).
IronThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 134
(Annex 4 to swz).
Various drugs Imp. Doc.The subject of the contract is the successive delivery of various medicines in the amount specified in Package 135
(Annex 4 to swz).
Tests for diagn. and immunotherapy diseases allergy.1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 136
(Annex 4 to swz).
Docosahexaenoic acid (DHA) preparationThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 137
(Annex 4 to swz).
Preparations for the protection of catheters and ports I **The subject of the contract is the successive delivery of various medicines in the amount specified in Package 138
(Annex 4 to swz).
Preparations for securing catheters and ports IIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 139
(Annex 4 to swz).
Ticagrelol IThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 14
(Annex 4 to swz).
Preparations for securing catheters and ports IIIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 140
(Annex 4 to swz).
MouthwashThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 141
(Annex 4 to swz).
Solutions for irrigationThe subject of the contract is the successive delivery of various medicines in the quantity specified in Package 142
(Annex 4 to swz).
ranibizumabThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 143
(Annex 4 to swz).
Milk Powder and Liquid for Newborns and Babies 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 144
(Annex 4 to swz).
Milk Powder and Liquid for Newborns and Babies 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 145
(Annex 4 to swz).
Food for special medical purposesThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 146
(Annex 4 to swz).
Miscellaneous drugs 10The subject of the contract is the successive delivery of various medicines in the amount specified in Package 147
(Annex 4 to swz).
Miscellaneous drugs 11The subject of the contract is the successive delivery of various medicines in the amount specified in Package 148
(Annex 4 to swz).
Miscellaneous drugs 12The subject of the contract is the successive delivery of various medicines in the amount specified in Package 149
(Annex 4 to swz).
Ticagrelol IIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 15
(Annex 4 to swz).
Tissue glueThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 150
(Annex 4 to swz).
FibrinogenThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 151
(Annex 4 to swz).
MyrtazapineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 152
(Annex 4 to swz).
Spray for removal of adhesionsThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 153
(Annex 4 to swz).
CefiximThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 154
(Annex 4 to swz).
thiopentalThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 155
(Annex 4 to swz).
ParoxetineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 156
(Annex 4 to swz).
SirolimusThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 157
(Annex 4 to swz).
LandiololThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 158
(Annex 4 to swz).
Product wieloszczepowyThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 159
(Annex 4 to swz).
abciximabThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 16
(Annex 4 to swz).
midazolamThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 160
(Annex 4 to swz).
BRIVARACETAMThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 161
(Annex 4 to swz).
ZonisamidumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 162
(Annex 4 to swz).
EthosuximidumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 163
(Annex 4 to swz).
AprotininumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 164
(Annex 4 to swz).
Ready wielowitaminowyThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 165
(Annex 4 to swz).
eptifibatideThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 17
(Annex 4 to swz).
SomatostatineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 18
(Annex 4 to swz).
TerlipressinThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 19
(Annex 4 to swz).
DABIGATRANThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 2
(Annex 4 to swz).
Tranexamic acidThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 20
(Annex 4 to swz).
EPTACOG ALPHAThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 21
(Annex 4 to swz).
Statins and fibratesThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 22
(Annex 4 to swz).
fondaparinuxThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 23
(Annex 4 to swz).
EnoxaparinThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 24
(Annex 4 to swz).
PerroparinThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 25
(Annex 4 to swz).
DalteparinThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 26
(Annex 4 to swz).
BivalirudineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 27
(Annex 4 to swz).
milrinoneThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 28
(Annex 4 to swz).
InhalantsThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 29
(Annex 4 to swz).
IDARUCIZUMABThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 3
(Annex 4 to swz).
Budesonide for inhalationThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 30
(Annex 4 to swz).
PainkillersThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 31
(Annex 4 to swz).
Paracetamol inj.The subject of the contract is the successive delivery of various medicines in the amount specified in Package 32
(Annex 4 to swz).
Ibuprofen inj.The subject of the contract is the successive delivery of various medicines in the amount specified in Package 33
(Annex 4 to swz).
metamizoleThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 34
(Annex 4 to swz).
TramadolThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 35
(Annex 4 to swz).
Lidocaine IThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 36
(Annex 4 to swz).
Lidocaine IIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 37
(Annex 4 to swz).
RopivacaineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 38
(Annex 4 to swz).
Central nervous system drugsThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 39
(Annex 4 to swz).
Cardiological drugs IThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 4
(Annex 4 to swz).
Narcotic drugs IThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 40
(Annex 4 to swz).
Narcotic drugs 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 41
(Annex 4 to swz).
FentanylThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 42
(Annex 4 to swz).
Remifentanyl + CisatracuriumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 43
(Annex 4 to swz).
DrotaverineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 44
(Annex 4 to swz).
Psychotrop medicinesThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 45
(Annex 4 to swz).
NorepinephrineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 46
(Annex 4 to swz).
EpinephrineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 47
(Annex 4 to swz).
DEXMEDETOMIDINEThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 48
(Annex 4 to swz).
etomidateThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 49
(Annex 4 to swz).
Cardiac drugs IIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 5
(Annex 4 to swz).
Propofol 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 50
(Annex 4 to swz).
Propofol 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 51
(Annex 4 to swz).
Propofol 3The subject of the contract is the successive delivery of various medicines in the amount specified in Package 52
(Annex 4 to swz).
Propofol 4The subject of the contract is the successive delivery of various medicines in the amount specified in Package 53
(Annex 4 to swz).
SevofluranThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 54
(Annex 4 to swz).
desfluraneThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 55
(Annex 4 to swz).
SugammadexThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 56
(Annex 4 to swz).
Rocuronium IThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 57
(Annex 4 to swz).
Rocuronium IIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 58
(Annex 4 to swz).
PaliperidonumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 59
(Annex 4 to swz).
Cardiac drugs IIIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 6
(Annex 4 to swz).
Depakina i VigabatrinThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 60
(Annex 4 to swz).
Levodopum+ BenserazidumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 61
(Annex 4 to swz).
OlanzapineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 62
(Annex 4 to swz).
AripiprazolumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 63
(Annex 4 to swz).
Baclofen intrathecalThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 64
(Annex 4 to swz).
Ambenonium chloridumThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 65
(Annex 4 to swz).
LevetiracetamThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 66
(Annex 4 to swz).
PhenytoineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 67
(Annex 4 to swz).
DapagliphozinsThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 68
(Annex 4 to swz).
EmpagliflozinThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 69
(Annex 4 to swz).
FurosemideThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 7
(Annex 4 to swz).
GlimepirideThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 70
(Annex 4 to swz).
Insulin IThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 71
(Annex 4 to swz).
Insulin IIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 72
(Annex 4 to swz).
Insulin IIIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 73
(Annex 4 to swz).
Insuliny IVThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 74
(Annex 4 to swz).
Albumins IThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 75
(Annex 4 to swz).
Albumins IIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 76
(Annex 4 to swz).
Immunoglobulin IThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 77
(Annex 4 to swz).
Immunoglobulin IIThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 78
(Annex 4 to swz).
SteroidsThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 79
(Annex 4 to swz).
Isosorbide mononitrateThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 8
(Annex 4 to swz).
DEXAMETHASONUMThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 80
(Annex 4 to swz).
Methylprednisolone inj. 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 81
(Annex 4 to swz).
Methylprednisolone inj. 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 82
(Annex 4 to swz).
PrednisoloniThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 83
(Annex 4 to swz).
levothyroxineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 84
(Annex 4 to swz).
Miscellaneous drugs 1The subject of the contract is the successive delivery of various medicines in the amount specified in Package 85
(Annex 4 to swz).
Miscellaneous drugs 2The subject of the contract is the successive delivery of various medicines in the amount specified in Package 86
(Annex 4 to swz).
MISCELLANEOUS 3The subject of the contract is the successive delivery of various medicines in the amount specified in Package 87
(Annex 4 to swz).
Miscellaneous drugs 4The subject of the contract is the successive delivery of various medicines in the amount specified in Package 88
(Annex 4 to swz).
Miscellaneous drugs 5The subject of the contract is the successive delivery of various medicines in the amount specified in Package 89
(Annex 4 to swz).
Sacubitril+ValsartanThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 9
(Annex 4 to swz).
Miscellaneous drugs 6The subject of the contract is the successive delivery of various medicines in the amount specified in Package 90
(Annex 4 to swz).
Miscellaneous drugs 7The subject of the contract is the successive delivery of various medicines in the amount specified in Package 91
(Annex 4 to swz).
Miscellaneous drugs 8The subject of the contract is the successive delivery of various medicines in the amount specified in Package 92
(Annex 4 to swz).
Miscellaneous drugs 9The subject of the contract is the successive delivery of various medicines in the amount specified in Package 93
(Annex 4 to swz).
HydroxycarbamideThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 94
(Annex 4 to swz).
FlutamideThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 95
(Annex 4 to swz).
Ibandronic acidThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 96
(Annex 4 to swz).
Pamidronic acidThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 97
(Annex 4 to swz).
CyclosporineThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 98
(Annex 4 to swz).
LevosimendanThe subject of the contract is the successive delivery of various medicines in the amount specified in Package 99
(Annex 4 to swz).