Angebotsvordruck
| Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | AZ: 0078-DLG/2026-03.235 | Unnamed: 4 |
|---|---|---|---|---|
| Firma: | Sachbearbeiterin: Frau Pankop | |||
| Ansprechpartner: | ||||
| Straße/Nr.: | ||||
| PLZ / Ort: | ||||
| Telefon: | ||||
| Lieferanschrift: | ||||
| Telefax: | Maßregelvollzugszentrum Niedersachsen Moringen | |||
| Mannenstraße 29 | ||||
| E-Mail: | 37186 Moringen | |||
| Angebotsnr.: | ||||
| Maßregelvollzugszentrum Niedersachsen Göttingen | ||||
| Ulrich-Venzlaff-Str. 2 | ||||
| 37081 Göttingen | ||||
| Angebot Los 1 (Blatt bitte vollständig ausfüllen!) BITTE VERGESSEN SIE NICHT DIE FELDER ORT / DATUM UND NAME DER ERKLÄRENDEN, NATÜRLICHEN PERSON AM ENDE DIESES BLATTES AUSZUFÜLLEN! | ||||
| Pos. | Produktbezeichnung | Menge | Preis pro Stück (netto) € | Gesamtpreis (netto) € |
| 1 | Paliperidon Ratio 150mg | 172 | 0 | |
| 2 | Maviret 100mg/40mg | 3 | 0 | |
| 3 | Epclusa 400 Mg/ 100 Mg | 4 | 0 | |
| 4 | Maviret 100mg/40mg Filmtab | 2 | 0 | |
| 5 | Risperdal Consta 50mg | 63 | 0 | |
| 6 | Salvacyl 11.25mg | 35 | 0 | |
| 7 | Solian Loesung | 284 | 0 | |
| 8 | Abilify Maintena 400mg Stat. | 55 | 0 | |
| 9 | Epclusa 400mg/100mg Fta | 2 | 0 | |
| 10 | Zypadhera 405mg Pul+Loe | 54 | 0 | |
| 11 | Paliperidon Ratio 100mg | 104 | 0 | |
| 12 | L Polamidon Loes Z Substit | 747 | 0 | |
| 13 | Zypadhera 300mg Pul+Loe | 23 | 0 | |
| 14 | Okedi 100 Mg Pul+Lsgm Depo | 29 | 0 | |
| 15 | Zypadhera 405mg Pul+Loe | 16 | 0 | |
| 16 | Zypadhera 300mg Pul+Loe | 20 | 0 | |
| 17 | Abilify 10mg Schmelztabl | 116 | 0 | |
| 18 | Invega 3mg Retardtabletten | 68 | 0 | |
| 19 | Zepatier 50 Mg/100 Mg | 1 | 0 | |
| 20 | Niapelf 150mg Dis | 22 | 0 | |
| 21 | Akineton 4mg Retardtablett | 799 | 0 | |
| 22 | Clozapin 100 1a Pharma | 3116 | 0 | |
| 23 | Zyprexa Velotab 20mg | 394 | 0 | |
| 24 | Haldol Ess 2mg/Ml Lse | 807 | 0 | |
| 25 | Ciatyl Z Tropfen 20mg/Ml | 563 | 0 | |
| 26 | Risperdal Loesung 1mg/Ml | 713 | 0 | |
| 27 | Biktarvy 50mg/200mg/25mg | 7 | 0 | |
| 28 | Trevicta 525mg Dep Inj Sus | 2 | 0 | |
| 29 | Buvidal 16mg Depot Inj Lsg | 44 | 0 | |
| 30 | Dysurgal 0.5mg | 128 | 0 | |
| 31 | Zypadhera 405mg Pul+Loe | 6 | 0 | |
| 32 | Trulicity 1.5mg | 47 | 0 | |
| 33 | Ziprasidon Stada 40mg Hart | 85 | 0 | |
| 34 | Seroquel Prolong 300mg Ret | 85 | 0 | |
| 35 | Solian Loesung | 64 | 0 | |
| 36 | Salvacyl 11.25mg | 7 | 0 | |
| 37 | Twinrix Erw Impfdos O Kan | 6 | 0 | |
| 38 | Zyprexa Velotab 10mg | 461 | 0 | |
| 39 | Paliperidon Orifarm 100mg | 10 | 0 | |
| 40 | Buvidal 64mg Depot Inj Lsg | 8 | 0 | |
| 41 | Zyprexa Velotab 15mg | 283 | 0 | |
| 42 | Zypadhera 300mg Pul+Loe | 7 | 0 | |
| 43 | Pipamperon Hexal 4mg/Ml | 823 | 0 | |
| 44 | Circadin 2mg Ret | 228 | 0 | |
| 45 | Riopan Magen Gel Stick Pac | 167 | 0 | |
| 46 | Abilify 15mg Schmelztabl | 35 | 0 | |
| 47 | Emla 25+25mg/G +12tega Pfl | 88 | 0 | |
| 48 | Pravidel 2.5mg | 212 | 0 | |
| 49 | Buvidal 24mg Depot Inj Lsg | 27 | 0 | |
| 50 | Dekristol 1000 Ie | 596 | 0 | |
| 51 | Mounjaro 2.5mg Kwikpen | 13 | 0 | |
| 52 | Quilonum Retard | 195 | 0 | |
| 53 | Invega 9mg Retardtabletten | 15 | 0 | |
| 54 | Clopixol Depot 200mg | 58 | 0 | |
| 55 | Paliperidon Ratio 75mg | 23 | 0 | |
| 56 | Dronabinol Tropfen 2,5% 50ml Lb | 7 | 0 | |
| 57 | Gardasil 9 Fertigspritze | 14 | 0 | |
| 58 | Engerix B Erwachsene O Kan | 7 | 0 | |
| 59 | Medikinet Adult 40mg | 38 | 0 | |
| 60 | Sweatosan | 98 | 0 | |
| 61 | Wegovy 2.4mg Flextouch Ilo | 9 | 0 | |
| 62 | Biktarvy 50mg/200mg/25mg | 1 | 0 | |
| 63 | Invega 6mg Retardtabletten | 14 | 0 | |
| 64 | Rivotril | 192 | 0 | |
| 65 | Buvidal 8mg Depot Inj Lsg | 21 | 0 | |
| 66 | Pregabalin-Neurax 20 Mg/Ml | 172 | 0 | |
| 67 | Hypnorex Ret | 85 | 0 | |
| 68 | Ergenyl Chrono 500 | 188 | 0 | |
| 69 | Zypadhera 300mg Pul+Loe | 9 | 0 | |
| 70 | Paliperidon Advanz Ph100mg | 4 | 0 | |
| 71 | Melperon Stada | 447 | 0 | |
| 72 | Fluanxol 5mg Filmtab | 79 | 0 | |
| 73 | Forxiga 10mg Filmtabletten | 79 | 0 | |
| 74 | Wegovy 1.7mg Flextouch Ilo | 8 | 0 | |
| 75 | Ciatyl Z 10mg Filmtab | 98 | 0 | |
| 76 | Ozempic 1mg Inj.Lsg Pen 8w | 16 | 0 | |
| 77 | Cyproteron Tad 50mg Tabl | 50 | 0 | |
| 78 | Nevirapin Axiromed 400mg | 2 | 0 | |
| 79 | Paliperidon Al 100mg Dis | 4 | 0 | |
| 80 | Gastrozepin 50mg | 146 | 0 | |
| 81 | Suboxone 2mg/0.5mg | 51 | 0 | |
| 82 | Levomepromazin-Nx 40 Mg/Ml | 133 | 0 | |
| 83 | Fluanxol Depot10% 100mg/Ml | 11 | 0 | |
| 84 | Ozempic 0.5mg Inj.Lsg Pen | 29 | 0 | |
| 85 | Ciatyl Z Acuphase 50mg/Ml | 14 | 0 | |
| 86 | Zypadhera 300mg Pul+Loes | 3 | 0 | |
| 87 | Triumeq 50mg/600mg/300mg | 2 | 0 | |
| 88 | Triumeq 50mg/600mg/300mg | 2 | 0 | |
| 89 | Triumeq 50mg/600mg/300mg | 2 | 0 | |
| 90 | Influsplit 2025/2026 | 13 | 0 | |
| 91 | Otriven 0.1% Einz Dos Pip | 254 | 0 | |
| 92 | Medikinet Adult 20mg | 47 | 0 | |
| 93 | Diazepam Ratio 10mg/Ml Tro | 947 | 0 | |
| 94 | Solian 200mg | 109 | 0 | |
| 95 | Jardiance 10mg Fta | 140 | 0 | |
| 96 | Mounjaro 15mg Kwikpen | 3 | 0 | |
| 97 | Solian 100mg | 59 | 0 | |
| 98 | Glianimon Pip Fl | 108 | 0 | |
| 99 | Zypadhera 405mg Pul+Loe | 2 | 0 | |
| 100 | Fresubin Energy Drink Vani | 303 | 0 | |
| 101 | Buvidal 96mg Depot Inj Lsg | 3 | 0 | |
| 102 | Ilon Salbe Classic | 45 | 0 | |
| 103 | Quetiapin Aurobin 50mg Ret | 155 | 0 | |
| 104 | Magnesium Diasporal 300mg | 225 | 0 | |
| 105 | Ziprasidon Puren 40mg | 162 | 0 | |
| 106 | Einmalpipetten 3ml Moringen | 21 | 0 | |
| 107 | Reagila 6 Mg Hartkapseln | 20 | 0 | |
| 108 | Haldol Ess Dep 50mg/Ml Ilo | 9 | 0 | |
| 109 | Lantus 100e/Ml Solostar Fs | 118 | 0 | |
| 110 | Promethazin-Neurax | 337 | 0 | |
| 111 | Trulicity 4.5mg Pen | 13 | 0 | |
| 112 | Ergenyl | 153 | 0 | |
| 113 | Suboxone 8mg/2mg | 10 | 0 | |
| 114 | Olanzapin 1a Pharma 10mg | 156 | 0 | |
| 115 | Ergenyl Chrono 300 | 174 | 0 | |
| 116 | Wegovy 0.25mg Flextouch Il | 7 | 0 | |
| 117 | Wegovy 0.5mg Flextouch Ilo | 7 | 0 | |
| 118 | Ziprasidon Stada 20mg Hart | 24 | 0 | |
| 119 | Shingrix | 4 | 0 | |
| 120 | Myfenax 500mg Filmtabl | 27 | 0 | |
| 121 | Solian 400mg | 16 | 0 | |
| 122 | Rayaldee 30mcg Wka Retard | 6 | 0 | |
| 123 | Metex Fs 15mg (50mg/Ml) | 60 | 0 | |
| 124 | Medikinet Adult 50mg | 16 | 0 | |
| 125 | Salbutamol Au 100ug Es | 84 | 0 | |
| 126 | Mounjaro 5.0mg Ilo Dfl | 4 | 0 | |
| 127 | Glaupax 250mg Tabletten | 22 | 0 | |
| 128 | Ibuflam 600mg Lichtenstein | 556 | 0 | |
| 129 | Trulicity 3.0mg Pen | 11 | 0 | |
| 130 | Fluanxol 1mg Filmtab | 121 | 0 | |
| 131 | Ozempic 1mg Inj.Lsg Pen | 5 | 0 | |
| 132 | Elvanse 50mg Hartkapseln | 14 | 0 | |
| 133 | Eucerin Ph5 Hand Int Pfleg | 147 | 0 | |
| 134 | Seroquel Prolong 200mg Ret | 3 | 0 | |
| 135 | Buprenaddict 2mg | 136 | 0 | |
| 136 | Zyprexa Velotab 5mg | 217 | 0 | |
| 137 | Buvidal 128mg Depo Inj Lsg | 2 | 0 | |
| 138 | Nitoman 25mg Tabletten | 6 | 0 | |
| 139 | Quetiapin Tad 150mg Ret | 566 | 0 | |
| 140 | Quetiapin Hexal 400mg Ret | 58 | 0 | |
| 141 | Quetiapin Tad 300mg Ret | 283 | 0 | |
| 142 | Ozempic 0.25mg Inj.Lsg Pen | 24 | 0 | |
| 143 | Lefax | 58 | 0 | |
| 144 | Cetirizin Stada 10mg | 174 | 0 | |
| 145 | Quetiapin Hexal 200mg Film | 42 | 0 | |
| 146 | Dominal Forte 80mg | 72 | 0 | |
| 147 | Cyproteronacetat Beta 50mg | 22 | 0 | |
| 148 | Sinupret Forte Dragees | 42 | 0 | |
| 149 | Mounjaro 5mg Kwikpen | 3 | 0 | |
| 150 | Quetiapin Ratio 50mg Ret | 67 | 0 | |
| Angebotssumme (netto) : | 0 | |||
| Mit der elektronischen Angebotsabgabe erkennt der Bieter die Zusätzlichen Vertragsbedingungen (ZVB) für die Ausführung von Lieferungen und Leistungen des Landes Niedersachsen und die Allgemeinen Vertragsbedingungen für die Ausführung von Leistungen (VOL/B) an, auch wenn in den beigefügten Angebotsunterlagen firmeneigene Allgemeine Geschäftsbedingungen (AGB) beigefügt sind oder auf solche verwiesen wird. Bietereigene AGB werden nicht Vertragsbestandteil. Ich bin mir bzw. wir sind uns bewusst, dass eine wissentlich falsche Erklärung den Ausschluss von dieser und von weiteren Ausschreibungen zur Folge haben kann. | ||||
| Pos. | Preis pro Km (netto) € | |||
| 151 | Sonderfahrten für die Notfallversorgung ab der 13. Fahrt | |||
| Ort / Datum | Name der erklärenden, natürlichen Person |