| Reason | |||
|---|---|---|---|
| 0313672354542000 | Rp 254,135,600 | Nilai melebihi HPS | |
| 0313778052526000 | Rp 253,403,275 | Tidak memenuhi persyaratan teknis | |
Bina Sejahtera Mandiri | 00*9**1****32**0 | Rp 253,877,225 | Tidak memenuhi persyaratan teknis |
| 0015514243517000 | - | - | |
CV Rambay | 00*7**2****17**0 | - | - |
PT Saha Medika Abadi | 00*1**1****03**0 | - | - |
PT Catur Tamaraya | 0311565634517000 | - | - |
| 0314560236526000 | - | - | |
CV Afra Medilab | 00*9**0****41**0 | - | - |
PT Bhakti Kurnia Pratama | 0020579850525000 | - | - |
CV Bisma Karya Medika | 0210242681526000 | - | - |
| 0313452849528000 | - | - | |
| 0017574807542000 | - | - | |
| 0022585178521000 | - | - | |
CV Dana Mandiri | 00*1**5****08**0 | - | - |
| 0211318050526000 | - | - | |
| 0032095267503000 | - | - | |
PT Bulu Pitu Sejahtera | 00*2**7****21**0 | - | - |