| Reason | |||
|---|---|---|---|
Koperasi Sawala Mukti Unit Farmasi | 00*4**7****23**0 | Rp 457,600,000 | Tidak lulus kualifikasi dikarenakan tidak menyertakan atau tidak mempunyai izin PAK dari kemenkes |
| 0031946056444000 | Rp 493,240,000 | - | |
| 0314710781439000 | Rp 502,700,000 | - | |
CV Wijaya Kencana Wangi | 0316828334443000 | - | - |
CV Gemilang | 00*0**8****44**0 | - | - |
CV Dwi Mitra Mandiri | 02*0**9****29**0 | - | - |
| 0016916322423000 | - | - | |
CV Cikal Permata Hati | 00*0**7****21**0 | - | - |
| 0021256714008000 | - | - | |
Aria Prakasa | 03*4**0****06**0 | - | - |
PT Cahaya Amanah Insani Perkasa | 00*6**9****06**0 | - | - |
CV Mutiara | 0015457542525000 | - | - |
| 0021046909543000 | - | - | |
PT Hospi Niaga Utama | 03*4**6****22**0 | - | - |
| 0027989565508000 | - | - | |
| 0314862681428000 | - | - | |
CV Aditha Pratama | 00*5**5****14**0 | - | - |
CV Madhika Adikara | 0016069510406000 | - | - |
| 0029987153004000 | - | - | |
| 0210461091424000 | - | - | |
CV Viad Jaya Makmur | 0313033995036000 | - | - |
CV Tri Dimensi Sinergi | 00*3**3****16**0 | - | - |
PT Dinamika Rifqy Medika | 0315758946428000 | - | - |
| 0016261190023000 | - | - | |
CV Albar. | 0026993865532000 | - | - |
| 0210443107008000 | - | - | |
CV Bahtera Global Indotama | 0030167100034000 | - | - |
PT Mutiara Murni Mandiri | 0026051953002000 | - | - |
| 0028322790027000 | - | - | |
CV Nasha Putri Gemilang | 00*3**3****36**0 | - | - |
| 0026488718411000 | - | - | |
| 0024006959418000 | - | - | |
CV Betrand Jaya | 0315194878002000 | - | - |
Pilar Persada | 00*7**8****16**0 | - | - |
PT Mega Andalan Kalasan | 00*8**3****42**0 | - | - |
CV Marindo.Inc | 0019692136407000 | - | - |
CV Haryko Djaya | 0032856478444000 | - | - |
Pb Upoyo | 0256348749542000 | - | - |
| 0015455116532000 | - | - | |
CV Setia Indo Pratama | 0317507975412000 | - | - |
| 0032687196444000 | - | - | |
Ralephy | 0026631101031000 | - | - |
| 0016050205651000 | - | - | |
| 0022585178521000 | - | - | |
PT Mutiara Jaya Farma | 0020641940421000 | - | - |
| 0314866807429000 | - | - | |
PT Adhi Berkat Gemilang | 0032243388008000 | - | - |
| 0317657872416000 | - | - | |
| 0026667089406000 | - | - | |
| 0019950542093000 | - | - | |
CV Global Artha Kencana | 0031636913024000 | - | - |
| 0015250293423000 | - | - | |
CV Aria Brata Surya | 0019950013403000 | - | - |