| Reason | |||
|---|---|---|---|
| 0025676891428000 | Rp 838,530,000 | - | |
| 0315656900424000 | Rp 843,645,000 | - | |
CV Intan | 00*4**8****29**0 | Rp 834,900,000 | Gugur, dalam kelengkapan Dokumen teknis tidak melampirkan Dukungan distributor/ pabrikan/agen |
| 0016731028009000 | - | - | |
PT Sumber Sendang Agung Totolestari | 0015514284504000 | - | - |
CV Al-Madinah | 0025874041425000 | - | - |
| 0020089926423000 | - | - | |
CV Medistra Pegagan | 00*0**0****29**0 | - | - |
Sukasenang Farma | 00*0**2****23**0 | - | - |
| 0016133456422000 | - | - | |
CV Dinamika Rifqy Medika | 00*5**5****28**0 | - | - |
CV Dwi Mitra Mandiri | 02*0**9****29**0 | - | - |
CV Dwiva Karya Muda | 0020640694421000 | - | - |
CV Mitra Utama | 0021615109421000 | - | - |
CV Nikeysha | 0312793060421000 | - | - |
PT Erarekayasa Mitra Sejati | 00*7**9****21**0 | - | - |
| 0312323777421000 | - | - | |
CV Cikal Permata Hati | 00*0**7****21**0 | - | - |
CV Aditha Pratama | 00*5**5****14**0 | - | - |
Pilar Persada | 00*7**8****16**0 | - | - |
P.T. Intergastra Nusantara | 0013667035026000 | - | - |
| 0015415318013000 | - | - | |
Citra Utama Perkasa | 03*4**8****24**0 | - | - |
Anggada Mitra Sejahtera | 03*3**7****28**0 | - | - |
PT Setia Anugrah Medika | 00*2**1****48**0 | - | - |
PT Cahaya Maju Medika | 00*4**8****26**0 | - | - |
PT Oncoprobe Utama | 00*0**6****29**0 | - | - |
PT Tri Utama Abadi | 02*0**3****24**0 | - | - |