| Reason | |||
|---|---|---|---|
| 0010611846051000 | Rp 1,861,618,000 | - | |
| 0015249303429000 | Rp 1,905,475,000 | - | |
| 0010612489051000 | Rp 1,942,582,300 | - | |
| 0210802179432000 | Rp 2,010,981,500 | Tidak diperiksa karena Pokja sudah mendapatkan 3 penawar terendah | |
| 0020652061423000 | Rp 1,972,200,000 | Tidak diperiksa karena Pokja sudah mendapatkan 3 penawar terendah | |
PT Kimia Farma Trading & Distribution | 0010612281426001 | - | - |
| 0022445654428000 | - | - | |
PT San Prima Sejati | 00*6**1****32**0 | - | - |
| 0022585178521000 | - | - | |
PT Sukses Mandiri Farma | 0316432863528000 | - | - |
PT Purba Raya Ondora | 0768546434331000 | - | - |
CV Maulana Karya Bakti | 0027254044438000 | - | - |
| 0316082841721000 | - | - | |
| 0665776688528000 | - | - | |
| 0314141755532000 | - | - | |
PT Indofarma Global Medika Cabang Tegal | 00*0**1****01**1 | - | - |
| 0027488527009000 | - | - | |
| 0015484496423000 | - | - | |
PT Galenium Pharmasia Laboratories | 00*4**2****62**0 | - | - |
| 0017456765429000 | - | - |