| Reason | |||
|---|---|---|---|
| 0010612489051000 | Rp 12,999,873,700 | - | |
| 0019565316423000 | Rp 12,990,085,088 | Skor penyedia dibawah passing grade yang ditetapkan oleh pokja | |
PT Cimekar Raya Perkasa | 00*6**5****23**0 | Rp 13,161,577,000 | tidak melampirkan dukungan bank |
CV Multi Jaya | 00*6**0****22**0 | - | - |
CV Prima Jasa | 0020656328204000 | - | - |
| 0020652681429000 | - | - | |
CV Marcel Medika | 00*8**8****29**0 | - | - |
| 0010611846051000 | - | - | |
| 0024145054056000 | - | - | |
Berkat Japti Abadi | 00*2**7****01**0 | - | - |
PT Cakrayudha Persada | 0311697221424000 | - | - |
| 0014461339508000 | - | - | |
CV Arnemia | 03*2**8****37**0 | - | - |
| 0022418602423000 | - | - | |
PT Kimia Farma Trading & Distribution | 0010612281426001 | - | - |