| Reason | |||
|---|---|---|---|
PT Raja Prakasa Semesta | 03*3**8****13**0 | Rp 964,315,000 | - |
| 0031946056444000 | Rp 969,210,000 | - | |
CV Medistra Pegagan | 00*0**0****29**0 | Rp 700,000,000 | Tidak melampirkan Jaminan Penawaran |
Koperasi Sawala Mukti Unit Farmasi | 00*4**7****23**0 | Rp 975,588,600 | Tidak melampirkan Jaminan Penawaran |
CV Cikal Permata Hati | 00*0**7****21**0 | Rp 976,718,000 | Tidak melampirkan Jaminan Penawaran |
| 0020836508439000 | Rp 971,718,600 | Tidak melampirkan Jaminan Penawaran | |
Anggada Mitra Sejahtera | 03*3**7****28**0 | - | - |
| 0015112378439000 | - | - | |
| 0012017208439000 | - | - | |
| 0013425723054000 | - | - | |
| 0016731028009000 | - | - | |
CV Era Pelita | 00*7**6****06**0 | - | - |
| 0312419807435000 | - | - | |
PT Prima Suma | 00*7**5****29**0 | - | - |
PT Mega Andalan Kalasan | 00*8**3****42**0 | - | - |
| 0013132576073000 | - | - | |
CV Sinar Sawitri | 0314045139412000 | - | - |
CV Sumber Rejeki Alkestama | 00*5**8****29**0 | - | - |
CV Kemiri Gading | 00*1**0****26**0 | - | - |
| 0312801590434000 | - | - | |
| 0022354591429000 | - | - | |
| 0022041933429000 | - | - | |
CV Purnayudha | 02*0**8****24**0 | - | - |
CV Kemuning Sembilan | 00*9**3****29**0 | - | - |
| 0013139670007000 | - | - | |
CV Pandu Kencana | 00*4**6****26**0 | - | - |
Pilar Persada | 00*7**8****16**0 | - | - |
CV Dinamika Rifqy Medika | 00*5**5****28**0 | - | - |
| 0315656900424000 | - | - | |
PT Cahaya Maju Medika | 00*4**8****26**0 | - | - |
| 0024050049038000 | - | - |