| Reason | |||
|---|---|---|---|
| 0031946056444000 | Rp 2,084,579,600 | - | |
PT Raja Prakasa Semesta | 03*3**8****13**0 | Rp 2,089,204,700 | - |
CV Medistra Pegagan | 00*0**0****29**0 | Rp 1,700,000,000 | Tidak melampirkan Jaminan Penawaran |
Koperasi Sawala Mukti Unit Farmasi | 00*4**7****23**0 | Rp 2,121,911,560 | Harga Penawaran di atas HPS, Tidak melampirkan Jaminan Penawaran |
CV Cikal Permata Hati | 00*0**7****21**0 | Rp 2,122,520,400 | Harga Penawaran di atas HPS, Tidak melampirkan Jaminan Penawaran |
| 0020836508439000 | Rp 2,121,011,510 | Harga Penawaran di atas HPS, Tidak melampirkan Jaminan Penawaran | |
PT Cahaya Maju Medika | 00*4**8****26**0 | - | - |
Anggada Mitra Sejahtera | 03*3**7****28**0 | - | - |
| 0015112378439000 | - | - | |
CV Nuri Anggasari | 0021743851019000 | - | - |
| 0016936809437000 | - | - | |
| 0013425723054000 | - | - | |
| 0016731028009000 | - | - | |
Citra Utama Perkasa | 03*4**8****24**0 | - | - |
| 0312419807435000 | - | - | |
PT Prima Suma | 00*7**5****29**0 | - | - |
| 0025631342517000 | - | - | |
CV Utama Sakti | 00*1**5****23**0 | - | - |
PT Mega Andalan Kalasan | 00*8**3****42**0 | - | - |
Utama Sarana Medika | 00*1**0****24**1 | - | - |
CV Dinamika Rifqy Medika | 00*5**5****28**0 | - | - |
PT Fondaco Mitratama | 00*6**4****73**0 | - | - |
CV Cokro Suryo | 02*0**5****32**0 | - | - |
CV Sumber Rejeki Alkestama | 00*5**8****29**0 | - | - |
| 0026147868086000 | - | - | |
CV Kemiri Gading | 00*1**0****26**0 | - | - |
| 0312801590434000 | - | - | |
| 0022354591429000 | - | - | |
| 0312141542429000 | - | - | |
| 0022041933429000 | - | - | |
Andini Pilar Sejahtera | 03*4**9****29**0 | - | - |
CV Kemuning Sembilan | 00*9**3****29**0 | - | - |
CV Cemerlang Indah | 0017432899013000 | - | - |
PT Mitra Ambrosia Pratama | 00*0**3****27**0 | - | - |
PT Andris Dwi Utami | 0018961169423000 | - | - |
| 0024050049038000 | - | - | |
Pilar Persada | 00*7**8****16**0 | - | - |
CV Pandu Kencana | 00*4**6****26**0 | - | - |
| 0013132576073000 | - | - | |
CV Dwi Mitra Mandiri | 02*0**9****29**0 | - | - |
CV Purnayudha | 02*0**8****24**0 | - | - |