| Reason | |||
|---|---|---|---|
PT Trimitra Garmedindo Interbuana | 00*6**1****41**0 | Rp 351,010,000 | - |
PT Paheda Cipta Sukses | 0313648289005000 | Rp 366,960,000 | tidak melampirkan ijin PAK yang terbaru |
| 0031946056444000 | Rp 359,040,000 | tidak melewati nilai ambang batas teknis | |
CV Medistra Pegagan | 00*0**0****29**0 | Rp 275,000,000 | tidak melampirkan surat jaminan penawaran, daftar kuantitas dan harga tidak diisi dengan jelas |
PT Sumber Sugih Medika | 00*7**2****44**0 | - | - |
UD Saudara | 0060757192525000 | - | - |
| 0315656900424000 | - | - | |
PT Andris Dwi Utami | 0018961169423000 | - | - |
PT Tri Utama Abadi | 02*0**3****24**0 | - | - |
| 0020652061423000 | - | - | |
PT Prima Medika | 00*3**0****07**0 | - | - |
CV Dwi Mitra Mandiri | 02*0**9****29**0 | - | - |
| 0022041933429000 | - | - | |
Medilabs | 0014655906424000 | - | - |
| 0020653093429000 | - | - | |
CV Setia Mandiri | 02*0**8****21**0 | - | - |
CV Nusa Pasifik | 03*6**6****21**0 | - | - |
| 0313672354542000 | - | - | |
CV Kecubung Cahaya Lestari | 0029795093306000 | - | - |
Pilar Persada | 00*7**8****16**0 | - | - |
| 0027935410002000 | - | - | |
| 0018234922008000 | - | - | |
| 0021005111003000 | - | - | |
PT Nusa Mandiri Pratama Instruments | 03*4**2****02**0 | - | - |
| 0021430350016000 | - | - | |
| 0032157182003000 | - | - | |
PT Mega Andalan Kalasan | 00*8**3****42**0 | - | - |
| 0317080711424000 | - | - | |
PT Yunia Yoga Farma | 0017457573441000 | - | - |
| 0025563966412000 | - | - | |
PT Rama Antarnusa | 03*3**6****02**0 | - | - |
CV Cikal Permata Hati | 00*0**7****21**0 | - | - |
| 0315191478429000 | - | - | |
CV Kemuning Sembilan | 00*9**3****29**0 | - | - |
CV Mitra Satya Utama | 00*3**9****05**0 | - | - |
PT Keiffa Bunga Lestari | 0030639793005000 | - | - |
| 0028353449001000 | - | - | |
| 0013132576073000 | - | - | |
| 0024050049038000 | - | - | |
CV Intra Media Tama | 0312807431429000 | - | - |
PT Persada Nusantara | 00*8**3****27**0 | - | - |
CV Giriantara | 00*6**2****23**0 | - | - |
| 0032856148444000 | - | - | |
| 0027496850428000 | - | - | |
PT Cahaya Maju Medika | 00*4**8****26**0 | - | - |