| Reason | |||
|---|---|---|---|
| 0019035211062000 | Rp 9,088,000,000 | - | |
| 0010612489051000 | Rp 9,130,000,000 | - | |
| 0010611846051000 | Rp 9,351,100,000 | - | |
| 0019796770503000 | - | tidak dilakukan evaluasi lebih lanjut karena sudah didapatkan harga terendah 1 s/d terendah 3 | |
| 0210216735511000 | - | tidak dilakukan evaluasi lebih lanjut karena sudah didapatkan harga terendah 1 s/d terendah 3 | |
| 0315191478429000 | - | - | |
| 0314198524013000 | - | - | |
| 0010612281051000 | - | - | |
PT Catur Tamaraya | 0311565634517000 | - | - |
| 0032203036508000 | - | - | |
PT Swa Makmur Pertiwi | 03*2**3****51**0 | - | - |
| 0030937833031000 | - | - | |
PT Samudra Medika Jaya | 03*7**8****03**0 | - | - |
CV Mahkota Jaya | 00*8**6****17**0 | - | - |
PT Permata Tristar | 0033136318015000 | - | - |
PT Mitra Saintifik Indonesia | 07*0**7****74**0 | - | - |
| 0312423551508000 | - | - | |
CV Jurus Sakti | 00*8**6****09**0 | - | - |
CV Namora | 00*9**8****11**0 | - | - |
| 0313161499124000 | - | - | |
| 0312552425432000 | - | - | |
| 0719462251501000 | - | - | |
Joyabadisentosa | 0665105441501000 | - | - |
Jiha | 0317210417501000 | - | - |
PT Riau Mutiara Medika | 00*9**8****18**0 | - | - |
| 0314529116517000 | - | - | |
| 0025106238432000 | - | - | |
| 0315544072517000 | - | - | |
CV Sinar Ilmu Jaya | 00*6**0****15**0 | - | - |
PT Siti Nadya Bersaudara | 0019479989307000 | - | - |
PT Candi Prambanan Farma | 00*4**3****03**0 | - | - |
PT Citra Sakti Utama | 0014647028541000 | - | - |
| 0313452849528000 | - | - | |
| 0029063708006000 | - | - | |
| 0702062654407000 | - | - | |
| 0029550944504000 | - | - | |
| 0019553395013000 | - | - | |
Veloz | 0317218584501000 | - | - |
| 0023888993017000 | - | - | |
PT Bhineka Usada Raya | 00*3**7****09**1 | - | - |
| 0031822695503000 | - | - | |
| 0024508327048000 | - | - | |
PT Jakarta Sejahtera Medika | 0022504765028000 | - | - |
PT Jehovah Rafa | 0031778996606000 | - | - |
| 0029065042006000 | - | - | |
CV Fadillah Medika | 0030031595522000 | - | - |
| 0015517691503000 | - | - | |
| 0031822646503000 | - | - | |
PT Perdana Internusa Jaya | 0031822497503000 | - | - |
| 0013656970062000 | - | - | |
| 0010611846051000 | - | - | |
| 0312602162013000 | - | - | |
| 0016534372541000 | - | - |