| Reason | |||
|---|---|---|---|
| 0029096070606000 | Rp 1,127,995,000 | - | |
| 0316214477615000 | Rp 1,128,600,000 | - | |
PT Bintang Fajar Jaya Bersama | 0314638263603000 | Rp 1,129,590,000 | - |
| 0317714459618000 | - | - | |
| 0718048929216000 | - | - | |
| 0313343774609000 | Rp 1,129,590,000 | tidak dilakukan evaluasi administrasi karena sudah didapat 3 calon pemenang terendah | |
| 0031937642615000 | - | - | |
| 0315544072517000 | - | - | |
PT Indofarma Global Medika | 00*0**1****21**2 | - | - |
| 0312632383432000 | - | - | |
| 0032203036508000 | - | - | |
PT Prasasti Dwimitra | 0314817396604000 | - | - |
| 0015314487615000 | - | - | |
| 0025251000619000 | - | - | |
PT Adena Misbah | 0317014264541000 | - | - |
| 0210443107008000 | - | - | |
PT Bara Gemilang | 00*2**3****09**0 | - | - |
| 0025468554307000 | - | - | |
PT Hearing Vision | 00*4**3****19**0 | - | - |
CV Santiadji Langgeng | 0315980896609000 | - | - |
CV Prestasi Mandiri | 00*8**8****06**0 | - | - |
PT Delta Sarana Medika | 0315605972606000 | - | - |
| 0032063695609000 | - | - | |
| 0017228214609000 | - | - | |
PT Tiara Niaga Alkestron | 0311693402526000 | - | - |
Bakti Kencana | 0210030797629000 | - | - |
Bumi Irsa Prakarsa | 07*7**3****07**0 | - | - |
PT Agathis Solution | 00*6**5****09**0 | - | - |
| 0727924342602000 | - | - | |
| 0033005638952000 | - | - | |
CV Poespojoyo | 07*0**1****12**0 | - | - |
CV Aditha Pratama | 00*5**5****14**0 | - | - |
CV Sumber Jaya Alkindo | 00*6**2****06**0 | - | - |
CV Sumber Sarana Sukses Medical Supplies | 00*0**6****17**0 | - | - |
| 0021669072644000 | - | - | |
| 0024508327048000 | - | - | |
CV Maju Makmur | 07*9**8****02**0 | - | - |
| 0016731028009000 | - | - | |
| 0010611846051000 | - | - | |
CV Sali Indah | 00*6**9****25**0 | - | - |
| 0719924227609000 | - | - | |
PT Istana Langit Jaya | 07*9**1****08**0 | - | - |
CV Bintang Kurnia Raya | 07*5**9****48**0 | - | - |
| 0032004574643000 | - | - | |
PT Jehovah Rafa | 0031778996606000 | - | - |
CV Sahara | 0019877193644000 | - | - |
| 0662511039618000 | - | - | |
| 0711289868517000 | - | - | |
| 0713874634005000 | - | - | |
| 0709670285617000 | - | - | |
PT Suryatama Global Mandiri | 00*3**8****43**0 | - | - |