| Reason | |||
|---|---|---|---|
PT Prasasti Dwimitra | 0314817396604000 | Rp 423,350,000 | - |
| 0317838225618000 | Rp 426,600,000 | - | |
| 0314793951607000 | Rp 440,000,000 | - | |
Sejahtera Berkat Keluarga | 03*5**4****42**0 | Rp 437,800,000 | tidak melampirkan surat pernyataan dari penyedia, tidak melampirkan AKL dari kemenkes dan tidak melampirkan spesifikasi teknis |
CV Santiadji Langgeng | 0315980896609000 | - | - |
| 0315840470643000 | - | - | |
| 0667262364604000 | - | - | |
| 0315544072517000 | - | - | |
CV Rejeki Lancar | 00*9**4****57**0 | - | - |
| 0025251000619000 | - | - | |
| 0032203036508000 | - | - | |
PT Surya Artha Medica | 00*1**7****18**0 | - | - |
| 0025468554307000 | - | - | |
PT Depo Kedokteran Mulia Husada | 03*1**0****19**0 | - | - |
| 0709962864821000 | - | - | |
| 0029096070606000 | - | - | |
| 0724924683435000 | - | - | |
| 0312632383432000 | - | - | |
| 0021669072644000 | - | - | |
| 0755188596644000 | - | - | |
| 0313349250618000 | - | - | |
| 0010000131093000 | - | - | |
| 0010611846051000 | - | - | |
CV Kawan Sejati | 00*0**3****04**0 | - | - |
PT Suryatama Global Mandiri | 00*3**8****43**0 | - | - |
| 0032027385061000 | - | - | |
| 0313343774609000 | - | - | |
| 0031937212615000 | - | - | |
| 0031937642615000 | - | - | |
| 0019763986615000 | - | - | |
| 0021702006609000 | - | - | |
| 0030474589039000 | - | - | |
| 0719924227609000 | - | - | |
PT Sumber Mulya Alkesindo | 0030017313618000 | - | - |
PT Doho Nauli | 00*5**7****22**0 | - | - |
| 0013667035073000 | - | - | |
| 0709670285617000 | - | - | |
| 0715666871072000 | - | - | |
| 0724834882061000 | - | - |