| Reason | |||
|---|---|---|---|
PT Delta Sarana Medika | 0315605972606000 | Rp 3,740,000,000 | - |
| 0032085235606000 | Rp 3,751,000,000 | - | |
| 0016814386615000 | Rp 3,762,000,000 | - | |
| 0314638164606000 | Rp 3,773,000,000 | Tidak dilakukan pembuktian kualifikasi | |
PT Ronggolawe | 0017230053615000 | - | - |
| 0030937833031000 | - | - | |
PT Duta Inti Sarana Utama | 0314978560653000 | - | - |
| 0032056152805000 | - | - | |
| 0021211305031000 | - | - | |
PT Widhi Dharma Adi | 0032063486090000 | - | - |
| 0023056351034000 | - | - | |
| 0314897273603000 | - | - | |
| 0024508327048000 | - | - | |
CV Gresik Multi Medical | 03*2**1****19**0 | - | - |
CV Prestasi Mandiri | 00*8**8****06**0 | - | - |
PT Dewata Abadi | 00*2**2****15**0 | - | - |
Nona Rulitasary | 00*2**9****07**0 | - | - |
CV Santiadji Langgeng | 0315980896609000 | - | - |
| 0705737062617000 | - | - | |
| 0031130453615000 | - | - | |
PT Kwarta Putra Prima | 00*5**5****09**0 | - | - |
PT Surya Artha Medica | 00*1**7****18**0 | - | - |
PT Cahaya Prima Cemerlang | 00*3**2****18**0 | - | - |
PT Fondaco Mitratama | 00*6**4****73**0 | - | - |
| 0013157086007000 | - | - | |
CV Sumber Jaya Alkindo | 00*6**2****06**0 | - | - |
PT Istiqomah Sukses Jaya | 0660485947609000 | - | - |
PT Spero Abadi Medika | 06*2**9****06**0 | - | - |
CV Buana Indah | 00*3**7****08**0 | - | - |
| 0025468554307000 | - | - | |
PT Mandiri Perdana Medika | 00*3**9****06**0 | - | - |
| 0031536998604000 | - | - | |
Aerocom Jenco Indonesia | 00*4**0****36**0 | - | - |
CV Chandra Jaya | 00*8**8****46**0 | - | - |
| 0719924227609000 | - | - | |
PT Cipta Prayitna | 03*5**5****19**0 | - | - |
PT Indofarma Global Medika Cabang Malang | 0010611846651001 | - | - |
| 0031778665606000 | - | - | |
| 0021669072644000 | - | - | |
| 0667262364604000 | - | - | |
| 0315450288609000 | - | - | |
| 0017306432631000 | - | - |