| Reason | |||
|---|---|---|---|
| 0013695184092000 | Rp 10,000,000 | - | |
| 0011306891441000 | Rp 10,110,000 | - | |
PT Forta Mitra Sejati | 0020812475503001 | Rp 40,991,792 | - |
| 0013425723054000 | Rp 50,764,977 | - | |
| 0032388845626000 | Rp 83,193,000 | - | |
Great Mataram | 0011441292526001 | Rp 98,996,830 | - |
PT Sapta Sari Tama | 0011063013541001 | Rp 127,065,000 | Seluruh Harga Satuan Penawaran bukan harga terendah sehingga tidak dilakukan evaluasi lanjutan. |
PT Millennium Pharmacon International, Tbk Cabang Sleman Yogyakarta | 00*3**8****54**0 | Rp 134,338,023 | - |
| 0010611846051000 | Rp 205,003,590 | - | |
| 0313724064603000 | Rp 206,160,900 | - | |
| 0816025993413000 | - | - | |
| 0017456765429000 | - | - | |
PT Mangisi Makmur Sentosa | 0013944564011000 | - | - |
| 0824844179518000 | - | - | |
| 0665776688528000 | - | - | |
| 0914927710807000 | - | - | |
PT Sapta Sari Tama | 00*1**3****26**1 | - | - |
PT Rensha Mitra Selaras | 00*2**9****39**0 | - | - |
| 0024145054056000 | - | - | |
| 0013102454038000 | - | - | |
| 0013018080062000 | - | - | |
PT Wijoksono Jaya Sakti | 03*5**6****45**0 | - | - |
| 0847878550528000 | - | - | |
PT Penta Valent | 0013054366541001 | - | - |
Fian Bersaudara | 08*7**1****01**0 | - | - |
| 0022585178521000 | - | - | |
| 0724924683435000 | - | - | |
CV Sumber Rizqi Utama | 09*4**0****24**0 | - | - |
| 0010612281051000 | - | - | |
| 0013157086007000 | - | - | |
| 0721736569407000 | - | - |