| Reason | |||
|---|---|---|---|
PT Fondaco Mitratama | 00*6**4****73**0 | Rp 411,400,000 | - |
PT Pitibo Medika Farmasi | 00*4**4****17**0 | Rp 410,000,000 | tidak melampirkan jaminan penawaran |
| 0023598709008000 | Rp 413,600,000 | tidak melampirkan jaminan penawaran | |
PT Jakarta Sejahtera Medika | 0022504765028000 | Rp 0 | - |
| 0013729827073000 | Rp 0 | - | |
CV Medistra Pegagan | 00*0**0****29**0 | Rp 0 | - |
CV Herda Ripta Loka | 0027481076002000 | Rp 0 | - |
PT Sentral Usaha Permai | 00*8**7****76**0 | Rp 0 | - |
CV Mega Indah Lestari | 00*3**3****08**0 | Rp 0 | - |
| 0027070309029000 | Rp 0 | - | |
| 0026147868086000 | Rp 0 | - | |
PT Apotik Sari Gunung | 00*3**3****26**0 | Rp 0 | - |
| 0030793475009000 | Rp 0 | - |