| Reason | |||
|---|---|---|---|
PT Suris Wahanacipta | 00*2**9****02**0 | Rp 25,000,000 | - |
| 0013660196073000 | Rp 27,304,000 | - | |
| 0013121942062000 | Rp 59,287,503 | - | |
| 0703732123061000 | Rp 66,671,000 | - | |
| 0018996397073000 | Rp 88,452,320 | - | |
| 0010612281051000 | Rp 93,472,995 | - | |
| 0023130834004000 | Rp 137,749,350 | - | |
| 0013156591062000 | Rp 164,890,239 | - | |
PT Prima Health Care | 03*2**6****39**0 | Rp 190,749,999 | - |
| 0013695184092000 | Rp 195,663,534 | - | |
Biotek Inti Korporindo | 07*0**1****29**0 | Rp 278,802,505 | harga di atas peserta lain |
| 0756666780432000 | Rp 350,137,000 | - | |
PT Adhira Medika Persada Internasional | 08*2**0****52**0 | Rp 353,476,200 | - |
| 0030937833031000 | Rp 357,054,676 | - | |
| 0024145054056000 | Rp 474,170,015 | - | |
| 0010612489051000 | Rp 526,838,400 | - | |
| 0029985207007000 | Rp 527,277,375 | - | |
| 0018494450038000 | Rp 571,538,000 | - | |
PT Global Ritme Sentosa | 09*6**9****36**0 | Rp 607,330,000 | - |
| 0026232975013000 | Rp 630,238,005 | - | |
PT Nahl Medica Utama | 07*4**6****15**0 | Rp 998,488,700 | - |
| 0023627508415000 | Rp 1,034,072,050 | - | |
| 0029000817031000 | Rp 1,046,493,800 | - | |
| 0022730360026000 | Rp 1,135,489,212 | - | |
| 0030792360005000 | Rp 1,241,538,100 | - | |
| 0016399966061000 | Rp 1,360,677,835 | - | |
| 0024144479056000 | Rp 1,617,297,384 | - | |
PT Tigasatu Medika Pratama | 08*6**8****02**0 | Rp 1,633,675,000 | - |
| 0030422166035000 | Rp 1,724,954,000 | - | |
| 0032197212444000 | Rp 1,829,380,300 | - | |
| 0013132576073000 | Rp 2,166,319,399 | harga penawaran di atas peserta lain | |
| 0021856745027000 | Rp 2,166,775,704 | - | |
| 0029889532037000 | Rp 2,619,281,390 | - | |
| 0011297371411000 | Rp 2,730,353,340 | - | |
| 0013157086007000 | Rp 3,310,713,886 | - | |
| 0019035211062000 | Rp 4,242,609,973 | - | |
| 0025088378003000 | Rp 6,768,862,387 | - | |
| 0013019112062000 | - | - | |
| 0033145293061000 | - | - | |
| 0908712581443000 | - | - | |
PT Energi Kita Indonesia | 07*2**9****11**0 | - | - |
| 0020810149422000 | - | - | |
PT Wicaksana | 00*3**0****54**0 | - | - |
Wikaton Mitra Tama | 00*3**6****14**0 | - | - |
PT Fismed Global Indonesia | 09*9**6****23**0 | Rp 38,098,500 | tidak memiliki LOA |
| 0021790936062000 | - | - | |
| 0314751678412000 | - | - | |
Osymed | 03*4**5****43**0 | - | - |
| 0316436591541000 | - | - | |
Graha Megatama Indonesia | 00*2**8****44**0 | - | - |
PT Promed Global Internasional | 09*0**0****04**0 | - | - |
Sentra Asia Gemilang | 0020764924422001 | - | - |
| 0666075692445000 | - | - | |
| 0010612281051000 | - | - | |
| 0021916952028000 | - | - | |
| 0013667035073000 | - | - | |
| 0026950311004000 | - | - | |
PT Mutiara Nusantara Globalindo | 00*8**0****16**0 | - | - |
| 0939680419813000 | - | - | |
| 0857053920403000 | - | - | |
| 0318168341518000 | - | - | |
| 0211387816423000 | - | - | |
| 0317573996428000 | - | - | |
| 0837205210034000 | - | - | |
PT Mako Dua Medikal | 08*5**1****06**0 | - | - |
| 0019175918431000 | - | - | |
| 0802358960901000 | - | - | |
PT Medikron Genesus Indonesia | 08*0**1****61**0 | - | - |
| 0012245189428000 | - | - | |
| 0019757673643000 | - | - | |
| 0013425723054000 | - | - | |
| 0010611846051000 | - | - | |
| 0664499423423000 | - | - | |
| 0013104732029000 | - | - | |
PT Ofafa Duta Medika | 09*6**8****32**0 | - | - |
PT Indo Medika Lestari | 04*5**9****17**0 | - | - |
PT Mangisi Makmur Sentosa | 0013944564011000 | - | - |
| 0807939319517000 | - | - | |
| 0854283876432000 | - | - | |
| 0724924683435000 | - | - | |
| 0730598406543000 | - | - | |
| 0015944606023000 | - | - | |
| 0026237511048000 | - | - | |
| 0020652061423000 | - | - | |
| 0019035211062000 | - | - | |
| 0909909525416000 | - | - | |
| 0816025993413000 | - | - | |
| 0010611382051000 | - | - | |
| 0315359687422000 | - | - | |
| 0011049590441000 | - | - | |
| 0944818038435000 | - | - | |
| 0013132576073000 | - | - | |
| 0026147868086000 | - | - | |
Alta Razisa Sentosa | 08*5**8****24**0 | - | - |
PT Afirmus Biotek Indonesia | 09*3**6****12**0 | - | - |
CV Gatas Putra Cemerlang | 09*4**9****25**0 | - | - |
PT Arventis Mega Indonesia | 07*2**1****34**0 | - | - |
PT Indanusa Tama Global | 04*8**1****54**0 | - | - |
| 0313191439008000 | - | - | |
| 0802523738432000 | - | - | |
PT Mandiri Panca Prima | 00*0**8****46**0 | - | - |
PT Gosyen Sejahtera Utama | 08*3**6****25**0 | - | - |
| 0019007087034000 | - | - | |
PT Kalbe Farma Tbk | 00*0**8****92**0 | - | - |
| 0312272313063000 | - | - | |
PT Sona Abadi Jaya | 09*5**8****53**0 | - | - |
| 0027032580002000 | - | - | |
PT Ajidarma Delta Medika | 08*8**1****07**0 | - | - |