| Reason | |||
|---|---|---|---|
Koperasi Kulak Mitra Pakuan Ardin Jabar | 00*2**6****23**0 | Rp 4,755,620,000 | - |
| 0027308352439000 | Rp 4,790,537,800 | - | |
PT Mega Husada | 00*6**1****24**0 | Rp 4,771,319,800 | Nilai teknis kurang dari ambang batas lulus penilaian unsur teknis |
PT Sinergi Semesta Selaras | 03*1**3****32**0 | Rp 4,796,322,100 | Tidak dilakukan evaluasi, hanya 3 penawar terendah |
Delta Handayani Pratama | 00*8**8****11**0 | Rp 4,799,322,400 | Tidak dilakukan evaluasi, hanya 3 penawar terendah |
| 0018422360125000 | Rp 0 | - | |
PT Kualita Medika Putera | 02*0**3****29**0 | Rp 0 | - |
| 0010612489051000 | Rp 0 | - | |
CV Sumber Erba Medika | 00*5**6****38**0 | Rp 0 | - |
| 0020333936438000 | Rp 0 | - | |
CV Bina Bhakti Saudara | 00*3**8****38**0 | Rp 0 | - |
CV Mahkota Jaya | 00*8**6****17**0 | Rp 0 | - |
CV Tiara Bubung Persada | 03*1**5****38**0 | Rp 0 | - |
PT Tridaya Pratamas | 00*6**8****38**0 | Rp 0 | - |
PT Ina Farma | 00*6**0****41**0 | Rp 0 | - |
PT Mutiara Jaya Farma | 0020641940421000 | Rp 0 | - |
PT Mega Andalan Kalasan | 00*8**3****42**0 | Rp 0 | - |