| Reason | |||
|---|---|---|---|
| 0022585178521000 | Rp 152,680,000 | - | |
| 0211318050526000 | Rp 218,410,000 | Hanya 1 item yang lulus sesuai spek dan harga | |
PT Kasa Husada Wira Jatim | 00*2**3****31**0 | - | - |
| 0010611846051000 | - | - | |
| 0210528386504000 | - | - | |
| 0022445654428000 | - | - | |
| 0314141755532000 | - | - | |
| 0316966035424000 | - | - | |
| 0027488527009000 | - | - | |
PT Lambasa Ibana Group | 0747914992521000 | - | - |
| 0312100795513000 | - | - | |
PT Sukses Mandiri Farma | 0316432863528000 | - | - |
PT Galenium Pharmasia Laboratories | 00*4**2****62**0 | - | - |
| 0010612281051000 | - | - | |
| 0665776688528000 | - | - | |
Nusantara Medika Jaya | 00*9**4****04**0 | - | - |
| 0017456765429000 | - | - |