| Reason | |||
|---|---|---|---|
PT Bumi Jaya Farma | 0834131559807000 | Rp 593,000,000 | - |
| 0826733404805000 | Rp 595,149,500 | Tidak menunjukan dokumen kualifikasi | |
| 0836827733803000 | - | - | |
| 0021186655724000 | - | - | |
| 0027488527009000 | - | - | |
PT Patsigi Anugrah Medica | 07*0**1****05**0 | - | - |
CV Zaki Karya Utama | 01*1**6****03**0 | - | - |
| 0020516043812000 | - | - |