No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi  
1 PT.Rajawali Nusindo 01.061.248.9-051.000   Rp 2.801.388.000,00   Rp 2.801.388.000,00
2 PT. DIANSA MEDIKA LESTARI 03.194.184.2-301.000   Rp 2.923.312.600,00   Rp 2.923.312.600,00
3 PT.FATHYA FARMA 03.023.629.3-301.000   Rp 2.923.871.300,00   Rp 2.923.871.300,00
4 PT. ROGANTINA JAYA SAKTI 02.715.602.5-331.000      
5 CV.12 MARET 71.646.316.1-307.000      
6 CV. AULIA ZAHIRA UTAMA 02.898.091.0-327.000      
7 ADHEAN KARYA 02.375.142.3-303.000      
8 PT. Indofarma Global Medika 01.061.184.6-051.000      
9 CV. PUTRA JAILANI 74.231.559.1-314.000      
10 PT. PUTRA KARYA SENTOSA 02.748.852.7-009.000      
11 PT. Mertina Medical 02.524.583.8-301.000      
12 CV. NIYUR PRATAMA MANDIRI 02.280.031.2-314.000