| 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. Mertina Medical | 02.524.583.8-301.000 | ||
| 5 | CV. AULIA ZAHIRA UTAMA | 02.898.091.0-327.000 | ||
| 6 | ADHEAN KARYA | 02.375.142.3-303.000 | ||
| 7 | PT. Indofarma Global Medika | 01.061.184.6-051.000 | ||
| 8 | CV. PUTRA JAILANI | 74.231.559.1-314.000 | ||
| 9 | PT. PUTRA KARYA SENTOSA | 02.748.852.7-009.000 | ||
| 10 | CV. NIYUR PRATAMA MANDIRI | 02.280.031.2-314.000 | ||
| 11 | PT. ROGANTINA JAYA SAKTI | 02.715.602.5-331.000 | ||
| 12 | CV.12 MARET | 71.646.316.1-307.000 |