| No | Nama Peserta | NPWP | Harga Penawaran | Harga Terkoreksi |
|---|---|---|---|---|
| 1 | AFORTUNADO FARMED | 02.743.494.3-922.000 | Rp. 379.396.600,00 | Rp. 379.396.600,00 |
| 2 | PT CML METRO MEDIKA | 71.916.174.7-906.000 | ||
| 3 | KJUB NUSA SEHAT | 01.962.856.9-922.000 | ||
| 4 | CV Fajar Karya | 02.743.245.9-922.000 | ||
| 5 | TIFANNY KARYA. CV | 70.221.762.1-922.000 | ||
| 6 | CV. ANNA DOHAWU PAPUA | 71.896.327.5-952.000 | ||
| 7 | PT.LAWSIM ZECHA | 01.303.282.6-007.000 | ||
| 8 | CV. CADAS MANDIRI | 01.787.790.3-922.000 | ||
| 9 | PT. PUTRA KARYA SENTOSA | 02.748.852.7-009.000 |