| No | Nama Peserta | NPWP | Harga Penawaran | Harga Terkoreksi |
|---|---|---|---|---|
| 1 | PT. Purna Karya Medikalindo | 01.238.785.8-311.000 | Rp. 220.758.000,00 | Rp. 220.758.000,00 |
| 2 | PT. NIRATEN TRITUNGGAL FARMASIA | 01.633.844.4-311.000 | ||
| 3 | kawan joymor | 31.567.399.6-407.000 | ||
| 4 | CV. BUHAR BROTHERS | 03.120.947.1-211.000 | ||
| 5 | AZIZAH KARYA SEJAHTERA, CV | 03.065.769.6-311.000 | ||
| 6 | CV. ADIPATI SENTANI | 75.140.132.8-216.000 |