| No | Nama Peserta | NPWP | Harga Penawaran | Harga Terkoreksi |
|---|---|---|---|---|
| 1 | PT. Banyuwangi Pharma Utama | 80.200.533.0-627.000 | Rp. 337.500.000,00 | Rp. 337.500.000,00 |
| 2 | PT. Sukses Muda Medika | 53.618.744.6-216.000 | Rp. 558.836.049,00 | Rp. 558.836.049,00 |
| 3 | PT. Tenayan Raya makmur | 02.470.495.9-211.000 | Rp. 561.909.372,60 | Rp. 561.909.372,60 |
| 4 | PT. SIGRA DUTA MEDIKAL | 31.575.217.0-331.000 | ||
| 5 | CV.CITRA MELAYU PUTRA | 75.396.006.1-222.000 | ||
| 6 | Citra Karya Sarana Utama | 31.616.562.0-216.000 | ||
| 7 | PT. PUTRA KARYA SENTOSA | 02.748.852.7-009.000 | ||
| 8 | CV MENTARI BUNGA LAISA | 02.723.262.8-002.000 | ||
| 9 | PT. SARI ASPIRASITAMA JAYA | 01.445.288.2-216.000 | ||
| 10 | CV. YAMIN BRATHERS | 02.075.689.6-213.000 | ||
| 11 | CV. F THREE BROTHERS | 43.800.499.6-213.000 | ||
| 12 | PT. KARTIKA TEGUH KARYA | 02.075.853.8-213.000 | ||
| 13 | PT. PERANAN INTRO SOLUTIVA | 93.157.539.3-518.000 |