| No | Nama Peserta | NPWP | Harga Penawaran | Harga Terkoreksi |
|---|---|---|---|---|
| 1 | PT. KIMIA FARMA TRADING & DISTRIBUTION | 01.061.228.1-051.000 | Rp. 1.587.080.217,78 | Rp. 1.587.080.217,78 |
| 2 | PT. Banyuwangi Pharma Utama | 80.200.533.0-627.000 | Rp. 1.700.320.000,00 | Rp. 1.700.320.000,00 |
| 3 | PT. Amerta Sesari Indonesia | 63.162.368.3-627.000 | Rp. 1.760.819.592,00 | Rp. 1.760.819.592,00 |
| 4 | PT.Rajawali Nusindo | 01.061.248.9-051.000 | ||
| 5 | PT.GRAHA MEDIKA SURI | 75.109.472.3-429.000 | ||
| 6 | CV. CAHAYA BINTANG KARIMUN | 72.156.993.7-223.000 | ||
| 7 | PT.RIAU IDAMAN ALKESINDO | 70.351.355.6-216.000 | ||
| 8 | PT. Imar Karya Tama | 31.372.406.4-603.000 | ||
| 9 | PT. PUTRA KARYA SENTOSA | 02.748.852.7-009.000 | ||
| 10 | PT. PELANGI RAPHA SEMESTA | 31.710.463.6-215.000 | ||
| 11 | CV MENTARI BUNGA LAISA | 02.723.262.8-002.000 |