No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT HUD Medica Pharma 04*0**5****12**0 Rp. 197.199.492,00 Rp. 197.199.492,00 Rp. 193.424.382,00
2 PT TIGAURAT BUHIT JAYA 08*3**1****12**0 Rp. 198.939.417,00 Rp. 198.939.417,00