| No | Nama Peserta | NPWP | Harga Penawaran | Harga Terkoreksi | Harga Negosiasi | |
|---|---|---|---|---|---|---|
| 1 | PT. Frisansha Anugerah Alkesindo | 00*0**9****44**0 | Rp. 176.490.000,00 | Rp. 176.490.000,00 | Rp. 175.602.000,00 | |
| 2 | PT KARYA ZIKRA MEDIKA | 02*4**1****22**0 | Rp. 189.921.000,00 | Rp. 189.921.000,00 | ||
| 3 | PT. Khalisa Pratama Sukses | 06*5**9****01**0 | Rp. 197.516.286,00 | Rp. 197.516.286,00 |