No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT. ZALFA MANDIRI 21.080.217.9-432.000 Rp. 47.789.445,00 Rp. 47.789.445,00 Rp. 43.911.670,00
2 PT. Kimia Farma Apotek 01.061.227.3-051.000 Rp. 50.623.001,00 Rp. 50.623.001,00