| Nama Penyedia | Harga Penawaran |
| PT. ARCAMANIK MUSTIKA FARMA | Rp 99.000.000,00 |
| PT. Nugra Karsera | Rp 575.718.000,00 |
| PT BETARI RIYADI | |
| CV. KEMUNING SEMBILAN | |
| CV.CHARTER AL QISTHI | |
| PT. Fajar Farmatama | |
| PT. Zalfa Mandiri | |
| PT. Cottonindo Ariesta | |
| PT Anugrah Argon Medica Cabang Bandung-A | |
| NRi PSM Group international | |
| PT SII | |
| PT. AMALIA ARRAFAH UTAMA | |
| CV Salam Amanah | |
| cv. Bahana Karya | |
| PT. AGATHIS SOLUTION | |
| PT. Moses Edgar Partogi Utama | |
| PT.CITRA SEDAYUH | |
| PT. MERAPI UTAMA PHARMA | |
| CV. TRIGIL | |
| PT. Indofarma Global Medika Cabang Malang | |
| WIKATON MITRA TAMA | |
| kawan joymor | |
| PT MERAPI UTAMA PHARMA CABANG SIDOARJO | |
| PT.RAJAWALI NUSINDO | |
| CV. Konsumen Mandiri | |
| PT. PUTRA KARYA SENTOSA | |