No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT. MEDQO MEDICA PHARMA 96.580.002.2-821.000 Rp. 163.495.984,78 Rp. 163.495.984,78 Rp. 163.495.900,00