No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT. MUTHIAH MEDIKA PRATAMA 81.566.077.4-801.000 Rp. 87.346.820,00 Rp. 87.346.820,00 Rp. 87.346.820,00