Challenges and Strategies in the Participation of Entrepreneurs in Public Bids for Medical Products in the State of Amazonas

The participation of entrepreneurs and distributors in public tenders for the supply of medical supplies in the State of Amazonas involves a set of challenges that go beyond the regulatory and administrative dimensions.In addition to the technical and bureaucratic requirements present in the notices, the regional context imposes severe logistical obstacles, such as the precarious condition of the BR-319 highway, dependence on river transport, and the high costs of air transport.Added to this is the instability of budget transfers and payment delays (SOUZA, 2025), which undermine trust between suppliers and the public administration.The study analyzes these elements based on a review of the literature, institutional documents, and empirical reports, highlighting how competitiveness in the sector is conditioned not only by the lowest price offered but also by the technical, financial, and strategic capacity of suppliers.It concludes that the sustainability of government health procurement in Amazonas depends on a combination of regulatory rigor, logistical investments, fiscal predictability, and the inclusion of small suppliers, in order to ensure greater efficiency and security in regional hospital supply.