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| 07.04.2019 | 15:30 | Vardar Skopje | - | Akademija Pandev | 1:1 (1:0) | |
| 15:30 | Makedonija GP | - | FK Pobeda | 3:0 (1:0) | ||
| 15:30 | FK Belasica | - | Sileks Kratovo | 0:1 (0:0) | ||
| 15:30 | KF Shkëndija 79 | - | FK Renova | 2:1 (1:1) | ||
| 15:30 | KF Shkupi | - | FK Rabotnički | 1:2 (1:0) |
| » Stand | Thuis | uit | Heenronde | Returnronde |
| # | Team | GS. | W. | G. | V. | Dp. | Ds. | P. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
KF Shkëndija 79 | 27 | 19 | 5 | 3 | 59:19 | 40 | 62 |
| 2 |
|
Vardar Skopje | 27 | 14 | 8 | 5 | 30:17 | 13 | 50 |
| 3 |
|
Akademija Pandev | 27 | 15 | 4 | 8 | 34:21 | 13 | 49 |
| 4 |
|
FK Rabotnički | 27 | 10 | 6 | 11 | 34:38 | -4 | 36 |
| 5 |
|
FK Renova | 27 | 9 | 9 | 9 | 33:33 | 0 | 36 |
| 6 |
|
Makedonija GP | 27 | 8 | 10 | 9 | 32:36 | -4 | 34 |
| 7 |
|
KF Shkupi | 27 | 9 | 6 | 12 | 25:28 | -3 | 33 |
| 8 |
|
Sileks Kratovo | 27 | 6 | 10 | 11 | 18:33 | -15 | 28 |
| 9 |
|
FK Belasica | 27 | 5 | 8 | 14 | 22:38 | -16 | 23 |
| 10 |
|
FK Pobeda | 27 | 5 | 4 | 18 | 20:44 | -24 | 19 |
| 11 |
|
FK Pobeda Junior | 0 | 0 | 0 | 0 | 0:0 | 0 | 0 |
| Champions League Kwali. | |
| Europa League Kwali. | |
| Promotie en degradatie | |
| Degradatie |
