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| 24.02.2019 | 14:00 | KF Shkëndija 79 | - | Makedonija GP | 1:1 (0:1) | |
| 14:00 | FK Renova | - | Vardar Skopje | 4:0 (2:0) | ||
| 14:00 | FK Belasica | - | Akademija Pandev | 0:1 (0:1) | ||
| 14:00 | KF Shkupi | - | FK Pobeda | 3:0 (1:0) | ||
| 14:00 | FK Rabotnički | - | Sileks Kratovo | 1:1 (0:1) |
| » Classement | équipe recevante | à l'extérieur | Premier tour | Second tour |
| # | Équipe | M. | G. | N. | P. | Buts | Diff. | Pts. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
KF Shkëndija 79 | 20 | 13 | 5 | 2 | 44:15 | 29 | 44 |
| 2 |
|
Akademija Pandev | 20 | 11 | 3 | 6 | 24:14 | 10 | 36 |
| 3 |
|
Vardar Skopje | 20 | 10 | 5 | 5 | 22:15 | 7 | 35 |
| 4 |
|
FK Rabotnički | 20 | 8 | 4 | 8 | 28:30 | -2 | 28 |
| 5 |
|
KF Shkupi | 20 | 7 | 6 | 7 | 21:21 | 0 | 27 |
| 6 |
|
FK Renova | 20 | 6 | 7 | 7 | 24:25 | -1 | 25 |
| 7 |
|
Makedonija GP | 20 | 5 | 7 | 8 | 23:30 | -7 | 22 |
| 8 |
|
Sileks Kratovo | 20 | 4 | 8 | 8 | 15:26 | -11 | 20 |
| 9 |
|
FK Belasica | 20 | 4 | 6 | 10 | 16:28 | -12 | 18 |
| 10 |
|
FK Pobeda | 20 | 5 | 3 | 12 | 15:28 | -13 | 18 |
| 11 |
|
FK Pobeda Junior | 0 | 0 | 0 | 0 | 0:0 | 0 | 0 |
| Champions League Quali. | |
| Europa League Quali. | |
| Relégation | |
| Relégation |
