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| 27.04.2019 | 16:00 | Vardar Skopje | - | FK Belasica | 1:1 (0:1) | |
| 16:00 | KF Shkëndija 79 | - | KF Shkupi | 5:1 (3:0) | ||
| 16:00 | Akademija Pandev | - | FK Rabotnički | 3:1 (1:0) | ||
| 16:00 | Makedonija GP | - | FK Renova | 3:1 (2:1) | ||
| 16:00 | FK Pobeda | - | Sileks Kratovo | 0:1 (0:1) |
| » Classement | équipe recevante | à l'extérieur | Premier tour | Second tour |
| # | Équipe | M. | G. | N. | P. | Buts | Diff. | Pts. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
KF Shkëndija 79 | 31 | 21 | 6 | 4 | 69:24 | 45 | 69 |
| 2 |
|
Vardar Skopje | 31 | 16 | 10 | 5 | 35:18 | 17 | 58 |
| 3 |
|
Akademija Pandev | 31 | 16 | 5 | 10 | 38:26 | 12 | 53 |
| 4 |
|
KF Shkupi | 31 | 12 | 6 | 13 | 32:34 | -2 | 42 |
| 5 |
|
FK Rabotnički | 31 | 11 | 6 | 14 | 38:45 | -7 | 39 |
| 6 |
|
FK Renova | 31 | 10 | 9 | 12 | 36:40 | -4 | 39 |
| 7 |
|
Makedonija GP | 31 | 9 | 11 | 11 | 38:44 | -6 | 38 |
| 8 |
|
Sileks Kratovo | 31 | 8 | 10 | 13 | 21:36 | -15 | 34 |
| 9 |
|
FK Belasica | 31 | 7 | 10 | 14 | 28:41 | -13 | 31 |
| 10 |
|
FK Pobeda | 31 | 6 | 5 | 20 | 23:50 | -27 | 23 |
| 11 |
|
FK Pobeda Junior | 0 | 0 | 0 | 0 | 0:0 | 0 | 0 |
| Champions League Quali. | |
| Europa League Quali. | |
| Relégation | |
| Relégation |
