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| 04.05.2019 | 16:00 | Sileks Kratovo | - | Akademija Pandev | 3:0 (1:0) | |
| 16:00 | FK Rabotnički | - | KF Shkëndija 79 | 0:1 (0:0) | ||
| 16:00 | KF Shkupi | - | Vardar Skopje | 2:2 (1:1) | ||
| 16:00 | FK Belasica | - | Makedonija GP | 3:1 (1:0) | ||
| 16:00 | FK Renova | - | FK Pobeda | 9:1 (5:1) |
| » Classement | équipe recevante | à l'extérieur | Premier tour | Second tour |
| # | Équipe | M. | G. | N. | P. | Buts | Diff. | Pts. | |
|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
KF Shkëndija 79 | 32 | 22 | 6 | 4 | 70:24 | 46 | 72 |
| 2 |
|
Vardar Skopje | 32 | 16 | 11 | 5 | 37:20 | 17 | 59 |
| 3 |
|
Akademija Pandev | 32 | 16 | 5 | 11 | 38:29 | 9 | 53 |
| 4 |
|
KF Shkupi | 32 | 12 | 7 | 13 | 34:36 | -2 | 43 |
| 5 |
|
FK Renova | 32 | 11 | 9 | 12 | 45:41 | 4 | 42 |
| 6 |
|
FK Rabotnički | 32 | 11 | 6 | 15 | 38:46 | -8 | 39 |
| 7 |
|
Makedonija GP | 32 | 9 | 11 | 12 | 39:47 | -8 | 38 |
| 8 |
|
Sileks Kratovo | 32 | 9 | 10 | 13 | 24:36 | -12 | 37 |
| 9 |
|
FK Belasica | 32 | 8 | 10 | 14 | 31:42 | -11 | 34 |
| 10 |
|
FK Pobeda | 32 | 6 | 5 | 21 | 24:59 | -35 | 23 |
| 11 |
|
FK Pobeda Junior | 0 | 0 | 0 | 0 | 0:0 | 0 | 0 |
| Champions League Quali. | |
| Europa League Quali. | |
| Relégation | |
| Relégation |
