2025/26 Main
| | Pl | W | D | L | | Pts |
| 1 | Vardar 1961 ✔ | 22 | 21 | 0 | 1 | 729:554 | 42 |
| 2 | Eurofarm Pelister ✔ | 22 | 18 | 2 | 2 | 768:537 | 38 |
| 3 | Ohrid ✔ | 22 | 18 | 1 | 3 | 675:473 | 37 |
| 4 | Alkaloid ✔ | 22 | 16 | 3 | 3 | 749:563 | 35 |
| 5 | Butel Skopje ✔ | 22 | 10 | 2 | 10 | 610:609 | 22 |
| 6 | Tikvesh ✔ | 22 | 11 | 0 | 11 | 568:576 | 22 |
| 7 | Eurofarm Pelister 2 ✔ | 22 | 10 | 1 | 11 | 593:641 | 21 |
| 8 | Prilep ✔ | 22 | 10 | 0 | 12 | 620:669 | 20 |
| 9 | Tinex Prolet Skopje ✔ | 22 | 5 | 3 | 14 | 558:641 | 13 |
| 10 | Kumanovo ✔ | 22 | 3 | 1 | 18 | 554:689 | 7 |
| 11 | Struga ✔ | 22 | 3 | 1 | 18 | 529:741 | 7 |
| 12 | Radovis ✔ | 22 | 0 | 0 | 22 | 507:767 | 0 |
Promotion ~ Superleague (Winners stage: )
Superleague (Losers stage: )
Clinched Spots for Teams
Vardar 1961 is Qualified for Superleague (Winners stage )
Eurofarm Pelister is Qualified for Superleague (Winners stage )
Ohrid is Qualified for Superleague (Winners stage )
Alkaloid is Qualified for Superleague (Winners stage )
Butel Skopje is Qualified for Superleague (Winners stage )
Tikvesh is Qualified for Superleague (Winners stage )
Eurofarm Pelister 2 is Superleague (Losers stage )
Prilep is Superleague (Losers stage )
Tinex Prolet Skopje is Superleague (Losers stage )
Kumanovo is Superleague (Losers stage )
Struga is Superleague (Losers stage )
Radovis is Superleague (Losers stage )
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