Macedonian Prva Liga 2003/2004: final table of First division
| # | Club | M | W | D | L | Goal | Pts | GD | Result | |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Pobeda | 33 | 22 | 5 | 6 | 78 - 42 | 71 | +36 |   Champion (Champions League) | |
| 2 | Sileks | 33 | 20 | 6 | 7 | 67 - 32 | 66 | +35 | Vice-champion (UEFA Cup) | |
| 3 | Vardar | 33 | 17 | 9 | 7 | 66 - 39 | 60 | +27 | Intertoto Cup | |
| 4 | Rabotnicki Kometal | 33 | 16 | 10 | 7 | 58 - 40 | 58 | +18 | ||
| 5 | Sloga Jugomagnat | 33 | 17 | 6 | 10 | 69 - 36 | 57 | +33 |  UEFA Cup (cup winner) | |
| 6 | Madzari Solidarnost | 33 | 14 | 8 | 11 | 44 - 30 | 50 | +14 | ||
| 7 | Cementarnica 55 | 33 | 11 | 12 | 10 | 48 - 41 | 45 | +7 | ||
| 8 | Bashkimi | 33 | 14 | 1 | 18 | 44 - 54 | 43 | -10 | ||
| 9 | Napredok | 33 | 12 | 5 | 16 | 51 - 52 | 41 | -1 | ||
| 10 | Belasica | 33 | 10 | 6 | 17 | 37 - 55 | 36 | -18 | 1) | |
| 11 | Tikves | 33 | 5 | 4 | 24 | 25 - 62 | 19 | -37 |  Relegated | |
| 12 | Bregalnica Delcevo | 33 | 2 | 4 | 27 | 20 - 124 | 7 | -104 | [-3]2) | Relegated |
| Pts = Points M = Matches played; W = Matches won; D = Matches drawn; L = Matches lost; GD = Goal difference; | ||||||||||
| Notes: 1) Belasica dropped the 'Geras Cunev' part of their name 2) Bregalnica 3 points deducted for not showing in round 8 |
Notes:
- Champion
- national cup holder
- participation in European competition
 - promoted
- relegated
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2002/2003
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