| 02479818 | Accel-Sildenafil(Off-Formulary Interchangeable) | 3.4000 | 3.4000 |
| 02248202 | Apo-Sildenafil(Off-Formulary Interchangeable) | 8.8481 | 8.8481 |
| 02414376 | Auro-Sildenafil(Off-Formulary Interchangeable) | 8.8475 | 8.8475 |
| 02372061 | Co Sildenafil(Off-Formulary Interchangeable) | 8.8481 | 8.8481 |
| 02405679 | Jamp-Sildenafil(Off-Formulary Interchangeable) | 8.8475 | 8.8475 |
| 02393077 | Mint-Sildenafil(Off-Formulary Interchangeable) | 8.8475 | 8.8475 |
| 02505169 | PRZ-Sildenafil(Off-Formulary Interchangeable) | 8.8475 | 8.8475 |
| 02400707 | Sildenafil(Off-Formulary Interchangeable) | 8.8481 | 8.8481 |
| 02317575 | Sildenafil(Off-Formulary Interchangeable) | 8.8481 | 8.8481 |
| 02406152 | Sildenafil(Off-Formulary Interchangeable) | 8.8475 | 8.8475 |
| 02308746 | Teva-Sildenafil(Off-Formulary Interchangeable) | 8.8481 | 8.8481 |
| 02239767 | Viagra(Off-Formulary Interchangeable) | N/A | N/A |