| 02339501 | Afinitor(Off-Formulary Interchangeable) | 202.6540 | 172.2559 |
| 02530104 | Nat-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02504685 | PMS-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02532417 | Reddy-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02492938 | Sandoz Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02463237 | Teva-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |