| 02479796 | Accel-Sildenafil(Off-Formulary Interchangeable) | 3.1850 | 3.1850 |
| 02248201 | Apo-Sildenafil(Off-Formulary Interchangeable) | 8.2894 | 8.2894 |
| 02414368 | Auro-Sildenafil(Off-Formulary Interchangeable) | 8.2894 | 8.2894 |
| 02372053 | Co Sildenafil(Off-Formulary Interchangeable) | 8.2894 | 8.2894 |
| 02405660 | Jamp-Sildenafil(Off-Formulary Interchangeable) | 8.2900 | 8.2894 |
| 02393069 | Mint-Sildenafil(Off-Formulary Interchangeable) | 8.2900 | 8.2894 |
| 02505150 | PRZ-Sildenafil(Off-Formulary Interchangeable) | 8.2894 | 8.2894 |
| 02400693 | Sildenafil(Off-Formulary Interchangeable) | 8.2900 | 8.2894 |
| 02317559 | Sildenafil(Off-Formulary Interchangeable) | 8.2894 | 8.2894 |
| 02540770 | Sildenafil(Off-Formulary Interchangeable) | 8.2894 | 8.2894 |
| 02308738 | Teva-Sildenafil(Off-Formulary Interchangeable) | 8.2900 | 8.2894 |
| 02239766 | Viagra(Off-Formulary Interchangeable) | N/A | N/A |