| 02381702 | Act Rizatriptan(Off-Formulary Interchangeable) | 11.1150 | 11.1150 |
| 02393476 | Apo-Rizatriptan(Off-Formulary Interchangeable) | 11.1150 | 11.1150 |
| 02441144 | Auro-Rizatriptan(Off-Formulary Interchangeable) | 11.1150 | 11.1150 |
| 02380463 | Jamp-Rizatriptan(Off-Formulary Interchangeable) | 11.1150 | 11.1150 |
| 02429241 | Jamp-Rizatriptan IR(Off-Formulary Interchangeable) | 11.1150 | 11.1150 |
| 02379678 | Mar-Rizatriptan(Off-Formulary Interchangeable) | 11.1150 | 11.1150 |
| 02240521 | Maxalt(Off-Formulary Interchangeable) | 22.5608 | 11.1150 |
| 02516756 | Rizatriptan(Off-Formulary Interchangeable) | 11.1150 | 11.1150 |