| 02377616 | Apo-Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02422875 | Auro-Montelukast Chewable Tablet(Off-Formulary Interchangeable) | 1.2077 | 1.2077 |
| 02514885 | Jamp Montelukast Chewable Tablets(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02442361 | Jamp-Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02399873 | Mar-Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02408635 | Mint-Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02382466 | Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02379325 | Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02522128 | Nat-Montelukast(Off-Formulary Interchangeable) | 1.2077 | 1.2077 |
| 02354985 | PMS-Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02402807 | Ran-Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02330393 | Sandoz Montelukast(Off-Formulary Interchangeable) | 1.2075 | 1.2075 |
| 02238216 | Singulair(Off-Formulary Interchangeable) | N/A | N/A |
| 02355515 | Teva-Montelukast(Off-Formulary Interchangeable) | 1.2077 | 1.2077 |