| 02515997 | Ach-Tadalafil(Off-Formulary Interchangeable) | 11.9250 | 11.9250 |
| 02428644 | Act Tadalafil(Off-Formulary Interchangeable) | 11.9255 | 11.9255 |
| 02422107 | Apo-Tadalafil(Off-Formulary Interchangeable) | 11.9250 | 11.9250 |
| 02435934 | Auro-Tadalafil(Off-Formulary Interchangeable) | 11.9250 | 11.9250 |
| 02248088 | Cialis(Off-Formulary Interchangeable) | N/A | N/A |
| 02451840 | Jamp-Tadalafil(Off-Formulary Interchangeable) | 11.9255 | 11.9255 |
| 02512122 | M-Tadalafil(Off-Formulary Interchangeable) | 11.9250 | 11.9250 |
| 02452251 | Mar-Tadalafil(Off-Formulary Interchangeable) | 11.9250 | 11.9250 |
| 02451689 | Mint-Tadalafil(Off-Formulary Interchangeable) | 11.9255 | 11.9255 |
| 02410656 | Mylan-Tadalafil(Off-Formulary Interchangeable) | 11.9255 | 11.9255 |
| 02409437 | PMS-Tadalafil(Off-Formulary Interchangeable) | 11.9255 | 11.9255 |
| 02512289 | PRZ-Tadalafil(Off-Formulary Interchangeable) | 11.9250 | 11.9250 |
| 02452499 | Priva-Tadalafil(Off-Formulary Interchangeable) | 11.9250 | 11.9250 |
| 02452103 | Ran-Tadalafil(Off-Formulary Interchangeable) | 11.9255 | 11.9255 |
| 02457024 | Tadalafil(Off-Formulary Interchangeable) | 11.9250 | 11.9250 |
| 02440164 | Teva-Tadalafil(Off-Formulary Interchangeable) | 12.6270 | 12.6270 |