| 02495341 | Ach-Dimethyl Fumarate(Off-Formulary Interchangeable) | 9.1933 | 9.1933 |
| 02505762 | Apo-Dimethyl Fumarate(Off-Formulary Interchangeable) | 9.1933 | 9.1933 |
| 02540746 | Auro-Dimethyl Fumarate(Off-Formulary Interchangeable) | 4.4266 | 4.4266 |
| 02494809 | GLN-Dimethyl Fumarate(Off-Formulary Interchangeable) | 9.1933 | 9.1933 |
| 02516047 | Jamp Dimethyl Fumarate(Off-Formulary Interchangeable) | 9.1933 | 9.1933 |
| 02502690 | Mar-Dimethyl Fumarate(Off-Formulary Interchangeable) | 9.1933 | 9.1933 |
| 02497026 | PMS-Dimethyl Fumarate(Off-Formulary Interchangeable) | 9.1933 | 9.1933 |
| 02513781 | Sandoz Dimethyl Fumarate DR Capsules(Off-Formulary Interchangeable) | 9.1933 | 9.1933 |
| 02404508 | Tecfidera(Off-Formulary Interchangeable) | 18.3866 | 9.1933 |