| 02520427 | Apo-Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |
| 02538059 | Jamp Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |
| 02506394 | Nat-Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |
| 02419580 | Pomalyst(Off-Formulary Interchangeable) | 500.0000 | 425.0000 |
| 02504073 | Reddy-Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |
| 02523973 | Sandoz Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |