| 02520443 | Apo-Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |
| 02538083 | Jamp Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |
| 02506416 | Nat-Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |
| 02419602 | Pomalyst(Off-Formulary Interchangeable) | 500.0000 | 425.0000 |
| 02504103 | Reddy-Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |
| 02524007 | Sandoz Pomalidomide(Off-Formulary Interchangeable) | 425.0000 | 425.0000 |