| 02369257 | Afinitor(Off-Formulary Interchangeable) | 202.6540 | 172.2559 |
| 02530090 | Nat-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02504677 | PMS-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02532409 | Reddy-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02492911 | Sandoz Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02463229 | Teva-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |