| 02339528 | Afinitor(Off-Formulary Interchangeable) | 202.6540 | 172.2559 |
| 02530120 | Nat-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02504693 | PMS-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02532433 | Reddy-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02492946 | Sandoz Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |
| 02463253 | Teva-Everolimus(Off-Formulary Interchangeable) | 172.2559 | 172.2559 |