| 02247823 | ADEFOVIR DIPIVOXIL | Hepsera (Off-Formulary Interchangeable) 10mg Tab | GIL | N/A | N/A | YES | NO | NO |
| 02478579 | BICTEGRAVIR SODIUM/EMTRICITABINE/TENOFOVIR ALAFENAMIDE HEMIFUMARATE | Biktarvy 50mg & 200mg & 25mg Tab | GIL | 39.2227 | 39.2227 | NO | NO | NO |
| 02397137 | COBICISTAT & ELVITEGRAVIR & EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE | Stribild 150mg & 150mg & 200mg & 300mg Tab | GIL | 48.0177 | 48.0177 | NO | NO | NO |
| 02449498 | ELVITEGRAVIR & COBICISTAT & EMTRICITABINE & TENOFOVIR ALAFENAMIDE | Genvoya 150mg & 150mg & 200mg & 10mg Tab | GIL | 45.1440 | 45.1440 | NO | NO | NO |
| 02461463 | EMTRICITABINE & RILPIVIRINE HCL & TENOFOVIR ALAFENAMIDE HEMIFUMARATE | Odefsey 200mg & 25mg & 25mg Tab | GIL | 42.3670 | 42.3670 | NO | NO | NO |
| 02374129 | EMTRICITABINE & RILPIVIRINE HCL & TENOFOVIR DISOPROXIL | Complera 200mg & 25mg & 300mg Tab | GIL | 44.8643 | 44.8643 | NO | NO | NO |
| 02274906 | EMTRICITABINE & TENOFOVIR DISOPROXIL FUMARATE | Truvada 200mg & 300mg Tab | GIL | 29.2140 | 7.3035 | YES | NO | NO |
| 02432226 | LEDIPASVIR & SOFOSBUVIR | Harvoni 90mg & 400mg Tab | GIL | 797.6190 | 797.6190 | NO | YES | NO |
| 02418355 | SOFOSBUVIR | Sovaldi 400mg Tab | GIL | 654.7619 | 654.7619 | NO | YES | NO |
| 02456370 | SOFOSBUVIR & VELPATASVIR | Epclusa 400mg & 100mg Tab | GIL | 714.2857 | 714.2857 | NO | YES | NO |
| 02467542 | SOFOSBUVIR & VELPATASVIR & VOXILAPREVIR | Vosevi 400mg & 100mg & 100mg Tab | GIL | 714.2857 | 714.2857 | NO | YES | NO |
| 02247128 | TENOFOVIR DISOPROXIL | Viread 300mg Tab | GIL | 19.5537 | 4.8884 | YES | YES | NO |