| Middle River to Viterbo | 4,404.69 mi (7,088.67 km) |
| Middle River to Vittoria | 4,714.79 mi (7,587.73 km) |
| Middle River to Vittorio Veneto | 4,290.98 mi (6,905.67 km) |
| Middle River to Vittuone | 4,164.92 mi (6,702.79 km) |
| Middle River to Voghera | 4,183.16 mi (6,732.15 km) |
| Middle River to Volpago del Montello | 4,289.96 mi (6,904.03 km) |
| Middle River to Volpiano | 4,123.47 mi (6,636.08 km) |
| Middle River to Volterra | 4,316.58 mi (6,946.87 km) |
| Middle River to Volvera | 4,118.97 mi (6,628.85 km) |
| Middle River to Zafferana Etnea | 4,712.66 mi (7,584.29 km) |
| Middle River to Zagarolo | 4,457.48 mi (7,173.62 km) |
| Middle River to Zanica | 4,191.41 mi (6,745.41 km) |
| Middle River to Zero Branco | 4,298.22 mi (6,917.31 km) |
| Middle River to Zevio | 4,261.82 mi (6,858.74 km) |
| Middle River to Zogno | 4,185.65 mi (6,736.15 km) |
