Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11268CMPNP	METHOTREXATE methotrexate 15 mg/0.3 mL injection, 0.3 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11275KMPNP	METHOTREXATE methotrexate 7.5 mg/0.15 mL injection, 0.15 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11283WMPNP	METHOTREXATE methotrexate 10 mg/0.2 mL injection, 0.2 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11288DMPNP	METHOTREXATE methotrexate 20 mg/0.4 mL injection, 0.4 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11295LMPNP	METHOTREXATE methotrexate 25 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14089MMP	METHOTREXATE methotrexate 10 mg/0.2 mL injection, 0.2 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14091PMP	METHOTREXATE methotrexate 7.5 mg/0.15 mL injection, 0.15 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14097YMP	METHOTREXATE methotrexate 20 mg/0.4 mL injection, 0.4 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14102FMP	METHOTREXATE methotrexate 15 mg/0.3 mL injection, 0.3 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14103GMP	METHOTREXATE methotrexate 25 mg/0.5 mL injection, 0.5 mL syringe (PI, CMI)	4	4	5	$90.41	$31.60	$31.60
	Available brands
	Trexject

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1622JMPNP	METHOTREXATE methotrexate 2.5 mg tablet, 30 (PI, CMI)	1	30	5	$18.82	$20.22	$23.67
	Available brands
	Chexatea
	Methoblastina

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1622JMPNP	METHOTREXATE methotrexate 2.5 mg tablet, 30 (PI, CMI)	1	30	5	$18.82	$20.22	$23.67
	Available brands
	Chexatea
	Methoblastina

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1623KMPNP	METHOTREXATE methotrexate 10 mg tablet, 50 (PI, CMI)	1	50	2	$53.31	$31.60	$31.60
	Available brands
	Chexatea
	Methoblastina

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1623KMPNP	METHOTREXATE methotrexate 10 mg tablet, 50 (PI, CMI)	1	50	2	$53.31	$31.60	$31.60
	Available brands
	Chexatea
	Methoblastina

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
2272NMPNP	METHOTREXATE methotrexate 10 mg tablet, 15 (PI, CMI)	1	15	3	$25.09	$26.49	$29.94
	Available brands
	Chexatea
	Methoblastina

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
2272NMPNP	METHOTREXATE methotrexate 10 mg tablet, 15 (PI, CMI)	1	15	3	$25.09	$26.49	$29.94
	Available brands
	Chexatea
	Methoblastina