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
13882PMP	METHOTREXATE methotrexate 50 mg/2 mL injection, 5 x 2 mL vials (PI, CMI)	2	10	5	$68.64	$31.60	$31.60
	Available brands
	DBL Methotrexate

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
14643QMPNP	METHOTREXATE methotrexate 10 mg tablet, 10 (PI, CMI)	1	10	5	$21.85	$23.33	$26.78
	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
14643QMPNP	METHOTREXATE methotrexate 10 mg tablet, 10 (PI, CMI)	1	10	5	$21.85	$23.33	$26.78
	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
1622JMPNP	METHOTREXATE methotrexate 2.5 mg tablet, 30 (PI, CMI)	1	30	5	$19.62	$21.10	$24.55
	Available brands
	ARX-Methotrexatea
	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	$19.62	$21.10	$24.55
	Available brands
	ARX-Methotrexatea
	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	$54.11	$31.60	$31.60
	Available brands
	ARX-Methotrexatea
	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	$54.11	$31.60	$31.60
	Available brands
	ARX-Methotrexatea
	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	$25.89	$27.37	$30.82
	Available brands
	ARX-Methotrexatea
	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	$25.89	$27.37	$30.82
	Available brands
	ARX-Methotrexatea
	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
2395CMPNP	METHOTREXATE methotrexate 50 mg/2 mL injection, 5 x 2 mL vials (PI, CMI)	1	5	5	$41.21	$31.60	$31.60
	Available brands
	DBL Methotrexate

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
2396DMPNP	METHOTREXATE methotrexate 5 mg/2 mL injection, 5 x 2 mL vials (PI, CMI)	1	5	0	$42.64	$31.60	$31.60
	Available brands
	DBL Methotrexate

Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4502YMP	METHOTREXATE Injection (PI, CMI) Available brands DBL Methotrexate (methotrexate 5 mg/2 mL injection, 5 x 2 mL vials) DBL Methotrexate (methotrexate 50 mg/2 mL injection, 5 x 2 mL vials) DBL Methotrexate (methotrexate 1 g/10 mL injection, 10 mL vial) DBL Methotrexate (methotrexate 500 mg/20 mL injection, 20 mL vial) Methotrexate Accord (methotrexate 1 g/10 mL injection, 10 mL vial) Methotrexate Ebewe (methotrexate 5 g/50 mL injection, 50 mL vial)	250 mg	5	$116.73	$31.60	$31.60

Source	Chemotherapy Items for Public Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Restricted Benefit

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
4512LMP	METHOTREXATE Injection (PI, CMI) Available brands DBL Methotrexate (methotrexate 5 mg/2 mL injection, 5 x 2 mL vials) DBL Methotrexate (methotrexate 50 mg/2 mL injection, 5 x 2 mL vials) DBL Methotrexate (methotrexate 1 g/10 mL injection, 10 mL vial) DBL Methotrexate (methotrexate 500 mg/20 mL injection, 20 mL vial) Methotrexate Accord (methotrexate 1 g/10 mL injection, 10 mL vial) Methotrexate Ebewe (methotrexate 5 g/50 mL injection, 50 mL vial)	20000 mg	0	$844.63	$31.60	$31.60

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7250NMP	METHOTREXATE Injection (PI, CMI) Available brands DBL Methotrexate (methotrexate 5 mg/2 mL injection, 5 x 2 mL vials) DBL Methotrexate (methotrexate 50 mg/2 mL injection, 5 x 2 mL vials) DBL Methotrexate (methotrexate 1 g/10 mL injection, 10 mL vial) DBL Methotrexate (methotrexate 500 mg/20 mL injection, 20 mL vial) Methotrexate Accord (methotrexate 1 g/10 mL injection, 10 mL vial) Methotrexate Ebewe (methotrexate 5 g/50 mL injection, 50 mL vial)	250 mg	5	$162.75	$31.60	$31.60

Source	Chemotherapy Items for Private Hospital use - Explanatory Notes
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > ANTINEOPLASTIC AGENTS > ANTIMETABOLITES

Restricted Benefit

Code & Prescriber	Name, manner of administration	Max amount	No. of repeats	DPMA	Max Safety Net	General Patient Charge
7251PMP	METHOTREXATE Injection (PI, CMI) Available brands DBL Methotrexate (methotrexate 5 mg/2 mL injection, 5 x 2 mL vials) DBL Methotrexate (methotrexate 50 mg/2 mL injection, 5 x 2 mL vials) DBL Methotrexate (methotrexate 1 g/10 mL injection, 10 mL vial) DBL Methotrexate (methotrexate 500 mg/20 mL injection, 20 mL vial) Methotrexate Accord (methotrexate 1 g/10 mL injection, 10 mL vial) Methotrexate Ebewe (methotrexate 5 g/50 mL injection, 50 mL vial)	20000 mg	0	$900.86	$31.60	$31.60