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
1622JMP	METHOTREXATE methotrexate 2.5 mg tablet, 30 (PI, CMI)	1	30	5	$17.97	$19.28	$22.57
	Available brands
	Methoblastin

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
1622JMP	METHOTREXATE methotrexate 2.5 mg tablet, 30 (PI, CMI)	1	30	5	$17.97	$19.28	$22.57
	Available brands
	Methoblastin

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
1623KMP	METHOTREXATE methotrexate 10 mg tablet, 50 (PI, CMI)	1	50	2	$52.46	$30.00	$30.00
	Available brands
	Methoblastin

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
1623KMP	METHOTREXATE methotrexate 10 mg tablet, 50 (PI, CMI)	1	50	2	$52.46	$30.00	$30.00
	Available brands
	Methoblastin

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

Note

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
1818QMP	METHOTREXATE methotrexate 50 mg/2 mL injection, 2 mL vial (PI, CMI)	5	5	5	$39.52	$30.00	$30.00
	Available brands
	Methotrexate Accorda

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
2272NMP	METHOTREXATE methotrexate 10 mg tablet, 15 (PI, CMI)	1	15	3	$24.24	$25.55	$28.84
	Available brands
	Methoblastin

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
2272NMP	METHOTREXATE methotrexate 10 mg tablet, 15 (PI, CMI)	1	15	3	$24.24	$25.55	$28.84
	Available brands
	Methoblastin

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

Note

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
2395CMP	METHOTREXATE methotrexate 50 mg/2 mL injection, 5 x 2 mL vials (PI, CMI)	1	5	5	$39.56	$30.00	$30.00
	Available brands
	DBL Methotrexatea

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
2396DMP	METHOTREXATE methotrexate 5 mg/2 mL injection, 5 x 2 mL vials (PI, CMI)	1	5	0	$40.99	$30.00	$30.00
	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 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) DBL Methotrexate (methotrexate 5 mg/2 mL injection, 5 x 2 mL vials) Methotrexate Accord (methotrexate 1 g/10 mL injection, 10 mL vial) Methotrexate Accord (methotrexate 50 mg/2 mL injection, 2 mL vial) Methotrexate Ebewe (methotrexate 5 g/50 mL injection, 50 mL vial) Pfizer Australia Pty Ltd (methotrexate 1 g/10 mL injection, 10 mL vial)	250 mg	5	$112.57	$30.00	$30.00

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 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) DBL Methotrexate (methotrexate 5 mg/2 mL injection, 5 x 2 mL vials) Methotrexate Accord (methotrexate 1 g/10 mL injection, 10 mL vial) Methotrexate Accord (methotrexate 50 mg/2 mL injection, 2 mL vial) Methotrexate Ebewe (methotrexate 5 g/50 mL injection, 50 mL vial) Pfizer Australia Pty Ltd (methotrexate 1 g/10 mL injection, 10 mL vial)	20000 mg	0	$840.47	$30.00	$30.00

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 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) DBL Methotrexate (methotrexate 5 mg/2 mL injection, 5 x 2 mL vials) Methotrexate Accord (methotrexate 1 g/10 mL injection, 10 mL vial) Methotrexate Accord (methotrexate 50 mg/2 mL injection, 2 mL vial) Methotrexate Ebewe (methotrexate 5 g/50 mL injection, 50 mL vial) Pfizer Australia Pty Ltd (methotrexate 1 g/10 mL injection, 10 mL vial)	250 mg	5	$154.55	$30.00	$30.00

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 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) DBL Methotrexate (methotrexate 5 mg/2 mL injection, 5 x 2 mL vials) Methotrexate Accord (methotrexate 1 g/10 mL injection, 10 mL vial) Methotrexate Accord (methotrexate 50 mg/2 mL injection, 2 mL vial) Methotrexate Ebewe (methotrexate 5 g/50 mL injection, 50 mL vial) Pfizer Australia Pty Ltd (methotrexate 1 g/10 mL injection, 10 mL vial)	20000 mg	0	$892.66	$30.00	$30.00