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	$115.63	$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	$843.53	$31.60	$31.60