METHOTREXATE
methotrexate 5 mg/2 mL injection, 5 x 2 mL vials
METHOTREXATE (4512L)
4512L
Manner of administration:Injection
Restriction
Indication: Patients receiving treatment with a high dose regimen
Quantities & Cost
| Max amount | # of repeats | DPMA | Max safety net | General Patient Charge |
|---|---|---|---|---|
| Max amount: 20000 mg | # of repeats: 0 | DPMA: $844.63 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | ||||
| DBL Methotrexate
(methotrexate 5 mg/2 mL injection, 5 x 2 mL vials)
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| DBL Methotrexate
(methotrexate 50 mg/2 mL injection, 5 x 2 mL vials)
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| DBL Methotrexate
(methotrexate 500 mg/20 mL injection, 20 mL vial)
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| DBL Methotrexate
(methotrexate 1 g/10 mL injection, 10 mL vial)
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| Methotrexate Accord
(methotrexate 1 g/10 mL injection, 10 mL vial)
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| Methotrexate Ebewe
(methotrexate 5 g/50 mL injection, 50 mL vial)
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