METHOTREXATE
methotrexate 10 mg/0.2 mL injection, 0.2 mL syringe
METHOTREXATE (14089M)
14089M
Manner of administration:Injection
Restriction (Streamlined authority code: 15068)
Indication: Severe active juvenile idiopathic arthritis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 4 | # of repeats: 5 | DPMQ: $91.20 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Trexject | |||||