Product Details

Ach-Methotrexate

Methotrexate
2.5 mg
Tablet

DIN/PIN/NPN

02509067

Manufacturer

Accord Healthcare Inc.

Formulary Listing Date

2021-12-17

Unit Price

0.2513

Amount MOH Pays

0.2513

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

10:00 Antineoplastic Agents

Therapeutic Note

NO

ATC Code

L01BA01

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02170698	PMS-Methotrexate	0.2513	0.2513
02182963	Apo-Methotrexate	0.2513	0.2513
02509067	Ach-Methotrexate	0.2513	0.2513
02524023	Auro-Methotrexate	0.2513	0.2513
02534916	M-Methotrexate	0.2513	0.2513

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph