Product Details
PMS-Methotrexate Injection
Methotrexate12.5 mg/0.25 mL
Solution for Injection
Prefilled Syringe
DIN/PIN/NPN
02539616
Manufacturer
Pharmascience Inc.
Formulary Listing Date
2024-05-31
Unit Price
15.6000
Amount MOH Pays
15.6000
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
L04AX03
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02454750 | Metoject Subcutaneous | 17.1600 | 15.6000 |
| 02539616 | PMS-Methotrexate Injection | 15.6000 | 15.6000 |
| 02491303 | Methotrexate Subcutaneous | 15.6000 | 15.6000 |
LU Clinical Criteria
NORequirements