Product Details

Methotrexate

Methotrexate
50 mg/2 mL
Solution for Injection
2-mL Pack

DIN/PIN/NPN

02170671

Manufacturer

Wyeth Pharmaceuticals

Formulary Listing Date

1998-03-17  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L01BA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02464365 Methotrexate Injection BP 8.9200 8.9200
02182777 Methotrexate 8.9200 8.9200
02170671 Methotrexate NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

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