Product Details

PMS-Methotrexate

Methotrexate
2.5 mg
Tablet


DIN/PIN/NPN

02170698

Manufacturer

Pharmascience Inc.

Formulary Listing Date

1997-02-04  

Unit Price

0.2513

Amount MOH Pays

0.2513

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

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