Search Results

You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.

Products found: 5

DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Inter- change- able	Limited Use	Thera- peutic Notes
02491311	METHOTREXATE	Methotrexate Subcutaneous 15mg/0.3mL Inj Sol-Pref Syr	ACH	16.3800	16.3800	YES	NO	NO
02491338	METHOTREXATE	Methotrexate Subcutaneous 17.5mg/0.35mL Inj Sol-Pref Syr	ACH	16.0000	16.0000	YES	NO	NO
02491362	METHOTREXATE	Methotrexate Subcutaneous 25mg/0.5mL Inj Sol-Pref Syr	ACH	19.5000	19.5000	YES	NO	NO
02491354	METHOTREXATE	Methotrexate Subcutaneous 22.5mg/0.45mL Inj Sol-Pref Syr	ACH	17.5000	17.5000	YES	NO	NO
02491346	METHOTREXATE	Methotrexate Subcutaneous 20mg/0.4mL Inj Sol-Pref Syr	ACH	17.5000	17.5000	YES	NO	NO