Methotrexate Sodium

2ml, 10ml, 40ml — Injection

ANTINEOPLASTICS

Also known as: methotrexate sodium soln 1gm/40ml, 50mg/2ml, 250mg/10ml, 1000mg/40ml; solr 1gm; tabs 2.5mg methotrexate sodium inj pf 50 mg/2ml (25 mg/ml), 250 mg/10ml (25 mg/ml), 1000 mg/40ml methotrexate sodium tab 2.5 mg methotrexate sodium soln 1gm/40ml, 50mg/2ml, 250mg/10ml; solr 1gm; tabs 2.5mg METHOTREXATE methotrexate sodium soln 1gm/40ml,

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 4 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 1 - Generic None
BCBS Federal Basic Option 2026 Tier 1 - Generic None
BCBS Federal Standard Option 2026 Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 4 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026
via 25 Mg/Ml
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Local 2026
via 25 Mg/Ml
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Advantage 2026
via 25 Mg/Ml
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Care 2026
via 25 Mg/Ml
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Value 2026
via 25 Mg/Ml
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Advantage 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Local 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Care 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Value 2026 Tier 4 - Higher Cost Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 4 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 4 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 4 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 2 - Lower Cost None
Something not right?