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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status
ATC Code
02422174  METHOTREXATE INJ METHOTREXATE 10MG/0.4ML INJ Part 1 Benefit L01BA
02182947  METHOTREXATE INJECTION METHOTREXATE 20MG/2ML  LIQ Part 1 Benefit L01BA01
02464365  METHOTREXATE INJECTION BP METHOTREXATE W PRESERVATIVE 25MG/ML  INJ Part 1 Benefit L01BA01
02182777  METHOTREXATE INJECTION USP METHOTREXATE W PRESERVATIVE 25MG/ML  INJ Part 1 Benefit L01BA01

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Data Last Updated: 4/27/2026 6:00:06 AM