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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
02454831  METOJECT SUBCUTANEOUS METHOTREXATE 10MG/0.2ML INJ Part 1 Benefit L04AX03
02454750  METOJECT SUBCUTANEOUS METHOTREXATE 12.5MG/.25 INJ Part 1 Benefit L04AX03
02454858  METOJECT SUBCUTANEOUS METHOTREXATE 15MG/0.3ML INJ Part 1 Benefit L04AX03
02454769  METOJECT SUBCUTANEOUS METHOTREXATE 17.5/.35ML INJ Part 1 Benefit L04AX
02454866  METOJECT SUBCUTANEOUS METHOTREXATE 20MG/0.4ML INJ Part 1 Benefit L04AX03
02454777  METOJECT SUBCUTANEOUS METHOTREXATE 22.5/.45ML INJ Part 1 Benefit L04AX03
02454874  METOJECT SUBCUTANEOUS METHOTREXATE 25MG/0.5ML INJ Part 1 Benefit L04AX03
02454823  METOJECT SUBCUTANEOUS METHOTREXATE 7.5MG/.15M INJ Part 1 Benefit L04AX03

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