OpenBilldrug price receipt

NADAC week of 2026-10-14

METHOTREXATE 2.5 MG TABLET

For 30 tablets

Pharmacies pay

$4.73 filed

30 × $0.15774 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part B pays

$4.71 derived

30 × $0.157 per EA, Part B limit

Medicare's price is not your price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)


The spread

1.0× estimated

Medicare pays about what pharmacies pay.

12 labelers share HCPCS J8610 on the CMS crosswalk, so its payment limit is an average across all their products billed under that code, not this NDC’s own price.

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Cost-plus estimate

$10.44 estimated

$4.73 + $0.71 (15%) + $5.00 fee per fill = $10.44

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

METHOTREXATE 2.5 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as “methotrexate” and “methotrexate sodium”, as its NDCs’ listings variously write the nonproprietary name.

FDA gives its dosage form as tablet and its route as oral.

FDA lists 12 labelers (the companies named on the label) for its NDCs, among them Hikma Pharmaceuticals USA Inc., Mylan Pharmaceuticals Inc. and Teva Pharmaceuticals USA, Inc.

FDA’s Established Pharmacologic Class for it is Folate Analog Metabolic Inhibitor.

The NADAC file of 2026-10-14 prices it under 17 NDCs (National Drug Codes); the FDA directory lists 15 of them.

NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $4.73 for 30 tablets (30 × $0.15774 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 1, calculated from the most recently completed pharmacy survey.

The 12 labelers

LabelerNDCsPharmacies pay per unit
Alembic Pharmaceuticals Inc.2$0.15774 per EA filed
Sun Pharmaceutical Industries, Inc.2$0.15774 per EA filed
Teva Pharmaceuticals USA, Inc.2$0.15774 per EA filed
Accord Healthcare Inc.1$0.15774 per EA filed
Aurobindo Pharma Limited1$0.15774 per EA filed
Chartwell RX, LLC1$0.15774 per EA filed
Elite Laboratories, Inc.1$0.15774 per EA filed
Hikma Pharmaceuticals USA Inc.1$0.15774 per EA filed
Major Pharmaceuticals1$0.15774 per EA filed
Mylan Institutional Inc.1$0.15774 per EA filed
Mylan Pharmaceuticals Inc.1$0.15774 per EA filed
Zydus Pharmaceuticals USA Inc.1$0.15774 per EA filed
Not listed as a package in the FDA directory2$0.15774 per EA filed
All 17 NDCs, with labeler and price
  • 00054-4550-25 · Hikma Pharmaceuticals USA Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 00054-8550-25 · not listed as a package in the FDA directory · $0.15774 per EA · eff. 2026-09-23 filed
  • 00378-0014-01 · Mylan Pharmaceuticals Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 00555-0572-02 · Teva Pharmaceuticals USA, Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 00555-0572-35 · Teva Pharmaceuticals USA, Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 00904-7141-10 · Major Pharmaceuticals · $0.15774 per EA · eff. 2026-09-23 filed
  • 16729-0486-01 · Accord Healthcare Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 47335-0235-83 · Sun Pharmaceutical Industries, Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 47335-0235-96 · Sun Pharmaceutical Industries, Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 51079-0670-01 · not listed as a package in the FDA directory · $0.15774 per EA · eff. 2026-09-23 filed
  • 51079-0670-05 · Mylan Institutional Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 59651-0182-01 · Aurobindo Pharma Limited · $0.15774 per EA · eff. 2026-09-23 filed
  • 62135-0772-35 · Chartwell RX, LLC · $0.15774 per EA · eff. 2026-09-23 filed
  • 62332-0730-31 · Alembic Pharmaceuticals Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 62332-0730-36 · Alembic Pharmaceuticals Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 64850-0330-01 · Elite Laboratories, Inc. · $0.15774 per EA · eff. 2026-09-23 filed
  • 68382-0775-01 · Zydus Pharmaceuticals USA Inc. · $0.15774 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

13 other products in the NADAC file share an FDA nonproprietary name with METHOTREXATE 2.5 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
METHOTREXATE 2.5 MG TABLET this page
generic · tablet
$0.15774 per EA filed
eff. 2026-09-23
$0.157 per EA derived
Part B limit 2026 Q4
METHOTREXATE 50 MG/2 ML VIAL
generic · solution / injection, solution / injection
$1.23696 to $3.1832 per ML filed
eff. 2026-09-23
$1.4545 per ML derived
Part B limit 2026 Q4
METHOTREXATE 250 MG/10 ML VIAL
generic · injection, solution / injection
$0.702 to $3.1832 per ML filed
eff. 2026-09-23
$1.4545 per ML derived
Part B limit 2026 Q4
RASUVO 7.5 MG/0.15 ML AUTOINJ
brand · injection, solution
$960.29324 per ML filed
eff. 2026-04-01
$367.06071 per ML filed
Part D 2024 average
RASUVO 10 MG/0.2 ML AUTOINJ
brand · injection, solution
$721.8144 per ML filed
eff. 2026-04-01
$367.06071 per ML filed
Part D 2024 average
RASUVO 12.5 MG/0.25 ML AUTOINJ
brand · injection, solution
$574.86795 per ML filed
eff. 2026-04-01
$367.06071 per ML filed
Part D 2024 average
RASUVO 15 MG/0.3 ML AUTOINJ
brand · injection, solution
$480.00227 per ML filed
eff. 2026-09-23
$367.06071 per ML filed
Part D 2024 average
RASUVO 17.5 MG/0.35 ML AUTOINJ
brand · injection, solution
$409.92919 per ML filed
eff. 2026-04-01
$367.06071 per ML filed
Part D 2024 average
RASUVO 20 MG/0.4 ML AUTOINJ
brand · injection, solution
$362.2851 per ML filed
eff. 2026-09-23
$367.06071 per ML filed
Part D 2024 average
RASUVO 25 MG/0.5 ML AUTOINJ
brand · injection, solution
$289.365 per ML filed
eff. 2026-09-23
$367.06071 per ML filed
Part D 2024 average
TREXALL 5 MG TABLET
brand · tablet, film coated
$24.08844 per EA filed
eff. 2026-01-01
$41.73652 per EA filed
Part D 2024 average
TREXALL 7.5 MG TABLET
brand · tablet, film coated
$36.20914 per EA filed
eff. 2026-02-18
$41.73652 per EA filed
Part D 2024 average
TREXALL 10 MG TABLET
brand · tablet, film coated
$48.13525 per EA filed
eff. 2026-09-23
$41.73652 per EA filed
Part D 2024 average
XATMEP 2.5 MG/ML ORAL SOLUTION
brand · solution
$21.76353 per ML filed
eff. 2026-09-23
$19.76312 per ML filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. between 2026-01-01 and 2026-09-23 (4 dates) · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

The middle of its 17 NDCs’ NADAC prices is $0.15774 per EA filed.

Of the 3 other products in FDA’s Folate Analog Metabolic Inhibitor class priced per EA, 3 have a higher middle NADAC price and 0 a lower one. The one in the middle is TREXALL 7.5 MG TABLET, at $36.20914 per EA filed (eff. 2026-02-18).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-02-18, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part B’s payment limit for HCPCS J8610, for 2026-10-01 to 2026-12-31, comes to $4.71 for 30 tablets, or $0.157 per EA once converted to NADAC’s unit for this product.

Medicare Part B pays for this oral drug at a pharmacy only in specific circumstances CMS sets for this code; most prescriptions are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.0314 per 2.5 MG.

11 of the product’s 17 NDCs have this Medicare figure; the other 6 do not, and the interactive card says why for each.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.