Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
METHOTREXATE
Hawkins
63370-0154-10
POW
1 gm
160.00
METHOTREXATE
Hawkins
63370-0154-15
POW
5 gm
680.00
METHOTREXATE
Hawkins
63370-0154-25
POW
25 gm
2600.00
METHOTREXATE
PCCA
51927-1565-00
POW
1 gm
300.00
METHOTREXATE
PD-Rx Pharm
55289-0924-30
TAB
2.5 MG
30s ea
46.76
METHOTREXATE
Phys Total Care
54868-3826-07
TAB
2.5 MG
30s ea
36.70
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
METHOTREXATE
MANUFACTURER:
Hawkins
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
METHOTREXATE
NDC:
63370-0154-10
SIZE:
1 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
160.00
160.0000
7/8/2003
DIR
HCFA
PRODUCT:
METHOTREXATE
MANUFACTURER:
Hawkins
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
METHOTREXATE
NDC:
63370-0154-15
SIZE:
5 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
680.00
136.0000
7/8/2003
DIR
HCFA
PRODUCT:
METHOTREXATE
MANUFACTURER:
Hawkins
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
GENERIC NAME:METHOTREXATE
NDC:
63370-0154-25
SIZE:
25 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
2600.00
104.0000
7/8/2003
DIR
HCFA
PRODUCT:
METHOTREXATE
MANUFACTURER:
PCCA
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
METHOTREXATE
NDC:
51927-1565-00
SIZE:
1 gm
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
300.00
300.0000
9/8/2003
DIR
HCFA
PRODUCT:
METHOTREXATE
MANUFACTURER:
PD-Rx Pharm
FORM:
TABLET
STRENGTH:
2.5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
ADD'L DESC:
GENERIC NAME:
METHOTREXATE
NDC:
55289-0924-30
SIZE:
30s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
Y
GENERIC (Y/N):
Y
Copyright © 2006, Thomson PDR.
Page 2
Red Book(TM) for Windows®
Release: APRIL, 2006
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
46.76
1.5587
11/1/2005
DIR
HCFA
PRODUCT:
METHOTREXATE
MANUFACTURER:
Phys Total Care
FORM:
TABLET
STRENGTH:
2.5 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
ADD'L DESC:
GENERIC NAME:
METHOTREXATE
NDC:
54868-3826-07
SIZE:
30s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
Y
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
36.70
1.2233
11/4/2005
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 3
