Does Gold 22 Health cover methotrexate?
Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
methotrexate
methotrexateunder Gold 22 Health
Covered — the conditions depend on which form
Not the same for every form: 1 of 36 need your plan’s approval first, and 18 of 36 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.
What you'd pay
$15per 30-day fill
From the first fill — no deductible on this drug.
This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.
Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
- Tier
- Generics
- Approval first
- Required
- Try another first
- Required
- Amount limit
- Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (36)
- 0.15 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.2 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.25 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.3 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]Try another firstAmount limit
- 0.3 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.35 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.4 ML methotrexate 25 MG/ML Auto-Injector [Otrexup]Amount limit
- 0.4 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]Try another firstAmount limit
- 0.4 ML methotrexate 31.3 MG/ML Auto-Injector [Otrexup]Amount limit
- 0.4 ML methotrexate 37.5 MG/ML Auto-Injector [Otrexup]Amount limit
- 0.4 ML methotrexate 43.8 MG/ML Auto-Injector [Otrexup]Amount limit
- 0.4 ML methotrexate 50 MG/ML Auto-Injector [Otrexup]Amount limit
- 0.4 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.4 ML methotrexate 56.3 MG/ML Auto-Injector [Otrexup]Amount limit
- 0.4 ML methotrexate 62.5 MG/ML Auto-Injector [Otrexup]Amount limit
- 0.45 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.5 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]Try another firstAmount limit
- 0.5 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.6 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]Try another firstAmount limit
- 0.6 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]Try another firstAmount limit
- 0.7 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]Try another firstAmount limit
- 0.8 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]Try another firstAmount limit
- 0.9 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]Try another firstAmount limit
- 1 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]Try another firstAmount limit
- 10 ML methotrexate 25 MG/ML Injection
- 2 ML methotrexate 25 MG/ML Injection
- 40 ML methotrexate 25 MG/ML Injection
- methotrexate 10 MG Oral Tablet [Trexall]
- methotrexate 1000 MG Injection
- methotrexate 15 MG Oral Tablet [Trexall]
- methotrexate 2 MG/ML Oral Solution [Jylamvo]Approval first
- methotrexate 2.5 MG Oral Tablet
- methotrexate 2.5 MG/ML Oral Solution [Xatmep]Try another firstAmount limit
- methotrexate 25 MG/ML Injectable Solution
- methotrexate 5 MG Oral Tablet [Trexall]
- methotrexate 7.5 MG Oral Tablet [Trexall]