FillMapBSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) · 40788-40788TX0460001-0About this plan

Does BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) cover methotrexate?

1 · Your plan

BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)

40788-40788TX0460001-0 · ACA · ACA Marketplace

2 · Your medication

methotrexate

methotrexateunder BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)

Covered — just walk in

Nothing to clear first — take the prescription to an in-network pharmacy.

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.

Tier: Generic
Approval first: Not needed
Try another first: No
Amount limit: None

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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (22)

0.15 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
0.2 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
0.25 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
0.3 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
0.35 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
0.4 ML methotrexate 25 MG/ML Auto-Injector [Otrexup]
0.4 ML methotrexate 31.3 MG/ML Auto-Injector [Otrexup]
0.4 ML methotrexate 37.5 MG/ML Auto-Injector [Otrexup]
0.4 ML methotrexate 43.8 MG/ML Auto-Injector [Otrexup]
0.4 ML methotrexate 50 MG/ML Auto-Injector [Otrexup]
0.4 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
0.4 ML methotrexate 56.3 MG/ML Auto-Injector [Otrexup]
0.4 ML methotrexate 62.5 MG/ML Auto-Injector [Otrexup]
0.45 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
0.5 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
0.6 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]
10 ML methotrexate 25 MG/ML Injection
2 ML methotrexate 25 MG/ML Injection
40 ML methotrexate 25 MG/ML Injection
methotrexate 1000 MG Injection
methotrexate 2.5 MG Oral Tablet
methotrexate 25 MG/ML Injectable Solution

← All coverage for methotrexate