FillMapBronze Elite + PCP Saver Plus

Does Bronze Elite + PCP Saver Plus cover methotrexate?

Bronze Elite + PCP Saver Plus
57424-57424NE0010005-0 · ACA · ACA Marketplace
methotrexate
methotrexateunder Bronze Elite + PCP Saver Plus
Covered — some forms require prior authorization
5 of 22 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$3per 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
Required
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.

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 InjectionApproval first
  • 2 ML methotrexate 25 MG/ML InjectionApproval first
  • 40 ML methotrexate 25 MG/ML InjectionApproval first
  • methotrexate 1000 MG InjectionApproval first
  • methotrexate 2.5 MG Oral Tablet
  • methotrexate 25 MG/ML Injectable SolutionApproval first

← All coverage for methotrexate