FillMap20507va1410069 · 20507-20507VA1410069-0About this plan

Does 20507va1410069 cover methotrexate?

1 · Your plan

20507va1410069

20507-20507VA1410069-0 · ACA · ACA Marketplace

2 · Your medication

methotrexate

methotrexateunder 20507va1410069

Covered — some forms require step therapy

16 of 21 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.

What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Tier: Non preferred brand
Approval first: Not needed
Try another first: Required
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 (21)

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

← All coverage for methotrexate