DrugDashboards

Methotrexate

Methotrexate · METHOTREXATE 25 mg/mL · Injection · Intra-Arterial; Intramuscular; Intrathecal; Intravenous · Accord Healthcare, Inc.

NDC 16729-0277-30 · 1 VIAL in 1 CARTON / 2 mL in 1 VIAL · ANDA · View full market →

The short version

Only one company currently supplies this market — there is no backup if it stumbles. The price is down 26% over the past year, to $1.76 per mL. It is in shortage right now — FDA lists the reason as “other. Put together: this is a fragile supply — if anything else goes wrong, there is very little slack to absorb it.

The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.

One drug, every price

The same NDC has different prices depending on who is paying. Units differ between rungs — compare within a rung over time, not rung against rung, unless the units match.

ⓘ How this was built
Data sources
  • CMS NADAC (pharmacy acquisition, weekly)
  • CMS Part B ASP quarterly payment limits
  • CMS Maximum Fair Prices (IRA negotiated, NDC-level)
  • Medicare Part D Spending by Drug (data.cms.gov, name-matched)
  • VA FSS / Big4 federal contract prices (va.gov, twice monthly)
  • ACA Federal Upper Limits + weighted AMP (data.medicaid.gov, monthly)
  • California SB-17 WAC filings (list price, per package)
Method

Each rung is the newest figure for this NDC from one federal price system, shown with its own unit. Part D is matched by drug name because CMS publishes no NDCs there; it is gross spending, before confidential rebates.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

  • Pharmacies pay (NADAC)$1.76per MLinvoice-surveyed acquisition cost · Aug 19, 2026
  • Medicare Part B pays (ASP+6%)$2.94per billing unit (50 MG)HCPCS J9260 · Jul 1, 2026
  • Part D plans paid (avg)$19.76per dosage unitgross, before rebates — matched by drug name · 2024

Medicare Part D

No Medicare Part D plan in CMS's quarterly files lists this product. That usually means it is discontinued, a repackager's listing, or a product no plan has added to its formulary.

How Part D pricing works →

NADAC price per unit

$0$2.00$4.00May 2014Sep 2026$1.76
117 price points · per MLSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$4.23
Reported to Texas DSHS · 2026 annual filing · Accord Healthcare, Inc.

Manufacturer list price as filed — not what pharmacies actually pay after discounts.

Medicare Part B (ASP)

Payment limit per 50 MG
$2.941
HCPCS J9260 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$59,763
4,679 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

65High risk

Several kinds of pressure are visible at once — each line below is a condition that historically precedes supply trouble, and this market is stacking them.

  • 1 active manufacturer+30
  • in shortage now+25
  • sterile injectable+10

The score counts pressure that is already visible — fewer makers, shortages, recalls, falling prices. 0 means none of it; 100 means all of it at once. Recomputed daily · as of Sep 3, 2026

90-day shortage risk (model v2)

0.4%chance of a new FDA shortage posting for methotrexate (injectable) in the next 90 days

sterile injectable · sole-source market · price up 1% YoY

For scale: the typical drug’s chance is about 0.1% — this one is 3× that.

Backtested statistical model over the whole market, not this package alone. Model details →

Where it's made

Establishments this product's FDA label declares, located via FDA registration data. How we built this →

Is this a "specialty" drug?

There's no legal definition — it meets 2 of 6 public criteria. Why that matters →

  • Part D specialty tier
  • Costs ≥ $950/fill · avg $1,035.57 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
ANDA040716
TE code
AP
Approval date
Apr 30, 2007
Patents / exclusivity
None on file

Shortage history

  • In shortage now Methotrexate Sodium Preservative Free, Injection, 25 mg/1 mL (NDC 16729-277-30)Mar 13, 2023
    Other
    month 42 — 2× the typical 20-month injectable shortage · model puts 35% odds it resolves within 6 months
  • In shortage now Methotrexate Sodium Preservative Free, Injection, 25 mg/1 mL (NDC 16729-277-35)Mar 13, 2023
    Other
    month 42 — 2× the typical 20-month injectable shortage · model puts 35% odds it resolves within 6 months

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of Methotrexate (Injection)

LabelerStrengthFirst seenLast seen
Accord Healthcare, Inc.METHOTREXATE 25 mg/mLJul 15, 2026Sep 2, 2026

Roster from daily NDC Directory diffs — first/last seen dates start July 2026.

Cite this page

DrugDashboards, "Methotrexate — NDC 16729-0277-30," retrieved September 3, 2026, https://drugdashboards.com/drug/16729027730.

Free to cite with attribution — see how the data is put together.