DrugDashboards

Xatmep

Methotrexate · METHOTREXATE 2.5 mg/mL · Solution · Oral · Azurity Pharmaceuticals, Inc.

NDC 52652-2001-01 · 120 mL in 1 BOTTLE · NDA · View full market →

The short version

Just 3 companies supply this market — thin enough that a single exit would be felt immediately. It is in shortage right now.

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.

  • Medicare Part B pays (ASP+6%)$22.92per billing unit (2.5 MG)HCPCS J8612 · Jul 1, 2026
  • Part D plans paid (avg)$19.76per dosage unitgross, before rebates — matched by drug name · 2024
  • List price (WAC, as filed)$2,575.40per packageAzurity Pharmaceuticals · Jan 1, 2026

Medicare Part D

All Part D pricing →

Matched to CMS's representative package for this drug (NDC 52652-2001-06) — same generic, strength, and dosage form. CMS prices one NDC per drug concept, not every package.

ⓘ How this was built
Data sources
  • CMS quarterly Prescription Drug Plan Formulary & Pricing files (SPUF)
Method

Negotiated 30-day point-of-sale unit prices and formulary terms aggregated across every unsuppressed Part D and MA-PD plan for the quarter shown. Point of sale means gross of confidential rebates. CMS publishes one representative NDC per drug concept (RxCUI) rather than every package, so these figures come from CMS's representative package for the same drug — matched on generic name, strength, and dosage form. Estimated from MedPAC's program-wide rebate aggregates (June 2023: DIR = 29% of gross Part D spending; brand rebates ≈ 25–40% of gross, generics minimal). Actual rebates are confidential and vary widely by drug — this is a range, not a fact about this drug.

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

Plans pay at point of sale
$22.63per unit
middle half $21.68$23.46 · 5,242 plans · Apr 1, 2026
Est. net of rebates
$13.58–$16.97
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
95%of plans cover it
tier 4 · prior auth 66% · step therapy 9% · qty limit 0%

*No drug-level rebate is public — the estimate applies MedPAC's program-wide brand rebate range to this drug's gross price. Tracked here for 10 quarters since 2024.

NADAC price per unit

No NADAC pricing on file for this NDC — NADAC covers drugs dispensed by retail community pharmacies.

Estimated fill cost

WAC per package, as filed
$2,500.39
Reported to Texas DSHS · 2026 annual filing · Azurity Pharmaceuticals, Inc.

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

Medicare Part B (ASP)

Payment limit per 2.5 MG
$22.915
HCPCS J8612 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$1.6M
2,595 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

Not scored — fragility is computed for NADAC-priced NDCs.

90-day shortage risk (model v2)

0.1%chance of a new FDA shortage posting for methotrexate (other) in the next 90 days

sole-source market

For scale: the typical drug’s chance is about 0.1% — this one is in ordinary territory.

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

Is this a "specialty" drug?

There's no legal definition — it meets 1 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
NDA208400
TE code
Approval date
Apr 25, 2017
Patents / exclusivity
7 patents, 0 exclusivities
TypeNumber / codeExpires
patent10231927Jan 2, 2033
patent11116724Jan 2, 2033
patent11969503Jan 2, 2033
patent12396947Jan 2, 2033
patent10610485Jan 2, 2033
patent9855215Jan 2, 2033
patent9259427Jan 2, 2033

Shortage history

  • In shortage now Methotrexate, Preservative Free, Injection, 25 mg/1 mL (NDC 0143-9519-10)Mar 13, 2023
    month 42 — 4× the typical 12-month other shortage

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of Methotrexate (Solution)

LabelerStrengthFirst seenLast seen
Hikma Pharmaceuticals USA Inc.METHOTREXATE 25 mg/mLJul 15, 2026Sep 3, 2026
Azurity Pharmaceuticals, Inc.METHOTREXATE 2.5 mg/mLJul 15, 2026Sep 2, 2026
Shorla Oncology Inc.METHOTREXATE 2 mg/mLJul 15, 2026Sep 2, 2026

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

Cite this page

DrugDashboards, "Xatmep — NDC 52652-2001-01," retrieved September 3, 2026, https://drugdashboards.com/drug/52652200101.

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