Are injectable methotrexate pens more expensive than pills?
Injectable methotrexate can be more expensive than the pill form, particularly if you use prefilled pens like Otrexup or Rasuvo. These autoinjector pens are pricier than traditional syringes.
However, you have options that may help with cost. Your doctor can Show Full Answer
Are injectable methotrexate pens more expensive than pills?
Injectable methotrexate can be more expensive than the pill form, particularly if you use prefilled pens like Otrexup or Rasuvo. These autoinjector pens are pricier than traditional syringes.
However, you have options that may help with cost. Your doctor can prescribe methotrexate in a vial that you inject using a regular syringe, which is less expensive than the prefilled pens. Some insurance companies actually encourage this syringe-and-vial approach because of the cost difference.
It's worth checking with your insurance provider about coverage for both options. The actual out-of-pocket cost will depend on your specific insurance plan and whether they prefer one method over another.
The good news is that both forms work the same way and are typically taken once weekly. The injectable form may actually be more effective for some people since it's better absorbed than pills.
December 28, 2025