Product Information

OTREXUP 25 MG/0.4 ML AUTO-INJ is a brand product labeled by Antares Pharma, Inc., priced at $475.8075 per ML under NDC 54436002504. Its NADAC has been published 174 times since Sep 23, 2020.

FDA first approved this application on Oct 11, 2013.

The High Outlier badge above means this manufacturer's average price in the methotrexate market falls above Q3 + 1.5·IQR across all competing manufacturers. We only apply this flag in markets with four or more competitors. Full definition: glossary → outlier.

OTREXUP 25 MG/0.4 ML AUTO-INJ

methotrexate
$475.8075per ML
High Outlier

Strength

25 mg/.4mL

NDC

54436002504

Classification

Brand

Dosage Form

INJECTION, SOLUTION

Route

SUBCUTANEOUS

Effective Date

8/20/2025

Active Ingredients

METHOTREXATE

Approval Type

New Drug (NDA)

FDA Application

NDA204824

FDA Approved

10/11/2013

On Market Since

10/11/2013

Pharmacological Classes

Folate Analog Metabolic Inhibitor
Folic Acid Metabolism Inhibitors

Price Statistics

The NADAC for OTREXUP 25 MG/0.4 ML AUTO-INJ has been published 174 times since Sep 23, 2020, and over the history we have for it it has risen 21.6%. The table below summarizes its recorded NADAC range and movement.

Current price$475.8075 per ML
All-time high$480.1503 (Aug 13, 2025)
All-time low$391.2917 (Sep 23, 2020)
52-week high$475.8075
52-week low$475.8075
Median price$466.4896
Average price$448.1244
Largest weekly change+18.9% (Apr 17, 2024)
Weeks tracked174
Tracking sinceSep 23, 2020

Price History

1W

0.0%

1M

0.0%

3M

0.0%

6M

0.0%

1Y

0.0%

3Y

+21.6%

5Y

+21.6%

All

+21.6%

Generic Alternatives

The matcher finds 1 manufacturer offering a NADAC-published product with this drug's active ingredient and strength in a comparable dosage form (cheapest from each manufacturer, up to 10 shown below). Switching to the cheapest would cut per-unit acquisition cost by roughly 40% at current NADAC. These are candidates to verify clinically, not guaranteed substitutes — see our generic drug prices guide.

Lowest-Cost Alternatives

Save up to 40%

1 alternative • Same active ingredient

Frequently asked questions

What is the NADAC price of OTREXUP 25 MG/0.4 ML AUTO-INJ?

The current National Average Drug Acquisition Cost (NADAC) for OTREXUP 25 MG/0.4 ML AUTO-INJ, manufactured by Antares Pharma, Inc., is $475.8075 per ML (NDC 54436002504), effective Aug 12, 2026.

How has the price of OTREXUP 25 MG/0.4 ML AUTO-INJ changed over time?

Over the history we have for it, the NADAC for OTREXUP 25 MG/0.4 ML AUTO-INJ has risen 21.6%. It has been tracked across 174 weekly CMS publications since Sep 23, 2020.

What are the highest and lowest recorded NADAC prices for OTREXUP 25 MG/0.4 ML AUTO-INJ?

Since Sep 23, 2020, the NADAC for OTREXUP 25 MG/0.4 ML AUTO-INJ has ranged from a low of $391.2917 (Sep 23, 2020) to a high of $480.1503 (Aug 13, 2025), with a median of $466.4896 per ML.

Are there cheaper alternatives to OTREXUP 25 MG/0.4 ML AUTO-INJ?

Yes. 1 manufacturer publishes a NADAC-priced product with the same active ingredient and strength in a comparable dosage form. The lowest-priced option, RASUVO 25 MG/0.5 ML AUTOINJ, is $287.8292 per ML — about 40% below OTREXUP 25 MG/0.4 ML AUTO-INJ.

Who manufactures OTREXUP 25 MG/0.4 ML AUTO-INJ?

OTREXUP 25 MG/0.4 ML AUTO-INJ (NDC 54436002504) is labeled by Antares Pharma, Inc., and CMS classifies it as a brand product.