Otrexup is an FDA-approved prescription injection prescribed to patients with rheumatoid arthritis, polyarticular (multiple joints) juvenile rheumatoid arthritis, or severe, debilitating psoriasis when other treatments have not succeeded. All three are conditions in which the immune system misfires and targets healthy tissues, either skin (psoriasis) or the cartilage tissues in joints (rheumatoid arthritis). Swelling in these conditions is caused by white blood cells, the immune system's front-line against infections. The active ingredient in Otrexup, methotrexate, is thought to work by targeting the immune system's white blood cells and preventing them from replicating and producing chemicals that cause swelling. Otrexup cost is normally $2,363.82 at full price. A SingleCare Otrexup coupon reduces that price to $1,590.76. Continue to our FAQs section for more information about Otrexup.
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Prices updated: 12/05/2025
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Otrexup is an FDA-approved prescription injection prescribed to patients with rheumatoid arthritis, polyarticular (multiple joints) juvenile rheumatoid arthritis, or severe, debilitating psoriasis when other treatments have not succeeded. All three are conditions in which the immune system misfires and targets healthy tissues, either skin (psoriasis) or the cartilage tissues in joints (rheumatoid arthritis). Swelling in these conditions is caused by white blood cells, the immune system's front-line against infections. The active ingredient in Otrexup, methotrexate, is thought to work by targeting the immune system's white blood cells and preventing them from replicating and producing chemicals that cause swelling. Otrexup cost is normally $2,363.82 at full price. A SingleCare Otrexup coupon reduces that price to $1,590.76. Continue to our FAQs section for more information about Otrexup.
Otrexup is an FDA-approved prescription injection prescribed to patients with rheumatoid arthritis, polyarticular (multiple joints) juvenile rheumatoid arthritis, or severe, debilitating psoriasis when other treatments have not succeeded. All three are conditions in which the immune system misfires and targets healthy tissues, either skin (psoriasis) or the cartilage tissues in joints (rheumatoid arthritis). Swelling in these conditions is caused by white blood cells, the immune system's front-line against infections. The active ingredient in Otrexup, methotrexate, is thought to work by targeting the immune system's white blood cells and preventing them from replicating and producing chemicals that cause swelling. Otrexup cost is normally $2,363.82 at full price. A SingleCare Otrexup coupon reduces that price to $1,590.76. Continue to our FAQs section for more information about Otrexup.
At most pharmacies, the full cost of Otrexup will be $2,363.82. That same prescription will cost $1,590.76 per 10, 0.4ml of 12.5mg/0.4ml pens using a SingleCare savings card, which you can use at major pharmacies throughout the country, such as CVS, Target, Longs Drugs, and others. In some cases, your insurance will require you to fill your Otrexup prescription at a specialty pharmacy. Check with your insurance to find out how to obtain your Otrexup prescription.
Copay costs of Otrexup differ depending on your insurance plan. With SingleCare, Otrexup costs as low as $1,590.76. You should consider asking your pharmacist to compare your Otrexup insurance copay to your SingleCare Otrexup coupon. You may save more money with SingleCare at participating pharmacies.
Medicare prescription drug insurance plans do not provide coverage for Otrexup. However, Otrexup is often covered as a medical benefit under Medicare Part B. If not, Medicare Part D may cover Otrexup. If you are on Medicare and don't have coverage for Otrexup, look into using a SingleCare Otrexup coupon for your prescription. With SingleCare, the price of Otrexup is $1,590.76 for 10, 0.4ml of 12.5mg/0.4ml pens.
Otrexup is a brand-name prescription injection with the active ingredient methotrexate. Other generic manufacturers of methotrexate injection solution include Mylan, West-Ward, and Hikma, among others. Brand-name methotrexate injection solution is also sold as Rasuvo.
Otrexup is a prescription injection prescribed to patients with rheumatoid arthritis, polyarticular (multiple joints) juvenile rheumatoid arthritis, or severe, debilitating psoriasis. In all three cases, Otrexup is only prescribed when other, first-line treatments have not succeeded.
All three are conditions in which the immune system misfires and targets healthy tissues as if they were infections. In psoriasis, the immune system targets skin tissues, and in rheumatoid arthritis, the immune system goes after cartilage tissues in joints. During active periods of psoriasis or rheumatism, the immune system's white blood cells divide, producing more white blood cells, congregate around the targeted tissues, and release chemicals that cause swelling and damage to the targeted tissues.
Otrexup is administered once per week as a subcutaneous injection, that is, it is injected beneath the skin of the abdomen or thigh. It is very important to only use the injection once per week. The dose will depend on the underlying condition.
Before taking Otrexup, tell your provider about all of the medical conditions you have, and all of the medications you take, including Rx and OTC drugs, vitamins, and supplements. While taking Otrexup, avoid alcohol, because it can increase the risk of liver problems. Do not drive until you know how this medication affects you. Avoid exposure to sunlight. You should not receive a live vaccine while taking Otrexup. Ask your healthcare professional before getting a vaccine.
Keep Otrexup out of the reach and out of sight of children and pets.
Severe side effects of Otrexup depend on the dose and length of treatment, but they include severe bone marrow suppression (putting the patient at risk of serious or fatal infections), liver damage, anemia, lung disease (which may not be reversible), lymphomas (cancer of the white blood cells), kidney problems, and gastrointestinal bleeding.
Otrexup is toxic to and can kill an unborn baby. Talk to your doctor about birth control to prevent pregnancy while taking Otrexup. Do not breastfeed while taking Otrexup.
Otrexup is not used to treat cancer, but if a patient taking Otrexup has a rapidly growing tumor, Otrexup can cause tumor lysis syndrome, a health-threatening imbalance in the body's electrolytes due to the death of cancer cells.
Common side effects of Otrexup include, but are not limited to, drowsiness, dizziness, nausea, vomiting, diarrhea, upset stomach, cold sores in the mouth, fever, chills, fatigue, and “feeling bad” (malaise).
Otrexup also reduces fertility: it lowers sperm counts in men and disrupts the menstrual cycle in women. It is not known if the infertility is reversible.
Otrexup also suppresses the body's immune system, so patients are more susceptible to infections. Consult your doctor immediately if you have an infection while being treated with Otrexup.
Allergic reactions are rare, but they potentially can be severe or life-threatening. These include Stevens-Johnson syndrome and toxic epidermal necrolysis, which are serious and potentially fatal skin reactions. Watch for any signs of an allergic reaction—fever, sore throat, flu symptoms, rash, or blisters—and immediately get emergency medical attention if you suspect you're having an allergic reaction. This is not a complete list of side effects. Consult your doctor or healthcare professional for additional information and medical advice regarding other possible side effects or drug interactions. You can report negative side effects to the FDA.
After receiving her doctorate from the University of Pittsburgh School of Pharmacy, Karen Berger, Pharm.D., has worked in both chain and independent community pharmacies. She currently works at an independent pharmacy in New Jersey. Dr. Berger enjoys helping patients understand medical conditions and medications—both in person as a pharmacist, and online as a medical writer and reviewer.
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Prescription savings vary by prescription and by pharmacy, and may reach up to 80% off cash price. This is a medical discount plan. This is NOT insurance. This program offers you the opportunity to locate providers of various types of medical services who will offer their services to you at discounted rates. The range of discounts for medical or ancillary services provided under the plan will vary depending on the type of provider and service received. You are fully responsible for paying for all health care services but will be entitled to receive a discount from those health care providers in accordance with the specific pre-negotiated discounted fee schedule. This program does not guarantee the quality of the services or procedures offered by the providers. Except for prescription drugs which you will pay directly to the pharmacy at the time of purchase, all other services received through a program provider will be charged to the credit card on file in your member account. The charge will include an administrative fee for use of the program. Towers Administrators LLC is the licensed discount medical plan organization with its administrative office located at 4510 Cox Road, Suite 111, Glen Allen, VA 23060. SingleCare Services, LLC is the marketer of the discount medical plan organization including its website, singlecare.com, with its corporate office located at 99 High Street, Suite 2800, Boston, MA 02110. For additional information, including an up-to-date list of providers, or assistance with any issue related to program membership, please contact member support any time at www.singlecare.com, or by calling toll-free 844-234-3057, 24 hours, 7 days a week (except major holidays). Pharmacy names, logos, brands, and other trademarks are the property of their respective owners.
Blog articles are not medical advice. They are intended for general informational purposes and are not meant to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. If you think you may have a medical emergency, immediately call your physician or dial 911.
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© 2025 SingleCare Administrators. All rights reserved