Methotrexate

Drug ingredientActive Shortage

CAS 59-05-2

This drug ingredient is in active FDA shortage. At least one manufacturer cannot meet demand.

Molecular structure of 59-05-2
US productionNot reported
Import value, 2024$7.6B
Top sourceIreland 61%

This chemical is listed as active in US commerce, but no company reported it to EPA’s survey for 2019 or 2023. Sites may have made or imported less than the threshold amount, or none.

Why supply is unknown

Production is reported production, not a complete census of factories. Import value and source-country shares describe a shared customs category, not a separate chemical measurement.

Where It Comes From

Customs basis: HS 293359 · basket

These shares come from HS customs code 293359, which covers 295 tracked chemicals in total. They estimate the category's origin mix, not this chemical specifically.

Source Countries
IE 61%IrelandCH 30%SwitzerlandGB 2%United KingdomCN 2%ChinaIN 1%India
16 FDA-registered drug labelers
Accord Healthcare, Inc.
Antares Pharma, Inc.
AvPAK
Azurity Pharmaceuticals, Inc.
Excella GmbH & Co. KG
Fermion Oy
Hikma Pharmaceuticals USA Inc.
Huzhou Zhanwang Pharmaceutical Co. Ltd
Major Pharmaceuticals
MSN Laboratories Private Limited
Professional Compounding Centers of America dba PCCA
SHORLA ONCOLOGY INC.
Spectrum Laboratory Products, Inc.
Zhejiang Hisun Pharmaceutical Co., Ltd.
Zydus Lifesciences Limited
Zydus Pharmaceuticals USA Inc.

Why It Matters

Sectors
Health
Downstream Uses

Appears in 4 drug and cosmetic product listings (FDA).

  • •Methotrexate
  • •Otrexup
  • •Xatmep
  • •Jylamvo
FDA Shortage Status
Active Shortage
Shortage History
  • Current shortage

    Methotrexate Sodium Injection

    Shortage listed since March 13, 2023

    Manufacturer reports: 1 unavailable, 1 limited, 1 available

  • to be discontinued

    Methotrexate Injection

    Shortage listed since August 29, 2025

See all current drug shortages

Vendor Pricing

$2.15/gAaron Chemicals LLC
CountryHong Kong
Pack$1073.00 / 500 g
Purity99%
Vendors34 available

Prices reflect listed pack sizes. Small research packs run far above bulk rates.

Chemical Identity

CAS59-05-2
PubChem CID126941
DTXSIDDTXSID4020822
FormulaC20H22N8O5
Mol. Weight454.4 g/mol
SMILESCN(CC1=CN=C2C(=N1)C(=NC(=N2)N)N)C3=CC=C(C=C3)C(=O)NC(CCC(=O)O)C(=O)O

Data Sources

Brief citations

Methotrexate (CAS 59-05-2) https://chemicalindependence.com/chemical/59-05-2/ PubChem: 126941. Retrieved 2026-04-07. https://pubchem.ncbi.nlm.nih.gov/compound/126941 EPA TSCA Inventory: CAS 59-05-2. Retrieved 2026-04-24. https://www.epa.gov/tsca-inventory FDA Drug Shortages: CAS 59-05-2. Retrieved 2026-10-04. https://www.accessdata.fda.gov/scripts/drugshortages/ US Census international trade: HS 293359 for CAS 59-05-2. Reporting year: 2024. https://usatrade.census.gov/