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. 2025 Aug 20;12:1618493. doi: 10.3389/fmed.2025.1618493

Table 4.

Drug costs for the management of RA from Scandinavia and India (six-monthly).

Drug Scandinavia India
Unit costs, 6-months (USD) Unit costs, 6-months (USD)
Methotrexate (+folic acid 5 mg once weekly) 49 USD1 181
Sulfasalazine 1201 391
Hydroxychloroquine 581 291
1st b/tsDMARD2 486 129
2nd b/tsDMARD2 1,022 1,644
Prednisolone 383 193

All b/tsDMARDs are calculated based on their recommended doses for adults with rheumatoid arthritis.

1

Costs for hydroxychloroquine 400 mg/day, sulfasalazine 2000 mg/day, methotrexate 25 mg/week, and prednisolone 5 mg/day.

2

Approximate prices for conventional dosage of the two cheapest b/tsDMARD in 2022.

3

An additional cost of USD 18 was added as cost of Calcium + Vitamin D therapy in the rescue therapy arm.