Should a patient who is on methatraxate be given the shingles vacine?

No issue! The methotrexate is activated by a process called polyglutimization. It takes 2 and one half months! Missing two MTX shots is meaningless!
Shingles vaccine? Methotrexate suppresses the immune system, one condition that is a contraindication to giving the shingles vaccine (since it is a weakened live virus vaccine); so no, pts on mtx should not be given shingles vaccine.

Related Questions

Should methotrexate patients get shingles vaccine?

Dose dependent. This judgement has to be made by the provider. Technically low dose Methotrexate is not considered a contraindication to receiving the shingles vaccine. But only your provider will have a full picture of your immune status. Shingles vaccine is a live vaccine and not given to those with significant immunosuppression. Read more...