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Is the cost of your tamoxifen too expensive?

You may qualify for programs where you can pay as little as $0 per fill, subject to income and insurance status.

This content is intended for US audiences only

NowPatient offers cost effective access to tamoxifen for everyone including those who are uninsured, those who have commercial insurance as well as those who are enrolled into state or federal programs like Medicaid, Medicare Part D, full Low Income Subsidy (LIS, “Extra Help”), TRICARE or Veterans (VA) Benefits.

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Table of contents
OverviewWhat can I do if I am commercially insured but cannot afford my tamoxifen?What can I do if I am uninsured and cannot afford my tamoxifen?What can I do if I am insured with Medicare and cannot afford my tamoxifen?Am I eligible for the Rx Advantage Card and how much does tamoxifen cost without insurance?What will my out-of-pocket cost be for tamoxifen when using the Rx Advantage Card?Is it legal for me to pay cash for tamoxifen even though I have insurance?Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?Does the Rx Advantage Card work with Commercial Insurance?How do I check prices for tamoxifen and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a tamoxifen co-pay program?Is there a tamoxifen Patient Assistance Program (PAP)?What should I do if I take too much tamoxifen?What are the benefits of NowPatient?What is generic tamoxifen?US brand name of tamoxifen and manufacturerUK brand name of tamoxifen and manufacturerPrescription requirement for tamoxifenFDA approval of tamoxifenIs tamoxifen available in the UK on NHS?Active ingredient of tamoxifen and mechanism of actionUses of tamoxifenForms of tamoxifenDosage of tamoxifenPrecautions and warnings for tamoxifenSide effects of tamoxifenInteractions with other drugsSourcesPeople also asked
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Medically reviewed by Navin Khosla, BPharm and written by Rajive Patel, BPharm - Updated on 25 Jan 2024
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What can I do if I am commercially insured but cannot afford my tamoxifen?

If you are commercially insured and you cannot afford your copay or co-insurance you can opt for purchasing tamoxifen outside of your plan using the Rx Advantage card, with costs that are usually lower than a typical plan copay. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

If you cannot afford the cash price possibly due to income constraints, then there is the option of applying to state assistance programs like Medicaid. Often, you may be able to receive your tamoxifen without any costs at all. You can check Medicaid eligibility in your state by following this link HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application.

What can I do if I am uninsured and cannot afford my tamoxifen?

If you cannot afford the cash price of tamoxifen using the Rx Advantage card then there is the option of applying to state programs like Medicaid. Often, you may be able to receive your tamoxifen without any costs at all. You can check Medicaid eligibility in your state by following this link HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application.

What can I do if I am insured with Medicare and cannot afford my tamoxifen?

If you are insured with Medicare and have Part D or an Advantage drug plan but cannot afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you have a number of options:

Option

Savings Information

RX ADVANTAGE CARD

You can use the Rx Advantage to purchase the medication outside of your plan at prices that may be lower than you copay or co-insurance element. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

LOW INCOME SUBSIDY

If this is still too expensive or unaffordable then you can apply for federal support like Low Income Subsidy (LIS). To be eligible for Low Income Subsidy, you need to be resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

MEDICAID

Alternatively, you can check Medicaid eligibility in your state by following this link to the HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

Am I eligible for the Rx Advantage Card and how much does tamoxifen cost without insurance?

Our website gives savings options to customers who wish to purchase tamoxifen, as either a brand or generic, without the constraints of insurance. By using the Rx Advantage Card, users can save up to 90% on the cost of their medication. The card can be used at over 65,000 pharmacies nationwide, across America. Even if you are insured, in most cases the cash price will be significantly cheaper than your existing co-pay. NowPatient is able to negotiate discounts on bulk drug purchases with pharmacy owners meaning you can access lower medication prices at nearby pharmacies using our card that can be conveniently stored in your NowPatient account.

What will my out-of-pocket cost be for tamoxifen when using the Rx Advantage Card?

Your out-of-pocket (OOP) cost will effectively be the discounted cash price you pay for tamoxifen using the Rx Advantage Card. If you are insured, your OOP expense can not be used against your plan deductible, if your plan has a deductible.

Yes. The Rx Advantage card is especially useful for people who have High-deductible health plans (HDHPs). It can be used for insured, uninsured, and underinsured persons.

Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?

No. We do not bill any federal or state insurance including Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug benefit). When you purchase your medication using the NowPatient Rx Advantage Card, you will be doing so out of pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket tamoxifen cash price you pay can be typically cheaper than your plan copay.

Does the Rx Advantage Card work with Commercial Insurance?

We do not bill your commercial insurance. When you purchase your medication using the Rx Advantage Card, from NowPatient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket tamoxifen cash price you pay can be typically cheaper than your plan copay.

How do I check prices for tamoxifen and how do I use the Rx Advantage Card?

You can search for the prices at nearby pharmacies using our website. Simply search your medication and enter your ZIP Code and we will show you the price of your drug at nearby pharmacies. If you are happy with the quote, you need to create an account with NowPatient and generate your card. Next, simply go to the pharmacy and fill your tamoxifen Rx. Ask the pharmacy to run the card and check the price, even if they tell you they have another card they use. Your card is stored safely in your NowPatient account.

Do I need to pay for the Rx Advantage Card?

No. The Rx Advantage prescription savings card is FREE to use and store for NowPatient users.

Is there a tamoxifen co-pay program?

Generic medications like tamoxifen do not have co-pay card savings options. A Copay program, if available, would normally be for the brand name version of tamoxifen. You can search the brand name of tamoxifen and check to see if a co-pay program exists. Co-pay cards are programs run by pharmaceutical companies that offer you a direct way to lower your out-of-pocket costs for prescription drugs for eligible patients. The copay cards essentially allow physicians to prescribe medications that are clinically preferred.

Is there a tamoxifen Patient Assistance Program (PAP)?

Generic medications like tamoxifen do not have PAP savings options. A Patient assistance program, if available would normally be for the brand name version of tamoxifen. You can search the brand name of tamoxifen and check to see if a co-PAP exists. PAPs are programs that are run and sponsored by pharmaceutical companies. They offer uninsured, insured, or underinsured individuals access to high-cost brand-name medications, which may otherwise be unaffordable.

What should I do if I take too much tamoxifen?

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using tamoxifen. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you've used too much tamoxifen. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.

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What is generic tamoxifen?

US brand name of tamoxifen and manufacturer

Tamoxifen is available in the US under the brand names Nolvadex and Soltamox. It is manufactured by various pharmaceutical companies.

UK brand name of tamoxifen and manufacturer

In the UK, tamoxifen is available under the brand name Nolvadex. It is manufactured by AstraZeneca UK Ltd.

Prescription requirement for tamoxifen

Tamoxifen is a prescription medication and requires a prescription from a healthcare provider.

FDA approval of tamoxifen

Tamoxifen has received FDA approval for the treatment of breast cancer, both in the adjuvant setting (after surgery) and for metastatic disease. It is also approved for reducing the incidence of breast cancer in high-risk women.

Is tamoxifen available in the UK on NHS?

Tamoxifen is available on the NHS in the UK, and it can be obtained with a prescription.

Active ingredient of tamoxifen and mechanism of action

Tamoxifen contains the active ingredient tamoxifen citrate, which belongs to a class of medications called selective estrogen receptor modulators (SERMs). It slows or prevents the growth of the tumor by blocking the effects of estrogen hormone therapy in breast tissue, thereby slowing down or stopping the growth of estrogen receptor-positive breast cancer cells. It also helps to maintain bone density and reduce osteoporosis in postmenopausal women.

Uses of tamoxifen

Tamoxifen is primarily used for the treatment of the following conditions:

  • Early-stage and advanced-stage estrogen receptor-positive breast cancer in women and men
  • Reduction of the risk of invasive breast cancer in high-risk women
  • Prevention of breast cancer recurrence in women who have completed adjuvant therapy
  • Reduce the risk of more serious breast cancer in women who have had ductal carcinoma in situ (DCIS)
  • To reduce the risk of breast cancer in women at high risk due to their age, medical history, and family medical history

Forms of tamoxifen

Tamoxifen is available in the form of oral tablets. The specific dosage and strength will depend on the individual’s condition and the recommendation of their healthcare provider.

Dosage of tamoxifen

The dosage of tamoxifen will vary depending on the specific condition being treated. It is important to follow the dosage instructions provided by your healthcare provider.

Precautions and warnings for tamoxifen

  • You may have an increased risk of developing blood clots, stroke, and endometrial cancer when taking tamoxifen. It is important to discuss the potential risks and benefits with your healthcare provider
  • Tamoxifen may interact with certain medications, including selective serotonin reuptake inhibitors (SSRIs) and other medications that affect liver enzymes. Inform your healthcare provider about all the medications you are taking
  • Tamoxifen should not be used in individuals with a known hypersensitivity to the drug or its components
  • Tell your doctor if you have blood clots (such as deep vein thrombosis), high cholesterol, diabetes, high blood pressure, or liver disease
  • Women of childbearing age should use effective contraception during tamoxifen treatment
  • It is not known if this drug passes into breast milk. Speak to your doctor if you are planning to breastfeed

Side effects of tamoxifen

In clinical trials common side effects of tamoxifen may include hot flashes, vaginal discharge, vaginal bleeding, or vaginal dryness, changes in menstrual periods, tiredness, and nausea. Other possible side effects include blood clots, stroke, endometrial cancer (uterine cancer), cataracts, and other serious medical conditions. If you experience any severe or concerning side effects, seek medical attention. Get medical help right away if you have a life threatening allergic reaction. Symptoms include hives, trouble breathing, shortness of breath, sore throat, chest pain, swelling of the face, tongue or throat, skin rash, and severe skin reactions. Promptly report any adverse effects to a healthcare professional for medical advice.

Interactions with other drugs

Tamoxifen may interact with certain medications, including aromatase inhibitors such as anastrozole, letrozole, phenobarbital, and rifampin. It is important to inform your healthcare provider about all the prescription drugs, over the counter nonprescription medication, salt substitutes, supplements, and vitamins you are taking to avoid potential adverse effects and drug interactions.

Sources

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