TamoxifenPrices, Coupons & Savings

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  2. Tamoxifen Citrate
    Generic for Nolvadex
    30 tablets $8.7 USD
    Save $68.10
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Save up to 90% of your branded or generic medications using the Now Patient Rx Advantage Card

Do you need a prescription for tamoxifen?

Yes, tamoxifen is only available with a valid physician Rx.

How much is tamoxifen without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase tamoxifen, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for tamoxifen in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a tamoxifen savings card?

Yes. Save up to 90% on your tamoxifen with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a tamoxifen coupon provider in the US?

No. Now Patient does not provide tamoxifen coupons or FREE tamoxifen samples.

Do you accept commercial, Medicare or Medicaid coverage for tamoxifen in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use 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.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

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.


Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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