TAMOXIFEN

TAMOXIFEN (10911G)

tamoxifen 20 mg tablet, 30
10911G
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Reduction of breast cancer risk
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $19.00 Max safety net: $20.54 General Patient Charge: $23.33
Available brands
Genox 20
Nolvadex-D
*Additional charge for this brand is $3.90
 DPMQ: $22.90 Max safety net: $20.54 General Patient Charge: $27.23

TAMOXIFEN (13906X)

tamoxifen 20 mg tablet, 30
13906X
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Reduction of breast cancer risk
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 60 # of repeats: 5 DPMQ: $23.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Genox 20
Nolvadex-D
*Additional charge for this brand is $7.80
 DPMQ: $31.44 Max safety net: $25.00 General Patient Charge: $32.80

TAMOXIFEN (13960R)

tamoxifen 20 mg tablet, 30
13960R
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Breast cancer
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 120 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Nolvadex-D
*Additional charge for this brand is $15.60
 DPMQ: $48.52 Max safety net: $25.00 General Patient Charge: $40.60

TAMOXIFEN (13997Q)

tamoxifen 20 mg tablet, 60
13997Q
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Breast cancer
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 120 # of repeats: 5 DPMQ: $32.72 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
GenRx Tamoxifen
Genox 20
Tamosin
Tamoxifen Sandoz

TAMOXIFEN (1880Y)

tamoxifen 20 mg tablet, 30
1880Y
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Breast cancer
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 60 # of repeats: 5 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
Nolvadex-D
*Additional charge for this brand is $7.80
 DPMQ: $31.44 Max safety net: $25.00 General Patient Charge: $32.80

TAMOXIFEN (2110C)

tamoxifen 20 mg tablet, 60
2110C
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Breast cancer
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $23.54 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
GenRx Tamoxifen
Genox 20
Tamosin
Tamoxifen Sandoz