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: $18.52 Max safety net: $20.00 General Patient Charge: $22.79
Available brands
Genox 20
Nolvadex-D

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: $23.26 Max safety net: $24.74 General Patient Charge: $25.00
Available brands
Genox 20
Nolvadex-D

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: $32.72 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nolvadex-D

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: $23.26 Max safety net: $24.74 General Patient Charge: $25.00
Available brands
Nolvadex-D