Tamoxifen Price Guide: What You Pay Today

If you’re looking at tamoxifen for breast cancer or hormone‑related conditions, the first thing on your mind is probably the price. Prices can swing a lot depending on where you buy it, whether you get the brand (Nolvadex) or a generic version, and what insurance covers.

Brand vs Generic: How Much Difference?

The brand name Nolvadex usually runs higher than the generic. In 2025 the average retail cost for a 20 mg tablet of Nolvadex is about $120 for a 30‑day supply, while generic tamoxifen can be as low as $30–$50 for the same amount.

Pharmacies that specialize in bulk purchases often list even lower prices. If you have a prescription, ask your pharmacist if they can switch you to the generic – it’s chemically identical and approved by the FDA.

Saving Tips: Insurance, Coupons, and Online Pharmacies

Most insurance plans cover tamoxifen, but co‑pay amounts differ. Call your insurer and ask for the exact tier; sometimes a higher‑tier plan still ends up cheaper because of negotiated rates.

Manufacturer coupons are rare for tamoxifen, but discount cards from big pharmacy chains can shave off $10–$15 per month. Online pharmacies licensed in the U.S. often list lower base prices – just verify they require a valid prescription and have a verified pharmacist on staff.

For those without insurance, consider a mail‑order service that offers a 90‑day supply at a discounted rate. The upfront cost looks bigger, but you end up paying less per tablet.

Finally, keep an eye on price‑comparison tools like GoodRx or Blink Health. They pull real‑time data from multiple pharmacies and can point out the cheapest option in your zip code.

Bottom line: generic tamoxifen is the budget-friendly choice, insurance can reduce out‑of‑pocket costs, and reputable online pharmacies give you more flexibility. Check prices regularly – they change often, and a quick lookup could save you dozens of dollars each month.