Soltamox (Tamoxifen) Medicare Coverage

Soltamox is a medication that contains the active ingredient Tamoxifen. Soltamox is used to treat breast cancer or prevent breast cancer in women who are at high risk for developing it in the future.

Soltamox blocks the effects of estrogen, which can stop the growth of cancerous tumor cells in the body. It is typically taken once dialy for 5 years or longer.

Common side effects of Soltamox include hot flashes, upset stomach, weight changes, fatigue, pain, dizziness, diarrhea, constipation, insomnia and anxiety.

How much does Soltamox cost with Medicare?

Soltamox coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Soltamox?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Soltamox in 2023.¹

• Medicare Advantage plans or Part D plans that cover Soltamox include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Soltamox. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

If you are able to get pregnant, start taking Soltamox during your menstrual cycle. Talk to the doctor about the best time to start taking Soltamox.

Soltamox can increase the risk of stroke, blood clots or endometrial and uterine cancer.

Signs of a stroke include weakness or drooping on 1 side of the face or body, confusion, blurred eyesight or changes in balance.

Signs of a blood clot may include swelling, warmth, pain in 1 leg or arm or shortness of breath.

Soltamox may lead to increased prevalence of urinary tract infections. Symptoms of a urinary tract infection include blood in the urine, burning or pain while urinating and stomach pain.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.