How do you pay?

How to pay the least

Ask for the cash price

Generic fulvestrant

No pharmacy we check posts a price for it.

  1. Ask your pharmacy for the cash price of generic fulvestrant.Find pharmacies near you 
  2. Ask one or two other pharmacies too. Cash prices for the same generic can differ a lot from store to store.

A regular generic has the same active ingredient as Faslodex, and the FDA requires it to work the same way.

Compare every option

Question
Brand nameFaslodex
Authorized genericfulvestrant
Regular genericfulvestrant
What you’d pay
Cash priceAsk the pharmacyUsually the highest price
Not soldThere isn’t one
Cash priceAsk the pharmacyUsually the lowest
Same as Faslodex?
The original
–
Same active ingredientFillers and dyes can differ

Brand nameThe maker’s card

FASLODEX Co-pay Savings Program (AstraZeneca Access 360)

Savings card from AstraZeneca

No insuranceNeeds insuranceNo cash price listed.
Insurance $0 a dose

The card takes up to $6,000 a year off your co-pay.

Sign up on myaccess360.com 

Or call 1-844-275-2360.

In the maker’s words

“Patient pays $0 per dose, program pays remaining out-of-pocket costs up to a maximum of $6,000 per year.”

From the maker’s offer on myaccess360.com, checked October 27, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s card above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

There isn’t one. An authorized generic is Faslodex itself, from the same company, sold without the brand name, and usually for less. A regular generic is sold, with the same active ingredient: ask the pharmacy for its price.

See the regular generic →

Regular genericWho makes it

12 companies sell a generic of Faslodex that the FDA rates a substitute. A pharmacy fills whichever one it stocks. To get a certain maker, ask for it by name; most pharmacies can order it in a day or two.

It’s mostly filled by specialty pharmacies. Your prescriber’s office or insurer can tell you which one to use.

  • Alembic PharmaceuticalsInjection 50 mg/mL
    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL62332-650-10

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • Amneal PharmaceuticalsSolution 250 mg/5 mL
    How it looks, what’s in it, NDCs

    250 mg/5 mL

    PackageNDC
    Carton of 10 mL70121-1463-9

    250 mg/5 mL

    PackageNDC
    Carton of 10 mL70121-1463-2

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • Athenex Pharmaceutical DivisionSolution 50 mg/mL

    Made by Chia Tai Tianqing Pharmaceutical Group · Being phased out; sold until December 2026

    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL70860-211-74

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • AvenacySolution 50 mg/mL

    Made by Chia Tai Tianqing Pharmaceutical Group

    Product page on avenacy.com

    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL83634-203-74

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • BluePoint LaboratoriesInjection 50 mg/mL · Solution 250 mg/5 mL

    Made by Alembic Pharmaceuticals and Amneal Eu

    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL68001-626-85

    250 mg/5 mL

    PackageNDC
    Carton of 10 mL68001-484-85

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • Dr. Reddy’s LaboratoriesSolution 50 mg/mL
    Packages and NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL43598-262-23
  • Hikma PharmaceuticalsInjection 50 mg/mL

    Made by Jiangsu Hansoh Pharm

    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL0143-9022-02

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • NorthStar RxSolution 50 mg/mL

    Made by Xiromed Pharma Espana SL

    Product page on northstarrxllc.com

    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL16714-070-02

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • Sagent PharmaceuticalsSolution 50 mg/mL

    Made by Chia Tai Tianqing Pharmaceutical Group

    Product page on sagentpharma.com

    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL25021-471-74

    50 mg/mL

    PackageNDC
    Carton of 10 mL25021-471-66

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • SandozInjection 50 mg/mL
    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL0781-3532-12

    50 mg/mL

    PackageNDC
    Carton of 10 mL0781-9055-12

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

  • XiromedSolution 50 mg/mL

    Product page on xiromed.com

    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL70700-284-98

    Inactive ingredients: alcohol, benzyl benzoate, benzyl alcohol, castor oil

  • Zydus LifesciencesSolution 50 mg/mL

    Being phased out; sold until June 2027

    How it looks, what’s in it, NDCs

    50 mg/mL

    PackageNDC
    Carton of 10 mL70710-1688-8

    Inactive ingredients: alcohol, benzyl alcohol, benzyl benzoate, castor oil

    FDA label

Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site.

What to say at the pharmacy

“Before you fill my Faslodex, can you tell me what I’d pay for the brand and for a generic?”

Paying cash? Ask for each one’s cash price. With insurance, ask what your plan charges for each.

What it’s used for

What the FDA label says

FASLODEX is an estrogen receptor antagonist indicated for the treatment of:

  • Hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer in postmenopausal women not previously treated with endocrine therapy.
  • HR-positive advanced breast cancer in postmenopausal women with disease progression following endocrine therapy.
  • HR-positive, HER2-negative advanced or metastatic breast cancer in postmenopausal women in combination with ribociclib, as initial endocrine based therapy or following disease progression on endocrine therapy.
  • HR-positive, HER2-negative advanced or metastatic breast cancer in combination with palbociclib or abemaciclib in women with disease progression after endocrine therapy.

Source: the FDA label for Faslodex (AstraZeneca Pharmaceuticals LP), September 25, 2020. Full label on DailyMed 

Good to know