VALENTINA NASTASI APRN
Prescription History 1003416421
Nurse Practitioner - Family in Fort Smith, AR
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for VALENTINA NASTASI APRN, an active Family specialist practicing in Fort Smith, AR. Our medical registry currently tracks 52 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 6,285 documented patient claims. Among these therapy options, the most frequently utilized medication is Ranolazine Er, which accounts for 524 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other AR PrescribersVs. AR Avg |
|---|---|---|---|
| Ranolazine ErRanolazine | 524 | $82.12▼ below AR avg | ▲ More than typical |
About Ranolazine Er: Ranolazine is used to treat a certain type of chest pain (chronic angina). Show more ▾ It decreases how often you may get chest pain and may help to increase your ability to exercise. Ranolazine works differently than other drugs for angina, so it can be used with your other angina medications (including nitrates, calcium channel blockers such as amlodipine, beta blockers such as metoprolol). It is thought to work by improving how well the heart uses oxygen so that it can do more work with less oxygen. An acetanilide and piperazine derivative that functions as a SODIUM CHANNEL BLOCKER and prevents the release of enzymes during MYOCARDIAL ISCHEMIA. It is used in the treatment of ANGINA PECTORIS. In 2023, this provider wrote 524 Medicare prescriptions for Ranolazine Er, about 13 times the volume of the typical Arkansas prescriber of this medication (40). Medicare paid an average of $82.12 per fill, versus $131.58 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 730.4 30-Day Fills standardized to 30-day supplies 21,869 Days of Medication total across all patients in 2023 | |||
| Carvedilol | 479 | $6.27▼ below AR avg | ▲ More than typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 479 Medicare prescriptions for Carvedilol, about 5.6 times the volume of the typical Arkansas prescriber of this medication (85). Medicare paid an average of $6.27 per fill, versus $10.41 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 776.3 30-Day Fills standardized to 30-day supplies 23,240 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 423 | $5.62▼ below AR avg | ▲ More than typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 423 Medicare prescriptions for Amlodipine Besylate, about 2.7 times the volume of the typical Arkansas prescriber of this medication (159). Medicare paid an average of $5.62 per fill, versus $8.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 764.9 30-Day Fills standardized to 30-day supplies 22,797 Days of Medication total across all patients in 2023 | |||
| Metoprolol Succinate | 411 | $11.09▼ below AR avg | ▲ More than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 411 Medicare prescriptions for Metoprolol Succinate, about 4.3 times the volume of the typical Arkansas prescriber of this medication (95). Medicare paid an average of $11.09 per fill, versus $17.87 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 710.5 30-Day Fills standardized to 30-day supplies 21,286 Days of Medication total across all patients in 2023 | |||
| EliquisApixaban | 382 | $834.80 | ▲ More than typical |
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 382 Medicare prescriptions for Eliquis, about 4.3 times the volume of the typical Arkansas prescriber of this medication (89). Medicare paid an average of $834.80 per fill, versus $682.69 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 534.5 30-Day Fills standardized to 30-day supplies 15,969 Days of Medication total across all patients in 2023 | |||
| Atorvastatin Calcium | 370 | $15.36 | ▲ More than typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 370 Medicare prescriptions for Atorvastatin Calcium, about 2 times the volume of the typical Arkansas prescriber of this medication (186). Medicare paid an average of $15.36 per fill, versus $12.27 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 987.9 30-Day Fills standardized to 30-day supplies 29,642 Days of Medication total across all patients in 2023 | |||
| EntrestoSacubitril/Valsartan | 325 | $852.32 | ▲ More than typical |
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. In 2023, this provider wrote 325 Medicare prescriptions for Entresto, about 5.5 times the volume of the typical Arkansas prescriber of this medication (59). Medicare paid an average of $852.32 per fill, versus $821.43 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 394.3 30-Day Fills standardized to 30-day supplies 11,726 Days of Medication total across all patients in 2023 | |||
| Ezetimibe | 248 | $20.66▼ below AR avg | ▲ More than typical |
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 248 Medicare prescriptions for Ezetimibe, about 6 times the volume of the typical Arkansas prescriber of this medication (41). Medicare paid an average of $20.66 per fill, versus $42.80 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 408.3 30-Day Fills standardized to 30-day supplies 12,244 Days of Medication total across all patients in 2023 | |||
| Nifedipine ErNifedipine | 227 | $31.24▼ below AR avg | ▲ More than typical |
About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾ It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2023, this provider wrote 227 Medicare prescriptions for Nifedipine Er, about 6.3 times the volume of the typical Arkansas prescriber of this medication (36). Medicare paid an average of $31.24 per fill, versus $49.30 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 454.3 30-Day Fills standardized to 30-day supplies 13,594 Days of Medication total across all patients in 2023 | |||
| Potassium Chloride | 206 | $9.68▼ below AR avg | ▲ More than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 206 Medicare prescriptions for Potassium Chloride, about 2.1 times the volume of the typical Arkansas prescriber of this medication (100). Medicare paid an average of $9.68 per fill, versus $26.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 255.8 30-Day Fills standardized to 30-day supplies 7,366 Days of Medication total across all patients in 2023 | |||
| Furosemide | 201 | $3.29▼ below AR avg | ▲ More than typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 201 Medicare prescriptions for Furosemide, about 1.9 times the volume of the typical Arkansas prescriber of this medication (106). Medicare paid an average of $3.29 per fill, versus $5.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 274.3 30-Day Fills standardized to 30-day supplies 7,985 Days of Medication total across all patients in 2023 | |||
| ClopidogrelClopidogrel Bisulfate | 195 | $13.85▼ below AR avg | ▲ More than typical |
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 195 Medicare prescriptions for Clopidogrel, about 2.3 times the volume of the typical Arkansas prescriber of this medication (83). Medicare paid an average of $13.85 per fill, versus $15.07 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 451.9 30-Day Fills standardized to 30-day supplies 13,517 Days of Medication total across all patients in 2023 | |||
| Metoprolol Tartrate | 168 | $5.08▼ below AR avg | ▲ More than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 168 Medicare prescriptions for Metoprolol Tartrate, about 1.9 times the volume of the typical Arkansas prescriber of this medication (90). Medicare paid an average of $5.08 per fill, versus $7.68 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 331 30-Day Fills standardized to 30-day supplies 9,809 Days of Medication total across all patients in 2023 | |||
| Amiodarone Hcl | 165 | $15.09▼ below AR avg | ▲ More than typical |
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. In 2023, this provider wrote 165 Medicare prescriptions for Amiodarone Hcl, about 3.7 times the volume of the typical Arkansas prescriber of this medication (45). Medicare paid an average of $15.09 per fill, versus $22.76 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 205.2 30-Day Fills standardized to 30-day supplies 6,069 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 159 | $9.34 | ≈ Typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 159 Medicare prescriptions for Lisinopril, about 1.2 times the volume of the typical Arkansas prescriber of this medication (131). Medicare paid an average of $9.34 per fill, versus $7.46 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 377.5 30-Day Fills standardized to 30-day supplies 11,325 Days of Medication total across all patients in 2023 | |||
| Nitroglycerin | 156 | $12.64▼ below AR avg | ▲ More than typical |
About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2023, this provider wrote 156 Medicare prescriptions for Nitroglycerin, about 4.3 times the volume of the typical Arkansas prescriber of this medication (36). Medicare paid an average of $12.64 per fill, versus $19.04 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 158 30-Day Fills standardized to 30-day supplies 2,875 Days of Medication total across all patients in 2023 | |||
| Bisoprolol Fumarate | 144 | $28.71▼ below AR avg | ▲ More than typical |
About Bisoprolol Fumarate: Bisoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body such as epinephrine on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker. It is effective in the management of HYPERTENSION and ANGINA PECTORIS. In 2023, this provider wrote 144 Medicare prescriptions for Bisoprolol Fumarate, about 4.1 times the volume of the typical Arkansas prescriber of this medication (35). Medicare paid an average of $28.71 per fill, versus $37.75 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 331.1 30-Day Fills standardized to 30-day supplies 9,932 Days of Medication total across all patients in 2023 | |||
| Losartan Potassium | 115 | $14.84 | ≈ Typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 115 Medicare prescriptions for Losartan Potassium, about the same volume as the typical Arkansas prescriber of this medication (114). Medicare paid an average of $14.84 per fill, versus $11.17 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 287.3 30-Day Fills standardized to 30-day supplies 8,620 Days of Medication total across all patients in 2023 | |||
| Nebivolol Hcl | 106 | $44.73▼ below AR avg | ▲ More than typical |
About Nebivolol Hcl: Nebivolol is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers heart rate, blood pressure, and strain on the heart. A cardioselective ADRENERGIC BETA-1 RECEPTOR ANTAGONIST (beta-blocker) that functions as a VASODILATOR through the endothelial L-arginine/ NITRIC OXIDE system. It is used to manage HYPERTENSION and chronic HEART FAILURE in elderly patients. In 2023, this provider wrote 106 Medicare prescriptions for Nebivolol Hcl, about 4.6 times the volume of the typical Arkansas prescriber of this medication (23). Medicare paid an average of $44.73 per fill, versus $84.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 139 30-Day Fills standardized to 30-day supplies 4,138 Days of Medication total across all patients in 2023 | |||
| XareltoRivaroxaban | 106 | $884.69 | ▲ More than typical |
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2023, this provider wrote 106 Medicare prescriptions for Xarelto, about 2.2 times the volume of the typical Arkansas prescriber of this medication (48). Medicare paid an average of $884.69 per fill, versus $728.05 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 162.2 30-Day Fills standardized to 30-day supplies 4,864 Days of Medication total across all patients in 2023 | |||
| Rosuvastatin Calcium | 105 | $22.37 | ▲ More than typical |
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 105 Medicare prescriptions for Rosuvastatin Calcium, about 1.4 times the volume of the typical Arkansas prescriber of this medication (76). Medicare paid an average of $22.37 per fill, versus $21.61 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 219.4 30-Day Fills standardized to 30-day supplies 6,576 Days of Medication total across all patients in 2023 | |||
| Flecainide Acetate | 102 | $29.07▼ below AR avg | ▲ More than typical |
About Flecainide Acetate: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as sustained ventricular tachycardia and paroxysmal supraventricular tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. It is also used to prevent certain types of irregular heartbeat from returning (such as atrial fibrillation). Flecainide is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other effective and possibly safer treatments. A potent anti-arrhythmia agent, effective in a wide range of ventricular and atrial ARRHYTHMIAS and TACHYCARDIAS. In 2023, this provider wrote 102 Medicare prescriptions for Flecainide Acetate, about 2.6 times the volume of the typical Arkansas prescriber of this medication (39). Medicare paid an average of $29.07 per fill, versus $66.43 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 164 30-Day Fills standardized to 30-day supplies 4,920 Days of Medication total across all patients in 2023 | |||
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 88 | $8.74▼ below AR avg | ▲ More than typical |
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. In 2023, this provider wrote 88 Medicare prescriptions for Isosorbide Mononitrate Er, about 1.6 times the volume of the typical Arkansas prescriber of this medication (54). Medicare paid an average of $8.74 per fill, versus $16.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 160.7 30-Day Fills standardized to 30-day supplies 4,776 Days of Medication total across all patients in 2023 | |||
| Olmesartan Medoxomil | 78 | $18.16▼ below AR avg | ▲ More than typical |
About Olmesartan Medoxomil: Olmesartan is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Olmesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to manage HYPERTENSION. In 2023, this provider wrote 78 Medicare prescriptions for Olmesartan Medoxomil, about 2.2 times the volume of the typical Arkansas prescriber of this medication (36). Medicare paid an average of $18.16 per fill, versus $23.89 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 183.3 30-Day Fills standardized to 30-day supplies 5,492 Days of Medication total across all patients in 2023 | |||
| Bumetanide | 76 | $18.79▼ below AR avg | ▲ More than typical |
About Bumetanide: Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic. In 2023, this provider wrote 76 Medicare prescriptions for Bumetanide, about 2.4 times the volume of the typical Arkansas prescriber of this medication (32). Medicare paid an average of $18.79 per fill, versus $58.10 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 91.5 30-Day Fills standardized to 30-day supplies 2,543 Days of Medication total across all patients in 2023 | |||
| Pantoprazole Sodium | 74 | $11.03▼ below AR avg | ▼ Less than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 74 Medicare prescriptions for Pantoprazole Sodium, about 73% of the volume of the typical Arkansas prescriber of this medication (102). Medicare paid an average of $11.03 per fill, versus $16.56 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 131.3 30-Day Fills standardized to 30-day supplies 3,940 Days of Medication total across all patients in 2023 | |||
| Digoxin | 66 | $20.78▼ below AR avg | ▲ More than typical |
About Digoxin: Digoxin is used to treat heart failure, usually along with other medications. Show more ▾ It is also used to treat certain types of irregular heartbeat (such as chronic atrial fibrillation). Treating heart failure may help maintain your ability to walk and exercise and may improve the strength of your heart. Treating an irregular heartbeat can also improve your ability to exercise. Digoxin belongs to a class of medications called cardiac glycosides. It works by affecting certain minerals (sodium and potassium) inside heart cells. This reduces strain on the heart and helps it maintain a normal, steady, and strong heartbeat. A cardiotonic glycoside obtained mainly from Digitalis lanata; it consists of three sugars and the aglycone DIGOXIGENIN. Digoxin has positive inotropic and negative chronotropic activity. It is used to control ventricular rate in ATRIAL FIBRILLATION and in the management of congestive heart failure with atrial fibrillation. Its use in congestive heart failure and sinus rhythm is less certain. The margin between toxic and therapeutic doses is small. (From Martindale, The Extra Pharmacopoeia, 30th ed, p666) In 2023, this provider wrote 66 Medicare prescriptions for Digoxin, about 2 times the volume of the typical Arkansas prescriber of this medication (33). Medicare paid an average of $20.78 per fill, versus $28.30 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 102 30-Day Fills standardized to 30-day supplies 3,060 Days of Medication total across all patients in 2023 | |||
| Midodrine Hcl | 65 | $37.37▼ below AR avg | ▲ More than typical |
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. In 2023, this provider wrote 65 Medicare prescriptions for Midodrine Hcl, about 3 times the volume of the typical Arkansas prescriber of this medication (22). Medicare paid an average of $37.37 per fill, versus $86.83 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 75.5 30-Day Fills standardized to 30-day supplies 2,250 Days of Medication total across all patients in 2023 | |||
| Fludrocortisone Acetate | 60 | $15.01▼ below AR avg | ▲ More than typical |
About Fludrocortisone Acetate: Fludrocortisone is a man-made form of a natural substance (glucocorticoid) made by the body. Show more ▾ It is used along with other medications (such as hydrocortisone) to treat low glucocorticoid levels caused by disease of the adrenal gland (such as Addison's disease, adrenocortical insufficiency, salt-losing adrenogenital syndrome). Glucocorticoids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. They are also needed to break down carbohydrates in your diet. In 2023, this provider wrote 60 Medicare prescriptions for Fludrocortisone Acetate, about 3 times the volume of the typical Arkansas prescriber of this medication (20). Medicare paid an average of $15.01 per fill, versus $22.89 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 95.2 30-Day Fills standardized to 30-day supplies 2,847 Days of Medication total across all patients in 2023 | |||
| Hydrochlorothiazide | 48 | $3.63▼ below AR avg | ▼ Less than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 48 Medicare prescriptions for Hydrochlorothiazide, about half the volume of the typical Arkansas prescriber of this medication (84). Medicare paid an average of $3.63 per fill, versus $4.55 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 82 30-Day Fills standardized to 30-day supplies 2,460 Days of Medication total across all patients in 2023 | |||
| BrilintaTicagrelor | 42 | $602.43 | ▲ More than typical |
About Brilinta: Ticagrelor is used along with low-dose aspirin to help prevent heart attack and stroke in people with a history of heart disease, stroke, or at increased risk for heart disease or stroke (for example, due to diabetes, history of transient ischemic attack-TIA). Show more ▾ It may also prevent blood clots after certain heart surgeries (such as stent placement). Ticagrelor works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It keeps blood flowing smoothly in your body. An adenosine triphosphate analogue and reversible P2Y12 PURINORECEPTOR antagonist that inhibits ADP-mediated PLATELET AGGREGATION. It is used for the prevention of THROMBOEMBOLISM by patients with ACUTE CORONARY SYNDROME or a history of MYOCARDIAL INFARCTION. In 2023, this provider wrote 42 Medicare prescriptions for Brilinta, about 1.5 times the volume of the typical Arkansas prescriber of this medication (28). Medicare paid an average of $602.43 per fill, versus $569.84 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 59.8 30-Day Fills standardized to 30-day supplies 1,770 Days of Medication total across all patients in 2023 | |||
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 40 | $46.66 | ≈ Typical |
About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 40 Medicare prescriptions for Diltiazem 24hr Er (Cd), about the same volume as the typical Arkansas prescriber of this medication (37). Medicare paid an average of $46.66 per fill, versus $34.97 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 78 30-Day Fills standardized to 30-day supplies 2,340 Days of Medication total across all patients in 2023 | |||
| Clonidine Hcl | 29 | $6.02▼ below AR avg | ≈ Typical |
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. In 2023, this provider wrote 29 Medicare prescriptions for Clonidine Hcl, about 83% of the volume of the typical Arkansas prescriber of this medication (35). Medicare paid an average of $6.02 per fill, versus $8.69 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2023 | |||
| Prasugrel Hcl | 26 | $76.69▼ below AR avg | ≈ Typical |
About Prasugrel Hcl: Prasugrel is used with aspirin by patients with heart disease (recent heart attack, unstable angina) who undergo a certain heart procedure (angioplasty). Show more ▾ This medication helps to prevent other serious heart/blood vessel problems (such as heart attacks, strokes, blood clots in stents). It works by blocking platelets from sticking together and prevents them from forming harmful blood clots. This anti-platelet effect helps to keep blood flowing smoothly in your body. A piperazine derivative and PLATELET AGGREGATION INHIBITOR that is used to prevent THROMBOSIS in patients with ACUTE CORONARY SYNDROME; UNSTABLE ANGINA and MYOCARDIAL INFARCTION, as well as in those undergoing PERCUTANEOUS CORONARY INTERVENTIONS. In 2023, this provider wrote 26 Medicare prescriptions for Prasugrel Hcl, about 79% of the volume of the typical Arkansas prescriber of this medication (33). Medicare paid an average of $76.69 per fill, versus $84.45 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023 | |||
| Fenofibrate | 25 | $12.10▼ below AR avg | ≈ Typical |
About Fenofibrate: Fenofibrate is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 25 Medicare prescriptions for Fenofibrate, about the same volume as the typical Arkansas prescriber of this medication (24). Medicare paid an average of $12.10 per fill, versus $44.09 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
| Repatha SureclickEvolocumab | 24 | $921.99 | ≈ Typical |
About Repatha Sureclick: Evolocumab is used along with a proper diet to help lower bad cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as statin drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to help prevent heart attacks and strokes. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 24 Medicare prescriptions for Repatha Sureclick, about 83% of the volume of the typical Arkansas prescriber of this medication (29). Medicare paid an average of $921.99 per fill, versus $796.49 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36.6 30-Day Fills standardized to 30-day supplies 1,066 Days of Medication total across all patients in 2023 | |||
| Diltiazem Hcl | 23 | $10.74▼ below AR avg | ≈ Typical |
About Diltiazem Hcl: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 23 Medicare prescriptions for Diltiazem Hcl, about the same volume as the typical Arkansas prescriber of this medication (25). Medicare paid an average of $10.74 per fill, versus $31.39 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 30.5 30-Day Fills standardized to 30-day supplies 885 Days of Medication total across all patients in 2023 | |||
| Nadolol | 18 | $41.20▼ below AR avg | ≈ Typical |
About Nadolol: Nadolol is used alone or with other medications to treat high blood pressure (hypertension) and to prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. In the management of chest pain, nadolol may also help to reduce the frequency of chest pain episodes and improve your ability to exercise. Nadolol belongs to a class of medications called beta blockers. It works by blocking the action of certain natural substances such as adrenaline (epinephrine) on the heart and blood vessels. This results in a lowering of heart rate, blood pressure, and strain on the heart. A non-selective beta-adrenergic antagonist with a long half-life, used in cardiovascular disease to treat arrhythmias, angina pectoris, and hypertension. Nadolol is also used for MIGRAINE DISORDERS and for tremor. In 2023, this provider wrote 18 Medicare prescriptions for Nadolol, about 1.2 times the volume of the typical Arkansas prescriber of this medication (15). Medicare paid an average of $41.20 per fill, versus $69.34 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2023 | |||
| Pravastatin Sodium | 18 | $18.04 | ▼ Less than typical |
About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 18 Medicare prescriptions for Pravastatin Sodium, about a quarter of the volume of the typical Arkansas prescriber of this medication (69). Medicare paid an average of $18.04 per fill, versus $16.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023 | |||
| Diltiazem 12hr ErDiltiazem Hcl | 16 | $208.58 | ≈ Typical |
About Diltiazem 12hr Er: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 16 Medicare prescriptions for Diltiazem 12hr Er, about the same volume as the typical Arkansas prescriber of this medication (15). Medicare paid an average of $208.58 per fill, versus $150.50 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 28.3 30-Day Fills standardized to 30-day supplies 850 Days of Medication total across all patients in 2023 | |||
| Verapamil SrVerapamil Hcl | 16 | $50.81▼ below AR avg | ≈ Typical |
About Verapamil Sr: Verapamil is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Verapamil belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Verapamil may also lower your heart rate. In 2023, this provider wrote 16 Medicare prescriptions for Verapamil Sr, about the same volume as the typical Arkansas prescriber of this medication (16). Medicare paid an average of $50.81 per fill, versus $120.71 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023 | |||
| Torsemide | 14 | $9.92▼ below AR avg | ▼ Less than typical |
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2023, this provider wrote 14 Medicare prescriptions for Torsemide, about a third of the volume of the typical Arkansas prescriber of this medication (35). Medicare paid an average of $9.92 per fill, versus $22.49 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 17.2 30-Day Fills standardized to 30-day supplies 506 Days of Medication total across all patients in 2023 | |||
| Benazepril Hcl | 14 | $5.79▼ below AR avg | ▼ Less than typical |
About Benazepril Hcl: Benazepril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Benazepril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. In 2023, this provider wrote 14 Medicare prescriptions for Benazepril Hcl, about 61% of the volume of the typical Arkansas prescriber of this medication (23). Medicare paid an average of $5.79 per fill, versus $10.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2023 | |||
| Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide | 13 | $2.82▼ below AR avg | ▼ Less than typical |
About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication. In 2023, this provider wrote 13 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about a quarter of the volume of the typical Arkansas prescriber of this medication (47). Medicare paid an average of $2.82 per fill, versus $8.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023 | |||
| VascepaIcosapent Ethyl | 13 | $379.56▼ below AR avg | ▼ Less than typical |
About Vascepa: Icosapent ethyl is used along with certain other cholesterol medications (statins such as atorvastatin, simvastatin) to reduce the risk of heart attack, stroke, and certain types of heart problems that require treatment in a hospital. Show more ▾ It is also used along with a proper diet to help lower fats (triglycerides) in the blood. Icosapent ethyl is a type of omega-3 fatty acid, a fat found in fish oil. It is thought to work by decreasing the amount of triglycerides made by the body. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 13 Medicare prescriptions for Vascepa, about 62% of the volume of the typical Arkansas prescriber of this medication (21). Medicare paid an average of $379.56 per fill, versus $421.84 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 13.5 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Warfarin Sodium | 12 | $10.18▼ below AR avg | ▼ Less than typical |
About Warfarin Sodium: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾ Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a blood thinner, but the more correct term is anticoagulant. It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide. In 2023, this provider wrote 12 Medicare prescriptions for Warfarin Sodium, about a quarter of the volume of the typical Arkansas prescriber of this medication (47). Medicare paid an average of $10.18 per fill, versus $10.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 13.8 30-Day Fills standardized to 30-day supplies 414 Days of Medication total across all patients in 2023 | |||
| Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide | 12 | $20.98▼ below AR avg | ▼ Less than typical |
About Olmesartan-Hydrochlorothiazide: This drug is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: olmesartan and hydrochlorothiazide. Olmesartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2023, this provider wrote 12 Medicare prescriptions for Olmesartan-Hydrochlorothiazide, about half the volume of the typical Arkansas prescriber of this medication (26). Medicare paid an average of $20.98 per fill, versus $45.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Simvastatin | 12 | $16.38 | ▼ Less than typical |
About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 12 Medicare prescriptions for Simvastatin, about 15% of the volume of the typical Arkansas prescriber of this medication (81). Medicare paid an average of $16.38 per fill, versus $8.51 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 30.7 30-Day Fills standardized to 30-day supplies 920 Days of Medication total across all patients in 2023 | |||
| EdarbyclorAzilsartan Med/Chlorthalidone | 12 | $237.53▼ below AR avg | ≈ Typical |
About Edarbyclor: This medication is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: azilsartan and chlorthalidone. Azilsartan works by relaxing blood vessels so blood can flow more easily. It belongs to a class of drugs called angiotensin receptor blockers (ARBs). Chlorthalidone causes your body to get rid of extra salt and water by making more urine. It is called a water pill or diuretic. In 2023, this provider wrote 12 Medicare prescriptions for Edarbyclor, about the same volume as the typical Arkansas prescriber of this medication (12). Medicare paid an average of $237.53 per fill, versus $284.20 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Doxazosin Mesylate | 12 | $10.86▼ below AR avg | ▼ Less than typical |
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2023, this provider wrote 12 Medicare prescriptions for Doxazosin Mesylate, about a third of the volume of the typical Arkansas prescriber of this medication (30). Medicare paid an average of $10.86 per fill, versus $19.78 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| Hydralazine Hcl | 11 | $4.34▼ below AR avg | ▼ Less than typical |
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. In 2023, this provider wrote 11 Medicare prescriptions for Hydralazine Hcl, about a quarter of the volume of the typical Arkansas prescriber of this medication (43). Medicare paid an average of $4.34 per fill, versus $19.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 14 30-Day Fills standardized to 30-day supplies 345 Days of Medication total across all patients in 2023 | |||
| FenofibrateFenofibrate Nanocrystallized | 11 | $31.00▼ below AR avg | ▼ Less than typical |
About Fenofibrate: Fenofibrate is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 11 Medicare prescriptions for Fenofibrate, about half the volume of the typical Arkansas prescriber of this medication (24). Medicare paid an average of $31.00 per fill, versus $44.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the AR average for this medication. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for VALENTINA NASTASI APRN is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Family prescribing approach at this Fort Smith, AR practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among AR prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
