DR. CARL G KLUTKE MD
Prescription History 1003832221
Urology in Asheville, NC
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. CARL G KLUTKE MD, an active Urology specialist practicing in Asheville, NC. Our medical registry currently tracks 24 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,027 documented patient claims. Among these therapy options, the most frequently utilized medication is Tamsulosin Hcl, which accounts for 708 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 (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other NC PrescribersVs. NC Avg |
|---|---|---|---|
| Tamsulosin Hcl | 708 | $14.11 | ▲ More than typical |
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and 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 often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA. In 2024, this provider wrote 708 Medicare prescriptions for Tamsulosin Hcl, about 8.5 times the volume of the typical North Carolina prescriber of this medication (83.4). Medicare paid an average of $14.11 per fill, versus $13.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 2,021.4 30-Day Fills standardized to 30-day supplies 60,586 Days of Medication total across all patients in 2024 | |||
| Finasteride | 305 | $16.29 | ▲ More than typical |
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2024, this provider wrote 305 Medicare prescriptions for Finasteride, about 5.6 times the volume of the typical North Carolina prescriber of this medication (54.5). Medicare paid an average of $16.29 per fill, versus $12.39 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 902 30-Day Fills standardized to 30-day supplies 27,060 Days of Medication total across all patients in 2024 | |||
| MyrbetriqMirabegron | 176 | $924.08 | ▲ More than typical |
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. A beta3-adrenergic receptor agonist. In 2024, this provider wrote 176 Medicare prescriptions for Myrbetriq, about 4.3 times the volume of the typical North Carolina prescriber of this medication (41.3). Medicare paid an average of $924.08 per fill, versus $618.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 30-Day Fills standardized to 30-day supplies 11,298 Days of Medication total across all patients in 2024 | |||
| Oxybutynin Chloride | 138 | $23.29 | ▲ More than typical |
About Oxybutynin Chloride: Oxybutynin is used to treat certain bladder and urinary conditions (such as overactive bladder). Show more ▾ It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. In 2024, this provider wrote 138 Medicare prescriptions for Oxybutynin Chloride, about 5.5 times the volume of the typical North Carolina prescriber of this medication (25). Medicare paid an average of $23.29 per fill, versus $15.27 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 350.3 30-Day Fills standardized to 30-day supplies 10,261 Days of Medication total across all patients in 2024 | |||
| NitrofurantoinNitrofurantoin Macrocrystal | 87 | $23.05▼ below NC avg | ▲ More than typical |
About Nitrofurantoin: This medication is used to treat or prevent certain urinary tract infections. Show more ▾ This medication is an antibiotic that works by stopping the growth of bacteria. It will not work for viral infections (such as common cold, flu). Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. Nitrofurantoin should not be used by children less than one month of age due to the risk of a certain blood problem (hemolytic anemia). A urinary anti-infective agent effective against most gram-positive and gram-negative organisms. Although sulfonamides and antibiotics are usually the agents of choice for urinary tract infections, nitrofurantoin is widely used for prophylaxis and long-term suppression. In 2024, this provider wrote 87 Medicare prescriptions for Nitrofurantoin, about 3.4 times the volume of the typical North Carolina prescriber of this medication (25.7). Medicare paid an average of $23.05 per fill, versus $29.46 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 129.5 30-Day Fills standardized to 30-day supplies 2,410 Days of Medication total across all patients in 2024 | |||
| Ciprofloxacin Hcl | 85 | $3.91▼ below NC avg | ▲ More than typical |
About Ciprofloxacin Hcl: This medication is used to treat a variety of bacterial infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2024, this provider wrote 85 Medicare prescriptions for Ciprofloxacin Hcl, about 3.1 times the volume of the typical North Carolina prescriber of this medication (27.4). Medicare paid an average of $3.91 per fill, versus $7.29 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 85 30-Day Fills standardized to 30-day supplies 447 Days of Medication total across all patients in 2024 | |||
| GemtesaVibegron | 77 | $1,072.41 | ▲ More than typical |
About Gemtesa: This medication is used to treat overactive bladder. Show more ▾ Overactive bladder is a problem with how your bladder stores urine that causes a sudden urge to urinate. The urge may be hard to control, and overactive bladder symptoms may include frequent urination, strong sudden urges to urinate, or involuntary loss of urine (incontinence). Vibegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder. A beta3 adrenergic receptor agonist. In 2024, this provider wrote 77 Medicare prescriptions for Gemtesa, about 1.4 times the volume of the typical North Carolina prescriber of this medication (55.4). Medicare paid an average of $1,072.41 per fill, versus $692.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 177 30-Day Fills standardized to 30-day supplies 5,296 Days of Medication total across all patients in 2024 | |||
| Estradiol | 54 | $55.12 | ▲ More than typical |
About Estradiol: This medication is a hormone. Show more ▾ It is used by women to help reduce vaginal symptoms of menopause (such as vaginal dryness/burning/itching). These symptoms are caused by the body making less estrogen. When treating only vaginal symptoms of menopause, products applied directly inside the vagina (such as this medication) should be used first. Estrogens that are taken by mouth, absorbed through the skin, or injected may have greater risks of side effects due to more estrogen being absorbed. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In 2024, this provider wrote 54 Medicare prescriptions for Estradiol, about 1.5 times the volume of the typical North Carolina prescriber of this medication (34.9). Medicare paid an average of $55.12 per fill, versus $50.92 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 178.3 30-Day Fills standardized to 30-day supplies 5,350 Days of Medication total across all patients in 2024 | |||
| Sildenafil Citrate | 46 | $7.88▼ below NC avg | ▲ More than typical |
About Sildenafil Citrate: Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). Show more ▾ In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a person get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). To decrease your risk of infection, always use an effective barrier method (latex or polyurethane condom/dental dams) during all sexual activity. Consult your doctor or pharmacist for more details. A PHOSPHODIESTERASE TYPE-5 INHIBITOR; VASODILATOR AGENT and UROLOGICAL AGENT that is used in the treatment of ERECTILE DYSFUNCTION and PRIMARY PULMONARY HYPERTENSION. In 2024, this provider wrote 46 Medicare prescriptions for Sildenafil Citrate, about 2.4 times the volume of the typical North Carolina prescriber of this medication (19). Medicare paid an average of $7.88 per fill, versus $67.43 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 71.3 30-Day Fills standardized to 30-day supplies 1,918 Days of Medication total across all patients in 2024 | |||
| Cephalexin | 42 | $12.46 | ▲ More than typical |
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2024, this provider wrote 42 Medicare prescriptions for Cephalexin, about 1.4 times the volume of the typical North Carolina prescriber of this medication (29.9). Medicare paid an average of $12.46 per fill, versus $7.96 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 77 30-Day Fills standardized to 30-day supplies 1,756 Days of Medication total across all patients in 2024 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 36 | $2.12▼ below NC avg | ▲ More than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. In 2024, this provider wrote 36 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 1.4 times the volume of the typical North Carolina prescriber of this medication (25.9). Medicare paid an average of $2.12 per fill, versus $5.44 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 36 30-Day Fills standardized to 30-day supplies 170 Days of Medication total across all patients in 2024 | |||
| OrgovyxRelugolix | 34 | $2,689.69▼ below NC avg | ▼ Less than typical |
About Orgovyx: Relugolix is used to treat prostate cancer in men. Show more ▾ It is not a cure. Most types of prostate cancer need the hormone testosterone to grow and spread. Relugolix works by reducing the amount of testosterone that the body makes. This helps slow or stop the growth of cancer cells. In 2024, this provider wrote 34 Medicare prescriptions for Orgovyx, about 73% of the volume of the typical North Carolina prescriber of this medication (46.3). Medicare paid an average of $2,689.69 per fill, versus $2,690.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 34 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2024 | |||
| Methenamine Hippurate | 32 | $70.93 | ≈ Typical |
About Methenamine Hippurate: Methenamine is used to prevent or control returning urinary tract infections caused by certain bacteria. Show more ▾ It is not used to treat an active infection. Antibiotics must be used first to treat and cure the infection. Methenamine is a drug that stops the growth of bacteria in urine. This medication also contains an ingredient that helps to make the urine acidic. When the urine is acidic, methenamine turns into formaldehyde to kill the bacteria. This drug is effective only against bacterial infections in the urinary tract. It will not work for other types of bacterial infections (such as in the blood) or for viral infections (such as the common cold or flu). Unnecessary use or misuse of any antibacterial drug can lead to its decreased effectiveness. Both parts of molecule contribute to its antibacterial action. In 2024, this provider wrote 32 Medicare prescriptions for Methenamine Hippurate, about 79% of the volume of the typical North Carolina prescriber of this medication (40.3). Medicare paid an average of $70.93 per fill, versus $60.27 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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. 85 30-Day Fills standardized to 30-day supplies 2,526 Days of Medication total across all patients in 2024 | |||
| Solifenacin Succinate | 26 | $70.19 | ≈ Typical |
About Solifenacin Succinate: Solifenacin is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, solifenacin improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. A quinuclidine and tetrahydroisoquinoline derivative and selective M3 MUSCARINIC ANTAGONIST. It is used as a UROLOGIC AGENT in the treatment of URINARY INCONTINENCE. In 2024, this provider wrote 26 Medicare prescriptions for Solifenacin Succinate, about 78% of the volume of the typical North Carolina prescriber of this medication (33.5). Medicare paid an average of $70.19 per fill, versus $33.07 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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. 68 30-Day Fills standardized to 30-day supplies 2,023 Days of Medication total across all patients in 2024 | |||
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 26 | $3.71▼ below NC avg | ▼ Less than typical |
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2024, this provider wrote 26 Medicare prescriptions for Oxycodone-Acetaminophen, about a quarter of the volume of the typical North Carolina prescriber of this medication (93). Medicare paid an average of $3.71 per fill, versus $60.31 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 26 30-Day Fills standardized to 30-day supplies 79 Days of Medication total across all patients in 2024 | |||
| Alfuzosin Hcl ErAlfuzosin Hcl | 25 | $33.23 | ▼ Less than typical |
About Alfuzosin Hcl Er: Alfuzosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and 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 often or urgently (including during the middle of the night). Alfuzosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2024, this provider wrote 25 Medicare prescriptions for Alfuzosin Hcl Er, about 60% of the volume of the typical North Carolina prescriber of this medication (41.4). Medicare paid an average of $33.23 per fill, versus $20.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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. 63.3 30-Day Fills standardized to 30-day supplies 1,900 Days of Medication total across all patients in 2024 | |||
| Dutasteride | 25 | $35.28 | ≈ Typical |
About Dutasteride: This medication is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It works by reducing the size of the enlarged prostate. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). It may also reduce the need for surgery to treat BPH. Dutasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. This medication should not be used by women or children. A 5-ALPHA-REDUCTASE INHIBITOR that is reported to inhibit both type-1 and type2 isoforms of the enzyme and is used to treat BENIGN PROSTATIC HYPERPLASIA. In 2024, this provider wrote 25 Medicare prescriptions for Dutasteride, about 81% of the volume of the typical North Carolina prescriber of this medication (30.9). Medicare paid an average of $35.28 per fill, versus $26.46 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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. 75 30-Day Fills standardized to 30-day supplies 2,250 Days of Medication total across all patients in 2024 | |||
| ErleadaApalutamide | 20 | $15,138.23 | ▼ Less than typical |
About Erleada: Apalutamide is used to treat men with prostate cancer. Show more ▾ This medication belongs to a class of drugs known as anti-androgens (anti-testosterone). It works by blocking the effects of testosterone to slow the growth and spread of prostate cancer. An androgen receptor antagonist. In 2024, this provider wrote 20 Medicare prescriptions for Erleada, about half the volume of the typical North Carolina prescriber of this medication (40.2). Medicare paid an average of $15,138.23 per fill, versus $14,251.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2024 | |||
| Potassium Citrate ErPotassium Citrate | 19 | $133.49 | ▼ Less than typical |
About Potassium Citrate Er: This medication is used to make the urine less acidic. Show more ▾ This effect helps the kidneys get rid of uric acid, thereby helping to prevent gout and kidney stones. This medication can also prevent and treat certain metabolic problems (acidosis) caused by kidney disease. Citric acid and citrate salts (which contain potassium and sodium) belong to a class of drugs known as urinary alkalinizers. If you have a condition that requires you to limit your intake of potassium and sodium, your doctor may direct you to take a product that is lower in potassium and sodium. A powder that dissolves in water, which is administered orally, and is used as a diuretic, expectorant, systemic alkalizer, and electrolyte replenisher. In 2024, this provider wrote 19 Medicare prescriptions for Potassium Citrate Er, about 66% of the volume of the typical North Carolina prescriber of this medication (28.7). Medicare paid an average of $133.49 per fill, versus $86.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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. 54.2 30-Day Fills standardized to 30-day supplies 1,626 Days of Medication total across all patients in 2024 | |||
| Fesoterodine Fumarate ErFesoterodine Fumarate | 16 | $185.04 | ≈ Typical |
About Fesoterodine Fumarate Er: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). By relaxing the muscles in the bladder, fesoterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. A muscarinic antagonist for treatment of overactive bladder. In 2024, this provider wrote 16 Medicare prescriptions for Fesoterodine Fumarate Er, about 78% of the volume of the typical North Carolina prescriber of this medication (20.6). Medicare paid an average of $185.04 per fill, versus $85.99 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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. 48 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2024 | |||
| Tolterodine Tartrate | 14 | $23.71▼ below NC avg | ≈ Typical |
About Tolterodine Tartrate: This medication is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, tolterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. An ANTIMUSCARINIC AGENT selective for the MUSCARINIC RECEPTORS of the BLADDER that is used in the treatment of URINARY INCONTINENCE and URINARY URGE INCONTINENCE. In 2024, this provider wrote 14 Medicare prescriptions for Tolterodine Tartrate, about the same volume as the typical North Carolina prescriber of this medication (14.9). Medicare paid an average of $23.71 per fill, versus $50.10 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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 NC average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2024 | |||
| Ketorolac Tromethamine | 12 | $9.63▼ below NC avg | ▼ Less than typical |
About Ketorolac Tromethamine: This medication is used to temporarily relieve itching eyes caused by seasonal allergies. Show more ▾ It is also used to prevent and treat eye swelling due to a certain type of eye surgery (cataract removal). Ketorolac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). It works by blocking certain natural substances in your body to reduce pain and swelling. A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is a non-steroidal anti-inflammatory agent used for analgesia for postoperative pain and inhibits cyclooxygenase activity. In 2024, this provider wrote 12 Medicare prescriptions for Ketorolac Tromethamine, about 16% of the volume of the typical North Carolina prescriber of this medication (77.2). Medicare paid an average of $9.63 per fill, versus $23.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 12 30-Day Fills standardized to 30-day supplies 60 Days of Medication total across all patients in 2024 | |||
| Desmopressin Acetate | 12 | $25.76▼ below NC avg | ▼ Less than typical |
About Desmopressin Acetate: Desmopressin is used to control the amount of urine your kidneys make. Show more ▾ Normally, the amount of urine you make is controlled by a certain substance in the body called vasopressin. In people who have "water diabetes" (diabetes insipidus) or certain kinds of head injury or brain surgery, the body does not make enough vasopressin. Desmopressin is a man-made form of vasopressin and is used to replace a low level of vasopressin. This medication helps to control increased thirst and too much urination due to these conditions, and helps prevent dehydration. Desmopressin is also used to control nighttime bedwetting in children. It reduces how often your child urinates and decreases the number of bedwetting episodes. A synthetic analog of the pituitary hormone, ARGININE VASOPRESSIN. Its action is mediated by the VASOPRESSIN receptor V2. It has prolonged antidiuretic activity, but little pressor effects. It also modulates levels of circulating FACTOR VIII and VON WILLEBRAND FACTOR. In 2024, this provider wrote 12 Medicare prescriptions for Desmopressin Acetate, about 62% of the volume of the typical North Carolina prescriber of this medication (19.3). Medicare paid an average of $25.76 per fill, versus $73.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 20 30-Day Fills standardized to 30-day supplies 559 Days of Medication total across all patients in 2024 | |||
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 12 | $12.83▼ below NC avg | ▼ Less than typical |
About Clotrimazole-Betamethasone: This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Show more ▾ This product contains 2 medications. Clotrimazole is an azole antifungal that works by preventing the growth of fungus. Betamethasone is a strong corticosteroid that works by reducing the swelling, redness, and itching that occurs in the skin infection. This medication is not recommended for children younger than 17 years or for diaper rash. In 2024, this provider wrote 12 Medicare prescriptions for Clotrimazole-Betamethasone, about half the volume of the typical North Carolina prescriber of this medication (22.4). Medicare paid an average of $12.83 per fill, versus $22.20 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 12.7 30-Day Fills standardized to 30-day supplies 232 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. CARL G KLUTKE MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, 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 Urology prescribing approach at this Asheville, NC 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 among NC prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
