MRS. ROYA LEIGH CLEMENTS PA-C
Prescription History 1053463521
Physician Assistant - Medical in Waltham, MA

Name: Medicare Part D prescriptions by Mrs. Roya Clements (NPI 1053463521), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since January 17, 2007PECOS Enrolled

950 WINTER ST, SUITE 3800, WALTHAM, MA 02451(781) 472-8630 Get Directions

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MRS. ROYA LEIGH CLEMENTS PA-C, an active Medical specialist practicing in Waltham, MA. Our medical registry currently tracks 68 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,975 documented patient claims. Among these therapy options, the most frequently utilized medication is Eliquis, which accounts for 127 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.

Medications

1,975

Total Claims

1,986

30-Day Fills

Eliquis

Most Prescribed · 127 claims

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Prescription Volume vs MA Average

68 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by MRS. ROYA LEIGH CLEMENTS PA-C in 2023, with prescription volumes, average cost per fill, and MA state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other MA PrescribersVs. MA Avg
EliquisApixaban	127	$288.27▼ below MA avg	▲ 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 127 Medicare prescriptions for Eliquis, about 1.6 times the volume of the typical Massachusetts prescriber of this medication (77). Medicare paid an average of $288.27 per fill, versus $792.72 statewide. How often this provider prescribes it This provider 127 MA average 77.0 This provider prescribes this medication more often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $288.27 MA average $792.72 This provider's average cost per fill is below the MA average for this medication. 127 30-Day Fills standardized to 30-day supplies 1,832 Days of Medication total across all patients in 2023
Trazodone Hcl	115	$6.83▼ below MA avg	▲ More than typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 115 Medicare prescriptions for Trazodone Hcl, about 1.7 times the volume of the typical Massachusetts prescriber of this medication (68). Medicare paid an average of $6.83 per fill, versus $12.36 statewide. How often this provider prescribes it This provider 115 MA average 68.0 This provider prescribes this medication more often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.83 MA average $12.36 This provider's average cost per fill is below the MA average for this medication. 115 30-Day Fills standardized to 30-day supplies 2,202 Days of Medication total across all patients in 2023
Atorvastatin Calcium	94	$17.14	▼ Less 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 94 Medicare prescriptions for Atorvastatin Calcium, about half the volume of the typical Massachusetts prescriber of this medication (171). Medicare paid an average of $17.14 per fill, versus $16.18 statewide. How often this provider prescribes it This provider 94 MA average 171.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.14 MA average $16.18 Gross Part D cost per fill; not the patient's out-of-pocket price. 94 30-Day Fills standardized to 30-day supplies 2,360 Days of Medication total across all patients in 2023
Levothyroxine Sodium	77	$13.65▼ below MA avg	▼ Less than typical
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 77 Medicare prescriptions for Levothyroxine Sodium, about 66% of the volume of the typical Massachusetts prescriber of this medication (117). Medicare paid an average of $13.65 per fill, versus $18.51 statewide. How often this provider prescribes it This provider 77 MA average 117.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.65 MA average $18.51 This provider's average cost per fill is below the MA average for this medication. 77 30-Day Fills standardized to 30-day supplies 2,114 Days of Medication total across all patients in 2023
Metoprolol Succinate	72	$20.65▼ below MA avg	▼ Less 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 72 Medicare prescriptions for Metoprolol Succinate, about 68% of the volume of the typical Massachusetts prescriber of this medication (106). Medicare paid an average of $20.65 per fill, versus $23.92 statewide. How often this provider prescribes it This provider 72 MA average 106.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.65 MA average $23.92 This provider's average cost per fill is below the MA average for this medication. 72 30-Day Fills standardized to 30-day supplies 2,009 Days of Medication total across all patients in 2023
Furosemide	69	$5.39▼ below MA avg	≈ 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 69 Medicare prescriptions for Furosemide, about the same volume as the typical Massachusetts prescriber of this medication (73). Medicare paid an average of $5.39 per fill, versus $6.77 statewide. How often this provider prescribes it This provider 69 MA average 73.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.39 MA average $6.77 This provider's average cost per fill is below the MA average for this medication. 69 30-Day Fills standardized to 30-day supplies 1,579 Days of Medication total across all patients in 2023
Clonazepam	68	$9.16	≈ Typical
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 68 Medicare prescriptions for Clonazepam, about the same volume as the typical Massachusetts prescriber of this medication (60). Medicare paid an average of $9.16 per fill, versus $9.01 statewide. How often this provider prescribes it This provider 68 MA average 60.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.16 MA average $9.01 Gross Part D cost per fill; not the patient's out-of-pocket price. 68 30-Day Fills standardized to 30-day supplies 1,848 Days of Medication total across all patients in 2023
Oxycodone Hcl	60	$41.43	▲ More than typical
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 60 Medicare prescriptions for Oxycodone Hcl, about 1.4 times the volume of the typical Massachusetts prescriber of this medication (43). Medicare paid an average of $41.43 per fill, versus $20.62 statewide. How often this provider prescribes it This provider 60 MA average 43.0 This provider prescribes this medication more often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $41.43 MA average $20.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 544 Days of Medication total across all patients in 2023
Morphine Sulfate	58	$8.60▼ below MA avg	▲ More than typical
About Morphine Sulfate: This medication is used to treat severe pain. Show more ▾ Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 58 Medicare prescriptions for Morphine Sulfate, about 2.8 times the volume of the typical Massachusetts prescriber of this medication (21). Medicare paid an average of $8.60 per fill, versus $30.01 statewide. How often this provider prescribes it This provider 58 MA average 21.0 This provider prescribes this medication more often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.60 MA average $30.01 This provider's average cost per fill is below the MA average for this medication. 58 30-Day Fills standardized to 30-day supplies 324 Days of Medication total across all patients in 2023
Escitalopram Oxalate	50	$21.67	≈ Typical
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 50 Medicare prescriptions for Escitalopram Oxalate, about 1.2 times the volume of the typical Massachusetts prescriber of this medication (43). Medicare paid an average of $21.67 per fill, versus $15.40 statewide. How often this provider prescribes it This provider 50 MA average 43.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.67 MA average $15.40 Gross Part D cost per fill; not the patient's out-of-pocket price. 50 30-Day Fills standardized to 30-day supplies 653 Days of Medication total across all patients in 2023
Lisinopril	43	$8.12▼ below MA avg	▼ Less than 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 43 Medicare prescriptions for Lisinopril, about a third of the volume of the typical Massachusetts prescriber of this medication (125). Medicare paid an average of $8.12 per fill, versus $9.38 statewide. How often this provider prescribes it This provider 43 MA average 125.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.12 MA average $9.38 This provider's average cost per fill is below the MA average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,108 Days of Medication total across all patients in 2023
Gabapentin	43	$19.07▼ below MA avg	▼ Less than typical
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 43 Medicare prescriptions for Gabapentin, about half the volume of the typical Massachusetts prescriber of this medication (79). Medicare paid an average of $19.07 per fill, versus $20.16 statewide. How often this provider prescribes it This provider 43 MA average 79.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.07 MA average $20.16 This provider's average cost per fill is below the MA average for this medication. 43 30-Day Fills standardized to 30-day supplies 984 Days of Medication total across all patients in 2023
Tamsulosin Hcl	43	$18.63▼ below MA avg	▼ Less 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. In 2023, this provider wrote 43 Medicare prescriptions for Tamsulosin Hcl, about half the volume of the typical Massachusetts prescriber of this medication (74). Medicare paid an average of $18.63 per fill, versus $24.27 statewide. How often this provider prescribes it This provider 43 MA average 74.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.63 MA average $24.27 This provider's average cost per fill is below the MA average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,033 Days of Medication total across all patients in 2023
Losartan Potassium	43	$8.93▼ below MA avg	▼ Less than 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 43 Medicare prescriptions for Losartan Potassium, about half the volume of the typical Massachusetts prescriber of this medication (82). Medicare paid an average of $8.93 per fill, versus $12.80 statewide. How often this provider prescribes it This provider 43 MA average 82.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.93 MA average $12.80 This provider's average cost per fill is below the MA average for this medication. 46 30-Day Fills standardized to 30-day supplies 1,209 Days of Medication total across all patients in 2023
Omeprazole	42	$14.58▼ below MA avg	▼ Less than typical
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 42 Medicare prescriptions for Omeprazole, about half the volume of the typical Massachusetts prescriber of this medication (99). Medicare paid an average of $14.58 per fill, versus $16.44 statewide. How often this provider prescribes it This provider 42 MA average 99.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.58 MA average $16.44 This provider's average cost per fill is below the MA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,189 Days of Medication total across all patients in 2023
Lorazepam	40	$16.32	▼ Less than typical
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 40 Medicare prescriptions for Lorazepam, about 65% of the volume of the typical Massachusetts prescriber of this medication (62). Medicare paid an average of $16.32 per fill, versus $7.45 statewide. How often this provider prescribes it This provider 40 MA average 62.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.32 MA average $7.45 Gross Part D cost per fill; not the patient's out-of-pocket price. 40 30-Day Fills standardized to 30-day supplies 748 Days of Medication total across all patients in 2023
Potassium Chloride	39	$15.27▼ below MA avg	≈ 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 39 Medicare prescriptions for Potassium Chloride, about the same volume as the typical Massachusetts prescriber of this medication (39). Medicare paid an average of $15.27 per fill, versus $38.84 statewide. How often this provider prescribes it This provider 39 MA average 39.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.27 MA average $38.84 This provider's average cost per fill is below the MA average for this medication. 39 30-Day Fills standardized to 30-day supplies 998 Days of Medication total across all patients in 2023
Amlodipine Besylate	36	$9.17	▼ Less 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 36 Medicare prescriptions for Amlodipine Besylate, about a third of the volume of the typical Massachusetts prescriber of this medication (119). Medicare paid an average of $9.17 per fill, versus $8.78 statewide. How often this provider prescribes it This provider 36 MA average 119.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.17 MA average $8.78 Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,004 Days of Medication total across all patients in 2023
Tramadol Hcl	35	$8.60	≈ Typical
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 35 Medicare prescriptions for Tramadol Hcl, about 81% of the volume of the typical Massachusetts prescriber of this medication (43). Medicare paid an average of $8.60 per fill, versus $8.05 statewide. How often this provider prescribes it This provider 35 MA average 43.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.60 MA average $8.05 Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 640 Days of Medication total across all patients in 2023
Mirtazapine	34	$17.10▼ below MA avg	▼ Less than typical
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 34 Medicare prescriptions for Mirtazapine, about 69% of the volume of the typical Massachusetts prescriber of this medication (49). Medicare paid an average of $17.10 per fill, versus $25.78 statewide. How often this provider prescribes it This provider 34 MA average 49.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.10 MA average $25.78 This provider's average cost per fill is below the MA average for this medication. 34 30-Day Fills standardized to 30-day supplies 898 Days of Medication total across all patients in 2023
Venlafaxine Hcl ErVenlafaxine Hcl	33	$50.75	≈ Typical
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 33 Medicare prescriptions for Venlafaxine Hcl Er, about the same volume as the typical Massachusetts prescriber of this medication (35). Medicare paid an average of $50.75 per fill, versus $28.96 statewide. How often this provider prescribes it This provider 33 MA average 35.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.75 MA average $28.96 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 967 Days of Medication total across all patients in 2023
Novolin 70-30 FlexpenInsulin Nph Hum/Reg Insulin Hm	29	$58.15▼ below MA avg	▲ More than typical
In 2023, this provider wrote 29 Medicare prescriptions for Novolin 70-30 Flexpen, about 1.8 times the volume of the typical Massachusetts prescriber of this medication (16). Medicare paid an average of $58.15 per fill, versus $467.26 statewide. How often this provider prescribes it This provider 29 MA average 16.0 This provider prescribes this medication more often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $58.15 MA average $467.26 This provider's average cost per fill is below the MA average for this medication. 29 30-Day Fills standardized to 30-day supplies 230 Days of Medication total across all patients in 2023
OxycontinOxycodone Hcl	27	$120.75▼ below MA avg	≈ Typical
About Oxycontin: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (more than 40 milligrams per tablet) should be used only if you have been regularly taking moderate to large amounts of an opioid pain medication. These strengths may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 27 Medicare prescriptions for Oxycontin, about the same volume as the typical Massachusetts prescriber of this medication (26). Medicare paid an average of $120.75 per fill, versus $697.09 statewide. How often this provider prescribes it This provider 27 MA average 26.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $120.75 MA average $697.09 This provider's average cost per fill is below the MA average for this medication. 27 30-Day Fills standardized to 30-day supplies 308 Days of Medication total across all patients in 2023
Ondansetron Hcl	26	$7.08▼ below MA avg	≈ Typical
About Ondansetron Hcl: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. In 2023, this provider wrote 26 Medicare prescriptions for Ondansetron Hcl, about the same volume as the typical Massachusetts prescriber of this medication (24). Medicare paid an average of $7.08 per fill, versus $17.97 statewide. How often this provider prescribes it This provider 26 MA average 24.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.08 MA average $17.97 This provider's average cost per fill is below the MA average for this medication. 26 30-Day Fills standardized to 30-day supplies 77 Days of Medication total across all patients in 2023
Sertraline Hcl	23	$7.62▼ below MA avg	▼ Less than typical
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 23 Medicare prescriptions for Sertraline Hcl, about a third of the volume of the typical Massachusetts prescriber of this medication (60). Medicare paid an average of $7.62 per fill, versus $11.89 statewide. How often this provider prescribes it This provider 23 MA average 60.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.62 MA average $11.89 This provider's average cost per fill is below the MA average for this medication. 23 30-Day Fills standardized to 30-day supplies 596 Days of Medication total across all patients in 2023
Xtampza ErOxycodone Myristate	22	$171.21▼ below MA avg	≈ Typical
About Xtampza Er: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. Higher doses of this drug (more than 36 milligrams per dose or 72 milligrams per day) should be used only if you have been regularly taking moderate to large amounts of an opioid medication. These doses may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. In 2023, this provider wrote 22 Medicare prescriptions for Xtampza Er, about 88% of the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $171.21 per fill, versus $735.41 statewide. How often this provider prescribes it This provider 22 MA average 25.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $171.21 MA average $735.41 This provider's average cost per fill is below the MA average for this medication. 22 30-Day Fills standardized to 30-day supplies 284 Days of Medication total across all patients in 2023
Fluticasone Propionate	21	$22.14	▼ Less than typical
About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾ Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2023, this provider wrote 21 Medicare prescriptions for Fluticasone Propionate, about half the volume of the typical Massachusetts prescriber of this medication (44). Medicare paid an average of $22.14 per fill, versus $18.27 statewide. How often this provider prescribes it This provider 21 MA average 44.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.14 MA average $18.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023
Carvedilol	21	$9.74▼ below MA avg	▼ Less 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 21 Medicare prescriptions for Carvedilol, about half the volume of the typical Massachusetts prescriber of this medication (41). Medicare paid an average of $9.74 per fill, versus $13.04 statewide. How often this provider prescribes it This provider 21 MA average 41.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.74 MA average $13.04 This provider's average cost per fill is below the MA average for this medication. 21 30-Day Fills standardized to 30-day supplies 591 Days of Medication total across all patients in 2023
Metformin Hcl	21	$7.75▼ below MA avg	▼ Less than typical
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 21 Medicare prescriptions for Metformin Hcl, about a third of the volume of the typical Massachusetts prescriber of this medication (75). Medicare paid an average of $7.75 per fill, versus $10.76 statewide. How often this provider prescribes it This provider 21 MA average 75.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.75 MA average $10.76 This provider's average cost per fill is below the MA average for this medication. 21 30-Day Fills standardized to 30-day supplies 550 Days of Medication total across all patients in 2023
Ipratropium-AlbuterolIpratropium/Albuterol Sulfate	20	$24.25	▼ Less than typical
About Ipratropium-Albuterol: This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes bronchitis and emphysema). Show more ▾ This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both drugs work by relaxing the muscles around the airways so that the airways open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. In 2023, this provider wrote 20 Medicare prescriptions for Ipratropium-Albuterol, about 67% of the volume of the typical Massachusetts prescriber of this medication (30). Medicare paid an average of $24.25 per fill, versus $23.61 statewide. How often this provider prescribes it This provider 20 MA average 30.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.25 MA average $23.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 192 Days of Medication total across all patients in 2023
Alprazolam	19	$4.69▼ below MA avg	▼ Less than typical
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 19 Medicare prescriptions for Alprazolam, about a third of the volume of the typical Massachusetts prescriber of this medication (47). Medicare paid an average of $4.69 per fill, versus $10.32 statewide. How often this provider prescribes it This provider 19 MA average 47.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.69 MA average $10.32 This provider's average cost per fill is below the MA average for this medication. 19 30-Day Fills standardized to 30-day supplies 367 Days of Medication total across all patients in 2023
Warfarin Sodium	19	$6.77▼ below MA 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 19 Medicare prescriptions for Warfarin Sodium, about a third of the volume of the typical Massachusetts prescriber of this medication (50). Medicare paid an average of $6.77 per fill, versus $13.58 statewide. How often this provider prescribes it This provider 19 MA average 50.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.77 MA average $13.58 This provider's average cost per fill is below the MA average for this medication. 19 30-Day Fills standardized to 30-day supplies 139 Days of Medication total across all patients in 2023
RexultiBrexpiprazole	19	$633.63▼ below MA avg	▼ Less than typical
About Rexulti: This medication is used to treat certain mental/mood disorders (such as schizophrenia, depression). Show more ▾ Brexpiprazole helps you to think more clearly, feel less nervous, and take part in everyday life. It may also help to decrease hallucinations (hearing/seeing things that are not there). In addition, this medication may improve your mood, sleep, appetite, and energy level. Brexpiprazole is a psychiatric medication that belongs to the class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. In 2023, this provider wrote 19 Medicare prescriptions for Rexulti, about 70% of the volume of the typical Massachusetts prescriber of this medication (27). Medicare paid an average of $633.63 per fill, versus $1,511.46 statewide. How often this provider prescribes it This provider 19 MA average 27.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $633.63 MA average $1,511.46 This provider's average cost per fill is below the MA average for this medication. 19 30-Day Fills standardized to 30-day supplies 240 Days of Medication total across all patients in 2023
Metoprolol Tartrate	18	$8.99▼ below MA avg	▼ Less 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 18 Medicare prescriptions for Metoprolol Tartrate, about a third of the volume of the typical Massachusetts prescriber of this medication (56). Medicare paid an average of $8.99 per fill, versus $9.17 statewide. How often this provider prescribes it This provider 18 MA average 56.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.99 MA average $9.17 This provider's average cost per fill is below the MA average for this medication. 18 30-Day Fills standardized to 30-day supplies 441 Days of Medication total across all patients in 2023
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	18	$199.88▼ below MA avg	▼ Less than typical
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 18 Medicare prescriptions for Lantus Solostar, about half the volume of the typical Massachusetts prescriber of this medication (36). Medicare paid an average of $199.88 per fill, versus $606.42 statewide. How often this provider prescribes it This provider 18 MA average 36.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $199.88 MA average $606.42 This provider's average cost per fill is below the MA average for this medication. 19.3 30-Day Fills standardized to 30-day supplies 462 Days of Medication total across all patients in 2023
ClopidogrelClopidogrel Bisulfate	18	$13.73▼ below MA avg	▼ Less 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 18 Medicare prescriptions for Clopidogrel, about half the volume of the typical Massachusetts prescriber of this medication (38). Medicare paid an average of $13.73 per fill, versus $16.74 statewide. How often this provider prescribes it This provider 18 MA average 38.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.73 MA average $16.74 This provider's average cost per fill is below the MA average for this medication. 18 30-Day Fills standardized to 30-day supplies 463 Days of Medication total across all patients in 2023
Insulin Lispro Kwikpen U-100Insulin Lispro	17	$37.37▼ below MA avg	≈ Typical
About Insulin Lispro Kwikpen U-100: Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 17 Medicare prescriptions for Insulin Lispro Kwikpen U-100, about 85% of the volume of the typical Massachusetts prescriber of this medication (20). Medicare paid an average of $37.37 per fill, versus $166.05 statewide. How often this provider prescribes it This provider 17 MA average 20.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.37 MA average $166.05 This provider's average cost per fill is below the MA average for this medication. 17 30-Day Fills standardized to 30-day supplies 162 Days of Medication total across all patients in 2023
Donepezil Hcl	17	$22.15	▼ Less than typical
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 17 Medicare prescriptions for Donepezil Hcl, about a third of the volume of the typical Massachusetts prescriber of this medication (49). Medicare paid an average of $22.15 per fill, versus $16.92 statewide. How often this provider prescribes it This provider 17 MA average 49.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.15 MA average $16.92 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 453 Days of Medication total across all patients in 2023
IngrezzaValbenazine Tosylate	17	$3,956.24▼ below MA avg	≈ Typical
About Ingrezza: Valbenazine is used to treat involuntary movements of the face, tongue, or other body parts (tardive dyskinesia). Show more ▾ This medication is thought to work by decreasing the amount of certain natural substances in the brain that affect how your nerves and muscles work (monoamines such as dopamine, serotonin, and norepinephrine). In 2023, this provider wrote 17 Medicare prescriptions for Ingrezza, about the same volume as the typical Massachusetts prescriber of this medication (18). Medicare paid an average of $3,956.24 per fill, versus $7,820.70 statewide. How often this provider prescribes it This provider 17 MA average 18.0 This provider's prescribing volume for this medication is in line with the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3,956.24 MA average $7,820.70 This provider's average cost per fill is below the MA average for this medication. 17 30-Day Fills standardized to 30-day supplies 238 Days of Medication total across all patients in 2023
Duloxetine Hcl	16	$277.60	▼ Less than typical
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 16 Medicare prescriptions for Duloxetine Hcl, about a third of the volume of the typical Massachusetts prescriber of this medication (40). Medicare paid an average of $277.60 per fill, versus $61.31 statewide. How often this provider prescribes it This provider 16 MA average 40.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $277.60 MA average $61.31 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023
Doxycycline Hyclate	16	$34.98	▼ Less than typical
About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾ This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity. In 2023, this provider wrote 16 Medicare prescriptions for Doxycycline Hyclate, about 62% of the volume of the typical Massachusetts prescriber of this medication (26). Medicare paid an average of $34.98 per fill, versus $24.66 statewide. How often this provider prescribes it This provider 16 MA average 26.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.98 MA average $24.66 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 110 Days of Medication total across all patients in 2023
Paxlovid (Eua)Nirmatrelvir/Ritonavir	16	$6.66▼ below MA avg	▼ Less than typical
About Paxlovid (Eua): The combination of nirmatrelvir tablets and ritonavir tablets is a product that the FDA is allowing to be given for emergency use to treat COVID-19. Show more ▾ The product is also approved to be used in Canada to treat COVID-19. It is used by people who have recently tested positive for coronavirus, have had mild to moderate symptoms for no more than 5 days and are not hospitalized. To receive this product you must also be at high risk for COVID-19 complications due to older age, obesity, or ongoing medical conditions (such as lung or heart disease or diabetes, among others). Talk to your doctor about the risks and benefits of treatment with nirmatrelvir and ritonavir. Nirmatrelvir is a SARS-CoV-2 main protease inhibitor. It works by preventing the growth of the virus that causes COVID-19. Ritonavir increases (boosts) the levels of nirmatrelvir. This helps nirmatrelvir work better. More information about nirmatrelvir and ritonavir is available from the FDA Fact Sheet for Patients, Parents, and Caregivers for Emergency Use and from the Health Canada Patient Medication Information sheet. There is limited information about how safe and effective the combination of nirmatrelvir and ritonavir is for treating COVID-19. Study results show that nirmatrelvir and ritonavir may help people who have recently tested positive for coronavirus stay out of the hospital. This product is not for use by people who are hospitalized due to COVID-19. The information in this document reflects emerging data, which is evolving and subject to reassessment. Users should be aware of these considerations in their review of nirmatrelvir and ritonavir, and it is always the responsibility of treating practitioners to exercise independent judgement in making care decisions. In 2023, this provider wrote 16 Medicare prescriptions for Paxlovid (Eua), about 70% of the volume of the typical Massachusetts prescriber of this medication (23). Medicare paid an average of $6.66 per fill, versus $10.27 statewide. How often this provider prescribes it This provider 16 MA average 23.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.66 MA average $10.27 This provider's average cost per fill is below the MA average for this medication. 16 30-Day Fills standardized to 30-day supplies 80 Days of Medication total across all patients in 2023
Torsemide	16	$20.13▼ below MA 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 16 Medicare prescriptions for Torsemide, about half the volume of the typical Massachusetts prescriber of this medication (38). Medicare paid an average of $20.13 per fill, versus $25.17 statewide. How often this provider prescribes it This provider 16 MA average 38.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.13 MA average $25.17 This provider's average cost per fill is below the MA average for this medication. 16 30-Day Fills standardized to 30-day supplies 397 Days of Medication total across all patients in 2023
Diazepam	15	$5.93▼ below MA avg	▼ Less than typical
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 15 Medicare prescriptions for Diazepam, about half the volume of the typical Massachusetts prescriber of this medication (27). Medicare paid an average of $5.93 per fill, versus $8.66 statewide. How often this provider prescribes it This provider 15 MA average 27.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.93 MA average $8.66 This provider's average cost per fill is below the MA average for this medication. 15 30-Day Fills standardized to 30-day supplies 281 Days of Medication total across all patients in 2023
Spironolactone	15	$5.57▼ below MA avg	▼ Less than typical
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 15 Medicare prescriptions for Spironolactone, about half the volume of the typical Massachusetts prescriber of this medication (34). Medicare paid an average of $5.57 per fill, versus $13.39 statewide. How often this provider prescribes it This provider 15 MA average 34.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.57 MA average $13.39 This provider's average cost per fill is below the MA average for this medication. 17 30-Day Fills standardized to 30-day supplies 502 Days of Medication total across all patients in 2023
Finasteride	15	$16.24▼ below MA avg	▼ Less 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 2023, this provider wrote 15 Medicare prescriptions for Finasteride, about a quarter of the volume of the typical Massachusetts prescriber of this medication (56). Medicare paid an average of $16.24 per fill, versus $17.73 statewide. How often this provider prescribes it This provider 15 MA average 56.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.24 MA average $17.73 This provider's average cost per fill is below the MA average for this medication. 17 30-Day Fills standardized to 30-day supplies 457 Days of Medication total across all patients in 2023
Pregabalin	15	$66.91	▼ Less than typical
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 15 Medicare prescriptions for Pregabalin, about half the volume of the typical Massachusetts prescriber of this medication (32). Medicare paid an average of $66.91 per fill, versus $54.69 statewide. How often this provider prescribes it This provider 15 MA average 32.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $66.91 MA average $54.69 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 318 Days of Medication total across all patients in 2023
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	15	$8.82	▼ Less 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. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS. In 2023, this provider wrote 15 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 60% of the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $8.82 per fill, versus $6.23 statewide. How often this provider prescribes it This provider 15 MA average 25.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.82 MA average $6.23 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 231 Days of Medication total across all patients in 2023
Lacosamide	14	$476.59	▼ Less than typical
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2023, this provider wrote 14 Medicare prescriptions for Lacosamide, about half the volume of the typical Massachusetts prescriber of this medication (29). Medicare paid an average of $476.59 per fill, versus $336.97 statewide. How often this provider prescribes it This provider 14 MA average 29.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $476.59 MA average $336.97 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 155 Days of Medication total across all patients in 2023
Buspirone Hcl	14	$13.21▼ below MA avg	▼ Less than typical
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 14 Medicare prescriptions for Buspirone Hcl, about a third of the volume of the typical Massachusetts prescriber of this medication (38). Medicare paid an average of $13.21 per fill, versus $20.01 statewide. How often this provider prescribes it This provider 14 MA average 38.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.21 MA average $20.01 This provider's average cost per fill is below the MA average for this medication. 14 30-Day Fills standardized to 30-day supplies 361 Days of Medication total across all patients in 2023
Diclofenac Sodium	14	$34.44	▼ Less than typical
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2023, this provider wrote 14 Medicare prescriptions for Diclofenac Sodium, about a third of the volume of the typical Massachusetts prescriber of this medication (39). Medicare paid an average of $34.44 per fill, versus $29.69 statewide. How often this provider prescribes it This provider 14 MA average 39.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.44 MA average $29.69 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 156 Days of Medication total across all patients in 2023
Paroxetine Hcl	14	$14.76▼ below MA avg	▼ Less than typical
About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. In 2023, this provider wrote 14 Medicare prescriptions for Paroxetine Hcl, about half the volume of the typical Massachusetts prescriber of this medication (27). Medicare paid an average of $14.76 per fill, versus $15.35 statewide. How often this provider prescribes it This provider 14 MA average 27.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.76 MA average $15.35 This provider's average cost per fill is below the MA average for this medication. 14 30-Day Fills standardized to 30-day supplies 349 Days of Medication total across all patients in 2023
Cefpodoxime Proxetil	14	$48.30▼ below MA avg	▼ Less than typical
About Cefpodoxime Proxetil: 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 antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A prodrug of its active metabolite CEFPODOXIME. In 2023, this provider wrote 14 Medicare prescriptions for Cefpodoxime Proxetil, about 67% of the volume of the typical Massachusetts prescriber of this medication (21). Medicare paid an average of $48.30 per fill, versus $60.83 statewide. How often this provider prescribes it This provider 14 MA average 21.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $48.30 MA average $60.83 This provider's average cost per fill is below the MA average for this medication. 14 30-Day Fills standardized to 30-day supplies 59 Days of Medication total across all patients in 2023
Levetiracetam	13	$65.24	▼ Less than typical
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 13 Medicare prescriptions for Levetiracetam, about a quarter of the volume of the typical Massachusetts prescriber of this medication (47). Medicare paid an average of $65.24 per fill, versus $42.65 statewide. How often this provider prescribes it This provider 13 MA average 47.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $65.24 MA average $42.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 340 Days of Medication total across all patients in 2023
TrulicityDulaglutide	12	$512.33▼ below MA avg	▼ Less than typical
About Trulicity: Dulaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. This medication is also used to lessen the risk of a major cardiovascular event (such as heart attack or stroke) in people who already have, or are at high risk for heart/blood vessel disease. Dulaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and by decreasing the amount of sugar your liver makes. Dulaglutide is not a substitute for insulin if you need insulin treatment. In 2023, this provider wrote 12 Medicare prescriptions for Trulicity, about a quarter of the volume of the typical Massachusetts prescriber of this medication (57). Medicare paid an average of $512.33 per fill, versus $1,274.01 statewide. How often this provider prescribes it This provider 12 MA average 57.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $512.33 MA average $1,274.01 This provider's average cost per fill is below the MA average for this medication. 12 30-Day Fills standardized to 30-day supplies 176 Days of Medication total across all patients in 2023
Propranolol Hcl	12	$15.49▼ below MA avg	▼ Less than typical
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 12 Medicare prescriptions for Propranolol Hcl, about half the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $15.49 per fill, versus $24.29 statewide. How often this provider prescribes it This provider 12 MA average 25.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.49 MA average $24.29 This provider's average cost per fill is below the MA average for this medication. 12 30-Day Fills standardized to 30-day supplies 266 Days of Medication total across all patients in 2023
Cilostazol	12	$52.21	▼ Less than typical
About Cilostazol: Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs (intermittent claudication). Show more ▾ Cilostazol can decrease the muscle pain/cramps that occur during exercise/walking. Claudication pain is caused by too little oxygen getting to the muscles. Cilostazol can increase blood flow and the amount of oxygen that gets to the muscles. Cilostazol is an antiplatelet drug and a vasodilator. It works by stopping blood cells called platelets from sticking together and prevents them from forming harmful clots. It also widens blood vessels in the legs. Cilostazol helps the blood to move more easily and keeps blood flowing smoothly in your body. A quinoline and tetrazole derivative that acts as a phosphodiesterase type 3 inhibitor, with anti-platelet and vasodilating activity. It is used in the treatment of PERIPHERAL VASCULAR DISEASES; ISCHEMIC HEART DISEASE; and in the prevention of stroke. In 2023, this provider wrote 12 Medicare prescriptions for Cilostazol, about half the volume of the typical Massachusetts prescriber of this medication (23). Medicare paid an average of $52.21 per fill, versus $25.97 statewide. How often this provider prescribes it This provider 12 MA average 23.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $52.21 MA average $25.97 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 316 Days of Medication total across all patients in 2023
Humalog Kwikpen U-100Insulin Lispro	12	$224.55▼ below MA avg	▼ Less than typical
About Humalog Kwikpen U-100: Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 12 Medicare prescriptions for Humalog Kwikpen U-100, about a third of the volume of the typical Massachusetts prescriber of this medication (32). Medicare paid an average of $224.55 per fill, versus $970.50 statewide. How often this provider prescribes it This provider 12 MA average 32.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $224.55 MA average $970.50 This provider's average cost per fill is below the MA average for this medication. 14.8 30-Day Fills standardized to 30-day supplies 249 Days of Medication total across all patients in 2023
Citalopram HbrCitalopram Hydrobromide	12	$9.02▼ below MA avg	▼ Less than typical
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2023, this provider wrote 12 Medicare prescriptions for Citalopram Hbr, about a quarter of the volume of the typical Massachusetts prescriber of this medication (45). Medicare paid an average of $9.02 per fill, versus $9.27 statewide. How often this provider prescribes it This provider 12 MA average 45.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.02 MA average $9.27 This provider's average cost per fill is below the MA average for this medication. 12 30-Day Fills standardized to 30-day supplies 319 Days of Medication total across all patients in 2023
Morphine Sulfate ErMorphine Sulfate	12	$21.06▼ below MA avg	▼ Less than typical
About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾ Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 12 Medicare prescriptions for Morphine Sulfate Er, about a third of the volume of the typical Massachusetts prescriber of this medication (32). Medicare paid an average of $21.06 per fill, versus $38.74 statewide. How often this provider prescribes it This provider 12 MA average 32.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.06 MA average $38.74 This provider's average cost per fill is below the MA average for this medication. 12 30-Day Fills standardized to 30-day supplies 345 Days of Medication total across all patients in 2023
Quetiapine Fumarate	11	$16.45▼ below MA avg	▼ Less than typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 11 Medicare prescriptions for Quetiapine Fumarate, about 19% of the volume of the typical Massachusetts prescriber of this medication (58). Medicare paid an average of $16.45 per fill, versus $42.36 statewide. How often this provider prescribes it This provider 11 MA average 58.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.45 MA average $42.36 This provider's average cost per fill is below the MA average for this medication. 11 30-Day Fills standardized to 30-day supplies 284 Days of Medication total across all patients in 2023
Midodrine Hcl	11	$39.49▼ below MA avg	▼ Less 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 11 Medicare prescriptions for Midodrine Hcl, about half the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $39.49 per fill, versus $84.13 statewide. How often this provider prescribes it This provider 11 MA average 25.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.49 MA average $84.13 This provider's average cost per fill is below the MA average for this medication. 11.2 30-Day Fills standardized to 30-day supplies 318 Days of Medication total across all patients in 2023
Haloperidol	11	$37.28	▼ Less than typical
About Haloperidol: Haloperidol is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorders). Show more ▾ This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can also help prevent suicide in people who are likely to harm themselves. It also reduces aggression and the desire to hurt others. It can decrease negative thoughts and hallucinations. Haloperidol can also be used to treat uncontrolled movements and outbursts of words/sounds related to Tourette's syndrome. Haloperidol is also used for severe behavior problems in hyperactive children when other treatments or medications have not worked. Haloperidol is a psychiatric medication (antipsychotic-type) that works by helping to restore the balance of certain natural substances in the brain (neurotransmitters). A phenyl-piperidinyl-butyrophenone that is used primarily to treat SCHIZOPHRENIA and other PSYCHOSES. It is also used in schizoaffective disorder, DELUSIONAL DISORDERS, ballism, and TOURETTE SYNDROME (a drug of choice) and occasionally as adjunctive therapy in INTELLECTUAL DISABILITY and the chorea of HUNTINGTON DISEASE. It is a potent antiemetic and is used in the treatment of intractable HICCUPS. (From AMA Drug Evaluations Annual, 1994, p279) In 2023, this provider wrote 11 Medicare prescriptions for Haloperidol, about a third of the volume of the typical Massachusetts prescriber of this medication (37). Medicare paid an average of $37.28 per fill, versus $35.28 statewide. How often this provider prescribes it This provider 11 MA average 37.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.28 MA average $35.28 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Methylphenidate Hcl	11	$51.23	▼ Less than typical
About Methylphenidate Hcl: This medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Methylphenidate belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. In 2023, this provider wrote 11 Medicare prescriptions for Methylphenidate Hcl, about half the volume of the typical Massachusetts prescriber of this medication (22). Medicare paid an average of $51.23 per fill, versus $38.26 statewide. How often this provider prescribes it This provider 11 MA average 22.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $51.23 MA average $38.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 230 Days of Medication total across all patients in 2023
Venlafaxine Hcl	11	$58.94	▼ Less than typical
About Venlafaxine Hcl: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 11 Medicare prescriptions for Venlafaxine Hcl, about half the volume of the typical Massachusetts prescriber of this medication (21). Medicare paid an average of $58.94 per fill, versus $28.24 statewide. How often this provider prescribes it This provider 11 MA average 21.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $58.94 MA average $28.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 307 Days of Medication total across all patients in 2023
Bupropion Hcl SrBupropion Hcl	11	$14.31▼ below MA avg	▼ Less than typical
About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 11 Medicare prescriptions for Bupropion Hcl Sr, about a third of the volume of the typical Massachusetts prescriber of this medication (29). Medicare paid an average of $14.31 per fill, versus $30.83 statewide. How often this provider prescribes it This provider 11 MA average 29.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.31 MA average $30.83 This provider's average cost per fill is below the MA average for this medication. 11 30-Day Fills standardized to 30-day supplies 231 Days of Medication total across all patients in 2023
Enoxaparin Sodium	11	$108.99▼ below MA avg	▼ Less than typical
About Enoxaparin Sodium: Enoxaparin is used to prevent and treat harmful blood clots. Show more ▾ This helps to reduce the risk of a stroke or heart attack. This medication helps keep your blood flowing smoothly by lowering the activity of clotting proteins in the blood. Enoxaparin is an anticoagulant, also known as a blood thinner. It is a type of heparin. Conditions which increase your risk of developing blood clots include certain types of surgeries (such as knee/hip replacement, abdominal), long periods of being immobile, certain types of heart attack, and a specific type of chest pain called unstable angina. For some medical conditions, enoxaparin may be used in combination with other blood thinners. In 2023, this provider wrote 11 Medicare prescriptions for Enoxaparin Sodium, about half the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $108.99 per fill, versus $167.68 statewide. How often this provider prescribes it This provider 11 MA average 25.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $108.99 MA average $167.68 This provider's average cost per fill is below the MA average for this medication. 11 30-Day Fills standardized to 30-day supplies 64 Days of Medication total across all patients in 2023
Famotidine	11	$11.27▼ below MA avg	▼ Less than typical
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2023, this provider wrote 11 Medicare prescriptions for Famotidine, about half the volume of the typical Massachusetts prescriber of this medication (21). Medicare paid an average of $11.27 per fill, versus $12.45 statewide. How often this provider prescribes it This provider 11 MA average 21.0 This provider prescribes this medication less often than the average MA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.27 MA average $12.45 This provider's average cost per fill is below the MA average for this medication. 11 30-Day Fills standardized to 30-day supplies 278 Days of Medication total across all patients in 2023

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= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average MA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MA average cost per fill.

About this data. The prescription history for MRS. ROYA LEIGH CLEMENTS PA-C 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 Medical prescribing approach at this Waltham, MA 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 MA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.