ROBIN H FONTANA ARNP
Prescription History 1063463321
Registered Nurse - Gerontology in Mercer Island, WA

Name: Medicare Part D prescriptions by Robin Fontana (NPI 1063463321), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment

9725 SE 36TH ST, SUITE 214, MERCER ISLAND, WA 98040(206) 275-3588(206) 275-2073 Get Directions

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ROBIN H FONTANA ARNP, an active Gerontology specialist practicing in Mercer Island, WA. Our medical registry currently tracks 105 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 5,222 documented patient claims. Among these therapy options, the most frequently utilized medication is Amlodipine Besylate, which accounts for 216 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.

105

Medications

5,222

Total Claims

5,362

30-Day Fills

Amlodipine Besylate

Most Prescribed · 216 claims

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Prescription Volume vs WA Average

105 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by ROBIN H FONTANA ARNP in 2023, with prescription volumes, average cost per fill, and WA state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other WA PrescribersVs. WA Avg
Amlodipine Besylate	216	$11.69	▲ More than typical
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 216 Medicare prescriptions for Amlodipine Besylate, about 2.2 times the volume of the typical Washington prescriber of this medication (97). Medicare paid an average of $11.69 per fill, versus $8.27 statewide. How often this provider prescribes it This provider 216 WA average 97.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.69 WA average $8.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 216.3 30-Day Fills standardized to 30-day supplies 6,312 Days of Medication total across all patients in 2023
Levothyroxine Sodium	200	$12.82▼ below WA avg	▲ More 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 200 Medicare prescriptions for Levothyroxine Sodium, about 1.8 times the volume of the typical Washington prescriber of this medication (110). Medicare paid an average of $12.82 per fill, versus $18.23 statewide. How often this provider prescribes it This provider 200 WA average 110.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.82 WA average $18.23 This provider's average cost per fill is below the WA average for this medication. 212.1 30-Day Fills standardized to 30-day supplies 6,304 Days of Medication total across all patients in 2023
Mirtazapine	199	$31.41	▲ More 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 199 Medicare prescriptions for Mirtazapine, about 5.9 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $31.41 per fill, versus $26.83 statewide. How often this provider prescribes it This provider 199 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.41 WA average $26.83 Gross Part D cost per fill; not the patient's out-of-pocket price. 199 30-Day Fills standardized to 30-day supplies 5,683 Days of Medication total across all patients in 2023
Atorvastatin Calcium	182	$13.07▼ below WA avg	≈ 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 182 Medicare prescriptions for Atorvastatin Calcium, about 1.2 times the volume of the typical Washington prescriber of this medication (149). Medicare paid an average of $13.07 per fill, versus $13.28 statewide. How often this provider prescribes it This provider 182 WA average 149.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.07 WA average $13.28 This provider's average cost per fill is below the WA average for this medication. 182 30-Day Fills standardized to 30-day supplies 5,230 Days of Medication total across all patients in 2023
Furosemide	175	$6.08▼ below WA avg	▲ More than typical
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 175 Medicare prescriptions for Furosemide, about 3 times the volume of the typical Washington prescriber of this medication (58). Medicare paid an average of $6.08 per fill, versus $7.30 statewide. How often this provider prescribes it This provider 175 WA average 58.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.08 WA average $7.30 This provider's average cost per fill is below the WA average for this medication. 175 30-Day Fills standardized to 30-day supplies 4,527 Days of Medication total across all patients in 2023
EliquisApixaban	166	$554.31▼ below WA 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 166 Medicare prescriptions for Eliquis, about 2.9 times the volume of the typical Washington prescriber of this medication (58). Medicare paid an average of $554.31 per fill, versus $929.70 statewide. How often this provider prescribes it This provider 166 WA average 58.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $554.31 WA average $929.70 This provider's average cost per fill is below the WA average for this medication. 166 30-Day Fills standardized to 30-day supplies 4,738 Days of Medication total across all patients in 2023
Quetiapine Fumarate	164	$17.62▼ below WA avg	▲ More 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 164 Medicare prescriptions for Quetiapine Fumarate, about 3.4 times the volume of the typical Washington prescriber of this medication (48). Medicare paid an average of $17.62 per fill, versus $27.56 statewide. How often this provider prescribes it This provider 164 WA average 48.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.62 WA average $27.56 This provider's average cost per fill is below the WA average for this medication. 164 30-Day Fills standardized to 30-day supplies 4,398 Days of Medication total across all patients in 2023
Metoprolol Succinate	148	$21.24▼ below WA avg	▲ More than typical
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 148 Medicare prescriptions for Metoprolol Succinate, about 1.8 times the volume of the typical Washington prescriber of this medication (82). Medicare paid an average of $21.24 per fill, versus $22.27 statewide. How often this provider prescribes it This provider 148 WA average 82.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.24 WA average $22.27 This provider's average cost per fill is below the WA average for this medication. 160 30-Day Fills standardized to 30-day supplies 4,537 Days of Medication total across all patients in 2023
Omeprazole	143	$15.05▼ below WA avg	▲ More 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 143 Medicare prescriptions for Omeprazole, about 1.9 times the volume of the typical Washington prescriber of this medication (76). Medicare paid an average of $15.05 per fill, versus $15.63 statewide. How often this provider prescribes it This provider 143 WA average 76.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.05 WA average $15.63 This provider's average cost per fill is below the WA average for this medication. 159.1 30-Day Fills standardized to 30-day supplies 4,626 Days of Medication total across all patients in 2023
Losartan Potassium	139	$14.99	▲ More 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 139 Medicare prescriptions for Losartan Potassium, about 1.5 times the volume of the typical Washington prescriber of this medication (93). Medicare paid an average of $14.99 per fill, versus $11.70 statewide. How often this provider prescribes it This provider 139 WA average 93.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.99 WA average $11.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 149.2 30-Day Fills standardized to 30-day supplies 4,335 Days of Medication total across all patients in 2023
Sertraline Hcl	137	$13.87	▲ More 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 137 Medicare prescriptions for Sertraline Hcl, about 2.9 times the volume of the typical Washington prescriber of this medication (48). Medicare paid an average of $13.87 per fill, versus $12.87 statewide. How often this provider prescribes it This provider 137 WA average 48.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.87 WA average $12.87 Gross Part D cost per fill; not the patient's out-of-pocket price. 141 30-Day Fills standardized to 30-day supplies 4,109 Days of Medication total across all patients in 2023
Lisinopril	133	$11.14	▲ More 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 133 Medicare prescriptions for Lisinopril, about 1.3 times the volume of the typical Washington prescriber of this medication (104). Medicare paid an average of $11.14 per fill, versus $8.10 statewide. How often this provider prescribes it This provider 133 WA average 104.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.14 WA average $8.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 143.2 30-Day Fills standardized to 30-day supplies 4,170 Days of Medication total across all patients in 2023
Memantine Hcl	130	$56.74	▲ More than typical
About Memantine Hcl: Memantine is used to treat moderate to severe 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 perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 130 Medicare prescriptions for Memantine Hcl, about 3.3 times the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $56.74 per fill, versus $54.73 statewide. How often this provider prescribes it This provider 130 WA average 40.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $56.74 WA average $54.73 Gross Part D cost per fill; not the patient's out-of-pocket price. 130 30-Day Fills standardized to 30-day supplies 3,817 Days of Medication total across all patients in 2023
Gabapentin	125	$19.51▼ below WA avg	▲ More 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 125 Medicare prescriptions for Gabapentin, about 1.8 times the volume of the typical Washington prescriber of this medication (69). Medicare paid an average of $19.51 per fill, versus $25.75 statewide. How often this provider prescribes it This provider 125 WA average 69.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.51 WA average $25.75 This provider's average cost per fill is below the WA average for this medication. 131 30-Day Fills standardized to 30-day supplies 3,667 Days of Medication total across all patients in 2023
Tamsulosin Hcl	112	$15.67▼ below WA avg	▲ More than typical
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 112 Medicare prescriptions for Tamsulosin Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (65). Medicare paid an average of $15.67 per fill, versus $21.65 statewide. How often this provider prescribes it This provider 112 WA average 65.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.67 WA average $21.65 This provider's average cost per fill is below the WA average for this medication. 112 30-Day Fills standardized to 30-day supplies 3,240 Days of Medication total across all patients in 2023
Trazodone Hcl	103	$9.44▼ below WA 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 103 Medicare prescriptions for Trazodone Hcl, about 1.9 times the volume of the typical Washington prescriber of this medication (55). Medicare paid an average of $9.44 per fill, versus $14.86 statewide. How often this provider prescribes it This provider 103 WA average 55.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.44 WA average $14.86 This provider's average cost per fill is below the WA average for this medication. 103 30-Day Fills standardized to 30-day supplies 2,580 Days of Medication total across all patients in 2023
Donepezil Hcl	98	$13.88▼ below WA avg	▲ More 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 98 Medicare prescriptions for Donepezil Hcl, about 2.5 times the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $13.88 per fill, versus $16.21 statewide. How often this provider prescribes it This provider 98 WA average 40.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.88 WA average $16.21 This provider's average cost per fill is below the WA average for this medication. 102 30-Day Fills standardized to 30-day supplies 2,960 Days of Medication total across all patients in 2023
Potassium Chloride	94	$71.05	▲ More than typical
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 94 Medicare prescriptions for Potassium Chloride, about 1.9 times the volume of the typical Washington prescriber of this medication (50). Medicare paid an average of $71.05 per fill, versus $32.62 statewide. How often this provider prescribes it This provider 94 WA average 50.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $71.05 WA average $32.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 94.1 30-Day Fills standardized to 30-day supplies 2,431 Days of Medication total across all patients in 2023
Fentanyl	89	$60.39▼ below WA avg	▲ More than typical
About Fentanyl: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Fentanyl 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. Do not use the patch form of fentanyl 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 potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078) In 2023, this provider wrote 89 Medicare prescriptions for Fentanyl, about 3.4 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $60.39 per fill, versus $119.18 statewide. How often this provider prescribes it This provider 89 WA average 26.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $60.39 WA average $119.18 This provider's average cost per fill is below the WA average for this medication. 89 30-Day Fills standardized to 30-day supplies 1,731 Days of Medication total across all patients in 2023
Famotidine	87	$15.51	▲ More 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 87 Medicare prescriptions for Famotidine, about 2.4 times the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $15.51 per fill, versus $11.59 statewide. How often this provider prescribes it This provider 87 WA average 36.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.51 WA average $11.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 87 30-Day Fills standardized to 30-day supplies 2,467 Days of Medication total across all patients in 2023
Risperidone	79	$14.57▼ below WA avg	▲ More than typical
About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 79 Medicare prescriptions for Risperidone, about 1.9 times the volume of the typical Washington prescriber of this medication (42). Medicare paid an average of $14.57 per fill, versus $15.92 statewide. How often this provider prescribes it This provider 79 WA average 42.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.57 WA average $15.92 This provider's average cost per fill is below the WA average for this medication. 79 30-Day Fills standardized to 30-day supplies 2,289 Days of Medication total across all patients in 2023
Pregabalin	71	$29.39▼ below WA avg	▲ More 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 71 Medicare prescriptions for Pregabalin, about 2.2 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $29.39 per fill, versus $43.37 statewide. How often this provider prescribes it This provider 71 WA average 32.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.39 WA average $43.37 This provider's average cost per fill is below the WA average for this medication. 71 30-Day Fills standardized to 30-day supplies 1,448 Days of Medication total across all patients in 2023
Duloxetine Hcl	70	$60.12	▲ More 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 70 Medicare prescriptions for Duloxetine Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $60.12 per fill, versus $43.16 statewide. How often this provider prescribes it This provider 70 WA average 41.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $60.12 WA average $43.16 Gross Part D cost per fill; not the patient's out-of-pocket price. 70 30-Day Fills standardized to 30-day supplies 2,041 Days of Medication total across all patients in 2023
Tramadol Hcl	70	$12.50	▲ More than 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 70 Medicare prescriptions for Tramadol Hcl, about 1.8 times the volume of the typical Washington prescriber of this medication (39). Medicare paid an average of $12.50 per fill, versus $8.73 statewide. How often this provider prescribes it This provider 70 WA average 39.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.50 WA average $8.73 Gross Part D cost per fill; not the patient's out-of-pocket price. 70 30-Day Fills standardized to 30-day supplies 1,093 Days of Medication total across all patients in 2023
Metformin Hcl	70	$13.36	≈ 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 70 Medicare prescriptions for Metformin Hcl, about the same volume as the typical Washington prescriber of this medication (65). Medicare paid an average of $13.36 per fill, versus $9.35 statewide. How often this provider prescribes it This provider 70 WA average 65.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.36 WA average $9.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 70.1 30-Day Fills standardized to 30-day supplies 1,979 Days of Medication total across all patients in 2023
Diclofenac Sodium	63	$44.26	▲ More 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 63 Medicare prescriptions for Diclofenac Sodium, about 2 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $44.26 per fill, versus $30.37 statewide. How often this provider prescribes it This provider 63 WA average 32.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $44.26 WA average $30.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 65.4 30-Day Fills standardized to 30-day supplies 964 Days of Medication total across all patients in 2023
Fluoxetine Hcl	60	$18.49	▲ More than typical
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 60 Medicare prescriptions for Fluoxetine Hcl, about 1.8 times the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $18.49 per fill, versus $16.95 statewide. How often this provider prescribes it This provider 60 WA average 33.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.49 WA average $16.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 60.1 30-Day Fills standardized to 30-day supplies 1,706 Days of Medication total across all patients in 2023
Oxycodone Hcl	57	$28.20	≈ 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 57 Medicare prescriptions for Oxycodone Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (49). Medicare paid an average of $28.20 per fill, versus $21.32 statewide. How often this provider prescribes it This provider 57 WA average 49.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.20 WA average $21.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 633 Days of Medication total across all patients in 2023
Rosuvastatin Calcium	56	$18.65▼ below WA avg	≈ Typical
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 56 Medicare prescriptions for Rosuvastatin Calcium, about 88% of the volume of the typical Washington prescriber of this medication (64). Medicare paid an average of $18.65 per fill, versus $28.00 statewide. How often this provider prescribes it This provider 56 WA average 64.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.65 WA average $28.00 This provider's average cost per fill is below the WA average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,765 Days of Medication total across all patients in 2023
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	53	$29.85	≈ Typical
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 53 Medicare prescriptions for Hydrocodone-Acetaminophen, about 90% of the volume of the typical Washington prescriber of this medication (59). Medicare paid an average of $29.85 per fill, versus $20.88 statewide. How often this provider prescribes it This provider 53 WA average 59.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.85 WA average $20.88 Gross Part D cost per fill; not the patient's out-of-pocket price. 53 30-Day Fills standardized to 30-day supplies 1,226 Days of Medication total across all patients in 2023
ClopidogrelClopidogrel Bisulfate	49	$22.84	▲ More than typical
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 49 Medicare prescriptions for Clopidogrel, about 1.3 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $22.84 per fill, versus $17.90 statewide. How often this provider prescribes it This provider 49 WA average 38.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.84 WA average $17.90 Gross Part D cost per fill; not the patient's out-of-pocket price. 49 30-Day Fills standardized to 30-day supplies 1,444 Days of Medication total across all patients in 2023
Metoprolol Tartrate	47	$5.96▼ below WA avg	≈ 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 47 Medicare prescriptions for Metoprolol Tartrate, about the same volume as the typical Washington prescriber of this medication (45). Medicare paid an average of $5.96 per fill, versus $9.70 statewide. How often this provider prescribes it This provider 47 WA average 45.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.96 WA average $9.70 This provider's average cost per fill is below the WA average for this medication. 47 30-Day Fills standardized to 30-day supplies 1,345 Days of Medication total across all patients in 2023
Spironolactone	46	$11.27▼ below WA avg	▲ More 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 46 Medicare prescriptions for Spironolactone, about 1.3 times the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $11.27 per fill, versus $14.47 statewide. How often this provider prescribes it This provider 46 WA average 36.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.27 WA average $14.47 This provider's average cost per fill is below the WA average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,418 Days of Medication total across all patients in 2023
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid	46	$6.13▼ below WA avg	▲ More than typical
About Triamterene-Hydrochlorothiazid: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two water pills (diuretics): triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. In 2023, this provider wrote 46 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about 1.8 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $6.13 per fill, versus $13.55 statewide. How often this provider prescribes it This provider 46 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.13 WA average $13.55 This provider's average cost per fill is below the WA average for this medication. 46 30-Day Fills standardized to 30-day supplies 1,357 Days of Medication total across all patients in 2023
Citalopram HbrCitalopram Hydrobromide	46	$10.31	▲ More 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 46 Medicare prescriptions for Citalopram Hbr, about 1.3 times the volume of the typical Washington prescriber of this medication (35). Medicare paid an average of $10.31 per fill, versus $10.17 statewide. How often this provider prescribes it This provider 46 WA average 35.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.31 WA average $10.17 Gross Part D cost per fill; not the patient's out-of-pocket price. 46 30-Day Fills standardized to 30-day supplies 1,232 Days of Medication total across all patients in 2023
Finasteride	44	$7.04▼ below WA avg	≈ 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 44 Medicare prescriptions for Finasteride, about the same volume as the typical Washington prescriber of this medication (41). Medicare paid an average of $7.04 per fill, versus $17.70 statewide. How often this provider prescribes it This provider 44 WA average 41.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.04 WA average $17.70 This provider's average cost per fill is below the WA average for this medication. 44 30-Day Fills standardized to 30-day supplies 1,279 Days of Medication total across all patients in 2023
Allopurinol	40	$16.77▼ below WA avg	≈ Typical
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 40 Medicare prescriptions for Allopurinol, about the same volume as the typical Washington prescriber of this medication (38). Medicare paid an average of $16.77 per fill, versus $18.63 statewide. How often this provider prescribes it This provider 40 WA average 38.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.77 WA average $18.63 This provider's average cost per fill is below the WA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,232 Days of Medication total across all patients in 2023
Nystatin	40	$22.20▼ below WA avg	▲ More than typical
About Nystatin: Nystatin is used to treat fungal skin infections. Show more ▾ Nystatin is an antifungal that works by stopping the growth of fungus. Macrolide antifungal antibiotic complex produced by Streptomyces noursei, S. aureus, and other Streptomyces species. The biologically active components of the complex are nystatin A1, A2, and A3. In 2023, this provider wrote 40 Medicare prescriptions for Nystatin, about 1.9 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $22.20 per fill, versus $26.24 statewide. How often this provider prescribes it This provider 40 WA average 21.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.20 WA average $26.24 This provider's average cost per fill is below the WA average for this medication. 40 30-Day Fills standardized to 30-day supplies 419 Days of Medication total across all patients in 2023
Divalproex Sodium	38	$85.00	≈ Typical
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 38 Medicare prescriptions for Divalproex Sodium, about the same volume as the typical Washington prescriber of this medication (40). Medicare paid an average of $85.00 per fill, versus $53.59 statewide. How often this provider prescribes it This provider 38 WA average 40.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $85.00 WA average $53.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 1,221 Days of Medication total across all patients in 2023
Lorazepam	38	$12.64	≈ 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 38 Medicare prescriptions for Lorazepam, about the same volume as the typical Washington prescriber of this medication (34). Medicare paid an average of $12.64 per fill, versus $7.61 statewide. How often this provider prescribes it This provider 38 WA average 34.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.64 WA average $7.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 38 30-Day Fills standardized to 30-day supplies 520 Days of Medication total across all patients in 2023
Latanoprost	37	$31.60	▼ Less than typical
About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾ It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA. In 2023, this provider wrote 37 Medicare prescriptions for Latanoprost, about a third of the volume of the typical Washington prescriber of this medication (120). Medicare paid an average of $31.60 per fill, versus $24.23 statewide. How often this provider prescribes it This provider 37 WA average 120.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.60 WA average $24.23 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 861 Days of Medication total across all patients in 2023
Atenolol	35	$8.84▼ below WA avg	≈ Typical
About Atenolol: Atenolol 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. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 35 Medicare prescriptions for Atenolol, about the same volume as the typical Washington prescriber of this medication (34). Medicare paid an average of $8.84 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 35 WA average 34.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.84 WA average $10.71 This provider's average cost per fill is below the WA average for this medication. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2023
Doxycycline Hyclate	34	$35.87	▲ More 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 34 Medicare prescriptions for Doxycycline Hyclate, about 1.5 times the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $35.87 per fill, versus $31.31 statewide. How often this provider prescribes it This provider 34 WA average 23.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.87 WA average $31.31 Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 352 Days of Medication total across all patients in 2023
Escitalopram Oxalate	33	$13.43▼ below WA avg	≈ 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 33 Medicare prescriptions for Escitalopram Oxalate, about the same volume as the typical Washington prescriber of this medication (34). Medicare paid an average of $13.43 per fill, versus $16.03 statewide. How often this provider prescribes it This provider 33 WA average 34.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.43 WA average $16.03 This provider's average cost per fill is below the WA average for this medication. 35 30-Day Fills standardized to 30-day supplies 999 Days of Medication total across all patients in 2023
Diltiazem 24hr Er (Cd)Diltiazem Hcl	33	$28.71▼ below WA avg	≈ Typical
About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 33 Medicare prescriptions for Diltiazem 24hr Er (Cd), about 1.2 times the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $28.71 per fill, versus $44.63 statewide. How often this provider prescribes it This provider 33 WA average 27.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.71 WA average $44.63 This provider's average cost per fill is below the WA average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,167 Days of Medication total across all patients in 2023
Morphine Sulfate ErMorphine Sulfate	32	$20.00▼ below WA avg	≈ 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 32 Medicare prescriptions for Morphine Sulfate Er, about 84% of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $20.00 per fill, versus $37.99 statewide. How often this provider prescribes it This provider 32 WA average 38.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.00 WA average $37.99 This provider's average cost per fill is below the WA average for this medication. 32 30-Day Fills standardized to 30-day supplies 597 Days of Medication total across all patients in 2023
Ondansetron Hcl	32	$19.12	≈ 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 32 Medicare prescriptions for Ondansetron Hcl, about the same volume as the typical Washington prescriber of this medication (28). Medicare paid an average of $19.12 per fill, versus $9.34 statewide. How often this provider prescribes it This provider 32 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.12 WA average $9.34 Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 220 Days of Medication total across all patients in 2023
Simvastatin	32	$15.24	▼ Less than typical
About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 32 Medicare prescriptions for Simvastatin, about half the volume of the typical Washington prescriber of this medication (56). Medicare paid an average of $15.24 per fill, versus $8.70 statewide. How often this provider prescribes it This provider 32 WA average 56.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.24 WA average $8.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 954 Days of Medication total across all patients in 2023
Hydrochlorothiazide	30	$7.89	▼ Less than typical
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 30 Medicare prescriptions for Hydrochlorothiazide, about half the volume of the typical Washington prescriber of this medication (57). Medicare paid an average of $7.89 per fill, versus $5.87 statewide. How often this provider prescribes it This provider 30 WA average 57.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.89 WA average $5.87 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 814 Days of Medication total across all patients in 2023
Warfarin Sodium	30	$11.65▼ below WA 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 30 Medicare prescriptions for Warfarin Sodium, about half the volume of the typical Washington prescriber of this medication (59). Medicare paid an average of $11.65 per fill, versus $16.90 statewide. How often this provider prescribes it This provider 30 WA average 59.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.65 WA average $16.90 This provider's average cost per fill is below the WA average for this medication. 30 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2023
Lovastatin	29	$6.15▼ below WA avg	≈ Typical
About Lovastatin: Lovastatin 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 fungal metabolite isolated from cultures of Aspergillus terreus. The compound is a potent anticholesteremic agent. It inhibits 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It also stimulates the production of low-density lipoprotein receptors in the liver. In 2023, this provider wrote 29 Medicare prescriptions for Lovastatin, about the same volume as the typical Washington prescriber of this medication (28). Medicare paid an average of $6.15 per fill, versus $12.09 statewide. How often this provider prescribes it This provider 29 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.15 WA average $12.09 This provider's average cost per fill is below the WA average for this medication. 29 30-Day Fills standardized to 30-day supplies 838 Days of Medication total across all patients in 2023
Triamcinolone Acetonide	29	$12.58	≈ Typical
About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾ Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions. In 2023, this provider wrote 29 Medicare prescriptions for Triamcinolone Acetonide, about the same volume as the typical Washington prescriber of this medication (30). Medicare paid an average of $12.58 per fill, versus $11.41 statewide. How often this provider prescribes it This provider 29 WA average 30.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.58 WA average $11.41 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 346 Days of Medication total across all patients in 2023
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	29	$463.34▼ below WA avg	≈ 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 29 Medicare prescriptions for Lantus Solostar, about the same volume as the typical Washington prescriber of this medication (31). Medicare paid an average of $463.34 per fill, versus $689.25 statewide. How often this provider prescribes it This provider 29 WA average 31.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $463.34 WA average $689.25 This provider's average cost per fill is below the WA average for this medication. 29 30-Day Fills standardized to 30-day supplies 794 Days of Medication total across all patients in 2023
JanuviaSitagliptin Phosphate	29	$510.51▼ below WA avg	≈ Typical
About Januvia: Sitagliptin 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 people 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. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES. In 2023, this provider wrote 29 Medicare prescriptions for Januvia, about 1.2 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $510.51 per fill, versus $981.85 statewide. How often this provider prescribes it This provider 29 WA average 24.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $510.51 WA average $981.85 This provider's average cost per fill is below the WA average for this medication. 29 30-Day Fills standardized to 30-day supplies 758 Days of Medication total across all patients in 2023
Fluticasone Propionate	29	$16.27▼ below WA avg	≈ 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 29 Medicare prescriptions for Fluticasone Propionate, about 85% of the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $16.27 per fill, versus $18.43 statewide. How often this provider prescribes it This provider 29 WA average 34.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.27 WA average $18.43 This provider's average cost per fill is below the WA average for this medication. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
Cephalexin	29	$15.01	≈ Typical
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2023, this provider wrote 29 Medicare prescriptions for Cephalexin, about 1.2 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $15.01 per fill, versus $10.43 statewide. How often this provider prescribes it This provider 29 WA average 25.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.01 WA average $10.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 223 Days of Medication total across all patients in 2023
Ciprofloxacin Hcl	29	$13.88	≈ Typical
About Ciprofloxacin Hcl: This medication is used to treat eye infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2023, this provider wrote 29 Medicare prescriptions for Ciprofloxacin Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $13.88 per fill, versus $8.55 statewide. How often this provider prescribes it This provider 29 WA average 24.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.88 WA average $8.55 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 496 Days of Medication total across all patients in 2023
Pramipexole DihydrochloridePramipexole Di-Hcl	28	$12.09▼ below WA avg	≈ Typical
About Pramipexole Dihydrochloride: Pramipexole is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and can decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 28 Medicare prescriptions for Pramipexole Dihydrochloride, about 1.2 times the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $12.09 per fill, versus $22.28 statewide. How often this provider prescribes it This provider 28 WA average 23.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.09 WA average $22.28 This provider's average cost per fill is below the WA average for this medication. 28 30-Day Fills standardized to 30-day supplies 783 Days of Medication total across all patients in 2023
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip	27	$22.81▼ below WA avg	▲ More than typical
About Clotrimazole-Betamethasone: This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Show more ▾ This product contains 2 medications. Clotrimazole is an azole antifungal that works by preventing the growth of fungus. Betamethasone is a strong corticosteroid that works by reducing the swelling, redness, and itching that occurs in the skin infection. This medication is not recommended for children younger than 17 years or for diaper rash. In 2023, this provider wrote 27 Medicare prescriptions for Clotrimazole-Betamethasone, about 1.3 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $22.81 per fill, versus $31.12 statewide. How often this provider prescribes it This provider 27 WA average 21.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.81 WA average $31.12 This provider's average cost per fill is below the WA average for this medication. 27 30-Day Fills standardized to 30-day supplies 346 Days of Medication total across all patients in 2023
Levetiracetam	25	$29.41▼ below WA avg	▼ 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 25 Medicare prescriptions for Levetiracetam, about half the volume of the typical Washington prescriber of this medication (43). Medicare paid an average of $29.41 per fill, versus $42.08 statewide. How often this provider prescribes it This provider 25 WA average 43.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.41 WA average $42.08 This provider's average cost per fill is below the WA average for this medication. 25 30-Day Fills standardized to 30-day supplies 728 Days of Medication total across all patients in 2023
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst	24	$28.68	≈ Typical
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ 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. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2023, this provider wrote 24 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 1.2 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $28.68 per fill, versus $25.38 statewide. How often this provider prescribes it This provider 24 WA average 20.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.68 WA average $25.38 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 465 Days of Medication total across all patients in 2023
Ketoconazole	24	$30.57	▼ Less than typical
About Ketoconazole: This medication is used to control dandruff. Show more ▾ Use of this medication may help to relieve the flaking, scaling and itching associated with dandruff. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Ketoconazole 2% shampoo is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients. In 2023, this provider wrote 24 Medicare prescriptions for Ketoconazole, about 71% of the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $30.57 per fill, versus $26.05 statewide. How often this provider prescribes it This provider 24 WA average 34.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.57 WA average $26.05 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 526 Days of Medication total across all patients in 2023
Baclofen	24	$27.20▼ below WA avg	≈ Typical
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2023, this provider wrote 24 Medicare prescriptions for Baclofen, about 77% of the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $27.20 per fill, versus $33.36 statewide. How often this provider prescribes it This provider 24 WA average 31.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.20 WA average $33.36 This provider's average cost per fill is below the WA average for this medication. 24 30-Day Fills standardized to 30-day supplies 573 Days of Medication total across all patients in 2023
Pantoprazole Sodium	22	$9.40▼ below WA avg	▼ Less than typical
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 22 Medicare prescriptions for Pantoprazole Sodium, about half the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $9.40 per fill, versus $18.43 statewide. How often this provider prescribes it This provider 22 WA average 45.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.40 WA average $18.43 This provider's average cost per fill is below the WA average for this medication. 26 30-Day Fills standardized to 30-day supplies 732 Days of Medication total across all patients in 2023
Buspirone Hcl	21	$8.61▼ below WA 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 21 Medicare prescriptions for Buspirone Hcl, about 66% of the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $8.61 per fill, versus $22.14 statewide. How often this provider prescribes it This provider 21 WA average 32.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.61 WA average $22.14 This provider's average cost per fill is below the WA average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023
Amoxicillin	20	$6.45	▼ Less than typical
About Amoxicillin: Amoxicillin is used to treat a wide variety of bacterial infections. Show more ▾ This medication is a penicillin-type 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. Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. A broad-spectrum semisynthetic antibiotic similar to AMPICILLIN except that its resistance to gastric acid permits higher serum levels with oral administration. In 2023, this provider wrote 20 Medicare prescriptions for Amoxicillin, about 67% of the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $6.45 per fill, versus $4.48 statewide. How often this provider prescribes it This provider 20 WA average 30.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.45 WA average $4.48 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 138 Days of Medication total across all patients in 2023
PremarinEstrogens, Conjugated	20	$241.95▼ below WA avg	≈ Typical
About Premarin: This medication is a female hormone. Show more ▾ It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. Certain estrogen products may also be used by men and women to treat cancers (certain types of prostate cancer, breast cancer that has spread to other parts of the body) and by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). A pharmaceutical preparation containing a mixture of water-soluble, conjugated estrogens derived wholly or in part from URINE of pregnant mares or synthetically from ESTRONE and EQUILIN. It contains a sodium-salt mixture of estrone sulfate (52-62%) and equilin sulfate (22-30%) with a total of the two between 80-88%. Other concomitant conjugates include 17-alpha-dihydroequilin, 17-alpha-estradiol, and 17-beta-dihydroequilin. The potency of the preparation is expressed in terms of an equivalent quantity of sodium estrone sulfate. In 2023, this provider wrote 20 Medicare prescriptions for Premarin, about 1.3 times the volume of the typical Washington prescriber of this medication (16). Medicare paid an average of $241.95 per fill, versus $390.52 statewide. How often this provider prescribes it This provider 20 WA average 16.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $241.95 WA average $390.52 This provider's average cost per fill is below the WA average for this medication. 34 30-Day Fills standardized to 30-day supplies 983 Days of Medication total across all patients in 2023
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat	20	$50.05	▼ Less than typical
About Dorzolamide-Timolol: This product contains two drugs used to treat high pressure inside the eye due to glaucoma (open angle-type) or other eye diseases (such as ocular hypertension). Show more ▾ Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. Timolol belongs to a class of drugs known as beta-blockers, and dorzolamide belongs to a class of drugs known as carbonic anhydrase inhibitors. In 2023, this provider wrote 20 Medicare prescriptions for Dorzolamide-Timolol, about a third of the volume of the typical Washington prescriber of this medication (68). Medicare paid an average of $50.05 per fill, versus $33.25 statewide. How often this provider prescribes it This provider 20 WA average 68.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.05 WA average $33.25 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 855 Days of Medication total across all patients in 2023
Pravastatin Sodium	20	$25.96	▼ Less than typical
About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 20 Medicare prescriptions for Pravastatin Sodium, about half the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $25.96 per fill, versus $18.36 statewide. How often this provider prescribes it This provider 20 WA average 38.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.96 WA average $18.36 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 598 Days of Medication total across all patients in 2023
Lansoprazole	19	$72.12	≈ Typical
About Lansoprazole: Lansoprazole 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. Lansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter lansoprazole 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. Lansoprazole is not recommended for use in children younger than 1 year due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. A 2,2,2-trifluoroethoxypyridyl derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. Lansoprazole is a racemic mixture of (R)- and (S)-isomers. In 2023, this provider wrote 19 Medicare prescriptions for Lansoprazole, about the same volume as the typical Washington prescriber of this medication (17). Medicare paid an average of $72.12 per fill, versus $67.76 statewide. How often this provider prescribes it This provider 19 WA average 17.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $72.12 WA average $67.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023
Albuterol Sulfate HfaAlbuterol Sulfate	19	$40.80▼ below WA avg	▼ Less than typical
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2023, this provider wrote 19 Medicare prescriptions for Albuterol Sulfate Hfa, about half the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $40.80 per fill, versus $47.79 statewide. How often this provider prescribes it This provider 19 WA average 45.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $40.80 WA average $47.79 This provider's average cost per fill is below the WA average for this medication. 25.7 30-Day Fills standardized to 30-day supplies 568 Days of Medication total across all patients in 2023
Ramipril	18	$13.85	▼ Less than typical
About Ramipril: Ramipril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Ramipril is also used to improve survival after a heart attack. It may also be used in high risk patients (such as patients with heart disease/diabetes) to help prevent heart attacks and strokes. This medication may also be used to treat heart failure in patients who have had a recent heart attack. Ramipril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. A long-acting angiotensin-converting enzyme inhibitor. It is a prodrug that is transformed in the liver to its active metabolite ramiprilat. In 2023, this provider wrote 18 Medicare prescriptions for Ramipril, about 69% of the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $13.85 per fill, versus $13.18 statewide. How often this provider prescribes it This provider 18 WA average 26.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.85 WA average $13.18 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023
Travoprost	17	$154.32▼ below WA avg	▼ Less than typical
About Travoprost: Travoprost is used to treat high pressure inside the eye due to glaucoma (open-angle type) or other eye diseases (such as ocular hypertension). Show more ▾ Lowering high pressure inside the eye can help prevent blindness. This medication works by regulating the flow of fluid within the eye to maintain a normal pressure. A cloprostenol derivative that is used as an ANTIHYPERTENSIVE AGENT in the treatment of OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION. In 2023, this provider wrote 17 Medicare prescriptions for Travoprost, about 61% of the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $154.32 per fill, versus $208.38 statewide. How often this provider prescribes it This provider 17 WA average 28.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $154.32 WA average $208.38 This provider's average cost per fill is below the WA average for this medication. 17 30-Day Fills standardized to 30-day supplies 421 Days of Medication total across all patients in 2023
Glimepiride	17	$15.63	▼ Less than typical
About Glimepiride: Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. 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. Glimepiride belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. Alkaloids derived from TYRAMINE combined with 3,4-dihydroxybenzaldehyde via a norbelladine pathway, including GALANTAMINE, lycorine and crinine. They are found in the AMARYLLIDACEAE plant family. In 2023, this provider wrote 17 Medicare prescriptions for Glimepiride, about half the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $15.63 per fill, versus $12.10 statewide. How often this provider prescribes it This provider 17 WA average 29.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.63 WA average $12.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 463 Days of Medication total across all patients in 2023
Benazepril Hcl	17	$15.95	≈ Typical
About Benazepril Hcl: Benazepril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Benazepril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. In 2023, this provider wrote 17 Medicare prescriptions for Benazepril Hcl, about 89% of the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $15.95 per fill, versus $14.20 statewide. How often this provider prescribes it This provider 17 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.95 WA average $14.20 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023
Terazosin Hcl	17	$48.84	≈ Typical
About Terazosin Hcl: Terazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Terazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Terazosin belongs to a class of drugs known as alpha blockers. In 2023, this provider wrote 17 Medicare prescriptions for Terazosin Hcl, about 81% of the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $48.84 per fill, versus $33.94 statewide. How often this provider prescribes it This provider 17 WA average 21.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $48.84 WA average $33.94 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 498 Days of Medication total across all patients in 2023
RivastigmineRivastigmine Tartrate	16	$47.68▼ below WA avg	▼ Less than typical
About Rivastigmine: Rivastigmine is used to treat confusion (dementia) related to Alzheimer's disease and to Parkinson's disease. Show more ▾ Rivastigmine does not cure either of these diseases, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by restoring the balance of natural substances (neurotransmitters) in the brain. A carbamate-derived reversible CHOLINESTERASE INHIBITOR that is selective for the CENTRAL NERVOUS SYSTEM and is used for the treatment of DEMENTIA in ALZHEIMER DISEASE and PARKINSON DISEASE. In 2023, this provider wrote 16 Medicare prescriptions for Rivastigmine, about 70% of the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $47.68 per fill, versus $267.48 statewide. How often this provider prescribes it This provider 16 WA average 23.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $47.68 WA average $267.48 This provider's average cost per fill is below the WA average for this medication. 16 30-Day Fills standardized to 30-day supplies 452 Days of Medication total across all patients in 2023
Bupropion XlBupropion Hcl	16	$11.93▼ below WA avg	▼ Less than typical
About Bupropion Xl: 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 16 Medicare prescriptions for Bupropion Xl, about half the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $11.93 per fill, versus $41.14 statewide. How often this provider prescribes it This provider 16 WA average 30.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.93 WA average $41.14 This provider's average cost per fill is below the WA average for this medication. 16 30-Day Fills standardized to 30-day supplies 293 Days of Medication total across all patients in 2023
Carbidopa-LevodopaCarbidopa/Levodopa	15	$23.14▼ below WA avg	▼ Less than typical
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 15 Medicare prescriptions for Carbidopa-Levodopa, about a quarter of the volume of the typical Washington prescriber of this medication (59). Medicare paid an average of $23.14 per fill, versus $58.96 statewide. How often this provider prescribes it This provider 15 WA average 59.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.14 WA average $58.96 This provider's average cost per fill is below the WA average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023
NystopNystatin	15	$23.34▼ below WA avg	≈ Typical
About Nystop: Nystatin is used to treat fungal skin infections. Show more ▾ Nystatin is an antifungal that works by stopping the growth of fungus. Macrolide antifungal antibiotic complex produced by Streptomyces noursei, S. aureus, and other Streptomyces species. The biologically active components of the complex are nystatin A1, A2, and A3. In 2023, this provider wrote 15 Medicare prescriptions for Nystop, about the same volume as the typical Washington prescriber of this medication (16). Medicare paid an average of $23.34 per fill, versus $37.63 statewide. How often this provider prescribes it This provider 15 WA average 16.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.34 WA average $37.63 This provider's average cost per fill is below the WA average for this medication. 15 30-Day Fills standardized to 30-day supplies 154 Days of Medication total across all patients in 2023
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	15	$9.15	▼ 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 71% of the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $9.15 per fill, versus $6.79 statewide. How often this provider prescribes it This provider 15 WA average 21.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.15 WA average $6.79 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 244 Days of Medication total across all patients in 2023
Amiodarone Hcl	14	$14.97▼ below WA avg	▼ Less than typical
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. In 2023, this provider wrote 14 Medicare prescriptions for Amiodarone Hcl, about half the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $14.97 per fill, versus $31.45 statewide. How often this provider prescribes it This provider 14 WA average 30.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.97 WA average $31.45 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 373 Days of Medication total across all patients in 2023
CombiganBrimonidine Tartrate/Timolol	14	$215.14▼ below WA avg	▼ Less than typical
About Combigan: This combination medication is used to treat high pressure inside the eye due to glaucoma (open-angle type) or other eye diseases (such as ocular hypertension). Show more ▾ Lowering high pressure inside the eye helps to prevent blindness. This product contains brimonidine and timolol. These medications are used together when 1 drug is not controlling the pressure inside the eye. Brimonidine works by allowing better fluid drainage from within the eye and also by decreasing the amount of fluid formed in the eye. It belongs to a class of drugs known as alpha agonists. Timolol is thought to work by decreasing the amount of fluid formed in the eye. Timolol belongs to a class of drugs known as beta blockers. This medication is not recommended for use in children less than 2 years old due to an increased risk of serious side effects. Ask the doctor or pharmacist for more details. A pharmaceutical preparation of brimonidine tartrate and timolol maleate. The combined ADRENERGIC ALPHA2 RECEPTOR AGONIST and ADRENERGIC BETA-ANTAGONIST activity of these drugs reduce INTRAOCULAR PRESSURE in GLAUCOMA patients. In 2023, this provider wrote 14 Medicare prescriptions for Combigan, about half the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $215.14 per fill, versus $372.18 statewide. How often this provider prescribes it This provider 14 WA average 28.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $215.14 WA average $372.18 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 287 Days of Medication total across all patients in 2023
Indapamide	14	$19.08▼ below WA avg	▼ Less than typical
About Indapamide: This medication is used to treat high blood pressure. Show more ▾ Indapamide is also used to reduce extra fluid in the body (edema) caused by heart failure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Indapamide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A benzamide-sulfonamide-indole derived DIURETIC that functions by inhibiting SODIUM CHLORIDE SYMPORTERS. In 2023, this provider wrote 14 Medicare prescriptions for Indapamide, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $19.08 per fill, versus $24.10 statewide. How often this provider prescribes it This provider 14 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.08 WA average $24.10 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 204 Days of Medication total across all patients in 2023
Mycophenolate Mofetil	13	$13.32▼ below WA avg	▼ Less than typical
About Mycophenolate Mofetil: Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart). Show more ▾ It belongs to a class of medications called immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own. Compound derived from Penicillium stoloniferum and related species. It blocks de novo biosynthesis of purine nucleotides by inhibition of the enzyme inosine monophosphate dehydrogenase (IMP DEHYDROGENASE). Mycophenolic acid exerts selective effects on the immune system in which it prevents the proliferation of T-CELLS, LYMPHOCYTES, and the formation of antibodies from B-CELLS. It may also inhibit recruitment of LEUKOCYTES to sites of INFLAMMATION. In 2023, this provider wrote 13 Medicare prescriptions for Mycophenolate Mofetil, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $13.32 per fill, versus $157.53 statewide. How often this provider prescribes it This provider 13 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.32 WA average $157.53 This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023
Diltiazem 24hr ErDiltiazem Hcl	13	$9.04▼ below WA avg	≈ Typical
About Diltiazem 24hr Er: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 13 Medicare prescriptions for Diltiazem 24hr Er, about 76% of the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $9.04 per fill, versus $42.57 statewide. How often this provider prescribes it This provider 13 WA average 17.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.04 WA average $42.57 This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023
Digoxin	13	$41.79	▼ Less than typical
About Digoxin: Digoxin is used to treat heart failure, usually along with other medications. Show more ▾ It is also used to treat certain types of irregular heartbeat (such as chronic atrial fibrillation). Treating heart failure may help maintain your ability to walk and exercise and may improve the strength of your heart. Treating an irregular heartbeat can also improve your ability to exercise. Digoxin belongs to a class of medications called cardiac glycosides. It works by affecting certain minerals (sodium and potassium) inside heart cells. This reduces strain on the heart and helps it maintain a normal, steady, and strong heartbeat. A cardiotonic glycoside obtained mainly from Digitalis lanata; it consists of three sugars and the aglycone DIGOXIGENIN. Digoxin has positive inotropic and negative chronotropic activity. It is used to control ventricular rate in ATRIAL FIBRILLATION and in the management of congestive heart failure with atrial fibrillation. Its use in congestive heart failure and sinus rhythm is less certain. The margin between toxic and therapeutic doses is small. (From Martindale, The Extra Pharmacopoeia, 30th ed, p666) In 2023, this provider wrote 13 Medicare prescriptions for Digoxin, about half the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $41.79 per fill, versus $37.43 statewide. How often this provider prescribes it This provider 13 WA average 27.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $41.79 WA average $37.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 388 Days of Medication total across all patients in 2023
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	13	$21.56	▼ Less than typical
About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾ 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 fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate. In 2023, this provider wrote 13 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about 65% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $21.56 per fill, versus $15.72 statewide. How often this provider prescribes it This provider 13 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.56 WA average $15.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 104 Days of Medication total across all patients in 2023
Mupirocin	13	$15.59	▼ Less than typical
About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾ It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing. In 2023, this provider wrote 13 Medicare prescriptions for Mupirocin, about half the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $15.59 per fill, versus $12.22 statewide. How often this provider prescribes it This provider 13 WA average 24.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.59 WA average $12.22 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 150 Days of Medication total across all patients in 2023
Nortriptyline Hcl	12	$15.94▼ below WA avg	▼ Less than typical
About Nortriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain. In 2023, this provider wrote 12 Medicare prescriptions for Nortriptyline Hcl, about 60% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $15.94 per fill, versus $19.78 statewide. How often this provider prescribes it This provider 12 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.94 WA average $19.78 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Liothyronine Sodium	12	$14.59▼ below WA avg	▼ Less than typical
About Liothyronine Sodium: Liothyronine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally made by the thyroid gland. Liothyronine is a man-made form of thyroid hormone. 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 helps you stay healthy. For children, having enough thyroid hormone helps them grow and learn normally. This medication is also used to treat other types of thyroid problems (such as certain types of goiters, thyroid cancer). It can also be used to test for certain types of thyroid disease. This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. A T3 thyroid hormone normally synthesized and secreted by the thyroid gland in much smaller quantities than thyroxine (T4). Most T3 is derived from peripheral monodeiodination of T4 at the 5' position of the outer ring of the iodothyronine nucleus. The hormone finally delivered and used by the tissues is mainly T3. In 2023, this provider wrote 12 Medicare prescriptions for Liothyronine Sodium, about half the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $14.59 per fill, versus $61.23 statewide. How often this provider prescribes it This provider 12 WA average 28.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.59 WA average $61.23 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Spiriva HandihalerTiotropium Bromide	12	$544.96▼ below WA avg	▼ Less than typical
About Spiriva Handihaler: Tiotropium is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾ It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Tiotropium belongs to a class of drugs known as anticholinergics. Controlling symptoms of breathing problems can decrease time lost from work or school. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If wheezing or sudden shortness of breath occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A scopolamine derivative and CHOLINERGIC ANTAGONIST that functions as a BRONCHODILATOR AGENT. It is used in the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In 2023, this provider wrote 12 Medicare prescriptions for Spiriva Handihaler, about half the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $544.96 per fill, versus $771.04 statewide. How often this provider prescribes it This provider 12 WA average 24.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $544.96 WA average $771.04 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Bupropion Hcl	12	$19.85▼ below WA avg	▼ Less than typical
About Bupropion Hcl: 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 12 Medicare prescriptions for Bupropion Hcl, about 71% of the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $19.85 per fill, versus $30.29 statewide. How often this provider prescribes it This provider 12 WA average 17.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.85 WA average $30.29 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Bumetanide	12	$28.45▼ below WA avg	▼ Less than typical
About Bumetanide: Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic. In 2023, this provider wrote 12 Medicare prescriptions for Bumetanide, about half the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $28.45 per fill, versus $70.99 statewide. How often this provider prescribes it This provider 12 WA average 23.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.45 WA average $70.99 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Prednisone	12	$11.54	▼ Less than typical
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2023, this provider wrote 12 Medicare prescriptions for Prednisone, about a third of the volume of the typical Washington prescriber of this medication (37). Medicare paid an average of $11.54 per fill, versus $8.30 statewide. How often this provider prescribes it This provider 12 WA average 37.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.54 WA average $8.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 296 Days of Medication total across all patients in 2023
Midodrine Hcl	12	$71.84▼ below WA 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 12 Medicare prescriptions for Midodrine Hcl, about 60% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $71.84 per fill, versus $83.84 statewide. How often this provider prescribes it This provider 12 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $71.84 WA average $83.84 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 357 Days of Medication total across all patients in 2023
Ciclopirox	12	$23.40▼ below WA avg	▼ Less than typical
About Ciclopirox: This medication is used to treat fungal infections of the fingernails and toenails. Show more ▾ It is used as part of a treatment program that may include the removal of unattached, infected nails by a health care professional. Ciclopirox works by stopping the growth of fungus. A cyclohexane and pyridinone derivative that is used for the treatment of fungal infections of the skin and nails, and for treatment of VAGINAL YEAST INFECTIONS. In 2023, this provider wrote 12 Medicare prescriptions for Ciclopirox, about half the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $23.40 per fill, versus $35.34 statewide. How often this provider prescribes it This provider 12 WA average 22.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.40 WA average $35.34 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Nifedipine ErNifedipine	12	$52.70▼ below WA avg	▼ Less than typical
About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾ It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2023, this provider wrote 12 Medicare prescriptions for Nifedipine Er, about 60% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $52.70 per fill, versus $53.06 statewide. How often this provider prescribes it This provider 12 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $52.70 WA average $53.06 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 354 Days of Medication total across all patients in 2023
Bisoprolol-HydrochlorothiazideBisoprolol/Hydrochlorothiazide	11	$20.51▼ below WA avg	▼ Less than typical
About Bisoprolol-Hydrochlorothiazide: This combination medication is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications. Bisoprolol is a beta blocker that works by blocking the effect of certain natural chemicals (such as epinephrine) on the heart and blood vessels. This slows your heartbeat, lowers blood pressure, and reduces strain on the heart. Hydrochlorothiazide is a water pill (diuretic) that works by increasing the amount of urine that you make. This causes your body to get rid of extra salt and water, which probably helps to relax the blood vessels so that blood can flow more easily. These two drugs are used together when one medication is not controlling your blood pressure. Using these two drugs together can also reduce the amount of each drug you must take, thereby decreasing the chances of side effects. In 2023, this provider wrote 11 Medicare prescriptions for Bisoprolol-Hydrochlorothiazide, about half the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $20.51 per fill, versus $47.27 statewide. How often this provider prescribes it This provider 11 WA average 19.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.51 WA average $47.27 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 317 Days of Medication total across all patients in 2023
Divalproex Sodium ErDivalproex Sodium	11	$18.37▼ below WA avg	▼ Less than typical
About Divalproex Sodium Er: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 11 Medicare prescriptions for Divalproex Sodium Er, about a third of the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $18.37 per fill, versus $90.71 statewide. How often this provider prescribes it This provider 11 WA average 31.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.37 WA average $90.71 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
SymbicortBudesonide/Formoterol Fumarate	11	$415.18▼ below WA avg	▼ Less than typical
About Symbicort: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾ It contains 2 medications: budesonide and formoterol. Budesonide belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Formoterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as formoterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. Before using this medication, it is important to learn how to use it properly. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. See also How to Use section. A pharmaceutical preparation of budesonide and formoterol fumarate that is used as an ANTI-ASTHMATIC AGENT and for the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In 2023, this provider wrote 11 Medicare prescriptions for Symbicort, about a third of the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $415.18 per fill, versus $518.32 statewide. How often this provider prescribes it This provider 11 WA average 29.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $415.18 WA average $518.32 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Azelastine Hcl	11	$45.72	▼ Less than typical
About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾ Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms. In 2023, this provider wrote 11 Medicare prescriptions for Azelastine Hcl, about a third of the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $45.72 per fill, versus $38.72 statewide. How often this provider prescribes it This provider 11 WA average 27.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $45.72 WA average $38.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 520 Days of Medication total across all patients in 2023
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	11	$57.89	▼ Less than typical
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 11 Medicare prescriptions for Oxycodone-Acetaminophen, about a quarter of the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $57.89 per fill, versus $27.67 statewide. How often this provider prescribes it This provider 11 WA average 40.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $57.89 WA average $27.67 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
Cefadroxil	11	$83.95	▼ Less than typical
About Cefadroxil: This medication is used to treat a wide variety of bacterial infections. Show more ▾ It belongs to a class of drugs known as cephalosporin antibiotics. 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. Long-acting, broad-spectrum, water-soluble, CEPHALEXIN derivative. In 2023, this provider wrote 11 Medicare prescriptions for Cefadroxil, about half the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $83.95 per fill, versus $15.46 statewide. How often this provider prescribes it This provider 11 WA average 26.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $83.95 WA average $15.46 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 308 Days of Medication total across all patients in 2023
Alphagan PBrimonidine Tartrate	11	$202.08▼ below WA avg	▼ Less than typical
About Alphagan P: This medication is used to treat open-angle glaucoma or high fluid pressure in the eye. Show more ▾ Lowering high fluid pressure in the eye reduces the risk of vision loss, nerve damage, or blindness. This medication lowers pressure by allowing better fluid drainage from within the eye and also by reducing the amount of fluid formed in the eye. It is known as an alpha agonist. This drug is not recommended for use in children less than 2 years of age due to an increased risk of serious side effects such as very slowed breathing. Ask the doctor or pharmacist for details. A quinoxaline derivative and ADRENERGIC ALHPA-2 RECEPTOR AGONIST that is used to manage INTRAOCULAR PRESSURE associated with OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION. In 2023, this provider wrote 11 Medicare prescriptions for Alphagan P, about a third of the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $202.08 per fill, versus $401.95 statewide. How often this provider prescribes it This provider 11 WA average 27.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $202.08 WA average $401.95 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 298 Days of Medication total across all patients in 2023

No medications match the current filters.

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

About this data. The prescription history for ROBIN H FONTANA ARNP 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 Gerontology prescribing approach at this Mercer Island, WA 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 WA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.