ANN GIRLIE RIVERA TKACZYK NP-C
Prescription History 1073756821
Nurse Practitioner - Family in Nashua, NH
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ANN GIRLIE RIVERA TKACZYK NP-C, an active Family specialist practicing in Nashua, NH. Our medical registry currently tracks 66 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,876 documented patient claims. Among these therapy options, the most frequently utilized medication is Levothyroxine Sodium, which accounts for 170 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other NH PrescribersVs. NH Avg |
|---|---|---|---|
| Levothyroxine Sodium | 170 | $13.11 | ▲ 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 2024, this provider wrote 170 Medicare prescriptions for Levothyroxine Sodium, about 1.4 times the volume of the typical New Hampshire prescriber of this medication (123.1). Medicare paid an average of $13.11 per fill, versus $10.13 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 170 30-Day Fills standardized to 30-day supplies 3,830 Days of Medication total across all patients in 2024 | |||
| Atorvastatin Calcium | 161 | $8.36▼ below NH 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 2024, this provider wrote 161 Medicare prescriptions for Atorvastatin Calcium, about the same volume as the typical New Hampshire prescriber of this medication (168.7). Medicare paid an average of $8.36 per fill, versus $9.41 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 161.4 30-Day Fills standardized to 30-day supplies 2,067 Days of Medication total across all patients in 2024 | |||
| Trazodone Hcl | 160 | $8.88▼ below NH avg | ▲ More than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309) In 2024, this provider wrote 160 Medicare prescriptions for Trazodone Hcl, about 2.6 times the volume of the typical New Hampshire prescriber of this medication (61.8). Medicare paid an average of $8.88 per fill, versus $9.16 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 164 30-Day Fills standardized to 30-day supplies 2,590 Days of Medication total across all patients in 2024 | |||
| Furosemide | 135 | $8.11 | ▲ 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 2024, this provider wrote 135 Medicare prescriptions for Furosemide, about 2.1 times the volume of the typical New Hampshire prescriber of this medication (63.3). Medicare paid an average of $8.11 per fill, versus $5.26 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 139 30-Day Fills standardized to 30-day supplies 2,896 Days of Medication total across all patients in 2024 | |||
| Mirtazapine | 128 | $14.64▼ below NH avg | ▲ More than typical |
About Mirtazapine: This medication is used to treat depression. Show more ▾ Mirtazapine works by helping to restore the balance of certain natural substances 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 2024, this provider wrote 128 Medicare prescriptions for Mirtazapine, about 3.1 times the volume of the typical New Hampshire prescriber of this medication (41.8). Medicare paid an average of $14.64 per fill, versus $21.22 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 128 30-Day Fills standardized to 30-day supplies 2,390 Days of Medication total across all patients in 2024 | |||
| Levetiracetam | 119 | $13.77▼ below NH avg | ▲ More 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 2024, this provider wrote 119 Medicare prescriptions for Levetiracetam, about 2.6 times the volume of the typical New Hampshire prescriber of this medication (45.1). Medicare paid an average of $13.77 per fill, versus $34.01 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 121.4 30-Day Fills standardized to 30-day supplies 1,301 Days of Medication total across all patients in 2024 | |||
| Potassium Chloride | 115 | $33.34 | ▲ 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 2024, this provider wrote 115 Medicare prescriptions for Potassium Chloride, about 2.8 times the volume of the typical New Hampshire prescriber of this medication (41.3). Medicare paid an average of $33.34 per fill, versus $24.29 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 121 30-Day Fills standardized to 30-day supplies 2,586 Days of Medication total across all patients in 2024 | |||
| Amlodipine Besylate | 91 | $7.06 | ≈ 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 2024, this provider wrote 91 Medicare prescriptions for Amlodipine Besylate, about 83% of the volume of the typical New Hampshire prescriber of this medication (110.1). Medicare paid an average of $7.06 per fill, versus $6.26 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 91 30-Day Fills standardized to 30-day supplies 1,444 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 90 | $11.09▼ below NH avg | ≈ 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 2024, this provider wrote 90 Medicare prescriptions for Gabapentin, about 1.2 times the volume of the typical New Hampshire prescriber of this medication (72.5). Medicare paid an average of $11.09 per fill, versus $17.01 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 90.4 30-Day Fills standardized to 30-day supplies 1,557 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 83 | $10.65 | ▲ More than typical |
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 83 Medicare prescriptions for Sertraline Hcl, about 1.4 times the volume of the typical New Hampshire prescriber of this medication (58.7). Medicare paid an average of $10.65 per fill, versus $9.25 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 85 30-Day Fills standardized to 30-day supplies 2,093 Days of Medication total across all patients in 2024 | |||
| Pregabalin | 83 | $36.31▼ below NH 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 2024, this provider wrote 83 Medicare prescriptions for Pregabalin, about 2.5 times the volume of the typical New Hampshire prescriber of this medication (33.7). Medicare paid an average of $36.31 per fill, versus $36.97 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 83 30-Day Fills standardized to 30-day supplies 2,265 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 80 | $4.72▼ below NH avg | ▲ More than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 2024, this provider wrote 80 Medicare prescriptions for Quetiapine Fumarate, about 1.6 times the volume of the typical New Hampshire prescriber of this medication (51.5). Medicare paid an average of $4.72 per fill, versus $18.79 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 80 30-Day Fills standardized to 30-day supplies 868 Days of Medication total across all patients in 2024 | |||
| Warfarin Sodium | 73 | $4.93▼ below NH avg | ▲ More 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 2024, this provider wrote 73 Medicare prescriptions for Warfarin Sodium, about 1.7 times the volume of the typical New Hampshire prescriber of this medication (43.2). Medicare paid an average of $4.93 per fill, versus $8.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 73 30-Day Fills standardized to 30-day supplies 774 Days of Medication total across all patients in 2024 | |||
| Allopurinol | 72 | $6.02▼ below NH avg | ▲ More than 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 2024, this provider wrote 72 Medicare prescriptions for Allopurinol, about 1.8 times the volume of the typical New Hampshire prescriber of this medication (40.2). Medicare paid an average of $6.02 per fill, versus $9.38 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 72 30-Day Fills standardized to 30-day supplies 903 Days of Medication total across all patients in 2024 | |||
| Famotidine | 62 | $5.42▼ below NH avg | ▲ 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 2024, this provider wrote 62 Medicare prescriptions for Famotidine, about 1.5 times the volume of the typical New Hampshire prescriber of this medication (42.3). Medicare paid an average of $5.42 per fill, versus $13.41 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 62 30-Day Fills standardized to 30-day supplies 458 Days of Medication total across all patients in 2024 | |||
| Fluoxetine Hcl | 60 | $14.71 | ▲ More than typical |
About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾ It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. 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 2024, this provider wrote 60 Medicare prescriptions for Fluoxetine Hcl, about 1.6 times the volume of the typical New Hampshire prescriber of this medication (37.8). Medicare paid an average of $14.71 per fill, versus $11.55 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 607 Days of Medication total across all patients in 2024 | |||
| Lorazepam | 60 | $19.75 | ≈ Typical |
About Lorazepam: This medication is used to treat anxiety. Show more ▾ Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). 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 2024, this provider wrote 60 Medicare prescriptions for Lorazepam, about 1.2 times the volume of the typical New Hampshire prescriber of this medication (51.7). Medicare paid an average of $19.75 per fill, versus $6.57 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 1,332 Days of Medication total across all patients in 2024 | |||
| EliquisApixaban | 59 | $305.35▼ below NH avg | ≈ 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. An antithrombotic agent. In 2024, this provider wrote 59 Medicare prescriptions for Eliquis, about 82% of the volume of the typical New Hampshire prescriber of this medication (71.6). Medicare paid an average of $305.35 per fill, versus $898.74 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 59 30-Day Fills standardized to 30-day supplies 856 Days of Medication total across all patients in 2024 | |||
| JardianceEmpagliflozin | 55 | $311.79▼ below NH avg | ▲ More than typical |
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure and kidney disease. It helps to lower the risk of death from heart disease and reduces the need of going to a hospital to treat heart failure or kidney disease. It also helps to lower the risk of dialysis in people with kidney disease. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 55 Medicare prescriptions for Jardiance, about 1.4 times the volume of the typical New Hampshire prescriber of this medication (38). Medicare paid an average of $311.79 per fill, versus $1,082.14 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 55 30-Day Fills standardized to 30-day supplies 786 Days of Medication total across all patients in 2024 | |||
| Tramadol Hcl | 49 | $13.41 | ▲ 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 2024, this provider wrote 49 Medicare prescriptions for Tramadol Hcl, about 1.3 times the volume of the typical New Hampshire prescriber of this medication (39). Medicare paid an average of $13.41 per fill, versus $8.30 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 49 30-Day Fills standardized to 30-day supplies 1,059 Days of Medication total across all patients in 2024 | |||
| Pantoprazole Sodium | 48 | $14.24▼ below NH 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 2024, this provider wrote 48 Medicare prescriptions for Pantoprazole Sodium, about 74% of the volume of the typical New Hampshire prescriber of this medication (64.9). Medicare paid an average of $14.24 per fill, versus $14.33 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,085 Days of Medication total across all patients in 2024 | |||
| Omeprazole | 43 | $24.51 | ▼ Less than typical |
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2024, this provider wrote 43 Medicare prescriptions for Omeprazole, about half the volume of the typical New Hampshire prescriber of this medication (79.3). Medicare paid an average of $24.51 per fill, versus $13.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,287 Days of Medication total across all patients in 2024 | |||
| MyrbetriqMirabegron | 42 | $217.90▼ below NH avg | ≈ Typical |
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. A beta3-adrenergic receptor agonist. In 2024, this provider wrote 42 Medicare prescriptions for Myrbetriq, about the same volume as the typical New Hampshire prescriber of this medication (44.6). Medicare paid an average of $217.90 per fill, versus $598.94 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 42 30-Day Fills standardized to 30-day supplies 559 Days of Medication total across all patients in 2024 | |||
| Ropinirole Hcl | 37 | $24.18 | ▲ More than typical |
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and 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"). Ropinirole is also used to treat restless legs syndrome (RLS). It may improve your sleep by decreasing the urge to move your legs and decreasing uncomfortable/unpleasant feelings in the legs. This medication works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2024, this provider wrote 37 Medicare prescriptions for Ropinirole Hcl, about 1.5 times the volume of the typical New Hampshire prescriber of this medication (24.5). Medicare paid an average of $24.18 per fill, versus $19.25 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2024 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 37 | $24.18 | ≈ 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 2024, this provider wrote 37 Medicare prescriptions for Hydrocodone-Acetaminophen, about the same volume as the typical New Hampshire prescriber of this medication (36.5). Medicare paid an average of $24.18 per fill, versus $21.45 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 608 Days of Medication total across all patients in 2024 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 36 | $28.43 | ≈ Typical |
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 36 Medicare prescriptions for Venlafaxine Hcl Er, about the same volume as the typical New Hampshire prescriber of this medication (34). Medicare paid an average of $28.43 per fill, versus $23.38 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,028 Days of Medication total across all patients in 2024 | |||
| Clonazepam | 35 | $17.83 | ▼ Less than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2024, this provider wrote 35 Medicare prescriptions for Clonazepam, about 73% of the volume of the typical New Hampshire prescriber of this medication (47.6). Medicare paid an average of $17.83 per fill, versus $8.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 980 Days of Medication total across all patients in 2024 | |||
| Buspirone Hcl | 35 | $11.51▼ below NH avg | ≈ 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). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 35 Medicare prescriptions for Buspirone Hcl, about the same volume as the typical New Hampshire prescriber of this medication (36.3). Medicare paid an average of $11.51 per fill, versus $15.36 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 35 30-Day Fills standardized to 30-day supplies 796 Days of Medication total across all patients in 2024 | |||
| Oxycodone Hcl | 30 | $22.87 | ▼ Less than typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2024, this provider wrote 30 Medicare prescriptions for Oxycodone Hcl, about 62% of the volume of the typical New Hampshire prescriber of this medication (48.4). Medicare paid an average of $22.87 per fill, versus $16.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 324 Days of Medication total across all patients in 2024 | |||
| Latanoprost | 29 | $17.57 | ▼ 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 2024, this provider wrote 29 Medicare prescriptions for Latanoprost, about a quarter of the volume of the typical New Hampshire prescriber of this medication (132.5). Medicare paid an average of $17.57 per fill, versus $10.51 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 725 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 28 | $53.46 | ▼ Less than typical |
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also 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 belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It 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 2024, this provider wrote 28 Medicare prescriptions for Duloxetine Hcl, about 66% of the volume of the typical New Hampshire prescriber of this medication (42.3). Medicare paid an average of $53.46 per fill, versus $27.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 786 Days of Medication total across all patients in 2024 | |||
| Paroxetine Hcl | 27 | $23.82 | ≈ Typical |
About Paroxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, anxiety disorders, post-traumatic stress disorder). Show more ▾ Paroxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is effective in the treatment of depression. In 2024, this provider wrote 27 Medicare prescriptions for Paroxetine Hcl, about the same volume as the typical New Hampshire prescriber of this medication (25.1). Medicare paid an average of $23.82 per fill, versus $14.16 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2024 | |||
| Escitalopram Oxalate | 27 | $12.11▼ below NH avg | ▼ Less than typical |
About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. 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 2024, this provider wrote 27 Medicare prescriptions for Escitalopram Oxalate, about half the volume of the typical New Hampshire prescriber of this medication (48.5). Medicare paid an average of $12.11 per fill, versus $12.45 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 27 30-Day Fills standardized to 30-day supplies 735 Days of Medication total across all patients in 2024 | |||
| Metoprolol Succinate | 25 | $13.34▼ below NH avg | ▼ Less than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2024, this provider wrote 25 Medicare prescriptions for Metoprolol Succinate, about a quarter of the volume of the typical New Hampshire prescriber of this medication (94.2). Medicare paid an average of $13.34 per fill, versus $14.32 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 25 30-Day Fills standardized to 30-day supplies 704 Days of Medication total across all patients in 2024 | |||
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $31.58 | ≈ 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. In 2024, this provider wrote 23 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about the same volume as the typical New Hampshire prescriber of this medication (23). Medicare paid an average of $31.58 per fill, versus $8.61 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 194 Days of Medication total across all patients in 2024 | |||
| Tamsulosin Hcl | 23 | $12.34▼ below NH avg | ▼ Less than typical |
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA. In 2024, this provider wrote 23 Medicare prescriptions for Tamsulosin Hcl, about a third of the volume of the typical New Hampshire prescriber of this medication (70.1). Medicare paid an average of $12.34 per fill, versus $14.92 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 23 30-Day Fills standardized to 30-day supplies 434 Days of Medication total across all patients in 2024 | |||
| Calcitriol | 22 | $108.96 | ▼ Less than typical |
About Calcitriol: Calcitriol is a man-made active form of vitamin D. Show more ▾ Most people get enough vitamin D from exposure to the sun and from fortified food products (such as dairy products, vitamins). Vitamin D helps control parathyroid hormone and the levels of certain minerals (such as calcium, phosphorus) that are needed for building and keeping strong bones. Before regular vitamin D can be used by the body, it needs to be changed to the active form by the liver and kidneys. Calcitriol is used in patients with kidney disease who can't make enough of the active form of Vitamin D. This medication is also used to prevent and treat certain types of calcium/phosphorus/parathyroid problems that can happen with long-term kidney dialysis or hypoparathyroidism. Calcitriol is usually used along with specific diet recommendations and sometimes other medications. The physiologically active form of vitamin D. It is formed primarily in the kidney by enzymatic hydroxylation of 25-hydroxycholecalciferol (CALCIFEDIOL). Its production is stimulated by low blood calcium levels and parathyroid hormone. Calcitriol increases intestinal absorption of calcium and phosphorus, and in concert with parathyroid hormone increases bone resorption. In 2024, this provider wrote 22 Medicare prescriptions for Calcitriol, about a third of the volume of the typical New Hampshire prescriber of this medication (53.9). Medicare paid an average of $108.96 per fill, versus $18.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 635 Days of Medication total across all patients in 2024 | |||
| Simvastatin | 21 | $14.77 | ▼ 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 2024, this provider wrote 21 Medicare prescriptions for Simvastatin, about a third of the volume of the typical New Hampshire prescriber of this medication (58.7). Medicare paid an average of $14.77 per fill, versus $7.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 493 Days of Medication total across all patients in 2024 | |||
| Estradiol | 21 | $186.48 | ▼ Less than typical |
About Estradiol: This medication is a hormone. Show more ▾ It is used by women to help reduce vaginal symptoms of menopause (such as vaginal dryness/burning/itching). These symptoms are caused by the body making less estrogen. When treating only vaginal symptoms of menopause, products applied directly inside the vagina (such as this medication) should be used first. Estrogens that are taken by mouth, absorbed through the skin, or injected may have greater risks of side effects due to more estrogen being absorbed. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In 2024, this provider wrote 21 Medicare prescriptions for Estradiol, about 70% of the volume of the typical New Hampshire prescriber of this medication (30). Medicare paid an average of $186.48 per fill, versus $66.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 35.3 30-Day Fills standardized to 30-day supplies 1,042 Days of Medication total across all patients in 2024 | |||
| Metoprolol Tartrate | 21 | $8.41 | ▼ Less than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2024, this provider wrote 21 Medicare prescriptions for Metoprolol Tartrate, about a third of the volume of the typical New Hampshire prescriber of this medication (52). Medicare paid an average of $8.41 per fill, versus $6.94 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 472 Days of Medication total across all patients in 2024 | |||
| Citalopram HbrCitalopram Hydrobromide | 20 | $6.21▼ below NH avg | ▼ Less than typical |
About Citalopram Hbr: This medication is used to treat depression. Show more ▾ Citalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It 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 2024, this provider wrote 20 Medicare prescriptions for Citalopram Hbr, about half the volume of the typical New Hampshire prescriber of this medication (34.9). Medicare paid an average of $6.21 per fill, versus $7.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 20 30-Day Fills standardized to 30-day supplies 502 Days of Medication total across all patients in 2024 | |||
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 20 | $14.25 | ▼ Less than typical |
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. For prevention of angina pectoris; a Russian drug. In 2024, this provider wrote 20 Medicare prescriptions for Isosorbide Mononitrate Er, about half the volume of the typical New Hampshire prescriber of this medication (34.3). Medicare paid an average of $14.25 per fill, versus $13.39 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 463 Days of Medication total across all patients in 2024 | |||
| Hydralazine Hcl | 18 | $12.11▼ below NH avg | ▼ Less than typical |
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. A direct-acting vasodilator that is used as an antihypertensive agent. In 2024, this provider wrote 18 Medicare prescriptions for Hydralazine Hcl, about 70% of the volume of the typical New Hampshire prescriber of this medication (25.6). Medicare paid an average of $12.11 per fill, versus $13.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2024 | |||
| Amiodarone Hcl | 18 | $11.99▼ below NH 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. An antianginal and class III antiarrhythmic drug. It increases the duration of ventricular and atrial muscle action by inhibiting POTASSIUM CHANNELS and VOLTAGE-GATED SODIUM CHANNELS. There is a resulting decrease in heart rate and in vascular resistance. In 2024, this provider wrote 18 Medicare prescriptions for Amiodarone Hcl, about half the volume of the typical New Hampshire prescriber of this medication (31.0). Medicare paid an average of $11.99 per fill, versus $24.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 18.5 30-Day Fills standardized to 30-day supplies 418 Days of Medication total across all patients in 2024 | |||
| XareltoRivaroxaban | 17 | $578.13▼ below NH avg | ▼ Less than typical |
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2024, this provider wrote 17 Medicare prescriptions for Xarelto, about half the volume of the typical New Hampshire prescriber of this medication (32.5). Medicare paid an average of $578.13 per fill, versus $994.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 17 30-Day Fills standardized to 30-day supplies 494 Days of Medication total across all patients in 2024 | |||
| Losartan Potassium | 16 | $5.62▼ below NH avg | ▼ Less than typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2024, this provider wrote 16 Medicare prescriptions for Losartan Potassium, about 19% of the volume of the typical New Hampshire prescriber of this medication (85.4). Medicare paid an average of $5.62 per fill, versus $8.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 16 30-Day Fills standardized to 30-day supplies 435 Days of Medication total across all patients in 2024 | |||
| Ipratropium Bromide | 15 | $37.38 | ▼ Less than typical |
About Ipratropium Bromide: Ipratropium is used to treat a runny nose caused by the common cold or seasonal allergies. Show more ▾ It works by reducing the amount of fluid/mucus released from inside your nose. This medication does not relieve symptoms of stuffy nose or sneezing. A muscarinic antagonist structurally related to ATROPINE but often considered safer and more effective for inhalation use. It is used for various bronchial disorders, in rhinitis, and as an antiarrhythmic. In 2024, this provider wrote 15 Medicare prescriptions for Ipratropium Bromide, about half the volume of the typical New Hampshire prescriber of this medication (31.9). Medicare paid an average of $37.38 per fill, versus $28.58 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium | 15 | $16.26▼ below NH avg | ▼ Less than 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 2024, this provider wrote 15 Medicare prescriptions for Divalproex Sodium, about a third of the volume of the typical New Hampshire prescriber of this medication (39.8). Medicare paid an average of $16.26 per fill, versus $47.57 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 15.4 30-Day Fills standardized to 30-day supplies 209 Days of Medication total across all patients in 2024 | |||
| Cephalexin | 15 | $14.42 | ▼ Less than typical |
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2024, this provider wrote 15 Medicare prescriptions for Cephalexin, about half the volume of the typical New Hampshire prescriber of this medication (29.7). Medicare paid an average of $14.42 per fill, versus $7.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 147 Days of Medication total across all patients in 2024 | |||
| Bupropion Hcl SrBupropion Hcl | 14 | $9.84▼ below NH avg | ▼ Less than typical |
About Bupropion Hcl Sr: This medication is used to treat depression. Show more ▾ Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 14 Medicare prescriptions for Bupropion Hcl Sr, about 60% of the volume of the typical New Hampshire prescriber of this medication (23.2). Medicare paid an average of $9.84 per fill, versus $22.45 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 14 30-Day Fills standardized to 30-day supplies 167 Days of Medication total across all patients in 2024 | |||
| Ipratropium-AlbuterolIpratropium/Albuterol Sulfate | 14 | $32.92 | ▼ Less than typical |
About Ipratropium-Albuterol: This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾ This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. In 2024, this provider wrote 14 Medicare prescriptions for Ipratropium-Albuterol, about a third of the volume of the typical New Hampshire prescriber of this medication (33.5). Medicare paid an average of $32.92 per fill, versus $27.93 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 85 Days of Medication total across all patients in 2024 | |||
| Buprenorphine | 14 | $337.63 | ▼ Less than typical |
About Buprenorphine: This medication is used to help relieve severe ongoing pain (such as due to arthritis, chronic back pain). Show more ▾ Buprenorphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (7.5, 10, 15, or 20 micrograms per hour patches) should be used only if you have been regularly taking moderate amounts of opioid pain medication. These strengths may cause overdose (even death) if used by a person who has not been regularly taking opioids. Do not use this medication 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 derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use. In 2024, this provider wrote 14 Medicare prescriptions for Buprenorphine, about half the volume of the typical New Hampshire prescriber of this medication (31.5). Medicare paid an average of $337.63 per fill, versus $232.00 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 350 Days of Medication total across all patients in 2024 | |||
| Lisinopril | 14 | $12.39 | ▼ Less than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2024, this provider wrote 14 Medicare prescriptions for Lisinopril, about 12% of the volume of the typical New Hampshire prescriber of this medication (114). Medicare paid an average of $12.39 per fill, versus $6.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2024 | |||
| Carbidopa-LevodopaCarbidopa/Levodopa | 13 | $36.09 | ▼ 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 2024, this provider wrote 13 Medicare prescriptions for Carbidopa-Levodopa, about a quarter of the volume of the typical New Hampshire prescriber of this medication (62.4). Medicare paid an average of $36.09 per fill, versus $31.59 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024 | |||
| Fentanyl | 13 | $53.33▼ below NH avg | ▼ Less 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 2024, this provider wrote 13 Medicare prescriptions for Fentanyl, about half the volume of the typical New Hampshire prescriber of this medication (27.6). Medicare paid an average of $53.33 per fill, versus $127.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 13 30-Day Fills standardized to 30-day supplies 222 Days of Medication total across all patients in 2024 | |||
| Pravastatin Sodium | 12 | $24.24 | ▼ 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 2024, this provider wrote 12 Medicare prescriptions for Pravastatin Sodium, about a third of the volume of the typical New Hampshire prescriber of this medication (38.5). Medicare paid an average of $24.24 per fill, versus $12.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Ciprofloxacin Hcl | 12 | $9.67 | ▼ Less than typical |
About Ciprofloxacin Hcl: This medication is used to treat a variety of bacterial infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2024, this provider wrote 12 Medicare prescriptions for Ciprofloxacin Hcl, about half the volume of the typical New Hampshire prescriber of this medication (23.3). Medicare paid an average of $9.67 per fill, versus $6.44 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 63 Days of Medication total across all patients in 2024 | |||
| Tizanidine Hcl | 12 | $24.98 | ▼ Less than typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2024, this provider wrote 12 Medicare prescriptions for Tizanidine Hcl, about a third of the volume of the typical New Hampshire prescriber of this medication (32.0). Medicare paid an average of $24.98 per fill, versus $12.97 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 324 Days of Medication total across all patients in 2024 | |||
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 12 | $22.50 | ▼ Less than 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 2024, this provider wrote 12 Medicare prescriptions for Nitrofurantoin Mono-Macro, about half the volume of the typical New Hampshire prescriber of this medication (20.8). Medicare paid an average of $22.50 per fill, versus $13.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 71 Days of Medication total across all patients in 2024 | |||
| Clindamycin Hcl | 11 | $25.39 | ▼ Less than typical |
About Clindamycin Hcl: Clindamycin is used to treat a wide variety of bacterial infections. Show more ▾ It is an antibiotic that works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. An antibacterial agent that is a semisynthetic analog of LINCOMYCIN. In 2024, this provider wrote 11 Medicare prescriptions for Clindamycin Hcl, about half the volume of the typical New Hampshire prescriber of this medication (20.4). Medicare paid an average of $25.39 per fill, versus $5.89 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 75 Days of Medication total across all patients in 2024 | |||
| CeftriaxoneCeftriaxone Sodium | 11 | $18.02▼ below NH avg | ▼ Less than typical |
About Ceftriaxone: Ceftriaxone is used to treat a wide variety of bacterial infections. Show more ▾ This medication belongs to a class of drugs known as cephalosporin antibiotics. It works by stopping the growth of bacteria. This drug is not recommended for use in newborns with high blood bilirubin levels and premature infants due to increased risk of side effects. Ask the doctor or pharmacist for details. A broad-spectrum cephalosporin antibiotic and cefotaxime derivative with a very long half-life and high penetrability to meninges, eyes and inner ears. In 2024, this provider wrote 11 Medicare prescriptions for Ceftriaxone, about half the volume of the typical New Hampshire prescriber of this medication (24.7). Medicare paid an average of $18.02 per fill, versus $42.95 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 11 30-Day Fills standardized to 30-day supplies 17 Days of Medication total across all patients in 2024 | |||
| Risperidone | 11 | $43.04 | ▼ Less than typical |
About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾ Risperidone belongs to a class of drugs known as atypical antipsychotics. 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 2024, this provider wrote 11 Medicare prescriptions for Risperidone, about a quarter of the volume of the typical New Hampshire prescriber of this medication (45.9). Medicare paid an average of $43.04 per fill, versus $14.06 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Diltiazem Hcl | 11 | $30.00 | ▼ Less than typical |
About Diltiazem Hcl: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 11 Medicare prescriptions for Diltiazem Hcl, about half the volume of the typical New Hampshire prescriber of this medication (20.1). Medicare paid an average of $30.00 per fill, versus $26.02 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Olanzapine | 11 | $9.62▼ below NH avg | ▼ Less than typical |
About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2024, this provider wrote 11 Medicare prescriptions for Olanzapine, about a quarter of the volume of the typical New Hampshire prescriber of this medication (49.1). Medicare paid an average of $9.62 per fill, versus $24.48 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 11 30-Day Fills standardized to 30-day supplies 165 Days of Medication total across all patients in 2024 | |||
| Metformin Hcl | 11 | $12.81 | ▼ Less than typical |
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2024, this provider wrote 11 Medicare prescriptions for Metformin Hcl, about 18% of the volume of the typical New Hampshire prescriber of this medication (62.2). Medicare paid an average of $12.81 per fill, versus $7.36 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Xtampza ErOxycodone Myristate | 11 | $220.69▼ below NH avg | ▼ Less than typical |
About Xtampza Er: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. Higher doses of this drug (more than 36 milligrams per dose or 72 milligrams per day) should be used only if you have been regularly taking moderate to large amounts of an opioid medication. These doses may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional ("as needed") use. In 2024, this provider wrote 11 Medicare prescriptions for Xtampza Er, about a third of the volume of the typical New Hampshire prescriber of this medication (32.1). Medicare paid an average of $220.69 per fill, versus $628.68 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NH average for this medication. 11 30-Day Fills standardized to 30-day supplies 326 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for ANN GIRLIE RIVERA TKACZYK NP-C is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Family prescribing approach at this Nashua, NH practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among NH prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
