RACHEL ELIZABETH KISHTON MD
Prescription History 1104245331
Family Medicine in Philadelphia, PA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for RACHEL ELIZABETH KISHTON MD, an active Family Medicine specialist practicing in Philadelphia, PA. Our medical registry currently tracks 20 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 626 documented patient claims. Among these therapy options, the most frequently utilized medication is Quetiapine Fumarate, which accounts for 130 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other PA PrescribersVs. PA Avg |
|---|---|---|---|
| Quetiapine Fumarate | 130 | $31.15 | ▲ More than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 130 Medicare prescriptions for Quetiapine Fumarate, about 2 times the volume of the typical Pennsylvania prescriber of this medication (66). Medicare paid an average of $31.15 per fill, versus $28.22 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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. 146 30-Day Fills standardized to 30-day supplies 4,371 Days of Medication total across all patients in 2023 | |||
| Escitalopram Oxalate | 58 | $7.39▼ below PA avg | ≈ Typical |
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 58 Medicare prescriptions for Escitalopram Oxalate, about the same volume as the typical Pennsylvania prescriber of this medication (64). Medicare paid an average of $7.39 per fill, versus $17.79 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 68 30-Day Fills standardized to 30-day supplies 2,014 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 55 | $9.88▼ below PA avg | ≈ Typical |
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 55 Medicare prescriptions for Mirtazapine, about the same volume as the typical Pennsylvania prescriber of this medication (54). Medicare paid an average of $9.88 per fill, versus $20.50 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 66.5 30-Day Fills standardized to 30-day supplies 1,993 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 41 | $32.84▼ below PA avg | ≈ Typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 41 Medicare prescriptions for Bupropion Xl, about the same volume as the typical Pennsylvania prescriber of this medication (38). Medicare paid an average of $32.84 per fill, versus $44.39 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 49.8 30-Day Fills standardized to 30-day supplies 1,493 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 40 | $8.83▼ below PA avg | ▼ Less than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 40 Medicare prescriptions for Trazodone Hcl, about 63% of the volume of the typical Pennsylvania prescriber of this medication (64). Medicare paid an average of $8.83 per fill, versus $11.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 50 30-Day Fills standardized to 30-day supplies 1,500 Days of Medication total across all patients in 2023 | |||
| Clonidine Hcl | 38 | $4.71▼ below PA avg | ▲ More than typical |
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. In 2023, this provider wrote 38 Medicare prescriptions for Clonidine Hcl, about 1.4 times the volume of the typical Pennsylvania prescriber of this medication (28). Medicare paid an average of $4.71 per fill, versus $10.17 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 38 30-Day Fills standardized to 30-day supplies 1,140 Days of Medication total across all patients in 2023 | |||
| Alprazolam | 35 | $4.55▼ below PA avg | ▼ Less than typical |
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 35 Medicare prescriptions for Alprazolam, about half the volume of the typical Pennsylvania prescriber of this medication (67). Medicare paid an average of $4.55 per fill, versus $10.93 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 35 30-Day Fills standardized to 30-day supplies 962 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 35 | $13.10 | ▼ 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 2023, this provider wrote 35 Medicare prescriptions for Clonazepam, about 63% of the volume of the typical Pennsylvania prescriber of this medication (56). Medicare paid an average of $13.10 per fill, versus $8.58 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 1,035 Days of Medication total across all patients in 2023 | |||
| Fluoxetine Hcl | 26 | $48.80 | ▼ Less than typical |
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 26 Medicare prescriptions for Fluoxetine Hcl, about 62% of the volume of the typical Pennsylvania prescriber of this medication (42). Medicare paid an average of $48.80 per fill, versus $14.42 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 40 30-Day Fills standardized to 30-day supplies 1,200 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 23 | $6.63▼ below PA avg | ▼ Less than typical |
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 23 Medicare prescriptions for Sertraline Hcl, about a third of the volume of the typical Pennsylvania prescriber of this medication (79). Medicare paid an average of $6.63 per fill, versus $10.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 27 30-Day Fills standardized to 30-day supplies 806 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 22 | $6.77▼ below PA avg | ▼ Less than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 22 Medicare prescriptions for Lamotrigine, about a third of the volume of the typical Pennsylvania prescriber of this medication (53). Medicare paid an average of $6.77 per fill, versus $15.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023 | |||
| Topiramate | 19 | $5.84▼ below PA avg | ▼ Less than typical |
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 19 Medicare prescriptions for Topiramate, about half the volume of the typical Pennsylvania prescriber of this medication (37). Medicare paid an average of $5.84 per fill, versus $17.80 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 17 | $24.75▼ below PA avg | ▼ Less than typical |
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 17 Medicare prescriptions for Venlafaxine Hcl Er, about a third of the volume of the typical Pennsylvania prescriber of this medication (42). Medicare paid an average of $24.75 per fill, versus $26.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| Montelukast Sodium | 14 | $13.28▼ below PA avg | ▼ Less than typical |
About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾ It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways. In 2023, this provider wrote 14 Medicare prescriptions for Montelukast Sodium, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (56). Medicare paid an average of $13.28 per fill, versus $17.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023 | |||
| Doxepin Hcl | 14 | $8.43▼ below PA avg | ▼ Less than typical |
About Doxepin Hcl: This medication is used to treat mental/mood problems such as depression and anxiety. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain. In 2023, this provider wrote 14 Medicare prescriptions for Doxepin Hcl, about half the volume of the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $8.43 per fill, versus $51.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Pamoate | 13 | $11.95▼ below PA avg | ▼ Less than typical |
About Hydroxyzine Pamoate: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2023, this provider wrote 13 Medicare prescriptions for Hydroxyzine Pamoate, about a third of the volume of the typical Pennsylvania prescriber of this medication (34). Medicare paid an average of $11.95 per fill, versus $12.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 12 | $7.04▼ below PA avg | ▼ Less than typical |
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 12 Medicare prescriptions for Hydroxyzine Hcl, about a third of the volume of the typical Pennsylvania prescriber of this medication (30). Medicare paid an average of $7.04 per fill, versus $19.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 12 30-Day Fills standardized to 30-day supplies 252 Days of Medication total across all patients in 2023 | |||
| Zolpidem Tartrate | 12 | $4.80▼ below PA avg | ▼ Less than typical |
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2023, this provider wrote 12 Medicare prescriptions for Zolpidem Tartrate, about a third of the volume of the typical Pennsylvania prescriber of this medication (42). Medicare paid an average of $4.80 per fill, versus $7.20 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 12 30-Day Fills standardized to 30-day supplies 340 Days of Medication total across all patients in 2023 | |||
| Prazosin Hcl | 11 | $18.65▼ below PA avg | ▼ Less than typical |
About Prazosin Hcl: Prazosin 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. Prazosin belongs to a class of medications called alpha blockers. It works by relaxing and widening blood vessels so blood can flow more easily. A selective adrenergic alpha-1 antagonist used in the treatment of HEART FAILURE; HYPERTENSION; PHEOCHROMOCYTOMA; RAYNAUD DISEASE; PROSTATIC HYPERTROPHY; and URINARY RETENTION. In 2023, this provider wrote 11 Medicare prescriptions for Prazosin Hcl, about a third of the volume of the typical Pennsylvania prescriber of this medication (34). Medicare paid an average of $18.65 per fill, versus $27.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023 | |||
| Hydrochlorothiazide | 11 | $3.57▼ below PA avg | ▼ Less than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 11 Medicare prescriptions for Hydrochlorothiazide, about 14% of the volume of the typical Pennsylvania prescriber of this medication (79). Medicare paid an average of $3.57 per fill, versus $5.29 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for RACHEL ELIZABETH KISHTON MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Family Medicine prescribing approach at this Philadelphia, PA practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among PA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.