JAMES R ESKEW M.D.
Prescription History 1104912021
Otolaryngology in Austin, TX

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
56.63/100
CMS Quality Rating
4101 JAMES CASEY ST STE 310, AUSTIN, TX 78745(512) 637-0961(512) 448-4422 Get Directions

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Dec 12, 2024 (2 updates tracked since 2024).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JAMES R ESKEW M.D., an active Otolaryngology specialist practicing in Austin, TX. Our medical registry currently tracks 20 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,213 documented patient claims. Among these therapy options, the most frequently utilized medication is Famotidine, which accounts for 468 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.

20
Medications
1,213
Total Claims
2,453
30-Day Fills
Famotidine
Most Prescribed · 468 claims
View details
20 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by JAMES R ESKEW M.D. in 2024, with prescription volumes, average cost per fill, and TX state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other TX PrescribersVs. TX Avg

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 468 Medicare prescriptions for Famotidine, about 9.6 times the volume of the typical Texas prescriber of this medication (48.6). Medicare paid an average of $15.58 per fill, versus $14.87 statewide.

How often this provider prescribes it

This provider
468
TX average
48.6

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$15.58
TX average
$14.87

Gross Part D cost per fill; not the patient's out-of-pocket price.

997.4
30-Day Fills
standardized to 30-day supplies
29,829
Days of Medication
total across all patients in 2024

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 193 Medicare prescriptions for Omeprazole, about 2.4 times the volume of the typical Texas prescriber of this medication (79). Medicare paid an average of $11.88 per fill, versus $14.93 statewide.

How often this provider prescribes it

This provider
193
TX average
79.0

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.88
TX average
$14.93

This provider's average cost per fill is below the TX average for this medication.

497.3
30-Day Fills
standardized to 30-day supplies
14,638
Days of Medication
total across all patients in 2024

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. A leukotriene D4 receptor antagonist.

In 2024, this provider wrote 101 Medicare prescriptions for Montelukast Sodium, about 1.5 times the volume of the typical Texas prescriber of this medication (69.2). Medicare paid an average of $8.87 per fill, versus $10.85 statewide.

How often this provider prescribes it

This provider
101
TX average
69.2

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.87
TX average
$10.85

This provider's average cost per fill is below the TX average for this medication.

233.3
30-Day Fills
standardized to 30-day supplies
6,967
Days of Medication
total across all patients in 2024

About Fluticasone Propionate: Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. Show more ▾

It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2024, this provider wrote 87 Medicare prescriptions for Fluticasone Propionate, about 1.6 times the volume of the typical Texas prescriber of this medication (54.9). Medicare paid an average of $21.64 per fill, versus $15.72 statewide.

How often this provider prescribes it

This provider
87
TX average
54.9

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$21.64
TX average
$15.72

Gross Part D cost per fill; not the patient's out-of-pocket price.

186
30-Day Fills
standardized to 30-day supplies
5,580
Days of Medication
total across all patients in 2024

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 58 Medicare prescriptions for Ipratropium Bromide, about 1.5 times the volume of the typical Texas prescriber of this medication (37.5). Medicare paid an average of $37.71 per fill, versus $29.28 statewide.

How often this provider prescribes it

This provider
58
TX average
37.5

This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$37.71
TX average
$29.28

Gross Part D cost per fill; not the patient's out-of-pocket price.

81.4
30-Day Fills
standardized to 30-day supplies
1,816
Days of Medication
total across all patients in 2024

About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾

Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms. Azeptin is azelastine hydrochloride; structure; eye drop formulation effective in relieving symptoms of allergic conjunctivitis; do not confuse with 5-loxin which is an extract of Boswellia.

In 2024, this provider wrote 42 Medicare prescriptions for Azelastine Hcl, about the same volume as the typical Texas prescriber of this medication (37.1). Medicare paid an average of $35.69 per fill, versus $29.04 statewide.

How often this provider prescribes it

This provider
42
TX average
37.1

This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$35.69
TX average
$29.04

Gross Part D cost per fill; not the patient's out-of-pocket price.

75.8
30-Day Fills
standardized to 30-day supplies
2,190
Days of Medication
total across all patients in 2024

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 35 Medicare prescriptions for Pantoprazole Sodium, about half the volume of the typical Texas prescriber of this medication (80.6). Medicare paid an average of $8.30 per fill, versus $11.71 statewide.

How often this provider prescribes it

This provider
35
TX average
80.6

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.30
TX average
$11.71

This provider's average cost per fill is below the TX average for this medication.

67
30-Day Fills
standardized to 30-day supplies
2,010
Days of Medication
total across all patients in 2024

About Ofloxacin: This medication is used to treat eye infections. Show more ▾

Ofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. A synthetic fluoroquinolone antibacterial agent that inhibits the supercoiling activity of bacterial DNA GYRASE, halting DNA REPLICATION.

In 2024, this provider wrote 34 Medicare prescriptions for Ofloxacin, about 62% of the volume of the typical Texas prescriber of this medication (54.7). Medicare paid an average of $123.83 per fill, versus $17.25 statewide.

How often this provider prescribes it

This provider
34
TX average
54.7

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$123.83
TX average
$17.25

Gross Part D cost per fill; not the patient's out-of-pocket price.

34
30-Day Fills
standardized to 30-day supplies
752
Days of Medication
total across all patients in 2024

About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾

It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing.

In 2024, this provider wrote 26 Medicare prescriptions for Mupirocin, about 79% of the volume of the typical Texas prescriber of this medication (32.8). Medicare paid an average of $28.27 per fill, versus $8.57 statewide.

How often this provider prescribes it

This provider
26
TX average
32.8

This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$28.27
TX average
$8.57

Gross Part D cost per fill; not the patient's out-of-pocket price.

29.5
30-Day Fills
standardized to 30-day supplies
762
Days of Medication
total across all patients in 2024

About Amitriptyline Hcl: This medication is used to treat depression. Show more ▾

Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines.

In 2024, this provider wrote 25 Medicare prescriptions for Amitriptyline Hcl, about 89% of the volume of the typical Texas prescriber of this medication (28.1). Medicare paid an average of $11.49 per fill, versus $14.46 statewide.

How often this provider prescribes it

This provider
25
TX average
28.1

This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.49
TX average
$14.46

This provider's average cost per fill is below the TX average for this medication.

57
30-Day Fills
standardized to 30-day supplies
1,710
Days of Medication
total across all patients in 2024

About Levoxyl: 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 24 Medicare prescriptions for Levoxyl, about 67% of the volume of the typical Texas prescriber of this medication (35.8). Medicare paid an average of $36.98 per fill, versus $39.44 statewide.

How often this provider prescribes it

This provider
24
TX average
35.8

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$36.98
TX average
$39.44

This provider's average cost per fill is below the TX average for this medication.

42.1
30-Day Fills
standardized to 30-day supplies
1,254
Days of Medication
total across all patients in 2024

About Epinephrine: This medication is used in emergencies to treat very serious allergic reactions to insect stings/bites, foods, drugs, or other substances. Show more ▾

Epinephrine works quickly to improve breathing, stimulate the heart, raise a dropping blood pressure, reverse hives, and reduce swelling of the face, lips, and throat. The active sympathomimetic hormone from the ADRENAL MEDULLA. It stimulates both the alpha- and beta- adrenergic systems, causes systemic VASOCONSTRICTION and gastrointestinal relaxation, stimulates the HEART, and dilates BRONCHI and cerebral vessels. It is used in ASTHMA and CARDIAC FAILURE and to delay absorption of local ANESTHETICS.

In 2024, this provider wrote 17 Medicare prescriptions for Epinephrine, about 65% of the volume of the typical Texas prescriber of this medication (26.1). Medicare paid an average of $161.34 per fill, versus $187.84 statewide.

How often this provider prescribes it

This provider
17
TX average
26.1

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$161.34
TX average
$187.84

This provider's average cost per fill is below the TX average for this medication.

17
30-Day Fills
standardized to 30-day supplies
252
Days of Medication
total across all patients in 2024

About Esomeprazole Magnesium: Esomeprazole 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. Esomeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter esomeprazole 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. The S-isomer of omeprazole.

In 2024, this provider wrote 16 Medicare prescriptions for Esomeprazole Magnesium, about half the volume of the typical Texas prescriber of this medication (29.4). Medicare paid an average of $14.22 per fill, versus $47.27 statewide.

How often this provider prescribes it

This provider
16
TX average
29.4

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$14.22
TX average
$47.27

This provider's average cost per fill is below the TX average for this medication.

24
30-Day Fills
standardized to 30-day supplies
720
Days of Medication
total across all patients in 2024

About Fluconazole: Fluconazole is used to treat vaginal yeast infections. Show more ▾

It works by stopping the growth of common types of vaginal yeast (fungus). This medication belongs to a class of drugs called azole antifungals. Triazole antifungal agent that is used to treat oropharyngeal CANDIDIASIS and cryptococcal MENINGITIS in AIDS.

In 2024, this provider wrote 16 Medicare prescriptions for Fluconazole, about 70% of the volume of the typical Texas prescriber of this medication (23). Medicare paid an average of $16.18 per fill, versus $10.82 statewide.

How often this provider prescribes it

This provider
16
TX average
23.0

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$16.18
TX average
$10.82

Gross Part D cost per fill; not the patient's out-of-pocket price.

16
30-Day Fills
standardized to 30-day supplies
268
Days of Medication
total across all patients in 2024

About Pilocarpine Hcl: This medication is used to treat symptoms of dry mouth due to a certain immune disease (Sjogren's syndrome) or from saliva gland damage due to radiation treatments of the head/neck for cancer. Show more ▾

Pilocarpine belongs to a class of drugs known as cholinergic agonists. It works by stimulating certain nerves to increase the amount of saliva you produce, making it easier and more comfortable to speak and swallow. A slowly hydrolyzed muscarinic agonist with no nicotinic effects. Pilocarpine is used as a miotic and in the treatment of glaucoma.

In 2024, this provider wrote 14 Medicare prescriptions for Pilocarpine Hcl, about half the volume of the typical Texas prescriber of this medication (27.9). Medicare paid an average of $78.71 per fill, versus $69.42 statewide.

How often this provider prescribes it

This provider
14
TX average
27.9

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$78.71
TX average
$69.42

Gross Part D cost per fill; not the patient's out-of-pocket price.

16
30-Day Fills
standardized to 30-day supplies
480
Days of Medication
total across all patients in 2024

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 12 Medicare prescriptions for Lorazepam, about a third of the volume of the typical Texas prescriber of this medication (39.3). Medicare paid an average of $3.46 per fill, versus $6.76 statewide.

How often this provider prescribes it

This provider
12
TX average
39.3

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.46
TX average
$6.76

This provider's average cost per fill is below the TX average for this medication.

12
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2024

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 12 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about a third of the volume of the typical Texas prescriber of this medication (29.9). Medicare paid an average of $10.99 per fill, versus $9.53 statewide.

How often this provider prescribes it

This provider
12
TX average
29.9

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.99
TX average
$9.53

Gross Part D cost per fill; not the patient's out-of-pocket price.

12
30-Day Fills
standardized to 30-day supplies
136
Days of Medication
total across all patients in 2024

About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾

This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity.

In 2024, this provider wrote 11 Medicare prescriptions for Doxycycline Hyclate, about a third of the volume of the typical Texas prescriber of this medication (33.2). Medicare paid an average of $8.08 per fill, versus $13.64 statewide.

How often this provider prescribes it

This provider
11
TX average
33.2

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.08
TX average
$13.64

This provider's average cost per fill is below the TX average for this medication.

11
30-Day Fills
standardized to 30-day supplies
122
Days of Medication
total across all patients in 2024

About Armodafinil: Armodafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). Show more ▾

It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder). This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Armodafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder. It is not known how armodafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle. A benzhydryl acetamide compound, central nervous system stimulant, and CYP3A4 inducing agent that is used in the treatment of NARCOLEPSY and SLEEP WAKE DISORDERS.

In 2024, this provider wrote 11 Medicare prescriptions for Armodafinil, about half the volume of the typical Texas prescriber of this medication (19.6). Medicare paid an average of $36.65 per fill, versus $64.90 statewide.

How often this provider prescribes it

This provider
11
TX average
19.6

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$36.65
TX average
$64.90

This provider's average cost per fill is below the TX average for this medication.

11
30-Day Fills
standardized to 30-day supplies
313
Days of Medication
total across all patients in 2024

About Acetazolamide: Acetazolamide is used to prevent and reduce the symptoms of altitude sickness. Show more ▾

This medication can decrease headache, tiredness, nausea, dizziness, and shortness of breath that can occur when you climb quickly to high altitudes (generally above 10,000 feet/3,048 meters). It is particularly useful in situations when you cannot make a slow ascent. The best ways to prevent altitude sickness are climbing slowly, stopping for 24 hours during the climb to allow the body to adjust to the new height, and taking it easy the first 1 to 2 days. This medication is also used with other medications to treat high pressure inside the eye due to certain types of glaucoma. Acetazolamide belongs to a class of drugs known as carbonic anhydrase inhibitors. It works by decreasing the production of fluid inside the eye. It is also used to decrease a buildup of body fluids (edema) caused by heart failure or certain medications. Acetazolamide can work less well over time, so it is usually used only for a short period. It has also been used with other medications to treat certain types of seizures (petit mal and unlocalized seizures). One of the CARBONIC ANHYDRASE INHIBITORS that is sometimes effective against absence seizures. It is sometimes useful also as an adjunct in the treatment of tonic-clonic, myoclonic, and atonic seizures, particularly in women whose seizures occur or are exacerbated at specific times in the menstrual cycle. However, its usefulness is transient often because of rapid development of tolerance. Its antiepileptic effect may be due to its inhibitory effect on brain carbonic anhydrase, which leads to an increased transneuronal chloride gradient, increased chloride current, and increased inhibition. (From Smith and Reynard, Textbook of Pharmacology, 1991, p337)

In 2024, this provider wrote 11 Medicare prescriptions for Acetazolamide, about half the volume of the typical Texas prescriber of this medication (22). Medicare paid an average of $66.07 per fill, versus $46.45 statewide.

How often this provider prescribes it

This provider
11
TX average
22.0

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$66.07
TX average
$46.45

Gross Part D cost per fill; not the patient's out-of-pocket price.

33
30-Day Fills
standardized to 30-day supplies
990
Days of Medication
total across all patients in 2024
No medications match the current filters.
= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average TX prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the TX average cost per fill.

About this data. The prescription history for JAMES R ESKEW M.D. 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 Otolaryngology prescribing approach at this Austin, TX 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 TX 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.