DR. GREGORY A COST MD
Prescription History 1104987635
Urology in Tualatin, OR

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
68.46/100
CMS Quality Rating
19250 SW 65TH AVE, SUITE 235, TUALATIN, OR 97062(503) 692-4820(503) 612-0793 Get Directions

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2023, Dec 1, 2021 (2 updates tracked since 2021).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. GREGORY A COST MD, an active Urology specialist practicing in Tualatin, OR. Our medical registry currently tracks 34 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,188 documented patient claims. Among these therapy options, the most frequently utilized medication is Tamsulosin Hcl, which accounts for 569 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.

34
Medications
2,188
Total Claims
4,699
30-Day Fills
Tamsulosin Hcl
Most Prescribed · 569 claims
View details
34 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by DR. GREGORY A COST MD in 2023, with prescription volumes, average cost per fill, and OR state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other OR PrescribersVs. OR Avg

About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾

It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure.

In 2023, this provider wrote 569 Medicare prescriptions for Tamsulosin Hcl, about 8.4 times the volume of the typical Oregon prescriber of this medication (68). Medicare paid an average of $23.08 per fill, versus $20.94 statewide.

How often this provider prescribes it

This provider
569
OR average
68.0

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

What Medicare paid per fill

This provider
$23.08
OR average
$20.94

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

1,430.1
30-Day Fills
standardized to 30-day supplies
42,708
Days of Medication
total across all patients in 2023

About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾

It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA.

In 2023, this provider wrote 343 Medicare prescriptions for Finasteride, about 7.6 times the volume of the typical Oregon prescriber of this medication (45). Medicare paid an average of $12.95 per fill, versus $16.47 statewide.

How often this provider prescribes it

This provider
343
OR average
45.0

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

What Medicare paid per fill

This provider
$12.95
OR average
$16.47

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

962
30-Day Fills
standardized to 30-day supplies
28,862
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 138 Medicare prescriptions for Myrbetriq, about 3.9 times the volume of the typical Oregon prescriber of this medication (35). Medicare paid an average of $826.77 per fill, versus $676.23 statewide.

How often this provider prescribes it

This provider
138
OR average
35.0

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

What Medicare paid per fill

This provider
$826.77
OR average
$676.23

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

261
30-Day Fills
standardized to 30-day supplies
7,786
Days of Medication
total across all patients in 2023

About Dutasteride: This medication is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾

It works by reducing the size of the enlarged prostate. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). It may also reduce the need for surgery to treat BPH. Dutasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. This medication should not be used by women or children. A 5-ALPHA-REDUCTASE INHIBITOR that is reported to inhibit both type-1 and type2 isoforms of the enzyme and is used to treat BENIGN PROSTATIC HYPERPLASIA.

In 2023, this provider wrote 136 Medicare prescriptions for Dutasteride, about 5.4 times the volume of the typical Oregon prescriber of this medication (25). Medicare paid an average of $42.33 per fill, versus $40.91 statewide.

How often this provider prescribes it

This provider
136
OR average
25.0

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

What Medicare paid per fill

This provider
$42.33
OR average
$40.91

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

356.3
30-Day Fills
standardized to 30-day supplies
10,690
Days of Medication
total across all patients in 2023

About Solifenacin Succinate: Solifenacin is used to treat an overactive bladder. Show more ▾

By relaxing the muscles in the bladder, solifenacin improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. A quinuclidine and tetrahydroisoquinoline derivative and selective M3 MUSCARINIC ANTAGONIST. It is used as a UROLOGIC AGENT in the treatment of URINARY INCONTINENCE.

In 2023, this provider wrote 119 Medicare prescriptions for Solifenacin Succinate, about 4.4 times the volume of the typical Oregon prescriber of this medication (27). Medicare paid an average of $34.91 per fill, versus $59.02 statewide.

How often this provider prescribes it

This provider
119
OR average
27.0

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

What Medicare paid per fill

This provider
$34.91
OR average
$59.02

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

183.6
30-Day Fills
standardized to 30-day supplies
5,459
Days of Medication
total across all patients in 2023

About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2023, this provider wrote 75 Medicare prescriptions for Cephalexin, about 2.8 times the volume of the typical Oregon prescriber of this medication (27). Medicare paid an average of $9.45 per fill, versus $9.83 statewide.

How often this provider prescribes it

This provider
75
OR average
27.0

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

What Medicare paid per fill

This provider
$9.45
OR average
$9.83

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

134.3
30-Day Fills
standardized to 30-day supplies
3,276
Days of Medication
total across all patients in 2023

About Alfuzosin Hcl Er: Alfuzosin 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). Alfuzosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure.

In 2023, this provider wrote 74 Medicare prescriptions for Alfuzosin Hcl Er, about 2.6 times the volume of the typical Oregon prescriber of this medication (28). Medicare paid an average of $19.93 per fill, versus $28.08 statewide.

How often this provider prescribes it

This provider
74
OR average
28.0

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

What Medicare paid per fill

This provider
$19.93
OR average
$28.08

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

171.1
30-Day Fills
standardized to 30-day supplies
5,083
Days of Medication
total across all patients in 2023

About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾

It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS.

In 2023, this provider wrote 52 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 2.4 times the volume of the typical Oregon prescriber of this medication (22). Medicare paid an average of $6.39 per fill, versus $6.27 statewide.

How often this provider prescribes it

This provider
52
OR average
22.0

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

What Medicare paid per fill

This provider
$6.39
OR average
$6.27

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

68
30-Day Fills
standardized to 30-day supplies
1,138
Days of Medication
total across all patients in 2023

About Potassium Citrate Er: This medication is used to make the urine less acidic. Show more ▾

This effect helps the kidneys get rid of uric acid, thereby helping to prevent gout and kidney stones. This medication can also prevent and treat certain metabolic problems (acidosis) caused by kidney disease. Citric acid and citrate salts (which contain potassium and sodium) belong to a class of drugs known as urinary alkalinizers. If you have a condition that requires you to limit your intake of potassium and sodium, your doctor may direct you to take a product that is lower in potassium and sodium. A powder that dissolves in water, which is administered orally, and is used as a diuretic, expectorant, systemic alkalizer, and electrolyte replenisher.

In 2023, this provider wrote 51 Medicare prescriptions for Potassium Citrate Er, about 2.2 times the volume of the typical Oregon prescriber of this medication (23). Medicare paid an average of $118.58 per fill, versus $146.56 statewide.

How often this provider prescribes it

This provider
51
OR average
23.0

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

What Medicare paid per fill

This provider
$118.58
OR average
$146.56

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

90.4
30-Day Fills
standardized to 30-day supplies
2,704
Days of Medication
total across all patients in 2023

About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾

It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses).

In 2023, this provider wrote 47 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 2.2 times the volume of the typical Oregon prescriber of this medication (21). Medicare paid an average of $21.52 per fill, versus $22.04 statewide.

How often this provider prescribes it

This provider
47
OR average
21.0

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

What Medicare paid per fill

This provider
$21.52
OR average
$22.04

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

54.4
30-Day Fills
standardized to 30-day supplies
758
Days of Medication
total across all patients in 2023

About Oxybutynin Chloride Er: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾

It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida).

In 2023, this provider wrote 45 Medicare prescriptions for Oxybutynin Chloride Er, about 1.8 times the volume of the typical Oregon prescriber of this medication (25). Medicare paid an average of $40.41 per fill, versus $38.69 statewide.

How often this provider prescribes it

This provider
45
OR average
25.0

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

What Medicare paid per fill

This provider
$40.41
OR average
$38.69

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

77
30-Day Fills
standardized to 30-day supplies
2,310
Days of Medication
total across all patients in 2023

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

Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. A broad-spectrum antimicrobial carboxyfluoroquinoline.

In 2023, this provider wrote 40 Medicare prescriptions for Ciprofloxacin Hcl, about 1.6 times the volume of the typical Oregon prescriber of this medication (25). Medicare paid an average of $3.32 per fill, versus $7.71 statewide.

How often this provider prescribes it

This provider
40
OR average
25.0

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

What Medicare paid per fill

This provider
$3.32
OR average
$7.71

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

40
30-Day Fills
standardized to 30-day supplies
154
Days of Medication
total across all patients in 2023

About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾

It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms.

In 2023, this provider wrote 38 Medicare prescriptions for Allopurinol, about the same volume as the typical Oregon prescriber of this medication (40). Medicare paid an average of $17.68 per fill, versus $18.25 statewide.

How often this provider prescribes it

This provider
38
OR average
40.0

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

What Medicare paid per fill

This provider
$17.68
OR average
$18.25

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

95.6
30-Day Fills
standardized to 30-day supplies
2,867
Days of Medication
total across all patients in 2023

About Xtandi: Enzalutamide is used to treat prostate cancer. Show more ▾

This medication belongs to a class of drugs known as anti-androgens (anti-testosterone). It works by blocking the effects of testosterone to slow the growth and spread of prostate cancer.

In 2023, this provider wrote 34 Medicare prescriptions for Xtandi, about the same volume as the typical Oregon prescriber of this medication (32). Medicare paid an average of $14,557.49 per fill, versus $12,583.47 statewide.

How often this provider prescribes it

This provider
34
OR average
32.0

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

What Medicare paid per fill

This provider
$14,557.49
OR average
$12,583.47

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

34
30-Day Fills
standardized to 30-day supplies
1,020
Days of Medication
total across all patients in 2023

About Cimetidine: Cimetidine is used to treat ulcers of the stomach and intestines and prevent them from coming back after they have healed. Show more ▾

This medication is also used to treat certain stomach and throat (esophagus) problems caused by too much stomach acid (such as Zollinger-Ellison syndrome, erosive esophagitis) or a backward flow of stomach acid into the esophagus (acid reflux disease/GERD). Decreasing extra stomach acid can help relieve symptoms such as stomach pain, heartburn, difficulty swallowing, cough, and trouble sleeping. It can also prevent serious acid damage to your digestive system (such as ulcers, cancer of the esophagus). Cimetidine belongs to a class of drugs commonly called H2 blockers. It works by reducing the amount of acid in your stomach. This medication is also available without a prescription. It is used to treat occasional heartburn caused by too much acid in the stomach (also called acid indigestion or sour stomach). It is also used to prevent heartburn and acid indigestion caused by certain foods and beverages. 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. (See also Precautions.) A histamine congener, it competitively inhibits HISTAMINE binding to HISTAMINE H2 RECEPTORS. Cimetidine has a range of pharmacological actions. It inhibits GASTRIC ACID secretion, as well as PEPSIN and GASTRIN output.

In 2023, this provider wrote 34 Medicare prescriptions for Cimetidine, about 2.4 times the volume of the typical Oregon prescriber of this medication (14). Medicare paid an average of $70.59 per fill, versus $74.90 statewide.

How often this provider prescribes it

This provider
34
OR average
14.0

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

What Medicare paid per fill

This provider
$70.59
OR average
$74.90

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

44
30-Day Fills
standardized to 30-day supplies
1,320
Days of Medication
total across all patients in 2023

About Gemtesa: This medication is used to treat overactive bladder. Show more ▾

Overactive bladder is a problem with how your bladder stores urine that causes a sudden urge to urinate. The urge may be hard to control, and overactive bladder symptoms may include frequent urination, strong sudden urges to urinate, or involuntary loss of urine (incontinence). Vibegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder.

In 2023, this provider wrote 31 Medicare prescriptions for Gemtesa, about 1.3 times the volume of the typical Oregon prescriber of this medication (24). Medicare paid an average of $989.42 per fill, versus $708.57 statewide.

How often this provider prescribes it

This provider
31
OR average
24.0

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

What Medicare paid per fill

This provider
$989.42
OR average
$708.57

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

65
30-Day Fills
standardized to 30-day supplies
1,949
Days of Medication
total across all patients in 2023

About Testosterone Cypionate: This medication is used in men who do not make enough of a natural substance called testosterone. Show more ▾

In males, testosterone is responsible for many normal functions, including growth and development of the genitals, muscles, and bones. It also helps cause normal sexual development (puberty) in boys. Testosterone belongs to a class of drugs known as androgens. It works by affecting many body systems so that the body can develop and function normally. Testosterone may also be used in certain adolescent boys to cause puberty in those with delayed puberty. It may also be used to treat certain types of breast cancer in women.

In 2023, this provider wrote 30 Medicare prescriptions for Testosterone Cypionate, about 1.3 times the volume of the typical Oregon prescriber of this medication (23). Medicare paid an average of $71.62 per fill, versus $52.22 statewide.

How often this provider prescribes it

This provider
30
OR average
23.0

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

What Medicare paid per fill

This provider
$71.62
OR average
$52.22

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

72.4
30-Day Fills
standardized to 30-day supplies
2,170
Days of Medication
total across all patients in 2023

About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker.

In 2023, this provider wrote 27 Medicare prescriptions for Doxazosin Mesylate, about 1.2 times the volume of the typical Oregon prescriber of this medication (23). Medicare paid an average of $22.78 per fill, versus $22.84 statewide.

How often this provider prescribes it

This provider
27
OR average
23.0

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

What Medicare paid per fill

This provider
$22.78
OR average
$22.84

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

73
30-Day Fills
standardized to 30-day supplies
2,166
Days of Medication
total across all patients in 2023

About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾

Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE.

In 2023, this provider wrote 25 Medicare prescriptions for Oxycodone Hcl, about half the volume of the typical Oregon prescriber of this medication (53). Medicare paid an average of $4.07 per fill, versus $18.69 statewide.

How often this provider prescribes it

This provider
25
OR average
53.0

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

What Medicare paid per fill

This provider
$4.07
OR average
$18.69

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

25
30-Day Fills
standardized to 30-day supplies
77
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 24 Medicare prescriptions for Renacidin, about 1.3 times the volume of the typical Oregon prescriber of this medication (18). Medicare paid an average of $548.69 per fill, versus $268.81 statewide.

How often this provider prescribes it

This provider
24
OR average
18.0

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

What Medicare paid per fill

This provider
$548.69
OR average
$268.81

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

27.5
30-Day Fills
standardized to 30-day supplies
825
Days of Medication
total across all patients in 2023

About Tadalafil: Tadalafil is used to treat high blood pressure in the lungs (pulmonary hypertension). Show more ▾

It works by relaxing and widening the blood vessels in your lungs which allows the blood to flow more easily. Decreasing high blood pressure in the lungs allows your heart and lungs to work better and improves your ability to exercise. A carboline derivative and PHOSPHODIESTERASE 5 INHIBITOR that is used primarily to treat ERECTILE DYSFUNCTION; BENIGN PROSTATIC HYPERPLASIA and PRIMARY PULMONARY HYPERTENSION.

In 2023, this provider wrote 24 Medicare prescriptions for Tadalafil, about 69% of the volume of the typical Oregon prescriber of this medication (35). Medicare paid an average of $16.10 per fill, versus $570.70 statewide.

How often this provider prescribes it

This provider
24
OR average
35.0

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

What Medicare paid per fill

This provider
$16.10
OR average
$570.70

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

40
30-Day Fills
standardized to 30-day supplies
1,200
Days of Medication
total across all patients in 2023

About Fesoterodine Fumarate Er: 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). By relaxing the muscles in the bladder, fesoterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics.

In 2023, this provider wrote 22 Medicare prescriptions for Fesoterodine Fumarate Er, about 1.7 times the volume of the typical Oregon prescriber of this medication (13). Medicare paid an average of $190.89 per fill, versus $176.07 statewide.

How often this provider prescribes it

This provider
22
OR average
13.0

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

What Medicare paid per fill

This provider
$190.89
OR average
$176.07

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

41.9
30-Day Fills
standardized to 30-day supplies
1,258
Days of Medication
total across all patients in 2023

About Estradiol: This medication is a female hormone (estrogen). Show more ▾

It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. 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 2023, this provider wrote 22 Medicare prescriptions for Estradiol, about 71% of the volume of the typical Oregon prescriber of this medication (31). Medicare paid an average of $88.30 per fill, versus $70.86 statewide.

How often this provider prescribes it

This provider
22
OR average
31.0

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

What Medicare paid per fill

This provider
$88.30
OR average
$70.86

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

57.3
30-Day Fills
standardized to 30-day supplies
1,718
Days of Medication
total across all patients in 2023

About Tolterodine Tartrate: This medication is used to treat an overactive bladder. Show more ▾

By relaxing the muscles in the bladder, tolterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. An ANTIMUSCARINIC AGENT selective for the MUSCARINIC RECEPTORS of the BLADDER that is used in the treatment of URINARY INCONTINENCE and URINARY URGE INCONTINENCE.

In 2023, this provider wrote 22 Medicare prescriptions for Tolterodine Tartrate, about 1.5 times the volume of the typical Oregon prescriber of this medication (15). Medicare paid an average of $48.29 per fill, versus $84.18 statewide.

How often this provider prescribes it

This provider
22
OR average
15.0

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

What Medicare paid per fill

This provider
$48.29
OR average
$84.18

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

32
30-Day Fills
standardized to 30-day supplies
945
Days of Medication
total across all patients in 2023

About Trospium Chloride: This medication is used to treat an overactive bladder. Show more ▾

By relaxing the muscles in the bladder, trospium improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. Trospium belongs to a class of drugs known as antispasmodics. It is also known as an antimuscarinic.

In 2023, this provider wrote 21 Medicare prescriptions for Trospium Chloride, about 78% of the volume of the typical Oregon prescriber of this medication (27). Medicare paid an average of $50.30 per fill, versus $64.81 statewide.

How often this provider prescribes it

This provider
21
OR average
27.0

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

What Medicare paid per fill

This provider
$50.30
OR average
$64.81

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

37
30-Day Fills
standardized to 30-day supplies
1,110
Days of Medication
total across all patients in 2023

About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a water pill (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic.

In 2023, this provider wrote 21 Medicare prescriptions for Chlorthalidone, about 88% of the volume of the typical Oregon prescriber of this medication (24). Medicare paid an average of $26.70 per fill, versus $26.20 statewide.

How often this provider prescribes it

This provider
21
OR average
24.0

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

What Medicare paid per fill

This provider
$26.70
OR average
$26.20

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

60
30-Day Fills
standardized to 30-day supplies
1,800
Days of Medication
total across all patients in 2023

About Oxybutynin Chloride: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾

It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida).

In 2023, this provider wrote 19 Medicare prescriptions for Oxybutynin Chloride, about 86% of the volume of the typical Oregon prescriber of this medication (22). Medicare paid an average of $25.44 per fill, versus $25.15 statewide.

How often this provider prescribes it

This provider
19
OR average
22.0

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

What Medicare paid per fill

This provider
$25.44
OR average
$25.15

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

29
30-Day Fills
standardized to 30-day supplies
870
Days of Medication
total across all patients in 2023

About Amoxicillin: Amoxicillin is used to treat a wide variety of bacterial infections. Show more ▾

This medication is a penicillin-type antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. A broad-spectrum semisynthetic antibiotic similar to AMPICILLIN except that its resistance to gastric acid permits higher serum levels with oral administration.

In 2023, this provider wrote 19 Medicare prescriptions for Amoxicillin, about 61% of the volume of the typical Oregon prescriber of this medication (31). Medicare paid an average of $6.06 per fill, versus $4.54 statewide.

How often this provider prescribes it

This provider
19
OR average
31.0

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

What Medicare paid per fill

This provider
$6.06
OR average
$4.54

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

22.3
30-Day Fills
standardized to 30-day supplies
419
Days of Medication
total across all patients in 2023

About Silodosin: Silodosin 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). Silodosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure.

In 2023, this provider wrote 18 Medicare prescriptions for Silodosin, about 78% of the volume of the typical Oregon prescriber of this medication (23). Medicare paid an average of $86.89 per fill, versus $95.51 statewide.

How often this provider prescribes it

This provider
18
OR average
23.0

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

What Medicare paid per fill

This provider
$86.89
OR average
$95.51

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

38
30-Day Fills
standardized to 30-day supplies
1,140
Days of Medication
total across all patients in 2023

About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

In 2023, this provider wrote 15 Medicare prescriptions for Hydrocodone-Acetaminophen, about a quarter of the volume of the typical Oregon prescriber of this medication (63). Medicare paid an average of $4.18 per fill, versus $21.14 statewide.

How often this provider prescribes it

This provider
15
OR average
63.0

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

What Medicare paid per fill

This provider
$4.18
OR average
$21.14

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

15
30-Day Fills
standardized to 30-day supplies
44
Days of Medication
total across all patients in 2023

About Elmiron: This medication is used to treat pain/discomfort from a certain bladder disorder (interstitial cystitis). Show more ▾

It may work by forming a layer on the bladder wall and protecting it from harmful/irritating substances in the urine. It is also a weak blood thinner and may increase the risk of bruising/bleeding (such as bleeding from the nose/gums). A sulfated pentosyl polysaccharide with heparin-like properties.

In 2023, this provider wrote 15 Medicare prescriptions for Elmiron, about the same volume as the typical Oregon prescriber of this medication (15). Medicare paid an average of $1,201.72 per fill, versus $912.00 statewide.

How often this provider prescribes it

This provider
15
OR average
15.0

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

What Medicare paid per fill

This provider
$1,201.72
OR average
$912.00

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

19
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2023

About Cefdinir: Cefdinir is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A third-generation oral cephalosporin antibacterial agent that is used to treat bacterial infections of the respiratory tract and skin.

In 2023, this provider wrote 14 Medicare prescriptions for Cefdinir, about 70% of the volume of the typical Oregon prescriber of this medication (20). Medicare paid an average of $34.35 per fill, versus $19.42 statewide.

How often this provider prescribes it

This provider
14
OR average
20.0

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

What Medicare paid per fill

This provider
$34.35
OR average
$19.42

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

14
30-Day Fills
standardized to 30-day supplies
117
Days of Medication
total across all patients in 2023

About Tolterodine Tartrate Er: This medication is used to treat an overactive bladder. Show more ▾

By relaxing the muscles in the bladder, tolterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. An ANTIMUSCARINIC AGENT selective for the MUSCARINIC RECEPTORS of the BLADDER that is used in the treatment of URINARY INCONTINENCE and URINARY URGE INCONTINENCE.

In 2023, this provider wrote 12 Medicare prescriptions for Tolterodine Tartrate Er, about 60% of the volume of the typical Oregon prescriber of this medication (20). Medicare paid an average of $59.00 per fill, versus $141.33 statewide.

How often this provider prescribes it

This provider
12
OR average
20.0

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

What Medicare paid per fill

This provider
$59.00
OR average
$141.33

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

17
30-Day Fills
standardized to 30-day supplies
506
Days of Medication
total across all patients in 2023

About Nubeqa: Darolutamide is used to treat a certain type of prostate cancer. Show more ▾

This medication belongs to a class of drugs known as anti-androgens (anti-testosterone). It works by blocking the effects of testosterone to slow the growth and spread of prostate cancer.

In 2023, this provider wrote 12 Medicare prescriptions for Nubeqa, about half the volume of the typical Oregon prescriber of this medication (26). Medicare paid an average of $12,887.07 per fill, versus $12,876.47 statewide.

How often this provider prescribes it

This provider
12
OR average
26.0

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

What Medicare paid per fill

This provider
$12,887.07
OR average
$12,876.47

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 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average OR prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the OR average cost per fill.

About this data. The prescription history for DR. GREGORY A COST 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 Urology prescribing approach at this Tualatin, OR 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 OR prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.