DR. WINSTON R NARA MD
Prescription History 1114907607
Internal Medicine - Pulmonary Disease in Greenwood, IN

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143(317) 885-2334(317) 885-2869 Get Directions

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2022, Mar 30, 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. WINSTON R NARA MD, an active Pulmonary Disease specialist practicing in Greenwood, IN. Our medical registry currently tracks 20 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 703 documented patient claims. Among these therapy options, the most frequently utilized medication is Prednisone, which accounts for 149 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
703
Total Claims
998
30-Day Fills
Prednisone
Most Prescribed · 149 claims
View details
20 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. WINSTON R NARA MD in 2024, with prescription volumes, average cost per fill, and IN state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other IN PrescribersVs. IN Avg

About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾

Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.

In 2024, this provider wrote 149 Medicare prescriptions for Prednisone, about 3.1 times the volume of the typical Indiana prescriber of this medication (48.5). Medicare paid an average of $2.10 per fill, versus $3.47 statewide.

How often this provider prescribes it

This provider
149
IN average
48.5

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

What Medicare paid per fill

This provider
$2.10
IN average
$3.47

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

167.1
30-Day Fills
standardized to 30-day supplies
2,099
Days of Medication
total across all patients in 2024

About Trelegy Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

Controlling symptoms of breathing problems helps you stay active. This inhaler contains 3 medications: fluticasone, umeclidinium, and vilanterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling of the airways in the lungs to make breathing easier. Umeclidinium belongs to a class of drugs known as anticholinergics and vilanterol is a LABA medication. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Both drugs are also known as bronchodilators. When used alone, long-acting beta agonists (such as vilanterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination products containing both an inhaled corticosteroid and long-acting beta agonist, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with two asthma-control medications (such as inhaled corticosteroid and long-acting beta agonist) or if your symptoms need combination treatment. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden shortness of breath. If sudden breathing problems occur, use your quick-relief inhaler as prescribed.

In 2024, this provider wrote 114 Medicare prescriptions for Trelegy Ellipta, about 1.8 times the volume of the typical Indiana prescriber of this medication (62.1). Medicare paid an average of $1,038.45 per fill, versus $886.77 statewide.

How often this provider prescribes it

This provider
114
IN average
62.1

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

What Medicare paid per fill

This provider
$1,038.45
IN average
$886.77

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

190
30-Day Fills
standardized to 30-day supplies
5,700
Days of Medication
total across all patients in 2024

About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Show more ▾

It is also used to prevent asthma brought on by exercise. It is a quick-relief drug. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol.

In 2024, this provider wrote 86 Medicare prescriptions for Albuterol Sulfate Hfa, about the same volume as the typical Indiana prescriber of this medication (76.7). Medicare paid an average of $26.68 per fill, versus $24.93 statewide.

How often this provider prescribes it

This provider
86
IN average
76.7

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

What Medicare paid per fill

This provider
$26.68
IN average
$24.93

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

115.3
30-Day Fills
standardized to 30-day supplies
3,186
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 68 Medicare prescriptions for Doxycycline Hyclate, about 2.1 times the volume of the typical Indiana prescriber of this medication (32.4). Medicare paid an average of $3.92 per fill, versus $12.01 statewide.

How often this provider prescribes it

This provider
68
IN average
32.4

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

What Medicare paid per fill

This provider
$3.92
IN average
$12.01

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

68
30-Day Fills
standardized to 30-day supplies
435
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 41 Medicare prescriptions for Montelukast Sodium, about 61% of the volume of the typical Indiana prescriber of this medication (67.5). Medicare paid an average of $6.19 per fill, versus $9.25 statewide.

How often this provider prescribes it

This provider
41
IN average
67.5

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

What Medicare paid per fill

This provider
$6.19
IN average
$9.25

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

85
30-Day Fills
standardized to 30-day supplies
2,550
Days of Medication
total across all patients in 2024

About Fluticasone-Salmeterol: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A drug combination of fluticasone and salmeterol that is used as an inhaler formulation to manage the symptoms of ASTHMA and CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

In 2024, this provider wrote 33 Medicare prescriptions for Fluticasone-Salmeterol, about 1.2 times the volume of the typical Indiana prescriber of this medication (28.3). Medicare paid an average of $157.56 per fill, versus $126.73 statewide.

How often this provider prescribes it

This provider
33
IN average
28.3

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

What Medicare paid per fill

This provider
$157.56
IN average
$126.73

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

51
30-Day Fills
standardized to 30-day supplies
1,530
Days of Medication
total across all patients in 2024

About Spiriva Respimat: Tiotropium is used to treat lung diseases such as asthma and COPD (bronchitis, emphysema). Show more ▾

It must be used regularly to prevent wheezing and shortness of breath. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Tiotropium belongs to a class of drugs known as anticholinergics. Controlling symptoms of breathing problems can decrease time lost from work or school. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If wheezing or sudden shortness of breath occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A scopolamine derivative and CHOLINERGIC ANTAGONIST that functions as a BRONCHODILATOR AGENT. It is used in the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

In 2024, this provider wrote 21 Medicare prescriptions for Spiriva Respimat, about 68% of the volume of the typical Indiana prescriber of this medication (30.9). Medicare paid an average of $1,082.28 per fill, versus $720.74 statewide.

How often this provider prescribes it

This provider
21
IN average
30.9

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

What Medicare paid per fill

This provider
$1,082.28
IN average
$720.74

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

44
30-Day Fills
standardized to 30-day supplies
1,320
Days of Medication
total across all patients in 2024

About Ventolin Hfa: Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Show more ▾

It is also used to prevent asthma brought on by exercise. It is a quick-relief drug. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol.

In 2024, this provider wrote 19 Medicare prescriptions for Ventolin Hfa, about 80% of the volume of the typical Indiana prescriber of this medication (23.9). Medicare paid an average of $128.62 per fill, versus $68.72 statewide.

How often this provider prescribes it

This provider
19
IN average
23.9

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

What Medicare paid per fill

This provider
$128.62
IN average
$68.72

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

33.5
30-Day Fills
standardized to 30-day supplies
991
Days of Medication
total across all patients in 2024

About Stiolto Respimat: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

Controlling symptoms of breathing problems helps you stay active. This inhaler contains 2 medications: tiotropium and olodaterol. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Tiotropium belongs to a class of drugs known as anticholinergics. Olodaterol belongs to the class of drugs known as long-acting inhaled beta-agonists (LABAs). Both drugs are also known as bronchodilators. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden shortness of breath. If sudden breathing problems occur, use your quick-relief inhaler as prescribed. Tiotropium/olodaterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as olodaterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems.

In 2024, this provider wrote 17 Medicare prescriptions for Stiolto Respimat, about half the volume of the typical Indiana prescriber of this medication (30.2). Medicare paid an average of $666.30 per fill, versus $660.59 statewide.

How often this provider prescribes it

This provider
17
IN average
30.2

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

What Medicare paid per fill

This provider
$666.30
IN average
$660.59

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

25
30-Day Fills
standardized to 30-day supplies
750
Days of Medication
total across all patients in 2024

About Diltiazem 24hr Er (Cd): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions.

In 2024, this provider wrote 16 Medicare prescriptions for Diltiazem 24hr Er (Cd), about a third of the volume of the typical Indiana prescriber of this medication (39.7). Medicare paid an average of $6.98 per fill, versus $26.62 statewide.

How often this provider prescribes it

This provider
16
IN average
39.7

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

What Medicare paid per fill

This provider
$6.98
IN average
$26.62

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

20
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2024

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

Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A broad-spectrum antimicrobial carboxyfluoroquinoline.

In 2024, this provider wrote 16 Medicare prescriptions for Ciprofloxacin Hcl, about half the volume of the typical Indiana prescriber of this medication (28.9). Medicare paid an average of $6.50 per fill, versus $6.74 statewide.

How often this provider prescribes it

This provider
16
IN average
28.9

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

What Medicare paid per fill

This provider
$6.50
IN average
$6.74

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

16
30-Day Fills
standardized to 30-day supplies
90
Days of Medication
total across all patients in 2024

About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾

With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. An antithrombotic agent.

In 2024, this provider wrote 15 Medicare prescriptions for Eliquis, about 15% of the volume of the typical Indiana prescriber of this medication (102.9). Medicare paid an average of $1,199.57 per fill, versus $840.97 statewide.

How often this provider prescribes it

This provider
15
IN average
102.9

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

What Medicare paid per fill

This provider
$1,199.57
IN average
$840.97

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

33
30-Day Fills
standardized to 30-day supplies
944
Days of Medication
total across all patients in 2024

About Anoro Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

Controlling symptoms of breathing problems helps you stay active. This inhaler contains 2 medications: umeclidinium and vilanterol. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Umeclidinium belongs to a class of drugs known as anticholinergics. Vilanterol belongs to the class of drugs known as long-acting beta agonists (LABAs). Both drugs are also known as bronchodilators. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden shortness of breath. If sudden breathing problems occur, use your quick-relief inhaler as prescribed. Umeclidinium/vilanterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as vilanterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems.

In 2024, this provider wrote 15 Medicare prescriptions for Anoro Ellipta, about half the volume of the typical Indiana prescriber of this medication (30.1). Medicare paid an average of $721.97 per fill, versus $585.75 statewide.

How often this provider prescribes it

This provider
15
IN average
30.1

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

What Medicare paid per fill

This provider
$721.97
IN average
$585.75

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

23
30-Day Fills
standardized to 30-day supplies
690
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 15 Medicare prescriptions for Omeprazole, about 14% of the volume of the typical Indiana prescriber of this medication (111). Medicare paid an average of $2.77 per fill, versus $12.17 statewide.

How often this provider prescribes it

This provider
15
IN average
111.0

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

What Medicare paid per fill

This provider
$2.77
IN average
$12.17

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

15
30-Day Fills
standardized to 30-day supplies
450
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 15 Medicare prescriptions for Ipratropium Bromide, about half the volume of the typical Indiana prescriber of this medication (32.9). Medicare paid an average of $20.50 per fill, versus $29.74 statewide.

How often this provider prescribes it

This provider
15
IN average
32.9

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

What Medicare paid per fill

This provider
$20.50
IN average
$29.74

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

15.4
30-Day Fills
standardized to 30-day supplies
400
Days of Medication
total across all patients in 2024

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

This medication belongs to a class of drugs known as quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. The L-isomer of Ofloxacin.

In 2024, this provider wrote 13 Medicare prescriptions for Levofloxacin, about half the volume of the typical Indiana prescriber of this medication (25.8). Medicare paid an average of $9.46 per fill, versus $5.96 statewide.

How often this provider prescribes it

This provider
13
IN average
25.8

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

What Medicare paid per fill

This provider
$9.46
IN average
$5.96

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

13
30-Day Fills
standardized to 30-day supplies
128
Days of Medication
total across all patients in 2024

About Moxifloxacin Hcl: Moxifloxacin is used to treat a variety of bacterial infections. Show more ▾

This medication belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A fluoroquinolone that acts as an inhibitor of DNA TOPOISOMERASE II and is used as a broad-spectrum antibacterial agent.

In 2024, this provider wrote 13 Medicare prescriptions for Moxifloxacin Hcl, about a third of the volume of the typical Indiana prescriber of this medication (42.9). Medicare paid an average of $30.33 per fill, versus $19.92 statewide.

How often this provider prescribes it

This provider
13
IN average
42.9

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

What Medicare paid per fill

This provider
$30.33
IN average
$19.92

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

13
30-Day Fills
standardized to 30-day supplies
77
Days of Medication
total across all patients in 2024

About Breo Ellipta: This medication is used to prevent and decrease symptoms (wheezing and trouble breathing) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Show more ▾

This inhaler contains 2 medications: fluticasone and vilanterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the swelling of the airways in the lungs to make breathing easier. Vilanterol belongs to a class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. When used alone, long-acting beta agonists (like vilanterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed.

In 2024, this provider wrote 13 Medicare prescriptions for Breo Ellipta, about a third of the volume of the typical Indiana prescriber of this medication (34.1). Medicare paid an average of $897.05 per fill, versus $538.67 statewide.

How often this provider prescribes it

This provider
13
IN average
34.1

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

What Medicare paid per fill

This provider
$897.05
IN average
$538.67

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 2024

About Budesonide-Formoterol Fumarate: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: budesonide and formoterol. Budesonide belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Formoterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as formoterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. Before using this medication, it is important to learn how to use it properly. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. See also How to Use section.

In 2024, this provider wrote 12 Medicare prescriptions for Budesonide-Formoterol Fumarate, about half the volume of the typical Indiana prescriber of this medication (23.1). Medicare paid an average of $209.78 per fill, versus $170.12 statewide.

How often this provider prescribes it

This provider
12
IN average
23.1

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

What Medicare paid per fill

This provider
$209.78
IN average
$170.12

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

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2024

About Breztri Aerosphere: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

Controlling symptoms of breathing problems helps you maintain your normal activities and decreases time lost from work or school. This inhaler contains 3 medications: budesonide, glycopyrrolate, and formoterol. Budesonide works by reducing the irritation and swelling of the airways. Budesonide belongs to a class of drugs known as corticosteroids. Glycopyrrolate and formoterol work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Glycopyrrolate belongs to a class of drugs known as anticholinergics. Formoterol belongs to the class of drugs known as long-acting beta agonists (LABAs). Both drugs are also known as bronchodilators. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This medication is not approved to treat asthma.

In 2024, this provider wrote 12 Medicare prescriptions for Breztri Aerosphere, about a third of the volume of the typical Indiana prescriber of this medication (38.9). Medicare paid an average of $1,029.94 per fill, versus $793.28 statewide.

How often this provider prescribes it

This provider
12
IN average
38.9

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

What Medicare paid per fill

This provider
$1,029.94
IN average
$793.28

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

20
30-Day Fills
standardized to 30-day supplies
600
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 IN prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the IN average cost per fill.

About this data. The prescription history for DR. WINSTON R NARA MD 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 Pulmonary Disease prescribing approach at this Greenwood, IN 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 IN 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.