JOHN FORREST FLOYD MD
Prescription History 1114913621
Internal Medicine in Spokane, WA

Name: Medicare Part D prescriptions by John Floyd (NPI 1114913621), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment

546 N JEFFERSON LN, SPOKANE, WA 99201(509) 624-0111(509) 227-7070 Get Directions

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2021, May 22, 2017 (2 updates tracked since 2017).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JOHN FORREST FLOYD MD, an active Internal Medicine specialist practicing in Spokane, WA. Our medical registry currently tracks 169 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 13,178 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 704 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.

169

Medications

13,178

Total Claims

28,153

30-Day Fills

Atorvastatin Calcium

Most Prescribed · 704 claims

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Prescription Volume vs WA Average

169 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by JOHN FORREST FLOYD MD in 2023, with prescription volumes, average cost per fill, and WA state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other WA PrescribersVs. WA Avg
Atorvastatin Calcium	704	$12.94▼ below WA avg	▲ More than typical
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 704 Medicare prescriptions for Atorvastatin Calcium, about 4.7 times the volume of the typical Washington prescriber of this medication (149). Medicare paid an average of $12.94 per fill, versus $13.28 statewide. How often this provider prescribes it This provider 704 WA average 149.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.94 WA average $13.28 This provider's average cost per fill is below the WA average for this medication. 1,886.2 30-Day Fills standardized to 30-day supplies 56,454 Days of Medication total across all patients in 2023
Levothyroxine Sodium	585	$13.31▼ below WA avg	▲ More than typical
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 585 Medicare prescriptions for Levothyroxine Sodium, about 5.3 times the volume of the typical Washington prescriber of this medication (110). Medicare paid an average of $13.31 per fill, versus $18.23 statewide. How often this provider prescribes it This provider 585 WA average 110.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.31 WA average $18.23 This provider's average cost per fill is below the WA average for this medication. 1,481.7 30-Day Fills standardized to 30-day supplies 44,235 Days of Medication total across all patients in 2023
Losartan Potassium	534	$17.18	▲ More than typical
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 534 Medicare prescriptions for Losartan Potassium, about 5.7 times the volume of the typical Washington prescriber of this medication (93). Medicare paid an average of $17.18 per fill, versus $11.70 statewide. How often this provider prescribes it This provider 534 WA average 93.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.18 WA average $11.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 1,504 30-Day Fills standardized to 30-day supplies 44,874 Days of Medication total across all patients in 2023
Omeprazole	427	$14.75▼ below WA avg	▲ More than typical
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 427 Medicare prescriptions for Omeprazole, about 5.6 times the volume of the typical Washington prescriber of this medication (76). Medicare paid an average of $14.75 per fill, versus $15.63 statewide. How often this provider prescribes it This provider 427 WA average 76.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.75 WA average $15.63 This provider's average cost per fill is below the WA average for this medication. 990.3 30-Day Fills standardized to 30-day supplies 29,451 Days of Medication total across all patients in 2023
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	395	$27.43	▲ More than typical
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 395 Medicare prescriptions for Hydrocodone-Acetaminophen, about 6.7 times the volume of the typical Washington prescriber of this medication (59). Medicare paid an average of $27.43 per fill, versus $20.88 statewide. How often this provider prescribes it This provider 395 WA average 59.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.43 WA average $20.88 Gross Part D cost per fill; not the patient's out-of-pocket price. 395 30-Day Fills standardized to 30-day supplies 9,626 Days of Medication total across all patients in 2023
Potassium Chloride	355	$31.17▼ below WA avg	▲ More than typical
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 355 Medicare prescriptions for Potassium Chloride, about 7.1 times the volume of the typical Washington prescriber of this medication (50). Medicare paid an average of $31.17 per fill, versus $32.62 statewide. How often this provider prescribes it This provider 355 WA average 50.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.17 WA average $32.62 This provider's average cost per fill is below the WA average for this medication. 794.8 30-Day Fills standardized to 30-day supplies 23,511 Days of Medication total across all patients in 2023
Metformin Hcl	347	$9.18▼ below WA avg	▲ More than typical
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 347 Medicare prescriptions for Metformin Hcl, about 5.3 times the volume of the typical Washington prescriber of this medication (65). Medicare paid an average of $9.18 per fill, versus $9.35 statewide. How often this provider prescribes it This provider 347 WA average 65.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.18 WA average $9.35 This provider's average cost per fill is below the WA average for this medication. 859.6 30-Day Fills standardized to 30-day supplies 25,722 Days of Medication total across all patients in 2023
Hydrochlorothiazide	344	$6.37	▲ More than typical
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 344 Medicare prescriptions for Hydrochlorothiazide, about 6 times the volume of the typical Washington prescriber of this medication (57). Medicare paid an average of $6.37 per fill, versus $5.87 statewide. How often this provider prescribes it This provider 344 WA average 57.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.37 WA average $5.87 Gross Part D cost per fill; not the patient's out-of-pocket price. 887.2 30-Day Fills standardized to 30-day supplies 26,583 Days of Medication total across all patients in 2023
Rosuvastatin Calcium	295	$24.04▼ below WA avg	▲ More than typical
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 295 Medicare prescriptions for Rosuvastatin Calcium, about 4.6 times the volume of the typical Washington prescriber of this medication (64). Medicare paid an average of $24.04 per fill, versus $28.00 statewide. How often this provider prescribes it This provider 295 WA average 64.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.04 WA average $28.00 This provider's average cost per fill is below the WA average for this medication. 778.4 30-Day Fills standardized to 30-day supplies 23,320 Days of Medication total across all patients in 2023
Lisinopril	278	$7.56▼ below WA avg	▲ More than typical
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 278 Medicare prescriptions for Lisinopril, about 2.7 times the volume of the typical Washington prescriber of this medication (104). Medicare paid an average of $7.56 per fill, versus $8.10 statewide. How often this provider prescribes it This provider 278 WA average 104.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.56 WA average $8.10 This provider's average cost per fill is below the WA average for this medication. 729.3 30-Day Fills standardized to 30-day supplies 21,876 Days of Medication total across all patients in 2023
Citalopram HbrCitalopram Hydrobromide	276	$8.10▼ below WA avg	▲ More than typical
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2023, this provider wrote 276 Medicare prescriptions for Citalopram Hbr, about 7.9 times the volume of the typical Washington prescriber of this medication (35). Medicare paid an average of $8.10 per fill, versus $10.17 statewide. How often this provider prescribes it This provider 276 WA average 35.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.10 WA average $10.17 This provider's average cost per fill is below the WA average for this medication. 577 30-Day Fills standardized to 30-day supplies 17,310 Days of Medication total across all patients in 2023
Simvastatin	275	$10.67	▲ More than typical
About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 275 Medicare prescriptions for Simvastatin, about 4.9 times the volume of the typical Washington prescriber of this medication (56). Medicare paid an average of $10.67 per fill, versus $8.70 statewide. How often this provider prescribes it This provider 275 WA average 56.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.67 WA average $8.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 820.6 30-Day Fills standardized to 30-day supplies 24,608 Days of Medication total across all patients in 2023
Metoprolol Succinate	260	$17.92▼ below WA avg	▲ More than typical
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 260 Medicare prescriptions for Metoprolol Succinate, about 3.2 times the volume of the typical Washington prescriber of this medication (82). Medicare paid an average of $17.92 per fill, versus $22.27 statewide. How often this provider prescribes it This provider 260 WA average 82.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.92 WA average $22.27 This provider's average cost per fill is below the WA average for this medication. 598.2 30-Day Fills standardized to 30-day supplies 17,850 Days of Medication total across all patients in 2023
Amlodipine Besylate	260	$7.64▼ below WA avg	▲ More than typical
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 260 Medicare prescriptions for Amlodipine Besylate, about 2.7 times the volume of the typical Washington prescriber of this medication (97). Medicare paid an average of $7.64 per fill, versus $8.27 statewide. How often this provider prescribes it This provider 260 WA average 97.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.64 WA average $8.27 This provider's average cost per fill is below the WA average for this medication. 695.6 30-Day Fills standardized to 30-day supplies 20,782 Days of Medication total across all patients in 2023
Pantoprazole Sodium	249	$12.94▼ below WA avg	▲ More than typical
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 249 Medicare prescriptions for Pantoprazole Sodium, about 5.5 times the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $12.94 per fill, versus $18.43 statewide. How often this provider prescribes it This provider 249 WA average 45.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.94 WA average $18.43 This provider's average cost per fill is below the WA average for this medication. 566 30-Day Fills standardized to 30-day supplies 16,920 Days of Medication total across all patients in 2023
Lorazepam	244	$5.80▼ below WA avg	▲ More than typical
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. 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 2023, this provider wrote 244 Medicare prescriptions for Lorazepam, about 7.2 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $5.80 per fill, versus $7.61 statewide. How often this provider prescribes it This provider 244 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.80 WA average $7.61 This provider's average cost per fill is below the WA average for this medication. 274.2 30-Day Fills standardized to 30-day supplies 7,202 Days of Medication total across all patients in 2023
Tamsulosin Hcl	235	$26.53	▲ More than typical
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 235 Medicare prescriptions for Tamsulosin Hcl, about 3.6 times the volume of the typical Washington prescriber of this medication (65). Medicare paid an average of $26.53 per fill, versus $21.65 statewide. How often this provider prescribes it This provider 235 WA average 65.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.53 WA average $21.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 612.3 30-Day Fills standardized to 30-day supplies 18,370 Days of Medication total across all patients in 2023
Diltiazem 24hr Er (Cd)Diltiazem Hcl	234	$28.67▼ below WA avg	▲ More than typical
About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 234 Medicare prescriptions for Diltiazem 24hr Er (Cd), about 8.7 times the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $28.67 per fill, versus $44.63 statewide. How often this provider prescribes it This provider 234 WA average 27.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.67 WA average $44.63 This provider's average cost per fill is below the WA average for this medication. 545.8 30-Day Fills standardized to 30-day supplies 16,250 Days of Medication total across all patients in 2023
Zolpidem Tartrate	202	$7.79▼ below WA avg	▲ More than typical
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2023, this provider wrote 202 Medicare prescriptions for Zolpidem Tartrate, about 6.1 times the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $7.79 per fill, versus $8.33 statewide. How often this provider prescribes it This provider 202 WA average 33.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.79 WA average $8.33 This provider's average cost per fill is below the WA average for this medication. 271 30-Day Fills standardized to 30-day supplies 8,024 Days of Medication total across all patients in 2023
Trazodone Hcl	200	$13.29▼ below WA avg	▲ More than typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 200 Medicare prescriptions for Trazodone Hcl, about 3.6 times the volume of the typical Washington prescriber of this medication (55). Medicare paid an average of $13.29 per fill, versus $14.86 statewide. How often this provider prescribes it This provider 200 WA average 55.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.29 WA average $14.86 This provider's average cost per fill is below the WA average for this medication. 364.2 30-Day Fills standardized to 30-day supplies 10,878 Days of Medication total across all patients in 2023
Gabapentin	198	$26.04	▲ More than typical
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 198 Medicare prescriptions for Gabapentin, about 2.9 times the volume of the typical Washington prescriber of this medication (69). Medicare paid an average of $26.04 per fill, versus $25.75 statewide. How often this provider prescribes it This provider 198 WA average 69.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.04 WA average $25.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 464.3 30-Day Fills standardized to 30-day supplies 13,729 Days of Medication total across all patients in 2023
Furosemide	196	$5.73▼ below WA avg	▲ More than typical
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 196 Medicare prescriptions for Furosemide, about 3.4 times the volume of the typical Washington prescriber of this medication (58). Medicare paid an average of $5.73 per fill, versus $7.30 statewide. How often this provider prescribes it This provider 196 WA average 58.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.73 WA average $7.30 This provider's average cost per fill is below the WA average for this medication. 331.5 30-Day Fills standardized to 30-day supplies 9,874 Days of Medication total across all patients in 2023
Donepezil Hcl	191	$14.72▼ below WA avg	▲ More than typical
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 191 Medicare prescriptions for Donepezil Hcl, about 4.8 times the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $14.72 per fill, versus $16.21 statewide. How often this provider prescribes it This provider 191 WA average 40.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.72 WA average $16.21 This provider's average cost per fill is below the WA average for this medication. 424 30-Day Fills standardized to 30-day supplies 12,659 Days of Medication total across all patients in 2023
Sertraline Hcl	163	$8.60▼ below WA avg	▲ More than typical
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 163 Medicare prescriptions for Sertraline Hcl, about 3.4 times the volume of the typical Washington prescriber of this medication (48). Medicare paid an average of $8.60 per fill, versus $12.87 statewide. How often this provider prescribes it This provider 163 WA average 48.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.60 WA average $12.87 This provider's average cost per fill is below the WA average for this medication. 288 30-Day Fills standardized to 30-day supplies 8,575 Days of Medication total across all patients in 2023
EliquisApixaban	160	$900.05▼ below WA avg	▲ More than typical
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 160 Medicare prescriptions for Eliquis, about 2.8 times the volume of the typical Washington prescriber of this medication (58). Medicare paid an average of $900.05 per fill, versus $929.70 statewide. How often this provider prescribes it This provider 160 WA average 58.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $900.05 WA average $929.70 This provider's average cost per fill is below the WA average for this medication. 257 30-Day Fills standardized to 30-day supplies 7,386 Days of Medication total across all patients in 2023
Ezetimibe	147	$33.09▼ below WA avg	▲ More than typical
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 147 Medicare prescriptions for Ezetimibe, about 4.5 times the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $33.09 per fill, versus $55.60 statewide. How often this provider prescribes it This provider 147 WA average 33.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.09 WA average $55.60 This provider's average cost per fill is below the WA average for this medication. 371 30-Day Fills standardized to 30-day supplies 11,105 Days of Medication total across all patients in 2023
Glimepiride	139	$15.21	▲ More than typical
About Glimepiride: Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glimepiride belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. Alkaloids derived from TYRAMINE combined with 3,4-dihydroxybenzaldehyde via a norbelladine pathway, including GALANTAMINE, lycorine and crinine. They are found in the AMARYLLIDACEAE plant family. In 2023, this provider wrote 139 Medicare prescriptions for Glimepiride, about 4.8 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $15.21 per fill, versus $12.10 statewide. How often this provider prescribes it This provider 139 WA average 29.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.21 WA average $12.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 324.5 30-Day Fills standardized to 30-day supplies 9,679 Days of Medication total across all patients in 2023
Pravastatin Sodium	137	$23.70	▲ More than typical
About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 137 Medicare prescriptions for Pravastatin Sodium, about 3.6 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $23.70 per fill, versus $18.36 statewide. How often this provider prescribes it This provider 137 WA average 38.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.70 WA average $18.36 Gross Part D cost per fill; not the patient's out-of-pocket price. 331.7 30-Day Fills standardized to 30-day supplies 9,749 Days of Medication total across all patients in 2023
Montelukast Sodium	136	$12.33▼ below WA avg	▲ More than typical
About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾ It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways. In 2023, this provider wrote 136 Medicare prescriptions for Montelukast Sodium, about 3.8 times the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $12.33 per fill, versus $18.30 statewide. How often this provider prescribes it This provider 136 WA average 36.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.33 WA average $18.30 This provider's average cost per fill is below the WA average for this medication. 248 30-Day Fills standardized to 30-day supplies 7,225 Days of Medication total across all patients in 2023
Alendronate Sodium	133	$12.06▼ below WA avg	▲ More than typical
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2023, this provider wrote 133 Medicare prescriptions for Alendronate Sodium, about 3.5 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $12.06 per fill, versus $13.14 statewide. How often this provider prescribes it This provider 133 WA average 38.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.06 WA average $13.14 This provider's average cost per fill is below the WA average for this medication. 286.3 30-Day Fills standardized to 30-day supplies 8,541 Days of Medication total across all patients in 2023
Allopurinol	122	$24.37	▲ More than typical
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 122 Medicare prescriptions for Allopurinol, about 3.2 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $24.37 per fill, versus $18.63 statewide. How often this provider prescribes it This provider 122 WA average 38.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.37 WA average $18.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 358.5 30-Day Fills standardized to 30-day supplies 10,755 Days of Medication total across all patients in 2023
Albuterol Sulfate HfaAlbuterol Sulfate	106	$33.67▼ below WA avg	▲ More than typical
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. 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 2023, this provider wrote 106 Medicare prescriptions for Albuterol Sulfate Hfa, about 2.4 times the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $33.67 per fill, versus $47.79 statewide. How often this provider prescribes it This provider 106 WA average 45.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.67 WA average $47.79 This provider's average cost per fill is below the WA average for this medication. 134.9 30-Day Fills standardized to 30-day supplies 3,108 Days of Medication total across all patients in 2023
Warfarin Sodium	103	$16.55▼ below WA avg	▲ More than typical
About Warfarin Sodium: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾ Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a blood thinner, but the more correct term is anticoagulant. It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide. In 2023, this provider wrote 103 Medicare prescriptions for Warfarin Sodium, about 1.7 times the volume of the typical Washington prescriber of this medication (59). Medicare paid an average of $16.55 per fill, versus $16.90 statewide. How often this provider prescribes it This provider 103 WA average 59.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.55 WA average $16.90 This provider's average cost per fill is below the WA average for this medication. 242.7 30-Day Fills standardized to 30-day supplies 7,222 Days of Medication total across all patients in 2023
Tramadol Hcl	100	$8.07▼ below WA avg	▲ More than typical
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 100 Medicare prescriptions for Tramadol Hcl, about 2.6 times the volume of the typical Washington prescriber of this medication (39). Medicare paid an average of $8.07 per fill, versus $8.73 statewide. How often this provider prescribes it This provider 100 WA average 39.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.07 WA average $8.73 This provider's average cost per fill is below the WA average for this medication. 100 30-Day Fills standardized to 30-day supplies 2,259 Days of Medication total across all patients in 2023
Famotidine	99	$14.05	▲ More than typical
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2023, this provider wrote 99 Medicare prescriptions for Famotidine, about 2.8 times the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $14.05 per fill, versus $11.59 statewide. How often this provider prescribes it This provider 99 WA average 36.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.05 WA average $11.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 204 30-Day Fills standardized to 30-day supplies 6,020 Days of Medication total across all patients in 2023
Spironolactone	95	$14.53	▲ More than typical
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 95 Medicare prescriptions for Spironolactone, about 2.6 times the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $14.53 per fill, versus $14.47 statewide. How often this provider prescribes it This provider 95 WA average 36.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.53 WA average $14.47 Gross Part D cost per fill; not the patient's out-of-pocket price. 232 30-Day Fills standardized to 30-day supplies 6,910 Days of Medication total across all patients in 2023
Metoprolol Tartrate	94	$10.71	▲ More than typical
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 94 Medicare prescriptions for Metoprolol Tartrate, about 2.1 times the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $10.71 per fill, versus $9.70 statewide. How often this provider prescribes it This provider 94 WA average 45.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.71 WA average $9.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 189 30-Day Fills standardized to 30-day supplies 5,576 Days of Medication total across all patients in 2023
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	93	$34.59	▲ More than typical
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone 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 93 Medicare prescriptions for Oxycodone-Acetaminophen, about 2.3 times the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $34.59 per fill, versus $27.67 statewide. How often this provider prescribes it This provider 93 WA average 40.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.59 WA average $27.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 95.7 30-Day Fills standardized to 30-day supplies 2,315 Days of Medication total across all patients in 2023
Duloxetine Hcl	92	$36.79▼ below WA avg	▲ More than typical
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 92 Medicare prescriptions for Duloxetine Hcl, about 2.2 times the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $36.79 per fill, versus $43.16 statewide. How often this provider prescribes it This provider 92 WA average 41.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $36.79 WA average $43.16 This provider's average cost per fill is below the WA average for this medication. 220.3 30-Day Fills standardized to 30-day supplies 6,578 Days of Medication total across all patients in 2023
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	91	$822.32	▲ More than typical
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 91 Medicare prescriptions for Lantus Solostar, about 2.9 times the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $822.32 per fill, versus $689.25 statewide. How often this provider prescribes it This provider 91 WA average 31.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $822.32 WA average $689.25 Gross Part D cost per fill; not the patient's out-of-pocket price. 210.1 30-Day Fills standardized to 30-day supplies 6,232 Days of Medication total across all patients in 2023
Enalapril Maleate	85	$25.35	▲ More than typical
About Enalapril Maleate: Enalapril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to help prevent people with a certain heart problem (left ventricular dysfunction) from developing heart failure. Enalapril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. An angiotensin-converting enzyme inhibitor that is used to treat HYPERTENSION and HEART FAILURE. In 2023, this provider wrote 85 Medicare prescriptions for Enalapril Maleate, about 4.7 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $25.35 per fill, versus $24.47 statewide. How often this provider prescribes it This provider 85 WA average 18.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.35 WA average $24.47 Gross Part D cost per fill; not the patient's out-of-pocket price. 237 30-Day Fills standardized to 30-day supplies 7,110 Days of Medication total across all patients in 2023
ClopidogrelClopidogrel Bisulfate	83	$12.52▼ below WA avg	▲ More than typical
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 83 Medicare prescriptions for Clopidogrel, about 2.2 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $12.52 per fill, versus $17.90 statewide. How often this provider prescribes it This provider 83 WA average 38.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.52 WA average $17.90 This provider's average cost per fill is below the WA average for this medication. 181 30-Day Fills standardized to 30-day supplies 5,373 Days of Medication total across all patients in 2023
Bupropion Hcl SrBupropion Hcl	83	$27.65▼ below WA avg	▲ More than typical
About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 83 Medicare prescriptions for Bupropion Hcl Sr, about 3.8 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $27.65 per fill, versus $33.81 statewide. How often this provider prescribes it This provider 83 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.65 WA average $33.81 This provider's average cost per fill is below the WA average for this medication. 178.3 30-Day Fills standardized to 30-day supplies 5,348 Days of Medication total across all patients in 2023
XareltoRivaroxaban	78	$1,210.14	▲ More than typical
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2023, this provider wrote 78 Medicare prescriptions for Xarelto, about 2.1 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $1,210.14 per fill, versus $955.56 statewide. How often this provider prescribes it This provider 78 WA average 38.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,210.14 WA average $955.56 Gross Part D cost per fill; not the patient's out-of-pocket price. 164.3 30-Day Fills standardized to 30-day supplies 4,930 Days of Medication total across all patients in 2023
Ropinirole Hcl	78	$13.23▼ below WA avg	▲ More than typical
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 78 Medicare prescriptions for Ropinirole Hcl, about 3.3 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $13.23 per fill, versus $25.22 statewide. How often this provider prescribes it This provider 78 WA average 24.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.23 WA average $25.22 This provider's average cost per fill is below the WA average for this medication. 146.5 30-Day Fills standardized to 30-day supplies 4,375 Days of Medication total across all patients in 2023
Methocarbamol	70	$5.84▼ below WA avg	▲ More than typical
About Methocarbamol: Methocarbamol is used to treat muscle spasms/pain. Show more ▾ It is usually used along with rest, physical therapy, and other treatment. It works by helping to relax the muscles. A centrally acting muscle relaxant whose mode of action has not been established. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1206) In 2023, this provider wrote 70 Medicare prescriptions for Methocarbamol, about 2.8 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $5.84 per fill, versus $15.29 statewide. How often this provider prescribes it This provider 70 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.84 WA average $15.29 This provider's average cost per fill is below the WA average for this medication. 95 30-Day Fills standardized to 30-day supplies 1,986 Days of Medication total across all patients in 2023
Alprazolam	69	$4.41▼ below WA avg	▲ More than typical
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 69 Medicare prescriptions for Alprazolam, about 2 times the volume of the typical Washington prescriber of this medication (35). Medicare paid an average of $4.41 per fill, versus $7.23 statewide. How often this provider prescribes it This provider 69 WA average 35.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.41 WA average $7.23 This provider's average cost per fill is below the WA average for this medication. 76.2 30-Day Fills standardized to 30-day supplies 1,940 Days of Medication total across all patients in 2023
OzempicSemaglutide	68	$1,322.25▼ below WA avg	▲ More than typical
About Ozempic: Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment. In 2023, this provider wrote 68 Medicare prescriptions for Ozempic, about 2 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $1,322.25 per fill, versus $1,381.42 statewide. How often this provider prescribes it This provider 68 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,322.25 WA average $1,381.42 This provider's average cost per fill is below the WA average for this medication. 104.5 30-Day Fills standardized to 30-day supplies 3,056 Days of Medication total across all patients in 2023
Buspirone Hcl	67	$13.99▼ below WA avg	▲ More than typical
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 67 Medicare prescriptions for Buspirone Hcl, about 2.1 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $13.99 per fill, versus $22.14 statewide. How often this provider prescribes it This provider 67 WA average 32.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.99 WA average $22.14 This provider's average cost per fill is below the WA average for this medication. 97.7 30-Day Fills standardized to 30-day supplies 2,885 Days of Medication total across all patients in 2023
Fluoxetine Hcl	64	$12.06▼ below WA avg	▲ More than typical
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 64 Medicare prescriptions for Fluoxetine Hcl, about 1.9 times the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $12.06 per fill, versus $16.95 statewide. How often this provider prescribes it This provider 64 WA average 33.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.06 WA average $16.95 This provider's average cost per fill is below the WA average for this medication. 161 30-Day Fills standardized to 30-day supplies 4,830 Days of Medication total across all patients in 2023
Raloxifene Hcl	58	$73.73▼ below WA avg	▲ More than typical
About Raloxifene Hcl: Raloxifene is used by women to prevent and treat bone loss (osteoporosis) after menopause. Show more ▾ It slows down bone loss and helps to keep bones strong, making them less likely to break. Raloxifene may also lower the chance of getting a certain type of breast cancer (invasive breast cancer) after menopause. Raloxifene is not an estrogen hormone, but it acts like estrogen in some parts of the body, like your bones. In other parts of the body (uterus and breasts), raloxifene acts like an estrogen blocker. It does not relieve menopause symptoms such as hot flashes. Raloxifene belongs to a class of drugs known as selective estrogen receptor modulators-SERMs. This medication should not be used before menopause. It should not be used to prevent heart disease. A second generation selective estrogen receptor modulator (SERM) used to prevent osteoporosis in postmenopausal women. It has estrogen agonist effects on bone and cholesterol metabolism but behaves as a complete estrogen antagonist on mammary gland and uterine tissue. In 2023, this provider wrote 58 Medicare prescriptions for Raloxifene Hcl, about 2.6 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $73.73 per fill, versus $91.79 statewide. How often this provider prescribes it This provider 58 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $73.73 WA average $91.79 This provider's average cost per fill is below the WA average for this medication. 126 30-Day Fills standardized to 30-day supplies 3,605 Days of Medication total across all patients in 2023
Amoxicillin	56	$3.46▼ below WA avg	▲ More than typical
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 56 Medicare prescriptions for Amoxicillin, about 1.9 times the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $3.46 per fill, versus $4.48 statewide. How often this provider prescribes it This provider 56 WA average 30.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.46 WA average $4.48 This provider's average cost per fill is below the WA average for this medication. 60 30-Day Fills standardized to 30-day supplies 550 Days of Medication total across all patients in 2023
Prednisone	55	$6.07▼ below WA avg	▲ More than typical
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 2023, this provider wrote 55 Medicare prescriptions for Prednisone, about 1.5 times the volume of the typical Washington prescriber of this medication (37). Medicare paid an average of $6.07 per fill, versus $8.30 statewide. How often this provider prescribes it This provider 55 WA average 37.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.07 WA average $8.30 This provider's average cost per fill is below the WA average for this medication. 71.2 30-Day Fills standardized to 30-day supplies 1,466 Days of Medication total across all patients in 2023
Olmesartan Medoxomil	54	$24.34▼ below WA avg	▲ More than typical
About Olmesartan Medoxomil: Olmesartan is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Olmesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to manage HYPERTENSION. In 2023, this provider wrote 54 Medicare prescriptions for Olmesartan Medoxomil, about 2.2 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $24.34 per fill, versus $29.29 statewide. How often this provider prescribes it This provider 54 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.34 WA average $29.29 This provider's average cost per fill is below the WA average for this medication. 124.8 30-Day Fills standardized to 30-day supplies 3,724 Days of Medication total across all patients in 2023
Memantine Hcl	54	$38.57▼ below WA avg	▲ More than typical
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 54 Medicare prescriptions for Memantine Hcl, about 1.4 times the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $38.57 per fill, versus $54.73 statewide. How often this provider prescribes it This provider 54 WA average 40.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.57 WA average $54.73 This provider's average cost per fill is below the WA average for this medication. 99 30-Day Fills standardized to 30-day supplies 2,958 Days of Medication total across all patients in 2023
Venlafaxine Hcl ErVenlafaxine Hcl	53	$37.45	▲ More than typical
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 53 Medicare prescriptions for Venlafaxine Hcl Er, about 1.8 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $37.45 per fill, versus $31.53 statewide. How often this provider prescribes it This provider 53 WA average 29.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.45 WA average $31.53 Gross Part D cost per fill; not the patient's out-of-pocket price. 142 30-Day Fills standardized to 30-day supplies 4,256 Days of Medication total across all patients in 2023
Clonazepam	53	$9.23▼ below WA avg	▲ More than typical
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 53 Medicare prescriptions for Clonazepam, about 1.5 times the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $9.23 per fill, versus $9.40 statewide. How often this provider prescribes it This provider 53 WA average 36.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.23 WA average $9.40 This provider's average cost per fill is below the WA average for this medication. 65.5 30-Day Fills standardized to 30-day supplies 1,875 Days of Medication total across all patients in 2023
Carvedilol	51	$12.15▼ below WA avg	≈ Typical
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 51 Medicare prescriptions for Carvedilol, about the same volume as the typical Washington prescriber of this medication (47). Medicare paid an average of $12.15 per fill, versus $13.14 statewide. How often this provider prescribes it This provider 51 WA average 47.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.15 WA average $13.14 This provider's average cost per fill is below the WA average for this medication. 107 30-Day Fills standardized to 30-day supplies 3,210 Days of Medication total across all patients in 2023
Glipizide	50	$13.15	▲ More than typical
About Glipizide: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2023, this provider wrote 50 Medicare prescriptions for Glipizide, about 1.7 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $13.15 per fill, versus $10.36 statewide. How often this provider prescribes it This provider 50 WA average 29.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.15 WA average $10.36 Gross Part D cost per fill; not the patient's out-of-pocket price. 128.6 30-Day Fills standardized to 30-day supplies 3,860 Days of Medication total across all patients in 2023
Metformin Hcl ErMetformin Hcl	50	$13.35	≈ Typical
About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 50 Medicare prescriptions for Metformin Hcl Er, about the same volume as the typical Washington prescriber of this medication (45). Medicare paid an average of $13.35 per fill, versus $11.92 statewide. How often this provider prescribes it This provider 50 WA average 45.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.35 WA average $11.92 Gross Part D cost per fill; not the patient's out-of-pocket price. 123 30-Day Fills standardized to 30-day supplies 3,666 Days of Medication total across all patients in 2023
Finasteride	50	$14.72▼ below WA avg	≈ Typical
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 50 Medicare prescriptions for Finasteride, about 1.2 times the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $14.72 per fill, versus $17.70 statewide. How often this provider prescribes it This provider 50 WA average 41.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.72 WA average $17.70 This provider's average cost per fill is below the WA average for this medication. 104 30-Day Fills standardized to 30-day supplies 3,120 Days of Medication total across all patients in 2023
Paroxetine Hcl	47	$8.37▼ below WA avg	▲ More than typical
About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. In 2023, this provider wrote 47 Medicare prescriptions for Paroxetine Hcl, about 2.1 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $8.37 per fill, versus $17.53 statewide. How often this provider prescribes it This provider 47 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.37 WA average $17.53 This provider's average cost per fill is below the WA average for this medication. 141 30-Day Fills standardized to 30-day supplies 4,230 Days of Medication total across all patients in 2023
Propranolol Hcl	46	$20.90▼ below WA avg	▲ More than typical
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 46 Medicare prescriptions for Propranolol Hcl, about 2.1 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $20.90 per fill, versus $28.88 statewide. How often this provider prescribes it This provider 46 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.90 WA average $28.88 This provider's average cost per fill is below the WA average for this medication. 103.7 30-Day Fills standardized to 30-day supplies 3,106 Days of Medication total across all patients in 2023
Escitalopram Oxalate	45	$13.58▼ below WA avg	▲ More than typical
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 45 Medicare prescriptions for Escitalopram Oxalate, about 1.3 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $13.58 per fill, versus $16.03 statewide. How often this provider prescribes it This provider 45 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.58 WA average $16.03 This provider's average cost per fill is below the WA average for this medication. 95 30-Day Fills standardized to 30-day supplies 2,848 Days of Medication total across all patients in 2023
Dicyclomine Hcl	44	$50.66	▲ More than typical
In 2023, this provider wrote 44 Medicare prescriptions for Dicyclomine Hcl, about 2.1 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $50.66 per fill, versus $26.26 statewide. How often this provider prescribes it This provider 44 WA average 21.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.66 WA average $26.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 87 30-Day Fills standardized to 30-day supplies 2,584 Days of Medication total across all patients in 2023
Atenolol	43	$10.47▼ below WA avg	▲ More than typical
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 43 Medicare prescriptions for Atenolol, about 1.3 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $10.47 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 43 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.47 WA average $10.71 This provider's average cost per fill is below the WA average for this medication. 115 30-Day Fills standardized to 30-day supplies 3,450 Days of Medication total across all patients in 2023
Pregabalin	42	$25.25▼ below WA avg	▲ More than typical
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 42 Medicare prescriptions for Pregabalin, about 1.3 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $25.25 per fill, versus $43.37 statewide. How often this provider prescribes it This provider 42 WA average 32.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.25 WA average $43.37 This provider's average cost per fill is below the WA average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023
Pramipexole DihydrochloridePramipexole Di-Hcl	40	$10.94▼ below WA avg	▲ More than typical
About Pramipexole Dihydrochloride: Pramipexole is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and can decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 40 Medicare prescriptions for Pramipexole Dihydrochloride, about 1.7 times the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $10.94 per fill, versus $22.28 statewide. How often this provider prescribes it This provider 40 WA average 23.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.94 WA average $22.28 This provider's average cost per fill is below the WA average for this medication. 111.7 30-Day Fills standardized to 30-day supplies 3,350 Days of Medication total across all patients in 2023
Triamcinolone Acetonide	40	$8.45▼ below WA avg	▲ More than typical
About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾ Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions. In 2023, this provider wrote 40 Medicare prescriptions for Triamcinolone Acetonide, about 1.3 times the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $8.45 per fill, versus $11.41 statewide. How often this provider prescribes it This provider 40 WA average 30.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.45 WA average $11.41 This provider's average cost per fill is below the WA average for this medication. 54 30-Day Fills standardized to 30-day supplies 1,397 Days of Medication total across all patients in 2023
Cyclobenzaprine Hcl	40	$9.96▼ below WA avg	▲ More than typical
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 40 Medicare prescriptions for Cyclobenzaprine Hcl, about 1.4 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $9.96 per fill, versus $15.24 statewide. How often this provider prescribes it This provider 40 WA average 29.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.96 WA average $15.24 This provider's average cost per fill is below the WA average for this medication. 42 30-Day Fills standardized to 30-day supplies 928 Days of Medication total across all patients in 2023
SynthroidLevothyroxine Sodium	40	$63.77▼ below WA avg	▲ More than typical
About Synthroid: 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 2023, this provider wrote 40 Medicare prescriptions for Synthroid, about 1.7 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $63.77 per fill, versus $74.43 statewide. How often this provider prescribes it This provider 40 WA average 24.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $63.77 WA average $74.43 This provider's average cost per fill is below the WA average for this medication. 104.3 30-Day Fills standardized to 30-day supplies 3,107 Days of Medication total across all patients in 2023
Oxybutynin Chloride	39	$27.02	▲ More than typical
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 39 Medicare prescriptions for Oxybutynin Chloride, about 1.7 times the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $27.02 per fill, versus $25.64 statewide. How often this provider prescribes it This provider 39 WA average 23.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.02 WA average $25.64 Gross Part D cost per fill; not the patient's out-of-pocket price. 75.2 30-Day Fills standardized to 30-day supplies 2,255 Days of Medication total across all patients in 2023
Azithromycin	39	$5.51▼ below WA avg	▲ More than typical
About Azithromycin: This medication is used to treat certain eye infections. Show more ▾ It is a macrolide antibiotic that 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 misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis. In 2023, this provider wrote 39 Medicare prescriptions for Azithromycin, about 1.5 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $5.51 per fill, versus $13.49 statewide. How often this provider prescribes it This provider 39 WA average 26.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.51 WA average $13.49 This provider's average cost per fill is below the WA average for this medication. 39 30-Day Fills standardized to 30-day supplies 196 Days of Medication total across all patients in 2023
Clonidine Hcl	38	$9.70▼ below WA avg	▲ More than typical
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. In 2023, this provider wrote 38 Medicare prescriptions for Clonidine Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $9.70 per fill, versus $11.00 statewide. How often this provider prescribes it This provider 38 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.70 WA average $11.00 This provider's average cost per fill is below the WA average for this medication. 80.8 30-Day Fills standardized to 30-day supplies 2,411 Days of Medication total across all patients in 2023
SymbicortBudesonide/Formoterol Fumarate	37	$407.86▼ below WA avg	▲ More than typical
About Symbicort: 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. A pharmaceutical preparation of budesonide and formoterol fumarate that is used as an ANTI-ASTHMATIC AGENT and for the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In 2023, this provider wrote 37 Medicare prescriptions for Symbicort, about 1.3 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $407.86 per fill, versus $518.32 statewide. How often this provider prescribes it This provider 37 WA average 29.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $407.86 WA average $518.32 This provider's average cost per fill is below the WA average for this medication. 41 30-Day Fills standardized to 30-day supplies 1,230 Days of Medication total across all patients in 2023
Meloxicam	37	$2.85▼ below WA avg	≈ Typical
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 37 Medicare prescriptions for Meloxicam, about 1.2 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $2.85 per fill, versus $7.67 statewide. How often this provider prescribes it This provider 37 WA average 32.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2.85 WA average $7.67 This provider's average cost per fill is below the WA average for this medication. 71 30-Day Fills standardized to 30-day supplies 2,130 Days of Medication total across all patients in 2023
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	36	$13.98▼ below WA avg	▲ More than typical
About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate. In 2023, this provider wrote 36 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about 1.8 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $13.98 per fill, versus $15.72 statewide. How often this provider prescribes it This provider 36 WA average 20.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.98 WA average $15.72 This provider's average cost per fill is below the WA average for this medication. 36 30-Day Fills standardized to 30-day supplies 343 Days of Medication total across all patients in 2023
Colchicine	35	$147.80	▲ More than typical
About Colchicine: This medication is used to prevent or treat gout attacks (flares). Show more ▾ Usually gout symptoms develop suddenly and involve only one or a few joints. The big toe, knee, or ankle joints are most often affected. Gout is caused by too much uric acid in the blood. When uric acid levels in the blood are too high, the uric acid may form hard crystals in your joints. Colchicine works by decreasing swelling and lessening the build up of uric acid crystals that cause pain in the affected joint(s). This medication is also used to prevent attacks of pain in the abdomen, chest, or joints caused by a certain inherited disease (familial Mediterranean fever). It is thought to work by decreasing your body's production of a certain protein (amyloid A) that builds up in people with familial Mediterranean fever. Colchicine is not a pain medication and should not be used to relieve other causes of pain. A major alkaloid from Colchicum autumnale L. and found also in other Colchicum species. Its primary therapeutic use is in the treatment of gout, but it has been used also in the therapy of familial Mediterranean fever (PERIODIC DISEASE). In 2023, this provider wrote 35 Medicare prescriptions for Colchicine, about 1.8 times the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $147.80 per fill, versus $104.12 statewide. How often this provider prescribes it This provider 35 WA average 19.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $147.80 WA average $104.12 Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 877 Days of Medication total across all patients in 2023
Estradiol	35	$23.29▼ below WA avg	▲ More than typical
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 35 Medicare prescriptions for Estradiol, about 1.3 times the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $23.29 per fill, versus $83.04 statewide. How often this provider prescribes it This provider 35 WA average 27.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.29 WA average $83.04 This provider's average cost per fill is below the WA average for this medication. 101.3 30-Day Fills standardized to 30-day supplies 3,040 Days of Medication total across all patients in 2023
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid	35	$16.80	▲ More than typical
About Triamterene-Hydrochlorothiazid: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two water pills (diuretics): triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. In 2023, this provider wrote 35 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about 1.4 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $16.80 per fill, versus $13.55 statewide. How often this provider prescribes it This provider 35 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.80 WA average $13.55 Gross Part D cost per fill; not the patient's out-of-pocket price. 97 30-Day Fills standardized to 30-day supplies 2,910 Days of Medication total across all patients in 2023
Isosorbide Mononitrate ErIsosorbide Mononitrate	35	$24.89	≈ Typical
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. In 2023, this provider wrote 35 Medicare prescriptions for Isosorbide Mononitrate Er, about the same volume as the typical Washington prescriber of this medication (37). Medicare paid an average of $24.89 per fill, versus $22.82 statewide. How often this provider prescribes it This provider 35 WA average 37.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.89 WA average $22.82 Gross Part D cost per fill; not the patient's out-of-pocket price. 70 30-Day Fills standardized to 30-day supplies 2,059 Days of Medication total across all patients in 2023
Fentanyl	35	$122.45	▲ More than typical
About Fentanyl: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Fentanyl belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. Do not use the patch form of fentanyl to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078) In 2023, this provider wrote 35 Medicare prescriptions for Fentanyl, about 1.3 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $122.45 per fill, versus $119.18 statewide. How often this provider prescribes it This provider 35 WA average 26.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $122.45 WA average $119.18 Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2023
Doxepin Hcl	34	$50.44▼ below WA avg	▲ More than typical
About Doxepin Hcl: This medication is used to treat mental/mood problems such as depression and anxiety. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain. In 2023, this provider wrote 34 Medicare prescriptions for Doxepin Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $50.44 per fill, versus $51.23 statewide. How often this provider prescribes it This provider 34 WA average 20.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.44 WA average $51.23 This provider's average cost per fill is below the WA average for this medication. 66.3 30-Day Fills standardized to 30-day supplies 1,954 Days of Medication total across all patients in 2023
Tizanidine Hcl	33	$5.57▼ below WA avg	≈ Typical
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2023, this provider wrote 33 Medicare prescriptions for Tizanidine Hcl, about the same volume as the typical Washington prescriber of this medication (33). Medicare paid an average of $5.57 per fill, versus $16.38 statewide. How often this provider prescribes it This provider 33 WA average 33.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.57 WA average $16.38 This provider's average cost per fill is below the WA average for this medication. 34.3 30-Day Fills standardized to 30-day supplies 551 Days of Medication total across all patients in 2023
Cephalexin	33	$6.58▼ below WA avg	▲ More than typical
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2023, this provider wrote 33 Medicare prescriptions for Cephalexin, about 1.3 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $6.58 per fill, versus $10.43 statewide. How often this provider prescribes it This provider 33 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.58 WA average $10.43 This provider's average cost per fill is below the WA average for this medication. 35 30-Day Fills standardized to 30-day supplies 534 Days of Medication total across all patients in 2023
Nitroglycerin	32	$13.31▼ below WA avg	≈ Typical
About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2023, this provider wrote 32 Medicare prescriptions for Nitroglycerin, about the same volume as the typical Washington prescriber of this medication (28). Medicare paid an average of $13.31 per fill, versus $20.61 statewide. How often this provider prescribes it This provider 32 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.31 WA average $20.61 This provider's average cost per fill is below the WA average for this medication. 40.1 30-Day Fills standardized to 30-day supplies 912 Days of Medication total across all patients in 2023
Lovastatin	32	$6.39▼ below WA avg	≈ Typical
About Lovastatin: Lovastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A fungal metabolite isolated from cultures of Aspergillus terreus. The compound is a potent anticholesteremic agent. It inhibits 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It also stimulates the production of low-density lipoprotein receptors in the liver. In 2023, this provider wrote 32 Medicare prescriptions for Lovastatin, about the same volume as the typical Washington prescriber of this medication (28). Medicare paid an average of $6.39 per fill, versus $12.09 statewide. How often this provider prescribes it This provider 32 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.39 WA average $12.09 This provider's average cost per fill is below the WA average for this medication. 94 30-Day Fills standardized to 30-day supplies 2,820 Days of Medication total across all patients in 2023
Glipizide ErGlipizide	31	$38.10	≈ Typical
About Glipizide Er: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2023, this provider wrote 31 Medicare prescriptions for Glipizide Er, about 1.2 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $38.10 per fill, versus $19.51 statewide. How often this provider prescribes it This provider 31 WA average 26.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.10 WA average $19.51 Gross Part D cost per fill; not the patient's out-of-pocket price. 94.3 30-Day Fills standardized to 30-day supplies 2,830 Days of Medication total across all patients in 2023
Bupropion XlBupropion Hcl	31	$37.68▼ below WA avg	≈ Typical
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 31 Medicare prescriptions for Bupropion Xl, about the same volume as the typical Washington prescriber of this medication (30). Medicare paid an average of $37.68 per fill, versus $41.14 statewide. How often this provider prescribes it This provider 31 WA average 30.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.68 WA average $41.14 This provider's average cost per fill is below the WA average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2023
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide	30	$20.37	≈ Typical
About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: losartan and hydrochlorothiazide. Losartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2023, this provider wrote 30 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 1.2 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $20.37 per fill, versus $20.15 statewide. How often this provider prescribes it This provider 30 WA average 26.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.37 WA average $20.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 88 30-Day Fills standardized to 30-day supplies 2,640 Days of Medication total across all patients in 2023
Quetiapine Fumarate	30	$19.41▼ below WA avg	▼ Less than typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 30 Medicare prescriptions for Quetiapine Fumarate, about 63% of the volume of the typical Washington prescriber of this medication (48). Medicare paid an average of $19.41 per fill, versus $27.56 statewide. How often this provider prescribes it This provider 30 WA average 48.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.41 WA average $27.56 This provider's average cost per fill is below the WA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,221 Days of Medication total across all patients in 2023
Cartia XtDiltiazem Hcl	30	$41.81	▲ More than typical
About Cartia Xt: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 30 Medicare prescriptions for Cartia Xt, about 2.3 times the volume of the typical Washington prescriber of this medication (13). Medicare paid an average of $41.81 per fill, versus $30.39 statewide. How often this provider prescribes it This provider 30 WA average 13.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $41.81 WA average $30.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 78 30-Day Fills standardized to 30-day supplies 2,340 Days of Medication total across all patients in 2023
Terazosin Hcl	29	$32.17▼ below WA avg	▲ More than typical
About Terazosin Hcl: Terazosin 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. Terazosin 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). Terazosin belongs to a class of drugs known as alpha blockers. In 2023, this provider wrote 29 Medicare prescriptions for Terazosin Hcl, about 1.4 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $32.17 per fill, versus $33.94 statewide. How often this provider prescribes it This provider 29 WA average 21.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.17 WA average $33.94 This provider's average cost per fill is below the WA average for this medication. 82.8 30-Day Fills standardized to 30-day supplies 2,460 Days of Medication total across all patients in 2023
Mirtazapine	29	$11.19▼ below WA avg	≈ Typical
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 29 Medicare prescriptions for Mirtazapine, about 85% of the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $11.19 per fill, versus $26.83 statewide. How often this provider prescribes it This provider 29 WA average 34.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.19 WA average $26.83 This provider's average cost per fill is below the WA average for this medication. 81.3 30-Day Fills standardized to 30-day supplies 2,440 Days of Medication total across all patients in 2023
Fluticasone Propionate	29	$19.27	≈ Typical
About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾ Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. 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 STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2023, this provider wrote 29 Medicare prescriptions for Fluticasone Propionate, about 85% of the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $19.27 per fill, versus $18.43 statewide. How often this provider prescribes it This provider 29 WA average 34.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.27 WA average $18.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2023
Hydroxyzine Hcl	29	$26.36	≈ Typical
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 29 Medicare prescriptions for Hydroxyzine Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $26.36 per fill, versus $20.99 statewide. How often this provider prescribes it This provider 29 WA average 25.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.36 WA average $20.99 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 967 Days of Medication total across all patients in 2023
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst	28	$34.47	▲ More than typical
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2023, this provider wrote 28 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 1.4 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $34.47 per fill, versus $25.38 statewide. How often this provider prescribes it This provider 28 WA average 20.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.47 WA average $25.38 Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 347 Days of Medication total across all patients in 2023
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	28	$3.67▼ below WA avg	▲ More than typical
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 28 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 1.3 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $3.67 per fill, versus $6.79 statewide. How often this provider prescribes it This provider 28 WA average 21.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.67 WA average $6.79 This provider's average cost per fill is below the WA average for this medication. 28 30-Day Fills standardized to 30-day supplies 173 Days of Medication total across all patients in 2023
Lansoprazole	28	$60.83▼ below WA avg	▲ More than typical
About Lansoprazole: Lansoprazole 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. Lansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter lansoprazole 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. Lansoprazole is not recommended for use in children younger than 1 year due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. A 2,2,2-trifluoroethoxypyridyl derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. Lansoprazole is a racemic mixture of (R)- and (S)-isomers. In 2023, this provider wrote 28 Medicare prescriptions for Lansoprazole, about 1.6 times the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $60.83 per fill, versus $67.76 statewide. How often this provider prescribes it This provider 28 WA average 17.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $60.83 WA average $67.76 This provider's average cost per fill is below the WA average for this medication. 60.6 30-Day Fills standardized to 30-day supplies 1,820 Days of Medication total across all patients in 2023
Testosterone	27	$130.72▼ below WA avg	▲ More than typical
About Testosterone: This medicated patch contains testosterone. Show more ▾ It is used for hormone replacement in men who are not able to produce enough testosterone (for example, due to hypogonadism). This medication is absorbed through the skin, enters your bloodstream, and helps your body reach normal testosterone levels. Testosterone helps the body to develop and maintain the male sexual characteristics (masculinity), such as a deep voice and body hair. It also helps to maintain muscle and prevent bone loss, and is necessary for natural sexual ability/desire. This drug should not be used by women. A potent androgenic steroid and major product secreted by the LEYDIG CELLS of the TESTIS. Its production is stimulated by LUTEINIZING HORMONE from the PITUITARY GLAND. In turn, testosterone exerts feedback control of the pituitary LH and FSH secretion. Depending on the tissues, testosterone can be further converted to DIHYDROTESTOSTERONE or ESTRADIOL. In 2023, this provider wrote 27 Medicare prescriptions for Testosterone, about 1.5 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $130.72 per fill, versus $257.24 statewide. How often this provider prescribes it This provider 27 WA average 18.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $130.72 WA average $257.24 This provider's average cost per fill is below the WA average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023
JardianceEmpagliflozin	27	$699.95▼ below WA avg	≈ Typical
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 27 Medicare prescriptions for Jardiance, about 84% of the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $699.95 per fill, versus $1,066.24 statewide. How often this provider prescribes it This provider 27 WA average 32.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $699.95 WA average $1,066.24 This provider's average cost per fill is below the WA average for this medication. 31 30-Day Fills standardized to 30-day supplies 926 Days of Medication total across all patients in 2023
Dilt-XrDiltiazem Hcl	26	$45.81▼ below WA avg	▲ More than typical
About Dilt-Xr: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 26 Medicare prescriptions for Dilt-Xr, about 1.5 times the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $45.81 per fill, versus $46.99 statewide. How often this provider prescribes it This provider 26 WA average 17.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $45.81 WA average $46.99 This provider's average cost per fill is below the WA average for this medication. 28 30-Day Fills standardized to 30-day supplies 695 Days of Medication total across all patients in 2023
Amitriptyline Hcl	26	$37.77	≈ Typical
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 26 Medicare prescriptions for Amitriptyline Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $37.77 per fill, versus $26.64 statewide. How often this provider prescribes it This provider 26 WA average 22.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.77 WA average $26.64 Gross Part D cost per fill; not the patient's out-of-pocket price. 64 30-Day Fills standardized to 30-day supplies 1,894 Days of Medication total across all patients in 2023
Latanoprost	26	$14.30▼ below WA avg	▼ Less than typical
About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾ It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA. In 2023, this provider wrote 26 Medicare prescriptions for Latanoprost, about a quarter of the volume of the typical Washington prescriber of this medication (120). Medicare paid an average of $14.30 per fill, versus $24.23 statewide. How often this provider prescribes it This provider 26 WA average 120.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.30 WA average $24.23 This provider's average cost per fill is below the WA average for this medication. 32.5 30-Day Fills standardized to 30-day supplies 878 Days of Medication total across all patients in 2023
Oxycodone Hcl	26	$16.84▼ below WA avg	▼ Less than typical
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 26 Medicare prescriptions for Oxycodone Hcl, about half the volume of the typical Washington prescriber of this medication (49). Medicare paid an average of $16.84 per fill, versus $21.32 statewide. How often this provider prescribes it This provider 26 WA average 49.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.84 WA average $21.32 This provider's average cost per fill is below the WA average for this medication. 26 30-Day Fills standardized to 30-day supplies 729 Days of Medication total across all patients in 2023
JanuviaSitagliptin Phosphate	25	$1,165.36	≈ Typical
About Januvia: Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES. In 2023, this provider wrote 25 Medicare prescriptions for Januvia, about the same volume as the typical Washington prescriber of this medication (24). Medicare paid an average of $1,165.36 per fill, versus $981.85 statewide. How often this provider prescribes it This provider 25 WA average 24.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,165.36 WA average $981.85 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 2023
Acyclovir	25	$20.41▼ below WA avg	≈ Typical
About Acyclovir: Acyclovir is used to treat infections caused by certain types of viruses. Show more ▾ It treats cold sores around the mouth (caused by herpes simplex), shingles (caused by herpes zoster), and chickenpox. This medication is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, acyclovir is used to help reduce the number of future episodes. Acyclovir is an antiviral drug. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Acyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. In addition, in people with a weakened immune system, acyclovir can decrease the risk of the virus spreading to other parts of the body and causing serious infections. A GUANOSINE analog that acts as an antimetabolite. Viruses are especially susceptible. Used especially against herpes. In 2023, this provider wrote 25 Medicare prescriptions for Acyclovir, about the same volume as the typical Washington prescriber of this medication (22). Medicare paid an average of $20.41 per fill, versus $22.82 statewide. How often this provider prescribes it This provider 25 WA average 22.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.41 WA average $22.82 This provider's average cost per fill is below the WA average for this medication. 33 30-Day Fills standardized to 30-day supplies 875 Days of Medication total across all patients in 2023
Ipratropium Bromide	24	$89.37	≈ Typical
About Ipratropium Bromide: Ipratropium is used to control and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾ 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. For preventing symptoms of lung disease, this medication must be used regularly to be effective. Use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) for wheezing or sudden shortness of breath unless otherwise directed by your doctor. Ipratropium does not work as fast as your quick-relief inhaler, but may sometimes be used to relieve symptoms of wheezing or sudden shortness of breath if so prescribed by your doctor. 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 2023, this provider wrote 24 Medicare prescriptions for Ipratropium Bromide, about 89% of the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $89.37 per fill, versus $53.57 statewide. How often this provider prescribes it This provider 24 WA average 27.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $89.37 WA average $53.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 36.4 30-Day Fills standardized to 30-day supplies 1,090 Days of Medication total across all patients in 2023
Celecoxib	24	$28.67▼ below WA avg	≈ Typical
About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾ It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN. In 2023, this provider wrote 24 Medicare prescriptions for Celecoxib, about the same volume as the typical Washington prescriber of this medication (26). Medicare paid an average of $28.67 per fill, versus $52.44 statewide. How often this provider prescribes it This provider 24 WA average 26.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.67 WA average $52.44 This provider's average cost per fill is below the WA average for this medication. 67.9 30-Day Fills standardized to 30-day supplies 2,037 Days of Medication total across all patients in 2023
Temazepam	24	$9.53▼ below WA avg	≈ Typical
About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾ It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent. In 2023, this provider wrote 24 Medicare prescriptions for Temazepam, about 1.2 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $9.53 per fill, versus $18.23 statewide. How often this provider prescribes it This provider 24 WA average 20.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.53 WA average $18.23 This provider's average cost per fill is below the WA average for this medication. 32.3 30-Day Fills standardized to 30-day supplies 970 Days of Medication total across all patients in 2023
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide	24	$12.31	≈ Typical
About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication. In 2023, this provider wrote 24 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about 86% of the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $12.31 per fill, versus $9.77 statewide. How often this provider prescribes it This provider 24 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.31 WA average $9.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 56 30-Day Fills standardized to 30-day supplies 1,680 Days of Medication total across all patients in 2023
Methadone Hcl	24	$33.99	≈ Typical
About Methadone Hcl: This medication is used to treat addiction to opioids (such as heroin) as part of an approved treatment program. Show more ▾ Methadone belongs to a class of drugs known as opioid analgesics. It helps prevent withdrawal symptoms caused by stopping other opioids. A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3) In 2023, this provider wrote 24 Medicare prescriptions for Methadone Hcl, about 77% of the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $33.99 per fill, versus $20.03 statewide. How often this provider prescribes it This provider 24 WA average 31.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.99 WA average $20.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 696 Days of Medication total across all patients in 2023
Ramipril	24	$8.27▼ below WA avg	≈ Typical
About Ramipril: Ramipril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Ramipril is also used to improve survival after a heart attack. It may also be used in high risk patients (such as patients with heart disease/diabetes) to help prevent heart attacks and strokes. This medication may also be used to treat heart failure in patients who have had a recent heart attack. Ramipril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. A long-acting angiotensin-converting enzyme inhibitor. It is a prodrug that is transformed in the liver to its active metabolite ramiprilat. In 2023, this provider wrote 24 Medicare prescriptions for Ramipril, about the same volume as the typical Washington prescriber of this medication (26). Medicare paid an average of $8.27 per fill, versus $13.18 statewide. How often this provider prescribes it This provider 24 WA average 26.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.27 WA average $13.18 This provider's average cost per fill is below the WA average for this medication. 72 30-Day Fills standardized to 30-day supplies 2,160 Days of Medication total across all patients in 2023
Cilostazol	23	$6.37▼ below WA avg	≈ Typical
About Cilostazol: Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs (intermittent claudication). Show more ▾ Cilostazol can decrease the muscle pain/cramps that occur during exercise/walking. Claudication pain is caused by too little oxygen getting to the muscles. Cilostazol can increase blood flow and the amount of oxygen that gets to the muscles. Cilostazol is an antiplatelet drug and a vasodilator. It works by stopping blood cells called platelets from sticking together and prevents them from forming harmful clots. It also widens blood vessels in the legs. Cilostazol helps the blood to move more easily and keeps blood flowing smoothly in your body. A quinoline and tetrazole derivative that acts as a phosphodiesterase type 3 inhibitor, with anti-platelet and vasodilating activity. It is used in the treatment of PERIPHERAL VASCULAR DISEASES; ISCHEMIC HEART DISEASE; and in the prevention of stroke. In 2023, this provider wrote 23 Medicare prescriptions for Cilostazol, about the same volume as the typical Washington prescriber of this medication (20). Medicare paid an average of $6.37 per fill, versus $35.04 statewide. How often this provider prescribes it This provider 23 WA average 20.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.37 WA average $35.04 This provider's average cost per fill is below the WA average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023
Doxycycline Hyclate	23	$34.26	≈ Typical
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 2023, this provider wrote 23 Medicare prescriptions for Doxycycline Hyclate, about the same volume as the typical Washington prescriber of this medication (23). Medicare paid an average of $34.26 per fill, versus $31.31 statewide. How often this provider prescribes it This provider 23 WA average 23.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.26 WA average $31.31 Gross Part D cost per fill; not the patient's out-of-pocket price. 31 30-Day Fills standardized to 30-day supplies 686 Days of Medication total across all patients in 2023
Fluticasone-SalmeterolFluticasone Propion/Salmeterol	22	$353.77	≈ Typical
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. In 2023, this provider wrote 22 Medicare prescriptions for Fluticasone-Salmeterol, about the same volume as the typical Washington prescriber of this medication (21). Medicare paid an average of $353.77 per fill, versus $292.83 statewide. How often this provider prescribes it This provider 22 WA average 21.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $353.77 WA average $292.83 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
DuleraMometasone/Formoterol	22	$419.94▼ below WA avg	▲ More than typical
About Dulera: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. Show more ▾ It contains 2 medications: mometasone and formoterol. Mometasone 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. A pharmaceutical preparation of mometasone furoate and formoterol fumarate that is used as an inhaled dosage form for the treatment of ASTHMA. In 2023, this provider wrote 22 Medicare prescriptions for Dulera, about 1.3 times the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $419.94 per fill, versus $428.36 statewide. How often this provider prescribes it This provider 22 WA average 17.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $419.94 WA average $428.36 This provider's average cost per fill is below the WA average for this medication. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023
Bisoprolol-HydrochlorothiazideBisoprolol/Hydrochlorothiazide	22	$90.65	≈ Typical
About Bisoprolol-Hydrochlorothiazide: This combination medication is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications. Bisoprolol is a beta blocker that works by blocking the effect of certain natural chemicals (such as epinephrine) on the heart and blood vessels. This slows your heartbeat, lowers blood pressure, and reduces strain on the heart. Hydrochlorothiazide is a water pill (diuretic) that works by increasing the amount of urine that you make. This causes your body to get rid of extra salt and water, which probably helps to relax the blood vessels so that blood can flow more easily. These two drugs are used together when one medication is not controlling your blood pressure. Using these two drugs together can also reduce the amount of each drug you must take, thereby decreasing the chances of side effects. In 2023, this provider wrote 22 Medicare prescriptions for Bisoprolol-Hydrochlorothiazide, about 1.2 times the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $90.65 per fill, versus $47.27 statewide. How often this provider prescribes it This provider 22 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $90.65 WA average $47.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 60.7 30-Day Fills standardized to 30-day supplies 1,812 Days of Medication total across all patients in 2023
Chlorthalidone	21	$21.32▼ below WA avg	≈ Typical
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 84% of the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $21.32 per fill, versus $26.20 statewide. How often this provider prescribes it This provider 21 WA average 25.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.32 WA average $26.20 This provider's average cost per fill is below the WA average for this medication. 62.3 30-Day Fills standardized to 30-day supplies 1,868 Days of Medication total across all patients in 2023
OxycontinOxycodone Hcl	20	$444.17▼ below WA avg	≈ Typical
About Oxycontin: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (more than 40 milligrams per tablet) should be used only if you have been regularly taking moderate to large amounts of an opioid pain medication. These strengths may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 20 Medicare prescriptions for Oxycontin, about 87% of the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $444.17 per fill, versus $652.52 statewide. How often this provider prescribes it This provider 20 WA average 23.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $444.17 WA average $652.52 This provider's average cost per fill is below the WA average for this medication. 20 30-Day Fills standardized to 30-day supplies 554 Days of Medication total across all patients in 2023
LoperamideLoperamide Hcl	20	$29.29▼ below WA avg	≈ Typical
About Loperamide: See also Warning section. Show more ▾ This medication is used to treat sudden diarrhea (including traveler's diarrhea). It works by slowing down the movement of the gut. This decreases the number of bowel movements and makes the stool less watery. Loperamide is also used to reduce the amount of discharge in patients who have undergone an ileostomy. It is also used to treat on-going diarrhea in people with inflammatory bowel disease. Loperamide treats only the symptoms, not the cause of the diarrhea (such as infection). Treatment of other symptoms and the cause of the diarrhea should be determined by your doctor. One of the long-acting synthetic ANTIDIARRHEALS; it is not significantly absorbed from the gut, and has no effect on the adrenergic system or central nervous system, but may antagonize histamine and interfere with acetylcholine release locally. In 2023, this provider wrote 20 Medicare prescriptions for Loperamide, about the same volume as the typical Washington prescriber of this medication (19). Medicare paid an average of $29.29 per fill, versus $34.79 statewide. How often this provider prescribes it This provider 20 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.29 WA average $34.79 This provider's average cost per fill is below the WA average for this medication. 35 30-Day Fills standardized to 30-day supplies 811 Days of Medication total across all patients in 2023
Bumetanide	19	$36.70▼ below WA avg	≈ Typical
About Bumetanide: Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic. In 2023, this provider wrote 19 Medicare prescriptions for Bumetanide, about 83% of the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $36.70 per fill, versus $70.99 statewide. How often this provider prescribes it This provider 19 WA average 23.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $36.70 WA average $70.99 This provider's average cost per fill is below the WA average for this medication. 58.3 30-Day Fills standardized to 30-day supplies 1,750 Days of Medication total across all patients in 2023
Torsemide	19	$21.18▼ below WA avg	▼ Less than typical
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2023, this provider wrote 19 Medicare prescriptions for Torsemide, about half the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $21.18 per fill, versus $27.88 statewide. How often this provider prescribes it This provider 19 WA average 34.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.18 WA average $27.88 This provider's average cost per fill is below the WA average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2023
Phenytoin Sodium Extended	18	$21.23▼ below WA avg	≈ Typical
About Phenytoin Sodium Extended: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. In 2023, this provider wrote 18 Medicare prescriptions for Phenytoin Sodium Extended, about the same volume as the typical Washington prescriber of this medication (19). Medicare paid an average of $21.23 per fill, versus $43.46 statewide. How often this provider prescribes it This provider 18 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.23 WA average $43.46 This provider's average cost per fill is below the WA average for this medication. 26 30-Day Fills standardized to 30-day supplies 753 Days of Medication total across all patients in 2023
Sumatriptan Succinate	18	$11.13▼ below WA avg	≈ Typical
About Sumatriptan Succinate: Sumatriptan is used to treat migraines and cluster headaches. Show more ▾ It helps to relieve pain and other symptoms of migraines/headaches including sensitivity to light or sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. It does not prevent future migraines/headaches or reduce how often you may get a headache. Sumatriptan belongs to a group of drugs called triptans. It affects a certain natural chemical (serotonin) that constricts blood vessels in the brain. It may also block other pain pathways in the brain. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2023, this provider wrote 18 Medicare prescriptions for Sumatriptan Succinate, about the same volume as the typical Washington prescriber of this medication (20). Medicare paid an average of $11.13 per fill, versus $35.05 statewide. How often this provider prescribes it This provider 18 WA average 20.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.13 WA average $35.05 This provider's average cost per fill is below the WA average for this medication. 22.5 30-Day Fills standardized to 30-day supplies 434 Days of Medication total across all patients in 2023
Acetaminophen-CodeineAcetaminophen With Codeine	18	$30.01	≈ Typical
About Acetaminophen-Codeine: See also Warning section. Show more ▾ This combination medication is used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine 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 18 Medicare prescriptions for Acetaminophen-Codeine, about 86% of the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $30.01 per fill, versus $20.91 statewide. How often this provider prescribes it This provider 18 WA average 21.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.01 WA average $20.91 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 396 Days of Medication total across all patients in 2023
Ondansetron OdtOndansetron	18	$14.70▼ below WA avg	≈ Typical
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2023, this provider wrote 18 Medicare prescriptions for Ondansetron Odt, about 82% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $14.70 per fill, versus $22.31 statewide. How often this provider prescribes it This provider 18 WA average 22.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.70 WA average $22.31 This provider's average cost per fill is below the WA average for this medication. 18.3 30-Day Fills standardized to 30-day supplies 189 Days of Medication total across all patients in 2023
Novolog FlexpenInsulin Aspart	18	$765.48▼ below WA avg	▼ Less than typical
About Novolog Flexpen: Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin aspart is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin aspart starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin that has been modified to contain an ASPARTIC ACID instead of a PROLINE at position 38 of the B-chain. In 2023, this provider wrote 18 Medicare prescriptions for Novolog Flexpen, about 72% of the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $765.48 per fill, versus $945.49 statewide. How often this provider prescribes it This provider 18 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $765.48 WA average $945.49 This provider's average cost per fill is below the WA average for this medication. 27.6 30-Day Fills standardized to 30-day supplies 811 Days of Medication total across all patients in 2023
Digoxin	18	$41.79	▼ Less than typical
About Digoxin: Digoxin is used to treat heart failure, usually along with other medications. Show more ▾ It is also used to treat certain types of irregular heartbeat (such as chronic atrial fibrillation). Treating heart failure may help maintain your ability to walk and exercise and may improve the strength of your heart. Treating an irregular heartbeat can also improve your ability to exercise. Digoxin belongs to a class of medications called cardiac glycosides. It works by affecting certain minerals (sodium and potassium) inside heart cells. This reduces strain on the heart and helps it maintain a normal, steady, and strong heartbeat. A cardiotonic glycoside obtained mainly from Digitalis lanata; it consists of three sugars and the aglycone DIGOXIGENIN. Digoxin has positive inotropic and negative chronotropic activity. It is used to control ventricular rate in ATRIAL FIBRILLATION and in the management of congestive heart failure with atrial fibrillation. Its use in congestive heart failure and sinus rhythm is less certain. The margin between toxic and therapeutic doses is small. (From Martindale, The Extra Pharmacopoeia, 30th ed, p666) In 2023, this provider wrote 18 Medicare prescriptions for Digoxin, about 67% of the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $41.79 per fill, versus $37.43 statewide. How often this provider prescribes it This provider 18 WA average 27.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $41.79 WA average $37.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 26 30-Day Fills standardized to 30-day supplies 780 Days of Medication total across all patients in 2023
Sildenafil Citrate	18	$99.15▼ below WA avg	≈ Typical
About Sildenafil Citrate: Sildenafil 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. This medication is not recommended for use in children. Discuss the risks and benefits of this medication with the doctor. A PHOSPHODIESTERASE TYPE-5 INHIBITOR; VASODILATOR AGENT and UROLOGICAL AGENT that is used in the treatment of ERECTILE DYSFUNCTION and PRIMARY PULMONARY HYPERTENSION. In 2023, this provider wrote 18 Medicare prescriptions for Sildenafil Citrate, about 82% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $99.15 per fill, versus $139.34 statewide. How often this provider prescribes it This provider 18 WA average 22.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $99.15 WA average $139.34 This provider's average cost per fill is below the WA average for this medication. 29.1 30-Day Fills standardized to 30-day supplies 872 Days of Medication total across all patients in 2023
Methimazole	18	$13.84	▼ Less than typical
About Methimazole: Methimazole is used to treat overactive thyroid (hyperthyroidism). Show more ▾ It works by stopping the thyroid gland from making too much thyroid hormone. A thioureylene antithyroid agent that inhibits the formation of thyroid hormones by interfering with the incorporation of iodine into tyrosyl residues of thyroglobulin. This is done by interfering with the oxidation of iodide ion and iodotyrosyl groups through inhibition of the peroxidase enzyme. In 2023, this provider wrote 18 Medicare prescriptions for Methimazole, about half the volume of the typical Washington prescriber of this medication (39). Medicare paid an average of $13.84 per fill, versus $13.68 statewide. How often this provider prescribes it This provider 18 WA average 39.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.84 WA average $13.68 Gross Part D cost per fill; not the patient's out-of-pocket price. 39.9 30-Day Fills standardized to 30-day supplies 1,198 Days of Medication total across all patients in 2023
Ibuprofen	17	$11.31	▼ Less than typical
About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾ When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties In 2023, this provider wrote 17 Medicare prescriptions for Ibuprofen, about 68% of the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $11.31 per fill, versus $10.50 statewide. How often this provider prescribes it This provider 17 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.31 WA average $10.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 374 Days of Medication total across all patients in 2023
Hydroxychloroquine Sulfate	17	$83.86	▼ Less than typical
About Hydroxychloroquine Sulfate: Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. Show more ▾ The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis. Hydroxychloroquine is not recommended for coronavirus infection, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970) In 2023, this provider wrote 17 Medicare prescriptions for Hydroxychloroquine Sulfate, about a quarter of the volume of the typical Washington prescriber of this medication (82). Medicare paid an average of $83.86 per fill, versus $81.73 statewide. How often this provider prescribes it This provider 17 WA average 82.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $83.86 WA average $81.73 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 2023
Lactulose	17	$45.23	≈ Typical
About Lactulose: This medication is a laxative used to treat constipation. Show more ▾ It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887) In 2023, this provider wrote 17 Medicare prescriptions for Lactulose, about 77% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $45.23 per fill, versus $35.12 statewide. How often this provider prescribes it This provider 17 WA average 22.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $45.23 WA average $35.12 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 419 Days of Medication total across all patients in 2023
ValacyclovirValacyclovir Hcl	17	$66.56	≈ Typical
About Valacyclovir: Valacyclovir is used to treat infections caused by certain types of viruses. Show more ▾ In children, it is used to treat cold sores around the mouth (caused by herpes simplex) and chickenpox (caused by varicella zoster). In adults, it is used to treat shingles (caused by herpes zoster) and cold sores around the mouth. Valacyclovir is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, this medication is used to reduce the number of future episodes. Valacyclovir is an antiviral drug. It stops the growth of certain viruses. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Valacyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. A prodrug of acyclovir that is used in the treatment of HERPES ZOSTER and HERPES SIMPLEX VIRUS INFECTION of the skin and mucous membranes, including GENITAL HERPES. In 2023, this provider wrote 17 Medicare prescriptions for Valacyclovir, about the same volume as the typical Washington prescriber of this medication (18). Medicare paid an average of $66.56 per fill, versus $50.60 statewide. How often this provider prescribes it This provider 17 WA average 18.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $66.56 WA average $50.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 925 Days of Medication total across all patients in 2023
Ciprofloxacin Hcl	17	$8.63	▼ Less than typical
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 17 Medicare prescriptions for Ciprofloxacin Hcl, about 71% of the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $8.63 per fill, versus $8.55 statewide. How often this provider prescribes it This provider 17 WA average 24.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.63 WA average $8.55 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 156 Days of Medication total across all patients in 2023
Labetalol Hcl	16	$50.40	≈ Typical
About Labetalol Hcl: Labetalol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is both an alpha blocker and beta blocker. It works by blocking the action of certain natural chemicals in your body such as epinephrine on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. In 2023, this provider wrote 16 Medicare prescriptions for Labetalol Hcl, about the same volume as the typical Washington prescriber of this medication (16). Medicare paid an average of $50.40 per fill, versus $47.98 statewide. How often this provider prescribes it This provider 16 WA average 16.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.40 WA average $47.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 41.5 30-Day Fills standardized to 30-day supplies 1,230 Days of Medication total across all patients in 2023
Esomeprazole Magnesium	16	$254.04	≈ Typical
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 2023, this provider wrote 16 Medicare prescriptions for Esomeprazole Magnesium, about 84% of the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $254.04 per fill, versus $95.57 statewide. How often this provider prescribes it This provider 16 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $254.04 WA average $95.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023
Hydromorphone Hcl	15	$9.10▼ below WA avg	▼ Less than typical
About Hydromorphone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Hydromorphone 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. An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine. In 2023, this provider wrote 15 Medicare prescriptions for Hydromorphone Hcl, about half the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $9.10 per fill, versus $25.49 statewide. How often this provider prescribes it This provider 15 WA average 30.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.10 WA average $25.49 This provider's average cost per fill is below the WA average for this medication. 15.2 30-Day Fills standardized to 30-day supplies 351 Days of Medication total across all patients in 2023
Ultra-Fine Mini Pen NeedlePen Needle, Diabetic	15	$85.40▼ below WA avg	≈ Typical
In 2023, this provider wrote 15 Medicare prescriptions for Ultra-Fine Mini Pen Needle, about 83% of the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $85.40 per fill, versus $92.10 statewide. How often this provider prescribes it This provider 15 WA average 18.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $85.40 WA average $92.10 This provider's average cost per fill is below the WA average for this medication. 30 30-Day Fills standardized to 30-day supplies 895 Days of Medication total across all patients in 2023
Diazepam	15	$3.61▼ below WA avg	▼ Less than typical
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 15 Medicare prescriptions for Diazepam, about 65% of the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $3.61 per fill, versus $8.04 statewide. How often this provider prescribes it This provider 15 WA average 23.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.61 WA average $8.04 This provider's average cost per fill is below the WA average for this medication. 21 30-Day Fills standardized to 30-day supplies 531 Days of Medication total across all patients in 2023
Benazepril Hcl	15	$45.06	≈ Typical
About Benazepril Hcl: Benazepril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Benazepril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. In 2023, this provider wrote 15 Medicare prescriptions for Benazepril Hcl, about 79% of the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $45.06 per fill, versus $14.20 statewide. How often this provider prescribes it This provider 15 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $45.06 WA average $14.20 Gross Part D cost per fill; not the patient's out-of-pocket price. 47.3 30-Day Fills standardized to 30-day supplies 1,420 Days of Medication total across all patients in 2023
Fluconazole	15	$6.26▼ below WA avg	≈ Typical
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 2023, this provider wrote 15 Medicare prescriptions for Fluconazole, about 83% of the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $6.26 per fill, versus $15.78 statewide. How often this provider prescribes it This provider 15 WA average 18.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.26 WA average $15.78 This provider's average cost per fill is below the WA average for this medication. 15 30-Day Fills standardized to 30-day supplies 79 Days of Medication total across all patients in 2023
LantusInsulin Glargine,hum.Rec.Anlog	14	$866.07	▼ Less than typical
About Lantus: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 14 Medicare prescriptions for Lantus, about 70% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $866.07 per fill, versus $715.01 statewide. How often this provider prescribes it This provider 14 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $866.07 WA average $715.01 Gross Part D cost per fill; not the patient's out-of-pocket price. 30.4 30-Day Fills standardized to 30-day supplies 875 Days of Medication total across all patients in 2023
PradaxaDabigatran Etexilate Mesylate	14	$122.01▼ below WA avg	▼ Less than typical
About Pradaxa: Dabigatran is used to prevent stroke and harmful blood clots (such as in your legs or lungs) if you have a certain type of irregular heartbeat (atrial fibrillation). Show more ▾ Dabigatran is also used to treat blood clots in the veins of your legs (deep vein thrombosis) or lungs (pulmonary embolism) and to reduce the risk of them occurring again. This medication may also be used to prevent these blood clots from forming after hip replacement surgery. Dabigatran is an anticoagulant that works by blocking a certain substance (a clotting protein called thrombin) in your blood. This helps to keep blood flowing smoothly in your body. Dabigatran should not be used to prevent blood clots from forming after artificial heart valve replacement. If you have had heart valve surgery, talk to your doctor about the best medication for you. Do not stop taking any medication, including dabigatran, without talking to your doctor first. A THROMBIN inhibitor which acts by binding and blocking thrombogenic activity and the prevention of thrombus formation. It is used to reduce the risk of stroke and systemic EMBOLISM in patients with nonvalvular atrial fibrillation. In 2023, this provider wrote 14 Medicare prescriptions for Pradaxa, about a third of the volume of the typical Washington prescriber of this medication (49). Medicare paid an average of $122.01 per fill, versus $486.55 statewide. How often this provider prescribes it This provider 14 WA average 49.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $122.01 WA average $486.55 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023
Fenofibrate	13	$48.86	▼ Less than typical
About Fenofibrate: Fenofibrate is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 13 Medicare prescriptions for Fenofibrate, about 68% of the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $48.86 per fill, versus $47.74 statewide. How often this provider prescribes it This provider 13 WA average 19.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $48.86 WA average $47.74 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
Amiodarone Hcl	13	$59.12	▼ Less than typical
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. In 2023, this provider wrote 13 Medicare prescriptions for Amiodarone Hcl, about half the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $59.12 per fill, versus $31.45 statewide. How often this provider prescribes it This provider 13 WA average 30.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $59.12 WA average $31.45 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 363 Days of Medication total across all patients in 2023
Mupirocin	13	$15.94	▼ Less than typical
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 2023, this provider wrote 13 Medicare prescriptions for Mupirocin, about half the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $15.94 per fill, versus $12.22 statewide. How often this provider prescribes it This provider 13 WA average 24.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.94 WA average $12.22 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 310 Days of Medication total across all patients in 2023
Clonidine	13	$121.15▼ below WA avg	≈ Typical
About Clonidine: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION. In 2023, this provider wrote 13 Medicare prescriptions for Clonidine, about 76% of the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $121.15 per fill, versus $153.70 statewide. How often this provider prescribes it This provider 13 WA average 17.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $121.15 WA average $153.70 This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 358 Days of Medication total across all patients in 2023
Trelegy ElliptaFluticasone/Umeclidin/Vilanter	12	$703.41▼ below WA avg	▼ Less than typical
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 2023, this provider wrote 12 Medicare prescriptions for Trelegy Ellipta, about a quarter of the volume of the typical Washington prescriber of this medication (47). Medicare paid an average of $703.41 per fill, versus $852.54 statewide. How often this provider prescribes it This provider 12 WA average 47.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $703.41 WA average $852.54 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Alfuzosin Hcl ErAlfuzosin Hcl	12	$7.41▼ below WA avg	▼ Less than typical
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 12 Medicare prescriptions for Alfuzosin Hcl Er, about a third of the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $7.41 per fill, versus $29.02 statewide. How often this provider prescribes it This provider 12 WA average 31.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.41 WA average $29.02 This provider's average cost per fill is below the WA average for this medication. 22 30-Day Fills standardized to 30-day supplies 625 Days of Medication total across all patients in 2023
Butalb-Acetaminoph-Caff-CodeinButalbit/Acetamin/Caff/Codeine	12	$117.92▼ below WA avg	≈ Typical
About Butalb-Acetaminoph-Caff-Codein: See also Warning section. Show more ▾ This combination medication is used to treat tension headaches. Codeine is an opioid pain reliever that acts on certain centers in the brain to give you pain relief. Acetaminophen helps to decrease the pain from the headache. Caffeine helps increase the effects of acetaminophen. Butalbital is a sedative which helps to decrease anxiety and cause sleepiness and relaxation. In 2023, this provider wrote 12 Medicare prescriptions for Butalb-Acetaminoph-Caff-Codein, about 80% of the volume of the typical Washington prescriber of this medication (15). Medicare paid an average of $117.92 per fill, versus $161.94 statewide. How often this provider prescribes it This provider 12 WA average 15.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $117.92 WA average $161.94 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 180 Days of Medication total across all patients in 2023
Verapamil ErVerapamil Hcl	12	$42.53	≈ Typical
About Verapamil Er: Verapamil is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Verapamil belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Verapamil may also lower your heart rate. In 2023, this provider wrote 12 Medicare prescriptions for Verapamil Er, about 75% of the volume of the typical Washington prescriber of this medication (16). Medicare paid an average of $42.53 per fill, versus $37.97 statewide. How often this provider prescribes it This provider 12 WA average 16.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $42.53 WA average $37.97 Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023
Diltiazem 24hr ErDiltiazem Hcl	12	$43.42	▼ Less than typical
About Diltiazem 24hr Er: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 12 Medicare prescriptions for Diltiazem 24hr Er, about 71% of the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $43.42 per fill, versus $42.57 statewide. How often this provider prescribes it This provider 12 WA average 17.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $43.42 WA average $42.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
RizatriptanRizatriptan Benzoate	12	$27.32▼ below WA avg	▼ Less than typical
About Rizatriptan: Rizatriptan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Rizatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Rizatriptan does not prevent future migraines or lessen how often you get migraine attacks. In 2023, this provider wrote 12 Medicare prescriptions for Rizatriptan, about 67% of the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $27.32 per fill, versus $30.34 statewide. How often this provider prescribes it This provider 12 WA average 18.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.32 WA average $30.34 This provider's average cost per fill is below the WA average for this medication. 16.5 30-Day Fills standardized to 30-day supplies 495 Days of Medication total across all patients in 2023
Gemfibrozil	12	$35.39	▼ Less than typical
About Gemfibrozil: Gemfibrozil is used along with a proper diet to help lower fats (triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It may also help to lower bad cholesterol (LDL). Gemfibrozil belongs to a group of drugs known as fibrates. It works by decreasing the amount of fat produced by the liver. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, gemfibrozil might not lower your risk of a heart attack or stroke. Talk to your doctor about the risk and benefits of gemfibrozil. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, drinking less alcohol, losing weight if overweight, and stopping smoking. A lipid-regulating agent that lowers elevated serum lipids primarily by decreasing serum triglycerides with a variable reduction in total cholesterol. In 2023, this provider wrote 12 Medicare prescriptions for Gemfibrozil, about 71% of the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $35.39 per fill, versus $25.95 statewide. How often this provider prescribes it This provider 12 WA average 17.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.39 WA average $25.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 997 Days of Medication total across all patients in 2023
Levocetirizine Dihydrochloride	12	$9.16▼ below WA avg	▼ Less than typical
About Levocetirizine Dihydrochloride: Levocetirizine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, and sneezing. Show more ▾ It is also used to relieve itching and hives. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Levocetirizine does not prevent hives or prevent/treat a serious allergic reaction (such as anaphylaxis). If your doctor has prescribed epinephrine to treat allergic reactions, always carry your epinephrine injector with you. Do not use levocetirizine in place of your epinephrine. In 2023, this provider wrote 12 Medicare prescriptions for Levocetirizine Dihydrochloride, about a third of the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $9.16 per fill, versus $16.42 statewide. How often this provider prescribes it This provider 12 WA average 31.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.16 WA average $16.42 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Morphine Sulfate ErMorphine Sulfate	12	$16.20▼ below WA avg	▼ Less than typical
About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾ Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 12 Medicare prescriptions for Morphine Sulfate Er, about a third of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $16.20 per fill, versus $37.99 statewide. How often this provider prescribes it This provider 12 WA average 38.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.20 WA average $37.99 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2023
MyrbetriqMirabegron	12	$1,226.50	▼ Less than typical
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. In 2023, this provider wrote 12 Medicare prescriptions for Myrbetriq, about a third of the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $1,226.50 per fill, versus $668.63 statewide. How often this provider prescribes it This provider 12 WA average 36.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,226.50 WA average $668.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 30.7 30-Day Fills standardized to 30-day supplies 920 Days of Medication total across all patients in 2023
Olanzapine	12	$17.56▼ below WA avg	▼ Less than typical
About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2023, this provider wrote 12 Medicare prescriptions for Olanzapine, about a quarter of the volume of the typical Washington prescriber of this medication (47). Medicare paid an average of $17.56 per fill, versus $29.94 statewide. How often this provider prescribes it This provider 12 WA average 47.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.56 WA average $29.94 This provider's average cost per fill is below the WA average for this medication. 20 30-Day Fills standardized to 30-day supplies 584 Days of Medication total across all patients in 2023
Zonisamide	12	$12.77▼ below WA avg	▼ Less than typical
About Zonisamide: Zonisamide is used with other medications to prevent and control seizures (epilepsy). Show more ▾ Zonisamide is a sulfonamide anticonvulsant and a carbonic anhydrase inhibitor. It is unknown how zonisamide works to prevent seizures. A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization. In 2023, this provider wrote 12 Medicare prescriptions for Zonisamide, about a third of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $12.77 per fill, versus $51.73 statewide. How often this provider prescribes it This provider 12 WA average 38.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.77 WA average $51.73 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
RestasisCyclosporine	11	$485.15▼ below WA avg	▼ Less than typical
About Restasis: Cyclosporine eye drops are used to treat a certain type of dry eyes. Show more ▾ They work by increasing the amount of tears you make. A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection. In 2023, this provider wrote 11 Medicare prescriptions for Restasis, about a quarter of the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $485.15 per fill, versus $1,004.73 statewide. How often this provider prescribes it This provider 11 WA average 41.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $485.15 WA average $1,004.73 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 240 Days of Medication total across all patients in 2023
Humulin 70-30Insulin Nph Hum/Reg Insulin Hm	11	$324.13▼ below WA avg	▼ Less than typical
In 2023, this provider wrote 11 Medicare prescriptions for Humulin 70-30, about 73% of the volume of the typical Washington prescriber of this medication (15). Medicare paid an average of $324.13 per fill, versus $377.45 statewide. How often this provider prescribes it This provider 11 WA average 15.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $324.13 WA average $377.45 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 290 Days of Medication total across all patients in 2023
Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine	11	$100.21	▼ Less than typical
About Diphenoxylate-Atropine: This medication is used to treat diarrhea. Show more ▾ It helps to decrease the number and frequency of bowel movements. It works by slowing the movement of the intestines. Diphenoxylate is similar to opioid pain relievers, but it acts mainly to slow the gut. Atropine belongs to a class of drugs known as anticholinergics, which help to dry up body fluids and also slow gut movement. This medication should not be used to treat diarrhea caused by certain types of infection (such as C. difficile-associated diarrhea following antibiotic therapy). Talk to your doctor for more details. This medication is not recommended for use in children younger than 6 years due to an increased risk of serious side effects (such as breathing problems). In 2023, this provider wrote 11 Medicare prescriptions for Diphenoxylate-Atropine, about 69% of the volume of the typical Washington prescriber of this medication (16). Medicare paid an average of $100.21 per fill, versus $42.35 statewide. How often this provider prescribes it This provider 11 WA average 16.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $100.21 WA average $42.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023
Diltiazem 24hr Er (Xr)Diltiazem Hcl	11	$39.45▼ below WA avg	▼ Less than typical
About Diltiazem 24hr Er (Xr): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 11 Medicare prescriptions for Diltiazem 24hr Er (Xr), about 73% of the volume of the typical Washington prescriber of this medication (15). Medicare paid an average of $39.45 per fill, versus $46.94 statewide. How often this provider prescribes it This provider 11 WA average 15.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.45 WA average $46.94 This provider's average cost per fill is below the WA average for this medication. 21 30-Day Fills standardized to 30-day supplies 560 Days of Medication total across all patients in 2023
LevemirInsulin Detemir	11	$932.87	▼ Less than typical
About Levemir: Insulin detemir is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin detemir is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin detemir may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs (such as metformin, exenatide). A recombinant long-acting insulin and hypoglycemic agent in which a MYRISTIC ACID is conjugated to a LYSINE at position B29. It is used to manage BLOOD GLUCOSE levels in patients with DIABETES MELLITUS. In 2023, this provider wrote 11 Medicare prescriptions for Levemir, about 73% of the volume of the typical Washington prescriber of this medication (15). Medicare paid an average of $932.87 per fill, versus $805.98 statewide. How often this provider prescribes it This provider 11 WA average 15.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $932.87 WA average $805.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
DexilantDexlansoprazole	11	$330.21▼ below WA avg	▼ Less than typical
About Dexilant: Dexlansoprazole 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. 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. Dexlansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). Dexlansoprazole is not recommended for use in children younger than 2 years due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. The R-isomer of lansoprazole that is used to treat severe GASTROESOPHAGEAL REFLUX DISEASE. In 2023, this provider wrote 11 Medicare prescriptions for Dexilant, about 61% of the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $330.21 per fill, versus $463.91 statewide. How often this provider prescribes it This provider 11 WA average 18.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $330.21 WA average $463.91 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Nabumetone	11	$21.12▼ below WA avg	▼ Less than typical
About Nabumetone: Nabumetone is used to reduce pain, swelling, and joint stiffness from arthritis. Show more ▾ This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. A butanone non-steroidal anti-inflammatory drug and cyclooxygenase-2 (COX2) inhibitor that is used in the management of pain associated with OSTEOARTHRITIS and RHEUMATOID ARTHRITIS. In 2023, this provider wrote 11 Medicare prescriptions for Nabumetone, about half the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $21.12 per fill, versus $27.05 statewide. How often this provider prescribes it This provider 11 WA average 19.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.12 WA average $27.05 This provider's average cost per fill is below the WA average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023
XifaxanRifaximin	11	$3,026.32	▼ Less than typical
About Xifaxan: This medication is used to treat diarrhea caused by the common bacteria known as E. Show more ▾ coli (traveler's diarrhea). Rifaximin should not be used if you have a fever or bloody diarrhea. 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. Rifaximin is also used to treat irritable bowel syndrome with diarrhea. It is also used to prevent a brain problem caused by liver disease (hepatic encephalopathy). It may help you think more clearly. A synthetic rifamycin derivative and anti-bacterial agent that is used for the treatment of GASTROENTERITIS caused by ESCHERICHIA COLI INFECTIONS. It may also be used in the treatment of HEPATIC ENCEPHALOPATHY. In 2023, this provider wrote 11 Medicare prescriptions for Xifaxan, about half the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $3,026.32 per fill, versus $2,815.57 statewide. How often this provider prescribes it This provider 11 WA average 22.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3,026.32 WA average $2,815.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023

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= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average WA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the WA average cost per fill.

About this data. The prescription history for JOHN FORREST FLOYD 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 Internal Medicine prescribing approach at this Spokane, WA 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 WA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.