JONATHAN MICHAEL HARPER RN, MSN, NP-C, ARNP
Prescription History 1124792148
Nurse Practitioner - Gerontology in Seattle, WA

Name: Medicare Part D prescriptions by Jonathan Harper (NPI 1124792148), 2024
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since August 03, 2021

4515 MARTIN LUTHER KING JR WAY S STE 100, SEATTLE, WA 98108(206) 320-5325 Get Directions

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JONATHAN MICHAEL HARPER RN, MSN, NP-C, ARNP, an active Gerontology specialist practicing in Seattle, WA. Our medical registry currently tracks 85 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,895 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 168 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.

Medications

2,895

Total Claims

2,963

30-Day Fills

Atorvastatin Calcium

Most Prescribed · 168 claims

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Prescription Volume vs WA Average

85 medications · 2024 Medicare Part D

Medicare Part D medications prescribed by JONATHAN MICHAEL HARPER RN, MSN, NP-C, ARNP in 2024, with prescription volumes, average cost per fill, and WA state comparisons
Medication	Prescriptions (2024)Rx (2024)	Avg Cost per FillCost / Fill	Vs. Other WA PrescribersVs. WA Avg
Atorvastatin Calcium	168	$33.47	≈ 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 2024, this provider wrote 168 Medicare prescriptions for Atorvastatin Calcium, about the same volume as the typical Washington prescriber of this medication (166.1). Medicare paid an average of $33.47 per fill, versus $11.43 statewide. How often this provider prescribes it This provider 168 WA average 166.1 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 $33.47 WA average $11.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 170.1 30-Day Fills standardized to 30-day supplies 4,665 Days of Medication total across all patients in 2024
Amlodipine Besylate	154	$25.14	▲ 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 2024, this provider wrote 154 Medicare prescriptions for Amlodipine Besylate, about 1.5 times the volume of the typical Washington prescriber of this medication (106). Medicare paid an average of $25.14 per fill, versus $7.92 statewide. How often this provider prescribes it This provider 154 WA average 106.0 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 $25.14 WA average $7.92 Gross Part D cost per fill; not the patient's out-of-pocket price. 155.4 30-Day Fills standardized to 30-day supplies 4,305 Days of Medication total across all patients in 2024
Gabapentin	135	$37.55	▲ 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 2024, this provider wrote 135 Medicare prescriptions for Gabapentin, about 1.9 times the volume of the typical Washington prescriber of this medication (72.3). Medicare paid an average of $37.55 per fill, versus $19.65 statewide. How often this provider prescribes it This provider 135 WA average 72.3 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 $37.55 WA average $19.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 136.5 30-Day Fills standardized to 30-day supplies 3,404 Days of Medication total across all patients in 2024
Lisinopril	109	$27.52	≈ 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 2024, this provider wrote 109 Medicare prescriptions for Lisinopril, about the same volume as the typical Washington prescriber of this medication (104.5). Medicare paid an average of $27.52 per fill, versus $8.60 statewide. How often this provider prescribes it This provider 109 WA average 104.5 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 $27.52 WA average $8.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 110.6 30-Day Fills standardized to 30-day supplies 3,089 Days of Medication total across all patients in 2024
Oxycodone Hcl	103	$29.57	▲ More 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 2024, this provider wrote 103 Medicare prescriptions for Oxycodone Hcl, about 2 times the volume of the typical Washington prescriber of this medication (50.3). Medicare paid an average of $29.57 per fill, versus $14.22 statewide. How often this provider prescribes it This provider 103 WA average 50.3 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 $29.57 WA average $14.22 Gross Part D cost per fill; not the patient's out-of-pocket price. 103.2 30-Day Fills standardized to 30-day supplies 1,938 Days of Medication total across all patients in 2024
Metoprolol Succinate	88	$29.57	≈ 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 2024, this provider wrote 88 Medicare prescriptions for Metoprolol Succinate, about the same volume as the typical Washington prescriber of this medication (90.9). Medicare paid an average of $29.57 per fill, versus $14.75 statewide. How often this provider prescribes it This provider 88 WA average 90.9 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 $29.57 WA average $14.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 89.2 30-Day Fills standardized to 30-day supplies 2,444 Days of Medication total across all patients in 2024
Buprenorphine	86	$76.83▼ below WA avg	▲ More than typical
About Buprenorphine: This medication is used to help relieve severe ongoing pain (such as due to arthritis, chronic back pain). Show more ▾ Buprenorphine 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 (7.5, 10, 15, or 20 micrograms per hour patches) should be used only if you have been regularly taking moderate amounts of opioid pain medication. These strengths may cause overdose (even death) if used by a person who has not been regularly taking opioids. Do not use this medication 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 derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use. In 2024, this provider wrote 86 Medicare prescriptions for Buprenorphine, about 2 times the volume of the typical Washington prescriber of this medication (43.7). Medicare paid an average of $76.83 per fill, versus $242.05 statewide. How often this provider prescribes it This provider 86 WA average 43.7 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 $76.83 WA average $242.05 This provider's average cost per fill is below the WA average for this medication. 86 30-Day Fills standardized to 30-day supplies 2,425 Days of Medication total across all patients in 2024
Losartan Potassium	76	$31.47	▼ Less 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 2024, this provider wrote 76 Medicare prescriptions for Losartan Potassium, about 74% of the volume of the typical Washington prescriber of this medication (102.4). Medicare paid an average of $31.47 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 76 WA average 102.4 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 $31.47 WA average $10.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 77.1 30-Day Fills standardized to 30-day supplies 2,184 Days of Medication total across all patients in 2024
Pantoprazole Sodium	73	$37.98	▲ 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 2024, this provider wrote 73 Medicare prescriptions for Pantoprazole Sodium, about 1.5 times the volume of the typical Washington prescriber of this medication (48.8). Medicare paid an average of $37.98 per fill, versus $14.19 statewide. How often this provider prescribes it This provider 73 WA average 48.8 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 $37.98 WA average $14.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 74.1 30-Day Fills standardized to 30-day supplies 2,035 Days of Medication total across all patients in 2024
Pregabalin	69	$65.20	▲ 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 2024, this provider wrote 69 Medicare prescriptions for Pregabalin, about 2 times the volume of the typical Washington prescriber of this medication (35.3). Medicare paid an average of $65.20 per fill, versus $26.03 statewide. How often this provider prescribes it This provider 69 WA average 35.3 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 $65.20 WA average $26.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 70.2 30-Day Fills standardized to 30-day supplies 1,992 Days of Medication total across all patients in 2024
EliquisApixaban	68	$533.38▼ below WA avg	≈ 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. An antithrombotic agent. In 2024, this provider wrote 68 Medicare prescriptions for Eliquis, about the same volume as the typical Washington prescriber of this medication (67). Medicare paid an average of $533.38 per fill, versus $994.95 statewide. How often this provider prescribes it This provider 68 WA average 67.0 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 $533.38 WA average $994.95 This provider's average cost per fill is below the WA average for this medication. 69 30-Day Fills standardized to 30-day supplies 1,890 Days of Medication total across all patients in 2024
Furosemide	67	$25.10	≈ 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 2024, this provider wrote 67 Medicare prescriptions for Furosemide, about the same volume as the typical Washington prescriber of this medication (58.6). Medicare paid an average of $25.10 per fill, versus $6.29 statewide. How often this provider prescribes it This provider 67 WA average 58.6 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 $25.10 WA average $6.29 Gross Part D cost per fill; not the patient's out-of-pocket price. 67.6 30-Day Fills standardized to 30-day supplies 1,857 Days of Medication total across all patients in 2024
Tamsulosin Hcl	59	$33.80	≈ 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. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA. In 2024, this provider wrote 59 Medicare prescriptions for Tamsulosin Hcl, about 85% of the volume of the typical Washington prescriber of this medication (69.8). Medicare paid an average of $33.80 per fill, versus $16.56 statewide. How often this provider prescribes it This provider 59 WA average 69.8 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 $33.80 WA average $16.56 Gross Part D cost per fill; not the patient's out-of-pocket price. 59.8 30-Day Fills standardized to 30-day supplies 1,714 Days of Medication total across all patients in 2024
Trazodone Hcl	55	$28.51	≈ Typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309) In 2024, this provider wrote 55 Medicare prescriptions for Trazodone Hcl, about the same volume as the typical Washington prescriber of this medication (60.6). Medicare paid an average of $28.51 per fill, versus $10.78 statewide. How often this provider prescribes it This provider 55 WA average 60.6 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 $28.51 WA average $10.78 Gross Part D cost per fill; not the patient's out-of-pocket price. 55.8 30-Day Fills standardized to 30-day supplies 1,573 Days of Medication total across all patients in 2024
Metformin Hcl	54	$22.33	≈ 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 2024, this provider wrote 54 Medicare prescriptions for Metformin Hcl, about 86% of the volume of the typical Washington prescriber of this medication (62.9). Medicare paid an average of $22.33 per fill, versus $9.63 statewide. How often this provider prescribes it This provider 54 WA average 62.9 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 $22.33 WA average $9.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 54.5 30-Day Fills standardized to 30-day supplies 1,585 Days of Medication total across all patients in 2024
Duloxetine Hcl	51	$29.77	≈ Typical
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also 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 belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It 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 2024, this provider wrote 51 Medicare prescriptions for Duloxetine Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (44.1). Medicare paid an average of $29.77 per fill, versus $26.10 statewide. How often this provider prescribes it This provider 51 WA average 44.1 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 $29.77 WA average $26.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 51.4 30-Day Fills standardized to 30-day supplies 1,487 Days of Medication total across all patients in 2024
Levothyroxine Sodium	50	$21.37	▼ Less 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 2024, this provider wrote 50 Medicare prescriptions for Levothyroxine Sodium, about half the volume of the typical Washington prescriber of this medication (115.6). Medicare paid an average of $21.37 per fill, versus $11.18 statewide. How often this provider prescribes it This provider 50 WA average 115.6 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 $21.37 WA average $11.18 Gross Part D cost per fill; not the patient's out-of-pocket price. 50.4 30-Day Fills standardized to 30-day supplies 1,447 Days of Medication total across all patients in 2024
Mirtazapine	49	$28.65	▲ More than typical
About Mirtazapine: This medication is used to treat depression. Show more ▾ Mirtazapine works by helping to restore the balance of certain natural substances 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 2024, this provider wrote 49 Medicare prescriptions for Mirtazapine, about 1.4 times the volume of the typical Washington prescriber of this medication (35.3). Medicare paid an average of $28.65 per fill, versus $22.38 statewide. How often this provider prescribes it This provider 49 WA average 35.3 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 $28.65 WA average $22.38 Gross Part D cost per fill; not the patient's out-of-pocket price. 49.6 30-Day Fills standardized to 30-day supplies 1,436 Days of Medication total across all patients in 2024
JardianceEmpagliflozin	48	$562.34▼ 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 and kidney disease. It helps to lower the risk of death from heart disease and reduces the need of going to a hospital to treat heart failure or kidney disease. It also helps to lower the risk of dialysis in people with kidney disease. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 48 Medicare prescriptions for Jardiance, about the same volume as the typical Washington prescriber of this medication (44.1). Medicare paid an average of $562.34 per fill, versus $1,041.39 statewide. How often this provider prescribes it This provider 48 WA average 44.1 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 $562.34 WA average $1,041.39 This provider's average cost per fill is below the WA average for this medication. 48.6 30-Day Fills standardized to 30-day supplies 1,377 Days of Medication total across all patients in 2024
Omeprazole	47	$34.80	▼ Less 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 2024, this provider wrote 47 Medicare prescriptions for Omeprazole, about 60% of the volume of the typical Washington prescriber of this medication (78.2). Medicare paid an average of $34.80 per fill, versus $15.28 statewide. How often this provider prescribes it This provider 47 WA average 78.2 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 $34.80 WA average $15.28 Gross Part D cost per fill; not the patient's out-of-pocket price. 47.5 30-Day Fills standardized to 30-day supplies 1,314 Days of Medication total across all patients in 2024
Albuterol Sulfate HfaAlbuterol Sulfate	43	$33.43	≈ Typical
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Show more ▾ It is also used to prevent asthma brought on by exercise. It is a quick-relief drug. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2024, this provider wrote 43 Medicare prescriptions for Albuterol Sulfate Hfa, about 84% of the volume of the typical Washington prescriber of this medication (50.9). Medicare paid an average of $33.43 per fill, versus $29.37 statewide. How often this provider prescribes it This provider 43 WA average 50.9 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 $33.43 WA average $29.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 43.2 30-Day Fills standardized to 30-day supplies 871 Days of Medication total across all patients in 2024
Rosuvastatin Calcium	39	$47.44	▼ Less 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 2024, this provider wrote 39 Medicare prescriptions for Rosuvastatin Calcium, about half the volume of the typical Washington prescriber of this medication (81). Medicare paid an average of $47.44 per fill, versus $14.43 statewide. How often this provider prescribes it This provider 39 WA average 81.0 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 $47.44 WA average $14.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 39.6 30-Day Fills standardized to 30-day supplies 1,099 Days of Medication total across all patients in 2024
Quetiapine Fumarate	39	$56.62	≈ Typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 2024, this provider wrote 39 Medicare prescriptions for Quetiapine Fumarate, about 79% of the volume of the typical Washington prescriber of this medication (49.5). Medicare paid an average of $56.62 per fill, versus $19.76 statewide. How often this provider prescribes it This provider 39 WA average 49.5 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 $56.62 WA average $19.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 39.8 30-Day Fills standardized to 30-day supplies 1,103 Days of Medication total across all patients in 2024
Pravastatin Sodium	38	$22.03	≈ 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 2024, this provider wrote 38 Medicare prescriptions for Pravastatin Sodium, about the same volume as the typical Washington prescriber of this medication (37.7). Medicare paid an average of $22.03 per fill, versus $14.07 statewide. How often this provider prescribes it This provider 38 WA average 37.7 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 $22.03 WA average $14.07 Gross Part D cost per fill; not the patient's out-of-pocket price. 38.3 30-Day Fills standardized to 30-day supplies 1,096 Days of Medication total across all patients in 2024
ClopidogrelClopidogrel Bisulfate	35	$41.58	≈ 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 2024, this provider wrote 35 Medicare prescriptions for Clopidogrel, about 89% of the volume of the typical Washington prescriber of this medication (39.2). Medicare paid an average of $41.58 per fill, versus $13.50 statewide. How often this provider prescribes it This provider 35 WA average 39.2 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 $41.58 WA average $13.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 36.5 30-Day Fills standardized to 30-day supplies 940 Days of Medication total across all patients in 2024

Lorazepam	35	$28.85	≈ Typical
About Lorazepam: This medication is used to treat anxiety. Show more ▾ Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2024, this provider wrote 35 Medicare prescriptions for Lorazepam, about the same volume as the typical Washington prescriber of this medication (33.3). Medicare paid an average of $28.85 per fill, versus $7.19 statewide. How often this provider prescribes it This provider 35 WA average 33.3 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 $28.85 WA average $7.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 728 Days of Medication total across all patients in 2024
Triamcinolone Acetonide	32	$30.90	≈ Typical
About Triamcinolone Acetonide: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Triamcinolone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a medium- to strong-potency corticosteroid. The potency depends on the strength and the form that you use. For details on the potency of your product, ask your pharmacist. 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 2024, this provider wrote 32 Medicare prescriptions for Triamcinolone Acetonide, about the same volume as the typical Washington prescriber of this medication (31.4). Medicare paid an average of $30.90 per fill, versus $9.90 statewide. How often this provider prescribes it This provider 32 WA average 31.4 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 $30.90 WA average $9.90 Gross Part D cost per fill; not the patient's out-of-pocket price. 36.1 30-Day Fills standardized to 30-day supplies 939 Days of Medication total across all patients in 2024
Memantine Hcl	31	$37.17	▼ Less 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. AMANTADINE derivative that has some dopaminergic effects. It has been proposed as an antiparkinson agent. In 2024, this provider wrote 31 Medicare prescriptions for Memantine Hcl, about 70% of the volume of the typical Washington prescriber of this medication (44.6). Medicare paid an average of $37.17 per fill, versus $32.88 statewide. How often this provider prescribes it This provider 31 WA average 44.6 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 $37.17 WA average $32.88 Gross Part D cost per fill; not the patient's out-of-pocket price. 31.3 30-Day Fills standardized to 30-day supplies 916 Days of Medication total across all patients in 2024
ArexvyRsvpref3 Antigen/As01e/Pf	28	$295.59	▼ Less than typical
About Arexvy: This vaccine is used to prevent infection by the respiratory syncytial virus (RSV). Show more ▾ Some brands may also be given during the third trimester of pregnancy to help prevent RSV in the newborn baby. RSV can cause serious illness, especially in older adults with certain health problems (such as heart disease, lung disease) and infants. It works by causing the body to produce its own protection (antibodies) against the virus. Vaccines may not fully protect everyone who receives them. In 2024, this provider wrote 28 Medicare prescriptions for Arexvy, about half the volume of the typical Washington prescriber of this medication (53.5). Medicare paid an average of $295.59 per fill, versus $291.56 statewide. How often this provider prescribes it This provider 28 WA average 53.5 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 $295.59 WA average $291.56 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 28 Days of Medication total across all patients in 2024
Atenolol	27	$16.04	≈ 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 2024, this provider wrote 27 Medicare prescriptions for Atenolol, about 83% of the volume of the typical Washington prescriber of this medication (32.4). Medicare paid an average of $16.04 per fill, versus $8.83 statewide. How often this provider prescribes it This provider 27 WA average 32.4 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 $16.04 WA average $8.83 Gross Part D cost per fill; not the patient's out-of-pocket price. 27.2 30-Day Fills standardized to 30-day supplies 809 Days of Medication total across all patients in 2024
Donepezil Hcl	26	$47.90	▼ Less 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. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE. In 2024, this provider wrote 26 Medicare prescriptions for Donepezil Hcl, about 63% of the volume of the typical Washington prescriber of this medication (41.1). Medicare paid an average of $47.90 per fill, versus $14.15 statewide. How often this provider prescribes it This provider 26 WA average 41.1 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 $47.90 WA average $14.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 26.3 30-Day Fills standardized to 30-day supplies 728 Days of Medication total across all patients in 2024
Famotidine	26	$37.90	▼ Less 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 2024, this provider wrote 26 Medicare prescriptions for Famotidine, about 67% of the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $37.90 per fill, versus $16.42 statewide. How often this provider prescribes it This provider 26 WA average 38.8 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 $37.90 WA average $16.42 Gross Part D cost per fill; not the patient's out-of-pocket price. 26.4 30-Day Fills standardized to 30-day supplies 742 Days of Medication total across all patients in 2024
Fluticasone Propionate	26	$31.78	▼ Less than typical
About Fluticasone Propionate: Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. Show more ▾ It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2024, this provider wrote 26 Medicare prescriptions for Fluticasone Propionate, about 74% of the volume of the typical Washington prescriber of this medication (35.1). Medicare paid an average of $31.78 per fill, versus $18.06 statewide. How often this provider prescribes it This provider 26 WA average 35.1 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 $31.78 WA average $18.06 Gross Part D cost per fill; not the patient's out-of-pocket price. 33.2 30-Day Fills standardized to 30-day supplies 967 Days of Medication total across all patients in 2024
Potassium Chloride	25	$28.63	▼ Less 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 2024, this provider wrote 25 Medicare prescriptions for Potassium Chloride, about half the volume of the typical Washington prescriber of this medication (50.4). Medicare paid an average of $28.63 per fill, versus $21.39 statewide. How often this provider prescribes it This provider 25 WA average 50.4 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 $28.63 WA average $21.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 25.3 30-Day Fills standardized to 30-day supplies 731 Days of Medication total across all patients in 2024
XareltoRivaroxaban	24	$524.77▼ below WA avg	▼ Less 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 2024, this provider wrote 24 Medicare prescriptions for Xarelto, about 62% of the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $524.77 per fill, versus $1,017.77 statewide. How often this provider prescribes it This provider 24 WA average 38.8 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 $524.77 WA average $1,017.77 This provider's average cost per fill is below the WA average for this medication. 24.2 30-Day Fills standardized to 30-day supplies 672 Days of Medication total across all patients in 2024
Ondansetron OdtOndansetron	24	$74.35	≈ 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 2024, this provider wrote 24 Medicare prescriptions for Ondansetron Odt, about the same volume as the typical Washington prescriber of this medication (26). Medicare paid an average of $74.35 per fill, versus $15.16 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 $74.35 WA average $15.16 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 181 Days of Medication total across all patients in 2024
Metoprolol Tartrate	23	$24.69	▼ Less 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 2024, this provider wrote 23 Medicare prescriptions for Metoprolol Tartrate, about half the volume of the typical Washington prescriber of this medication (43.4). Medicare paid an average of $24.69 per fill, versus $8.03 statewide. How often this provider prescribes it This provider 23 WA average 43.4 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 $24.69 WA average $8.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 23.2 30-Day Fills standardized to 30-day supplies 573 Days of Medication total across all patients in 2024
Prednisone	23	$20.59	▼ Less 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 2024, this provider wrote 23 Medicare prescriptions for Prednisone, about 61% of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $20.59 per fill, versus $5.30 statewide. How often this provider prescribes it This provider 23 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 $20.59 WA average $5.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 439 Days of Medication total across all patients in 2024
Levetiracetam	23	$26.18▼ below WA avg	▼ Less than typical
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2024, this provider wrote 23 Medicare prescriptions for Levetiracetam, about half the volume of the typical Washington prescriber of this medication (44). Medicare paid an average of $26.18 per fill, versus $33.32 statewide. How often this provider prescribes it This provider 23 WA average 44.0 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 $26.18 WA average $33.32 This provider's average cost per fill is below the WA average for this medication. 23 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2024
Torsemide	23	$30.35	▼ 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 2024, this provider wrote 23 Medicare prescriptions for Torsemide, about 61% of the volume of the typical Washington prescriber of this medication (37.7). Medicare paid an average of $30.35 per fill, versus $21.27 statewide. How often this provider prescribes it This provider 23 WA average 37.7 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 $30.35 WA average $21.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 23.3 30-Day Fills standardized to 30-day supplies 642 Days of Medication total across all patients in 2024
Clonazepam	22	$35.14	▼ Less than typical
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2024, this provider wrote 22 Medicare prescriptions for Clonazepam, about 63% of the volume of the typical Washington prescriber of this medication (34.7). Medicare paid an average of $35.14 per fill, versus $9.50 statewide. How often this provider prescribes it This provider 22 WA average 34.7 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 $35.14 WA average $9.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 22.4 30-Day Fills standardized to 30-day supplies 615 Days of Medication total across all patients in 2024
Lamotrigine	22	$45.07	▼ Less than typical
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2024, this provider wrote 22 Medicare prescriptions for Lamotrigine, about half the volume of the typical Washington prescriber of this medication (41.2). Medicare paid an average of $45.07 per fill, versus $17.54 statewide. How often this provider prescribes it This provider 22 WA average 41.2 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 $45.07 WA average $17.54 Gross Part D cost per fill; not the patient's out-of-pocket price. 22.3 30-Day Fills standardized to 30-day supplies 560 Days of Medication total across all patients in 2024
BelbucaBuprenorphine Hcl	22	$716.21▼ below WA avg	▼ Less than typical
About Belbuca: Buprenorphine is used to help relieve severe ongoing pain. Show more ▾ Buprenorphine 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 this medication 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 derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use. In 2024, this provider wrote 22 Medicare prescriptions for Belbuca, about half the volume of the typical Washington prescriber of this medication (40.9). Medicare paid an average of $716.21 per fill, versus $755.63 statewide. How often this provider prescribes it This provider 22 WA average 40.9 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 $716.21 WA average $755.63 This provider's average cost per fill is below the WA average for this medication. 23 30-Day Fills standardized to 30-day supplies 644 Days of Medication total across all patients in 2024
Citalopram HbrCitalopram Hydrobromide	21	$18.92	▼ Less than typical
About Citalopram Hbr: This medication is used to treat depression. Show more ▾ Citalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It 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 2024, this provider wrote 21 Medicare prescriptions for Citalopram Hbr, about 61% of the volume of the typical Washington prescriber of this medication (34.7). Medicare paid an average of $18.92 per fill, versus $9.43 statewide. How often this provider prescribes it This provider 21 WA average 34.7 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 $18.92 WA average $9.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 21.2 30-Day Fills standardized to 30-day supplies 634 Days of Medication total across all patients in 2024
Methocarbamol	20	$29.25	≈ 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 2024, this provider wrote 20 Medicare prescriptions for Methocarbamol, about 75% of the volume of the typical Washington prescriber of this medication (26.6). Medicare paid an average of $29.25 per fill, versus $14.08 statewide. How often this provider prescribes it This provider 20 WA average 26.6 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 $29.25 WA average $14.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 20.1 30-Day Fills standardized to 30-day supplies 508 Days of Medication total across all patients in 2024
Sertraline Hcl	20	$32.57	▼ Less than typical
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 20 Medicare prescriptions for Sertraline Hcl, about a third of the volume of the typical Washington prescriber of this medication (50.3). Medicare paid an average of $32.57 per fill, versus $11.19 statewide. How often this provider prescribes it This provider 20 WA average 50.3 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 $32.57 WA average $11.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 20.2 30-Day Fills standardized to 30-day supplies 550 Days of Medication total across all patients in 2024
OzempicSemaglutide	19	$918.30▼ below WA avg	▼ Less 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. A glucagon-like peptide and GLP-1 agonist used to enhance glycemic control of TYPE 2 DIABETES MELLITUS, and for OBESITY MANAGEMENT. In 2024, this provider wrote 19 Medicare prescriptions for Ozempic, about half the volume of the typical Washington prescriber of this medication (42.3). Medicare paid an average of $918.30 per fill, versus $1,270.49 statewide. How often this provider prescribes it This provider 19 WA average 42.3 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 $918.30 WA average $1,270.49 This provider's average cost per fill is below the WA average for this medication. 19 30-Day Fills standardized to 30-day supplies 533 Days of Medication total across all patients in 2024
AbrysvoRsv Vacc, Pref A And Pref B/Pf	19	$297.03	▼ Less than typical
About Abrysvo: This vaccine is used to prevent infection by the respiratory syncytial virus (RSV). Show more ▾ Some brands may also be given during the third trimester of pregnancy to help prevent RSV in the newborn baby. RSV can cause serious illness, especially in older adults with certain health problems (such as heart disease, lung disease) and infants. It works by causing the body to produce its own protection (antibodies) against the virus. Vaccines may not fully protect everyone who receives them. In 2024, this provider wrote 19 Medicare prescriptions for Abrysvo, about 61% of the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $297.03 per fill, versus $289.73 statewide. How often this provider prescribes it This provider 19 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 $297.03 WA average $289.73 Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 19 Days of Medication total across all patients in 2024
Cefdinir	19	$32.10	≈ Typical
About Cefdinir: Cefdinir is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A third-generation oral cephalosporin antibacterial agent that is used to treat bacterial infections of the respiratory tract and skin. In 2024, this provider wrote 19 Medicare prescriptions for Cefdinir, about 86% of the volume of the typical Washington prescriber of this medication (22.2). Medicare paid an average of $32.10 per fill, versus $16.72 statewide. How often this provider prescribes it This provider 19 WA average 22.2 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 $32.10 WA average $16.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 105 Days of Medication total across all patients in 2024
Glipizide	19	$29.39	▼ Less 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 2024, this provider wrote 19 Medicare prescriptions for Glipizide, about 64% of the volume of the typical Washington prescriber of this medication (29.9). Medicare paid an average of $29.39 per fill, versus $10.39 statewide. How often this provider prescribes it This provider 19 WA average 29.9 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 $29.39 WA average $10.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 19.3 30-Day Fills standardized to 30-day supplies 550 Days of Medication total across all patients in 2024
Alprazolam	19	$29.46	▼ Less than typical
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2024, this provider wrote 19 Medicare prescriptions for Alprazolam, about half the volume of the typical Washington prescriber of this medication (34.1). Medicare paid an average of $29.46 per fill, versus $4.76 statewide. How often this provider prescribes it This provider 19 WA average 34.1 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 $29.46 WA average $4.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 276 Days of Medication total across all patients in 2024
Hydralazine Hcl	18	$32.71	▼ Less than typical
About Hydralazine Hcl: Hydralazine 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. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. A direct-acting vasodilator that is used as an antihypertensive agent. In 2024, this provider wrote 18 Medicare prescriptions for Hydralazine Hcl, about half the volume of the typical Washington prescriber of this medication (30.3). Medicare paid an average of $32.71 per fill, versus $15.61 statewide. How often this provider prescribes it This provider 18 WA average 30.3 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 $32.71 WA average $15.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 18.2 30-Day Fills standardized to 30-day supplies 491 Days of Medication total across all patients in 2024
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	18	$30.42	≈ 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. In 2024, this provider wrote 18 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about 78% of the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $30.42 per fill, versus $10.74 statewide. How often this provider prescribes it This provider 18 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 $30.42 WA average $10.74 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 99 Days of Medication total across all patients in 2024
Methylphenidate Hcl	18	$29.52	≈ Typical
About Methylphenidate Hcl: This medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Methylphenidate belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This medication is also used to treat a certain sleep disorder (narcolepsy). A central nervous system stimulant used most commonly in the treatment of ATTENTION DEFICIT DISORDER in children and for NARCOLEPSY. Its mechanisms appear to be similar to those of DEXTROAMPHETAMINE. The d-isomer of this drug is referred to as DEXMETHYLPHENIDATE HYDROCHLORIDE. In 2024, this provider wrote 18 Medicare prescriptions for Methylphenidate Hcl, about the same volume as the typical Washington prescriber of this medication (18.2). Medicare paid an average of $29.52 per fill, versus $28.72 statewide. How often this provider prescribes it This provider 18 WA average 18.2 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 $29.52 WA average $28.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 461 Days of Medication total across all patients in 2024
Alendronate Sodium	17	$26.66	▼ Less 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 2024, this provider wrote 17 Medicare prescriptions for Alendronate Sodium, about a third of the volume of the typical Washington prescriber of this medication (41.8). Medicare paid an average of $26.66 per fill, versus $10.30 statewide. How often this provider prescribes it This provider 17 WA average 41.8 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 $26.66 WA average $10.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 17.1 30-Day Fills standardized to 30-day supplies 468 Days of Medication total across all patients in 2024
Baclofen	16	$33.62	▼ Less than typical
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2024, this provider wrote 16 Medicare prescriptions for Baclofen, about half the volume of the typical Washington prescriber of this medication (32.4). Medicare paid an average of $33.62 per fill, versus $21.15 statewide. How often this provider prescribes it This provider 16 WA average 32.4 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 $33.62 WA average $21.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 16.2 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2024
Nystatin	16	$31.42	▼ Less than typical
About Nystatin: Nystatin is used to treat fungal skin infections. Show more ▾ Nystatin is an antifungal that works by stopping the growth of fungus. Macrolide antifungal antibiotic complex produced by Streptomyces noursei, S. aureus, and other Streptomyces species. The biologically active components of the complex are nystatin A1, A2, and A3. In 2024, this provider wrote 16 Medicare prescriptions for Nystatin, about 75% of the volume of the typical Washington prescriber of this medication (21.4). Medicare paid an average of $31.42 per fill, versus $20.29 statewide. How often this provider prescribes it This provider 16 WA average 21.4 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 $31.42 WA average $20.29 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 338 Days of Medication total across all patients in 2024
Cephalexin	16	$29.39	▼ Less 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 2024, this provider wrote 16 Medicare prescriptions for Cephalexin, about half the volume of the typical Washington prescriber of this medication (27.4). Medicare paid an average of $29.39 per fill, versus $8.96 statewide. How often this provider prescribes it This provider 16 WA average 27.4 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 $29.39 WA average $8.96 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 85 Days of Medication total across all patients in 2024
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	16	$33.75	▼ Less 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 2024, this provider wrote 16 Medicare prescriptions for Hydrocodone-Acetaminophen, about a quarter of the volume of the typical Washington prescriber of this medication (60.4). Medicare paid an average of $33.75 per fill, versus $20.62 statewide. How often this provider prescribes it This provider 16 WA average 60.4 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 $33.75 WA average $20.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024
Insulin Glargine-Yfgn	16	$109.04	▼ Less than typical
About Insulin Glargine-Yfgn: 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-aglr, and insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2024, this provider wrote 16 Medicare prescriptions for Insulin Glargine-Yfgn, about 69% of the volume of the typical Washington prescriber of this medication (23.3). Medicare paid an average of $109.04 per fill, versus $102.88 statewide. How often this provider prescribes it This provider 16 WA average 23.3 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 $109.04 WA average $102.88 Gross Part D cost per fill; not the patient's out-of-pocket price. 40.4 30-Day Fills standardized to 30-day supplies 1,211 Days of Medication total across all patients in 2024
Prednisolone Acetate	15	$35.84▼ below WA avg	▼ Less than typical
About Prednisolone Acetate: This medication is used to treat certain eye conditions due to inflammation or injury. Show more ▾ Prednisolone works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids. A glucocorticoid with the general properties of the corticosteroids. It is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states. In 2024, this provider wrote 15 Medicare prescriptions for Prednisolone Acetate, about 15% of the volume of the typical Washington prescriber of this medication (102). Medicare paid an average of $35.84 per fill, versus $40.63 statewide. How often this provider prescribes it This provider 15 WA average 102.0 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 $35.84 WA average $40.63 This provider's average cost per fill is below the WA average for this medication. 16.2 30-Day Fills standardized to 30-day supplies 421 Days of Medication total across all patients in 2024
Nifedipine ErNifedipine	15	$32.89	▼ Less than typical
About Nifedipine Er: Nifedipine is used alone or in combination 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 is also used for certain types of chest pain (angina). It may help increase your ability to exercise and decrease the frequency of chest pain attacks. It should not be used to treat chest pain when it occurs. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for more details. This medication is known as a calcium channel blocker. It works by relaxing and widening blood vessels so blood can flow more easily. A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2024, this provider wrote 15 Medicare prescriptions for Nifedipine Er, about 73% of the volume of the typical Washington prescriber of this medication (20.4). Medicare paid an average of $32.89 per fill, versus $25.33 statewide. How often this provider prescribes it This provider 15 WA average 20.4 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 $32.89 WA average $25.33 Gross Part D cost per fill; not the patient's out-of-pocket price. 15.2 30-Day Fills standardized to 30-day supplies 416 Days of Medication total across all patients in 2024
Hydroxyzine Hcl	15	$12.56▼ below WA avg	▼ Less than typical
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2024, this provider wrote 15 Medicare prescriptions for Hydroxyzine Hcl, about half the volume of the typical Washington prescriber of this medication (26.3). Medicare paid an average of $12.56 per fill, versus $18.29 statewide. How often this provider prescribes it This provider 15 WA average 26.3 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 $12.56 WA average $18.29 This provider's average cost per fill is below the WA average for this medication. 15 30-Day Fills standardized to 30-day supplies 205 Days of Medication total across all patients in 2024
Sevelamer Carbonate	15	$75.80▼ below WA avg	▼ Less than typical
About Sevelamer Carbonate: Sevelamer is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Sevelamer works by holding onto phosphate from the diet so that it can pass out of your body. A polymeric amine that binds phosphate and is used to treat HYPERPHOSPHATEMIA in patients with kidney disease. In 2024, this provider wrote 15 Medicare prescriptions for Sevelamer Carbonate, about a third of the volume of the typical Washington prescriber of this medication (43.8). Medicare paid an average of $75.80 per fill, versus $189.31 statewide. How often this provider prescribes it This provider 15 WA average 43.8 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 $75.80 WA average $189.31 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 362 Days of Medication total across all patients in 2024
Carvedilol	15	$36.71	▼ Less than 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 2024, this provider wrote 15 Medicare prescriptions for Carvedilol, about a third of the volume of the typical Washington prescriber of this medication (47.5). Medicare paid an average of $36.71 per fill, versus $10.02 statewide. How often this provider prescribes it This provider 15 WA average 47.5 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 $36.71 WA average $10.02 Gross Part D cost per fill; not the patient's out-of-pocket price. 15.1 30-Day Fills standardized to 30-day supplies 402 Days of Medication total across all patients in 2024
Venlafaxine Hcl ErVenlafaxine Hcl	14	$52.71	▼ Less than typical
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 14 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical Washington prescriber of this medication (29.4). Medicare paid an average of $52.71 per fill, versus $24.61 statewide. How often this provider prescribes it This provider 14 WA average 29.4 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 $52.71 WA average $24.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 14.2 30-Day Fills standardized to 30-day supplies 396 Days of Medication total across all patients in 2024
LoperamideLoperamide Hcl	14	$30.41	▼ Less than 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 2024, this provider wrote 14 Medicare prescriptions for Loperamide, about 66% of the volume of the typical Washington prescriber of this medication (21.3). Medicare paid an average of $30.41 per fill, versus $21.70 statewide. How often this provider prescribes it This provider 14 WA average 21.3 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 $30.41 WA average $21.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 92 Days of Medication total across all patients in 2024
Diltiazem 24hr Er (Cd)Diltiazem Hcl	14	$30.79	▼ Less than typical
About Diltiazem 24hr Er (Cd): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 14 Medicare prescriptions for Diltiazem 24hr Er (Cd), about half the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $30.79 per fill, versus $29.42 statewide. How often this provider prescribes it This provider 14 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 $30.79 WA average $29.42 Gross Part D cost per fill; not the patient's out-of-pocket price. 14.3 30-Day Fills standardized to 30-day supplies 416 Days of Medication total across all patients in 2024
EntrestoSacubitril/Valsartan	14	$321.34▼ below WA avg	▼ Less than typical
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. An angiotensin II receptor antagonist. In 2024, this provider wrote 14 Medicare prescriptions for Entresto, about a third of the volume of the typical Washington prescriber of this medication (49.6). Medicare paid an average of $321.34 per fill, versus $1,111.21 statewide. How often this provider prescribes it This provider 14 WA average 49.6 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 $321.34 WA average $1,111.21 This provider's average cost per fill is below the WA average for this medication. 14.2 30-Day Fills standardized to 30-day supplies 393 Days of Medication total across all patients in 2024
Lacosamide	14	$78.82▼ below WA avg	▼ Less than typical
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2024, this provider wrote 14 Medicare prescriptions for Lacosamide, about a third of the volume of the typical Washington prescriber of this medication (47.2). Medicare paid an average of $78.82 per fill, versus $110.21 statewide. How often this provider prescribes it This provider 14 WA average 47.2 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 $78.82 WA average $110.21 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 198 Days of Medication total across all patients in 2024
Divalproex Sodium ErDivalproex Sodium	14	$16.67▼ below WA avg	▼ Less than typical
About Divalproex Sodium Er: This medication is used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 14 Medicare prescriptions for Divalproex Sodium Er, about half the volume of the typical Washington prescriber of this medication (32.8). Medicare paid an average of $16.67 per fill, versus $53.20 statewide. How often this provider prescribes it This provider 14 WA average 32.8 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 $16.67 WA average $53.20 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 391 Days of Medication total across all patients in 2024
Hydrochlorothiazide	13	$23.25	▼ Less than typical
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills." It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2024, this provider wrote 13 Medicare prescriptions for Hydrochlorothiazide, about a quarter of the volume of the typical Washington prescriber of this medication (57). Medicare paid an average of $23.25 per fill, versus $5.34 statewide. How often this provider prescribes it This provider 13 WA average 57.0 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 $23.25 WA average $5.34 Gross Part D cost per fill; not the patient's out-of-pocket price. 13.2 30-Day Fills standardized to 30-day supplies 333 Days of Medication total across all patients in 2024
Chlorthalidone	12	$15.38▼ below WA avg	▼ Less than 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 2024, this provider wrote 12 Medicare prescriptions for Chlorthalidone, about half the volume of the typical Washington prescriber of this medication (25.4). Medicare paid an average of $15.38 per fill, versus $17.83 statewide. How often this provider prescribes it This provider 12 WA average 25.4 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 $15.38 WA average $17.83 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 2024
Mesalamine	12	$107.83▼ below WA avg	▼ Less than typical
About Mesalamine: This medication is used to treat a certain bowel disease (ulcerative colitis). Show more ▾ It helps to reduce symptoms of ulcerative colitis such as diarrhea, rectal bleeding, and stomach pain. Mesalamine belongs to a class of drugs known as aminosalicylates. It works by decreasing swelling in the colon. An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed) In 2024, this provider wrote 12 Medicare prescriptions for Mesalamine, about half the volume of the typical Washington prescriber of this medication (26.8). Medicare paid an average of $107.83 per fill, versus $426.02 statewide. How often this provider prescribes it This provider 12 WA average 26.8 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 $107.83 WA average $426.02 This provider's average cost per fill is below the WA average for this medication. 12.2 30-Day Fills standardized to 30-day supplies 332 Days of Medication total across all patients in 2024
Metformin Hcl ErMetformin Hcl	12	$26.43	▼ Less than 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 2024, this provider wrote 12 Medicare prescriptions for Metformin Hcl Er, about a quarter of the volume of the typical Washington prescriber of this medication (51.2). Medicare paid an average of $26.43 per fill, versus $10.77 statewide. How often this provider prescribes it This provider 12 WA average 51.2 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 $26.43 WA average $10.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 12.2 30-Day Fills standardized to 30-day supplies 362 Days of Medication total across all patients in 2024
Naltrexone Hcl	12	$42.95▼ below WA avg	▼ Less than typical
About Naltrexone Hcl: This medication is used to prevent people who have been addicted to certain drugs (opiates) from taking them again. Show more ▾ It is used as part of a complete treatment program for drug abuse (such as compliance monitoring, counseling, behavioral contract, lifestyle changes). This medication must not be used in people currently taking opiates, including methadone. Doing so can cause sudden withdrawal symptoms. Naltrexone belongs to a class of drugs known as opiate antagonists. It works in the brain to prevent opiate effects (such as feelings of well-being, pain relief). It also decreases the desire to take opiates. Ask your doctor or pharmacist if you should have naloxone available to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it. This medication is also used to treat alcohol abuse. It can help people drink less alcohol or stop drinking altogether. It also decreases the desire to drink alcohol when used with a treatment program that includes counseling, support, and lifestyle changes. Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence. In 2024, this provider wrote 12 Medicare prescriptions for Naltrexone Hcl, about 66% of the volume of the typical Washington prescriber of this medication (18.2). Medicare paid an average of $42.95 per fill, versus $51.87 statewide. How often this provider prescribes it This provider 12 WA average 18.2 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 $42.95 WA average $51.87 This provider's average cost per fill is below the WA average for this medication. 12.2 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2024
Candesartan Cilexetil	12	$37.53▼ below WA avg	▼ Less than typical
About Candesartan Cilexetil: Candesartan is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Candesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. This medication is also used to treat heart failure. This medication is not recommended for use in children younger than 1 year due to increased risk of side effects. A prodrug which is metabolized to an active form candesartan to exert its biological effects. In 2024, this provider wrote 12 Medicare prescriptions for Candesartan Cilexetil, about half the volume of the typical Washington prescriber of this medication (21.7). Medicare paid an average of $37.53 per fill, versus $65.49 statewide. How often this provider prescribes it This provider 12 WA average 21.7 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 $37.53 WA average $65.49 This provider's average cost per fill is below the WA average for this medication. 12.2 30-Day Fills standardized to 30-day supplies 349 Days of Medication total across all patients in 2024
OxycontinOxycodone Hcl	12	$226.82▼ below WA avg	▼ Less than 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 2024, this provider wrote 12 Medicare prescriptions for Oxycontin, about half the volume of the typical Washington prescriber of this medication (23.1). Medicare paid an average of $226.82 per fill, versus $633.45 statewide. How often this provider prescribes it This provider 12 WA average 23.1 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 $226.82 WA average $633.45 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 211 Days of Medication total across all patients in 2024
PrometheganPromethazine Hcl	12	$77.50	≈ Typical
About Promethegan: See also Warning section. Show more ▾ Promethazine is used to prevent and treat nausea and vomiting related to certain conditions (such as motion sickness, or before/after surgery). It is also used to treat allergy symptoms such as rash, itching, and runny nose. It may be used to help you feel sleepy/relaxed before and after surgery or to help certain opioid pain relievers (such as meperidine) work better. The suppository form is used when medications cannot be taken by mouth. Promethazine is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Its other effects (such as anti-nausea, calming, pain relief) may work by affecting other natural substances (such as acetylcholine) and by acting directly on certain parts of the brain. A phenothiazine derivative with histamine H1-blocking, antimuscarinic, and sedative properties. It is used as an antiallergic, in pruritus, for motion sickness and sedation, and also in animals. In 2024, this provider wrote 12 Medicare prescriptions for Promethegan, about the same volume as the typical Washington prescriber of this medication (12.8). Medicare paid an average of $77.50 per fill, versus $68.98 statewide. How often this provider prescribes it This provider 12 WA average 12.8 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 $77.50 WA average $68.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 108 Days of Medication total across all patients in 2024
Lansoprazole	12	$40.23▼ below WA avg	▼ Less 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 2024, this provider wrote 12 Medicare prescriptions for Lansoprazole, about 67% of the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $40.23 per fill, versus $45.71 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 $40.23 WA average $45.71 This provider's average cost per fill is below the WA average for this medication. 12.2 30-Day Fills standardized to 30-day supplies 323 Days of Medication total across all patients in 2024
Buspirone Hcl	11	$33.95	▼ Less 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). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 11 Medicare prescriptions for Buspirone Hcl, about a third of the volume of the typical Washington prescriber of this medication (33.6). Medicare paid an average of $33.95 per fill, versus $17.37 statewide. How often this provider prescribes it This provider 11 WA average 33.6 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 $33.95 WA average $17.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 11.1 30-Day Fills standardized to 30-day supplies 232 Days of Medication total across all patients in 2024
Doxycycline Monohydrate	11	$20.65	▼ Less than typical
About Doxycycline Monohydrate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾ This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity. In 2024, this provider wrote 11 Medicare prescriptions for Doxycycline Monohydrate, about half the volume of the typical Washington prescriber of this medication (24.4). Medicare paid an average of $20.65 per fill, versus $19.72 statewide. How often this provider prescribes it This provider 11 WA average 24.4 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 $20.65 WA average $19.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 292 Days of Medication total across all patients in 2024
Dicyclomine Hcl	11	$32.70	▼ Less than typical
About Dicyclomine Hcl: Dicyclomine is used to treat a certain type of intestinal problem called irritable bowel syndrome. Show more ▾ It helps to reduce the symptoms of stomach and intestinal cramping. This medication works by slowing the natural movements of the gut and by relaxing the muscles in the stomach and intestines. Dicyclomine belongs to a class of drugs known as anticholinergics/antispasmodics. This medication must not be used by children younger than 6 months because of the risk of serious side effects. A muscarinic antagonist used as an antispasmodic and in urinary incontinence. It has little effect on glandular secretion or the cardiovascular system. It does have some local anesthetic properties and is used in gastrointestinal, biliary, and urinary tract spasms. In 2024, this provider wrote 11 Medicare prescriptions for Dicyclomine Hcl, about half the volume of the typical Washington prescriber of this medication (21.9). Medicare paid an average of $32.70 per fill, versus $20.24 statewide. How often this provider prescribes it This provider 11 WA average 21.9 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 $32.70 WA average $20.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 11.1 30-Day Fills standardized to 30-day supplies 300 Days of Medication total across all patients in 2024
Primidone	11	$31.92	▼ Less than typical
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2024, this provider wrote 11 Medicare prescriptions for Primidone, about half the volume of the typical Washington prescriber of this medication (26.2). Medicare paid an average of $31.92 per fill, versus $23.89 statewide. How often this provider prescribes it This provider 11 WA average 26.2 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 $31.92 WA average $23.89 Gross Part D cost per fill; not the patient's out-of-pocket price. 11.2 30-Day Fills standardized to 30-day supplies 295 Days of Medication total across all patients in 2024
Prenatal Vitamin Plus Low IronPnv,calcium 72/Iron/Folic Acid	11	$28.64	▼ Less than typical
About Prenatal Vitamin Plus Low Iron: This medication is a multivitamin and iron product used to treat or prevent vitamin deficiency due to poor diet, certain illnesses, or during pregnancy. Show more ▾ Vitamins and iron are important building blocks of the body and help keep you in good health. In 2024, this provider wrote 11 Medicare prescriptions for Prenatal Vitamin Plus Low Iron, about 67% of the volume of the typical Washington prescriber of this medication (16.4). Medicare paid an average of $28.64 per fill, versus $10.43 statewide. How often this provider prescribes it This provider 11 WA average 16.4 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 $28.64 WA average $10.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 11.2 30-Day Fills standardized to 30-day supplies 307 Days of Medication total across all patients in 2024

No medications match the current filters.

= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average 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 JONATHAN MICHAEL HARPER RN, MSN, NP-C, ARNP is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Gerontology prescribing approach at this Seattle, 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 among WA prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.