DR. NILAY RAMESH SHAH MD
Prescription History 1154372621
Psychiatry & Neurology - Clinical Neurophysiology in Fair Lawn, NJ
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. NILAY RAMESH SHAH MD, an active Clinical Neurophysiology specialist practicing in Fair Lawn, NJ. Our medical registry currently tracks 39 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,056 documented patient claims. Among these therapy options, the most frequently utilized medication is Octagam, which accounts for 639 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.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other NJ PrescribersVs. NJ Avg |
|---|---|---|---|
| OctagamImmun Globg(Igg)/Malt/Iga Ov50 | 639 | $21,703.04 | ▲ More than typical |
About Octagam: This medication is used to strengthen the body's natural defense system (immune system) to lower the risk of infection in persons with a weakened immune system. Show more ▾ This medication is made from healthy human blood that has a high level of certain defensive substances (antibodies), which help fight infections. It is also used to increase the blood count (platelets) in persons with a certain blood disorder (idiopathic thrombocytopenia purpura-ITP). Platelets are needed to stop bleeding and form blood clots. Some immune globulin products may also be used to treat certain types of muscle weakness problem (multifocal motor neuropathy, dermatomyositis) or a certain nerve disorder (chronic inflammatory demyelinating polyneuropathy-CIDP). Some products may also be used to prevent certain blood vessel disorders in people with Kawasaki syndrome. In 2023, this provider wrote 639 Medicare prescriptions for Octagam, about 19 times the volume of the typical New Jersey prescriber of this medication (34). Medicare paid an average of $21,703.04 per fill, versus $17,345.64 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 639 30-Day Fills standardized to 30-day supplies 17,871 Days of Medication total across all patients in 2023 | |||
| Memantine Hcl | 298 | $47.38▼ below NJ avg | ▲ More than typical |
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 298 Medicare prescriptions for Memantine Hcl, about 5.8 times the volume of the typical New Jersey prescriber of this medication (51). Medicare paid an average of $47.38 per fill, versus $57.27 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 531 30-Day Fills standardized to 30-day supplies 15,875 Days of Medication total across all patients in 2023 | |||
| Donepezil Hcl | 297 | $17.70 | ▲ More than typical |
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 297 Medicare prescriptions for Donepezil Hcl, about 5.1 times the volume of the typical New Jersey prescriber of this medication (58). Medicare paid an average of $17.70 per fill, versus $16.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 668.1 30-Day Fills standardized to 30-day supplies 19,957 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 223 | $16.74▼ below NJ avg | ▲ More than typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 223 Medicare prescriptions for Gabapentin, about 3.1 times the volume of the typical New Jersey prescriber of this medication (73). Medicare paid an average of $16.74 per fill, versus $19.31 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 288.2 30-Day Fills standardized to 30-day supplies 8,609 Days of Medication total across all patients in 2023 | |||
| GammaplexImmun Glob G(Igg)/Gly/Iga 0-50 | 185 | $22,389.80 | ▲ More than typical |
About Gammaplex: This medication is used to strengthen the body's natural defense system (immune system) to lower the risk of infection in persons with a weakened immune system. Show more ▾ This medication is made from healthy human blood that has a high level of certain defensive substances (antibodies), which help fight infections. It is also used to increase the blood count (platelets) in persons with a certain blood disorder (idiopathic thrombocytopenia purpura-ITP). Platelets are needed to stop bleeding and form blood clots. Some immune globulin products may also be used to treat certain types of muscle weakness problem (multifocal motor neuropathy, dermatomyositis) or a certain nerve disorder (chronic inflammatory demyelinating polyneuropathy-CIDP). Some products may also be used to prevent certain blood vessel disorders in people with Kawasaki syndrome. In 2023, this provider wrote 185 Medicare prescriptions for Gammaplex, about 6.2 times the volume of the typical New Jersey prescriber of this medication (30). Medicare paid an average of $22,389.80 per fill, versus $15,065.92 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 185 30-Day Fills standardized to 30-day supplies 5,182 Days of Medication total across all patients in 2023 | |||
| Sodium Chloride0.9 % Sodium Chloride | 149 | $7.90▼ below NJ avg | ▲ More than typical |
About Sodium Chloride: This product is used to treat dryness inside the nose (nasal passages). Show more ▾ It helps add moisture inside the nose to dissolve and soften thick or crusty mucus. In babies and young children with stuffy noses who cannot blow their noses, using this product helps to make the mucus easier to remove with a nasal bulb syringe. This helps relieve stuffiness and makes breathing easier. This product contains a purified gentle salt solution (also called saline or sodium chloride solution). It does not contain any medication. Hypertonic sodium chloride solution. A solution having an osmotic pressure greater than that of physiologic salt solution (0.9 g NaCl in 100 ml purified water). In 2023, this provider wrote 149 Medicare prescriptions for Sodium Chloride, about 8.3 times the volume of the typical New Jersey prescriber of this medication (18). Medicare paid an average of $7.90 per fill, versus $11.41 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 149 30-Day Fills standardized to 30-day supplies 2,431 Days of Medication total across all patients in 2023 | |||
| GammakedImmune Globul G/Gly/Iga Avg 46 | 141 | $22,812.44 | ▲ More than typical |
About Gammaked: This medication is used in people with a certain type of weakened immune system (primary immune deficiency) to strengthen it and to lower the risk of infection. Show more ▾ This medication is made from human blood that has a high level of antibodies which help fight infections. This product is also used to increase the number of certain blood cells (platelets) in people with a certain blood disorder (idiopathic thrombocytopenic purpura-ITP). Platelets are needed to stop bleeding and to form normal blood clots. In addition, this medication is used to treat a certain nerve disorder (chronic inflammatory demyelinating polyneuropathy-CIDP). This disorder causes weakness and numbness/tingling/pain in the arms and legs. This medication helps to improve these symptoms and prevents relapse. In 2023, this provider wrote 141 Medicare prescriptions for Gammaked, about 5.6 times the volume of the typical New Jersey prescriber of this medication (25). Medicare paid an average of $22,812.44 per fill, versus $13,324.00 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 141 30-Day Fills standardized to 30-day supplies 3,906 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 114 | $14.14▼ below NJ avg | ▲ More 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 2023, this provider wrote 114 Medicare prescriptions for Lamotrigine, about 2.5 times the volume of the typical New Jersey prescriber of this medication (46). Medicare paid an average of $14.14 per fill, versus $16.93 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 189.9 30-Day Fills standardized to 30-day supplies 5,638 Days of Medication total across all patients in 2023 | |||
| AmantadineAmantadine Hcl | 111 | $93.12 | ▲ More than typical |
About Amantadine: Amantadine is used to treat Parkinson's disease, as well as side effects caused by drugs (such as drug-induced extrapyramidal symptoms), chemicals, and other medical conditions. Show more ▾ In these cases, this medication may help to improve your range of motion and ability to exercise. For the treatment of these conditions, amantadine is believed to work by restoring the balance of natural chemicals (neurotransmitters) in the brain. Amantadine is used to prevent or treat a certain type of flu (influenza A). If you have been infected with the flu, this medication may help make your symptoms less severe and shorten the time it will take you to get better. Taking amantadine if you have been or will be exposed to the flu may help to prevent you from getting the flu. This medication is an antiviral that is believed to work by stopping growth of the flu virus. This medication is not a vaccine. To increase the chance that you will not get the flu, it is important to get a flu shot once a year at the beginning of every flu season, if possible. Based on the recommendation from the Centers for Disease Control (CDC) in the US, amantadine should not be used to treat or prevent influenza A because the current influenza A virus in the United States and Canada is resistant to this medication. For more details, talk to your doctor or pharmacist. An antiviral that is used in the prophylactic or symptomatic treatment of influenza A. It is also used as an antiparkinsonian agent, to treat extrapyramidal reactions, and for postherpetic neuralgia. The mechanisms of its effects in movement disorders are not well understood but probably reflect an increase in synthesis and release of dopamine, with perhaps some inhibition of dopamine uptake. In 2023, this provider wrote 111 Medicare prescriptions for Amantadine, about 4.8 times the volume of the typical New Jersey prescriber of this medication (23). Medicare paid an average of $93.12 per fill, versus $69.45 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 194.7 30-Day Fills standardized to 30-day supplies 5,804 Days of Medication total across all patients in 2023 | |||
| Carbidopa-LevodopaCarbidopa/Levodopa | 97 | $27.22▼ below NJ avg | ▲ More than typical |
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 97 Medicare prescriptions for Carbidopa-Levodopa, about 1.7 times the volume of the typical New Jersey prescriber of this medication (58). Medicare paid an average of $27.22 per fill, versus $49.91 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 215.5 30-Day Fills standardized to 30-day supplies 6,458 Days of Medication total across all patients in 2023 | |||
| Levetiracetam | 92 | $47.63 | ▲ More 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 2023, this provider wrote 92 Medicare prescriptions for Levetiracetam, about 1.8 times the volume of the typical New Jersey prescriber of this medication (51). Medicare paid an average of $47.63 per fill, versus $36.99 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 155.5 30-Day Fills standardized to 30-day supplies 4,638 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 69 | $10.99▼ below NJ avg | ▲ More than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 69 Medicare prescriptions for Cyclobenzaprine Hcl, about 2.1 times the volume of the typical New Jersey prescriber of this medication (33). Medicare paid an average of $10.99 per fill, versus $15.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 73 30-Day Fills standardized to 30-day supplies 2,171 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 68 | $17.24▼ below NJ avg | ▲ More than typical |
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 68 Medicare prescriptions for Amitriptyline Hcl, about 2.8 times the volume of the typical New Jersey prescriber of this medication (24). Medicare paid an average of $17.24 per fill, versus $22.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 96.6 30-Day Fills standardized to 30-day supplies 2,898 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 67 | $16.20▼ below NJ avg | ≈ Typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 67 Medicare prescriptions for Quetiapine Fumarate, about 1.2 times the volume of the typical New Jersey prescriber of this medication (58). Medicare paid an average of $16.20 per fill, versus $32.73 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 104.6 30-Day Fills standardized to 30-day supplies 3,117 Days of Medication total across all patients in 2023 | |||
| Topiramate | 46 | $11.19▼ below NJ avg | ▲ More than typical |
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 46 Medicare prescriptions for Topiramate, about 1.4 times the volume of the typical New Jersey prescriber of this medication (34). Medicare paid an average of $11.19 per fill, versus $19.67 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 66.2 30-Day Fills standardized to 30-day supplies 1,984 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl | 43 | $20.94▼ below NJ avg | ▲ More than typical |
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 43 Medicare prescriptions for Propranolol Hcl, about 2 times the volume of the typical New Jersey prescriber of this medication (21). Medicare paid an average of $20.94 per fill, versus $26.38 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 85 30-Day Fills standardized to 30-day supplies 2,550 Days of Medication total across all patients in 2023 | |||
| Baclofen | 43 | $20.67▼ below NJ avg | ▲ More 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 2023, this provider wrote 43 Medicare prescriptions for Baclofen, about 1.3 times the volume of the typical New Jersey prescriber of this medication (33). Medicare paid an average of $20.67 per fill, versus $32.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 77 30-Day Fills standardized to 30-day supplies 2,310 Days of Medication total across all patients in 2023 | |||
| Sumatriptan Succinate | 38 | $26.89▼ below NJ avg | ▲ More than typical |
About Sumatriptan Succinate: Sumatriptan is used to treat migraines and cluster headaches. Show more ▾ It helps to relieve pain and other symptoms of migraines/headaches including sensitivity to light or sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. It does not prevent future migraines/headaches or reduce how often you may get a headache. Sumatriptan belongs to a group of drugs called triptans. It affects a certain natural chemical (serotonin) that constricts blood vessels in the brain. It may also block other pain pathways in the brain. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2023, this provider wrote 38 Medicare prescriptions for Sumatriptan Succinate, about 1.8 times the volume of the typical New Jersey prescriber of this medication (21). Medicare paid an average of $26.89 per fill, versus $43.25 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 40.2 30-Day Fills standardized to 30-day supplies 1,138 Days of Medication total across all patients in 2023 | |||
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 31 | $17,844.57 | ▲ More than typical |
About Privigen: This medication is used to boost the body's natural defense system against infection in persons with a weakened immune system (primary immune deficiency). Show more ▾ Immune globulin contains natural substances called antibodies (a type called IgG) that come from healthy human blood (plasma). These antibodies help protect your body against infections and help you to fight an infection if you get sick. Some immune globulin products may also be used to treat a certain nerve disorder (chronic inflammatory demyelinating polyneuropathy-CIDP). In 2023, this provider wrote 31 Medicare prescriptions for Privigen, about 1.7 times the volume of the typical New Jersey prescriber of this medication (18). Medicare paid an average of $17,844.57 per fill, versus $12,013.07 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 31 30-Day Fills standardized to 30-day supplies 805 Days of Medication total across all patients in 2023 | |||
| XcopriCenobamate | 28 | $1,158.49▼ below NJ avg | ≈ Typical |
About Xcopri: This medication is used to treat a certain type of seizure disorder (partial onset). Show more ▾ It is not known exactly how it works, but it may affect the action of some nerves that cause seizures. In 2023, this provider wrote 28 Medicare prescriptions for Xcopri, about the same volume as the typical New Jersey prescriber of this medication (28). Medicare paid an average of $1,158.49 per fill, versus $1,298.69 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 28 30-Day Fills standardized to 30-day supplies 830 Days of Medication total across all patients in 2023 | |||
| Nurtec OdtRimegepant Sulfate | 21 | $1,581.07 | ≈ Typical |
About Nurtec Odt: This medication is used to prevent or treat migraine. Show more ▾ Rimegepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (such as nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. In 2023, this provider wrote 21 Medicare prescriptions for Nurtec Odt, about 81% of the volume of the typical New Jersey prescriber of this medication (26). Medicare paid an average of $1,581.07 per fill, versus $1,350.79 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 21.2 30-Day Fills standardized to 30-day supplies 608 Days of Medication total across all patients in 2023 | |||
| Ropinirole Hcl | 19 | $26.45 | ≈ Typical |
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 19 Medicare prescriptions for Ropinirole Hcl, about 83% of the volume of the typical New Jersey prescriber of this medication (23). Medicare paid an average of $26.45 per fill, versus $23.27 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 790 Days of Medication total across all patients in 2023 | |||
| Carbamazepine | 19 | $86.48 | ≈ Typical |
About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 19 Medicare prescriptions for Carbamazepine, about 83% of the volume of the typical New Jersey prescriber of this medication (23). Medicare paid an average of $86.48 per fill, versus $63.37 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 25.1 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2023 | |||
| AdrenalinEpinephrine | 18 | $31.85 | – No State Data |
About Adrenalin: The active sympathomimetic hormone from the ADRENAL MEDULLA. In 2023, this provider wrote 18 Medicare prescriptions for Adrenalin. Medicare paid an average of $31.85 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $31.85 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 18 Days of Medication total across all patients in 2023 | |||
| Kesimpta PenOfatumumab | 18 | $10,744.64 | ≈ Typical |
About Kesimpta Pen: Ofatumumab is used to treat a certain type of cancer (chronic lymphocytic leukemia - CLL). Show more ▾ Ofatumumab belongs to a class of drugs known as monoclonal antibodies. This medication works by stopping the growth of cancer cells. In 2023, this provider wrote 18 Medicare prescriptions for Kesimpta Pen, about 86% of the volume of the typical New Jersey prescriber of this medication (21). Medicare paid an average of $10,744.64 per fill, versus $9,690.42 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 658 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 17 | $110.63 | ▼ Less than typical |
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (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 2023, this provider wrote 17 Medicare prescriptions for Divalproex Sodium, about a third of the volume of the typical New Jersey prescriber of this medication (60). Medicare paid an average of $110.63 per fill, versus $46.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 25.1 30-Day Fills standardized to 30-day supplies 699 Days of Medication total across all patients in 2023 | |||
| Zonisamide | 17 | $50.39 | ▼ Less than typical |
About Zonisamide: Zonisamide is used with other medications to prevent and control seizures (epilepsy). Show more ▾ Zonisamide is a sulfonamide anticonvulsant and a carbonic anhydrase inhibitor. It is unknown how zonisamide works to prevent seizures. A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization. In 2023, this provider wrote 17 Medicare prescriptions for Zonisamide, about half the volume of the typical New Jersey prescriber of this medication (33). Medicare paid an average of $50.39 per fill, versus $46.20 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 17.2 30-Day Fills standardized to 30-day supplies 511 Days of Medication total across all patients in 2023 | |||
| Lorazepam | 15 | $5.62▼ below NJ avg | ▼ Less than typical |
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 15 Medicare prescriptions for Lorazepam, about a third of the volume of the typical New Jersey prescriber of this medication (49). Medicare paid an average of $5.62 per fill, versus $8.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 21 30-Day Fills standardized to 30-day supplies 629 Days of Medication total across all patients in 2023 | |||
| Diazepam | 15 | $112.59 | ▼ Less than typical |
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 15 Medicare prescriptions for Diazepam, about half the volume of the typical New Jersey prescriber of this medication (27). Medicare paid an average of $112.59 per fill, versus $9.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 461 Days of Medication total across all patients in 2023 | |||
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 15 | $77.34▼ below NJ avg | ▼ Less than typical |
About Carbidopa-Levodopa Er: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 15 Medicare prescriptions for Carbidopa-Levodopa Er, about half the volume of the typical New Jersey prescriber of this medication (30). Medicare paid an average of $77.34 per fill, versus $77.89 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2023 | |||
| Oxcarbazepine | 13 | $41.03▼ below NJ avg | ▼ Less than typical |
About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2023, this provider wrote 13 Medicare prescriptions for Oxcarbazepine, about a third of the volume of the typical New Jersey prescriber of this medication (31). Medicare paid an average of $41.03 per fill, versus $68.43 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023 | |||
| ClopidogrelClopidogrel Bisulfate | 12 | $17.46▼ below NJ avg | ▼ Less than typical |
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 12 Medicare prescriptions for Clopidogrel, about a quarter of the volume of the typical New Jersey prescriber of this medication (59). Medicare paid an average of $17.46 per fill, versus $17.87 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
| Verapamil Hcl | 12 | $7.54▼ below NJ avg | ≈ Typical |
About Verapamil Hcl: Verapamil is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Verapamil belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Verapamil may also lower your heart rate. In 2023, this provider wrote 12 Medicare prescriptions for Verapamil Hcl, about 80% of the volume of the typical New Jersey prescriber of this medication (15). Medicare paid an average of $7.54 per fill, versus $15.37 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 12.2 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2023 | |||
| Lidocaine | 11 | $48.31▼ below NJ avg | ▼ Less than typical |
About Lidocaine: This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). Show more ▾ It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a temporary loss of feeling in the area where you apply the patch. A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE. In 2023, this provider wrote 11 Medicare prescriptions for Lidocaine, about a third of the volume of the typical New Jersey prescriber of this medication (30). Medicare paid an average of $48.31 per fill, versus $173.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 11 30-Day Fills standardized to 30-day supplies 260 Days of Medication total across all patients in 2023 | |||
| Lacosamide | 11 | $98.98▼ below NJ 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 2023, this provider wrote 11 Medicare prescriptions for Lacosamide, about a third of the volume of the typical New Jersey prescriber of this medication (28). Medicare paid an average of $98.98 per fill, versus $314.93 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
| FycompaPerampanel | 11 | $1,035.51▼ below NJ avg | ▼ Less than typical |
About Fycompa: Perampanel is used to treat certain types of seizures (including focal and generalized tonic-clonic seizures). Show more ▾ Perampanel belongs to a class of drugs known as anticonvulsants. In 2023, this provider wrote 11 Medicare prescriptions for Fycompa, about a third of the volume of the typical New Jersey prescriber of this medication (28). Medicare paid an average of $1,035.51 per fill, versus $1,148.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
| TegretolCarbamazepine | 11 | $337.54▼ below NJ avg | ▼ Less than typical |
About Tegretol: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 11 Medicare prescriptions for Tegretol, about 69% of the volume of the typical New Jersey prescriber of this medication (16). Medicare paid an average of $337.54 per fill, versus $398.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| UbrelvyUbrogepant | 11 | $1,042.14▼ below NJ avg | ▼ Less than typical |
About Ubrelvy: This medication is used to treat migraine. Show more ▾ Ubrogepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. This medication is not used to prevent future migraines or lessen how often you get migraines. In 2023, this provider wrote 11 Medicare prescriptions for Ubrelvy, about a third of the volume of the typical New Jersey prescriber of this medication (29). Medicare paid an average of $1,042.14 per fill, versus $1,289.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 11 30-Day Fills standardized to 30-day supplies 303 Days of Medication total across all patients in 2023 | |||
| ValtocoDiazepam | 11 | $788.95▼ below NJ avg | ▼ Less than typical |
About Valtoco: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 11 Medicare prescriptions for Valtoco, about 73% of the volume of the typical New Jersey prescriber of this medication (15). Medicare paid an average of $788.95 per fill, versus $1,291.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NJ prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NJ average for this medication. 11 30-Day Fills standardized to 30-day supplies 157 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for DR. NILAY RAMESH SHAH MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Clinical Neurophysiology prescribing approach at this Fair Lawn, NJ practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among NJ prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
