NICOLE CARRETTA PHALEN RN
Prescription History 1164091963
Nurse Practitioner - Family in Holyoke, MA

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
230 MAPLE ST STE 1, HOLYOKE, MA 01040(413) 420-2200 Get Directions

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Jun 24, 2021 (2 updates tracked since 2021).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for NICOLE CARRETTA PHALEN RN, an active Family specialist practicing in Holyoke, MA. Our medical registry currently tracks 76 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,429 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 130 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.

76
Medications
2,429
Total Claims
4,243
30-Day Fills
Atorvastatin Calcium
Most Prescribed · 130 claims
View details
76 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by NICOLE CARRETTA PHALEN RN in 2023, with prescription volumes, average cost per fill, and MA state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other MA PrescribersVs. MA Avg

About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors.

In 2023, this provider wrote 130 Medicare prescriptions for Atorvastatin Calcium, about 76% of the volume of the typical Massachusetts prescriber of this medication (171). Medicare paid an average of $11.73 per fill, versus $16.18 statewide.

How often this provider prescribes it

This provider
130
MA average
171.0

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

What Medicare paid per fill

This provider
$11.73
MA average
$16.18

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

300.6
30-Day Fills
standardized to 30-day supplies
8,998
Days of Medication
total across all patients in 2023

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 125 Medicare prescriptions for Gabapentin, about 1.6 times the volume of the typical Massachusetts prescriber of this medication (79). Medicare paid an average of $15.44 per fill, versus $20.16 statewide.

How often this provider prescribes it

This provider
125
MA average
79.0

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

What Medicare paid per fill

This provider
$15.44
MA average
$20.16

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

189
30-Day Fills
standardized to 30-day supplies
5,650
Days of Medication
total across all patients in 2023

About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾

It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS.

In 2023, this provider wrote 117 Medicare prescriptions for Omeprazole, about 1.2 times the volume of the typical Massachusetts prescriber of this medication (99). Medicare paid an average of $17.94 per fill, versus $16.44 statewide.

How often this provider prescribes it

This provider
117
MA average
99.0

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

What Medicare paid per fill

This provider
$17.94
MA average
$16.44

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

263
30-Day Fills
standardized to 30-day supplies
7,858
Days of Medication
total across all patients in 2023

About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)

In 2023, this provider wrote 101 Medicare prescriptions for Metformin Hcl, about 1.3 times the volume of the typical Massachusetts prescriber of this medication (75). Medicare paid an average of $9.66 per fill, versus $10.76 statewide.

How often this provider prescribes it

This provider
101
MA average
75.0

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

What Medicare paid per fill

This provider
$9.66
MA average
$10.76

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

257.5
30-Day Fills
standardized to 30-day supplies
7,725
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 98 Medicare prescriptions for Alcohol Prep Pads, about 3.5 times the volume of the typical Massachusetts prescriber of this medication (28). Medicare paid an average of $6.91 per fill, versus $11.34 statewide.

How often this provider prescribes it

This provider
98
MA average
28.0

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

What Medicare paid per fill

This provider
$6.91
MA average
$11.34

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

142.7
30-Day Fills
standardized to 30-day supplies
3,853
Days of Medication
total across all patients in 2023

About Trulicity: Dulaglutide 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. This medication is also used to lessen the risk of a major cardiovascular event (such as heart attack or stroke) in people who already have, or are at high risk for heart/blood vessel disease. Dulaglutide 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 by decreasing the amount of sugar your liver makes. Dulaglutide is not a substitute for insulin if you need insulin treatment.

In 2023, this provider wrote 86 Medicare prescriptions for Trulicity, about 1.5 times the volume of the typical Massachusetts prescriber of this medication (57). Medicare paid an average of $1,038.38 per fill, versus $1,274.01 statewide.

How often this provider prescribes it

This provider
86
MA average
57.0

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

What Medicare paid per fill

This provider
$1,038.38
MA average
$1,274.01

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

99.3
30-Day Fills
standardized to 30-day supplies
2,828
Days of Medication
total across all patients in 2023

About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾

Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2023, this provider wrote 78 Medicare prescriptions for Fluticasone Propionate, about 1.8 times the volume of the typical Massachusetts prescriber of this medication (44). Medicare paid an average of $16.39 per fill, versus $18.27 statewide.

How often this provider prescribes it

This provider
78
MA average
44.0

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

What Medicare paid per fill

This provider
$16.39
MA average
$18.27

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

124.8
30-Day Fills
standardized to 30-day supplies
3,716
Days of Medication
total across all patients in 2023

About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure.

In 2023, this provider wrote 78 Medicare prescriptions for Lisinopril, about 62% of the volume of the typical Massachusetts prescriber of this medication (125). Medicare paid an average of $11.15 per fill, versus $9.38 statewide.

How often this provider prescribes it

This provider
78
MA average
125.0

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

What Medicare paid per fill

This provider
$11.15
MA average
$9.38

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

184
30-Day Fills
standardized to 30-day supplies
5,506
Days of Medication
total across all patients in 2023

About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION.

In 2023, this provider wrote 73 Medicare prescriptions for Amlodipine Besylate, about 61% of the volume of the typical Massachusetts prescriber of this medication (119). Medicare paid an average of $8.82 per fill, versus $8.78 statewide.

How often this provider prescribes it

This provider
73
MA average
119.0

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

What Medicare paid per fill

This provider
$8.82
MA average
$8.78

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

168.6
30-Day Fills
standardized to 30-day supplies
5,048
Days of Medication
total across all patients in 2023

About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾

It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism.

In 2023, this provider wrote 61 Medicare prescriptions for Levothyroxine Sodium, about half the volume of the typical Massachusetts prescriber of this medication (117). Medicare paid an average of $15.22 per fill, versus $18.51 statewide.

How often this provider prescribes it

This provider
61
MA average
117.0

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

What Medicare paid per fill

This provider
$15.22
MA average
$18.51

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

146
30-Day Fills
standardized to 30-day supplies
4,380
Days of Medication
total across all patients in 2023

About Tramadol Hcl: See also Warning section. Show more ▾

This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating.

In 2023, this provider wrote 49 Medicare prescriptions for Tramadol Hcl, about the same volume as the typical Massachusetts prescriber of this medication (43). Medicare paid an average of $10.10 per fill, versus $8.05 statewide.

How often this provider prescribes it

This provider
49
MA average
43.0

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

What Medicare paid per fill

This provider
$10.10
MA average
$8.05

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

49
30-Day Fills
standardized to 30-day supplies
891
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 49 Medicare prescriptions for Oxycodone-Acetaminophen, about the same volume as the typical Massachusetts prescriber of this medication (45). Medicare paid an average of $14.03 per fill, versus $19.31 statewide.

How often this provider prescribes it

This provider
49
MA average
45.0

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

What Medicare paid per fill

This provider
$14.03
MA average
$19.31

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

49
30-Day Fills
standardized to 30-day supplies
1,229
Days of Medication
total across all patients in 2023

About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾

When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties

In 2023, this provider wrote 49 Medicare prescriptions for Ibuprofen, about 1.5 times the volume of the typical Massachusetts prescriber of this medication (33). Medicare paid an average of $15.20 per fill, versus $9.28 statewide.

How often this provider prescribes it

This provider
49
MA average
33.0

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

What Medicare paid per fill

This provider
$15.20
MA average
$9.28

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

57.5
30-Day Fills
standardized to 30-day supplies
1,377
Days of Medication
total across all patients in 2023

About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS.

In 2023, this provider wrote 48 Medicare prescriptions for Lantus Solostar, about 1.3 times the volume of the typical Massachusetts prescriber of this medication (36). Medicare paid an average of $400.10 per fill, versus $606.42 statewide.

How often this provider prescribes it

This provider
48
MA average
36.0

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

What Medicare paid per fill

This provider
$400.10
MA average
$606.42

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

81.2
30-Day Fills
standardized to 30-day supplies
2,351
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 47 Medicare prescriptions for Ventolin Hfa, about 1.6 times the volume of the typical Massachusetts prescriber of this medication (30). Medicare paid an average of $62.33 per fill, versus $74.28 statewide.

How often this provider prescribes it

This provider
47
MA average
30.0

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

What Medicare paid per fill

This provider
$62.33
MA average
$74.28

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

48.1
30-Day Fills
standardized to 30-day supplies
951
Days of Medication
total across all patients in 2023

About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys.

In 2023, this provider wrote 46 Medicare prescriptions for Jardiance, about the same volume as the typical Massachusetts prescriber of this medication (41). Medicare paid an average of $947.20 per fill, versus $987.12 statewide.

How often this provider prescribes it

This provider
46
MA average
41.0

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

What Medicare paid per fill

This provider
$947.20
MA average
$987.12

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

80
30-Day Fills
standardized to 30-day supplies
2,400
Days of Medication
total across all patients in 2023

About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾

It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER.

In 2023, this provider wrote 45 Medicare prescriptions for Pantoprazole Sodium, about 82% of the volume of the typical Massachusetts prescriber of this medication (55). Medicare paid an average of $11.76 per fill, versus $19.61 statewide.

How often this provider prescribes it

This provider
45
MA average
55.0

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

What Medicare paid per fill

This provider
$11.76
MA average
$19.61

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

76
30-Day Fills
standardized to 30-day supplies
2,278
Days of Medication
total across all patients in 2023

About Diclofenac Sodium: See also Warning section. Show more ▾

This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.

In 2023, this provider wrote 40 Medicare prescriptions for Diclofenac Sodium, about the same volume as the typical Massachusetts prescriber of this medication (39). Medicare paid an average of $17.67 per fill, versus $29.69 statewide.

How often this provider prescribes it

This provider
40
MA average
39.0

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

What Medicare paid per fill

This provider
$17.67
MA average
$29.69

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

40.1
30-Day Fills
standardized to 30-day supplies
884
Days of Medication
total across all patients in 2023

About Flovent Hfa: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾

Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2023, this provider wrote 38 Medicare prescriptions for Flovent Hfa, about 1.6 times the volume of the typical Massachusetts prescriber of this medication (24). Medicare paid an average of $328.10 per fill, versus $428.02 statewide.

How often this provider prescribes it

This provider
38
MA average
24.0

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

What Medicare paid per fill

This provider
$328.10
MA average
$428.02

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

48
30-Day Fills
standardized to 30-day supplies
1,440
Days of Medication
total across all patients in 2023

About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)

In 2023, this provider wrote 36 Medicare prescriptions for Metformin Hcl Er, about 77% of the volume of the typical Massachusetts prescriber of this medication (47). Medicare paid an average of $14.79 per fill, versus $14.35 statewide.

How often this provider prescribes it

This provider
36
MA average
47.0

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

What Medicare paid per fill

This provider
$14.79
MA average
$14.35

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

78
30-Day Fills
standardized to 30-day supplies
2,326
Days of Medication
total across all patients in 2023

About Trazodone Hcl: This medication is used to treat depression. Show more ▾

It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain.

In 2023, this provider wrote 35 Medicare prescriptions for Trazodone Hcl, about half the volume of the typical Massachusetts prescriber of this medication (68). Medicare paid an average of $13.96 per fill, versus $12.36 statewide.

How often this provider prescribes it

This provider
35
MA average
68.0

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

What Medicare paid per fill

This provider
$13.96
MA average
$12.36

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

47
30-Day Fills
standardized to 30-day supplies
1,410
Days of Medication
total across all patients in 2023

About Lidocaine-Prilocaine: This medication contains 2 amide-type local anesthetics, lidocaine and prilocaine. Show more ▾

It is used on normal, unbroken skin or on the outer genital area to prevent pain before certain procedures such as inserting a needle, skin grafts, or skin laser surgery. It works by temporarily numbing the skin and surrounding area. Do not use this product in the ears. If this product alone cannot completely numb the area being treated, it may be used to numb the area before a lidocaine injection is given to provide enough pain relief for certain procedures (such as removal of genital warts). A topical local anesthetic preparation that is composed of a mixture of lidocaine and prilocaine. It is used to provide anesthesia during minor surgery and for the treatment of PREMATURE EJACULATION.

In 2023, this provider wrote 34 Medicare prescriptions for Lidocaine-Prilocaine, about 1.4 times the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $22.35 per fill, versus $21.36 statewide.

How often this provider prescribes it

This provider
34
MA average
25.0

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

What Medicare paid per fill

This provider
$22.35
MA average
$21.36

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

34
30-Day Fills
standardized to 30-day supplies
1,004
Days of Medication
total across all patients in 2023

About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES.

In 2023, this provider wrote 33 Medicare prescriptions for Rosuvastatin Calcium, about half the volume of the typical Massachusetts prescriber of this medication (63). Medicare paid an average of $13.39 per fill, versus $51.03 statewide.

How often this provider prescribes it

This provider
33
MA average
63.0

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

What Medicare paid per fill

This provider
$13.39
MA average
$51.03

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

97
30-Day Fills
standardized to 30-day supplies
2,910
Days of Medication
total across all patients in 2023

About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL.

In 2023, this provider wrote 33 Medicare prescriptions for Simvastatin, about a third of the volume of the typical Massachusetts prescriber of this medication (83). Medicare paid an average of $8.03 per fill, versus $10.07 statewide.

How often this provider prescribes it

This provider
33
MA average
83.0

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

What Medicare paid per fill

This provider
$8.03
MA average
$10.07

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

85
30-Day Fills
standardized to 30-day supplies
2,550
Days of Medication
total across all patients in 2023

About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾

It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II.

In 2023, this provider wrote 32 Medicare prescriptions for Losartan Potassium, about a third of the volume of the typical Massachusetts prescriber of this medication (82). Medicare paid an average of $13.82 per fill, versus $12.80 statewide.

How often this provider prescribes it

This provider
32
MA average
82.0

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

What Medicare paid per fill

This provider
$13.82
MA average
$12.80

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

84
30-Day Fills
standardized to 30-day supplies
2,520
Days of Medication
total across all patients in 2023

About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.

In 2023, this provider wrote 32 Medicare prescriptions for Metoprolol Succinate, about a third of the volume of the typical Massachusetts prescriber of this medication (106). Medicare paid an average of $19.32 per fill, versus $23.92 statewide.

How often this provider prescribes it

This provider
32
MA average
106.0

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

What Medicare paid per fill

This provider
$19.32
MA average
$23.92

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

78
30-Day Fills
standardized to 30-day supplies
2,340
Days of Medication
total across all patients in 2023

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 30 Medicare prescriptions for Lidocaine, about 1.2 times the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $65.64 per fill, versus $165.22 statewide.

How often this provider prescribes it

This provider
30
MA average
25.0

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

What Medicare paid per fill

This provider
$65.64
MA average
$165.22

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

30
30-Day Fills
standardized to 30-day supplies
855
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 30 Medicare prescriptions for Albuterol Sulfate Hfa, about half the volume of the typical Massachusetts prescriber of this medication (53). Medicare paid an average of $38.48 per fill, versus $47.41 statewide.

How often this provider prescribes it

This provider
30
MA average
53.0

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

What Medicare paid per fill

This provider
$38.48
MA average
$47.41

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

32.3
30-Day Fills
standardized to 30-day supplies
658
Days of Medication
total across all patients in 2023

About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.

In 2023, this provider wrote 30 Medicare prescriptions for Hydrochlorothiazide, about half the volume of the typical Massachusetts prescriber of this medication (70). Medicare paid an average of $5.36 per fill, versus $5.42 statewide.

How often this provider prescribes it

This provider
30
MA average
70.0

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

What Medicare paid per fill

This provider
$5.36
MA average
$5.42

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

88
30-Day Fills
standardized to 30-day supplies
2,640
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 29 Medicare prescriptions for Incruse Ellipta, about the same volume as the typical Massachusetts prescriber of this medication (32). Medicare paid an average of $418.17 per fill, versus $453.93 statewide.

How often this provider prescribes it

This provider
29
MA average
32.0

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

What Medicare paid per fill

This provider
$418.17
MA average
$453.93

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

35
30-Day Fills
standardized to 30-day supplies
1,050
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 29 Medicare prescriptions for Pentips, about 1.2 times the volume of the typical Massachusetts prescriber of this medication (24). Medicare paid an average of $16.45 per fill, versus $20.06 statewide.

How often this provider prescribes it

This provider
29
MA average
24.0

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

What Medicare paid per fill

This provider
$16.45
MA average
$20.06

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

47.1
30-Day Fills
standardized to 30-day supplies
1,362
Days of Medication
total across all patients in 2023

About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.

In 2023, this provider wrote 26 Medicare prescriptions for Metoprolol Tartrate, about half the volume of the typical Massachusetts prescriber of this medication (56). Medicare paid an average of $16.53 per fill, versus $9.17 statewide.

How often this provider prescribes it

This provider
26
MA average
56.0

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

What Medicare paid per fill

This provider
$16.53
MA average
$9.17

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

55
30-Day Fills
standardized to 30-day supplies
1,634
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 24 Medicare prescriptions for Chlorthalidone, about 86% of the volume of the typical Massachusetts prescriber of this medication (28). Medicare paid an average of $12.97 per fill, versus $31.86 statewide.

How often this provider prescribes it

This provider
24
MA average
28.0

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

What Medicare paid per fill

This provider
$12.97
MA average
$31.86

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

48
30-Day Fills
standardized to 30-day supplies
1,440
Days of Medication
total across all patients in 2023

About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication.

In 2023, this provider wrote 24 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about 77% of the volume of the typical Massachusetts prescriber of this medication (31). Medicare paid an average of $12.71 per fill, versus $10.80 statewide.

How often this provider prescribes it

This provider
24
MA average
31.0

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

What Medicare paid per fill

This provider
$12.71
MA average
$10.80

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

50
30-Day Fills
standardized to 30-day supplies
1,500
Days of Medication
total across all patients in 2023

About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾

This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA.

In 2023, this provider wrote 24 Medicare prescriptions for Pregabalin, about 75% of the volume of the typical Massachusetts prescriber of this medication (32). Medicare paid an average of $13.57 per fill, versus $54.69 statewide.

How often this provider prescribes it

This provider
24
MA average
32.0

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

What Medicare paid per fill

This provider
$13.57
MA average
$54.69

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

24
30-Day Fills
standardized to 30-day supplies
720
Days of Medication
total across all patients in 2023

About Novolog Flexpen: Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin aspart is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin aspart starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin that has been modified to contain an ASPARTIC ACID instead of a PROLINE at position 38 of the B-chain.

In 2023, this provider wrote 23 Medicare prescriptions for Novolog Flexpen, about half the volume of the typical Massachusetts prescriber of this medication (39). Medicare paid an average of $672.87 per fill, versus $929.70 statewide.

How often this provider prescribes it

This provider
23
MA average
39.0

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

What Medicare paid per fill

This provider
$672.87
MA average
$929.70

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

34
30-Day Fills
standardized to 30-day supplies
936
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 22 Medicare prescriptions for Oxycodone Hcl, about half the volume of the typical Massachusetts prescriber of this medication (43). Medicare paid an average of $13.64 per fill, versus $20.62 statewide.

How often this provider prescribes it

This provider
22
MA average
43.0

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

What Medicare paid per fill

This provider
$13.64
MA average
$20.62

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

22
30-Day Fills
standardized to 30-day supplies
427
Days of Medication
total across all patients in 2023

About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾

In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA.

In 2023, this provider wrote 20 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Massachusetts prescriber of this medication (40). Medicare paid an average of $15.09 per fill, versus $61.31 statewide.

How often this provider prescribes it

This provider
20
MA average
40.0

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

What Medicare paid per fill

This provider
$15.09
MA average
$61.31

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

24
30-Day Fills
standardized to 30-day supplies
720
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 19 Medicare prescriptions for Fluticasone-Salmeterol, about the same volume as the typical Massachusetts prescriber of this medication (20). Medicare paid an average of $136.28 per fill, versus $186.15 statewide.

How often this provider prescribes it

This provider
19
MA average
20.0

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

What Medicare paid per fill

This provider
$136.28
MA average
$186.15

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

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

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 18 Medicare prescriptions for Cyclobenzaprine Hcl, about 60% of the volume of the typical Massachusetts prescriber of this medication (30). Medicare paid an average of $10.62 per fill, versus $17.41 statewide.

How often this provider prescribes it

This provider
18
MA average
30.0

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

What Medicare paid per fill

This provider
$10.62
MA average
$17.41

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

18
30-Day Fills
standardized to 30-day supplies
286
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 18 Medicare prescriptions for Allopurinol, about a third of the volume of the typical Massachusetts prescriber of this medication (44). Medicare paid an average of $16.17 per fill, versus $16.91 statewide.

How often this provider prescribes it

This provider
18
MA average
44.0

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

What Medicare paid per fill

This provider
$16.17
MA average
$16.91

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

24
30-Day Fills
standardized to 30-day supplies
694
Days of Medication
total across all patients in 2023

About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾

It works by helping to relax the muscles.

In 2023, this provider wrote 17 Medicare prescriptions for Tizanidine Hcl, about half the volume of the typical Massachusetts prescriber of this medication (32). Medicare paid an average of $10.73 per fill, versus $17.26 statewide.

How often this provider prescribes it

This provider
17
MA average
32.0

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

What Medicare paid per fill

This provider
$10.73
MA average
$17.26

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

17
30-Day Fills
standardized to 30-day supplies
166
Days of Medication
total across all patients in 2023

About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾

It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION.

In 2023, this provider wrote 16 Medicare prescriptions for Carvedilol, about a third of the volume of the typical Massachusetts prescriber of this medication (41). Medicare paid an average of $10.52 per fill, versus $13.04 statewide.

How often this provider prescribes it

This provider
16
MA average
41.0

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

What Medicare paid per fill

This provider
$10.52
MA average
$13.04

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

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2023

About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾

This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY.

In 2023, this provider wrote 16 Medicare prescriptions for Furosemide, about a quarter of the volume of the typical Massachusetts prescriber of this medication (73). Medicare paid an average of $4.81 per fill, versus $6.77 statewide.

How often this provider prescribes it

This provider
16
MA average
73.0

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

What Medicare paid per fill

This provider
$4.81
MA average
$6.77

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

38.7
30-Day Fills
standardized to 30-day supplies
1,133
Days of Medication
total across all patients in 2023

About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾

It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing.

In 2023, this provider wrote 16 Medicare prescriptions for Mupirocin, about half the volume of the typical Massachusetts prescriber of this medication (33). Medicare paid an average of $13.05 per fill, versus $9.89 statewide.

How often this provider prescribes it

This provider
16
MA average
33.0

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

What Medicare paid per fill

This provider
$13.05
MA average
$9.89

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

16
30-Day Fills
standardized to 30-day supplies
252
Days of Medication
total across all patients in 2023

About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect.

In 2023, this provider wrote 16 Medicare prescriptions for Atenolol, about a third of the volume of the typical Massachusetts prescriber of this medication (49). Medicare paid an average of $7.46 per fill, versus $10.63 statewide.

How often this provider prescribes it

This provider
16
MA average
49.0

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

What Medicare paid per fill

This provider
$7.46
MA average
$10.63

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

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

About Naproxen: Naproxen is used to relieve mild to moderate pain from various conditions. Show more ▾

It also reduces pain, swelling, and joint stiffness from arthritis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This form of naproxen is absorbed slowly and should not be used for pain that needs quick relief (such as during a gout attack). Ask your doctor or pharmacist about using a different form of this drug or other medications for quick relief of pain. An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout.

In 2023, this provider wrote 16 Medicare prescriptions for Naproxen, about 67% of the volume of the typical Massachusetts prescriber of this medication (24). Medicare paid an average of $11.79 per fill, versus $12.57 statewide.

How often this provider prescribes it

This provider
16
MA average
24.0

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

What Medicare paid per fill

This provider
$11.79
MA average
$12.57

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

24
30-Day Fills
standardized to 30-day supplies
690
Days of Medication
total across all patients in 2023

About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾

It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain.

In 2023, this provider wrote 16 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical Massachusetts prescriber of this medication (35). Medicare paid an average of $12.97 per fill, versus $28.96 statewide.

How often this provider prescribes it

This provider
16
MA average
35.0

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

What Medicare paid per fill

This provider
$12.97
MA average
$28.96

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

18
30-Day Fills
standardized to 30-day supplies
493
Days of Medication
total across all patients in 2023

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 16 Medicare prescriptions for Clopidogrel, about half the volume of the typical Massachusetts prescriber of this medication (38). Medicare paid an average of $8.96 per fill, versus $16.74 statewide.

How often this provider prescribes it

This provider
16
MA average
38.0

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

What Medicare paid per fill

This provider
$8.96
MA average
$16.74

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

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

In 2023, this provider wrote 15 Medicare prescriptions for Easy Touch Alcohol Prep Pads, about 88% of the volume of the typical Massachusetts prescriber of this medication (17). Medicare paid an average of $4.47 per fill, versus $5.71 statewide.

How often this provider prescribes it

This provider
15
MA average
17.0

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

What Medicare paid per fill

This provider
$4.47
MA average
$5.71

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

21.3
30-Day Fills
standardized to 30-day supplies
594
Days of Medication
total across all patients in 2023

About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants.

In 2023, this provider wrote 15 Medicare prescriptions for Fluoxetine Hcl, about a third of the volume of the typical Massachusetts prescriber of this medication (40). Medicare paid an average of $5.74 per fill, versus $15.19 statewide.

How often this provider prescribes it

This provider
15
MA average
40.0

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

What Medicare paid per fill

This provider
$5.74
MA average
$15.19

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

43
30-Day Fills
standardized to 30-day supplies
1,290
Days of Medication
total across all patients in 2023

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 15 Medicare prescriptions for Ropinirole Hcl, about 60% of the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $8.47 per fill, versus $21.98 statewide.

How often this provider prescribes it

This provider
15
MA average
25.0

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

What Medicare paid per fill

This provider
$8.47
MA average
$21.98

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

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

In 2023, this provider wrote 14 Medicare prescriptions for Ulticare Pen Needle, about 88% of the volume of the typical Massachusetts prescriber of this medication (16). Medicare paid an average of $58.42 per fill, versus $65.66 statewide.

How often this provider prescribes it

This provider
14
MA average
16.0

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

What Medicare paid per fill

This provider
$58.42
MA average
$65.66

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

24.5
30-Day Fills
standardized to 30-day supplies
715
Days of Medication
total across all patients in 2023

About Tresiba Flextouch U-100: Insulin degludec 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 degludec 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 degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs.

In 2023, this provider wrote 14 Medicare prescriptions for Tresiba Flextouch U-100, about half the volume of the typical Massachusetts prescriber of this medication (29). Medicare paid an average of $501.94 per fill, versus $679.86 statewide.

How often this provider prescribes it

This provider
14
MA average
29.0

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

What Medicare paid per fill

This provider
$501.94
MA average
$679.86

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

26
30-Day Fills
standardized to 30-day supplies
734
Days of Medication
total across all patients in 2023

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 14 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical Massachusetts prescriber of this medication (25). Medicare paid an average of $21.30 per fill, versus $22.27 statewide.

How often this provider prescribes it

This provider
14
MA average
25.0

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

What Medicare paid per fill

This provider
$21.30
MA average
$22.27

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

28
30-Day Fills
standardized to 30-day supplies
762
Days of Medication
total across all patients in 2023

About Lantus: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS.

In 2023, this provider wrote 14 Medicare prescriptions for Lantus, about half the volume of the typical Massachusetts prescriber of this medication (27). Medicare paid an average of $289.85 per fill, versus $542.62 statewide.

How often this provider prescribes it

This provider
14
MA average
27.0

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

What Medicare paid per fill

This provider
$289.85
MA average
$542.62

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

14
30-Day Fills
standardized to 30-day supplies
392
Days of Medication
total across all patients in 2023

About Januvia: Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES.

In 2023, this provider wrote 14 Medicare prescriptions for Januvia, about a third of the volume of the typical Massachusetts prescriber of this medication (34). Medicare paid an average of $836.45 per fill, versus $877.74 statewide.

How often this provider prescribes it

This provider
14
MA average
34.0

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

What Medicare paid per fill

This provider
$836.45
MA average
$877.74

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

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2023

About Niacin Er: Niacin (nicotinic acid) is used to prevent and treat niacin deficiency (pellagra). Show more ▾

Niacin deficiency may result from certain medical conditions (such as alcohol abuse, malabsorption syndrome, Hartnup disease), poor diet, or long-term use of certain medications (such as isoniazid). Niacin deficiency can cause diarrhea, confusion (dementia), tongue redness/swelling, and peeling red skin. Niacin is also known as vitamin B3, one of the B-complex vitamins. Vitamins help to support the body's ability to make and break down natural compounds (metabolism) needed for good health. Niacinamide (nicotinamide) is a different form of vitamin B3 and does not work the same as niacin. Do not substitute unless directed by your doctor. 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 names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A water-soluble vitamin of the B complex occurring in various animal and plant tissues. It is required by the body for the formation of coenzymes NAD and NADP. It has PELLAGRA-curative, vasodilating, and antilipemic properties.

In 2023, this provider wrote 13 Medicare prescriptions for Niacin Er, about 81% of the volume of the typical Massachusetts prescriber of this medication (16). Medicare paid an average of $122.92 per fill, versus $128.77 statewide.

How often this provider prescribes it

This provider
13
MA average
16.0

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

What Medicare paid per fill

This provider
$122.92
MA average
$128.77

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

13
30-Day Fills
standardized to 30-day supplies
364
Days of Medication
total across all patients in 2023

About Hydroxyzine Pamoate: 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 2023, this provider wrote 13 Medicare prescriptions for Hydroxyzine Pamoate, about half the volume of the typical Massachusetts prescriber of this medication (30). Medicare paid an average of $16.73 per fill, versus $13.54 statewide.

How often this provider prescribes it

This provider
13
MA average
30.0

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

What Medicare paid per fill

This provider
$16.73
MA average
$13.54

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2023

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 13 Medicare prescriptions for Sumatriptan Succinate, about half the volume of the typical Massachusetts prescriber of this medication (24). Medicare paid an average of $15.00 per fill, versus $33.81 statewide.

How often this provider prescribes it

This provider
13
MA average
24.0

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

What Medicare paid per fill

This provider
$15.00
MA average
$33.81

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

13
30-Day Fills
standardized to 30-day supplies
310
Days of Medication
total across all patients in 2023

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 13 Medicare prescriptions for Divalproex Sodium, about a quarter of the volume of the typical Massachusetts prescriber of this medication (50). Medicare paid an average of $124.78 per fill, versus $55.69 statewide.

How often this provider prescribes it

This provider
13
MA average
50.0

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

What Medicare paid per fill

This provider
$124.78
MA average
$55.69

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

13
30-Day Fills
standardized to 30-day supplies
364
Days of Medication
total across all patients in 2023

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

This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion.

In 2023, this provider wrote 13 Medicare prescriptions for Famotidine, about 62% of the volume of the typical Massachusetts prescriber of this medication (21). Medicare paid an average of $10.03 per fill, versus $12.45 statewide.

How often this provider prescribes it

This provider
13
MA average
21.0

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

What Medicare paid per fill

This provider
$10.03
MA average
$12.45

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

20
30-Day Fills
standardized to 30-day supplies
600
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 13 Medicare prescriptions for Symbicort, about a third of the volume of the typical Massachusetts prescriber of this medication (33). Medicare paid an average of $389.25 per fill, versus $539.11 statewide.

How often this provider prescribes it

This provider
13
MA average
33.0

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

What Medicare paid per fill

This provider
$389.25
MA average
$539.11

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

18
30-Day Fills
standardized to 30-day supplies
540
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 12 Medicare prescriptions for Tamsulosin Hcl, about 16% of the volume of the typical Massachusetts prescriber of this medication (74). Medicare paid an average of $23.12 per fill, versus $24.27 statewide.

How often this provider prescribes it

This provider
12
MA average
74.0

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

What Medicare paid per fill

This provider
$23.12
MA average
$24.27

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

33
30-Day Fills
standardized to 30-day supplies
990
Days of Medication
total across all patients in 2023

About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾

If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA.

In 2023, this provider wrote 12 Medicare prescriptions for Zolpidem Tartrate, about a third of the volume of the typical Massachusetts prescriber of this medication (38). Medicare paid an average of $10.84 per fill, versus $7.93 statewide.

How often this provider prescribes it

This provider
12
MA average
38.0

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

What Medicare paid per fill

This provider
$10.84
MA average
$7.93

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

12
30-Day Fills
standardized to 30-day supplies
354
Days of Medication
total across all patients in 2023

About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)

In 2023, this provider wrote 12 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Massachusetts prescriber of this medication (34). Medicare paid an average of $9.35 per fill, versus $13.39 statewide.

How often this provider prescribes it

This provider
12
MA average
34.0

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

What Medicare paid per fill

This provider
$9.35
MA average
$13.39

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

20
30-Day Fills
standardized to 30-day supplies
600
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 12 Medicare prescriptions for Nano 2nd Gen Pen Needle, about a third of the volume of the typical Massachusetts prescriber of this medication (36). Medicare paid an average of $53.58 per fill, versus $92.08 statewide.

How often this provider prescribes it

This provider
12
MA average
36.0

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

What Medicare paid per fill

This provider
$53.58
MA average
$92.08

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

29.2
30-Day Fills
standardized to 30-day supplies
875
Days of Medication
total across all patients in 2023

About Glipizide: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾

It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized.

In 2023, this provider wrote 12 Medicare prescriptions for Glipizide, about a third of the volume of the typical Massachusetts prescriber of this medication (34). Medicare paid an average of $7.27 per fill, versus $10.55 statewide.

How often this provider prescribes it

This provider
12
MA average
34.0

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

What Medicare paid per fill

This provider
$7.27
MA average
$10.55

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

32.5
30-Day Fills
standardized to 30-day supplies
975
Days of Medication
total across all patients in 2023

About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾

It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain.

In 2023, this provider wrote 11 Medicare prescriptions for Bupropion Hcl Sr, about a third of the volume of the typical Massachusetts prescriber of this medication (29). Medicare paid an average of $16.44 per fill, versus $30.83 statewide.

How often this provider prescribes it

This provider
11
MA average
29.0

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

What Medicare paid per fill

This provider
$16.44
MA average
$30.83

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

13
30-Day Fills
standardized to 30-day supplies
370
Days of Medication
total across all patients in 2023

About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾

It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN.

In 2023, this provider wrote 11 Medicare prescriptions for Celecoxib, about a third of the volume of the typical Massachusetts prescriber of this medication (32). Medicare paid an average of $14.41 per fill, versus $50.34 statewide.

How often this provider prescribes it

This provider
11
MA average
32.0

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

What Medicare paid per fill

This provider
$14.41
MA average
$50.34

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

13
30-Day Fills
standardized to 30-day supplies
380
Days of Medication
total across all patients in 2023

About Naloxone Hcl: This medication is used for the emergency treatment of known or suspected opioid overdose. Show more ▾

Serious opioid overdose symptoms may include unusual sleepiness, unusual difficulty waking up, or breathing problems (ranging from slow/shallow breathing to no breathing). Other symptoms of overdose may include very small pinpoint pupils, slow heartbeat, or low blood pressure. If someone has serious overdose symptoms but you are not sure if the symptoms are due to overdose, give this medication right away anyway, since lasting slow/shallow breathing may cause permanent damage to the brain or death. This medication belongs to a class of drugs known as opioid antagonists. It works by blocking the effects of the opioid in the brain. This medication may not work as well to block the effects of certain types of opioids (mixed agonist/antagonists such as buprenorphine, pentazocine). With these types of opioids, blocking may be incomplete or you may need a higher dose of naloxone. The effects of naloxone will not last as long as the effects of the opioid. Since treatment with this medication is not long lasting, be sure to get medical help right away after giving the first dose of naloxone. Treatment of opioid overdose should also include breathing treatment (such as oxygen given through tubes in the nose, mechanical ventilation, artificial respiration). A specific opiate antagonist that has no agonist activity. It is a competitive antagonist at mu, delta, and kappa opioid receptors.

In 2023, this provider wrote 11 Medicare prescriptions for Naloxone Hcl, about a third of the volume of the typical Massachusetts prescriber of this medication (29). Medicare paid an average of $86.50 per fill, versus $87.64 statewide.

How often this provider prescribes it

This provider
11
MA average
29.0

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

What Medicare paid per fill

This provider
$86.50
MA average
$87.64

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

11
30-Day Fills
standardized to 30-day supplies
12
Days of Medication
total across all patients in 2023

About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾

Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.

In 2023, this provider wrote 11 Medicare prescriptions for Morphine Sulfate Er, about a third of the volume of the typical Massachusetts prescriber of this medication (32). Medicare paid an average of $38.91 per fill, versus $38.74 statewide.

How often this provider prescribes it

This provider
11
MA average
32.0

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

What Medicare paid per fill

This provider
$38.91
MA average
$38.74

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

11
30-Day Fills
standardized to 30-day supplies
310
Days of Medication
total across all patients in 2023

About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾

It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways.

In 2023, this provider wrote 11 Medicare prescriptions for Montelukast Sodium, about a third of the volume of the typical Massachusetts prescriber of this medication (37). Medicare paid an average of $13.18 per fill, versus $20.11 statewide.

How often this provider prescribes it

This provider
11
MA average
37.0

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

What Medicare paid per fill

This provider
$13.18
MA average
$20.11

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

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

About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾

It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood.

In 2023, this provider wrote 11 Medicare prescriptions for Diltiazem 24hr Er (Cd), about a third of the volume of the typical Massachusetts prescriber of this medication (33). Medicare paid an average of $136.32 per fill, versus $46.63 statewide.

How often this provider prescribes it

This provider
11
MA average
33.0

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

What Medicare paid per fill

This provider
$136.32
MA average
$46.63

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

33
30-Day Fills
standardized to 30-day supplies
990
Days of Medication
total across all patients in 2023

About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾

Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis.

In 2023, this provider wrote 11 Medicare prescriptions for Alendronate Sodium, about a quarter of the volume of the typical Massachusetts prescriber of this medication (40). Medicare paid an average of $7.66 per fill, versus $12.60 statewide.

How often this provider prescribes it

This provider
11
MA average
40.0

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

What Medicare paid per fill

This provider
$7.66
MA average
$12.60

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

20
30-Day Fills
standardized to 30-day supplies
588
Days of Medication
total across all patients in 2023

About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾

It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery.

In 2023, this provider wrote 11 Medicare prescriptions for Hydroxyzine Hcl, about a third of the volume of the typical Massachusetts prescriber of this medication (29). Medicare paid an average of $22.34 per fill, versus $21.10 statewide.

How often this provider prescribes it

This provider
11
MA average
29.0

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

What Medicare paid per fill

This provider
$22.34
MA average
$21.10

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

23
30-Day Fills
standardized to 30-day supplies
604
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average MA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MA average cost per fill.

About this data. The prescription history for NICOLE CARRETTA PHALEN RN 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 Family prescribing approach at this Holyoke, MA 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 MA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.