VINAYAK NAGARAJA MBBS MS MMED FRACP
Prescription History 1174185607
Internal Medicine - Interventional Cardiology in Kearney, NE
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for VINAYAK NAGARAJA MBBS MS MMED FRACP, an active Interventional Cardiology specialist practicing in Kearney, NE. Our medical registry currently tracks 25 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,425 documented patient claims. Among these therapy options, the most frequently utilized medication is Metoprolol Succinate, which accounts for 185 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other NE PrescribersVs. NE Avg |
|---|---|---|---|
| Metoprolol Succinate | 185 | $23.64 | ▲ More than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 185 Medicare prescriptions for Metoprolol Succinate, about 1.7 times the volume of the typical Nebraska prescriber of this medication (112). Medicare paid an average of $23.64 per fill, versus $17.50 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 464.7 30-Day Fills standardized to 30-day supplies 13,925 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 153 | $11.03▼ below NE avg | ▲ More than typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 153 Medicare prescriptions for Spironolactone, about 3.3 times the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $11.03 per fill, versus $11.09 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NE average for this medication. 266.7 30-Day Fills standardized to 30-day supplies 7,946 Days of Medication total across all patients in 2023 | |||
| Rosuvastatin Calcium | 139 | $18.46▼ below NE avg | ▲ More than typical |
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 139 Medicare prescriptions for Rosuvastatin Calcium, about 1.8 times the volume of the typical Nebraska prescriber of this medication (76). Medicare paid an average of $18.46 per fill, versus $25.64 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NE average for this medication. 294.3 30-Day Fills standardized to 30-day supplies 8,830 Days of Medication total across all patients in 2023 | |||
| Atorvastatin Calcium | 92 | $21.47 | ▼ Less than typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 92 Medicare prescriptions for Atorvastatin Calcium, about half the volume of the typical Nebraska prescriber of this medication (179). Medicare paid an average of $21.47 per fill, versus $11.63 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 222.8 30-Day Fills standardized to 30-day supplies 6,642 Days of Medication total across all patients in 2023 | |||
| Ezetimibe | 81 | $62.77 | ▲ More than typical |
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 81 Medicare prescriptions for Ezetimibe, about 2.1 times the volume of the typical Nebraska prescriber of this medication (38). Medicare paid an average of $62.77 per fill, versus $51.46 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 192.2 30-Day Fills standardized to 30-day supplies 5,737 Days of Medication total across all patients in 2023 | |||
| Carvedilol | 80 | $14.05 | ≈ Typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 80 Medicare prescriptions for Carvedilol, about the same volume as the typical Nebraska prescriber of this medication (70). Medicare paid an average of $14.05 per fill, versus $10.14 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 220 30-Day Fills standardized to 30-day supplies 6,600 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 70 | $11.93 | ▼ Less than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 70 Medicare prescriptions for Lisinopril, about 64% of the volume of the typical Nebraska prescriber of this medication (109). Medicare paid an average of $11.93 per fill, versus $6.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 203.3 30-Day Fills standardized to 30-day supplies 6,100 Days of Medication total across all patients in 2023 | |||
| Furosemide | 63 | $8.47 | ▼ Less than typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 63 Medicare prescriptions for Furosemide, about 66% of the volume of the typical Nebraska prescriber of this medication (96). Medicare paid an average of $8.47 per fill, versus $5.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 133.6 30-Day Fills standardized to 30-day supplies 3,980 Days of Medication total across all patients in 2023 | |||
| ClopidogrelClopidogrel Bisulfate | 62 | $16.37 | ≈ Typical |
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 62 Medicare prescriptions for Clopidogrel, about the same volume as the typical Nebraska prescriber of this medication (56). Medicare paid an average of $16.37 per fill, versus $15.43 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 130 30-Day Fills standardized to 30-day supplies 3,871 Days of Medication total across all patients in 2023 | |||
| Losartan Potassium | 62 | $20.95 | ▼ Less than typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 62 Medicare prescriptions for Losartan Potassium, about half the volume of the typical Nebraska prescriber of this medication (109). Medicare paid an average of $20.95 per fill, versus $10.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 181.3 30-Day Fills standardized to 30-day supplies 5,440 Days of Medication total across all patients in 2023 | |||
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 62 | $26.14 | ▲ More than typical |
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. In 2023, this provider wrote 62 Medicare prescriptions for Isosorbide Mononitrate Er, about 1.6 times the volume of the typical Nebraska prescriber of this medication (38). Medicare paid an average of $26.14 per fill, versus $15.95 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 109.8 30-Day Fills standardized to 30-day supplies 3,290 Days of Medication total across all patients in 2023 | |||
| EliquisApixaban | 47 | $1,322.71 | ▼ Less than typical |
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 47 Medicare prescriptions for Eliquis, about half the volume of the typical Nebraska prescriber of this medication (80). Medicare paid an average of $1,322.71 per fill, versus $690.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 115 30-Day Fills standardized to 30-day supplies 3,450 Days of Medication total across all patients in 2023 | |||
| Pantoprazole Sodium | 40 | $25.09 | ▼ Less than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 40 Medicare prescriptions for Pantoprazole Sodium, about half the volume of the typical Nebraska prescriber of this medication (84). Medicare paid an average of $25.09 per fill, versus $16.45 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 107.3 30-Day Fills standardized to 30-day supplies 3,220 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 37 | $15.38 | ▼ Less than typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 37 Medicare prescriptions for Amlodipine Besylate, about a third of the volume of the typical Nebraska prescriber of this medication (132). Medicare paid an average of $15.38 per fill, versus $6.67 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 85 30-Day Fills standardized to 30-day supplies 2,550 Days of Medication total across all patients in 2023 | |||
| EntrestoSacubitril/Valsartan | 34 | $969.39 | ▼ Less than typical |
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. In 2023, this provider wrote 34 Medicare prescriptions for Entresto, about 71% of the volume of the typical Nebraska prescriber of this medication (48). Medicare paid an average of $969.39 per fill, versus $861.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 50.5 30-Day Fills standardized to 30-day supplies 1,468 Days of Medication total across all patients in 2023 | |||
| JardianceEmpagliflozin | 33 | $1,350.81 | ≈ Typical |
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 33 Medicare prescriptions for Jardiance, about 89% of the volume of the typical Nebraska prescriber of this medication (37). Medicare paid an average of $1,350.81 per fill, versus $867.22 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 73 30-Day Fills standardized to 30-day supplies 2,165 Days of Medication total across all patients in 2023 | |||
| Nebivolol Hcl | 31 | $71.60▼ below NE avg | ≈ Typical |
About Nebivolol Hcl: Nebivolol is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers heart rate, blood pressure, and strain on the heart. A cardioselective ADRENERGIC BETA-1 RECEPTOR ANTAGONIST (beta-blocker) that functions as a VASODILATOR through the endothelial L-arginine/ NITRIC OXIDE system. It is used to manage HYPERTENSION and chronic HEART FAILURE in elderly patients. In 2023, this provider wrote 31 Medicare prescriptions for Nebivolol Hcl, about 1.2 times the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $71.60 per fill, versus $87.22 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NE average for this medication. 59 30-Day Fills standardized to 30-day supplies 1,768 Days of Medication total across all patients in 2023 | |||
| Amiodarone Hcl | 29 | $19.12▼ below NE avg | ▼ Less than typical |
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. In 2023, this provider wrote 29 Medicare prescriptions for Amiodarone Hcl, about 69% of the volume of the typical Nebraska prescriber of this medication (42). Medicare paid an average of $19.12 per fill, versus $25.13 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NE average for this medication. 73 30-Day Fills standardized to 30-day supplies 2,134 Days of Medication total across all patients in 2023 | |||
| Torsemide | 24 | $19.14▼ below NE avg | ▼ Less than typical |
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2023, this provider wrote 24 Medicare prescriptions for Torsemide, about half the volume of the typical Nebraska prescriber of this medication (41). Medicare paid an average of $19.14 per fill, versus $24.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NE average for this medication. 50.5 30-Day Fills standardized to 30-day supplies 1,473 Days of Medication total across all patients in 2023 | |||
| FarxigaDapagliflozin Propanediol | 22 | $1,130.42 | ▼ Less than typical |
About Farxiga: Dapagliflozin 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. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 22 Medicare prescriptions for Farxiga, about 71% of the volume of the typical Nebraska prescriber of this medication (31). Medicare paid an average of $1,130.42 per fill, versus $822.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 44 30-Day Fills standardized to 30-day supplies 1,320 Days of Medication total across all patients in 2023 | |||
| Repatha SureclickEvolocumab | 20 | $1,186.46 | ▼ Less than typical |
About Repatha Sureclick: Evolocumab is used along with a proper diet to help lower bad cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as statin drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to help prevent heart attacks and strokes. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. 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. In 2023, this provider wrote 20 Medicare prescriptions for Repatha Sureclick, about half the volume of the typical Nebraska prescriber of this medication (45). Medicare paid an average of $1,186.46 per fill, versus $649.39 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 39.8 30-Day Fills standardized to 30-day supplies 1,176 Days of Medication total across all patients in 2023 | |||
| Metoprolol Tartrate | 19 | $9.94 | ▼ Less than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 19 Medicare prescriptions for Metoprolol Tartrate, about a quarter of the volume of the typical Nebraska prescriber of this medication (68). Medicare paid an average of $9.94 per fill, versus $7.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 816 Days of Medication total across all patients in 2023 | |||
| Nitroglycerin | 16 | $16.31▼ below NE avg | ▼ Less than typical |
About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2023, this provider wrote 16 Medicare prescriptions for Nitroglycerin, about 67% of the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $16.31 per fill, versus $18.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NE average for this medication. 18 30-Day Fills standardized to 30-day supplies 315 Days of Medication total across all patients in 2023 | |||
| XareltoRivaroxaban | 13 | $1,122.02 | ▼ Less than typical |
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2023, this provider wrote 13 Medicare prescriptions for Xarelto, about a quarter of the volume of the typical Nebraska prescriber of this medication (49). Medicare paid an average of $1,122.02 per fill, versus $735.32 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 25.3 30-Day Fills standardized to 30-day supplies 760 Days of Medication total across all patients in 2023 | |||
| Eplerenone | 11 | $118.63 | ▼ Less than typical |
About Eplerenone: This medication is used alone or in combination with other medicines to treat high blood pressure. Show more ▾ It works by blocking a chemical (aldosterone) in your body which in turn lowers the amount of sodium and water the body retains. Lowering high blood pressure helps prevent strokes, heart attacks and kidney problems. It is also used to treat congestive heart failure following a heart attack. A spironolactone derivative and selective ALDOSTERONE RECEPTOR antagonist that is used in the management of HYPERTENSION and CONGESTIVE HEART FAILURE, post-MYOCARDIAL INFARCTION. In 2023, this provider wrote 11 Medicare prescriptions for Eplerenone, about half the volume of the typical Nebraska prescriber of this medication (21). Medicare paid an average of $118.63 per fill, versus $106.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for VINAYAK NAGARAJA MBBS MS MMED FRACP 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 Interventional Cardiology prescribing approach at this Kearney, NE 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 NE prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
