MS. CAROLE JANE WORTHINGTON NP-C
Prescription History 1184043721
Nurse Practitioner - Adult Health in Durham, NC
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MS. CAROLE JANE WORTHINGTON NP-C, an active Adult Health specialist practicing in Durham, NC. Our medical registry currently tracks 34 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,849 documented patient claims. Among these therapy options, the most frequently utilized medication is Trazodone Hcl, which accounts for 544 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 NC PrescribersVs. NC Avg |
|---|---|---|---|
| Trazodone Hcl | 544 | $11.74▼ below NC avg | ▲ More than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 544 Medicare prescriptions for Trazodone Hcl, about 7.6 times the volume of the typical North Carolina prescriber of this medication (72). Medicare paid an average of $11.74 per fill, versus $12.72 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 544 30-Day Fills standardized to 30-day supplies 14,688 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 449 | $52.17 | ▲ More than typical |
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 449 Medicare prescriptions for Divalproex Sodium, about 8.2 times the volume of the typical North Carolina prescriber of this medication (55). Medicare paid an average of $52.17 per fill, versus $46.86 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 449 30-Day Fills standardized to 30-day supplies 11,425 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 206 | $32.78 | ▲ More than typical |
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 206 Medicare prescriptions for Mirtazapine, about 4.3 times the volume of the typical North Carolina prescriber of this medication (48). Medicare paid an average of $32.78 per fill, versus $23.04 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 206 30-Day Fills standardized to 30-day supplies 5,793 Days of Medication total across all patients in 2023 | |||
| Oxcarbazepine | 199 | $31.48▼ below NC avg | ▲ More than typical |
About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2023, this provider wrote 199 Medicare prescriptions for Oxcarbazepine, about 7.1 times the volume of the typical North Carolina prescriber of this medication (28). Medicare paid an average of $31.48 per fill, versus $68.48 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 199 30-Day Fills standardized to 30-day supplies 5,244 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 143 | $11.70 | ▲ More than typical |
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 143 Medicare prescriptions for Sertraline Hcl, about 2.2 times the volume of the typical North Carolina prescriber of this medication (66). Medicare paid an average of $11.70 per fill, versus $11.05 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 143 30-Day Fills standardized to 30-day supplies 3,466 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 118 | $14.61▼ below NC avg | ▲ More than typical |
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 118 Medicare prescriptions for Hydroxyzine Hcl, about 3.9 times the volume of the typical North Carolina prescriber of this medication (30). Medicare paid an average of $14.61 per fill, versus $20.12 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 118 30-Day Fills standardized to 30-day supplies 1,388 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 111 | $53.73 | ▲ More than typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 111 Medicare prescriptions for Duloxetine Hcl, about 2.1 times the volume of the typical North Carolina prescriber of this medication (54). Medicare paid an average of $53.73 per fill, versus $41.45 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 111.1 30-Day Fills standardized to 30-day supplies 3,301 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 100 | $28.95▼ below NC avg | ▲ More than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 100 Medicare prescriptions for Quetiapine Fumarate, about 2 times the volume of the typical North Carolina prescriber of this medication (50). Medicare paid an average of $28.95 per fill, versus $31.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 100 30-Day Fills standardized to 30-day supplies 2,932 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 93 | $18.73▼ below NC avg | ≈ Typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 93 Medicare prescriptions for Gabapentin, about the same volume as the typical North Carolina prescriber of this medication (101). Medicare paid an average of $18.73 per fill, versus $21.91 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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 NC average for this medication. 93 30-Day Fills standardized to 30-day supplies 2,146 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 87 | $33.97 | ▲ More than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 87 Medicare prescriptions for Clonazepam, about 1.6 times the volume of the typical North Carolina prescriber of this medication (55). Medicare paid an average of $33.97 per fill, versus $8.98 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 87 30-Day Fills standardized to 30-day supplies 2,512 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 69 | $18.84▼ below NC avg | ▲ More than typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 69 Medicare prescriptions for Bupropion Xl, about 1.8 times the volume of the typical North Carolina prescriber of this medication (39). Medicare paid an average of $18.84 per fill, versus $38.65 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 69 30-Day Fills standardized to 30-day supplies 1,713 Days of Medication total across all patients in 2023 | |||
| Risperidone | 65 | $13.93▼ below NC avg | ▲ More than typical |
About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 65 Medicare prescriptions for Risperidone, about 1.4 times the volume of the typical North Carolina prescriber of this medication (47). Medicare paid an average of $13.93 per fill, versus $16.01 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 65 30-Day Fills standardized to 30-day supplies 1,529 Days of Medication total across all patients in 2023 | |||
| Buspirone Hcl | 63 | $14.15▼ below NC avg | ▲ More than typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 63 Medicare prescriptions for Buspirone Hcl, about 1.5 times the volume of the typical North Carolina prescriber of this medication (43). Medicare paid an average of $14.15 per fill, versus $17.86 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 63 30-Day Fills standardized to 30-day supplies 1,730 Days of Medication total across all patients in 2023 | |||
| Fluoxetine Hcl | 62 | $17.22 | ▲ More than typical |
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 62 Medicare prescriptions for Fluoxetine Hcl, about 1.6 times the volume of the typical North Carolina prescriber of this medication (40). Medicare paid an average of $17.22 per fill, versus $15.18 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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. 62 30-Day Fills standardized to 30-day supplies 1,666 Days of Medication total across all patients in 2023 | |||
| Olanzapine | 61 | $28.65▼ below NC avg | ▲ More than typical |
About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2023, this provider wrote 61 Medicare prescriptions for Olanzapine, about 1.4 times the volume of the typical North Carolina prescriber of this medication (43). Medicare paid an average of $28.65 per fill, versus $32.17 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 61 30-Day Fills standardized to 30-day supplies 1,729 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl | 51 | $14.50▼ below NC avg | ▲ More than typical |
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 51 Medicare prescriptions for Propranolol Hcl, about 2.1 times the volume of the typical North Carolina prescriber of this medication (24). Medicare paid an average of $14.50 per fill, versus $27.08 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 51 30-Day Fills standardized to 30-day supplies 807 Days of Medication total across all patients in 2023 | |||
| Escitalopram Oxalate | 45 | $13.28▼ below NC avg | ≈ Typical |
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 45 Medicare prescriptions for Escitalopram Oxalate, about 83% of the volume of the typical North Carolina prescriber of this medication (54). Medicare paid an average of $13.28 per fill, versus $15.11 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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 NC average for this medication. 45 30-Day Fills standardized to 30-day supplies 1,230 Days of Medication total across all patients in 2023 | |||
| Citalopram HbrCitalopram Hydrobromide | 45 | $10.90 | ≈ Typical |
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2023, this provider wrote 45 Medicare prescriptions for Citalopram Hbr, about the same volume as the typical North Carolina prescriber of this medication (42). Medicare paid an average of $10.90 per fill, versus $8.36 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023 | |||
| Paroxetine Hcl | 40 | $10.33▼ below NC avg | ▲ More than typical |
About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. In 2023, this provider wrote 40 Medicare prescriptions for Paroxetine Hcl, about 1.5 times the volume of the typical North Carolina prescriber of this medication (27). Medicare paid an average of $10.33 per fill, versus $16.19 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 40 30-Day Fills standardized to 30-day supplies 1,056 Days of Medication total across all patients in 2023 | |||
| Valproic AcidValproic Acid (As Sodium Salt) | 32 | $20.97▼ below NC avg | ▲ More than typical |
About Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. In 2023, this provider wrote 32 Medicare prescriptions for Valproic Acid, about 2.3 times the volume of the typical North Carolina prescriber of this medication (14). Medicare paid an average of $20.97 per fill, versus $46.56 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 32 30-Day Fills standardized to 30-day supplies 798 Days of Medication total across all patients in 2023 | |||
| Cimetidine | 31 | $35.41▼ below NC avg | ▲ More than typical |
About Cimetidine: Cimetidine is used to treat ulcers of the stomach and intestines and prevent them from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems caused by too much stomach acid (such as Zollinger-Ellison syndrome, erosive esophagitis) or a backward flow of stomach acid into the esophagus (acid reflux disease/GERD). Decreasing extra stomach acid can help relieve symptoms such as stomach pain, heartburn, difficulty swallowing, cough, and trouble sleeping. It can also prevent serious acid damage to your digestive system (such as ulcers, cancer of the esophagus). Cimetidine belongs to a class of drugs commonly called H2 blockers. It works by reducing the amount of acid in your stomach. This medication is also available without a prescription. It is used to treat occasional heartburn caused by too much acid in the stomach (also called acid indigestion or sour stomach). It is also used to prevent heartburn and acid indigestion caused by certain foods and beverages. 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. (See also Precautions.) A histamine congener, it competitively inhibits HISTAMINE binding to HISTAMINE H2 RECEPTORS. Cimetidine has a range of pharmacological actions. It inhibits GASTRIC ACID secretion, as well as PEPSIN and GASTRIN output. In 2023, this provider wrote 31 Medicare prescriptions for Cimetidine, about 1.8 times the volume of the typical North Carolina prescriber of this medication (17). Medicare paid an average of $35.41 per fill, versus $71.08 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 31 30-Day Fills standardized to 30-day supplies 914 Days of Medication total across all patients in 2023 | |||
| AmantadineAmantadine Hcl | 27 | $43.10▼ below NC avg | ≈ Typical |
About Amantadine: Amantadine is used to treat Parkinson's disease, as well as side effects caused by drugs (such as drug-induced extrapyramidal symptoms), chemicals, and other medical conditions. Show more ▾ In these cases, this medication may help to improve your range of motion and ability to exercise. For the treatment of these conditions, amantadine is believed to work by restoring the balance of natural chemicals (neurotransmitters) in the brain. Amantadine is used to prevent or treat a certain type of flu (influenza A). If you have been infected with the flu, this medication may help make your symptoms less severe and shorten the time it will take you to get better. Taking amantadine if you have been or will be exposed to the flu may help to prevent you from getting the flu. This medication is an antiviral that is believed to work by stopping growth of the flu virus. This medication is not a vaccine. To increase the chance that you will not get the flu, it is important to get a flu shot once a year at the beginning of every flu season, if possible. Based on the recommendation from the Centers for Disease Control (CDC) in the US, amantadine should not be used to treat or prevent influenza A because the current influenza A virus in the United States and Canada is resistant to this medication. For more details, talk to your doctor or pharmacist. An antiviral that is used in the prophylactic or symptomatic treatment of influenza A. It is also used as an antiparkinsonian agent, to treat extrapyramidal reactions, and for postherpetic neuralgia. The mechanisms of its effects in movement disorders are not well understood but probably reflect an increase in synthesis and release of dopamine, with perhaps some inhibition of dopamine uptake. In 2023, this provider wrote 27 Medicare prescriptions for Amantadine, about the same volume as the typical North Carolina prescriber of this medication (24). Medicare paid an average of $43.10 per fill, versus $68.36 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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 NC average for this medication. 27 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023 | |||
| Lorazepam | 26 | $7.95 | ▼ Less than typical |
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 26 Medicare prescriptions for Lorazepam, about half the volume of the typical North Carolina prescriber of this medication (52). Medicare paid an average of $7.95 per fill, versus $7.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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. 26 30-Day Fills standardized to 30-day supplies 684 Days of Medication total across all patients in 2023 | |||
| Perphenazine | 26 | $63.25▼ below NC avg | ▲ More than typical |
About Perphenazine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, manic phase of bipolar disorder, schizoaffective disorder). Show more ▾ This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can reduce aggressive behavior and the desire to hurt yourself/others. It may also help to decrease hallucinations (such as hearing/seeing things that are not there). Perphenazine is a psychiatric medication (antipsychotic-type) that works by helping to restore the balance of certain natural substances (such as dopamine) in the brain. An antipsychotic phenothiazine derivative with actions and uses similar to those of CHLORPROMAZINE. In 2023, this provider wrote 26 Medicare prescriptions for Perphenazine, about 1.3 times the volume of the typical North Carolina prescriber of this medication (20). Medicare paid an average of $63.25 per fill, versus $84.12 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NC 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 NC average for this medication. 26 30-Day Fills standardized to 30-day supplies 290 Days of Medication total across all patients in 2023 | |||
| Donepezil Hcl | 25 | $17.19 | ▼ Less than typical |
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 25 Medicare prescriptions for Donepezil Hcl, about half the volume of the typical North Carolina prescriber of this medication (55). Medicare paid an average of $17.19 per fill, versus $14.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2023 | |||
| Dronabinol | 18 | $87.20▼ below NC avg | ≈ Typical |
About Dronabinol: Dronabinol is used to treat nausea and vomiting caused by cancer chemotherapy. Show more ▾ It is usually used when other drugs to control nausea and vomiting have not been successful. Dronabinol is also used to treat loss of appetite and weight loss in patients with HIV infection. Dronabinol (also called THC) is a man-made form of the active natural substance in marijuana (cannabis). A psychoactive compound extracted from the resin of Cannabis sativa (marihuana, hashish). The isomer delta-9-tetrahydrocannabinol (THC) is considered the most active form, producing characteristic mood and perceptual changes associated with this compound. In 2023, this provider wrote 18 Medicare prescriptions for Dronabinol, about the same volume as the typical North Carolina prescriber of this medication (17). Medicare paid an average of $87.20 per fill, versus $244.69 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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 NC average for this medication. 18 30-Day Fills standardized to 30-day supplies 231 Days of Medication total across all patients in 2023 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 17 | $20.94▼ below NC avg | ▼ Less than typical |
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 17 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical North Carolina prescriber of this medication (32). Medicare paid an average of $20.94 per fill, versus $29.95 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 16 | $12.68▼ below NC avg | ▼ Less than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 16 Medicare prescriptions for Lamotrigine, about a third of the volume of the typical North Carolina prescriber of this medication (47). Medicare paid an average of $12.68 per fill, versus $17.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 16 30-Day Fills standardized to 30-day supplies 456 Days of Medication total across all patients in 2023 | |||
| Bupropion Hcl SrBupropion Hcl | 16 | $20.88▼ below NC avg | ▼ Less than typical |
About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 16 Medicare prescriptions for Bupropion Hcl Sr, about 70% of the volume of the typical North Carolina prescriber of this medication (23). Medicare paid an average of $20.88 per fill, versus $32.10 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023 | |||
| Bupropion Hcl | 15 | $37.92 | ≈ Typical |
About Bupropion Hcl: 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 15 Medicare prescriptions for Bupropion Hcl, about 79% of the volume of the typical North Carolina prescriber of this medication (19). Medicare paid an average of $37.92 per fill, versus $28.54 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NC 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. 15 30-Day Fills standardized to 30-day supplies 434 Days of Medication total across all patients in 2023 | |||
| Primidone | 14 | $21.28▼ below NC avg | ▼ Less than typical |
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2023, this provider wrote 14 Medicare prescriptions for Primidone, about half the volume of the typical North Carolina prescriber of this medication (31). Medicare paid an average of $21.28 per fill, versus $28.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Tolterodine Tartrate ErTolterodine Tartrate | 13 | $106.69▼ below NC avg | ▼ Less than typical |
About Tolterodine Tartrate Er: This medication is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, tolterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. An ANTIMUSCARINIC AGENT selective for the MUSCARINIC RECEPTORS of the BLADDER that is used in the treatment of URINARY INCONTINENCE and URINARY URGE INCONTINENCE. In 2023, this provider wrote 13 Medicare prescriptions for Tolterodine Tartrate Er, about 65% of the volume of the typical North Carolina prescriber of this medication (20). Medicare paid an average of $106.69 per fill, versus $150.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Aripiprazole | 11 | $100.66▼ below NC avg | ▼ Less than typical |
About Aripiprazole: Aripiprazole is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole is known as an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters). This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2023, this provider wrote 11 Medicare prescriptions for Aripiprazole, about a quarter of the volume of the typical North Carolina prescriber of this medication (40). Medicare paid an average of $100.66 per fill, versus $110.39 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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 NC average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
| Venlafaxine Hcl | 11 | $32.14 | ▼ Less than typical |
About Venlafaxine Hcl: 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 11 Medicare prescriptions for Venlafaxine Hcl, about 61% of the volume of the typical North Carolina prescriber of this medication (18). Medicare paid an average of $32.14 per fill, versus $29.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NC 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. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for MS. CAROLE JANE WORTHINGTON NP-C 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 Adult Health prescribing approach at this Durham, NC 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 NC prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
