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 30 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,814 documented patient claims. Among these therapy options, the most frequently utilized medication is Trazodone Hcl, which accounts for 727 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 (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other NC PrescribersVs. NC Avg |
|---|---|---|---|
| Trazodone Hcl | 727 | $13.54 | ▲ More than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309) In 2024, this provider wrote 727 Medicare prescriptions for Trazodone Hcl, about 9.7 times the volume of the typical North Carolina prescriber of this medication (74.9). Medicare paid an average of $13.54 per fill, versus $8.65 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 737 30-Day Fills standardized to 30-day supplies 19,508 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium | 379 | $48.18 | ▲ 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 2024, this provider wrote 379 Medicare prescriptions for Divalproex Sodium, about 6.8 times the volume of the typical North Carolina prescriber of this medication (55.8). Medicare paid an average of $48.18 per fill, versus $40.59 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. 381 30-Day Fills standardized to 30-day supplies 9,422 Days of Medication total across all patients in 2024 | |||
| Oxcarbazepine | 222 | $61.49 | ▲ 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 2024, this provider wrote 222 Medicare prescriptions for Oxcarbazepine, about 7.8 times the volume of the typical North Carolina prescriber of this medication (28.6). Medicare paid an average of $61.49 per fill, versus $55.30 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. 222 30-Day Fills standardized to 30-day supplies 5,750 Days of Medication total across all patients in 2024 | |||
| Mirtazapine | 210 | $24.34 | ▲ More than typical |
About Mirtazapine: This medication is used to treat depression. Show more ▾ Mirtazapine works by helping to restore the balance of certain natural substances in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2024, this provider wrote 210 Medicare prescriptions for Mirtazapine, about 4.5 times the volume of the typical North Carolina prescriber of this medication (46.2). Medicare paid an average of $24.34 per fill, versus $19.60 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. 214 30-Day Fills standardized to 30-day supplies 5,493 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 195 | $28.79 | ▲ More than typical |
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2024, this provider wrote 195 Medicare prescriptions for Duloxetine Hcl, about 3.5 times the volume of the typical North Carolina prescriber of this medication (55.4). Medicare paid an average of $28.79 per fill, versus $21.02 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. 195 30-Day Fills standardized to 30-day supplies 5,238 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 138 | $11.98 | ▲ More than typical |
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 138 Medicare prescriptions for Sertraline Hcl, about 2.1 times the volume of the typical North Carolina prescriber of this medication (66.6). Medicare paid an average of $11.98 per fill, versus $9.21 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. 138 30-Day Fills standardized to 30-day supplies 3,205 Days of Medication total across all patients in 2024 | |||
| Buspirone Hcl | 110 | $12.84▼ 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). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 110 Medicare prescriptions for Buspirone Hcl, about 2.4 times the volume of the typical North Carolina prescriber of this medication (45.7). Medicare paid an average of $12.84 per fill, versus $13.53 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. 110 30-Day Fills standardized to 30-day supplies 2,876 Days of Medication total across all patients in 2024 | |||
| Citalopram HbrCitalopram Hydrobromide | 79 | $8.66 | ▲ More than typical |
About Citalopram Hbr: This medication is used to treat depression. Show more ▾ Citalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2024, this provider wrote 79 Medicare prescriptions for Citalopram Hbr, about 2 times the volume of the typical North Carolina prescriber of this medication (40). Medicare paid an average of $8.66 per fill, versus $6.60 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. 79 30-Day Fills standardized to 30-day supplies 2,153 Days of Medication total across all patients in 2024 | |||
| Fluoxetine Hcl | 77 | $14.17 | ▲ More than typical |
About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾ It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. 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 2024, this provider wrote 77 Medicare prescriptions for Fluoxetine Hcl, about 1.9 times the volume of the typical North Carolina prescriber of this medication (40.2). Medicare paid an average of $14.17 per fill, versus $10.01 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 77 30-Day Fills standardized to 30-day supplies 1,880 Days of Medication total across all patients in 2024 | |||
| Bupropion XlBupropion Hcl | 72 | $22.81 | ▲ More than typical |
About Bupropion Xl: This medication is used to treat depression. Show more ▾ It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 72 Medicare prescriptions for Bupropion Xl, about 1.8 times the volume of the typical North Carolina prescriber of this medication (41.1). Medicare paid an average of $22.81 per fill, versus $22.49 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. 72 30-Day Fills standardized to 30-day supplies 1,907 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 66 | $23.18 | ▼ Less than typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 66 Medicare prescriptions for Gabapentin, about 66% of the volume of the typical North Carolina prescriber of this medication (99.7). Medicare paid an average of $23.18 per fill, versus $15.37 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. 66 30-Day Fills standardized to 30-day supplies 1,831 Days of Medication total across all patients in 2024 | |||
| Hydroxyzine Hcl | 61 | $11.72▼ 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. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2024, this provider wrote 61 Medicare prescriptions for Hydroxyzine Hcl, about 2 times the volume of the typical North Carolina prescriber of this medication (31.3). Medicare paid an average of $11.72 per fill, versus $17.12 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. 61 30-Day Fills standardized to 30-day supplies 666 Days of Medication total across all patients in 2024 | |||
| Escitalopram Oxalate | 60 | $13.06 | ≈ Typical |
About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. 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 2024, this provider wrote 60 Medicare prescriptions for Escitalopram Oxalate, about the same volume as the typical North Carolina prescriber of this medication (55.2). Medicare paid an average of $13.06 per fill, versus $10.58 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. 60 30-Day Fills standardized to 30-day supplies 1,617 Days of Medication total across all patients in 2024 | |||
| Paroxetine Hcl | 49 | $13.14▼ below NC avg | ▲ More than typical |
About Paroxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, anxiety disorders, post-traumatic stress disorder). Show more ▾ Paroxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is effective in the treatment of depression. In 2024, this provider wrote 49 Medicare prescriptions for Paroxetine Hcl, about 1.8 times the volume of the typical North Carolina prescriber of this medication (27.1). Medicare paid an average of $13.14 per fill, versus $13.79 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. 49 30-Day Fills standardized to 30-day supplies 1,168 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 49 | $36.50 | ≈ Typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 49 Medicare prescriptions for Quetiapine Fumarate, about the same volume as the typical North Carolina prescriber of this medication (49.5). Medicare paid an average of $36.50 per fill, versus $16.58 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. 49 30-Day Fills standardized to 30-day supplies 1,324 Days of Medication total across all patients in 2024 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 44 | $46.43 | ▲ More than typical |
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 44 Medicare prescriptions for Venlafaxine Hcl Er, about 1.3 times the volume of the typical North Carolina prescriber of this medication (32.6). Medicare paid an average of $46.43 per fill, versus $20.88 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. 44 30-Day Fills standardized to 30-day supplies 1,305 Days of Medication total across all patients in 2024 | |||
| Olanzapine | 42 | $16.13▼ below NC avg | ≈ Typical |
About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 2024, this provider wrote 42 Medicare prescriptions for Olanzapine, about the same volume as the typical North Carolina prescriber of this medication (44). Medicare paid an average of $16.13 per fill, versus $21.80 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. 42 30-Day Fills standardized to 30-day supplies 1,182 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl | 33 | $18.99 | ▲ More than typical |
About Propranolol Hcl: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. Show more ▾ It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. 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 effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs. In 2024, this provider wrote 33 Medicare prescriptions for Propranolol Hcl, about 1.3 times the volume of the typical North Carolina prescriber of this medication (24.5). Medicare paid an average of $18.99 per fill, versus $14.85 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. 33 30-Day Fills standardized to 30-day supplies 760 Days of Medication total across all patients in 2024 | |||
| AmantadineAmantadine Hcl | 31 | $59.64 | ≈ 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 2024, this provider wrote 31 Medicare prescriptions for Amantadine, about 1.2 times the volume of the typical North Carolina prescriber of this medication (25.5). Medicare paid an average of $59.64 per fill, versus $38.92 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. 31 30-Day Fills standardized to 30-day supplies 585 Days of Medication total across all patients in 2024 | |||
| Megestrol Acetate | 23 | $81.91 | ≈ Typical |
About Megestrol Acetate: Megestrol is used to treat loss of appetite and weight loss in people with AIDS. Show more ▾ Improving your appetite and gaining weight may help you feel better and be more active. Megestrol is similar to a natural substance made by the body called progesterone. Megestrol acetate is a progestogen with actions and uses similar to those of the progestogens in general. It also has anti-androgenic properties. It is given by mouth in the palliative treatment or as an adjunct to other therapy in endometrial carcinoma and in breast cancer. Megestrol acetate has been approved to treat anorexia and cachexia. (From Reynolds JEF(Ed): Martindale: The Extra Pharmacopoeia (electronic version). Micromedex, Inc, Englewood, CO, 1995) In 2024, this provider wrote 23 Medicare prescriptions for Megestrol Acetate, about the same volume as the typical North Carolina prescriber of this medication (20.6). Medicare paid an average of $81.91 per fill, versus $55.52 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. 23 30-Day Fills standardized to 30-day supplies 451 Days of Medication total across all patients in 2024 | |||
| Clonazepam | 22 | $16.38 | ▼ Less than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2024, this provider wrote 22 Medicare prescriptions for Clonazepam, about a third of the volume of the typical North Carolina prescriber of this medication (52.9). Medicare paid an average of $16.38 per fill, versus $8.09 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 637 Days of Medication total across all patients in 2024 | |||
| Risperidone | 20 | $10.00▼ below NC avg | ▼ Less than typical |
About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾ Risperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A 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 2024, this provider wrote 20 Medicare prescriptions for Risperidone, about half the volume of the typical North Carolina prescriber of this medication (44.5). Medicare paid an average of $10.00 per fill, versus $15.57 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. 20 30-Day Fills standardized to 30-day supplies 492 Days of Medication total across all patients in 2024 | |||
| Valproic AcidValproic Acid (As Sodium Salt) | 16 | $25.69▼ below NC avg | ▼ Less than typical |
About Valproic Acid: This medication is used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 16 Medicare prescriptions for Valproic Acid, about 66% of the volume of the typical North Carolina prescriber of this medication (24.1). Medicare paid an average of $25.69 per fill, versus $44.87 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 449 Days of Medication total across all patients in 2024 | |||
| Prazosin Hcl | 15 | $6.06▼ below NC avg | ▼ Less than typical |
About Prazosin Hcl: Prazosin 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. Prazosin belongs to a class of medications called alpha blockers. It works by relaxing and widening blood vessels so blood can flow more easily. A selective adrenergic alpha-1 antagonist used in the treatment of HEART FAILURE; HYPERTENSION; PHEOCHROMOCYTOMA; RAYNAUD DISEASE; PROSTATIC HYPERTROPHY; and URINARY RETENTION. In 2024, this provider wrote 15 Medicare prescriptions for Prazosin Hcl, about half the volume of the typical North Carolina prescriber of this medication (29.1). Medicare paid an average of $6.06 per fill, versus $17.39 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. 15 30-Day Fills standardized to 30-day supplies 210 Days of Medication total across all patients in 2024 | |||
| Donepezil Hcl | 15 | $12.48 | ▼ Less than typical |
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE. In 2024, this provider wrote 15 Medicare prescriptions for Donepezil Hcl, about a quarter of the volume of the typical North Carolina prescriber of this medication (56.2). Medicare paid an average of $12.48 per fill, versus $12.43 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. 15 30-Day Fills standardized to 30-day supplies 402 Days of Medication total across all patients in 2024 | |||
| Lamotrigine | 14 | $8.41▼ 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 2024, this provider wrote 14 Medicare prescriptions for Lamotrigine, about a third of the volume of the typical North Carolina prescriber of this medication (47.4). Medicare paid an average of $8.41 per fill, versus $14.18 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 356 Days of Medication total across all patients in 2024 | |||
| Tolterodine Tartrate ErTolterodine Tartrate | 12 | $40.99▼ 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 2024, this provider wrote 12 Medicare prescriptions for Tolterodine Tartrate Er, about 60% of the volume of the typical North Carolina prescriber of this medication (20). Medicare paid an average of $40.99 per fill, versus $69.36 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. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Baclofen | 11 | $12.18▼ below NC avg | ▼ Less than typical |
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2024, this provider wrote 11 Medicare prescriptions for Baclofen, about a third of the volume of the typical North Carolina prescriber of this medication (38.4). Medicare paid an average of $12.18 per fill, versus $16.95 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. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Cimetidine | 11 | $27.28▼ below NC avg | ▼ Less 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.) Do not use this medication to treat children younger than 12 unless directed by the doctor. 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 2024, this provider wrote 11 Medicare prescriptions for Cimetidine, about 65% of the volume of the typical North Carolina prescriber of this medication (16.9). Medicare paid an average of $27.28 per fill, versus $44.89 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 295 Days of Medication total across all patients in 2024 | |||
| Bupropion Hcl SrBupropion Hcl | 11 | $34.92 | ▼ Less than typical |
About Bupropion Hcl Sr: This medication is used to treat depression. Show more ▾ Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 11 Medicare prescriptions for Bupropion Hcl Sr, about half the volume of the typical North Carolina prescriber of this medication (23.5). Medicare paid an average of $34.92 per fill, versus $18.41 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 2024 | |||
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 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall 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 among NC prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
