JIM CARMICAL MD
Prescription History 1194145607
Family Medicine in Monticello, AR
What does Dr. Carmical prescribe?
In 2024, Dr. Carmical wrote 13,655 Medicare prescriptions for 172 medications. The most prescribed was Losartan Potassium, with 688 prescriptions for 165 patients.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Dr. Carmical prescribes.
Medications 172 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other Arkansas prescribers.
What it is used for
Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 688 prescriptions for Losartan Potassium, about 5.6 times as often as the typical Arkansas prescriber of it (123). Medicare paid $7.54 per fill, versus $8.04 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
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.
Compared with Arkansas prescribers
Dr. Carmical wrote 588 prescriptions for Atorvastatin Calcium, about 2.9 times as often as the typical Arkansas prescriber of it (202). Medicare paid $7.07 per fill, versus $8.24 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 550 prescriptions for Amlodipine Besylate, about 3.4 times as often as the typical Arkansas prescriber of it (163). Medicare paid $5.26 per fill, versus $5.09 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Gabapentin is used with other medications to prevent and control seizures.
Compared with Arkansas prescribers
Dr. Carmical wrote 440 prescriptions for Gabapentin, about 3.4 times as often as the typical Arkansas prescriber of it (130). Medicare paid $14.35 per fill, versus $14.93 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with Arkansas prescribers
Dr. Carmical wrote 394 prescriptions for Pantoprazole Sodium, about 3.5 times as often as the typical Arkansas prescriber of it (111). Medicare paid $9.05 per fill, versus $10.17 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with Arkansas prescribers
Dr. Carmical wrote 389 prescriptions for Omeprazole, about 3.2 times as often as the typical Arkansas prescriber of it (121). Medicare paid $13.91 per fill, versus $11.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Arkansas prescribers
Dr. Carmical wrote 354 prescriptions for Levothyroxine Sodium, about 2.1 times as often as the typical Arkansas prescriber of it (168). Medicare paid $5.88 per fill, versus $8.72 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders.
Compared with Arkansas prescribers
Dr. Carmical wrote 336 prescriptions for Prednisone, about 6.4 times as often as the typical Arkansas prescriber of it (52). Medicare paid $1.35 per fill, versus $3.89 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Lisinopril is used to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 282 prescriptions for Lisinopril, about 2.2 times as often as the typical Arkansas prescriber of it (128). Medicare paid $5.37 per fill, versus $5.67 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 271 prescriptions for Ozempic, about 4.1 times as often as the typical Arkansas prescriber of it (66). Medicare paid $1,180.56 per fill, versus $1,117.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to relieve moderate to severe pain.
Compared with Arkansas prescribers
Dr. Carmical wrote 252 prescriptions for Hydrocodone-Acetaminophen, about 1.8 times as often as the typical Arkansas prescriber of it (137). Medicare paid $24.88 per fill, versus $22.18 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 239 prescriptions for Metoprolol Succinate, about 2.3 times as often as the typical Arkansas prescriber of it (106). Medicare paid $11.16 per fill, versus $12.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with Arkansas prescribers
Dr. Carmical wrote 216 prescriptions for Tamsulosin Hcl, about 2.3 times as often as the typical Arkansas prescriber of it (95). Medicare paid $10.80 per fill, versus $12.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Arkansas prescribers
Dr. Carmical wrote 198 prescriptions for Furosemide, about 1.9 times as often as the typical Arkansas prescriber of it (106). Medicare paid $3.94 per fill, versus $4.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease).
Compared with Arkansas prescribers
Dr. Carmical wrote 194 prescriptions for Albuterol Sulfate Hfa, about 2.4 times as often as the typical Arkansas prescriber of it (82). Medicare paid $28.21 per fill, versus $28.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with Arkansas prescribers
Dr. Carmical wrote 190 prescriptions for Duloxetine Hcl, about 2.8 times as often as the typical Arkansas prescriber of it (68). Medicare paid $14.18 per fill, versus $20.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Arkansas prescribers
Dr. Carmical wrote 181 prescriptions for Metformin Hcl Er, about 3.3 times as often as the typical Arkansas prescriber of it (54). Medicare paid $3.33 per fill, versus $7.74 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery.
Compared with Arkansas prescribers
Dr. Carmical wrote 173 prescriptions for Eliquis, about 1.7 times as often as the typical Arkansas prescriber of it (101). Medicare paid $757.53 per fill, versus $708.97 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood.
Compared with Arkansas prescribers
Dr. Carmical wrote 173 prescriptions for Potassium Chloride, about 1.7 times as often as the typical Arkansas prescriber of it (101). Medicare paid $12.47 per fill, versus $16.48 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Arkansas prescribers
Dr. Carmical wrote 170 prescriptions for Amitriptyline Hcl, about 4.6 times as often as the typical Arkansas prescriber of it (37). Medicare paid $13.61 per fill, versus $13.69 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Carvedilol is used to treat high blood pressure and heart failure.
Compared with Arkansas prescribers
Dr. Carmical wrote 170 prescriptions for Carvedilol, about 2 times as often as the typical Arkansas prescriber of it (86). Medicare paid $4.14 per fill, versus $6.36 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Clonazepam is used to prevent and control seizures.
Compared with Arkansas prescribers
Dr. Carmical wrote 170 prescriptions for Clonazepam, about 2.6 times as often as the typical Arkansas prescriber of it (65). Medicare paid $6.60 per fill, versus $7.24 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing.
Compared with Arkansas prescribers
Dr. Carmical wrote 170 prescriptions for Fluticasone Propionate, about 2.9 times as often as the typical Arkansas prescriber of it (59). Medicare paid $10.51 per fill, versus $12.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Arkansas prescribers
Dr. Carmical wrote 169 prescriptions for Diclofenac Sodium, about 3.4 times as often as the typical Arkansas prescriber of it (50). Medicare paid $17.32 per fill, versus $19.67 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Azithromycin is used to treat a wide variety of bacterial infections.
Compared with Arkansas prescribers
Dr. Carmical wrote 165 prescriptions for Azithromycin, about 4 times as often as the typical Arkansas prescriber of it (41). Medicare paid $3.33 per fill, versus $4.96 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a wide variety of bacterial infections, including those that cause acne.
Compared with Arkansas prescribers
Dr. Carmical wrote 163 prescriptions for Doxycycline Hyclate, about 4.4 times as often as the typical Arkansas prescriber of it (37). Medicare paid $11.36 per fill, versus $11.93 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pravastatin 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.
Compared with Arkansas prescribers
Dr. Carmical wrote 156 prescriptions for Pravastatin Sodium, about 2.4 times as often as the typical Arkansas prescriber of it (64). Medicare paid $9.70 per fill, versus $12.24 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
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.
Compared with Arkansas prescribers
Dr. Carmical wrote 143 prescriptions for Rosuvastatin Calcium, about 1.4 times as often as the typical Arkansas prescriber of it (100). Medicare paid $7.51 per fill, versus $11.51 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with Arkansas prescribers
Dr. Carmical wrote 142 prescriptions for Escitalopram Oxalate, about 2.3 times as often as the typical Arkansas prescriber of it (62). Medicare paid $7.11 per fill, versus $8.68 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tirzepatide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 136 prescriptions for Mounjaro, about 2.6 times as often as the typical Arkansas prescriber of it (52). Medicare paid $1,100.90 per fill, versus $1,166.92 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with Arkansas prescribers
Dr. Carmical wrote 136 prescriptions for Ondansetron Odt, about 4 times as often as the typical Arkansas prescriber of it (34). Medicare paid $11.58 per fill, versus $13.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Arkansas prescribers
Dr. Carmical wrote 135 prescriptions for Bupropion Xl, about 3 times as often as the typical Arkansas prescriber of it (45). Medicare paid $31.89 per fill, versus $19.49 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Arkansas prescribers
Dr. Carmical wrote 129 prescriptions for Tramadol Hcl, about 1.7 times as often as the typical Arkansas prescriber of it (74). Medicare paid $9.81 per fill, versus $6.86 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with Arkansas prescribers
Dr. Carmical wrote 127 prescriptions for Allopurinol, about 2.1 times as often as the typical Arkansas prescriber of it (61). Medicare paid $10.96 per fill, versus $8.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metoprolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 127 prescriptions for Metoprolol Tartrate, about 1.5 times as often as the typical Arkansas prescriber of it (86). Medicare paid $3.72 per fill, versus $5.14 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed.
Compared with Arkansas prescribers
Dr. Carmical wrote 125 prescriptions for Famotidine, about 2.4 times as often as the typical Arkansas prescriber of it (52). Medicare paid $8.75 per fill, versus $12.55 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Arkansas prescribers
Dr. Carmical wrote 122 prescriptions for Trazodone Hcl, about 1.4 times as often as the typical Arkansas prescriber of it (85). Medicare paid $6.45 per fill, versus $7.35 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder).
Compared with Arkansas prescribers
Dr. Carmical wrote 114 prescriptions for Fluoxetine Hcl, about 2.4 times as often as the typical Arkansas prescriber of it (48). Medicare paid $7.05 per fill, versus $8.58 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Arkansas prescribers
Dr. Carmical wrote 114 prescriptions for Simvastatin, about 1.6 times as often as the typical Arkansas prescriber of it (73). Medicare paid $6.51 per fill, versus $6.67 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydralazine is used with or without other medications to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 112 prescriptions for Hydralazine Hcl, about 2.5 times as often as the typical Arkansas prescriber of it (45). Medicare paid $4.02 per fill, versus $10.94 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema).
Compared with Arkansas prescribers
Dr. Carmical wrote 111 prescriptions for Trelegy Ellipta, about 1.9 times as often as the typical Arkansas prescriber of it (59). Medicare paid $924.15 per fill, versus $786.80 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Meloxicam is used to treat arthritis.
Compared with Arkansas prescribers
Dr. Carmical wrote 107 prescriptions for Meloxicam, about 1.4 times as often as the typical Arkansas prescriber of it (77). Medicare paid $3.54 per fill, versus $4.28 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Spironolactone is used to treat high blood pressure and heart failure.
Compared with Arkansas prescribers
Dr. Carmical wrote 104 prescriptions for Spironolactone, about 2 times as often as the typical Arkansas prescriber of it (52). Medicare paid $5.76 per fill, versus $7.18 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Arkansas prescribers
Dr. Carmical wrote 98 prescriptions for Metformin Hcl, about as often as the typical Arkansas prescriber of it (101). Medicare paid $3.64 per fill, versus $5.96 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with Arkansas prescribers
Dr. Carmical wrote 95 prescriptions for Montelukast Sodium, about 1.5 times as often as the typical Arkansas prescriber of it (64). Medicare paid $9.38 per fill, versus $8.58 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 94 prescriptions for Hydrochlorothiazide, about as often as the typical Arkansas prescriber of it (83). Medicare paid $3.37 per fill, versus $3.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a certain sleep problem (insomnia).
Compared with Arkansas prescribers
Dr. Carmical wrote 91 prescriptions for Temazepam, about 2.7 times as often as the typical Arkansas prescriber of it (33). Medicare paid $10.91 per fill, versus $10.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
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).
Compared with Arkansas prescribers
Dr. Carmical wrote 90 prescriptions for Clopidogrel, about as often as the typical Arkansas prescriber of it (85). Medicare paid $10.99 per fill, versus $9.01 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Arkansas prescribers
Dr. Carmical wrote 89 prescriptions for Citalopram Hbr, about 1.6 times as often as the typical Arkansas prescriber of it (54). Medicare paid $2.75 per fill, versus $5.40 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fluconazole is used to treat vaginal yeast infections.
Compared with Arkansas prescribers
Dr. Carmical wrote 87 prescriptions for Fluconazole, about 3.3 times as often as the typical Arkansas prescriber of it (26). Medicare paid $10.59 per fill, versus $9.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
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).
Compared with Arkansas prescribers
Dr. Carmical wrote 82 prescriptions for Sertraline Hcl, about as often as the typical Arkansas prescriber of it (72). Medicare paid $5.32 per fill, versus $7.55 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 78 prescriptions for Jardiance, about 1.4 times as often as the typical Arkansas prescriber of it (56). Medicare paid $923.98 per fill, versus $831.82 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat anxiety.
Compared with Arkansas prescribers
Dr. Carmical wrote 76 prescriptions for Buspirone Hcl, about 1.5 times as often as the typical Arkansas prescriber of it (52). Medicare paid $16.07 per fill, versus $13.28 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Donepezil is used to treat confusion (dementia) related to Alzheimer's disease.
Compared with Arkansas prescribers
Dr. Carmical wrote 74 prescriptions for Donepezil Hcl, about 1.3 times as often as the typical Arkansas prescriber of it (56). Medicare paid $9.23 per fill, versus $10.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Chlorthalidone is used to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 70 prescriptions for Chlorthalidone, about 2.3 times as often as the typical Arkansas prescriber of it (31). Medicare paid $12.72 per fill, versus $14.16 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a hormone.
Compared with Arkansas prescribers
Dr. Carmical wrote 68 prescriptions for Estradiol, about 1.5 times as often as the typical Arkansas prescriber of it (45). Medicare paid $7.72 per fill, versus $27.94 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults.
Compared with Arkansas prescribers
Dr. Carmical wrote 65 prescriptions for Alendronate Sodium, about 1.4 times as often as the typical Arkansas prescriber of it (48). Medicare paid $5.39 per fill, versus $6.80 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions.
Compared with Arkansas prescribers
Dr. Carmical wrote 63 prescriptions for Oxybutynin Chloride Er, about 1.8 times as often as the typical Arkansas prescriber of it (34). Medicare paid $13.69 per fill, versus $17.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men.
Compared with Arkansas prescribers
Dr. Carmical wrote 61 prescriptions for Finasteride, about 1.3 times as often as the typical Arkansas prescriber of it (48). Medicare paid $7.20 per fill, versus $11.23 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections.
Compared with Arkansas prescribers
Dr. Carmical wrote 60 prescriptions for Amoxicillin-Clavulanate Potass, about 2 times as often as the typical Arkansas prescriber of it (29). Medicare paid $8.97 per fill, versus $10.17 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults.
Compared with Arkansas prescribers
Dr. Carmical wrote 58 prescriptions for Zolpidem Tartrate, about as often as the typical Arkansas prescriber of it (59). Medicare paid $7.33 per fill, versus $6.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery.
Compared with Arkansas prescribers
Dr. Carmical wrote 57 prescriptions for Xarelto, about 1.2 times as often as the typical Arkansas prescriber of it (49). Medicare paid $765.47 per fill, versus $743.12 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to prevent people who have been addicted to certain drugs (opiates) from taking them again.
Compared with Arkansas prescribers
Dr. Carmical wrote 56 prescriptions for Naltrexone Hcl, about 3 times as often as the typical Arkansas prescriber of it (19). Medicare paid $55.05 per fill, versus $46.49 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a combination of insulin glargine and lixisenatide and is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 56 prescriptions for Soliqua 100-33, about 1.8 times as often as the typical Arkansas prescriber of it (31). Medicare paid $964.87 per fill, versus $979.41 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Arkansas prescribers
Dr. Carmical wrote 55 prescriptions for Naproxen, about 2.1 times as often as the typical Arkansas prescriber of it (26). Medicare paid $13.60 per fill, versus $12.07 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Terbinafine is used to treat certain types of fungal infections (for example, of the fingernail or toenail).
Compared with Arkansas prescribers
Dr. Carmical wrote 54 prescriptions for Terbinafine Hcl, about 2.2 times as often as the typical Arkansas prescriber of it (24). Medicare paid $10.34 per fill, versus $10.20 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Dulaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 54 prescriptions for Trulicity, about 1.7 times as often as the typical Arkansas prescriber of it (31). Medicare paid $937.56 per fill, versus $1,161.49 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 53 prescriptions for Lisinopril-Hydrochlorothiazide, about 1.2 times as often as the typical Arkansas prescriber of it (44). Medicare paid $6.46 per fill, versus $6.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Alprazolam is used to treat anxiety and panic disorders.
Compared with Arkansas prescribers
Dr. Carmical wrote 51 prescriptions for Alprazolam, about 61% as often as the typical Arkansas prescriber of it (84). Medicare paid $7.44 per fill, versus $4.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cefdinir is used to treat a wide variety of bacterial infections.
Compared with Arkansas prescribers
Dr. Carmical wrote 51 prescriptions for Cefdinir, about 1.5 times as often as the typical Arkansas prescriber of it (34). Medicare paid $15.57 per fill, versus $15.62 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or with other medications to treat Parkinson's disease.
Compared with Arkansas prescribers
Dr. Carmical wrote 51 prescriptions for Ropinirole Hcl, about 1.3 times as often as the typical Arkansas prescriber of it (39). Medicare paid $10.76 per fill, versus $13.96 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease).
Compared with Arkansas prescribers
Dr. Carmical wrote 50 prescriptions for Ventolin Hfa, about 1.7 times as often as the typical Arkansas prescriber of it (29). Medicare paid $61.14 per fill, versus $65.91 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Evolocumab is used along with a proper diet to help lower "bad" cholesterol (LDL) in the blood.
Compared with Arkansas prescribers
Dr. Carmical wrote 49 prescriptions for Repatha Sureclick, about 1.3 times as often as the typical Arkansas prescriber of it (37). Medicare paid $567.42 per fill, versus $796.64 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat and prevent ulcers in the intestines.
Compared with Arkansas prescribers
Dr. Carmical wrote 47 prescriptions for Sucralfate, about 1.3 times as often as the typical Arkansas prescriber of it (37). Medicare paid $36.32 per fill, versus $38.83 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a laxative used to treat constipation.
Compared with Arkansas prescribers
Dr. Carmical wrote 46 prescriptions for Lactulose, about 1.7 times as often as the typical Arkansas prescriber of it (28). Medicare paid $17.58 per fill, versus $21.89 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease).
Compared with Arkansas prescribers
Dr. Carmical wrote 43 prescriptions for Isosorbide Mononitrate Er, about 77% as often as the typical Arkansas prescriber of it (56). Medicare paid $5.59 per fill, versus $10.01 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Arkansas prescribers
Dr. Carmical wrote 41 prescriptions for Linzess, about 1.4 times as often as the typical Arkansas prescriber of it (30). Medicare paid $738.24 per fill, versus $730.23 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with Arkansas prescribers
Dr. Carmical wrote 41 prescriptions for Triamcinolone Acetonide, about as often as the typical Arkansas prescriber of it (36). Medicare paid $3.41 per fill, versus $8.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 40 prescriptions for Lantus Solostar, about as often as the typical Arkansas prescriber of it (36). Medicare paid $93.39 per fill, versus $133.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat anxiety.
Compared with Arkansas prescribers
Dr. Carmical wrote 39 prescriptions for Lorazepam, about 76% as often as the typical Arkansas prescriber of it (51). Medicare paid $4.01 per fill, versus $5.83 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema).
Compared with Arkansas prescribers
Dr. Carmical wrote 38 prescriptions for Breztri Aerosphere, about as often as the typical Arkansas prescriber of it (35). Medicare paid $748.50 per fill, versus $732.80 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Folic acid is the man-made form of folate.
Compared with Arkansas prescribers
Dr. Carmical wrote 38 prescriptions for Folic Acid, about 1.2 times as often as the typical Arkansas prescriber of it (31). Medicare paid $2.66 per fill, versus $5.85 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Olmesartan is used to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 38 prescriptions for Olmesartan Medoxomil, about 89% as often as the typical Arkansas prescriber of it (43). Medicare paid $8.69 per fill, versus $13.80 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methenamine is used to prevent or control returning urinary tract infections caused by certain bacteria.
Compared with Arkansas prescribers
Dr. Carmical wrote 37 prescriptions for Methenamine Hippurate, about 1.2 times as often as the typical Arkansas prescriber of it (31). Medicare paid $77.46 per fill, versus $61.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Mupirocin is used to treat certain skin infections (such as impetigo).
Compared with Arkansas prescribers
Dr. Carmical wrote 37 prescriptions for Mupirocin, about 1.2 times as often as the typical Arkansas prescriber of it (30). Medicare paid $6.80 per fill, versus $8.20 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury).
Compared with Arkansas prescribers
Dr. Carmical wrote 37 prescriptions for Tizanidine Hcl, about half as often as the typical Arkansas prescriber of it (70). Medicare paid $9.94 per fill, versus $10.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication contains 2 medicines: buprenorphine and naloxone.
Compared with Arkansas prescribers
Dr. Carmical wrote 36 prescriptions for Buprenorphine-Naloxone, about half as often as the typical Arkansas prescriber of it (73). Medicare paid $93.31 per fill, versus $142.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Valacyclovir is used to treat infections caused by certain types of viruses.
Compared with Arkansas prescribers
Dr. Carmical wrote 36 prescriptions for Valacyclovir, about 1.6 times as often as the typical Arkansas prescriber of it (22). Medicare paid $29.25 per fill, versus $32.87 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder).
Compared with Arkansas prescribers
Dr. Carmical wrote 35 prescriptions for Venlafaxine Hcl Er, about 90% as often as the typical Arkansas prescriber of it (39). Medicare paid $24.43 per fill, versus $18.88 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or with other medications to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 33 prescriptions for Clonidine, about 1.5 times as often as the typical Arkansas prescriber of it (22). Medicare paid $90.22 per fill, versus $107.84 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cyclobenzaprine is used short-term to treat muscle spasms.
Compared with Arkansas prescribers
Dr. Carmical wrote 32 prescriptions for Cyclobenzaprine Hcl, about half as often as the typical Arkansas prescriber of it (54). Medicare paid $9.27 per fill, versus $8.68 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Oseltamivir is used to treat symptoms caused by the flu virus (influenza).
Compared with Arkansas prescribers
Dr. Carmical wrote 32 prescriptions for Oseltamivir Phosphate, about 1.6 times as often as the typical Arkansas prescriber of it (20). Medicare paid $29.86 per fill, versus $40.22 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions.
Compared with Arkansas prescribers
Dr. Carmical wrote 32 prescriptions for Propranolol Hcl, about as often as the typical Arkansas prescriber of it (29). Medicare paid $10.94 per fill, versus $15.04 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina).
Compared with Arkansas prescribers
Dr. Carmical wrote 31 prescriptions for Diltiazem 24hr Er (Cd), about 87% as often as the typical Arkansas prescriber of it (36). Medicare paid $22.09 per fill, versus $21.04 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fenofibrate 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.
Compared with Arkansas prescribers
Dr. Carmical wrote 31 prescriptions for Fenofibrate, about as often as the typical Arkansas prescriber of it (29). Medicare paid $6.31 per fill, versus $20.23 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ketoconazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff.
Compared with Arkansas prescribers
Dr. Carmical wrote 30 prescriptions for Ketoconazole, about half as often as the typical Arkansas prescriber of it (52). Medicare paid $15.93 per fill, versus $17.92 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Nystatin is used to treat fungal skin infections.
Compared with Arkansas prescribers
Dr. Carmical wrote 30 prescriptions for Nystatin, about 1.3 times as often as the typical Arkansas prescriber of it (22). Medicare paid $15.17 per fill, versus $16.21 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levofloxacin is used to treat a variety of bacterial infections.
Compared with Arkansas prescribers
Dr. Carmical wrote 29 prescriptions for Levofloxacin, about as often as the typical Arkansas prescriber of it (27). Medicare paid $5.65 per fill, versus $5.10 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites.
Compared with Arkansas prescribers
Dr. Carmical wrote 27 prescriptions for Hydroxychloroquine Sulfate, about 33% as often as the typical Arkansas prescriber of it (82). Medicare paid $16.74 per fill, versus $32.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This drug is used to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 27 prescriptions for Losartan-Hydrochlorothiazide, about 64% as often as the typical Arkansas prescriber of it (42). Medicare paid $21.92 per fill, versus $12.50 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is an antibiotic used to treat bladder infections (acute cystitis).
Compared with Arkansas prescribers
Dr. Carmical wrote 27 prescriptions for Nitrofurantoin Mono-Macro, about as often as the typical Arkansas prescriber of it (29). Medicare paid $35.58 per fill, versus $18.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury.
Compared with Arkansas prescribers
Dr. Carmical wrote 27 prescriptions for Pregabalin, about half as often as the typical Arkansas prescriber of it (59). Medicare paid $14.61 per fill, versus $28.48 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder).
Compared with Arkansas prescribers
Dr. Carmical wrote 26 prescriptions for Aripiprazole, about 61% as often as the typical Arkansas prescriber of it (42). Medicare paid $50.05 per fill, versus $51.69 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy).
Compared with Arkansas prescribers
Dr. Carmical wrote 26 prescriptions for Topiramate, about 71% as often as the typical Arkansas prescriber of it (37). Medicare paid $3.22 per fill, versus $8.99 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Arkansas prescribers
Dr. Carmical wrote 25 prescriptions for Bumetanide, about 72% as often as the typical Arkansas prescriber of it (35). Medicare paid $32.49 per fill, versus $31.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim.
Compared with Arkansas prescribers
Dr. Carmical wrote 25 prescriptions for Sulfamethoxazole-Trimethoprim, about as often as the typical Arkansas prescriber of it (27). Medicare paid $6.00 per fill, versus $5.02 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Valsartan is used to treat high blood pressure and heart failure.
Compared with Arkansas prescribers
Dr. Carmical wrote 25 prescriptions for Valsartan, about 65% as often as the typical Arkansas prescriber of it (39). Medicare paid $28.49 per fill, versus $21.16 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fenofibrate 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.
Compared with Arkansas prescribers
Dr. Carmical wrote 24 prescriptions for Fenofibrate, about as often as the typical Arkansas prescriber of it (26). Medicare paid $21.70 per fill, versus $22.16 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Arkansas prescribers
Dr. Carmical wrote 24 prescriptions for Mirtazapine, about half as often as the typical Arkansas prescriber of it (49). Medicare paid $16.67 per fill, versus $17.38 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Oxybutynin is used to treat certain bladder and urinary conditions (such as overactive bladder).
Compared with Arkansas prescribers
Dr. Carmical wrote 24 prescriptions for Oxybutynin Chloride, about 82% as often as the typical Arkansas prescriber of it (29). Medicare paid $12.28 per fill, versus $16.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methocarbamol is used to treat muscle spasms/pain.
Compared with Arkansas prescribers
Dr. Carmical wrote 23 prescriptions for Methocarbamol, about 69% as often as the typical Arkansas prescriber of it (33). Medicare paid $12.20 per fill, versus $12.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body.
Compared with Arkansas prescribers
Dr. Carmical wrote 23 prescriptions for Warfarin Sodium, about half as often as the typical Arkansas prescriber of it (43). Medicare paid $6.48 per fill, versus $6.71 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation).
Compared with Arkansas prescribers
Dr. Carmical wrote 22 prescriptions for Celecoxib, about half as often as the typical Arkansas prescriber of it (44). Medicare paid $100.37 per fill, versus $25.13 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levetiracetam is used to treat seizures (epilepsy).
Compared with Arkansas prescribers
Dr. Carmical wrote 22 prescriptions for Levetiracetam, about half as often as the typical Arkansas prescriber of it (46). Medicare paid $21.97 per fill, versus $28.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease.
Compared with Arkansas prescribers
Dr. Carmical wrote 22 prescriptions for Memantine Hcl, about half as often as the typical Arkansas prescriber of it (51). Medicare paid $19.76 per fill, versus $31.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pramipexole is used alone or with other medications to treat Parkinson's disease.
Compared with Arkansas prescribers
Dr. Carmical wrote 22 prescriptions for Pramipexole Dihydrochloride, about 74% as often as the typical Arkansas prescriber of it (30). Medicare paid $16.34 per fill, versus $13.03 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 22 prescriptions for Rybelsus, about as often as the typical Arkansas prescriber of it (21). Medicare paid $1,257.47 per fill, versus $1,287.40 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood.
Compared with Arkansas prescribers
Dr. Carmical wrote 21 prescriptions for Ezetimibe, about 41% as often as the typical Arkansas prescriber of it (52). Medicare paid $8.72 per fill, versus $18.93 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to relieve chest pain (angina) in people that have a certain heart condition (coronary artery disease).
Compared with Arkansas prescribers
Dr. Carmical wrote 21 prescriptions for Nitroglycerin, about half as often as the typical Arkansas prescriber of it (38). Medicare paid $13.98 per fill, versus $11.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with Arkansas prescribers
Dr. Carmical wrote 21 prescriptions for Ondansetron Hcl, about 66% as often as the typical Arkansas prescriber of it (32). Medicare paid $14.24 per fill, versus $12.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Terazosin is used alone or with other drugs to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 21 prescriptions for Terazosin Hcl, about 79% as often as the typical Arkansas prescriber of it (26). Medicare paid $5.96 per fill, versus $13.32 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Benazepril is used to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 19 prescriptions for Benazepril Hcl, about 82% as often as the typical Arkansas prescriber of it (23). Medicare paid $4.67 per fill, versus $7.95 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to prevent and decrease symptoms (wheezing and trouble breathing) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema).
Compared with Arkansas prescribers
Dr. Carmical wrote 19 prescriptions for Breo Ellipta, about 63% as often as the typical Arkansas prescriber of it (30). Medicare paid $427.43 per fill, versus $479.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to treat attention deficit hyperactivity disorder - ADHD.
Compared with Arkansas prescribers
Dr. Carmical wrote 19 prescriptions for Dextroamphetamine-Amphetamine, about half as often as the typical Arkansas prescriber of it (36). Medicare paid $30.03 per fill, versus $31.63 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus.
Compared with Arkansas prescribers
Dr. Carmical wrote 19 prescriptions for Vitamin D2, about 62% as often as the typical Arkansas prescriber of it (31). Medicare paid $7.88 per fill, versus $9.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or with other medications to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 18 prescriptions for Clonidine Hcl, about half as often as the typical Arkansas prescriber of it (34). Medicare paid $2.40 per fill, versus $4.96 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Dicyclomine is used to treat a certain type of intestinal problem called irritable bowel syndrome.
Compared with Arkansas prescribers
Dr. Carmical wrote 18 prescriptions for Dicyclomine Hcl, about 63% as often as the typical Arkansas prescriber of it (29). Medicare paid $25.91 per fill, versus $18.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metolazone is a "water pill" (diuretic) that increases the amount of urine you make, which causes your body to get rid of excess water.
Compared with Arkansas prescribers
Dr. Carmical wrote 18 prescriptions for Metolazone, about 75% as often as the typical Arkansas prescriber of it (24). Medicare paid $12.98 per fill, versus $20.50 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Nebivolol is used to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 18 prescriptions for Nebivolol Hcl, about 67% as often as the typical Arkansas prescriber of it (27). Medicare paid $65.84 per fill, versus $46.20 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of bacterial infections.
Compared with Arkansas prescribers
Dr. Carmical wrote 17 prescriptions for Ciprofloxacin Hcl, about 61% as often as the typical Arkansas prescriber of it (28). Medicare paid $11.18 per fill, versus $6.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to prevent or treat gout attacks (flares).
Compared with Arkansas prescribers
Dr. Carmical wrote 17 prescriptions for Colchicine, about 63% as often as the typical Arkansas prescriber of it (27). Medicare paid $28.05 per fill, versus $48.34 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Diazepam is used to treat anxiety, alcohol withdrawal, and seizures.
Compared with Arkansas prescribers
Dr. Carmical wrote 17 prescriptions for Diazepam, about half as often as the typical Arkansas prescriber of it (36). Medicare paid $2.29 per fill, versus $6.69 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Lamotrigine is used alone or with other medications to prevent and control seizures.
Compared with Arkansas prescribers
Dr. Carmical wrote 17 prescriptions for Lamotrigine, about 38% as often as the typical Arkansas prescriber of it (45). Medicare paid $7.67 per fill, versus $11.60 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Lovastatin 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.
Compared with Arkansas prescribers
Dr. Carmical wrote 17 prescriptions for Lovastatin, about half as often as the typical Arkansas prescriber of it (29). Medicare paid $4.11 per fill, versus $8.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness.
Compared with Arkansas prescribers
Dr. Carmical wrote 16 prescriptions for Meclizine Hcl, about 67% as often as the typical Arkansas prescriber of it (24). Medicare paid $12.73 per fill, versus $10.87 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 16 prescriptions for Novolog Flexpen, about half as often as the typical Arkansas prescriber of it (31). Medicare paid $193.63 per fill, versus $221.25 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to help relieve moderate to severe pain.
Compared with Arkansas prescribers
Dr. Carmical wrote 16 prescriptions for Oxycodone-Acetaminophen, about 17% as often as the typical Arkansas prescriber of it (94). Medicare paid $22.57 per fill, versus $26.02 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema).
Compared with Arkansas prescribers
Dr. Carmical wrote 16 prescriptions for Symbicort, about half as often as the typical Arkansas prescriber of it (27). Medicare paid $240.56 per fill, versus $289.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Arkansas prescribers
Dr. Carmical wrote 16 prescriptions for Synthroid, about half as often as the typical Arkansas prescriber of it (35). Medicare paid $69.67 per fill, versus $62.03 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 16 prescriptions for Tresiba Flextouch U-100, about half as often as the typical Arkansas prescriber of it (29). Medicare paid $502.50 per fill, versus $621.67 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Atenolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 15 prescriptions for Atenolol, about 31% as often as the typical Arkansas prescriber of it (48). Medicare paid $4.98 per fill, versus $6.01 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat diarrhea.
Compared with Arkansas prescribers
Dr. Carmical wrote 15 prescriptions for Diphenoxylate-Atropine, about 74% as often as the typical Arkansas prescriber of it (20). Medicare paid $18.66 per fill, versus $16.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder).
Compared with Arkansas prescribers
Dr. Carmical wrote 15 prescriptions for Olanzapine, about 36% as often as the typical Arkansas prescriber of it (41). Medicare paid $22.69 per fill, versus $23.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, anxiety disorders, post-traumatic stress disorder).
Compared with Arkansas prescribers
Dr. Carmical wrote 15 prescriptions for Paroxetine Hcl, about half as often as the typical Arkansas prescriber of it (29). Medicare paid $6.31 per fill, versus $11.46 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This drug is used to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 15 prescriptions for Triamterene-Hydrochlorothiazid, about 37% as often as the typical Arkansas prescriber of it (40). Medicare paid $3.96 per fill, versus $7.50 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Varenicline is used by adults to help stop smoking.
Compared with Arkansas prescribers
Dr. Carmical wrote 15 prescriptions for Varenicline Tartrate, about 85% as often as the typical Arkansas prescriber of it (18). Medicare paid $258.69 per fill, versus $232.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cyanocobalamin is a man-made form of vitamin B12 used to treat low levels (deficiency) of this vitamin.
Compared with Arkansas prescribers
Dr. Carmical wrote 14 prescriptions for Cyanocobalamin Injection, about 63% as often as the typical Arkansas prescriber of it (22). Medicare paid $13.97 per fill, versus $10.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fenofibrate 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.
Compared with Arkansas prescribers
Dr. Carmical wrote 14 prescriptions for Fenofibrate, about 76% as often as the typical Arkansas prescriber of it (19). Medicare paid $14.19 per fill, versus $20.01 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydroxyzine is used to treat itching caused by allergies.
Compared with Arkansas prescribers
Dr. Carmical wrote 14 prescriptions for Hydroxyzine Hcl, about half as often as the typical Arkansas prescriber of it (32). Medicare paid $18.79 per fill, versus $16.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Buprenorphine is used to treat opioid use disorder.
Compared with Arkansas prescribers
Dr. Carmical wrote 13 prescriptions for Buprenorphine Hcl, about 26% as often as the typical Arkansas prescriber of it (50). Medicare paid $16.05 per fill, versus $40.26 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving).
Compared with Arkansas prescribers
Dr. Carmical wrote 13 prescriptions for Carbidopa-Levodopa, about 24% as often as the typical Arkansas prescriber of it (54). Medicare paid $9.35 per fill, versus $25.07 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs (intermittent claudication).
Compared with Arkansas prescribers
Dr. Carmical wrote 13 prescriptions for Cilostazol, about half as often as the typical Arkansas prescriber of it (26). Medicare paid $12.10 per fill, versus $17.53 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This product is used to treat certain types of heart failure.
Compared with Arkansas prescribers
Dr. Carmical wrote 13 prescriptions for Entresto, about 19% as often as the typical Arkansas prescriber of it (67). Medicare paid $682.60 per fill, versus $812.15 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Arkansas prescribers
Dr. Carmical wrote 13 prescriptions for Promethazine Hcl, about 38% as often as the typical Arkansas prescriber of it (34). Medicare paid $7.14 per fill, versus $8.85 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a serious (possibly life-threatening) type of fast heartbeat called sustained ventricular tachycardia.
Compared with Arkansas prescribers
Dr. Carmical wrote 13 prescriptions for Sotalol, about 25% as often as the typical Arkansas prescriber of it (52). Medicare paid $9.11 per fill, versus $16.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Sumatriptan is used to treat migraines.
Compared with Arkansas prescribers
Dr. Carmical wrote 13 prescriptions for Sumatriptan Succinate, about half as often as the typical Arkansas prescriber of it (24). Medicare paid $6.03 per fill, versus $16.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as bipolar disorder, depression, schizophrenia).
Compared with Arkansas prescribers
Dr. Carmical wrote 13 prescriptions for Vraylar, about half as often as the typical Arkansas prescriber of it (27). Medicare paid $1,454.53 per fill, versus $1,475.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema).
Compared with Arkansas prescribers
Dr. Carmical wrote 12 prescriptions for Anoro Ellipta, about half as often as the typical Arkansas prescriber of it (27). Medicare paid $875.16 per fill, versus $540.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches.
Compared with Arkansas prescribers
Dr. Carmical wrote 12 prescriptions for Divalproex Sodium Er, about half as often as the typical Arkansas prescriber of it (28). Medicare paid $15.41 per fill, versus $63.72 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Arkansas prescribers
Dr. Carmical wrote 12 prescriptions for Glimepiride, about 24% as often as the typical Arkansas prescriber of it (50). Medicare paid $10.20 per fill, versus $7.43 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders.
Compared with Arkansas prescribers
Dr. Carmical wrote 12 prescriptions for Methylprednisolone, about 32% as often as the typical Arkansas prescriber of it (37). Medicare paid $5.71 per fill, versus $7.47 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Nifedipine is used alone or in combination with other drugs to treat high blood pressure (hypertension).
Compared with Arkansas prescribers
Dr. Carmical wrote 12 prescriptions for Nifedipine Er, about 31% as often as the typical Arkansas prescriber of it (38). Medicare paid $5.94 per fill, versus $19.93 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to make the urine less acidic.
Compared with Arkansas prescribers
Dr. Carmical wrote 12 prescriptions for Potassium Citrate Er, about half as often as the typical Arkansas prescriber of it (21). Medicare paid $43.22 per fill, versus $74.13 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
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).
Compared with Arkansas prescribers
Dr. Carmical wrote 12 prescriptions for Quetiapine Fumarate, about 23% as often as the typical Arkansas prescriber of it (52). Medicare paid $60.27 per fill, versus $16.45 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Verapamil is used to treat high blood pressure.
Compared with Arkansas prescribers
Dr. Carmical wrote 12 prescriptions for Verapamil Er, about half as often as the typical Arkansas prescriber of it (24). Medicare paid $30.80 per fill, versus $23.45 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia).
Compared with Arkansas prescribers
Dr. Carmical wrote 11 prescriptions for Amiodarone Hcl, about 23% as often as the typical Arkansas prescriber of it (47). Medicare paid $2.94 per fill, versus $16.61 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with Arkansas prescribers
Dr. Carmical wrote 11 prescriptions for Doxepin Hcl, about 41% as often as the typical Arkansas prescriber of it (27). Medicare paid $15.24 per fill, versus $29.84 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of skin conditions (such as insect bites, poison oak/ivy, eczema, dermatitis, allergies, rash, itching of the outer female genitals, anal itching).
Compared with Arkansas prescribers
Dr. Carmical wrote 11 prescriptions for Hydrocortisone, about 35% as often as the typical Arkansas prescriber of it (31). Medicare paid $53.65 per fill, versus $16.65 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with Arkansas prescribers
Dr. Carmical wrote 11 prescriptions for Nano 2nd Gen Pen Needle, about 38% as often as the typical Arkansas prescriber of it (29). Medicare paid $59.62 per fill, versus $89.54 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination of nirmatrelvir and ritonavir is used to treat coronavirus disease (COVID-19) in people who have mild to moderate symptoms and have a high risk for COVID-19 complications.
Compared with Arkansas prescribers
Dr. Carmical wrote 11 prescriptions for Paxlovid, about half as often as the typical Arkansas prescriber of it (18). Medicare paid $129.92 per fill, versus $64.56 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used in men who do not make enough of a natural substance called testosterone.
Compared with Arkansas prescribers
Dr. Carmical wrote 11 prescriptions for Testosterone Cypionate, about 39% as often as the typical Arkansas prescriber of it (28). Medicare paid $49.72 per fill, versus $30.83 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat diarrhea caused by the common bacteria known as E.
Compared with Arkansas prescribers
Dr. Carmical wrote 11 prescriptions for Xifaxan, about half as often as the typical Arkansas prescriber of it (26). Medicare paid $3,015.64 per fill, versus $2,857.97 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Dr. Carmical’s prescriptions
What does Dr. Carmical prescribe most?
In 2024 Medicare Part D data, Dr. Carmical's most prescribed medications were Losartan Potassium (688), Atorvastatin Calcium (588) and Amlodipine Besylate (550).
How does Dr. Carmical's prescribing compare with other Arkansas prescribers?
Of the 172 medications with a state comparison, Dr. Carmical prescribes 72 more often than the typical Arkansas prescriber, 31 about as often and 69 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Carmical prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the Arkansas prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
