ARUTYUN TOPSAKALYAN MD
Prescription History 1205906310
General Practice in Glendale, CA
What does Dr. Topsakalyan prescribe?
In 2024, Dr. Topsakalyan wrote 93,304 Medicare prescriptions for 412 medications. The most prescribed was Rosuvastatin Calcium, with 2,542 prescriptions for 282 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. Topsakalyan prescribes.
Medications 412 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 California prescribers.
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 California prescribers
Dr. Topsakalyan wrote 2,542 prescriptions for Rosuvastatin Calcium, about 25 times as often as the typical California prescriber of it (101). Medicare paid $3.47 per fill, versus $15.64 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
Donepezil is used to treat confusion (dementia) related to Alzheimer's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 2,486 prescriptions for Donepezil Hcl, about 43 times as often as the typical California prescriber of it (58). Medicare paid $2.60 per fill, versus $12.53 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
Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness.
Compared with California prescribers
Dr. Topsakalyan wrote 2,399 prescriptions for Meclizine Hcl, about 66 times as often as the typical California prescriber of it (37). Medicare paid $4.36 per fill, versus $7.01 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
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with California prescribers
Dr. Topsakalyan wrote 2,367 prescriptions for Tamsulosin Hcl, about 28 times as often as the typical California prescriber of it (84). Medicare paid $3.60 per fill, versus $15.02 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
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with California prescribers
Dr. Topsakalyan wrote 2,147 prescriptions for Omeprazole, about 28 times as often as the typical California prescriber of it (78). Medicare paid $2.49 per fill, versus $11.26 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
Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis.
Compared with California prescribers
Dr. Topsakalyan wrote 2,082 prescriptions for Ibuprofen, about 50 times as often as the typical California prescriber of it (42). Medicare paid $4.51 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
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 1,952 prescriptions for Amlodipine Besylate, about 14 times as often as the typical California prescriber of it (141). Medicare paid $0.89 per fill, versus $7.08 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
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 California prescribers
Dr. Topsakalyan wrote 1,819 prescriptions for Atorvastatin Calcium, about 9 times as often as the typical California prescriber of it (202). Medicare paid $2.55 per fill, versus $10.47 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
Gabapentin is used with other medications to prevent and control seizures.
Compared with California prescribers
Dr. Topsakalyan wrote 1,791 prescriptions for Gabapentin, about 22 times as often as the typical California prescriber of it (80). Medicare paid $3.32 per fill, versus $15.63 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
Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 1,585 prescriptions for Losartan Potassium, about 13 times as often as the typical California prescriber of it (121). Medicare paid $2.30 per fill, versus $10.35 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, post-traumatic stress disorder, social anxiety disorder).
Compared with California prescribers
Dr. Topsakalyan wrote 1,504 prescriptions for Sertraline Hcl, about 33 times as often as the typical California prescriber of it (46). Medicare paid $1.71 per fill, versus $9.59 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 California prescribers
Dr. Topsakalyan wrote 1,446 prescriptions for Escitalopram Oxalate, about 30 times as often as the typical California prescriber of it (48). Medicare paid $2.26 per fill, versus $11.14 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
This medication is used to treat depression.
Compared with California prescribers
Dr. Topsakalyan wrote 1,377 prescriptions for Mirtazapine, about 34 times as often as the typical California prescriber of it (40). Medicare paid $4.60 per fill, versus $19.05 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 California prescribers
Dr. Topsakalyan wrote 1,332 prescriptions for Clonidine Hcl, about 38 times as often as the typical California prescriber of it (35). Medicare paid $1.40 per fill, versus $6.25 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
Icosapent ethyl is used along with certain other cholesterol medications ("statins" such as atorvastatin, simvastatin) to reduce the risk of heart attack, stroke, and certain types of heart problems that require treatment in a hospital.
Compared with California prescribers
Dr. Topsakalyan wrote 1,274 prescriptions for Vascepa, about 16 times as often as the typical California prescriber of it (81). Medicare paid $324.05 per fill, versus $410.11 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
Meloxicam is used to treat arthritis.
Compared with California prescribers
Dr. Topsakalyan wrote 1,216 prescriptions for Meloxicam, about 24 times as often as the typical California prescriber of it (50). Medicare paid $1.39 per fill, versus $4.39 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 a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 1,205 prescriptions for Metoprolol Succinate, about 14 times as often as the typical California prescriber of it (86). Medicare paid $4.64 per fill, versus $14.23 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
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with California prescribers
Dr. Topsakalyan wrote 1,162 prescriptions for Metformin Hcl, about 12 times as often as the typical California prescriber of it (100). Medicare paid $40.11 per fill, versus $9.26 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 drug is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 1,121 prescriptions for Losartan-Hydrochlorothiazide, about 29 times as often as the typical California prescriber of it (39). Medicare paid $4.30 per fill, versus $13.09 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
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with California prescribers
Dr. Topsakalyan wrote 1,114 prescriptions for Levothyroxine Sodium, about 8.9 times as often as the typical California prescriber of it (125). Medicare paid $3.17 per fill, versus $13.30 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
Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 1,073 prescriptions for Memantine Hcl Er, about 23 times as often as the typical California prescriber of it (48). Medicare paid $86.53 per fill, versus $111.59 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 California prescribers
Dr. Topsakalyan wrote 1,053 prescriptions for Diclofenac Sodium, about 22 times as often as the typical California prescriber of it (47). Medicare paid $193.54 per fill, versus $107.23 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 a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation).
Compared with California prescribers
Dr. Topsakalyan wrote 1,009 prescriptions for Celecoxib, about 22 times as often as the typical California prescriber of it (46). Medicare paid $13.85 per fill, versus $32.27 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 California prescribers
Dr. Topsakalyan wrote 996 prescriptions for Hydralazine Hcl, about 23 times as often as the typical California prescriber of it (43). Medicare paid $3.43 per fill, versus $14.35 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
Dexlansoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with California prescribers
Dr. Topsakalyan wrote 957 prescriptions for Dexlansoprazole Dr, about 18 times as often as the typical California prescriber of it (52). Medicare paid $175.09 per fill, versus $223.44 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 California prescribers
Dr. Topsakalyan wrote 937 prescriptions for Zolpidem Tartrate, about 21 times as often as the typical California prescriber of it (45). Medicare paid $2.10 per fill, versus $6.02 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 934 prescriptions for Linzess, about 19 times as often as the typical California prescriber of it (49). Medicare paid $526.51 per fill, versus $699.60 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
Icosapent ethyl is used along with certain other cholesterol medications ("statins" such as atorvastatin, simvastatin) to reduce the risk of heart attack, stroke, and certain types of heart problems that require treatment in a hospital.
Compared with California prescribers
Dr. Topsakalyan wrote 927 prescriptions for Icosapent Ethyl, about 15 times as often as the typical California prescriber of it (61). Medicare paid $169.82 per fill, versus $209.56 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 to treat anxiety.
Compared with California prescribers
Dr. Topsakalyan wrote 926 prescriptions for Lorazepam, about 21 times as often as the typical California prescriber of it (43). Medicare paid $2.02 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
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 California prescribers
Dr. Topsakalyan wrote 918 prescriptions for Clopidogrel, about 19 times as often as the typical California prescriber of it (48). Medicare paid $2.77 per fill, versus $12.42 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
Oxybutynin is used to treat certain bladder and urinary conditions (such as overactive bladder).
Compared with California prescribers
Dr. Topsakalyan wrote 880 prescriptions for Oxybutynin Chloride, about 33 times as often as the typical California prescriber of it (27). Medicare paid $4.28 per fill, versus $15.72 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 879 prescriptions for Tramadol Hcl, about 20 times as often as the typical California prescriber of it (44). Medicare paid $2.15 per fill, versus $6.24 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
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 California prescribers
Dr. Topsakalyan wrote 847 prescriptions for Pravastatin Sodium, about 22 times as often as the typical California prescriber of it (38). Medicare paid $2.84 per fill, versus $13.25 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
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 California prescribers
Dr. Topsakalyan wrote 837 prescriptions for Furosemide, about 13 times as often as the typical California prescriber of it (64). Medicare paid $1.47 per fill, versus $6.39 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
Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood.
Compared with California prescribers
Dr. Topsakalyan wrote 796 prescriptions for Ezetimibe, about 16 times as often as the typical California prescriber of it (51). Medicare paid $5.17 per fill, versus $26.00 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 California prescribers
Dr. Topsakalyan wrote 748 prescriptions for Azithromycin, about 20 times as often as the typical California prescriber of it (38). Medicare paid $2.42 per fill, versus $4.49 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 prevent or treat gout attacks (flares).
Compared with California prescribers
Dr. Topsakalyan wrote 703 prescriptions for Colchicine, about 27 times as often as the typical California prescriber of it (26). Medicare paid $38.16 per fill, versus $45.46 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
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 California prescribers
Dr. Topsakalyan wrote 693 prescriptions for Albuterol Sulfate Hfa, about 12 times as often as the typical California prescriber of it (58). Medicare paid $38.93 per fill, versus $28.70 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
Carvedilol is used to treat high blood pressure and heart failure.
Compared with California prescribers
Dr. Topsakalyan wrote 666 prescriptions for Carvedilol, about 12 times as often as the typical California prescriber of it (56). Medicare paid $1.88 per fill, versus $8.98 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 California prescribers
Dr. Topsakalyan wrote 665 prescriptions for Simvastatin, about 11 times as often as the typical California prescriber of it (63). Medicare paid $1.81 per fill, versus $9.03 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
Alprazolam is used to treat anxiety and panic disorders.
Compared with California prescribers
Dr. Topsakalyan wrote 664 prescriptions for Alprazolam, about 13 times as often as the typical California prescriber of it (50). Medicare paid $2.50 per fill, versus $5.37 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 California prescribers
Dr. Topsakalyan wrote 662 prescriptions for Pantoprazole Sodium, about 10 times as often as the typical California prescriber of it (65). Medicare paid $2.96 per fill, versus $13.87 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
Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 648 prescriptions for Memantine Hcl, about 12 times as often as the typical California prescriber of it (56). Medicare paid $7.12 per fill, versus $29.89 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
Atenolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 640 prescriptions for Atenolol, about 13 times as often as the typical California prescriber of it (50). Medicare paid $1.89 per fill, versus $9.20 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
Ketoconazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff.
Compared with California prescribers
Dr. Topsakalyan wrote 626 prescriptions for Ketoconazole, about 13 times as often as the typical California prescriber of it (49). Medicare paid $44.46 per fill, versus $21.18 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 used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 608 prescriptions for Hydrochlorothiazide, about 9.8 times as often as the typical California prescriber of it (62). Medicare paid $1.13 per fill, versus $5.71 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
Lisinopril is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 601 prescriptions for Lisinopril, about 6.2 times as often as the typical California prescriber of it (98). Medicare paid $1.41 per fill, versus $8.30 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
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with California prescribers
Dr. Topsakalyan wrote 583 prescriptions for Montelukast Sodium, about 12 times as often as the typical California prescriber of it (49). Medicare paid $3.53 per fill, versus $10.71 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
Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults.
Compared with California prescribers
Dr. Topsakalyan wrote 566 prescriptions for Alendronate Sodium, about 9.3 times as often as the typical California prescriber of it (61). Medicare paid $2.34 per fill, versus $9.65 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 California prescribers
Dr. Topsakalyan wrote 558 prescriptions for Valsartan, about 14 times as often as the typical California prescriber of it (39). Medicare paid $9.74 per fill, versus $28.57 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 drug is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 553 prescriptions for Valsartan-Hydrochlorothiazide, about 20 times as often as the typical California prescriber of it (28). Medicare paid $10.08 per fill, versus $30.91 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 552 prescriptions for Diclofenac Sodium Er, about 20 times as often as the typical California prescriber of it (28). Medicare paid $34.11 per fill, versus $41.02 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
Metoprolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 549 prescriptions for Metoprolol Tartrate, about 9.7 times as often as the typical California prescriber of it (57). Medicare paid $1.38 per fill, versus $7.82 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
Sumatriptan is used to treat migraines.
Compared with California prescribers
Dr. Topsakalyan wrote 547 prescriptions for Sumatriptan Succinate, about 23 times as often as the typical California prescriber of it (24). Medicare paid $8.52 per fill, versus $17.72 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
Esomeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with California prescribers
Dr. Topsakalyan wrote 523 prescriptions for Esomeprazole Magnesium, about 19 times as often as the typical California prescriber of it (28). Medicare paid $29.21 per fill, versus $43.47 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
Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 516 prescriptions for Glipizide, about 11 times as often as the typical California prescriber of it (49). Medicare paid $2.31 per fill, versus $10.86 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
This medication contains digestive enzymes to help break down and digest fats, starch, and proteins in food.
Compared with California prescribers
Dr. Topsakalyan wrote 489 prescriptions for Creon, about 10 times as often as the typical California prescriber of it (47). Medicare paid $850.38 per fill, versus $1,476.55 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 a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 472 prescriptions for Triamcinolone Acetonide, about 11 times as often as the typical California prescriber of it (43). Medicare paid $9.55 per fill, versus $10.03 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
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 California prescribers
Dr. Topsakalyan wrote 466 prescriptions for Fluticasone Propionate, about 9.3 times as often as the typical California prescriber of it (50). Medicare paid $7.20 per fill, versus $15.10 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
This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity).
Compared with California prescribers
Dr. Topsakalyan wrote 466 prescriptions for Myrbetriq, about 10 times as often as the typical California prescriber of it (45). Medicare paid $449.09 per fill, versus $698.68 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
This product is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 448 prescriptions for Olmesartan-Amlodipine-Hctz, about 12 times as often as the typical California prescriber of it (36). Medicare paid $70.74 per fill, versus $97.64 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 certain mental/mood disorders (such as depression, anxiety).
Compared with California prescribers
Dr. Topsakalyan wrote 442 prescriptions for Duloxetine Hcl, about 11 times as often as the typical California prescriber of it (40). Medicare paid $13.30 per fill, versus $24.72 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
This drug is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 440 prescriptions for Olmesartan-Hydrochlorothiazide, about 11 times as often as the typical California prescriber of it (40). Medicare paid $15.10 per fill, versus $31.37 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 with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with California prescribers
Dr. Topsakalyan wrote 426 prescriptions for Janumet, about 12 times as often as the typical California prescriber of it (35). Medicare paid $588.64 per fill, versus $763.33 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 California prescribers
Dr. Topsakalyan wrote 403 prescriptions for Trazodone Hcl, about 7.1 times as often as the typical California prescriber of it (57). Medicare paid $2.10 per fill, versus $9.93 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 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 California prescribers
Dr. Topsakalyan wrote 401 prescriptions for Hydrocortisone, about 14 times as often as the typical California prescriber of it (29). Medicare paid $20.84 per fill, versus $20.54 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 medication is a combination of omeprazole and sodium bicarbonate.
Compared with California prescribers
Dr. Topsakalyan wrote 399 prescriptions for Omeprazole-Sodium Bicarbonate, about 4.7 times as often as the typical California prescriber of it (85). Medicare paid $855.44 per fill, versus $1,213.15 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
Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease).
Compared with California prescribers
Dr. Topsakalyan wrote 395 prescriptions for Baclofen, about 9.4 times as often as the typical California prescriber of it (42). Medicare paid $4.64 per fill, versus $14.75 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 medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity).
Compared with California prescribers
Dr. Topsakalyan wrote 378 prescriptions for Fesoterodine Fumarate Er, about 15 times as often as the typical California prescriber of it (26). Medicare paid $114.00 per fill, versus $104.91 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
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 California prescribers
Dr. Topsakalyan wrote 376 prescriptions for Ventolin Hfa, about 14 times as often as the typical California prescriber of it (27). Medicare paid $53.87 per fill, versus $63.95 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
Omega-3 acid ethyl esters, a type of fat found in fish oil, is used along with diet and exercise to help lower levels of a certain blood fat (triglyceride).
Compared with California prescribers
Dr. Topsakalyan wrote 373 prescriptions for Omega-3 Acid Ethyl Esters, about 12 times as often as the typical California prescriber of it (32). Medicare paid $70.54 per fill, versus $54.90 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, psoriasis, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 366 prescriptions for Clobetasol Propionate, about 9.7 times as often as the typical California prescriber of it (38). Medicare paid $90.38 per fill, versus $43.46 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 medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions.
Compared with California prescribers
Dr. Topsakalyan wrote 366 prescriptions for Propranolol Hcl, about 14 times as often as the typical California prescriber of it (25). Medicare paid $5.67 per fill, versus $20.69 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
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with California prescribers
Dr. Topsakalyan wrote 360 prescriptions for Allopurinol, about 8.1 times as often as the typical California prescriber of it (44). Medicare paid $2.58 per fill, versus $10.39 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
Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 352 prescriptions for Ozempic, about 6.2 times as often as the typical California prescriber of it (56). Medicare paid $939.11 per fill, versus $1,102.15 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
Cyclosporine eye drops are used to treat a certain type of dry eyes.
Compared with California prescribers
Dr. Topsakalyan wrote 341 prescriptions for Cyclosporine, about 5.3 times as often as the typical California prescriber of it (64). Medicare paid $299.23 per fill, versus $344.54 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 medication is used to relieve moderate to severe pain.
Compared with California prescribers
Dr. Topsakalyan wrote 339 prescriptions for Hydrocodone-Acetaminophen, about 4.4 times as often as the typical California prescriber of it (76). Medicare paid $9.99 per fill, versus $21.39 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 a variety of skin conditions (such as eczema, dermatitis, psoriasis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 336 prescriptions for Fluocinonide, about 9.4 times as often as the typical California prescriber of it (36). Medicare paid $62.86 per fill, versus $39.72 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
Olmesartan is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 333 prescriptions for Olmesartan Medoxomil, about 7 times as often as the typical California prescriber of it (48). Medicare paid $4.47 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
Clonazepam is used to prevent and control seizures.
Compared with California prescribers
Dr. Topsakalyan wrote 313 prescriptions for Clonazepam, about 7.7 times as often as the typical California prescriber of it (40). Medicare paid $2.36 per fill, versus $7.09 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
This medication is used to treat depression.
Compared with California prescribers
Dr. Topsakalyan wrote 294 prescriptions for Citalopram Hbr, about 10 times as often as the typical California prescriber of it (30). Medicare paid $1.35 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
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 California prescribers
Dr. Topsakalyan wrote 278 prescriptions for Xarelto, about 6.5 times as often as the typical California prescriber of it (43). Medicare paid $628.33 per fill, versus $952.66 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 California prescribers
Dr. Topsakalyan wrote 276 prescriptions for Glimepiride, about 6.9 times as often as the typical California prescriber of it (40). Medicare paid $3.53 per fill, versus $9.24 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
Mupirocin is used to treat certain skin infections (such as impetigo).
Compared with California prescribers
Dr. Topsakalyan wrote 275 prescriptions for Mupirocin, about 8.4 times as often as the typical California prescriber of it (33). Medicare paid $6.02 per fill, versus $7.89 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
This medication is used to treat a certain sleep problem (insomnia).
Compared with California prescribers
Dr. Topsakalyan wrote 275 prescriptions for Temazepam, about 9.7 times as often as the typical California prescriber of it (28). Medicare paid $8.15 per fill, versus $13.53 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 271 prescriptions for Naproxen, about 9.2 times as often as the typical California prescriber of it (29). Medicare paid $9.32 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
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 California prescribers
Dr. Topsakalyan wrote 270 prescriptions for Eliquis, about 3.7 times as often as the typical California prescriber of it (73). Medicare paid $594.49 per fill, versus $923.33 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 a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch.
Compared with California prescribers
Dr. Topsakalyan wrote 268 prescriptions for Clotrimazole-Betamethasone, about 9.2 times as often as the typical California prescriber of it (29). Medicare paid $16.47 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
This medication is a combination of 2 drugs: empagliflozin and metformin.
Compared with California prescribers
Dr. Topsakalyan wrote 268 prescriptions for Synjardy, about 9 times as often as the typical California prescriber of it (30). Medicare paid $614.81 per fill, versus $856.52 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 product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites).
Compared with California prescribers
Dr. Topsakalyan wrote 267 prescriptions for Lidocaine, about 7.1 times as often as the typical California prescriber of it (38). Medicare paid $79.01 per fill, versus $98.50 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 used to treat minor pain, itching, swelling, and discomfort caused by hemorrhoids and other problems of the anal area (such as anal fissures, itching).
Compared with California prescribers
Dr. Topsakalyan wrote 267 prescriptions for Procto-Med Hc, about 8.4 times as often as the typical California prescriber of it (32). Medicare paid $10.30 per fill, versus $14.17 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
Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men.
Compared with California prescribers
Dr. Topsakalyan wrote 264 prescriptions for Finasteride, about 4.7 times as often as the typical California prescriber of it (56). Medicare paid $4.02 per fill, versus $13.71 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 used to relieve chest pain (angina) in people that have a certain heart condition (coronary artery disease).
Compared with California prescribers
Dr. Topsakalyan wrote 261 prescriptions for Nitroglycerin, about 7.8 times as often as the typical California prescriber of it (33). Medicare paid $10.70 per fill, versus $15.75 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 medication is used to treat an overactive bladder.
Compared with California prescribers
Dr. Topsakalyan wrote 255 prescriptions for Tolterodine Tartrate Er, about 9.6 times as often as the typical California prescriber of it (26). Medicare paid $43.64 per fill, versus $85.98 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 California prescribers
Dr. Topsakalyan wrote 253 prescriptions for Benazepril Hcl, about 7.3 times as often as the typical California prescriber of it (35). Medicare paid $3.82 per fill, versus $11.17 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
This product is a combination of two drugs: a calcium channel blocker (amlodipine) and an ACE inhibitor (benazepril).
Compared with California prescribers
Dr. Topsakalyan wrote 244 prescriptions for Amlodipine Besylate-Benazepril, about 9.1 times as often as the typical California prescriber of it (27). Medicare paid $5.14 per fill, versus $15.76 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 a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 237 prescriptions for Betamethasone Dipropionate, about 7.3 times as often as the typical California prescriber of it (33). Medicare paid $36.95 per fill, versus $42.98 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 California prescribers
Dr. Topsakalyan wrote 235 prescriptions for Aripiprazole, about 5.4 times as often as the typical California prescriber of it (43). Medicare paid $49.58 per fill, versus $71.35 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, anxiety disorders, post-traumatic stress disorder).
Compared with California prescribers
Dr. Topsakalyan wrote 235 prescriptions for Paroxetine Hcl, about 9.4 times as often as the typical California prescriber of it (25). Medicare paid $4.31 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
This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood.
Compared with California prescribers
Dr. Topsakalyan wrote 234 prescriptions for Potassium Chloride, about 4.9 times as often as the typical California prescriber of it (48). Medicare paid $8.36 per fill, versus $24.00 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 230 prescriptions for Alcohol Prep Pads, about 6.1 times as often as the typical California prescriber of it (38). Medicare paid $25.56 per fill, versus $24.91 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
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 California prescribers
Dr. Topsakalyan wrote 229 prescriptions for Famotidine, about 4.2 times as often as the typical California prescriber of it (54). Medicare paid $3.14 per fill, versus $12.66 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 California prescribers
Dr. Topsakalyan wrote 224 prescriptions for Trelegy Ellipta, about 4 times as often as the typical California prescriber of it (57). Medicare paid $639.44 per fill, versus $801.62 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 is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions.
Compared with California prescribers
Dr. Topsakalyan wrote 223 prescriptions for Oxybutynin Chloride Er, about 7.4 times as often as the typical California prescriber of it (30). Medicare paid $7.04 per fill, versus $23.09 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
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 California prescribers
Dr. Topsakalyan wrote 221 prescriptions for Fenofibrate, about 8.2 times as often as the typical California prescriber of it (27). Medicare paid $341.82 per fill, versus $64.75 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
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 216 prescriptions for Basaglar Kwikpen U-100, about 7.1 times as often as the typical California prescriber of it (30). Medicare paid $313.78 per fill, versus $331.31 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
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with California prescribers
Dr. Topsakalyan wrote 215 prescriptions for Doxepin Hcl, about 9.6 times as often as the typical California prescriber of it (22). Medicare paid $224.93 per fill, versus $64.61 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
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 California prescribers
Dr. Topsakalyan wrote 214 prescriptions for Fenofibrate, about 7.4 times as often as the typical California prescriber of it (29). Medicare paid $5.70 per fill, versus $23.43 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
This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions.
Compared with California prescribers
Dr. Topsakalyan wrote 211 prescriptions for Azelastine Hcl, about 4.5 times as often as the typical California prescriber of it (47). Medicare paid $14.63 per fill, versus $22.82 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
Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease).
Compared with California prescribers
Dr. Topsakalyan wrote 208 prescriptions for Isosorbide Mononitrate Er, about 6 times as often as the typical California prescriber of it (35). Medicare paid $3.92 per fill, versus $14.01 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
Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 200 prescriptions for Jardiance, about 3.5 times as often as the typical California prescriber of it (58). Medicare paid $616.69 per fill, versus $933.82 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
Cyclosporine eye drops are used to treat a certain type of dry eyes.
Compared with California prescribers
Dr. Topsakalyan wrote 199 prescriptions for Restasis, about 2.8 times as often as the typical California prescriber of it (71). Medicare paid $631.56 per fill, versus $850.34 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
Lansoprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with California prescribers
Dr. Topsakalyan wrote 193 prescriptions for Lansoprazole, about 7.7 times as often as the typical California prescriber of it (25). Medicare paid $11.06 per fill, versus $38.98 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
Solifenacin is used to treat an overactive bladder.
Compared with California prescribers
Dr. Topsakalyan wrote 183 prescriptions for Solifenacin Succinate, about 6 times as often as the typical California prescriber of it (31). Medicare paid $9.90 per fill, versus $49.58 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
Evolocumab is used along with a proper diet to help lower "bad" cholesterol (LDL) in the blood.
Compared with California prescribers
Dr. Topsakalyan wrote 182 prescriptions for Repatha Sureclick, about 3.5 times as often as the typical California prescriber of it (52). Medicare paid $532.89 per fill, versus $834.40 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
Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with California prescribers
Dr. Topsakalyan wrote 177 prescriptions for Januvia, about 4.3 times as often as the typical California prescriber of it (41). Medicare paid $576.94 per fill, versus $915.30 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
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 California prescribers
Dr. Topsakalyan wrote 175 prescriptions for Fenofibrate, about 6.2 times as often as the typical California prescriber of it (28). Medicare paid $9.39 per fill, versus $26.18 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
Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis.
Compared with California prescribers
Dr. Topsakalyan wrote 174 prescriptions for Ibu, about 6.9 times as often as the typical California prescriber of it (25). Medicare paid $4.06 per fill, versus $5.05 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 to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with California prescribers
Dr. Topsakalyan wrote 173 prescriptions for Dutasteride, about 4.3 times as often as the typical California prescriber of it (40). Medicare paid $10.59 per fill, versus $31.33 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
Ranolazine is used to treat a certain type of chest pain (chronic angina).
Compared with California prescribers
Dr. Topsakalyan wrote 171 prescriptions for Ranolazine Er, about 4.3 times as often as the typical California prescriber of it (39). Medicare paid $43.39 per fill, versus $78.99 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
This combination medication is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 166 prescriptions for Namzaric, about 5 times as often as the typical California prescriber of it (34). Medicare paid $579.72 per fill, versus $628.45 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 depression.
Compared with California prescribers
Dr. Topsakalyan wrote 166 prescriptions for Trintellix, about 5.3 times as often as the typical California prescriber of it (31). Medicare paid $466.20 per fill, versus $595.60 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
Diflorasone is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 164 prescriptions for Diflorasone Diacetate, about 2.7 times as often as the typical California prescriber of it (60). Medicare paid $526.99 per fill, versus $662.38 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
This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury.
Compared with California prescribers
Dr. Topsakalyan wrote 164 prescriptions for Pregabalin, about 4.2 times as often as the typical California prescriber of it (39). Medicare paid $5.99 per fill, versus $24.98 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 California prescribers
Dr. Topsakalyan wrote 161 prescriptions for Breo Ellipta, about 5 times as often as the typical California prescriber of it (32). Medicare paid $390.68 per fill, versus $491.19 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 California prescribers
Dr. Topsakalyan wrote 158 prescriptions for Carbidopa-Levodopa, about 2.3 times as often as the typical California prescriber of it (68). Medicare paid $10.16 per fill, versus $38.14 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
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 California prescribers
Dr. Topsakalyan wrote 157 prescriptions for Fluticasone-Salmeterol, about 6.6 times as often as the typical California prescriber of it (24). Medicare paid $120.80 per fill, versus $155.85 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
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with California prescribers
Dr. Topsakalyan wrote 156 prescriptions for Metformin Er Gastric, about 3 times as often as the typical California prescriber of it (51). Medicare paid $714.80 per fill, versus $1,172.14 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 148 prescriptions for Acetaminophen-Codeine, about 5 times as often as the typical California prescriber of it (29). Medicare paid $8.97 per fill, versus $17.48 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 schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder).
Compared with California prescribers
Dr. Topsakalyan wrote 147 prescriptions for Quetiapine Fumarate, about 2.7 times as often as the typical California prescriber of it (55). Medicare paid $10.46 per fill, versus $19.69 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
This medication is used to treat the signs and symptoms of rheumatoid arthritis, osteoarthritis, juvenile idiopathic arthritis, and ankylosing spondylitis when there is a high risk for stomach bleeding/ulcer.
Compared with California prescribers
Dr. Topsakalyan wrote 139 prescriptions for Naproxen-Esomeprazole Mag, about 2.9 times as often as the typical California prescriber of it (49). Medicare paid $1,123.24 per fill, versus $1,170.22 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 used to treat toenail infection caused by fungus.
Compared with California prescribers
Dr. Topsakalyan wrote 139 prescriptions for Tavaborole, about 2.3 times as often as the typical California prescriber of it (61). Medicare paid $1,086.33 per fill, versus $853.30 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 a laxative used to treat constipation.
Compared with California prescribers
Dr. Topsakalyan wrote 137 prescriptions for Lactulose, about 4.7 times as often as the typical California prescriber of it (29). Medicare paid $962.74 per fill, versus $52.96 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
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 135 prescriptions for Lantus Solostar, about 3.7 times as often as the typical California prescriber of it (36). Medicare paid $87.62 per fill, versus $110.37 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
Pitavastatin 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 California prescribers
Dr. Topsakalyan wrote 134 prescriptions for Pitavastatin Calcium, about 3.3 times as often as the typical California prescriber of it (40). Medicare paid $184.80 per fill, versus $193.87 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 product is used to treat certain types of heart failure.
Compared with California prescribers
Dr. Topsakalyan wrote 133 prescriptions for Entresto, about 2.3 times as often as the typical California prescriber of it (57). Medicare paid $708.97 per fill, versus $1,043.51 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 a variety of skin conditions (such as eczema, dermatitis, psoriasis, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 133 prescriptions for Halobetasol Propionate, about 4.9 times as often as the typical California prescriber of it (27). Medicare paid $58.39 per fill, versus $67.47 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 California prescribers
Dr. Topsakalyan wrote 132 prescriptions for Nifedipine Er, about 4.2 times as often as the typical California prescriber of it (32). Medicare paid $9.04 per fill, versus $28.64 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
Nebivolol is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 131 prescriptions for Nebivolol Hcl, about 3.5 times as often as the typical California prescriber of it (37). Medicare paid $31.59 per fill, versus $55.93 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
Cyclobenzaprine is used short-term to treat muscle spasms.
Compared with California prescribers
Dr. Topsakalyan wrote 129 prescriptions for Cyclobenzaprine Hcl, about 4 times as often as the typical California prescriber of it (32). Medicare paid $3.42 per fill, versus $8.89 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
This medication is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 127 prescriptions for Lisinopril-Hydrochlorothiazide, about 3.2 times as often as the typical California prescriber of it (39). Medicare paid $1.79 per fill, versus $10.59 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 California prescribers
Dr. Topsakalyan wrote 127 prescriptions for Loperamide, about 5.5 times as often as the typical California prescriber of it (23). Medicare paid $7.82 per fill, versus $15.35 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
Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 125 prescriptions for Farxiga, about 2.4 times as often as the typical California prescriber of it (52). Medicare paid $583.52 per fill, versus $914.82 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
Tirzepatide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 124 prescriptions for Mounjaro, about 2.8 times as often as the typical California prescriber of it (45). Medicare paid $1,063.23 per fill, versus $1,191.18 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 used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with California prescribers
Dr. Topsakalyan wrote 123 prescriptions for Ondansetron Odt, about 5 times as often as the typical California prescriber of it (25). Medicare paid $7.35 per fill, versus $13.40 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
This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 122 prescriptions for Betamethasone Diprop Augmented, about 3.4 times as often as the typical California prescriber of it (36). Medicare paid $29.48 per fill, versus $36.65 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 California prescribers
Dr. Topsakalyan wrote 118 prescriptions for Amitriptyline Hcl, about 4.8 times as often as the typical California prescriber of it (25). Medicare paid $3.08 per fill, versus $14.34 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
Linagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with California prescribers
Dr. Topsakalyan wrote 116 prescriptions for Tradjenta, about 3 times as often as the typical California prescriber of it (38). Medicare paid $544.29 per fill, versus $724.16 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
Ticagrelor is used along with low-dose aspirin to help prevent heart attack and stroke in people with a history of heart disease, stroke, or at increased risk for heart disease or stroke (for example, due to diabetes, history of transient ischemic attack-TIA).
Compared with California prescribers
Dr. Topsakalyan wrote 112 prescriptions for Brilinta, about 3.7 times as often as the typical California prescriber of it (30). Medicare paid $453.38 per fill, versus $652.78 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 California prescribers
Dr. Topsakalyan wrote 110 prescriptions for Clonidine, about 4.2 times as often as the typical California prescriber of it (26). Medicare paid $71.59 per fill, versus $105.37 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
Enalapril is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 110 prescriptions for Enalapril Maleate, about 4.4 times as often as the typical California prescriber of it (25). Medicare paid $6.02 per fill, versus $16.17 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
This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 110 prescriptions for Hydrocortisone Butyrate, about 2.6 times as often as the typical California prescriber of it (43). Medicare paid $314.33 per fill, versus $336.22 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
Dicyclomine is used to treat a certain type of intestinal problem called irritable bowel syndrome.
Compared with California prescribers
Dr. Topsakalyan wrote 109 prescriptions for Dicyclomine Hcl, about 4.1 times as often as the typical California prescriber of it (27). Medicare paid $10.09 per fill, versus $17.05 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 108 prescriptions for Easy Touch Alcohol Prep Pads, about 3 times as often as the typical California prescriber of it (36). Medicare paid $3.28 per fill, versus $3.44 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 California prescribers
Dr. Topsakalyan wrote 107 prescriptions for Buspirone Hcl, about 2.9 times as often as the typical California prescriber of it (37). Medicare paid $6.04 per fill, versus $13.30 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
Meloxicam is used to treat arthritis.
Compared with California prescribers
Dr. Topsakalyan wrote 107 prescriptions for Meloxicam, about 2.3 times as often as the typical California prescriber of it (47). Medicare paid $829.40 per fill, versus $677.46 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 medication is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 107 prescriptions for Telmisartan, about 3.2 times as often as the typical California prescriber of it (33). Medicare paid $12.40 per fill, versus $29.01 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 105 prescriptions for Alcohol Swabs, about 3 times as often as the typical California prescriber of it (34). Medicare paid $5.10 per fill, versus $4.99 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
This medication contains digestive enzymes to help break down and digest fats, starch, and proteins in food.
Compared with California prescribers
Dr. Topsakalyan wrote 105 prescriptions for Zenpep, about 3 times as often as the typical California prescriber of it (35). Medicare paid $785.41 per fill, versus $1,771.52 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
Rivastigmine is used to treat confusion (dementia) related to Alzheimer's disease and to Parkinson's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 102 prescriptions for Rivastigmine, about 3.2 times as often as the typical California prescriber of it (32). Medicare paid $109.72 per fill, versus $179.63 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
Megestrol is used to treat loss of appetite and weight loss in people with AIDS.
Compared with California prescribers
Dr. Topsakalyan wrote 101 prescriptions for Megestrol Acetate, about 3.6 times as often as the typical California prescriber of it (28). Medicare paid $37.22 per fill, versus $57.89 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
This medication is an antibiotic used to treat bladder infections (acute cystitis).
Compared with California prescribers
Dr. Topsakalyan wrote 98 prescriptions for Nitrofurantoin Mono-Macro, about 3.8 times as often as the typical California prescriber of it (26). Medicare paid $10.48 per fill, versus $13.21 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
Diclofenac patches are used to relieve pain from various conditions (such as sprained ankle).
Compared with California prescribers
Dr. Topsakalyan wrote 95 prescriptions for Diclofenac Epolamine, about 2.2 times as often as the typical California prescriber of it (44). Medicare paid $497.30 per fill, versus $541.43 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
Terazosin is used alone or with other drugs to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 95 prescriptions for Terazosin Hcl, about 2.6 times as often as the typical California prescriber of it (36). Medicare paid $5.63 per fill, versus $37.76 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 94 prescriptions for Single Use Swab, about 3.2 times as often as the typical California prescriber of it (29). Medicare paid $2.07 per fill, versus $2.63 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
This medication is used to treat depression.
Compared with California prescribers
Dr. Topsakalyan wrote 92 prescriptions for Bupropion Xl, about 2.6 times as often as the typical California prescriber of it (35). Medicare paid $6.83 per fill, versus $25.68 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
This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes bronchitis and emphysema).
Compared with California prescribers
Dr. Topsakalyan wrote 92 prescriptions for Combivent Respimat, about 4.3 times as often as the typical California prescriber of it (21). Medicare paid $512.30 per fill, versus $597.87 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
Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus.
Compared with California prescribers
Dr. Topsakalyan wrote 92 prescriptions for Vitamin D2, about 3.1 times as often as the typical California prescriber of it (30). Medicare paid $4.72 per fill, versus $8.59 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 or prevent eye infections.
Compared with California prescribers
Dr. Topsakalyan wrote 90 prescriptions for Tobramycin-Dexamethasone, about 1.9 times as often as the typical California prescriber of it (48). Medicare paid $26.46 per fill, versus $40.37 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 ear drop is used to treat outer ear infections caused by bacteria (also known as swimmer's ear).
Compared with California prescribers
Dr. Topsakalyan wrote 89 prescriptions for Neomycin-Polymyxin-Hydrocort, about 3.8 times as often as the typical California prescriber of it (23). Medicare paid $49.28 per fill, versus $47.24 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
Amoxicillin is used to treat a wide variety of bacterial infections.
Compared with California prescribers
Dr. Topsakalyan wrote 88 prescriptions for Amoxicillin, about 2.3 times as often as the typical California prescriber of it (38). Medicare paid $2.49 per fill, versus $4.15 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
This medication is used to treat skin conditions such as eczema, psoriasis, allergies, and rash.
Compared with California prescribers
Dr. Topsakalyan wrote 88 prescriptions for Mometasone Furoate, about 2.7 times as often as the typical California prescriber of it (32). Medicare paid $29.55 per fill, versus $31.45 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
Clotrimazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and other fungal skin infections (candidiasis).
Compared with California prescribers
Dr. Topsakalyan wrote 87 prescriptions for Clotrimazole, about 2.7 times as often as the typical California prescriber of it (33). Medicare paid $22.38 per fill, versus $22.98 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 California prescribers
Dr. Topsakalyan wrote 87 prescriptions for Fluoxetine Hcl, about 2.6 times as often as the typical California prescriber of it (33). Medicare paid $1.59 per fill, versus $11.85 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 diabetes medication is a combination of 2 drugs (glipizide and metformin).
Compared with California prescribers
Dr. Topsakalyan wrote 85 prescriptions for Glipizide-Metformin, about 2.8 times as often as the typical California prescriber of it (30). Medicare paid $31.05 per fill, versus $62.93 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
Pramipexole is used alone or with other medications to treat Parkinson's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 85 prescriptions for Pramipexole Dihydrochloride, about 3.4 times as often as the typical California prescriber of it (25). Medicare paid $5.78 per fill, versus $16.59 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 overactive bladder.
Compared with California prescribers
Dr. Topsakalyan wrote 83 prescriptions for Gemtesa, about 1.3 times as often as the typical California prescriber of it (64). Medicare paid $494.74 per fill, versus $745.69 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
Nateglinide is used alone or with other medications to control high blood sugar along with a proper diet and exercise program.
Compared with California prescribers
Dr. Topsakalyan wrote 82 prescriptions for Nateglinide, about 2.3 times as often as the typical California prescriber of it (35). Medicare paid $29.79 per fill, versus $51.12 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
Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs (intermittent claudication).
Compared with California prescribers
Dr. Topsakalyan wrote 78 prescriptions for Cilostazol, about 2.9 times as often as the typical California prescriber of it (27). Medicare paid $8.21 per fill, versus $19.81 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 drugs, an ACE inhibitor (benazepril) and a "water pill"/diuretic (hydrochlorothiazide).
Compared with California prescribers
Dr. Topsakalyan wrote 77 prescriptions for Benazepril-Hydrochlorothiazide, about 4 times as often as the typical California prescriber of it (19). Medicare paid $29.07 per fill, versus $32.50 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 used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder).
Compared with California prescribers
Dr. Topsakalyan wrote 77 prescriptions for Venlafaxine Hcl Er, about 2.7 times as often as the typical California prescriber of it (28). Medicare paid $22.79 per fill, versus $23.92 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 to treat and prevent ulcers in the intestines.
Compared with California prescribers
Dr. Topsakalyan wrote 76 prescriptions for Sucralfate, about 2.8 times as often as the typical California prescriber of it (27). Medicare paid $19.12 per fill, versus $58.68 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
Bisoprolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 73 prescriptions for Bisoprolol Fumarate, about 2 times as often as the typical California prescriber of it (36). Medicare paid $12.46 per fill, versus $26.67 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
Levetiracetam is used to treat seizures (epilepsy).
Compared with California prescribers
Dr. Topsakalyan wrote 73 prescriptions for Levetiracetam, about 1.6 times as often as the typical California prescriber of it (47). Medicare paid $13.87 per fill, versus $37.33 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 along with regular tooth brushing/flossing to treat gingivitis, a gum disease that causes red, swollen, and easily bleeding gums.
Compared with California prescribers
Dr. Topsakalyan wrote 71 prescriptions for Chlorhexidine Gluconate, about 1.8 times as often as the typical California prescriber of it (40). Medicare paid $3.23 per fill, versus $8.17 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
Ibandronate is used to prevent and treat certain types of bone loss (osteoporosis).
Compared with California prescribers
Dr. Topsakalyan wrote 71 prescriptions for Ibandronate Sodium, about 2.5 times as often as the typical California prescriber of it (28). Medicare paid $6.75 per fill, versus $24.91 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 71 prescriptions for Ultra-Fine Nano Pen Needle, about 2.7 times as often as the typical California prescriber of it (26). Medicare paid $49.26 per fill, versus $57.26 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
Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 70 prescriptions for Doxazosin Mesylate, about 2.4 times as often as the typical California prescriber of it (29). Medicare paid $4.72 per fill, versus $15.44 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
Prasugrel is used with aspirin by patients with heart disease (recent heart attack, unstable angina) who undergo a certain heart procedure (angioplasty).
Compared with California prescribers
Dr. Topsakalyan wrote 70 prescriptions for Prasugrel Hcl, about 2.8 times as often as the typical California prescriber of it (25). Medicare paid $10.89 per fill, versus $61.36 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
This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia).
Compared with California prescribers
Dr. Topsakalyan wrote 69 prescriptions for Amiodarone Hcl, about 1.6 times as often as the typical California prescriber of it (43). Medicare paid $8.21 per fill, versus $30.86 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
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 California prescribers
Dr. Topsakalyan wrote 69 prescriptions for Breztri Aerosphere, about 1.7 times as often as the typical California prescriber of it (40). Medicare paid $621.28 per fill, versus $742.95 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
Hydroxyzine is used to treat itching caused by allergies.
Compared with California prescribers
Dr. Topsakalyan wrote 69 prescriptions for Hydroxyzine Hcl, about 2.5 times as often as the typical California prescriber of it (28). Medicare paid $8.48 per fill, versus $13.85 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 68 prescriptions for Diclofenac Potassium, about 2 times as often as the typical California prescriber of it (34). Medicare paid $1,558.71 per fill, versus $1,030.19 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
Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 67 prescriptions for Glipizide Er, about 2.2 times as often as the typical California prescriber of it (30). Medicare paid $8.65 per fill, versus $17.99 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
Levofloxacin is used to treat a variety of bacterial infections.
Compared with California prescribers
Dr. Topsakalyan wrote 67 prescriptions for Levofloxacin, about 2.5 times as often as the typical California prescriber of it (27). Medicare paid $3.21 per fill, versus $5.11 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
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 California prescribers
Dr. Topsakalyan wrote 66 prescriptions for Bumetanide, about 2.3 times as often as the typical California prescriber of it (29). Medicare paid $12.42 per fill, versus $38.82 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 alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with California prescribers
Dr. Topsakalyan wrote 66 prescriptions for Ondansetron Hcl, about 2.4 times as often as the typical California prescriber of it (28). Medicare paid $6.78 per fill, versus $14.67 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
Diazepam is used to treat anxiety, alcohol withdrawal, and seizures.
Compared with California prescribers
Dr. Topsakalyan wrote 61 prescriptions for Diazepam, about 2.5 times as often as the typical California prescriber of it (24). Medicare paid $3.65 per fill, versus $6.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 60 prescriptions for Ultra-Fine Mini Pen Needle, about 2.7 times as often as the typical California prescriber of it (22). Medicare paid $53.12 per fill, versus $72.13 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 product is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 58 prescriptions for Amlodipine-Valsartan, about 2.1 times as often as the typical California prescriber of it (27). Medicare paid $22.15 per fill, versus $47.70 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
Pioglitazone is a diabetes drug (thiazolidinedione-type, also called "glitazones") used along with a proper diet and exercise program to control high blood sugar in patients with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 57 prescriptions for Pioglitazone Hcl, about 1.4 times as often as the typical California prescriber of it (41). Medicare paid $4.66 per fill, versus $13.99 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
This medication is used to treat a wide variety of bacterial infections.
Compared with California prescribers
Dr. Topsakalyan wrote 56 prescriptions for Cephalexin, about 1.9 times as often as the typical California prescriber of it (30). Medicare paid $5.06 per fill, versus $7.62 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
Irbesartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 56 prescriptions for Irbesartan, about 1.6 times as often as the typical California prescriber of it (34). Medicare paid $5.34 per fill, versus $19.83 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
Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 56 prescriptions for Novolog Flexpen, about 2 times as often as the typical California prescriber of it (28). Medicare paid $117.44 per fill, versus $177.66 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
Oxiconazole is used to treat skin infections such as athlete's foot, jock itch and ringworm.
Compared with California prescribers
Dr. Topsakalyan wrote 56 prescriptions for Oxiconazole Nitrate, about as often as the typical California prescriber of it (56). Medicare paid $460.90 per fill, versus $563.89 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
Metronidazole is an antibiotic that is used to treat a wide variety of infections.
Compared with California prescribers
Dr. Topsakalyan wrote 55 prescriptions for Metronidazole, about 2.5 times as often as the typical California prescriber of it (22). Medicare paid $12.11 per fill, versus $29.58 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
Fluconazole is used to treat vaginal yeast infections.
Compared with California prescribers
Dr. Topsakalyan wrote 54 prescriptions for Fluconazole, about 2.6 times as often as the typical California prescriber of it (21). Medicare paid $5.46 per fill, versus $17.16 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 minor pain, itching, swelling, and discomfort caused by hemorrhoids and other problems of the anal area (such as anal fissures, itching).
Compared with California prescribers
Dr. Topsakalyan wrote 54 prescriptions for Proctozone-Hc, about 2.5 times as often as the typical California prescriber of it (21). Medicare paid $10.59 per fill, versus $16.83 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
Galantamine is used to treat mild to moderate confusion (dementia) related to Alzheimer's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 53 prescriptions for Galantamine Hbr, about 1.9 times as often as the typical California prescriber of it (28). Medicare paid $33.69 per fill, versus $76.33 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 California prescribers
Dr. Topsakalyan wrote 52 prescriptions for Metolazone, about 2.4 times as often as the typical California prescriber of it (22). Medicare paid $33.26 per fill, versus $31.46 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
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with California prescribers
Dr. Topsakalyan wrote 52 prescriptions for Synthroid, about 1.4 times as often as the typical California prescriber of it (38). Medicare paid $61.16 per fill, versus $74.43 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
Dulaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 52 prescriptions for Trulicity, about 1.4 times as often as the typical California prescriber of it (37). Medicare paid $1,077.38 per fill, versus $1,230.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 52 prescriptions for Ultra-Fine Short Pen Needle, about 2.6 times as often as the typical California prescriber of it (20). Medicare paid $59.40 per fill, versus $72.60 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
Linagliptin/metformin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 51 prescriptions for Jentadueto, about 1.5 times as often as the typical California prescriber of it (34). Medicare paid $567.39 per fill, versus $592.00 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, depression associated with bipolar disorder).
Compared with California prescribers
Dr. Topsakalyan wrote 51 prescriptions for Lurasidone Hcl, about 1.6 times as often as the typical California prescriber of it (32). Medicare paid $114.79 per fill, versus $292.84 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 50 prescriptions for Comfort Ez Pen Needle, about 2.2 times as often as the typical California prescriber of it (23). Medicare paid $66.38 per fill, versus $96.96 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 drug is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 50 prescriptions for Irbesartan-Hydrochlorothiazide, about 2 times as often as the typical California prescriber of it (24). Medicare paid $7.82 per fill, versus $19.61 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 schizophrenia, bipolar disorder, irritability associated with autistic disorder).
Compared with California prescribers
Dr. Topsakalyan wrote 50 prescriptions for Risperidone, about as often as the typical California prescriber of it (49). Medicare paid $4.82 per fill, versus $13.84 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 migraine.
Compared with California prescribers
Dr. Topsakalyan wrote 50 prescriptions for Ubrelvy, about 1.9 times as often as the typical California prescriber of it (27). Medicare paid $1,014.84 per fill, versus $1,155.59 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 California prescribers
Dr. Topsakalyan wrote 49 prescriptions for Prednisone, about 1.2 times as often as the typical California prescriber of it (40). Medicare paid $2.47 per fill, versus $5.64 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
Raloxifene is used by women to prevent and treat bone loss (osteoporosis) after menopause.
Compared with California prescribers
Dr. Topsakalyan wrote 49 prescriptions for Raloxifene Hcl, about 1.5 times as often as the typical California prescriber of it (34). Medicare paid $12.24 per fill, versus $37.64 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
Alfuzosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with California prescribers
Dr. Topsakalyan wrote 48 prescriptions for Alfuzosin Hcl Er, about as often as the typical California prescriber of it (46). Medicare paid $5.14 per fill, versus $21.01 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 a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 48 prescriptions for Betamethasone Valerate, about 2.5 times as often as the typical California prescriber of it (19). Medicare paid $28.32 per fill, versus $37.72 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
Bimatoprost is used to treat high pressure inside the eye due to glaucoma (open-angle type) or other eye diseases (such as ocular hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 48 prescriptions for Lumigan, about 62% as often as the typical California prescriber of it (77). Medicare paid $326.67 per fill, versus $448.13 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).
Compared with California prescribers
Dr. Topsakalyan wrote 48 prescriptions for Olanzapine, about as often as the typical California prescriber of it (52). Medicare paid $8.55 per fill, versus $24.98 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
Febuxostat is used to lower uric acid levels in people with gout.
Compared with California prescribers
Dr. Topsakalyan wrote 46 prescriptions for Febuxostat, about 1.5 times as often as the typical California prescriber of it (30). Medicare paid $61.77 per fill, versus $99.59 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 ear drop is used to treat outer ear infections caused by bacteria (also known as swimmer's ear).
Compared with California prescribers
Dr. Topsakalyan wrote 46 prescriptions for Neomycin-Polymyxin-Hc, about 2.2 times as often as the typical California prescriber of it (21). Medicare paid $56.99 per fill, versus $49.70 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 schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder).
Compared with California prescribers
Dr. Topsakalyan wrote 46 prescriptions for Quetiapine Fumarate Er, about 1.6 times as often as the typical California prescriber of it (28). Medicare paid $9.85 per fill, versus $62.79 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 with other treatments to help prevent and treat wound infections in patients with serious burns.
Compared with California prescribers
Dr. Topsakalyan wrote 46 prescriptions for Silver Sulfadiazine, about 2.2 times as often as the typical California prescriber of it (21). Medicare paid $10.56 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 California prescribers
Dr. Topsakalyan wrote 45 prescriptions for Amoxicillin-Clavulanate Potass, about 1.8 times as often as the typical California prescriber of it (26). Medicare paid $8.16 per fill, versus $9.18 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 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 California prescribers
Dr. Topsakalyan wrote 45 prescriptions for Anoro Ellipta, about 1.4 times as often as the typical California prescriber of it (32). Medicare paid $455.22 per fill, versus $562.44 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 California prescribers
Dr. Topsakalyan wrote 45 prescriptions for Bupropion Hcl Sr, about 1.9 times as often as the typical California prescriber of it (23). Medicare paid $7.06 per fill, versus $18.90 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 constipation (chronic idiopathic constipation, irritable bowel syndrome with constipation).
Compared with California prescribers
Dr. Topsakalyan wrote 45 prescriptions for Lubiprostone, about 1.9 times as often as the typical California prescriber of it (23). Medicare paid $130.52 per fill, versus $132.30 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
Carbamazepine is used to prevent and control seizures.
Compared with California prescribers
Dr. Topsakalyan wrote 44 prescriptions for Carbamazepine, about 1.8 times as often as the typical California prescriber of it (24). Medicare paid $17.07 per fill, versus $54.61 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
Chlorthalidone is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 44 prescriptions for Chlorthalidone, about 1.7 times as often as the typical California prescriber of it (26). Medicare paid $6.75 per fill, versus $15.58 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
Acyclovir is used to treat infections caused by certain types of viruses.
Compared with California prescribers
Dr. Topsakalyan wrote 43 prescriptions for Acyclovir, about 1.7 times as often as the typical California prescriber of it (25). Medicare paid $52.71 per fill, versus $18.27 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
Calcium acetate is used to prevent high blood phosphate levels in patients who are on dialysis due to severe kidney disease.
Compared with California prescribers
Dr. Topsakalyan wrote 43 prescriptions for Calcium Acetate, about as often as the typical California prescriber of it (38). Medicare paid $49.21 per fill, versus $84.08 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
This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorder).
Compared with California prescribers
Dr. Topsakalyan wrote 43 prescriptions for Paliperidone Er, about 1.7 times as often as the typical California prescriber of it (26). Medicare paid $116.34 per fill, versus $197.53 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 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 California prescribers
Dr. Topsakalyan wrote 40 prescriptions for Budesonide-Formoterol Fumarate, about 1.8 times as often as the typical California prescriber of it (22). Medicare paid $184.24 per fill, versus $202.22 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
Levocetirizine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, and sneezing.
Compared with California prescribers
Dr. Topsakalyan wrote 40 prescriptions for Levocetirizine Dihydrochloride, about 74% as often as the typical California prescriber of it (54). Medicare paid $3.22 per fill, versus $10.77 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
Spironolactone is used to treat high blood pressure and heart failure.
Compared with California prescribers
Dr. Topsakalyan wrote 40 prescriptions for Spironolactone, about as often as the typical California prescriber of it (37). Medicare paid $3.14 per fill, versus $10.05 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
Dexlansoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with California prescribers
Dr. Topsakalyan wrote 39 prescriptions for Dexilant, about 1.5 times as often as the typical California prescriber of it (26). Medicare paid $304.88 per fill, versus $345.33 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
Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma), severe psoriasis that has not responded to other treatments, or rheumatoid arthritis.
Compared with California prescribers
Dr. Topsakalyan wrote 39 prescriptions for Methotrexate, about 41% as often as the typical California prescriber of it (95). Medicare paid $12.98 per fill, versus $24.82 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
Olopatadine is used to relieve symptoms of seasonal allergies that occur in the nose, such as runny/itchy/stuffy nose, sneezing, and post-nasal drip.
Compared with California prescribers
Dr. Topsakalyan wrote 38 prescriptions for Olopatadine Hcl, about 1.8 times as often as the typical California prescriber of it (22). Medicare paid $90.28 per fill, versus $98.52 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 a combination of 2 drugs: empagliflozin and metformin.
Compared with California prescribers
Dr. Topsakalyan wrote 38 prescriptions for Synjardy Xr, about as often as the typical California prescriber of it (37). Medicare paid $605.42 per fill, versus $946.53 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
Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 37 prescriptions for Dapagliflozin, about 1.2 times as often as the typical California prescriber of it (31). Medicare paid $518.99 per fill, versus $540.34 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
Levalbuterol is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease).
Compared with California prescribers
Dr. Topsakalyan wrote 37 prescriptions for Levalbuterol Tartrate Hfa, about 1.9 times as often as the typical California prescriber of it (19). Medicare paid $54.96 per fill, versus $63.73 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 California prescribers
Dr. Topsakalyan wrote 37 prescriptions for Sotalol, about as often as the typical California prescriber of it (39). Medicare paid $5.57 per fill, versus $19.60 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
Valacyclovir is used to treat infections caused by certain types of viruses.
Compared with California prescribers
Dr. Topsakalyan wrote 37 prescriptions for Valacyclovir, about 1.7 times as often as the typical California prescriber of it (22). Medicare paid $25.71 per fill, versus $35.75 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 product is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 36 prescriptions for Amlodipine-Olmesartan, about 1.3 times as often as the typical California prescriber of it (28). Medicare paid $51.60 per fill, versus $49.06 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 California prescribers
Dr. Topsakalyan wrote 36 prescriptions for Lovastatin, about 1.2 times as often as the typical California prescriber of it (30). Medicare paid $8.32 per fill, versus $10.38 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
This medication is used for certain patients who have symptoms of low blood pressure when standing.
Compared with California prescribers
Dr. Topsakalyan wrote 36 prescriptions for Midodrine Hcl, about 1.3 times as often as the typical California prescriber of it (27). Medicare paid $21.72 per fill, versus $66.72 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
This medication is used to treat diarrhea.
Compared with California prescribers
Dr. Topsakalyan wrote 35 prescriptions for Diphenoxylate-Atropine, about 1.7 times as often as the typical California prescriber of it (21). Medicare paid $5.21 per fill, versus $17.06 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 form of tacrolimus is used on the skin to treat a skin condition called eczema (atopic dermatitis) in patients who have not responded well to (or should not use) other eczema medications.
Compared with California prescribers
Dr. Topsakalyan wrote 35 prescriptions for Tacrolimus, about as often as the typical California prescriber of it (38). Medicare paid $223.83 per fill, versus $133.78 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
Methimazole is used to treat overactive thyroid (hyperthyroidism).
Compared with California prescribers
Dr. Topsakalyan wrote 34 prescriptions for Methimazole, about 85% as often as the typical California prescriber of it (40). Medicare paid $4.19 per fill, versus $12.61 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
Esomeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with California prescribers
Dr. Topsakalyan wrote 34 prescriptions for Nexium, about 1.3 times as often as the typical California prescriber of it (27). Medicare paid $395.39 per fill, versus $325.09 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
Varenicline is used by adults to help stop smoking.
Compared with California prescribers
Dr. Topsakalyan wrote 34 prescriptions for Varenicline Tartrate, about 1.9 times as often as the typical California prescriber of it (18). Medicare paid $253.37 per fill, versus $197.54 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
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 33 prescriptions for Lantus, about 1.5 times as often as the typical California prescriber of it (22). Medicare paid $101.94 per fill, versus $113.95 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
Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 33 prescriptions for Novolog, about 1.6 times as often as the typical California prescriber of it (21). Medicare paid $70.72 per fill, versus $181.06 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
Rizatriptan is used to treat migraines.
Compared with California prescribers
Dr. Topsakalyan wrote 33 prescriptions for Rizatriptan, about 1.6 times as often as the typical California prescriber of it (21). Medicare paid $9.25 per fill, versus $16.71 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
Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites.
Compared with California prescribers
Dr. Topsakalyan wrote 32 prescriptions for Hydroxychloroquine Sulfate, about 34% as often as the typical California prescriber of it (93). Medicare paid $12.78 per fill, versus $38.65 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
Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED).
Compared with California prescribers
Dr. Topsakalyan wrote 32 prescriptions for Tadalafil, about as often as the typical California prescriber of it (33). Medicare paid $167.34 per fill, versus $193.21 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 31 prescriptions for Nano 2nd Gen Pen Needle, about as often as the typical California prescriber of it (33). Medicare paid $64.76 per fill, versus $66.35 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 alone or with other medications to treat Parkinson's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 31 prescriptions for Ropinirole Hcl, about 1.2 times as often as the typical California prescriber of it (27). Medicare paid $2.56 per fill, versus $15.64 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 high pressure inside the eye due to glaucoma (open angle-type) or other eye diseases (such as ocular hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 31 prescriptions for Timolol Maleate, about 33% as often as the typical California prescriber of it (93). Medicare paid $3.38 per fill, versus $16.60 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
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy).
Compared with California prescribers
Dr. Topsakalyan wrote 31 prescriptions for Topiramate, about as often as the typical California prescriber of it (29). Medicare paid $4.24 per fill, versus $13.46 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 medication is used to treat dry eye disease.
Compared with California prescribers
Dr. Topsakalyan wrote 31 prescriptions for Xiidra, about half as often as the typical California prescriber of it (53). Medicare paid $661.52 per fill, versus $941.89 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
This medication is used to treat sleeplessness (insomnia).
Compared with California prescribers
Dr. Topsakalyan wrote 30 prescriptions for Ramelteon, about 1.4 times as often as the typical California prescriber of it (21). Medicare paid $112.90 per fill, versus $99.19 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 California prescribers
Dr. Topsakalyan wrote 30 prescriptions for Rybelsus, about as often as the typical California prescriber of it (32). Medicare paid $1,084.75 per fill, versus $1,419.22 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
Tadalafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED).
Compared with California prescribers
Dr. Topsakalyan wrote 29 prescriptions for Cialis, about 1.2 times as often as the typical California prescriber of it (24). Medicare paid $271.81 per fill, versus $333.61 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
Gemfibrozil is used along with a proper diet to help lower fats (triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with California prescribers
Dr. Topsakalyan wrote 29 prescriptions for Gemfibrozil, about 1.2 times as often as the typical California prescriber of it (24). Medicare paid $8.60 per fill, versus $16.75 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 medication is used to treat fungal infections of the fingernails and toenails.
Compared with California prescribers
Dr. Topsakalyan wrote 28 prescriptions for Ciclopirox, about 89% as often as the typical California prescriber of it (32). Medicare paid $15.28 per fill, versus $24.93 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
Eletriptan is used to treat migraines.
Compared with California prescribers
Dr. Topsakalyan wrote 28 prescriptions for Eletriptan Hbr, about 1.6 times as often as the typical California prescriber of it (18). Medicare paid $65.38 per fill, versus $64.42 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 product is used to help the healing of burns and skin ulcers.
Compared with California prescribers
Dr. Topsakalyan wrote 28 prescriptions for Santyl, about 1.2 times as often as the typical California prescriber of it (24). Medicare paid $315.44 per fill, versus $948.89 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 27 prescriptions for Alcohol Pads, about as often as the typical California prescriber of it (28). Medicare paid $43.28 per fill, versus $32.28 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
Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina).
Compared with California prescribers
Dr. Topsakalyan wrote 27 prescriptions for Diltiazem 24hr Er (Cd), about as often as the typical California prescriber of it (28). Medicare paid $7.53 per fill, versus $32.58 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 27 prescriptions for Ketoprofen, about 1.2 times as often as the typical California prescriber of it (23). Medicare paid $211.14 per fill, versus $939.82 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
Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 27 prescriptions for Latanoprost, about 17% as often as the typical California prescriber of it (159). Medicare paid $5.59 per fill, versus $12.02 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
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 California prescribers
Dr. Topsakalyan wrote 27 prescriptions for Methylprednisolone, about 89% as often as the typical California prescriber of it (30). Medicare paid $5.46 per fill, versus $6.84 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
Ramipril is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 27 prescriptions for Ramipril, about as often as the typical California prescriber of it (24). Medicare paid $1.66 per fill, versus $10.33 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
Tiotropium is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema).
Compared with California prescribers
Dr. Topsakalyan wrote 27 prescriptions for Spiriva Handihaler, about 1.6 times as often as the typical California prescriber of it (17). Medicare paid $500.35 per fill, versus $644.02 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 medication is used to treat a certain sleep problem (insomnia).
Compared with California prescribers
Dr. Topsakalyan wrote 26 prescriptions for Belsomra, about 1.2 times as often as the typical California prescriber of it (21). Medicare paid $414.06 per fill, versus $454.32 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
This medication is used to treat a variety of bacterial infections.
Compared with California prescribers
Dr. Topsakalyan wrote 26 prescriptions for Ciprofloxacin Hcl, about 86% as often as the typical California prescriber of it (30). Medicare paid $2.64 per fill, versus $6.32 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
This product is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with California prescribers
Dr. Topsakalyan wrote 26 prescriptions for Dutasteride-Tamsulosin, about as often as the typical California prescriber of it (24). Medicare paid $101.59 per fill, versus $149.28 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
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with California prescribers
Dr. Topsakalyan wrote 26 prescriptions for Metformin Hcl Er, about half as often as the typical California prescriber of it (55). Medicare paid $1.73 per fill, versus $9.99 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
This medication is used to prevent or treat gout attacks (flares).
Compared with California prescribers
Dr. Topsakalyan wrote 26 prescriptions for Mitigare, about 1.4 times as often as the typical California prescriber of it (18). Medicare paid $389.46 per fill, versus $319.50 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
Mupirocin is used to treat infected cuts or wounds.
Compared with California prescribers
Dr. Topsakalyan wrote 26 prescriptions for Mupirocin, about 78% as often as the typical California prescriber of it (33). Medicare paid $99.16 per fill, versus $153.86 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
This combination product contains two ingredients: naproxen and sumatriptan.
Compared with California prescribers
Dr. Topsakalyan wrote 26 prescriptions for Sumatriptan Succ-Naproxen Sod, about half as often as the typical California prescriber of it (52). Medicare paid $745.74 per fill, versus $389.84 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
Dexamethasone is used to treat conditions such as arthritis, blood/hormone disorders, allergic reactions, skin diseases, eye problems, breathing problems, bowel disorders, cancer, and immune system disorders.
Compared with California prescribers
Dr. Topsakalyan wrote 25 prescriptions for Dexamethasone, about 71% as often as the typical California prescriber of it (35). Medicare paid $6.40 per fill, versus $13.93 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 a hormone.
Compared with California prescribers
Dr. Topsakalyan wrote 25 prescriptions for Estradiol, about 66% as often as the typical California prescriber of it (38). Medicare paid $17.87 per fill, versus $56.87 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 conditions of the stomach and intestines.
Compared with California prescribers
Dr. Topsakalyan wrote 25 prescriptions for Metoclopramide Hcl, about as often as the typical California prescriber of it (25). Medicare paid $5.23 per fill, versus $8.32 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 25 prescriptions for Naproxen Sodium, about as often as the typical California prescriber of it (25). Medicare paid $13.79 per fill, versus $33.04 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
Nystatin is used to treat fungal skin infections.
Compared with California prescribers
Dr. Topsakalyan wrote 25 prescriptions for Nystatin, about as often as the typical California prescriber of it (22). Medicare paid $11.88 per fill, versus $20.30 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
Tiotropium is used to treat lung diseases such as asthma and COPD (bronchitis, emphysema).
Compared with California prescribers
Dr. Topsakalyan wrote 25 prescriptions for Spiriva Respimat, about 81% as often as the typical California prescriber of it (31). Medicare paid $502.63 per fill, versus $597.16 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 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 California prescribers
Dr. Topsakalyan wrote 24 prescriptions for Advair Diskus, about 1.5 times as often as the typical California prescriber of it (16). Medicare paid $177.62 per fill, versus $231.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 24 prescriptions for Alcohol Swab, about as often as the typical California prescriber of it (22). Medicare paid $2.05 per fill, versus $2.79 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
Combination isophane/regular insulin is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 24 prescriptions for Humulin 70-30, about 1.2 times as often as the typical California prescriber of it (21). Medicare paid $124.18 per fill, versus $186.82 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 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 California prescribers
Dr. Topsakalyan wrote 24 prescriptions for Warfarin Sodium, about 60% as often as the typical California prescriber of it (40). Medicare paid $3.01 per fill, versus $11.33 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.
Compared with California prescribers
Dr. Topsakalyan wrote 23 prescriptions for Cefpodoxime Proxetil, about as often as the typical California prescriber of it (22). Medicare paid $62.05 per fill, versus $35.49 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 conditions involving swelling (inflammation) of the eyes and to treat or prevent bacterial eye infections.
Compared with California prescribers
Dr. Topsakalyan wrote 23 prescriptions for Neomycin-Polymyxin-Dexameth, about half as often as the typical California prescriber of it (41). Medicare paid $9.69 per fill, versus $11.42 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
Oseltamivir is used to treat symptoms caused by the flu virus (influenza).
Compared with California prescribers
Dr. Topsakalyan wrote 23 prescriptions for Oseltamivir Phosphate, about 80% as often as the typical California prescriber of it (29). Medicare paid $18.43 per fill, versus $27.38 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
Acetazolamide is used to prevent and reduce the symptoms of altitude sickness.
Compared with California prescribers
Dr. Topsakalyan wrote 22 prescriptions for Acetazolamide, about as often as the typical California prescriber of it (23). Medicare paid $12.16 per fill, versus $38.00 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
Captopril is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 22 prescriptions for Captopril, about half as often as the typical California prescriber of it (37). Medicare paid $17.73 per fill, versus $37.03 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
This medication is used to treat certain eye infections (such as conjunctivitis).
Compared with California prescribers
Dr. Topsakalyan wrote 22 prescriptions for Erythromycin, about half as often as the typical California prescriber of it (49). Medicare paid $17.53 per fill, versus $13.38 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
This medication is used with other treatments to help prevent and treat wound infections in patients with serious burns.
Compared with California prescribers
Dr. Topsakalyan wrote 21 prescriptions for Ssd, about as often as the typical California prescriber of it (23). Medicare paid $9.26 per fill, versus $14.42 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
Ipratropium is used to control and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema).
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Atrovent Hfa, about as often as the typical California prescriber of it (19). Medicare paid $464.22 per fill, versus $541.19 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 psoriasis.
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Calcipotriene, about half as often as the typical California prescriber of it (34). Medicare paid $147.11 per fill, versus $141.85 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 combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving).
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Carbidopa-Levodopa Er, about half as often as the typical California prescriber of it (46). Medicare paid $25.25 per fill, versus $57.08 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
This medication is used to treat bacterial ear infections.
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Ciprofloxacin-Dexamethasone, about 79% as often as the typical California prescriber of it (25). Medicare paid $121.14 per fill, versus $110.25 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 medication is used to treat acne.
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Clindamycin Phosphate, about 77% as often as the typical California prescriber of it (26). Medicare paid $14.00 per fill, versus $32.68 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
This medication is used to treat a variety of skin conditions (such as psoriasis, eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Clobetasol Emollient, about as often as the typical California prescriber of it (18). Medicare paid $69.97 per fill, versus $93.17 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
Digoxin is used to treat heart failure, usually along with other medications.
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Digoxin, about 68% as often as the typical California prescriber of it (29). Medicare paid $12.09 per fill, versus $22.84 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 migraines.
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Naratriptan Hcl, about as often as the typical California prescriber of it (18). Medicare paid $44.98 per fill, versus $25.61 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
Insulin aspart protamine/insulin aspart is used along with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Novolog Mix 70-30, about 1.4 times as often as the typical California prescriber of it (15). Medicare paid $205.96 per fill, versus $172.54 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 medication is used in men who do not make enough of a natural substance called testosterone.
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Testosterone Cypionate, about 70% as often as the typical California prescriber of it (28). Medicare paid $39.01 per fill, versus $39.53 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 20 prescriptions for Ulticare Pen Needle, about as often as the typical California prescriber of it (19). Medicare paid $48.94 per fill, versus $64.59 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 California prescribers
Dr. Topsakalyan wrote 19 prescriptions for Fluocinolone Acetonide, about 74% as often as the typical California prescriber of it (26). Medicare paid $46.26 per fill, versus $45.07 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
Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 19 prescriptions for Humalog Kwikpen U-100, about 63% as often as the typical California prescriber of it (30). Medicare paid $79.06 per fill, versus $231.67 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
This medication is used if you have had certain types of irregular heartbeat (paroxysmal or persistent atrial fibrillation) in the past but now have a normal heart rhythm.
Compared with California prescribers
Dr. Topsakalyan wrote 19 prescriptions for Multaq, about 60% as often as the typical California prescriber of it (32). Medicare paid $791.10 per fill, versus $1,296.03 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
Piroxicam is used to reduce pain, swelling, and joint stiffness from arthritis.
Compared with California prescribers
Dr. Topsakalyan wrote 19 prescriptions for Piroxicam, about as often as the typical California prescriber of it (21). Medicare paid $16.05 per fill, versus $31.35 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 eye conditions due to inflammation or injury.
Compared with California prescribers
Dr. Topsakalyan wrote 19 prescriptions for Prednisolone Acetate, about 12% as often as the typical California prescriber of it (155). Medicare paid $21.51 per fill, versus $42.12 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
Denosumab is used to treat bone loss (osteoporosis) in people who have a high risk of getting fractures.
Compared with California prescribers
Dr. Topsakalyan wrote 19 prescriptions for Prolia, about half as often as the typical California prescriber of it (40). Medicare paid $1,723.79 per fill, versus $1,666.72 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
This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as paroxysmal supraventricular tachycardia and atrial fibrillation).
Compared with California prescribers
Dr. Topsakalyan wrote 19 prescriptions for Propafenone Hcl, about 62% as often as the typical California prescriber of it (30). Medicare paid $11.12 per fill, versus $50.89 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
Anastrozole is used to treat breast cancer in women after menopause.
Compared with California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Anastrozole, about 26% as often as the typical California prescriber of it (68). Medicare paid $4.59 per fill, versus $20.79 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 fungal skin infections such as athlete's foot, jock itch, and ringworm.
Compared with California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Ciclopirox, about 34% as often as the typical California prescriber of it (53). Medicare paid $31.08 per fill, versus $23.81 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 California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Diovan, about 1.2 times as often as the typical California prescriber of it (15). Medicare paid $497.00 per fill, versus $560.24 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
This medication is used in emergencies to treat very serious allergic reactions to insect stings/bites, foods, drugs, or other substances.
Compared with California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Epinephrine, about 83% as often as the typical California prescriber of it (22). Medicare paid $259.99 per fill, versus $184.44 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 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 California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Ezetimibe-Simvastatin, about as often as the typical California prescriber of it (17). Medicare paid $24.90 per fill, versus $76.26 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 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 California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Fluticasone-Vilanterol, about 83% as often as the typical California prescriber of it (22). Medicare paid $321.92 per fill, versus $372.99 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
Minoxidil is used with other medications to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Minoxidil, about 62% as often as the typical California prescriber of it (29). Medicare paid $3.20 per fill, versus $13.72 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
Evolocumab is used along with a proper diet to help lower "bad" cholesterol (LDL) in the blood.
Compared with California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Repatha Syringe, about as often as the typical California prescriber of it (19). Medicare paid $514.19 per fill, versus $768.86 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
Theophylline is used to treat lung diseases such as asthma and COPD (bronchitis, emphysema).
Compared with California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Theophylline Er, about 77% as often as the typical California prescriber of it (23). Medicare paid $18.42 per fill, versus $66.33 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 California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Triazolam, about 86% as often as the typical California prescriber of it (21). Medicare paid $21.32 per fill, versus $36.19 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 California prescribers
Dr. Topsakalyan wrote 18 prescriptions for Trulance, about 70% as often as the typical California prescriber of it (26). Medicare paid $541.50 per fill, versus $658.05 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 bladder problems such as the inability to urinate or empty the bladder completely due to certain causes (such as surgery, bladder muscle problems).
Compared with California prescribers
Dr. Topsakalyan wrote 17 prescriptions for Bethanechol Chloride, about half as often as the typical California prescriber of it (31). Medicare paid $51.33 per fill, versus $62.67 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
Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 17 prescriptions for Fiasp Flextouch, about 69% as often as the typical California prescriber of it (25). Medicare paid $571.13 per fill, versus $725.22 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 combination medication is used to relieve pain from rheumatoid arthritis and osteoarthritis while decreasing the risk of developing an ulcer from ibuprofen use.
Compared with California prescribers
Dr. Topsakalyan wrote 17 prescriptions for Ibuprofen-Famotidine, about 69% as often as the typical California prescriber of it (25). Medicare paid $111.24 per fill, versus $290.13 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
Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 17 prescriptions for Insulin Lispro Kwikpen U-100, about 62% as often as the typical California prescriber of it (27). Medicare paid $152.16 per fill, versus $135.73 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 California prescribers
Dr. Topsakalyan wrote 17 prescriptions for Nortriptyline Hcl, about 74% as often as the typical California prescriber of it (23). Medicare paid $5.63 per fill, versus $16.38 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
This drug is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 17 prescriptions for Triamterene-Hydrochlorothiazid, about 64% as often as the typical California prescriber of it (27). Medicare paid $9.24 per fill, versus $9.76 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
Chlorzoxazone is used to treat muscle spasms/pain.
Compared with California prescribers
Dr. Topsakalyan wrote 16 prescriptions for Chlorzoxazone, about half as often as the typical California prescriber of it (36). Medicare paid $622.44 per fill, versus $1,092.49 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 dandruff and a certain scalp infection (seborrheic dermatitis).
Compared with California prescribers
Dr. Topsakalyan wrote 16 prescriptions for Selenium Sulfide, about 62% as often as the typical California prescriber of it (26). Medicare paid $13.05 per fill, versus $16.37 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
Solifenacin is used to treat an overactive bladder.
Compared with California prescribers
Dr. Topsakalyan wrote 16 prescriptions for Vesicare, about as often as the typical California prescriber of it (16). Medicare paid $365.06 per fill, versus $376.50 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
Candesartan is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Candesartan Cilexetil, about 71% as often as the typical California prescriber of it (21). Medicare paid $34.32 per fill, versus $71.00 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 California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Desvenlafaxine Succinate Er, about 62% as often as the typical California prescriber of it (24). Medicare paid $25.06 per fill, versus $62.60 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
Glyburide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Glyburide, about as often as the typical California prescriber of it (16). Medicare paid $13.65 per fill, versus $11.30 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
Isosorbide dinitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease).
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Isosorbide Dinitrate, about half as often as the typical California prescriber of it (28). Medicare paid $14.13 per fill, versus $51.54 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
Sitagliptin/metformin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Janumet Xr, about 62% as often as the typical California prescriber of it (24). Medicare paid $791.64 per fill, versus $761.72 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
Niacin is used with a proper diet and exercise program to help lower "bad" cholesterol and fats (LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Niacin Er, about 76% as often as the typical California prescriber of it (20). Medicare paid $9.05 per fill, versus $56.98 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, anxiety disorders).
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Paroxetine Er, about as often as the typical California prescriber of it (14). Medicare paid $36.78 per fill, versus $53.09 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Sure Comfort, about as often as the typical California prescriber of it (15). Medicare paid $36.03 per fill, versus $28.35 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
Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Tresiba Flextouch U-100, about half as often as the typical California prescriber of it (31). Medicare paid $589.90 per fill, versus $570.29 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
Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Tresiba Flextouch U-200, about half as often as the typical California prescriber of it (29). Medicare paid $447.22 per fill, versus $899.71 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
Verapamil is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Verapamil Er, about 86% as often as the typical California prescriber of it (17). Medicare paid $7.11 per fill, versus $31.36 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
Zileuton is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma.
Compared with California prescribers
Dr. Topsakalyan wrote 15 prescriptions for Zileuton Er, about 25% as often as the typical California prescriber of it (61). Medicare paid $3,176.79 per fill, versus $2,763.92 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
Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Arnuity Ellipta, about 64% as often as the typical California prescriber of it (22). Medicare paid $270.67 per fill, versus $283.30 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 a variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Desonide, about 61% as often as the typical California prescriber of it (23). Medicare paid $111.75 per fill, versus $50.95 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 treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Divalproex Sodium Er, about 38% as often as the typical California prescriber of it (37). Medicare paid $29.12 per fill, versus $51.64 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 combination medication is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Glyburide-Metformin Hcl, about 83% as often as the typical California prescriber of it (17). Medicare paid $9.30 per fill, versus $11.07 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
Hydroxyzine is used to treat itching caused by allergies.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Hydroxyzine Pamoate, about half as often as the typical California prescriber of it (29). Medicare paid $2.33 per fill, versus $10.86 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Insulin Syringe, about 85% as often as the typical California prescriber of it (16). Medicare paid $40.57 per fill, versus $45.35 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
Ipratropium is used to treat a runny nose caused by the common cold or seasonal allergies.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Ipratropium Bromide, about 40% as often as the typical California prescriber of it (35). Medicare paid $27.46 per fill, versus $31.19 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 amide-type local anesthetics, lidocaine and prilocaine.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Lidocaine-Prilocaine, about half as often as the typical California prescriber of it (25). Medicare paid $7.78 per fill, versus $20.14 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
Alirocumab is used by people who have blockage in the heart blood vessels to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Praluent Pen, about half as often as the typical California prescriber of it (29). Medicare paid $527.89 per fill, versus $722.64 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Pure Comfort Alcohol Pad, about half as often as the typical California prescriber of it (31). Medicare paid $35.34 per fill, versus $39.03 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
This skin patch is used to prevent nausea and vomiting caused by motion sickness or recovery from anesthesia and surgery.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Scopolamine, about 66% as often as the typical California prescriber of it (21). Medicare paid $37.10 per fill, versus $74.74 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
Silodosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Silodosin, about 37% as often as the typical California prescriber of it (38). Medicare paid $52.33 per fill, versus $72.92 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
Sumatriptan is used to treat migraines.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Sumatriptan, about as often as the typical California prescriber of it (15). Medicare paid $369.01 per fill, versus $183.13 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 an overactive bladder.
Compared with California prescribers
Dr. Topsakalyan wrote 14 prescriptions for Tolterodine Tartrate, about 80% as often as the typical California prescriber of it (17). Medicare paid $30.16 per fill, versus $57.13 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
Acetazolamide is used to prevent and reduce the symptoms of altitude sickness.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Acetazolamide Er, about half as often as the typical California prescriber of it (28). Medicare paid $36.00 per fill, versus $40.83 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
Carisoprodol is used short-term to treat muscle pain and discomfort.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Carisoprodol, about half as often as the typical California prescriber of it (24). Medicare paid $3.09 per fill, versus $9.66 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, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Divalproex Sodium, about 27% as often as the typical California prescriber of it (48). Medicare paid $23.40 per fill, versus $38.94 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 medication is used to treat a certain sleep problem (insomnia).
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Eszopiclone, about 64% as often as the typical California prescriber of it (20). Medicare paid $8.78 per fill, versus $24.07 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
Galantamine is used to treat mild to moderate confusion (dementia) related to Alzheimer's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Galantamine Er, about 40% as often as the typical California prescriber of it (32). Medicare paid $52.27 per fill, versus $100.38 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
This medication is used to treat depression.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Imipramine Hcl, about 62% as often as the typical California prescriber of it (21). Medicare paid $5.57 per fill, versus $16.98 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 California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Lamotrigine, about 33% as often as the typical California prescriber of it (39). Medicare paid $9.52 per fill, versus $14.45 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 breast cancer (such as hormone-receptor-positive breast cancer) in women after menopause.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Letrozole, about 26% as often as the typical California prescriber of it (49). Medicare paid $7.53 per fill, versus $22.86 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
Combination isophane/regular insulin is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Novolin 70-30 Flexpen, about 78% as often as the typical California prescriber of it (17). Medicare paid $214.00 per fill, versus $120.36 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
This medication is used to prevent or treat migraine.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Nurtec Odt, about half as often as the typical California prescriber of it (30). Medicare paid $930.81 per fill, versus $1,396.81 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 high level of potassium in your blood.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Sodium Polystyrene Sulfonate, about half as often as the typical California prescriber of it (24). Medicare paid $48.55 per fill, versus $68.52 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Sulindac, about half as often as the typical California prescriber of it (29). Medicare paid $12.60 per fill, versus $17.63 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
This medication is used to treat certain mental/mood disorders (such as schizophrenia, psychotic disorders).
Compared with California prescribers
Dr. Topsakalyan wrote 13 prescriptions for Trifluoperazine Hcl, about 82% as often as the typical California prescriber of it (16). Medicare paid $11.28 per fill, versus $55.91 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
This product is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Azor, about 73% as often as the typical California prescriber of it (17). Medicare paid $372.87 per fill, versus $576.11 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 drug is used to treat high blood pressure (hypertension).
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Benicar Hct, about 67% as often as the typical California prescriber of it (18). Medicare paid $407.02 per fill, versus $410.57 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 open-angle glaucoma or high fluid pressure in the eye.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Brimonidine Tartrate, about 13% as often as the typical California prescriber of it (89). Medicare paid $5.98 per fill, versus $42.08 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
Bromocriptine is used alone or with other medications (such as levodopa) to treat Parkinson's disease.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Bromocriptine Mesylate, about 82% as often as the typical California prescriber of it (15). Medicare paid $48.44 per fill, versus $176.89 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
Econazole is used to treat a variety of fungal skin infections such as athlete's foot, jock itch, and ringworm.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Econazole Nitrate, about half as often as the typical California prescriber of it (27). Medicare paid $31.73 per fill, versus $35.47 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
See also Warning section.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Etodolac Er, about 74% as often as the typical California prescriber of it (16). Medicare paid $72.69 per fill, versus $55.57 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 a combination of 2 drugs: empagliflozin and linagliptin.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Glyxambi, about half as often as the typical California prescriber of it (26). Medicare paid $544.43 per fill, versus $933.58 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Insulin Syringe, about 69% as often as the typical California prescriber of it (17). Medicare paid $0.96 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 rheumatoid arthritis, a condition in which the body's defense system (immune system) fails to recognize the body as itself and attacks the healthy tissues around the joints.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Leflunomide, about 20% as often as the typical California prescriber of it (60). Medicare paid $11.33 per fill, versus $59.66 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 bowel disease (ulcerative colitis).
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Mesalamine, about half as often as the typical California prescriber of it (28). Medicare paid $489.00 per fill, versus $446.16 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
Nadolol is used alone or with other medications to treat high blood pressure (hypertension) and to prevent chest pain (angina).
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Nadolol, about 75% as often as the typical California prescriber of it (16). Medicare paid $8.11 per fill, versus $48.57 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
Insulin isophane is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Novolin N, about 75% as often as the typical California prescriber of it (16). Medicare paid $47.14 per fill, versus $91.29 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 help prevent certain types of serious (possibly fatal) irregular heartbeat (such as paroxysmal supraventricular tachycardia and atrial fibrillation).
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Propafenone Hcl Er, about 63% as often as the typical California prescriber of it (19). Medicare paid $132.58 per fill, versus $181.67 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
Repaglinide is used alone or with other medications to control high blood sugar along with a proper diet and exercise program.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Repaglinide, about 32% as often as the typical California prescriber of it (37). Medicare paid $11.41 per fill, versus $36.21 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Sodium Chloride, about half as often as the typical California prescriber of it (23). Medicare paid $3.19 per fill, versus $18.67 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Compared with California prescribers
Dr. Topsakalyan wrote 12 prescriptions for Ultra-Fine Micro Pen Needle, about 72% as often as the typical California prescriber of it (17). Medicare paid $60.33 per fill, versus $73.02 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 California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Breyna, about 40% as often as the typical California prescriber of it (27). Medicare paid $191.44 per fill, versus $216.66 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 California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Buprenorphine-Naloxone, about 26% as often as the typical California prescriber of it (42). Medicare paid $72.21 per fill, versus $145.54 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
Nebivolol is used to treat high blood pressure.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Bystolic, about half as often as the typical California prescriber of it (22). Medicare paid $191.17 per fill, versus $262.77 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
Ceftriaxone is used to treat a wide variety of bacterial infections.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Ceftriaxone, about half as often as the typical California prescriber of it (26). Medicare paid $4.29 per fill, versus $86.07 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
Cyanocobalamin is a man-made form of vitamin B12 used to treat low levels (deficiency) of this vitamin.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Cyanocobalamin Injection, about half as often as the typical California prescriber of it (20). Medicare paid $16.94 per fill, versus $12.44 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
Cyclosporine is used to prevent organ rejection in people who have received a liver, kidney, or heart transplant.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Cyclosporine Modified, about half as often as the typical California prescriber of it (21). Medicare paid $184.17 per fill, versus $137.08 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
Frovatriptan is used to treat migraines.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Frovatriptan Succinate, about half as often as the typical California prescriber of it (21). Medicare paid $164.85 per fill, versus $197.02 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
Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Insulin Aspart Flexpen, about half as often as the typical California prescriber of it (21). Medicare paid $27.17 per fill, versus $107.27 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 bladder problems (overactive bladder, neurogenic detrusor overactivity).
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Mirabegron Er, about 40% as often as the typical California prescriber of it (27). Medicare paid $341.07 per fill, versus $401.00 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
Naproxen is used to relieve pain from various conditions.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Naproxen Sodium Cr, about half as often as the typical California prescriber of it (20). Medicare paid $595.07 per fill, versus $641.59 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 or prevent eye infections.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Tobradex, about half as often as the typical California prescriber of it (25). Medicare paid $257.29 per fill, versus $273.95 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 treat depression.
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Vilazodone Hcl, about half as often as the typical California prescriber of it (22). Medicare paid $79.48 per fill, versus $91.37 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
Vonoprazan is used to treat certain throat (esophagus) problems (erosive esophagitis, heartburn).
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Voquezna, about 36% as often as the typical California prescriber of it (31). Medicare paid $628.36 per fill, versus $758.94 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 medication is used to treat certain mental/mood disorders (such as bipolar disorder, depression, schizophrenia).
Compared with California prescribers
Dr. Topsakalyan wrote 11 prescriptions for Vraylar, about 39% as often as the typical California prescriber of it (28). Medicare paid $1,298.73 per fill, versus $1,511.65 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. Topsakalyan’s prescriptions
What does Dr. Topsakalyan prescribe most?
In 2024 Medicare Part D data, Dr. Topsakalyan's most prescribed medications were Rosuvastatin Calcium (2,542), Donepezil Hcl (2,486) and Meclizine Hcl (2,399).
How does Dr. Topsakalyan's prescribing compare with other California prescribers?
Of the 412 medications with a state comparison, Dr. Topsakalyan prescribes 250 more often than the typical California prescriber, 69 about as often and 93 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Topsakalyan 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 California 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.
