DR. BRANDON MICHAEL MIKOLICH M.D.
Prescription History 1215102421
Internal Medicine - Cardiovascular Disease in Hermitage, PA

Name: Medicare Part D prescriptions by Dr. Brandon Mikolich (NPI 1215102421), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment

2999 PRESIDENTIAL BLVD, HERMITAGE, PA 16148(724) 983-1800(724) 983-8252 Get Directions

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. BRANDON MICHAEL MIKOLICH M.D., an active Cardiovascular Disease specialist practicing in Hermitage, PA. Our medical registry currently tracks 69 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 9,218 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 771 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

Medications

9,218

Total Claims

21,025

30-Day Fills

Atorvastatin Calcium

Most Prescribed · 771 claims

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Prescription Volume vs PA Average

69 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by DR. BRANDON MICHAEL MIKOLICH M.D. in 2023, with prescription volumes, average cost per fill, and PA state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other PA PrescribersVs. PA Avg
Atorvastatin Calcium	771	$16.82	▲ More than typical
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 771 Medicare prescriptions for Atorvastatin Calcium, about 3.8 times the volume of the typical Pennsylvania prescriber of this medication (204). Medicare paid an average of $16.82 per fill, versus $14.17 statewide. How often this provider prescribes it This provider 771 PA average 204.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.82 PA average $14.17 Gross Part D cost per fill; not the patient's out-of-pocket price. 1,998.6 30-Day Fills standardized to 30-day supplies 59,795 Days of Medication total across all patients in 2023
Metoprolol Tartrate	624	$8.30▼ below PA avg	▲ More than typical
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 624 Medicare prescriptions for Metoprolol Tartrate, about 7.3 times the volume of the typical Pennsylvania prescriber of this medication (86). Medicare paid an average of $8.30 per fill, versus $8.36 statewide. How often this provider prescribes it This provider 624 PA average 86.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.30 PA average $8.36 This provider's average cost per fill is below the PA average for this medication. 1,633.8 30-Day Fills standardized to 30-day supplies 48,803 Days of Medication total across all patients in 2023
EliquisApixaban	588	$905.47	▲ More than typical
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 588 Medicare prescriptions for Eliquis, about 6.4 times the volume of the typical Pennsylvania prescriber of this medication (92). Medicare paid an average of $905.47 per fill, versus $730.59 statewide. How often this provider prescribes it This provider 588 PA average 92.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $905.47 PA average $730.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 947.3 30-Day Fills standardized to 30-day supplies 27,757 Days of Medication total across all patients in 2023
Amlodipine Besylate	562	$6.77▼ below PA avg	▲ More than typical
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 562 Medicare prescriptions for Amlodipine Besylate, about 3.8 times the volume of the typical Pennsylvania prescriber of this medication (149). Medicare paid an average of $6.77 per fill, versus $7.48 statewide. How often this provider prescribes it This provider 562 PA average 149.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.77 PA average $7.48 This provider's average cost per fill is below the PA average for this medication. 1,478 30-Day Fills standardized to 30-day supplies 44,192 Days of Medication total across all patients in 2023
ClopidogrelClopidogrel Bisulfate	540	$13.97▼ below PA avg	▲ More than typical
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 540 Medicare prescriptions for Clopidogrel, about 8.7 times the volume of the typical Pennsylvania prescriber of this medication (62). Medicare paid an average of $13.97 per fill, versus $15.22 statewide. How often this provider prescribes it This provider 540 PA average 62.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.97 PA average $15.22 This provider's average cost per fill is below the PA average for this medication. 1,368.7 30-Day Fills standardized to 30-day supplies 40,854 Days of Medication total across all patients in 2023
Carvedilol	515	$12.20	▲ More than typical
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 515 Medicare prescriptions for Carvedilol, about 8.2 times the volume of the typical Pennsylvania prescriber of this medication (63). Medicare paid an average of $12.20 per fill, versus $11.51 statewide. How often this provider prescribes it This provider 515 PA average 63.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.20 PA average $11.51 Gross Part D cost per fill; not the patient's out-of-pocket price. 1,331.1 30-Day Fills standardized to 30-day supplies 39,852 Days of Medication total across all patients in 2023
Metoprolol Succinate	451	$18.51▼ below PA avg	▲ More than typical
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 451 Medicare prescriptions for Metoprolol Succinate, about 3.8 times the volume of the typical Pennsylvania prescriber of this medication (118). Medicare paid an average of $18.51 per fill, versus $19.61 statewide. How often this provider prescribes it This provider 451 PA average 118.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.51 PA average $19.61 This provider's average cost per fill is below the PA average for this medication. 1,107.1 30-Day Fills standardized to 30-day supplies 32,558 Days of Medication total across all patients in 2023
Rosuvastatin Calcium	445	$20.95▼ below PA avg	▲ More than typical
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 445 Medicare prescriptions for Rosuvastatin Calcium, about 4.6 times the volume of the typical Pennsylvania prescriber of this medication (96). Medicare paid an average of $20.95 per fill, versus $30.45 statewide. How often this provider prescribes it This provider 445 PA average 96.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.95 PA average $30.45 This provider's average cost per fill is below the PA average for this medication. 1,177 30-Day Fills standardized to 30-day supplies 35,254 Days of Medication total across all patients in 2023
Lisinopril	425	$8.79	▲ More than typical
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 425 Medicare prescriptions for Lisinopril, about 3.1 times the volume of the typical Pennsylvania prescriber of this medication (135). Medicare paid an average of $8.79 per fill, versus $8.19 statewide. How often this provider prescribes it This provider 425 PA average 135.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.79 PA average $8.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 1,009.1 30-Day Fills standardized to 30-day supplies 28,930 Days of Medication total across all patients in 2023
Furosemide	412	$5.10▼ below PA avg	▲ More than typical
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 412 Medicare prescriptions for Furosemide, about 4.3 times the volume of the typical Pennsylvania prescriber of this medication (96). Medicare paid an average of $5.10 per fill, versus $5.88 statewide. How often this provider prescribes it This provider 412 PA average 96.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.10 PA average $5.88 This provider's average cost per fill is below the PA average for this medication. 796.2 30-Day Fills standardized to 30-day supplies 23,255 Days of Medication total across all patients in 2023
XareltoRivaroxaban	306	$910.88	▲ More than typical
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2023, this provider wrote 306 Medicare prescriptions for Xarelto, about 6.4 times the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $910.88 per fill, versus $800.52 statewide. How often this provider prescribes it This provider 306 PA average 48.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $910.88 PA average $800.52 Gross Part D cost per fill; not the patient's out-of-pocket price. 492.3 30-Day Fills standardized to 30-day supplies 14,665 Days of Medication total across all patients in 2023
Losartan Potassium	268	$14.64	▲ More than typical
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 268 Medicare prescriptions for Losartan Potassium, about 2.6 times the volume of the typical Pennsylvania prescriber of this medication (105). Medicare paid an average of $14.64 per fill, versus $13.26 statewide. How often this provider prescribes it This provider 268 PA average 105.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.64 PA average $13.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 706.3 30-Day Fills standardized to 30-day supplies 21,127 Days of Medication total across all patients in 2023
EntrestoSacubitril/Valsartan	215	$1,092.11	▲ More than typical
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. In 2023, this provider wrote 215 Medicare prescriptions for Entresto, about 4.4 times the volume of the typical Pennsylvania prescriber of this medication (49). Medicare paid an average of $1,092.11 per fill, versus $906.84 statewide. How often this provider prescribes it This provider 215 PA average 49.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,092.11 PA average $906.84 Gross Part D cost per fill; not the patient's out-of-pocket price. 344 30-Day Fills standardized to 30-day supplies 10,159 Days of Medication total across all patients in 2023
Hydrochlorothiazide	198	$4.59▼ below PA avg	▲ More than typical
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 198 Medicare prescriptions for Hydrochlorothiazide, about 2.5 times the volume of the typical Pennsylvania prescriber of this medication (79). Medicare paid an average of $4.59 per fill, versus $5.29 statewide. How often this provider prescribes it This provider 198 PA average 79.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.59 PA average $5.29 This provider's average cost per fill is below the PA average for this medication. 504.3 30-Day Fills standardized to 30-day supplies 15,112 Days of Medication total across all patients in 2023
Pravastatin Sodium	189	$17.45	▲ More than typical
About Pravastatin Sodium: 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. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 189 Medicare prescriptions for Pravastatin Sodium, about 3.4 times the volume of the typical Pennsylvania prescriber of this medication (56). Medicare paid an average of $17.45 per fill, versus $17.27 statewide. How often this provider prescribes it This provider 189 PA average 56.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.45 PA average $17.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 516.8 30-Day Fills standardized to 30-day supplies 15,468 Days of Medication total across all patients in 2023
Isosorbide Mononitrate ErIsosorbide Mononitrate	178	$20.27	▲ More than typical
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. In 2023, this provider wrote 178 Medicare prescriptions for Isosorbide Mononitrate Er, about 4.2 times the volume of the typical Pennsylvania prescriber of this medication (42). Medicare paid an average of $20.27 per fill, versus $18.15 statewide. How often this provider prescribes it This provider 178 PA average 42.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.27 PA average $18.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 466.7 30-Day Fills standardized to 30-day supplies 13,974 Days of Medication total across all patients in 2023
Potassium Chloride	177	$30.11▼ below PA avg	▲ More than typical
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 177 Medicare prescriptions for Potassium Chloride, about 2.5 times the volume of the typical Pennsylvania prescriber of this medication (70). Medicare paid an average of $30.11 per fill, versus $30.86 statewide. How often this provider prescribes it This provider 177 PA average 70.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.11 PA average $30.86 This provider's average cost per fill is below the PA average for this medication. 414.8 30-Day Fills standardized to 30-day supplies 12,389 Days of Medication total across all patients in 2023
Repatha SureclickEvolocumab	154	$704.96▼ below PA avg	▲ More than typical
About Repatha Sureclick: Evolocumab is used along with a proper diet to help lower bad cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as statin drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to help prevent heart attacks and strokes. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 154 Medicare prescriptions for Repatha Sureclick, about 4.4 times the volume of the typical Pennsylvania prescriber of this medication (35). Medicare paid an average of $704.96 per fill, versus $716.52 statewide. How often this provider prescribes it This provider 154 PA average 35.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $704.96 PA average $716.52 This provider's average cost per fill is below the PA average for this medication. 191.8 30-Day Fills standardized to 30-day supplies 5,478 Days of Medication total across all patients in 2023
BrilintaTicagrelor	140	$606.13	▲ More than typical
About Brilinta: 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). Show more ▾ It may also prevent blood clots after certain heart surgeries (such as stent placement). Ticagrelor works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It keeps blood flowing smoothly in your body. An adenosine triphosphate analogue and reversible P2Y12 PURINORECEPTOR antagonist that inhibits ADP-mediated PLATELET AGGREGATION. It is used for the prevention of THROMBOEMBOLISM by patients with ACUTE CORONARY SYNDROME or a history of MYOCARDIAL INFARCTION. In 2023, this provider wrote 140 Medicare prescriptions for Brilinta, about 5.4 times the volume of the typical Pennsylvania prescriber of this medication (26). Medicare paid an average of $606.13 per fill, versus $590.51 statewide. How often this provider prescribes it This provider 140 PA average 26.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $606.13 PA average $590.51 Gross Part D cost per fill; not the patient's out-of-pocket price. 188 30-Day Fills standardized to 30-day supplies 5,544 Days of Medication total across all patients in 2023
Praluent PenAlirocumab	129	$580.46▼ below PA avg	▲ More than typical
About Praluent Pen: 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. Show more ▾ It is also used by people who have an inherited condition that causes high levels of LDL. Treatment with alirocumab, a proper diet, and cholesterol-lowering drugs can help lower bad cholesterol (LDL) in the blood. Alirocumab belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 129 Medicare prescriptions for Praluent Pen, about 4.4 times the volume of the typical Pennsylvania prescriber of this medication (29). Medicare paid an average of $580.46 per fill, versus $730.32 statewide. How often this provider prescribes it This provider 129 PA average 29.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $580.46 PA average $730.32 This provider's average cost per fill is below the PA average for this medication. 141.6 30-Day Fills standardized to 30-day supplies 4,020 Days of Medication total across all patients in 2023
Spironolactone	129	$7.50▼ below PA avg	▲ More than typical
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 129 Medicare prescriptions for Spironolactone, about 3.1 times the volume of the typical Pennsylvania prescriber of this medication (41). Medicare paid an average of $7.50 per fill, versus $11.39 statewide. How often this provider prescribes it This provider 129 PA average 41.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.50 PA average $11.39 This provider's average cost per fill is below the PA average for this medication. 334.7 30-Day Fills standardized to 30-day supplies 9,998 Days of Medication total across all patients in 2023
JardianceEmpagliflozin	124	$1,222.05	▲ More than typical
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 124 Medicare prescriptions for Jardiance, about 2.6 times the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $1,222.05 per fill, versus $939.26 statewide. How often this provider prescribes it This provider 124 PA average 48.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,222.05 PA average $939.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 255 30-Day Fills standardized to 30-day supplies 7,587 Days of Medication total across all patients in 2023
Warfarin Sodium	118	$13.72	▲ More than typical
About Warfarin Sodium: 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. Show more ▾ Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a blood thinner, but the more correct term is anticoagulant. It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide. In 2023, this provider wrote 118 Medicare prescriptions for Warfarin Sodium, about 2.2 times the volume of the typical Pennsylvania prescriber of this medication (53). Medicare paid an average of $13.72 per fill, versus $12.59 statewide. How often this provider prescribes it This provider 118 PA average 53.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.72 PA average $12.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 254.6 30-Day Fills standardized to 30-day supplies 7,450 Days of Medication total across all patients in 2023
Hydralazine Hcl	101	$24.34	▲ More than typical
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. In 2023, this provider wrote 101 Medicare prescriptions for Hydralazine Hcl, about 2.7 times the volume of the typical Pennsylvania prescriber of this medication (37). Medicare paid an average of $24.34 per fill, versus $18.24 statewide. How often this provider prescribes it This provider 101 PA average 37.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.34 PA average $18.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 237.5 30-Day Fills standardized to 30-day supplies 7,103 Days of Medication total across all patients in 2023
FarxigaDapagliflozin Propanediol	95	$897.03	▲ More than typical
About Farxiga: Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 95 Medicare prescriptions for Farxiga, about 2.9 times the volume of the typical Pennsylvania prescriber of this medication (33). Medicare paid an average of $897.03 per fill, versus $886.40 statewide. How often this provider prescribes it This provider 95 PA average 33.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $897.03 PA average $886.40 Gross Part D cost per fill; not the patient's out-of-pocket price. 149 30-Day Fills standardized to 30-day supplies 4,443 Days of Medication total across all patients in 2023
Ranolazine ErRanolazine	86	$136.64▼ below PA avg	▲ More than typical
About Ranolazine Er: Ranolazine is used to treat a certain type of chest pain (chronic angina). Show more ▾ It decreases how often you may get chest pain and may help to increase your ability to exercise. Ranolazine works differently than other drugs for angina, so it can be used with your other angina medications (including nitrates, calcium channel blockers such as amlodipine, beta blockers such as metoprolol). It is thought to work by improving how well the heart uses oxygen so that it can do more work with less oxygen. An acetanilide and piperazine derivative that functions as a SODIUM CHANNEL BLOCKER and prevents the release of enzymes during MYOCARDIAL ISCHEMIA. It is used in the treatment of ANGINA PECTORIS. In 2023, this provider wrote 86 Medicare prescriptions for Ranolazine Er, about 2.8 times the volume of the typical Pennsylvania prescriber of this medication (31). Medicare paid an average of $136.64 per fill, versus $137.79 statewide. How often this provider prescribes it This provider 86 PA average 31.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $136.64 PA average $137.79 This provider's average cost per fill is below the PA average for this medication. 148.3 30-Day Fills standardized to 30-day supplies 4,432 Days of Medication total across all patients in 2023
Diltiazem 24hr Er (Cd)Diltiazem Hcl	73	$47.91	▲ More than typical
About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 73 Medicare prescriptions for Diltiazem 24hr Er (Cd), about 1.9 times the volume of the typical Pennsylvania prescriber of this medication (38). Medicare paid an average of $47.91 per fill, versus $42.14 statewide. How often this provider prescribes it This provider 73 PA average 38.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $47.91 PA average $42.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 180 30-Day Fills standardized to 30-day supplies 5,381 Days of Medication total across all patients in 2023
Ramipril	72	$13.69▼ below PA avg	▲ More than typical
About Ramipril: Ramipril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Ramipril is also used to improve survival after a heart attack. It may also be used in high risk patients (such as patients with heart disease/diabetes) to help prevent heart attacks and strokes. This medication may also be used to treat heart failure in patients who have had a recent heart attack. Ramipril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. A long-acting angiotensin-converting enzyme inhibitor. It is a prodrug that is transformed in the liver to its active metabolite ramiprilat. In 2023, this provider wrote 72 Medicare prescriptions for Ramipril, about 2.8 times the volume of the typical Pennsylvania prescriber of this medication (26). Medicare paid an average of $13.69 per fill, versus $15.28 statewide. How often this provider prescribes it This provider 72 PA average 26.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.69 PA average $15.28 This provider's average cost per fill is below the PA average for this medication. 191 30-Day Fills standardized to 30-day supplies 5,714 Days of Medication total across all patients in 2023
Ezetimibe	55	$39.15▼ below PA avg	≈ Typical
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 55 Medicare prescriptions for Ezetimibe, about 1.3 times the volume of the typical Pennsylvania prescriber of this medication (44). Medicare paid an average of $39.15 per fill, versus $68.13 statewide. How often this provider prescribes it This provider 55 PA average 44.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.15 PA average $68.13 This provider's average cost per fill is below the PA average for this medication. 160.8 30-Day Fills standardized to 30-day supplies 4,800 Days of Medication total across all patients in 2023
Digoxin	55	$31.99	▲ More than typical
About Digoxin: Digoxin is used to treat heart failure, usually along with other medications. Show more ▾ It is also used to treat certain types of irregular heartbeat (such as chronic atrial fibrillation). Treating heart failure may help maintain your ability to walk and exercise and may improve the strength of your heart. Treating an irregular heartbeat can also improve your ability to exercise. Digoxin belongs to a class of medications called cardiac glycosides. It works by affecting certain minerals (sodium and potassium) inside heart cells. This reduces strain on the heart and helps it maintain a normal, steady, and strong heartbeat. A cardiotonic glycoside obtained mainly from Digitalis lanata; it consists of three sugars and the aglycone DIGOXIGENIN. Digoxin has positive inotropic and negative chronotropic activity. It is used to control ventricular rate in ATRIAL FIBRILLATION and in the management of congestive heart failure with atrial fibrillation. Its use in congestive heart failure and sinus rhythm is less certain. The margin between toxic and therapeutic doses is small. (From Martindale, The Extra Pharmacopoeia, 30th ed, p666) In 2023, this provider wrote 55 Medicare prescriptions for Digoxin, about 1.8 times the volume of the typical Pennsylvania prescriber of this medication (30). Medicare paid an average of $31.99 per fill, versus $29.91 statewide. How often this provider prescribes it This provider 55 PA average 30.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.99 PA average $29.91 Gross Part D cost per fill; not the patient's out-of-pocket price. 145 30-Day Fills standardized to 30-day supplies 4,344 Days of Medication total across all patients in 2023
Simvastatin	50	$9.25▼ below PA avg	▼ Less than typical
About Simvastatin: 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. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 50 Medicare prescriptions for Simvastatin, about half the volume of the typical Pennsylvania prescriber of this medication (95). Medicare paid an average of $9.25 per fill, versus $10.55 statewide. How often this provider prescribes it This provider 50 PA average 95.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.25 PA average $10.55 This provider's average cost per fill is below the PA average for this medication. 150.3 30-Day Fills standardized to 30-day supplies 4,510 Days of Medication total across all patients in 2023
Amiodarone Hcl	48	$20.13▼ below PA avg	▲ More than typical
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. In 2023, this provider wrote 48 Medicare prescriptions for Amiodarone Hcl, about 1.3 times the volume of the typical Pennsylvania prescriber of this medication (36). Medicare paid an average of $20.13 per fill, versus $30.84 statewide. How often this provider prescribes it This provider 48 PA average 36.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.13 PA average $30.84 This provider's average cost per fill is below the PA average for this medication. 102.9 30-Day Fills standardized to 30-day supplies 3,035 Days of Medication total across all patients in 2023
FenofibrateFenofibrate Nanocrystallized	46	$33.59▼ below PA avg	▲ More than typical
About Fenofibrate: 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. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 46 Medicare prescriptions for Fenofibrate, about 1.8 times the volume of the typical Pennsylvania prescriber of this medication (25). Medicare paid an average of $33.59 per fill, versus $47.24 statewide. How often this provider prescribes it This provider 46 PA average 25.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.59 PA average $47.24 This provider's average cost per fill is below the PA average for this medication. 86 30-Day Fills standardized to 30-day supplies 2,568 Days of Medication total across all patients in 2023
Enalapril Maleate	45	$13.35▼ below PA avg	▲ More than typical
About Enalapril Maleate: Enalapril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to help prevent people with a certain heart problem (left ventricular dysfunction) from developing heart failure. Enalapril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. An angiotensin-converting enzyme inhibitor that is used to treat HYPERTENSION and HEART FAILURE. In 2023, this provider wrote 45 Medicare prescriptions for Enalapril Maleate, about 1.9 times the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $13.35 per fill, versus $25.59 statewide. How often this provider prescribes it This provider 45 PA average 24.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.35 PA average $25.59 This provider's average cost per fill is below the PA average for this medication. 110 30-Day Fills standardized to 30-day supplies 3,274 Days of Medication total across all patients in 2023
Enoxaparin Sodium	43	$71.70▼ below PA avg	▲ More than typical
About Enoxaparin Sodium: Enoxaparin is used to prevent and treat harmful blood clots. Show more ▾ This helps to reduce the risk of a stroke or heart attack. This medication helps keep your blood flowing smoothly by lowering the activity of clotting proteins in the blood. Enoxaparin is an anticoagulant, also known as a blood thinner. It is a type of heparin. Conditions which increase your risk of developing blood clots include certain types of surgeries (such as knee/hip replacement, abdominal), long periods of being immobile, certain types of heart attack, and a specific type of chest pain called unstable angina. For some medical conditions, enoxaparin may be used in combination with other blood thinners. In 2023, this provider wrote 43 Medicare prescriptions for Enoxaparin Sodium, about 1.5 times the volume of the typical Pennsylvania prescriber of this medication (28). Medicare paid an average of $71.70 per fill, versus $144.05 statewide. How often this provider prescribes it This provider 43 PA average 28.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $71.70 PA average $144.05 This provider's average cost per fill is below the PA average for this medication. 43 30-Day Fills standardized to 30-day supplies 187 Days of Medication total across all patients in 2023
FenofibrateFenofibrate,micronized	42	$24.35▼ below PA avg	▲ More than typical
About Fenofibrate: 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. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 42 Medicare prescriptions for Fenofibrate, about 1.7 times the volume of the typical Pennsylvania prescriber of this medication (25). Medicare paid an average of $24.35 per fill, versus $47.24 statewide. How often this provider prescribes it This provider 42 PA average 25.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.35 PA average $47.24 This provider's average cost per fill is below the PA average for this medication. 70 30-Day Fills standardized to 30-day supplies 2,003 Days of Medication total across all patients in 2023
MultaqDronedarone Hcl	39	$1,272.77	▲ More than typical
About Multaq: 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. Show more ▾ It helps you keep a normal heart rhythm and lowers your chance of having to go to the hospital for atrial fibrillation. Dronedarone is known as an antiarrhythmic drug. This medication should not be used if you have permanent atrial fibrillation because of the increased risk of very serious side effects. See also Warning section. A non-iodinated derivative of amiodarone that is used for the treatment of ARRHYTHMIA. In 2023, this provider wrote 39 Medicare prescriptions for Multaq, about 1.6 times the volume of the typical Pennsylvania prescriber of this medication (25). Medicare paid an average of $1,272.77 per fill, versus $1,068.15 statewide. How often this provider prescribes it This provider 39 PA average 25.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,272.77 PA average $1,068.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 65 30-Day Fills standardized to 30-day supplies 1,950 Days of Medication total across all patients in 2023
Fenofibrate	38	$48.43	▲ More than typical
About Fenofibrate: 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. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 38 Medicare prescriptions for Fenofibrate, about 1.5 times the volume of the typical Pennsylvania prescriber of this medication (25). Medicare paid an average of $48.43 per fill, versus $47.24 statewide. How often this provider prescribes it This provider 38 PA average 25.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $48.43 PA average $47.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 76.7 30-Day Fills standardized to 30-day supplies 2,285 Days of Medication total across all patients in 2023
Irbesartan	37	$20.97▼ below PA avg	≈ Typical
About Irbesartan: Irbesartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Irbesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. A spiro compound, biphenyl and tetrazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION, and in the treatment of kidney disease. In 2023, this provider wrote 37 Medicare prescriptions for Irbesartan, about the same volume as the typical Pennsylvania prescriber of this medication (34). Medicare paid an average of $20.97 per fill, versus $31.27 statewide. How often this provider prescribes it This provider 37 PA average 34.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.97 PA average $31.27 This provider's average cost per fill is below the PA average for this medication. 97 30-Day Fills standardized to 30-day supplies 2,910 Days of Medication total across all patients in 2023
Chlorthalidone	36	$16.76▼ below PA avg	▲ More than typical
About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a water pill (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic. In 2023, this provider wrote 36 Medicare prescriptions for Chlorthalidone, about 1.3 times the volume of the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $16.76 per fill, versus $24.59 statewide. How often this provider prescribes it This provider 36 PA average 27.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.76 PA average $24.59 This provider's average cost per fill is below the PA average for this medication. 90 30-Day Fills standardized to 30-day supplies 2,690 Days of Medication total across all patients in 2023
Colchicine	35	$120.06	▲ More than typical
About Colchicine: This medication is used to prevent or treat gout attacks (flares). Show more ▾ Usually gout symptoms develop suddenly and involve only one or a few joints. The big toe, knee, or ankle joints are most often affected. Gout is caused by too much uric acid in the blood. When uric acid levels in the blood are too high, the uric acid may form hard crystals in your joints. Colchicine works by decreasing swelling and lessening the build up of uric acid crystals that cause pain in the affected joint(s). This medication is also used to prevent attacks of pain in the abdomen, chest, or joints caused by a certain inherited disease (familial Mediterranean fever). It is thought to work by decreasing your body's production of a certain protein (amyloid A) that builds up in people with familial Mediterranean fever. Colchicine is not a pain medication and should not be used to relieve other causes of pain. A major alkaloid from Colchicum autumnale L. and found also in other Colchicum species. Its primary therapeutic use is in the treatment of gout, but it has been used also in the therapy of familial Mediterranean fever (PERIODIC DISEASE). In 2023, this provider wrote 35 Medicare prescriptions for Colchicine, about 1.7 times the volume of the typical Pennsylvania prescriber of this medication (21). Medicare paid an average of $120.06 per fill, versus $96.98 statewide. How often this provider prescribes it This provider 35 PA average 21.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $120.06 PA average $96.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 63 30-Day Fills standardized to 30-day supplies 1,882 Days of Medication total across all patients in 2023
Nebivolol Hcl	35	$72.55▼ below PA avg	▲ More than typical
About Nebivolol Hcl: Nebivolol is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers heart rate, blood pressure, and strain on the heart. A cardioselective ADRENERGIC BETA-1 RECEPTOR ANTAGONIST (beta-blocker) that functions as a VASODILATOR through the endothelial L-arginine/ NITRIC OXIDE system. It is used to manage HYPERTENSION and chronic HEART FAILURE in elderly patients. In 2023, this provider wrote 35 Medicare prescriptions for Nebivolol Hcl, about 1.6 times the volume of the typical Pennsylvania prescriber of this medication (22). Medicare paid an average of $72.55 per fill, versus $95.81 statewide. How often this provider prescribes it This provider 35 PA average 22.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $72.55 PA average $95.81 This provider's average cost per fill is below the PA average for this medication. 71 30-Day Fills standardized to 30-day supplies 2,124 Days of Medication total across all patients in 2023
Olmesartan Medoxomil	33	$34.75	≈ Typical
About Olmesartan Medoxomil: Olmesartan is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Olmesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to manage HYPERTENSION. In 2023, this provider wrote 33 Medicare prescriptions for Olmesartan Medoxomil, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (28). Medicare paid an average of $34.75 per fill, versus $31.01 statewide. How often this provider prescribes it This provider 33 PA average 28.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.75 PA average $31.01 Gross Part D cost per fill; not the patient's out-of-pocket price. 75 30-Day Fills standardized to 30-day supplies 2,250 Days of Medication total across all patients in 2023
Torsemide	30	$16.17▼ below PA avg	≈ Typical
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2023, this provider wrote 30 Medicare prescriptions for Torsemide, about 77% of the volume of the typical Pennsylvania prescriber of this medication (39). Medicare paid an average of $16.17 per fill, versus $23.24 statewide. How often this provider prescribes it This provider 30 PA average 39.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.17 PA average $23.24 This provider's average cost per fill is below the PA average for this medication. 55 30-Day Fills standardized to 30-day supplies 1,538 Days of Medication total across all patients in 2023
Atenolol	26	$11.52	▼ Less than typical
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 26 Medicare prescriptions for Atenolol, about half the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $11.52 per fill, versus $9.51 statewide. How often this provider prescribes it This provider 26 PA average 48.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.52 PA average $9.51 Gross Part D cost per fill; not the patient's out-of-pocket price. 62 30-Day Fills standardized to 30-day supplies 1,860 Days of Medication total across all patients in 2023
Nitroglycerin	26	$10.93▼ below PA avg	≈ Typical
About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2023, this provider wrote 26 Medicare prescriptions for Nitroglycerin, about the same volume as the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $10.93 per fill, versus $23.35 statewide. How often this provider prescribes it This provider 26 PA average 27.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.93 PA average $23.35 This provider's average cost per fill is below the PA average for this medication. 26 30-Day Fills standardized to 30-day supplies 432 Days of Medication total across all patients in 2023
Lovastatin	26	$3.07▼ below PA avg	≈ Typical
About Lovastatin: 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. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A fungal metabolite isolated from cultures of Aspergillus terreus. The compound is a potent anticholesteremic agent. It inhibits 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It also stimulates the production of low-density lipoprotein receptors in the liver. In 2023, this provider wrote 26 Medicare prescriptions for Lovastatin, about the same volume as the typical Pennsylvania prescriber of this medication (25). Medicare paid an average of $3.07 per fill, versus $12.96 statewide. How often this provider prescribes it This provider 26 PA average 25.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.07 PA average $12.96 This provider's average cost per fill is below the PA average for this medication. 44 30-Day Fills standardized to 30-day supplies 1,296 Days of Medication total across all patients in 2023
Prasugrel Hcl	25	$94.14▼ below PA avg	≈ Typical
About Prasugrel Hcl: Prasugrel is used with aspirin by patients with heart disease (recent heart attack, unstable angina) who undergo a certain heart procedure (angioplasty). Show more ▾ This medication helps to prevent other serious heart/blood vessel problems (such as heart attacks, strokes, blood clots in stents). It works by blocking platelets from sticking together and prevents them from forming harmful blood clots. This anti-platelet effect helps to keep blood flowing smoothly in your body. A piperazine derivative and PLATELET AGGREGATION INHIBITOR that is used to prevent THROMBOSIS in patients with ACUTE CORONARY SYNDROME; UNSTABLE ANGINA and MYOCARDIAL INFARCTION, as well as in those undergoing PERCUTANEOUS CORONARY INTERVENTIONS. In 2023, this provider wrote 25 Medicare prescriptions for Prasugrel Hcl, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (21). Medicare paid an average of $94.14 per fill, versus $113.14 statewide. How often this provider prescribes it This provider 25 PA average 21.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $94.14 PA average $113.14 This provider's average cost per fill is below the PA average for this medication. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023
Bumetanide	25	$40.68▼ below PA avg	▼ Less than typical
About Bumetanide: Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic. In 2023, this provider wrote 25 Medicare prescriptions for Bumetanide, about 69% of the volume of the typical Pennsylvania prescriber of this medication (36). Medicare paid an average of $40.68 per fill, versus $52.37 statewide. How often this provider prescribes it This provider 25 PA average 36.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $40.68 PA average $52.37 This provider's average cost per fill is below the PA average for this medication. 53 30-Day Fills standardized to 30-day supplies 1,536 Days of Medication total across all patients in 2023
Valsartan	24	$35.36▼ below PA avg	▼ Less than typical
About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾ It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION. In 2023, this provider wrote 24 Medicare prescriptions for Valsartan, about 65% of the volume of the typical Pennsylvania prescriber of this medication (37). Medicare paid an average of $35.36 per fill, versus $39.04 statewide. How often this provider prescribes it This provider 24 PA average 37.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.36 PA average $39.04 This provider's average cost per fill is below the PA average for this medication. 68 30-Day Fills standardized to 30-day supplies 2,040 Days of Medication total across all patients in 2023
Flecainide Acetate	23	$93.10	▼ Less than typical
About Flecainide Acetate: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as sustained ventricular tachycardia and paroxysmal supraventricular tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. It is also used to prevent certain types of irregular heartbeat from returning (such as atrial fibrillation). Flecainide is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other effective and possibly safer treatments. A potent anti-arrhythmia agent, effective in a wide range of ventricular and atrial ARRHYTHMIAS and TACHYCARDIAS. In 2023, this provider wrote 23 Medicare prescriptions for Flecainide Acetate, about 61% of the volume of the typical Pennsylvania prescriber of this medication (38). Medicare paid an average of $93.10 per fill, versus $70.15 statewide. How often this provider prescribes it This provider 23 PA average 38.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $93.10 PA average $70.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 61.7 30-Day Fills standardized to 30-day supplies 1,851 Days of Medication total across all patients in 2023
SotalolSotalol Hcl	23	$13.55▼ below PA avg	≈ Typical
About Sotalol: This medication is used to treat a serious (possibly life-threatening) type of fast heartbeat called sustained ventricular tachycardia. Show more ▾ It is also used to treat certain fast/irregular heartbeats (atrial fibrillation/flutter) in patients with severe symptoms such as weakness and shortness of breath. Sotalol helps to lessen these symptoms. It slows the heart rate and helps the heart to beat more normally and regularly. This medication is both a beta blocker and an anti-arrhythmic. In 2023, this provider wrote 23 Medicare prescriptions for Sotalol, about 77% of the volume of the typical Pennsylvania prescriber of this medication (30). Medicare paid an average of $13.55 per fill, versus $23.87 statewide. How often this provider prescribes it This provider 23 PA average 30.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.55 PA average $23.87 This provider's average cost per fill is below the PA average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,278 Days of Medication total across all patients in 2023
Isosorbide Dinitrate	22	$54.60▼ below PA avg	≈ Typical
About Isosorbide Dinitrate: Isosorbide dinitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be taken just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A vasodilator used in the treatment of ANGINA PECTORIS. Its actions are similar to NITROGLYCERIN but with a slower onset of action. In 2023, this provider wrote 22 Medicare prescriptions for Isosorbide Dinitrate, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (19). Medicare paid an average of $54.60 per fill, versus $69.17 statewide. How often this provider prescribes it This provider 22 PA average 19.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $54.60 PA average $69.17 This provider's average cost per fill is below the PA average for this medication. 30 30-Day Fills standardized to 30-day supplies 869 Days of Medication total across all patients in 2023
Dilt-XrDiltiazem Hcl	21	$59.83	≈ Typical
About Dilt-Xr: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 21 Medicare prescriptions for Dilt-Xr, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (18). Medicare paid an average of $59.83 per fill, versus $39.31 statewide. How often this provider prescribes it This provider 21 PA average 18.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $59.83 PA average $39.31 Gross Part D cost per fill; not the patient's out-of-pocket price. 63.7 30-Day Fills standardized to 30-day supplies 1,910 Days of Medication total across all patients in 2023
VascepaIcosapent Ethyl	19	$759.82	▼ Less than typical
About Vascepa: 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. Show more ▾ It is also used along with a proper diet to help lower fats (triglycerides) in the blood. Icosapent ethyl is a type of omega-3 fatty acid, a fat found in fish oil. It is thought to work by decreasing the amount of triglycerides made by the body. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 19 Medicare prescriptions for Vascepa, about half the volume of the typical Pennsylvania prescriber of this medication (34). Medicare paid an average of $759.82 per fill, versus $493.48 statewide. How often this provider prescribes it This provider 19 PA average 34.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $759.82 PA average $493.48 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023
Benazepril Hcl	19	$27.01	≈ Typical
About Benazepril Hcl: Benazepril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Benazepril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. In 2023, this provider wrote 19 Medicare prescriptions for Benazepril Hcl, about 79% of the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $27.01 per fill, versus $13.84 statewide. How often this provider prescribes it This provider 19 PA average 24.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.01 PA average $13.84 Gross Part D cost per fill; not the patient's out-of-pocket price. 33.7 30-Day Fills standardized to 30-day supplies 1,010 Days of Medication total across all patients in 2023
Verapamil ErVerapamil Hcl	18	$46.96	≈ Typical
About Verapamil Er: Verapamil is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Verapamil belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Verapamil may also lower your heart rate. In 2023, this provider wrote 18 Medicare prescriptions for Verapamil Er, about the same volume as the typical Pennsylvania prescriber of this medication (20). Medicare paid an average of $46.96 per fill, versus $36.14 statewide. How often this provider prescribes it This provider 18 PA average 20.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $46.96 PA average $36.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 40 30-Day Fills standardized to 30-day supplies 1,200 Days of Medication total across all patients in 2023
Diltiazem Hcl	18	$50.98	≈ Typical
About Diltiazem Hcl: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 18 Medicare prescriptions for Diltiazem Hcl, about 86% of the volume of the typical Pennsylvania prescriber of this medication (21). Medicare paid an average of $50.98 per fill, versus $28.60 statewide. How often this provider prescribes it This provider 18 PA average 21.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.98 PA average $28.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023
LivaloPitavastatin Calcium	17	$561.01	≈ Typical
About Livalo: 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. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 17 Medicare prescriptions for Livalo, about the same volume as the typical Pennsylvania prescriber of this medication (18). Medicare paid an average of $561.01 per fill, versus $543.04 statewide. How often this provider prescribes it This provider 17 PA average 18.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $561.01 PA average $543.04 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 852 Days of Medication total across all patients in 2023
Klor-Con M20Potassium Chloride	16	$30.71▼ below PA avg	≈ Typical
About Klor-Con M20: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 16 Medicare prescriptions for Klor-Con M20, about 89% of the volume of the typical Pennsylvania prescriber of this medication (18). Medicare paid an average of $30.71 per fill, versus $35.21 statewide. How often this provider prescribes it This provider 16 PA average 18.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.71 PA average $35.21 This provider's average cost per fill is below the PA average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2023
Metolazone	15	$16.69▼ below PA avg	▼ Less than typical
About Metolazone: Metolazone is a water pill (diuretic) that increases the amount of urine you make, which causes your body to get rid of excess water. Show more ▾ This drug is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication also reduces swelling/fluid retention (edema) which can result from conditions such as congestive heart failure or kidney disease. This can help to improve symptoms such as trouble breathing. A quinazoline-sulfonamide derived DIURETIC that functions by inhibiting SODIUM CHLORIDE SYMPORTERS. In 2023, this provider wrote 15 Medicare prescriptions for Metolazone, about 63% of the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $16.69 per fill, versus $30.47 statewide. How often this provider prescribes it This provider 15 PA average 24.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.69 PA average $30.47 This provider's average cost per fill is below the PA average for this medication. 21.4 30-Day Fills standardized to 30-day supplies 595 Days of Medication total across all patients in 2023
Toprol XlMetoprolol Succinate	14	$188.77	≈ Typical
About Toprol Xl: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 14 Medicare prescriptions for Toprol Xl, about the same volume as the typical Pennsylvania prescriber of this medication (14). Medicare paid an average of $188.77 per fill, versus $80.64 statewide. How often this provider prescribes it This provider 14 PA average 14.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $188.77 PA average $80.64 Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023
Prednisone	14	$1.46▼ below PA avg	▼ Less than typical
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2023, this provider wrote 14 Medicare prescriptions for Prednisone, about a third of the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $1.46 per fill, versus $5.96 statewide. How often this provider prescribes it This provider 14 PA average 48.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1.46 PA average $5.96 This provider's average cost per fill is below the PA average for this medication. 14 30-Day Fills standardized to 30-day supplies 49 Days of Medication total across all patients in 2023
Doxazosin Mesylate	14	$22.46	▼ Less than typical
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2023, this provider wrote 14 Medicare prescriptions for Doxazosin Mesylate, about half the volume of the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $22.46 per fill, versus $21.35 statewide. How often this provider prescribes it This provider 14 PA average 27.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.46 PA average $21.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023
Propranolol Hcl	13	$16.90▼ below PA avg	▼ Less than typical
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 13 Medicare prescriptions for Propranolol Hcl, about half the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $16.90 per fill, versus $24.87 statewide. How often this provider prescribes it This provider 13 PA average 24.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.90 PA average $24.87 This provider's average cost per fill is below the PA average for this medication. 27 30-Day Fills standardized to 30-day supplies 808 Days of Medication total across all patients in 2023
Cartia XtDiltiazem Hcl	13	$56.98	▼ Less than typical
About Cartia Xt: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 13 Medicare prescriptions for Cartia Xt, about 65% of the volume of the typical Pennsylvania prescriber of this medication (20). Medicare paid an average of $56.98 per fill, versus $19.62 statewide. How often this provider prescribes it This provider 13 PA average 20.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $56.98 PA average $19.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023
Propafenone Hcl	12	$118.51	▼ Less than typical
About Propafenone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as paroxysmal supraventricular tachycardia and atrial fibrillation). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Propafenone is known as an anti-arrhythmic drug. It works by blocking the activity of certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. In 2023, this provider wrote 12 Medicare prescriptions for Propafenone Hcl, about half the volume of the typical Pennsylvania prescriber of this medication (25). Medicare paid an average of $118.51 per fill, versus $78.04 statewide. How often this provider prescribes it This provider 12 PA average 25.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $118.51 PA average $78.04 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023
JantovenWarfarin Sodium	12	$6.75▼ below PA avg	▼ Less than typical
About Jantoven: 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. Show more ▾ Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a blood thinner, but the more correct term is anticoagulant. It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide. In 2023, this provider wrote 12 Medicare prescriptions for Jantoven, about half the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $6.75 per fill, versus $11.65 statewide. How often this provider prescribes it This provider 12 PA average 24.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.75 PA average $11.65 This provider's average cost per fill is below the PA average for this medication. 31.3 30-Day Fills standardized to 30-day supplies 921 Days of Medication total across all patients in 2023
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide	11	$33.95▼ below PA avg	▼ Less than typical
About Valsartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: valsartan and hydrochlorothiazide. Valsartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2023, this provider wrote 11 Medicare prescriptions for Valsartan-Hydrochlorothiazide, about half the volume of the typical Pennsylvania prescriber of this medication (26). Medicare paid an average of $33.95 per fill, versus $62.21 statewide. How often this provider prescribes it This provider 11 PA average 26.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.95 PA average $62.21 This provider's average cost per fill is below the PA average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023

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= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average PA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the PA average cost per fill.

About this data. The prescription history for DR. BRANDON MICHAEL MIKOLICH M.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Cardiovascular Disease prescribing approach at this Hermitage, PA practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among PA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.