MR. JAMES RICHARD ZIMMERMAN PA-C
Prescription History 1215944921
Physician Assistant in Baggs, WY

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
15 LASH ST, BAGGS, WY 82321(307) 383-2008(307) 383-2009 Get Directions

NPPES record last updated: May 22, 2025. 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 MR. JAMES RICHARD ZIMMERMAN PA-C, an active Physician Assistant specialist practicing in Baggs, WY. Our medical registry currently tracks 17 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 429 documented patient claims. Among these therapy options, the most frequently utilized medication is Levothyroxine Sodium, which accounts for 60 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.

17
Medications
429
Total Claims
1,187
30-Day Fills
Levothyroxine Sodium
Most Prescribed · 60 claims
View details
17 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by MR. JAMES RICHARD ZIMMERMAN PA-C in 2023, with prescription volumes, average cost per fill, and WY state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other WY PrescribersVs. WY Avg

About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾

It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism.

In 2023, this provider wrote 60 Medicare prescriptions for Levothyroxine Sodium, about half the volume of the typical Wyoming prescriber of this medication (142). Medicare paid an average of $18.77 per fill, versus $16.01 statewide.

How often this provider prescribes it

This provider
60
WY average
142.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$18.77
WY average
$16.01

Gross Part D cost per fill; not the patient's out-of-pocket price.

180
30-Day Fills
standardized to 30-day supplies
5,400
Days of Medication
total across all patients in 2023

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 58 Medicare prescriptions for Lisinopril, about half the volume of the typical Wyoming prescriber of this medication (97). Medicare paid an average of $6.39 per fill, versus $7.52 statewide.

How often this provider prescribes it

This provider
58
WY average
97.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.39
WY average
$7.52

This provider's average cost per fill is below the WY average for this medication.

174
30-Day Fills
standardized to 30-day supplies
5,220
Days of Medication
total across all patients in 2023

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 41 Medicare prescriptions for Atorvastatin Calcium, about a third of the volume of the typical Wyoming prescriber of this medication (123). Medicare paid an average of $12.14 per fill, versus $12.77 statewide.

How often this provider prescribes it

This provider
41
WY average
123.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$12.14
WY average
$12.77

This provider's average cost per fill is below the WY average for this medication.

121
30-Day Fills
standardized to 30-day supplies
3,630
Days of Medication
total across all patients in 2023

About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in patients with type 2 diabetes. 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. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)

In 2023, this provider wrote 38 Medicare prescriptions for Metformin Hcl, about half the volume of the typical Wyoming prescriber of this medication (67). Medicare paid an average of $6.81 per fill, versus $7.96 statewide.

How often this provider prescribes it

This provider
38
WY average
67.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.81
WY average
$7.96

This provider's average cost per fill is below the WY average for this medication.

108.5
30-Day Fills
standardized to 30-day supplies
3,254
Days of Medication
total across all patients in 2023

About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾

It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME.

In 2023, this provider wrote 26 Medicare prescriptions for Gabapentin, about a third of the volume of the typical Wyoming prescriber of this medication (75). Medicare paid an average of $28.13 per fill, versus $22.84 statewide.

How often this provider prescribes it

This provider
26
WY average
75.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$28.13
WY average
$22.84

Gross Part D cost per fill; not the patient's out-of-pocket price.

66.8
30-Day Fills
standardized to 30-day supplies
2,004
Days of Medication
total across all patients in 2023

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 25 Medicare prescriptions for Hydrochlorothiazide, about half the volume of the typical Wyoming prescriber of this medication (59). Medicare paid an average of $6.06 per fill, versus $4.74 statewide.

How often this provider prescribes it

This provider
25
WY average
59.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.06
WY average
$4.74

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

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 23 Medicare prescriptions for Amlodipine Besylate, about a quarter of the volume of the typical Wyoming prescriber of this medication (92). Medicare paid an average of $7.54 per fill, versus $7.81 statewide.

How often this provider prescribes it

This provider
23
WY average
92.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.54
WY average
$7.81

This provider's average cost per fill is below the WY average for this medication.

64
30-Day Fills
standardized to 30-day supplies
1,920
Days of Medication
total across all patients in 2023

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 22 Medicare prescriptions for Metoprolol Succinate, about a third of the volume of the typical Wyoming prescriber of this medication (78). Medicare paid an average of $33.95 per fill, versus $19.01 statewide.

How often this provider prescribes it

This provider
22
WY average
78.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$33.95
WY average
$19.01

Gross Part D cost per fill; not the patient's out-of-pocket price.

61.1
30-Day Fills
standardized to 30-day supplies
1,833
Days of Medication
total across all patients in 2023

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 19 Medicare prescriptions for Simvastatin, about a third of the volume of the typical Wyoming prescriber of this medication (63). Medicare paid an average of $9.62 per fill, versus $8.57 statewide.

How often this provider prescribes it

This provider
19
WY average
63.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$9.62
WY average
$8.57

Gross Part D cost per fill; not the patient's out-of-pocket price.

57
30-Day Fills
standardized to 30-day supplies
1,710
Days of Medication
total across all patients in 2023

About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾

It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS.

In 2023, this provider wrote 19 Medicare prescriptions for Omeprazole, about a quarter of the volume of the typical Wyoming prescriber of this medication (78). Medicare paid an average of $19.95 per fill, versus $15.79 statewide.

How often this provider prescribes it

This provider
19
WY average
78.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$19.95
WY average
$15.79

Gross Part D cost per fill; not the patient's out-of-pocket price.

55
30-Day Fills
standardized to 30-day supplies
1,650
Days of Medication
total across all patients in 2023

About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾

Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE.

In 2023, this provider wrote 17 Medicare prescriptions for Oxycodone Hcl, about a third of the volume of the typical Wyoming prescriber of this medication (43). Medicare paid an average of $12.29 per fill, versus $24.73 statewide.

How often this provider prescribes it

This provider
17
WY average
43.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$12.29
WY average
$24.73

This provider's average cost per fill is below the WY average for this medication.

17
30-Day Fills
standardized to 30-day supplies
320
Days of Medication
total across all patients in 2023

About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾

It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms.

In 2023, this provider wrote 15 Medicare prescriptions for Allopurinol, about a third of the volume of the typical Wyoming prescriber of this medication (48). Medicare paid an average of $16.39 per fill, versus $16.05 statewide.

How often this provider prescribes it

This provider
15
WY average
48.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$16.39
WY average
$16.05

Gross Part D cost per fill; not the patient's out-of-pocket price.

43
30-Day Fills
standardized to 30-day supplies
1,281
Days of Medication
total across all patients in 2023

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 14 Medicare prescriptions for Furosemide, about 19% of the volume of the typical Wyoming prescriber of this medication (74). Medicare paid an average of $6.15 per fill, versus $5.82 statewide.

How often this provider prescribes it

This provider
14
WY average
74.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.15
WY average
$5.82

Gross Part D cost per fill; not the patient's out-of-pocket price.

36
30-Day Fills
standardized to 30-day supplies
1,064
Days of Medication
total across all patients in 2023

About Tresiba Flextouch U-200: Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin degludec is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs.

In 2023, this provider wrote 14 Medicare prescriptions for Tresiba Flextouch U-200, about 67% of the volume of the typical Wyoming prescriber of this medication (21). Medicare paid an average of $1,795.75 per fill, versus $1,017.80 statewide.

How often this provider prescribes it

This provider
14
WY average
21.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1,795.75
WY average
$1,017.80

Gross Part D cost per fill; not the patient's out-of-pocket price.

33.6
30-Day Fills
standardized to 30-day supplies
1,004
Days of Medication
total across all patients in 2023

About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. 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. This product contains two medications: losartan and hydrochlorothiazide. Losartan 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 13 Medicare prescriptions for Losartan-Hydrochlorothiazide, about half the volume of the typical Wyoming prescriber of this medication (29). Medicare paid an average of $27.42 per fill, versus $20.18 statewide.

How often this provider prescribes it

This provider
13
WY average
29.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$27.42
WY average
$20.18

Gross Part D cost per fill; not the patient's out-of-pocket price.

39
30-Day Fills
standardized to 30-day supplies
1,170
Days of Medication
total across all patients in 2023

About Ozempic: Semaglutide 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. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment.

In 2023, this provider wrote 13 Medicare prescriptions for Ozempic, about half the volume of the typical Wyoming prescriber of this medication (28). Medicare paid an average of $1,161.62 per fill, versus $1,202.41 statewide.

How often this provider prescribes it

This provider
13
WY average
28.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1,161.62
WY average
$1,202.41

This provider's average cost per fill is below the WY average for this medication.

19.6
30-Day Fills
standardized to 30-day supplies
574
Days of Medication
total across all patients in 2023

About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾

It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia.

In 2023, this provider wrote 12 Medicare prescriptions for Citalopram Hbr, about a third of the volume of the typical Wyoming prescriber of this medication (36). Medicare paid an average of $5.10 per fill, versus $8.36 statewide.

How often this provider prescribes it

This provider
12
WY average
36.0

This provider prescribes this medication less often than the average WY prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.10
WY average
$8.36

This provider's average cost per fill is below the WY average for this medication.

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average WY prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the WY average cost per fill.

About this data. The prescription history for MR. JAMES RICHARD ZIMMERMAN PA-C is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Physician Assistant prescribing approach at this Baggs, WY 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 WY prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.