CHANDRASEKHAR CHILAPPA MD
Prescription History 1225041221
Internal Medicine - Rheumatology in North Kansas City, MO
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for CHANDRASEKHAR CHILAPPA MD, an active Rheumatology specialist practicing in North Kansas City, MO. Our medical registry currently tracks 34 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,404 documented patient claims. Among these therapy options, the most frequently utilized medication is Prednisone, which accounts for 563 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other MO PrescribersVs. MO Avg |
|---|---|---|---|
| Prednisone | 563 | $6.83 | ▲ More 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 563 Medicare prescriptions for Prednisone, about 11 times the volume of the typical Missouri prescriber of this medication (51). Medicare paid an average of $6.83 per fill, versus $6.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 839.8 30-Day Fills standardized to 30-day supplies 24,350 Days of Medication total across all patients in 2023 | |||
| MethotrexateMethotrexate Sodium | 544 | $27.04▼ below MO avg | ▲ More than typical |
About Methotrexate: Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma) or to control severe psoriasis or rheumatoid arthritis that has not responded to other treatments. Show more ▾ It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA. In 2023, this provider wrote 544 Medicare prescriptions for Methotrexate, about 6.6 times the volume of the typical Missouri prescriber of this medication (83). Medicare paid an average of $27.04 per fill, versus $36.03 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 1,000.6 30-Day Fills standardized to 30-day supplies 29,440 Days of Medication total across all patients in 2023 | |||
| Hydroxychloroquine Sulfate | 412 | $59.29▼ below MO avg | ▲ More than typical |
About Hydroxychloroquine Sulfate: Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. Show more ▾ The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis. Hydroxychloroquine is not recommended for coronavirus infection, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970) In 2023, this provider wrote 412 Medicare prescriptions for Hydroxychloroquine Sulfate, about 5 times the volume of the typical Missouri prescriber of this medication (82). Medicare paid an average of $59.29 per fill, versus $72.66 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 814 30-Day Fills standardized to 30-day supplies 24,404 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 404 | $22.79▼ below MO avg | ▲ More than typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 404 Medicare prescriptions for Gabapentin, about 3.5 times the volume of the typical Missouri prescriber of this medication (115). Medicare paid an average of $22.79 per fill, versus $23.39 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 650.5 30-Day Fills standardized to 30-day supplies 19,476 Days of Medication total across all patients in 2023 | |||
| Leflunomide | 240 | $54.16▼ below MO avg | ▲ More than typical |
About Leflunomide: This medication is used to treat rheumatoid arthritis, a condition in which the body's defense system (immune system) fails to recognize the body as itself and attacks the healthy tissues around the joints. Show more ▾ Leflunomide helps to reduce the joint damage/pain/swelling and helps you to move better. It works by weakening your immune system and decreasing swelling (inflammation). An isoxazole derivative that inhibits dihydroorotate dehydrogenase, the fourth enzyme in the pyrimidine biosynthetic pathway. It is used an immunosuppressive agent in the treatment of RHEUMATOID ARTHRITIS and PSORIATIC ARTHRITIS. In 2023, this provider wrote 240 Medicare prescriptions for Leflunomide, about 3.3 times the volume of the typical Missouri prescriber of this medication (73). Medicare paid an average of $54.16 per fill, versus $94.01 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 538 30-Day Fills standardized to 30-day supplies 16,133 Days of Medication total across all patients in 2023 | |||
| Sulfasalazine | 130 | $27.07▼ below MO avg | ▲ More than typical |
About Sulfasalazine: Sulfasalazine is used to treat a certain type of bowel disease called ulcerative colitis. Show more ▾ This medication does not cure this condition, but it helps decrease symptoms such as fever, stomach pain, diarrhea, and rectal bleeding. After an attack is treated, sulfasalazine is also used to increase the amount of time between attacks. This medication works by reducing irritation and swelling in the large intestines. In addition, delayed-release tablets of sulfasalazine are used to treat rheumatoid arthritis. Sulfasalazine helps to reduce joint pain, swelling, and stiffness. Early treatment of rheumatoid arthritis with sulfasalazine helps to reduce/prevent further joint damage so you can do more of your normal daily activities. This medication is used with other drugs, rest, and physical therapy in patients who have not responded to other medications (salicylates, nonsteroidal anti-inflammatory drugs-NSAIDs). A drug that is used in the management of inflammatory bowel diseases. Its activity is generally considered to lie in its metabolic breakdown product, 5-aminosalicylic acid (see MESALAMINE) released in the colon. (From Martindale, The Extra Pharmacopoeia, 30th ed, p907) In 2023, this provider wrote 130 Medicare prescriptions for Sulfasalazine, about 3.8 times the volume of the typical Missouri prescriber of this medication (34). Medicare paid an average of $27.07 per fill, versus $30.39 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 253 30-Day Fills standardized to 30-day supplies 7,590 Days of Medication total across all patients in 2023 | |||
| Humira(Cf) PenAdalimumab | 110 | $7,310.90▼ below MO avg | ▲ More than typical |
About Humira(Cf) Pen: Adalimumab is used to reduce pain and swelling due to certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, ankylosing spondylitis). Show more ▾ This medication is also used to treat certain skin disorders (such as plaque-type psoriasis, hidradenitis suppurativa). It works by blocking a protein (tumor necrosis factor or TNF) found in the body's immune system that causes joint swelling and damage in arthritis as well as red scaly patches in psoriasis. Adalimumab belongs to a class of drugs known as TNF blockers. By reducing joint swelling, this medication helps to reduce further joint damage and preserve joint function. Adalimumab is also used to treat certain bowel conditions (Crohn's disease, ulcerative colitis) and a certain eye disease (uveitis). A humanized monoclonal antibody that binds specifically to TNF-ALPHA and blocks its interaction with endogenous TNF RECEPTORS to modulate INFLAMMATION. It is used in the treatment of RHEUMATOID ARTHRITIS; PSORIATIC ARTHRITIS; CROHN'S DISEASE and ULCERATIVE COLITIS. In 2023, this provider wrote 110 Medicare prescriptions for Humira(Cf) Pen, about 3.4 times the volume of the typical Missouri prescriber of this medication (32). Medicare paid an average of $7,310.90 per fill, versus $9,204.85 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 110.9 30-Day Fills standardized to 30-day supplies 3,108 Days of Medication total across all patients in 2023 | |||
| Allopurinol | 83 | $12.09▼ below MO avg | ▲ More than typical |
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 83 Medicare prescriptions for Allopurinol, about 1.4 times the volume of the typical Missouri prescriber of this medication (60). Medicare paid an average of $12.09 per fill, versus $14.85 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 185.4 30-Day Fills standardized to 30-day supplies 5,563 Days of Medication total across all patients in 2023 | |||
| Azathioprine | 80 | $49.19▼ below MO avg | ▲ More than typical |
About Azathioprine: Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. Show more ▾ It is usually taken along with other medications to allow your new kidney to function normally. Azathioprine is also used to treat rheumatoid arthritis. In this condition, the body's defense system (immune system) attacks healthy joints. Azathioprine belongs to a class of drugs known as immunosuppressants. It works by weakening the immune system to help your body accept the new kidney as if it were your own (in the case of an organ transplant) or to prevent further damage to your joints (in the case of rheumatoid arthritis). Talk to your doctor about the risks and benefits of azathioprine, especially when used by children and young adults. An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed) In 2023, this provider wrote 80 Medicare prescriptions for Azathioprine, about 2.8 times the volume of the typical Missouri prescriber of this medication (29). Medicare paid an average of $49.19 per fill, versus $77.07 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 148 30-Day Fills standardized to 30-day supplies 4,440 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 70 | $18.74▼ below MO avg | ▲ More than typical |
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 70 Medicare prescriptions for Pregabalin, about 1.3 times the volume of the typical Missouri prescriber of this medication (54). Medicare paid an average of $18.74 per fill, versus $41.25 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 84 30-Day Fills standardized to 30-day supplies 2,488 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 68 | $13.49▼ below MO avg | ▲ More than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 68 Medicare prescriptions for Cyclobenzaprine Hcl, about 1.6 times the volume of the typical Missouri prescriber of this medication (43). Medicare paid an average of $13.49 per fill, versus $16.23 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 117 30-Day Fills standardized to 30-day supplies 3,484 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 60 | $8.88▼ below MO avg | ≈ Typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2023, this provider wrote 60 Medicare prescriptions for Tizanidine Hcl, about the same volume as the typical Missouri prescriber of this medication (55). Medicare paid an average of $8.88 per fill, versus $16.45 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 88 30-Day Fills standardized to 30-day supplies 2,640 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 56 | $3.78▼ below MO avg | ▼ Less than typical |
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol 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 narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 56 Medicare prescriptions for Tramadol Hcl, about 61% of the volume of the typical Missouri prescriber of this medication (92). Medicare paid an average of $3.78 per fill, versus $8.81 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,521 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 55 | $22.21▼ below MO avg | ≈ Typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 55 Medicare prescriptions for Duloxetine Hcl, about 79% of the volume of the typical Missouri prescriber of this medication (70). Medicare paid an average of $22.21 per fill, versus $39.56 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 125 30-Day Fills standardized to 30-day supplies 3,750 Days of Medication total across all patients in 2023 | |||
| Diclofenac Sodium | 54 | $36.04 | ▲ More than typical |
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2023, this provider wrote 54 Medicare prescriptions for Diclofenac Sodium, about 1.3 times the volume of the typical Missouri prescriber of this medication (43). Medicare paid an average of $36.04 per fill, versus $29.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 56.7 30-Day Fills standardized to 30-day supplies 1,223 Days of Medication total across all patients in 2023 | |||
| Folic Acid | 48 | $4.53▼ below MO avg | ▲ More than typical |
About Folic Acid: Folic acid is the man-made form of folate. Show more ▾ Folate is a B-vitamin naturally found in some foods. It is needed to form healthy cells, especially red blood cells. Folic acid supplements may come in different forms (such as L-methylfolate, levomefolate, methyltetrahydrofolate). They are used to treat or prevent low folate levels. Low folate levels can lead to certain types of anemia. Conditions that can cause low folate levels include poor diet, pregnancy, alcoholism, liver disease, certain stomach/intestinal problems, kidney dialysis, among others. Women of childbearing age should receive adequate amounts of folic acid either through their diet or supplements to prevent infant spinal cord birth defects. A member of the vitamin B family that stimulates the hematopoietic system. It is present in the liver and kidney and is found in mushrooms, spinach, yeast, green leaves, and grasses (POACEAE). Folic acid is used in the treatment and prevention of folate deficiencies and megaloblastic anemia. In 2023, this provider wrote 48 Medicare prescriptions for Folic Acid, about 1.7 times the volume of the typical Missouri prescriber of this medication (29). Medicare paid an average of $4.53 per fill, versus $5.28 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 134.9 30-Day Fills standardized to 30-day supplies 4,047 Days of Medication total across all patients in 2023 | |||
| Leucovorin Calcium | 43 | $179.99 | ≈ Typical |
About Leucovorin Calcium: This medication is used to treat or prevent serious blood cell disorders (such as thrombocytopenia, neutropenia, anemia) caused by certain drugs (folic acid antagonists such as methotrexate, trimethoprim, pyrimethamine). Show more ▾ It may also be used with a certain cancer drug (5-fluorouracil) to treat patients with colon cancer. Leucovorin may also be used to treat a certain type of anemia (due to folic acid deficiency) when folic acid cannot be taken by mouth. In 2023, this provider wrote 43 Medicare prescriptions for Leucovorin Calcium, about 1.2 times the volume of the typical Missouri prescriber of this medication (36). Medicare paid an average of $179.99 per fill, versus $26.31 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 98.2 30-Day Fills standardized to 30-day supplies 2,936 Days of Medication total across all patients in 2023 | |||
| Mycophenolate Mofetil | 37 | $141.36 | ≈ Typical |
About Mycophenolate Mofetil: Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart). Show more ▾ It belongs to a class of medications called immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own. Compound derived from Penicillium stoloniferum and related species. It blocks de novo biosynthesis of purine nucleotides by inhibition of the enzyme inosine monophosphate dehydrogenase (IMP DEHYDROGENASE). Mycophenolic acid exerts selective effects on the immune system in which it prevents the proliferation of T-CELLS, LYMPHOCYTES, and the formation of antibodies from B-CELLS. It may also inhibit recruitment of LEUKOCYTES to sites of INFLAMMATION. In 2023, this provider wrote 37 Medicare prescriptions for Mycophenolate Mofetil, about 1.2 times the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $141.36 per fill, versus $131.24 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 59 30-Day Fills standardized to 30-day supplies 1,770 Days of Medication total across all patients in 2023 | |||
| Alendronate Sodium | 37 | $10.10▼ below MO avg | ≈ Typical |
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2023, this provider wrote 37 Medicare prescriptions for Alendronate Sodium, about 76% of the volume of the typical Missouri prescriber of this medication (49). Medicare paid an average of $10.10 per fill, versus $11.11 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 73.9 30-Day Fills standardized to 30-day supplies 2,186 Days of Medication total across all patients in 2023 | |||
| Methylprednisolone | 35 | $15.39 | ≈ Typical |
About Methylprednisolone: Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. Show more ▾ It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone. Methylprednisolone may also be used with other medications in hormone disorders. A PREDNISOLONE derivative with similar anti-inflammatory action. In 2023, this provider wrote 35 Medicare prescriptions for Methylprednisolone, about the same volume as the typical Missouri prescriber of this medication (35). Medicare paid an average of $15.39 per fill, versus $9.52 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 58.5 30-Day Fills standardized to 30-day supplies 1,739 Days of Medication total across all patients in 2023 | |||
| Enbrel MiniEtanercept | 34 | $7,621.98 | ▲ More than typical |
About Enbrel Mini: This medication is used alone or in combination with an immunosuppressant (such as methotrexate) to treat certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, and ankylosing spondylitis). Show more ▾ Some brands of this medication are also used to treat a skin condition called psoriasis. These conditions are caused by an overactive immune system (autoimmune disease). The immune system attacks the body's own healthy cells, causing inflammation in the joints and skin. Etanercept controls your body's defensive response by blocking the action of a certain natural substance (TNF) that is used by the immune system. Treatment decreases redness, itching and scaly patches in psoriasis as well as the pain, swelling and stiffness of joints in arthritis. This medication can stop the progression of disease and joint damage, resulting in improved daily functioning and quality of life. This medication treats but does not cure autoimmune diseases. Symptoms usually return within 1 month of stopping the medication. A recombinant version of soluble human TNF receptor fused to an IgG FC fragment that binds specifically to TUMOR NECROSIS FACTOR and inhibits its binding with endogenous TNF receptors. It prevents the inflammatory effect of TNF and is used to treat RHEUMATOID ARTHRITIS; PSORIATIC ARTHRITIS and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 34 Medicare prescriptions for Enbrel Mini, about 1.6 times the volume of the typical Missouri prescriber of this medication (21). Medicare paid an average of $7,621.98 per fill, versus $7,533.36 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 954 Days of Medication total across all patients in 2023 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $20.92▼ below MO avg | ▼ Less than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 33 Medicare prescriptions for Hydrocodone-Acetaminophen, about a third of the volume of the typical Missouri prescriber of this medication (108). Medicare paid an average of $20.92 per fill, versus $22.05 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 33 30-Day Fills standardized to 30-day supplies 944 Days of Medication total across all patients in 2023 | |||
| Methotrexate SodiumMethotrexate Sodium/Pf | 31 | $11.45▼ below MO avg | ≈ Typical |
About Methotrexate Sodium: Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma) or to control severe psoriasis or rheumatoid arthritis that has not responded to other treatments. Show more ▾ It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA. In 2023, this provider wrote 31 Medicare prescriptions for Methotrexate Sodium, about the same volume as the typical Missouri prescriber of this medication (29). Medicare paid an average of $11.45 per fill, versus $15.62 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 37.9 30-Day Fills standardized to 30-day supplies 1,048 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 30 | $2.44▼ below MO avg | ▼ Less 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 30 Medicare prescriptions for Amlodipine Besylate, about 19% of the volume of the typical Missouri prescriber of this medication (161). Medicare paid an average of $2.44 per fill, versus $6.67 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 70 30-Day Fills standardized to 30-day supplies 2,100 Days of Medication total across all patients in 2023 | |||
| Celecoxib | 29 | $14.99▼ below MO avg | ▼ Less than typical |
About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾ It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN. In 2023, this provider wrote 29 Medicare prescriptions for Celecoxib, about 71% of the volume of the typical Missouri prescriber of this medication (41). Medicare paid an average of $14.99 per fill, versus $51.53 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 65 30-Day Fills standardized to 30-day supplies 1,934 Days of Medication total across all patients in 2023 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $12.03 | ▼ Less than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS. In 2023, this provider wrote 16 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about half the volume of the typical Missouri prescriber of this medication (27). Medicare paid an average of $12.03 per fill, versus $6.42 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 17.8 30-Day Fills standardized to 30-day supplies 444 Days of Medication total across all patients in 2023 | |||
| Pilocarpine Hcl | 14 | $90.03 | ▼ Less than typical |
About Pilocarpine Hcl: This medication is used to treat symptoms of dry mouth due to a certain immune disease (Sjogren's syndrome) or from saliva gland damage due to radiation treatments of the head/neck for cancer. Show more ▾ Pilocarpine belongs to a class of drugs known as cholinergic agonists. It works by stimulating certain nerves to increase the amount of saliva you produce, making it easier and more comfortable to speak and swallow. A slowly hydrolyzed muscarinic agonist with no nicotinic effects. Pilocarpine is used as a miotic and in the treatment of glaucoma. In 2023, this provider wrote 14 Medicare prescriptions for Pilocarpine Hcl, about 70% of the volume of the typical Missouri prescriber of this medication (20). Medicare paid an average of $90.03 per fill, versus $77.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023 | |||
| ProliaDenosumab | 14 | $1,693.73 | ▼ Less than typical |
About Prolia: Denosumab is used to treat bone loss (osteoporosis) in people who have a high risk of getting fractures. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases after menopause (in women), as you age, if someone in your family has osteoporosis, or if you take certain medications (such as prednisone) for long periods. This medication works by slowing bone loss to help maintain strong bones and reduce the risk of broken bones (fractures). Denosumab belongs to a class of drugs called monoclonal antibodies. It prevents certain cells in the body (osteoclasts) from breaking down bone. A humanized monoclonal antibody and an inhibitor of the RANK LIGAND, which regulates OSTEOCLAST differentiation and bone remodeling. It is used as a BONE DENSITY CONSERVATION AGENT in the treatment of OSTEOPOROSIS. In 2023, this provider wrote 14 Medicare prescriptions for Prolia, about 74% of the volume of the typical Missouri prescriber of this medication (19). Medicare paid an average of $1,693.73 per fill, versus $1,579.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 84 30-Day Fills standardized to 30-day supplies 2,520 Days of Medication total across all patients in 2023 | |||
| Vitamin D2Ergocalciferol (Vitamin D2) | 13 | $6.57▼ below MO avg | ▼ Less than typical |
About Vitamin D2: Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. Show more ▾ Having the right amount of vitamin D, calcium, and phosphorus is important for building and keeping strong bones. Vitamin D is used to treat and prevent bone disorders (such as rickets, osteomalacia). Vitamin D is made by the body when skin is exposed to sunlight. Sunscreen, protective clothing, limited exposure to sunlight, dark skin, and age may prevent getting enough vitamin D from the sun. Vitamin D with calcium is used to treat or prevent bone loss (osteoporosis). Vitamin D is also used with other medications to treat low levels of calcium or phosphate caused by certain disorders (such as hypoparathyroidism, pseudohypoparathyroidism, familial hypophosphatemia). It may be used in kidney disease to keep calcium levels normal and allow normal bone growth. Vitamin D drops (or other supplements) are given to breast-fed infants because breast milk usually has low levels of vitamin D. Derivatives of ERGOSTEROL formed by ULTRAVIOLET RAYS breaking of the C9-C10 bond. They differ from CHOLECALCIFEROL in having a double bond between C22 and C23 and a methyl group at C24. In 2023, this provider wrote 13 Medicare prescriptions for Vitamin D2, about half the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $6.57 per fill, versus $6.69 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 27.4 30-Day Fills standardized to 30-day supplies 812 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 13 | $4.12▼ below MO avg | ▼ Less than typical |
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 13 Medicare prescriptions for Meloxicam, about 18% of the volume of the typical Missouri prescriber of this medication (72). Medicare paid an average of $4.12 per fill, versus $7.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023 | |||
| Enbrel SureclickEtanercept | 13 | $7,565.27▼ below MO avg | ▼ Less than typical |
About Enbrel Sureclick: This medication is used alone or in combination with an immunosuppressant (such as methotrexate) to treat certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, and ankylosing spondylitis). Show more ▾ Some brands of this medication are also used to treat a skin condition called psoriasis. These conditions are caused by an overactive immune system (autoimmune disease). The immune system attacks the body's own healthy cells, causing inflammation in the joints and skin. Etanercept controls your body's defensive response by blocking the action of a certain natural substance (TNF) that is used by the immune system. Treatment decreases redness, itching and scaly patches in psoriasis as well as the pain, swelling and stiffness of joints in arthritis. This medication can stop the progression of disease and joint damage, resulting in improved daily functioning and quality of life. This medication treats but does not cure autoimmune diseases. Symptoms usually return within 1 month of stopping the medication. A recombinant version of soluble human TNF receptor fused to an IgG FC fragment that binds specifically to TUMOR NECROSIS FACTOR and inhibits its binding with endogenous TNF receptors. It prevents the inflammatory effect of TNF and is used to treat RHEUMATOID ARTHRITIS; PSORIATIC ARTHRITIS and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 13 Medicare prescriptions for Enbrel Sureclick, about a third of the volume of the typical Missouri prescriber of this medication (32). Medicare paid an average of $7,565.27 per fill, versus $7,630.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023 | |||
| Naproxen | 12 | $12.71▼ below MO avg | ▼ Less than typical |
About Naproxen: Naproxen is used to relieve mild to moderate pain from various conditions. Show more ▾ It also reduces pain, swelling, and joint stiffness from arthritis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This form of naproxen is absorbed slowly and should not be used for pain that needs quick relief (such as during a gout attack). Ask your doctor or pharmacist about using a different form of this drug or other medications for quick relief of pain. An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout. In 2023, this provider wrote 12 Medicare prescriptions for Naproxen, about half the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $12.71 per fill, versus $15.00 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| XeljanzTofacitinib Citrate | 12 | $5,427.55▼ below MO avg | ▼ Less than typical |
About Xeljanz: Tofacitinib is used to treat certain types of arthritis (such as psoriatic arthritis, rheumatoid arthritis, ankylosing spondylitis, polyarticular course juvenile idiopathic arthritis-pcJIA). Show more ▾ It helps to decrease pain/tenderness/swelling in the joints. Tofacitinib is also used to treat a certain bowel disease (ulcerative colitis). It helps to reduce symptoms of ulcerative colitis such as diarrhea, rectal bleeding, and stomach pain. In 2023, this provider wrote 12 Medicare prescriptions for Xeljanz, about 71% of the volume of the typical Missouri prescriber of this medication (17). Medicare paid an average of $5,427.55 per fill, versus $5,857.55 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Sulfasalazine DrSulfasalazine | 11 | $58.69▼ below MO avg | ▼ Less than typical |
About Sulfasalazine Dr: Sulfasalazine is used to treat a certain type of bowel disease called ulcerative colitis. Show more ▾ This medication does not cure this condition, but it helps decrease symptoms such as fever, stomach pain, diarrhea, and rectal bleeding. After an attack is treated, sulfasalazine is also used to increase the amount of time between attacks. This medication works by reducing irritation and swelling in the large intestines. In addition, delayed-release tablets of sulfasalazine are used to treat rheumatoid arthritis. Sulfasalazine helps to reduce joint pain, swelling, and stiffness. Early treatment of rheumatoid arthritis with sulfasalazine helps to reduce/prevent further joint damage so you can do more of your normal daily activities. This medication is used with other drugs, rest, and physical therapy in patients who have not responded to other medications (salicylates, nonsteroidal anti-inflammatory drugs-NSAIDs). A drug that is used in the management of inflammatory bowel diseases. Its activity is generally considered to lie in its metabolic breakdown product, 5-aminosalicylic acid (see MESALAMINE) released in the colon. (From Martindale, The Extra Pharmacopoeia, 30th ed, p907) In 2023, this provider wrote 11 Medicare prescriptions for Sulfasalazine Dr, about a third of the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $58.69 per fill, versus $61.97 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 26 30-Day Fills standardized to 30-day supplies 781 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for CHANDRASEKHAR CHILAPPA MD 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 Rheumatology prescribing approach at this North Kansas City, MO 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 MO prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
