RICHARD DERRICK KNOWLES MD
Prescription History 1225113236
Family Medicine in Vancouver, WA

Name: Medicare Part D prescriptions by Richard Knowles (NPI 1225113236), 2024
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment

87.76/100

CMS Quality Rating

2101 NE 139TH ST STE 450, VANCOUVER, WA 98686(360) 487-4848 Get Directions

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 5, 2026, Nov 17, 2025, Feb 27, 2025 and 2 more (5 updates tracked since 2021).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for RICHARD DERRICK KNOWLES MD, an active Family Medicine specialist practicing in Vancouver, WA. Our medical registry currently tracks 61 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,666 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 100 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

1,666

Total Claims

3,322

30-Day Fills

Atorvastatin Calcium

Most Prescribed · 100 claims

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Prescription Volume vs WA Average

61 medications · 2024 Medicare Part D

Medicare Part D medications prescribed by RICHARD DERRICK KNOWLES MD in 2024, with prescription volumes, average cost per fill, and WA state comparisons
Medication	Prescriptions (2024)Rx (2024)	Avg Cost per FillCost / Fill	Vs. Other WA PrescribersVs. WA Avg
Atorvastatin Calcium	100	$12.74	▼ Less 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 2024, this provider wrote 100 Medicare prescriptions for Atorvastatin Calcium, about 60% of the volume of the typical Washington prescriber of this medication (166.1). Medicare paid an average of $12.74 per fill, versus $11.43 statewide. How often this provider prescribes it This provider 100 WA average 166.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.74 WA average $11.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 254.1 30-Day Fills standardized to 30-day supplies 7,575 Days of Medication total across all patients in 2024
Losartan Potassium	93	$9.47▼ below WA avg	≈ 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 2024, this provider wrote 93 Medicare prescriptions for Losartan Potassium, about the same volume as the typical Washington prescriber of this medication (102.4). Medicare paid an average of $9.47 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 93 WA average 102.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.47 WA average $10.71 This provider's average cost per fill is below the WA average for this medication. 251.1 30-Day Fills standardized to 30-day supplies 7,532 Days of Medication total across all patients in 2024
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	78	$21.29	▲ More 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 2024, this provider wrote 78 Medicare prescriptions for Hydrocodone-Acetaminophen, about 1.3 times the volume of the typical Washington prescriber of this medication (60.4). Medicare paid an average of $21.29 per fill, versus $20.62 statewide. How often this provider prescribes it This provider 78 WA average 60.4 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.29 WA average $20.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 78 30-Day Fills standardized to 30-day supplies 1,919 Days of Medication total across all patients in 2024
Lisinopril	75	$5.25▼ below WA avg	▼ Less 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 2024, this provider wrote 75 Medicare prescriptions for Lisinopril, about 72% of the volume of the typical Washington prescriber of this medication (104.5). Medicare paid an average of $5.25 per fill, versus $8.60 statewide. How often this provider prescribes it This provider 75 WA average 104.5 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.25 WA average $8.60 This provider's average cost per fill is below the WA average for this medication. 223 30-Day Fills standardized to 30-day supplies 6,690 Days of Medication total across all patients in 2024
Trazodone Hcl	50	$10.57▼ below WA avg	≈ Typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309) In 2024, this provider wrote 50 Medicare prescriptions for Trazodone Hcl, about 82% of the volume of the typical Washington prescriber of this medication (60.6). Medicare paid an average of $10.57 per fill, versus $10.78 statewide. How often this provider prescribes it This provider 50 WA average 60.6 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.57 WA average $10.78 This provider's average cost per fill is below the WA average for this medication. 110.7 30-Day Fills standardized to 30-day supplies 3,290 Days of Medication total across all patients in 2024
Sertraline Hcl	48	$15.12	≈ Typical
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 48 Medicare prescriptions for Sertraline Hcl, about the same volume as the typical Washington prescriber of this medication (50.3). Medicare paid an average of $15.12 per fill, versus $11.19 statewide. How often this provider prescribes it This provider 48 WA average 50.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.12 WA average $11.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 62 30-Day Fills standardized to 30-day supplies 1,749 Days of Medication total across all patients in 2024
Levothyroxine Sodium	47	$9.04▼ below WA avg	▼ Less than typical
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 2024, this provider wrote 47 Medicare prescriptions for Levothyroxine Sodium, about a third of the volume of the typical Washington prescriber of this medication (115.6). Medicare paid an average of $9.04 per fill, versus $11.18 statewide. How often this provider prescribes it This provider 47 WA average 115.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.04 WA average $11.18 This provider's average cost per fill is below the WA average for this medication. 121 30-Day Fills standardized to 30-day supplies 3,630 Days of Medication total across all patients in 2024
Amlodipine Besylate	42	$9.45	▼ 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 2024, this provider wrote 42 Medicare prescriptions for Amlodipine Besylate, about a third of the volume of the typical Washington prescriber of this medication (106). Medicare paid an average of $9.45 per fill, versus $7.92 statewide. How often this provider prescribes it This provider 42 WA average 106.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.45 WA average $7.92 Gross Part D cost per fill; not the patient's out-of-pocket price. 120 30-Day Fills standardized to 30-day supplies 3,582 Days of Medication total across all patients in 2024
Metformin Hcl ErMetformin Hcl	41	$5.41▼ below WA avg	≈ Typical
About Metformin Hcl Er: 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 2024, this provider wrote 41 Medicare prescriptions for Metformin Hcl Er, about 80% of the volume of the typical Washington prescriber of this medication (51.2). Medicare paid an average of $5.41 per fill, versus $10.77 statewide. How often this provider prescribes it This provider 41 WA average 51.2 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.41 WA average $10.77 This provider's average cost per fill is below the WA average for this medication. 111 30-Day Fills standardized to 30-day supplies 3,330 Days of Medication total across all patients in 2024
Gabapentin	39	$26.20	▼ Less 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 2024, this provider wrote 39 Medicare prescriptions for Gabapentin, about half the volume of the typical Washington prescriber of this medication (72.3). Medicare paid an average of $26.20 per fill, versus $19.65 statewide. How often this provider prescribes it This provider 39 WA average 72.3 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.20 WA average $19.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 100 30-Day Fills standardized to 30-day supplies 3,000 Days of Medication total across all patients in 2024
Oxycodone Hcl	37	$13.53▼ below WA avg	▼ Less than typical
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 2024, this provider wrote 37 Medicare prescriptions for Oxycodone Hcl, about 74% of the volume of the typical Washington prescriber of this medication (50.3). Medicare paid an average of $13.53 per fill, versus $14.22 statewide. How often this provider prescribes it This provider 37 WA average 50.3 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.53 WA average $14.22 This provider's average cost per fill is below the WA average for this medication. 37 30-Day Fills standardized to 30-day supplies 976 Days of Medication total across all patients in 2024
Hydrochlorothiazide	36	$3.38▼ below WA avg	▼ Less 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 2024, this provider wrote 36 Medicare prescriptions for Hydrochlorothiazide, about 63% of the volume of the typical Washington prescriber of this medication (57). Medicare paid an average of $3.38 per fill, versus $5.34 statewide. How often this provider prescribes it This provider 36 WA average 57.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.38 WA average $5.34 This provider's average cost per fill is below the WA average for this medication. 100 30-Day Fills standardized to 30-day supplies 3,000 Days of Medication total across all patients in 2024
Bupropion XlBupropion Hcl	34	$24.81▼ below WA avg	≈ Typical
About Bupropion Xl: This medication is used to treat depression. Show more ▾ It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 34 Medicare prescriptions for Bupropion Xl, about the same volume as the typical Washington prescriber of this medication (33.8). Medicare paid an average of $24.81 per fill, versus $27.11 statewide. How often this provider prescribes it This provider 34 WA average 33.8 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.81 WA average $27.11 This provider's average cost per fill is below the WA average for this medication. 66.1 30-Day Fills standardized to 30-day supplies 1,933 Days of Medication total across all patients in 2024
Quetiapine Fumarate	33	$15.94▼ below WA avg	▼ Less than typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 33 Medicare prescriptions for Quetiapine Fumarate, about 67% of the volume of the typical Washington prescriber of this medication (49.5). Medicare paid an average of $15.94 per fill, versus $19.76 statewide. How often this provider prescribes it This provider 33 WA average 49.5 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.94 WA average $19.76 This provider's average cost per fill is below the WA average for this medication. 46.8 30-Day Fills standardized to 30-day supplies 1,311 Days of Medication total across all patients in 2024
Metoprolol Succinate	33	$16.01	▼ Less 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 2024, this provider wrote 33 Medicare prescriptions for Metoprolol Succinate, about a third of the volume of the typical Washington prescriber of this medication (90.9). Medicare paid an average of $16.01 per fill, versus $14.75 statewide. How often this provider prescribes it This provider 33 WA average 90.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.01 WA average $14.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 99 30-Day Fills standardized to 30-day supplies 2,970 Days of Medication total across all patients in 2024
Furosemide	32	$5.83▼ below WA avg	▼ Less 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 2024, this provider wrote 32 Medicare prescriptions for Furosemide, about half the volume of the typical Washington prescriber of this medication (58.6). Medicare paid an average of $5.83 per fill, versus $6.29 statewide. How often this provider prescribes it This provider 32 WA average 58.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.83 WA average $6.29 This provider's average cost per fill is below the WA average for this medication. 58 30-Day Fills standardized to 30-day supplies 1,720 Days of Medication total across all patients in 2024
Albuterol Sulfate HfaAlbuterol Sulfate	32	$34.90	▼ Less than typical
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Show more ▾ It is also used to prevent asthma brought on by exercise. It is a quick-relief drug. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2024, this provider wrote 32 Medicare prescriptions for Albuterol Sulfate Hfa, about 63% of the volume of the typical Washington prescriber of this medication (50.9). Medicare paid an average of $34.90 per fill, versus $29.37 statewide. How often this provider prescribes it This provider 32 WA average 50.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.90 WA average $29.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 36.4 30-Day Fills standardized to 30-day supplies 849 Days of Medication total across all patients in 2024
OzempicSemaglutide	31	$1,240.54▼ below WA avg	▼ Less than typical
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. A glucagon-like peptide and GLP-1 agonist used to enhance glycemic control of TYPE 2 DIABETES MELLITUS, and for OBESITY MANAGEMENT. In 2024, this provider wrote 31 Medicare prescriptions for Ozempic, about 73% of the volume of the typical Washington prescriber of this medication (42.3). Medicare paid an average of $1,240.54 per fill, versus $1,270.49 statewide. How often this provider prescribes it This provider 31 WA average 42.3 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,240.54 WA average $1,270.49 This provider's average cost per fill is below the WA average for this medication. 42.1 30-Day Fills standardized to 30-day supplies 1,218 Days of Medication total across all patients in 2024
Metformin Hcl	28	$9.47▼ below WA avg	▼ Less than typical
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 2024, this provider wrote 28 Medicare prescriptions for Metformin Hcl, about half the volume of the typical Washington prescriber of this medication (62.9). Medicare paid an average of $9.47 per fill, versus $9.63 statewide. How often this provider prescribes it This provider 28 WA average 62.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.47 WA average $9.63 This provider's average cost per fill is below the WA average for this medication. 77 30-Day Fills standardized to 30-day supplies 2,265 Days of Medication total across all patients in 2024
Acetaminophen-CodeineAcetaminophen With Codeine	27	$27.21	≈ Typical
About Acetaminophen-Codeine: See also Warning section. Show more ▾ This combination medication is used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2024, this provider wrote 27 Medicare prescriptions for Acetaminophen-Codeine, about 1.2 times the volume of the typical Washington prescriber of this medication (22.3). Medicare paid an average of $27.21 per fill, versus $17.06 statewide. How often this provider prescribes it This provider 27 WA average 22.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.21 WA average $17.06 Gross Part D cost per fill; not the patient's out-of-pocket price. 31 30-Day Fills standardized to 30-day supplies 733 Days of Medication total across all patients in 2024
Rosuvastatin Calcium	26	$9.42▼ below WA avg	▼ Less 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 2024, this provider wrote 26 Medicare prescriptions for Rosuvastatin Calcium, about a third of the volume of the typical Washington prescriber of this medication (81). Medicare paid an average of $9.42 per fill, versus $14.43 statewide. How often this provider prescribes it This provider 26 WA average 81.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.42 WA average $14.43 This provider's average cost per fill is below the WA average for this medication. 74 30-Day Fills standardized to 30-day supplies 2,190 Days of Medication total across all patients in 2024
Fluoxetine Hcl	26	$27.49	≈ Typical
About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾ It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2024, this provider wrote 26 Medicare prescriptions for Fluoxetine Hcl, about 76% of the volume of the typical Washington prescriber of this medication (34.2). Medicare paid an average of $27.49 per fill, versus $12.85 statewide. How often this provider prescribes it This provider 26 WA average 34.2 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.49 WA average $12.85 Gross Part D cost per fill; not the patient's out-of-pocket price. 76 30-Day Fills standardized to 30-day supplies 2,280 Days of Medication total across all patients in 2024
Simvastatin	24	$12.43	▼ 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 2024, this provider wrote 24 Medicare prescriptions for Simvastatin, about half the volume of the typical Washington prescriber of this medication (52.1). Medicare paid an average of $12.43 per fill, versus $9.61 statewide. How often this provider prescribes it This provider 24 WA average 52.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.43 WA average $9.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 45.7 30-Day Fills standardized to 30-day supplies 1,311 Days of Medication total across all patients in 2024
Duloxetine Hcl	24	$27.37	▼ Less than typical
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also 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 belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It 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 2024, this provider wrote 24 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Washington prescriber of this medication (44.1). Medicare paid an average of $27.37 per fill, versus $26.10 statewide. How often this provider prescribes it This provider 24 WA average 44.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.37 WA average $26.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 58.4 30-Day Fills standardized to 30-day supplies 1,752 Days of Medication total across all patients in 2024
Aripiprazole	24	$38.82▼ below WA avg	▼ Less than typical
About Aripiprazole: This medication is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2024, this provider wrote 24 Medicare prescriptions for Aripiprazole, about 68% of the volume of the typical Washington prescriber of this medication (35.2). Medicare paid an average of $38.82 per fill, versus $48.17 statewide. How often this provider prescribes it This provider 24 WA average 35.2 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.82 WA average $48.17 This provider's average cost per fill is below the WA average for this medication. 28.1 30-Day Fills standardized to 30-day supplies 811 Days of Medication total across all patients in 2024

Allopurinol	23	$18.71	▼ Less 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 2024, this provider wrote 23 Medicare prescriptions for Allopurinol, about half the volume of the typical Washington prescriber of this medication (39.4). Medicare paid an average of $18.71 per fill, versus $11.44 statewide. How often this provider prescribes it This provider 23 WA average 39.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.71 WA average $11.44 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 2024
Ondansetron OdtOndansetron	23	$15.55	≈ Typical
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 23 Medicare prescriptions for Ondansetron Odt, about 88% of the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $15.55 per fill, versus $15.16 statewide. How often this provider prescribes it This provider 23 WA average 26.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.55 WA average $15.16 Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024
MyrbetriqMirabegron	23	$687.50	▼ Less than typical
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. A beta3-adrenergic receptor agonist. In 2024, this provider wrote 23 Medicare prescriptions for Myrbetriq, about 66% of the volume of the typical Washington prescriber of this medication (34.7). Medicare paid an average of $687.50 per fill, versus $679.26 statewide. How often this provider prescribes it This provider 23 WA average 34.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $687.50 WA average $679.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,084 Days of Medication total across all patients in 2024
Pantoprazole Sodium	22	$6.88▼ below WA avg	▼ Less than typical
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2024, this provider wrote 22 Medicare prescriptions for Pantoprazole Sodium, about half the volume of the typical Washington prescriber of this medication (48.8). Medicare paid an average of $6.88 per fill, versus $14.19 statewide. How often this provider prescribes it This provider 22 WA average 48.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.88 WA average $14.19 This provider's average cost per fill is below the WA average for this medication. 30.2 30-Day Fills standardized to 30-day supplies 872 Days of Medication total across all patients in 2024
EliquisApixaban	22	$709.72▼ below WA avg	▼ Less 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. An antithrombotic agent. In 2024, this provider wrote 22 Medicare prescriptions for Eliquis, about a third of the volume of the typical Washington prescriber of this medication (67). Medicare paid an average of $709.72 per fill, versus $994.95 statewide. How often this provider prescribes it This provider 22 WA average 67.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $709.72 WA average $994.95 This provider's average cost per fill is below the WA average for this medication. 28 30-Day Fills standardized to 30-day supplies 797 Days of Medication total across all patients in 2024
Fluticasone Propionate	22	$22.31	▼ Less than typical
About Fluticasone Propionate: Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. Show more ▾ It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2024, this provider wrote 22 Medicare prescriptions for Fluticasone Propionate, about 63% of the volume of the typical Washington prescriber of this medication (35.1). Medicare paid an average of $22.31 per fill, versus $18.06 statewide. How often this provider prescribes it This provider 22 WA average 35.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.31 WA average $18.06 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2024
TivicayDolutegravir Sodium	22	$2,247.78▼ below WA avg	▼ Less than typical
About Tivicay: Dolutegravir is used with other HIV medications to help control HIV infection. Show more ▾ It helps to decrease the amount of HIV in your body so your immune system can work better. This lowers your chance of getting HIV complications (such as new infections, cancer) and improves your quality of life. Dolutegravir belongs to a class of drugs known as integrase inhibitors. It blocks the virus from growing and infecting more cells. Dolutegravir is not a cure for HIV infection. To decrease your risk of spreading HIV disease to others, continue to take all HIV medications exactly as prescribed by your doctor. Use an effective barrier method (latex or polyurethane condoms/dental dams) during sexual activity as directed by your doctor. Do not share personal items (such as needles/syringes, toothbrushes, and razors) that may have contacted blood or other body fluids. Consult your doctor or pharmacist for more details. An HIV integrase inhibitor that is used in the treatment of HIV INFECTIONS in combination with other ANTI-HIV AGENTS. In 2024, this provider wrote 22 Medicare prescriptions for Tivicay, about half the volume of the typical Washington prescriber of this medication (41.7). Medicare paid an average of $2,247.78 per fill, versus $2,287.95 statewide. How often this provider prescribes it This provider 22 WA average 41.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,247.78 WA average $2,287.95 This provider's average cost per fill is below the WA average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2024
Famotidine	22	$13.88▼ below WA avg	▼ Less than typical
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2024, this provider wrote 22 Medicare prescriptions for Famotidine, about half the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $13.88 per fill, versus $16.42 statewide. How often this provider prescribes it This provider 22 WA average 38.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.88 WA average $16.42 This provider's average cost per fill is below the WA average for this medication. 36.1 30-Day Fills standardized to 30-day supplies 1,066 Days of Medication total across all patients in 2024
Zolpidem Tartrate	21	$5.25▼ below WA avg	▼ Less than typical
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2024, this provider wrote 21 Medicare prescriptions for Zolpidem Tartrate, about 62% of the volume of the typical Washington prescriber of this medication (34.1). Medicare paid an average of $5.25 per fill, versus $7.22 statewide. How often this provider prescribes it This provider 21 WA average 34.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.25 WA average $7.22 This provider's average cost per fill is below the WA average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2024
JardianceEmpagliflozin	20	$1,365.40	▼ Less 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 and kidney disease. It helps to lower the risk of death from heart disease and reduces the need of going to a hospital to treat heart failure or kidney disease. It also helps to lower the risk of dialysis in people with kidney disease. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 20 Medicare prescriptions for Jardiance, about half the volume of the typical Washington prescriber of this medication (44.1). Medicare paid an average of $1,365.40 per fill, versus $1,041.39 statewide. How often this provider prescribes it This provider 20 WA average 44.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,365.40 WA average $1,041.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 49 30-Day Fills standardized to 30-day supplies 1,470 Days of Medication total across all patients in 2024
Prednisone	19	$12.78	▼ 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 2024, this provider wrote 19 Medicare prescriptions for Prednisone, about half the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $12.78 per fill, versus $5.30 statewide. How often this provider prescribes it This provider 19 WA average 38.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.78 WA average $5.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 565 Days of Medication total across all patients in 2024
Tramadol Hcl	19	$3.34▼ below WA 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 2024, this provider wrote 19 Medicare prescriptions for Tramadol Hcl, about half the volume of the typical Washington prescriber of this medication (39.9). Medicare paid an average of $3.34 per fill, versus $8.40 statewide. How often this provider prescribes it This provider 19 WA average 39.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.34 WA average $8.40 This provider's average cost per fill is below the WA average for this medication. 19 30-Day Fills standardized to 30-day supplies 338 Days of Medication total across all patients in 2024
Omeprazole	19	$20.38	▼ Less than typical
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 2024, this provider wrote 19 Medicare prescriptions for Omeprazole, about a quarter of the volume of the typical Washington prescriber of this medication (78.2). Medicare paid an average of $20.38 per fill, versus $15.28 statewide. How often this provider prescribes it This provider 19 WA average 78.2 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.38 WA average $15.28 Gross Part D cost per fill; not the patient's out-of-pocket price. 53 30-Day Fills standardized to 30-day supplies 1,590 Days of Medication total across all patients in 2024
Glipizide ErGlipizide	18	$8.19▼ below WA avg	▼ Less than typical
About Glipizide Er: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. 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. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2024, this provider wrote 18 Medicare prescriptions for Glipizide Er, about 63% of the volume of the typical Washington prescriber of this medication (28.8). Medicare paid an average of $8.19 per fill, versus $14.57 statewide. How often this provider prescribes it This provider 18 WA average 28.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.19 WA average $14.57 This provider's average cost per fill is below the WA average for this medication. 44 30-Day Fills standardized to 30-day supplies 1,320 Days of Medication total across all patients in 2024
Pravastatin Sodium	18	$7.22▼ below WA avg	▼ Less 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 2024, this provider wrote 18 Medicare prescriptions for Pravastatin Sodium, about half the volume of the typical Washington prescriber of this medication (37.7). Medicare paid an average of $7.22 per fill, versus $14.07 statewide. How often this provider prescribes it This provider 18 WA average 37.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.22 WA average $14.07 This provider's average cost per fill is below the WA average for this medication. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2024
Ibuprofen	17	$9.71	▼ Less than typical
About Ibuprofen: Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis. Show more ▾ It is also used to reduce fever and to relieve minor aches and pain due to the common cold or flu. Ibuprofen is 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, pain, or fever. 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. 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 names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties In 2024, this provider wrote 17 Medicare prescriptions for Ibuprofen, about 64% of the volume of the typical Washington prescriber of this medication (26.8). Medicare paid an average of $9.71 per fill, versus $9.00 statewide. How often this provider prescribes it This provider 17 WA average 26.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.71 WA average $9.00 Gross Part D cost per fill; not the patient's out-of-pocket price. 17.3 30-Day Fills standardized to 30-day supplies 411 Days of Medication total across all patients in 2024
Tizanidine Hcl	17	$11.30▼ below WA avg	▼ Less than 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 2024, this provider wrote 17 Medicare prescriptions for Tizanidine Hcl, about half the volume of the typical Washington prescriber of this medication (33.9). Medicare paid an average of $11.30 per fill, versus $12.55 statewide. How often this provider prescribes it This provider 17 WA average 33.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.30 WA average $12.55 This provider's average cost per fill is below the WA average for this medication. 25 30-Day Fills standardized to 30-day supplies 658 Days of Medication total across all patients in 2024
Escitalopram Oxalate	17	$11.60▼ below WA avg	▼ Less than typical
About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2024, this provider wrote 17 Medicare prescriptions for Escitalopram Oxalate, about half the volume of the typical Washington prescriber of this medication (37). Medicare paid an average of $11.60 per fill, versus $13.03 statewide. How often this provider prescribes it This provider 17 WA average 37.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.60 WA average $13.03 This provider's average cost per fill is below the WA average for this medication. 33.7 30-Day Fills standardized to 30-day supplies 986 Days of Medication total across all patients in 2024
Digoxin	16	$33.02	▼ Less 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 2024, this provider wrote 16 Medicare prescriptions for Digoxin, about half the volume of the typical Washington prescriber of this medication (27.2). Medicare paid an average of $33.02 per fill, versus $27.48 statewide. How often this provider prescribes it This provider 16 WA average 27.2 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.02 WA average $27.48 Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 635 Days of Medication total across all patients in 2024
Methylprednisolone	15	$11.27	▼ Less than 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 2024, this provider wrote 15 Medicare prescriptions for Methylprednisolone, about half the volume of the typical Washington prescriber of this medication (25.9). Medicare paid an average of $11.27 per fill, versus $8.33 statewide. How often this provider prescribes it This provider 15 WA average 25.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.27 WA average $8.33 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 106 Days of Medication total across all patients in 2024
Montelukast Sodium	15	$19.69	▼ Less than typical
About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾ It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways. A leukotriene D4 receptor antagonist. In 2024, this provider wrote 15 Medicare prescriptions for Montelukast Sodium, about a third of the volume of the typical Washington prescriber of this medication (37.9). Medicare paid an average of $19.69 per fill, versus $12.60 statewide. How often this provider prescribes it This provider 15 WA average 37.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.69 WA average $12.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 25.7 30-Day Fills standardized to 30-day supplies 696 Days of Medication total across all patients in 2024
Donepezil Hcl	15	$15.67	▼ Less than typical
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE. In 2024, this provider wrote 15 Medicare prescriptions for Donepezil Hcl, about a third of the volume of the typical Washington prescriber of this medication (41.1). Medicare paid an average of $15.67 per fill, versus $14.15 statewide. How often this provider prescribes it This provider 15 WA average 41.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.67 WA average $14.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 506 Days of Medication total across all patients in 2024
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide	15	$12.73	▼ Less than typical
About Lisinopril-Hydrochlorothiazide: This medication 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: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor 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. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not keep taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication. In 2024, this provider wrote 15 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about half the volume of the typical Washington prescriber of this medication (27.3). Medicare paid an average of $12.73 per fill, versus $10.03 statewide. How often this provider prescribes it This provider 15 WA average 27.3 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.73 WA average $10.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2024
Tamsulosin Hcl	15	$8.96▼ below WA avg	▼ Less than typical
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and 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 often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA. In 2024, this provider wrote 15 Medicare prescriptions for Tamsulosin Hcl, about a quarter of the volume of the typical Washington prescriber of this medication (69.8). Medicare paid an average of $8.96 per fill, versus $16.56 statewide. How often this provider prescribes it This provider 15 WA average 69.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.96 WA average $16.56 This provider's average cost per fill is below the WA average for this medication. 31 30-Day Fills standardized to 30-day supplies 918 Days of Medication total across all patients in 2024
Morphine Sulfate ErMorphine Sulfate	14	$22.33▼ below WA avg	▼ Less than typical
About Morphine Sulfate Er: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Morphine 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. The higher strengths of this drug (100 milligrams or more per tablet) should be used only if you have been regularly taking moderate to large amounts of opioid pain medications. These strengths may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of morphine to relieve pain that is mild or that will go away in a few days. This medication is not for occasional ("as needed") use. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2024, this provider wrote 14 Medicare prescriptions for Morphine Sulfate Er, about a third of the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $22.33 per fill, versus $30.89 statewide. How often this provider prescribes it This provider 14 WA average 38.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.33 WA average $30.89 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2024
Memantine Hcl	14	$21.71▼ below WA avg	▼ Less than typical
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. AMANTADINE derivative that has some dopaminergic effects. It has been proposed as an antiparkinson agent. In 2024, this provider wrote 14 Medicare prescriptions for Memantine Hcl, about a third of the volume of the typical Washington prescriber of this medication (44.6). Medicare paid an average of $21.71 per fill, versus $32.88 statewide. How often this provider prescribes it This provider 14 WA average 44.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.71 WA average $32.88 This provider's average cost per fill is below the WA average for this medication. 16 30-Day Fills standardized to 30-day supplies 476 Days of Medication total across all patients in 2024
Olmesartan Medoxomil	14	$8.15▼ below WA avg	▼ Less than 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 2024, this provider wrote 14 Medicare prescriptions for Olmesartan Medoxomil, about half the volume of the typical Washington prescriber of this medication (26.6). Medicare paid an average of $8.15 per fill, versus $18.25 statewide. How often this provider prescribes it This provider 14 WA average 26.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.15 WA average $18.25 This provider's average cost per fill is below the WA average for this medication. 40 30-Day Fills standardized to 30-day supplies 1,200 Days of Medication total across all patients in 2024
Potassium Chloride	14	$18.88▼ below WA avg	▼ Less 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 2024, this provider wrote 14 Medicare prescriptions for Potassium Chloride, about a quarter of the volume of the typical Washington prescriber of this medication (50.4). Medicare paid an average of $18.88 per fill, versus $21.39 statewide. How often this provider prescribes it This provider 14 WA average 50.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.88 WA average $21.39 This provider's average cost per fill is below the WA average for this medication. 32 30-Day Fills standardized to 30-day supplies 959 Days of Medication total across all patients in 2024
Clonazepam	13	$24.64	▼ Less than typical
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2024, this provider wrote 13 Medicare prescriptions for Clonazepam, about a third of the volume of the typical Washington prescriber of this medication (34.7). Medicare paid an average of $24.64 per fill, versus $9.50 statewide. How often this provider prescribes it This provider 13 WA average 34.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.64 WA average $9.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 380 Days of Medication total across all patients in 2024
Fentanyl	13	$73.07▼ below WA avg	▼ Less than typical
About Fentanyl: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Fentanyl 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. Do not use the patch form of fentanyl to relieve pain that is mild or that will go away in a few days. This medication is not for occasional ("as needed") use. A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078) In 2024, this provider wrote 13 Medicare prescriptions for Fentanyl, about half the volume of the typical Washington prescriber of this medication (26.4). Medicare paid an average of $73.07 per fill, versus $116.18 statewide. How often this provider prescribes it This provider 13 WA average 26.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $73.07 WA average $116.18 This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024
Spironolactone	13	$7.47▼ below WA avg	▼ Less 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 2024, this provider wrote 13 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Washington prescriber of this medication (41.2). Medicare paid an average of $7.47 per fill, versus $9.91 statewide. How often this provider prescribes it This provider 13 WA average 41.2 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.47 WA average $9.91 This provider's average cost per fill is below the WA average for this medication. 35 30-Day Fills standardized to 30-day supplies 1,036 Days of Medication total across all patients in 2024
Esomeprazole Magnesium	12	$45.28▼ below WA avg	▼ Less than typical
About Esomeprazole Magnesium: Esomeprazole 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. Esomeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter esomeprazole 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. The S-isomer of omeprazole. In 2024, this provider wrote 12 Medicare prescriptions for Esomeprazole Magnesium, about 61% of the volume of the typical Washington prescriber of this medication (19.6). Medicare paid an average of $45.28 per fill, versus $49.86 statewide. How often this provider prescribes it This provider 12 WA average 19.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $45.28 WA average $49.86 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024
Methocarbamol	11	$7.58▼ below WA avg	▼ Less than typical
About Methocarbamol: Methocarbamol is used to treat muscle spasms/pain. Show more ▾ It is usually used along with rest, physical therapy, and other treatment. It works by helping to relax the muscles. A centrally acting muscle relaxant whose mode of action has not been established. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1206) In 2024, this provider wrote 11 Medicare prescriptions for Methocarbamol, about a third of the volume of the typical Washington prescriber of this medication (26.6). Medicare paid an average of $7.58 per fill, versus $14.08 statewide. How often this provider prescribes it This provider 11 WA average 26.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.58 WA average $14.08 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 79 Days of Medication total across all patients in 2024
Metoprolol Tartrate	11	$12.76	▼ Less 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 2024, this provider wrote 11 Medicare prescriptions for Metoprolol Tartrate, about a quarter of the volume of the typical Washington prescriber of this medication (43.4). Medicare paid an average of $12.76 per fill, versus $8.03 statewide. How often this provider prescribes it This provider 11 WA average 43.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.76 WA average $8.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 843 Days of Medication total across all patients in 2024
Torsemide	11	$23.71	▼ Less than 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 2024, this provider wrote 11 Medicare prescriptions for Torsemide, about a third of the volume of the typical Washington prescriber of this medication (37.7). Medicare paid an average of $23.71 per fill, versus $21.27 statewide. How often this provider prescribes it This provider 11 WA average 37.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.71 WA average $21.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 25 30-Day Fills standardized to 30-day supplies 705 Days of Medication total across all patients in 2024
XareltoRivaroxaban	11	$710.52▼ below WA avg	▼ Less 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 2024, this provider wrote 11 Medicare prescriptions for Xarelto, about a third of the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $710.52 per fill, versus $1,017.77 statewide. How often this provider prescribes it This provider 11 WA average 38.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $710.52 WA average $1,017.77 This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 363 Days of Medication total across all patients in 2024

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

About this data. The prescription history for RICHARD DERRICK KNOWLES MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, 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 Family Medicine prescribing approach at this Vancouver, WA 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 among WA prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.