DR. LUCAS MARIAN KOGUT MD
Prescription History 1225753684
Family Medicine in Bremerton, WA

Name: Medicare Part D prescriptions by Dr. Lucas Kogut (NPI 1225753684), 2024
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since October 07, 2022PECOS EnrolledAccepts Medicare Assignment

315 NE SATURN LN, BREMERTON, WA 98311(360) 979-3919 Get Directions

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2023, Oct 7, 2022 (2 updates tracked since 2022).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. LUCAS MARIAN KOGUT MD, an active Family Medicine specialist practicing in Bremerton, WA. Our medical registry currently tracks 107 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,916 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 189 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.

107

Medications

3,916

Total Claims

3,932

30-Day Fills

Atorvastatin Calcium

Most Prescribed · 189 claims

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Prescription Volume vs WA Average

107 medications · 2024 Medicare Part D

Medicare Part D medications prescribed by DR. LUCAS MARIAN KOGUT 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	189	$18.01	≈ 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 189 Medicare prescriptions for Atorvastatin Calcium, about the same volume as the typical Washington prescriber of this medication (166.1). Medicare paid an average of $18.01 per fill, versus $11.43 statewide. How often this provider prescribes it This provider 189 WA average 166.1 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 $18.01 WA average $11.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 189 30-Day Fills standardized to 30-day supplies 4,570 Days of Medication total across all patients in 2024
EliquisApixaban	167	$305.09▼ below WA avg	▲ More than typical
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. An antithrombotic agent. In 2024, this provider wrote 167 Medicare prescriptions for Eliquis, about 2.5 times the volume of the typical Washington prescriber of this medication (67). Medicare paid an average of $305.09 per fill, versus $994.95 statewide. How often this provider prescribes it This provider 167 WA average 67.0 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 $305.09 WA average $994.95 This provider's average cost per fill is below the WA average for this medication. 167 30-Day Fills standardized to 30-day supplies 2,385 Days of Medication total across all patients in 2024
Levothyroxine Sodium	158	$12.39	▲ More 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 158 Medicare prescriptions for Levothyroxine Sodium, about 1.4 times the volume of the typical Washington prescriber of this medication (115.6). Medicare paid an average of $12.39 per fill, versus $11.18 statewide. How often this provider prescribes it This provider 158 WA average 115.6 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 $12.39 WA average $11.18 Gross Part D cost per fill; not the patient's out-of-pocket price. 160 30-Day Fills standardized to 30-day supplies 2,967 Days of Medication total across all patients in 2024
Gabapentin	153	$23.30	▲ More than typical
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 153 Medicare prescriptions for Gabapentin, about 2.1 times the volume of the typical Washington prescriber of this medication (72.3). Medicare paid an average of $23.30 per fill, versus $19.65 statewide. How often this provider prescribes it This provider 153 WA average 72.3 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 $23.30 WA average $19.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 153 30-Day Fills standardized to 30-day supplies 3,434 Days of Medication total across all patients in 2024
Furosemide	114	$7.13	▲ More than typical
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2024, this provider wrote 114 Medicare prescriptions for Furosemide, about 1.9 times the volume of the typical Washington prescriber of this medication (58.6). Medicare paid an average of $7.13 per fill, versus $6.29 statewide. How often this provider prescribes it This provider 114 WA average 58.6 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 $7.13 WA average $6.29 Gross Part D cost per fill; not the patient's out-of-pocket price. 114 30-Day Fills standardized to 30-day supplies 1,875 Days of Medication total across all patients in 2024
Amlodipine Besylate	104	$12.94	≈ 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 104 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Washington prescriber of this medication (106). Medicare paid an average of $12.94 per fill, versus $7.92 statewide. How often this provider prescribes it This provider 104 WA average 106.0 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 $12.94 WA average $7.92 Gross Part D cost per fill; not the patient's out-of-pocket price. 104 30-Day Fills standardized to 30-day supplies 2,628 Days of Medication total across all patients in 2024
Torsemide	86	$24.45	▲ More 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 86 Medicare prescriptions for Torsemide, about 2.3 times the volume of the typical Washington prescriber of this medication (37.7). Medicare paid an average of $24.45 per fill, versus $21.27 statewide. How often this provider prescribes it This provider 86 WA average 37.7 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 $24.45 WA average $21.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 86 30-Day Fills standardized to 30-day supplies 2,136 Days of Medication total across all patients in 2024
Tamsulosin Hcl	82	$21.26	≈ 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 82 Medicare prescriptions for Tamsulosin Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (69.8). Medicare paid an average of $21.26 per fill, versus $16.56 statewide. How often this provider prescribes it This provider 82 WA average 69.8 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 $21.26 WA average $16.56 Gross Part D cost per fill; not the patient's out-of-pocket price. 82 30-Day Fills standardized to 30-day supplies 1,859 Days of Medication total across all patients in 2024
Pantoprazole Sodium	81	$26.29	▲ More 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 81 Medicare prescriptions for Pantoprazole Sodium, about 1.7 times the volume of the typical Washington prescriber of this medication (48.8). Medicare paid an average of $26.29 per fill, versus $14.19 statewide. How often this provider prescribes it This provider 81 WA average 48.8 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 $26.29 WA average $14.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 83 30-Day Fills standardized to 30-day supplies 1,849 Days of Medication total across all patients in 2024
Metoprolol Succinate	81	$20.26	≈ 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 81 Medicare prescriptions for Metoprolol Succinate, about 89% of the volume of the typical Washington prescriber of this medication (90.9). Medicare paid an average of $20.26 per fill, versus $14.75 statewide. How often this provider prescribes it This provider 81 WA average 90.9 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 $20.26 WA average $14.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 83 30-Day Fills standardized to 30-day supplies 1,783 Days of Medication total across all patients in 2024
Potassium Chloride	74	$28.96	▲ More than typical
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2024, this provider wrote 74 Medicare prescriptions for Potassium Chloride, about 1.5 times the volume of the typical Washington prescriber of this medication (50.4). Medicare paid an average of $28.96 per fill, versus $21.39 statewide. How often this provider prescribes it This provider 74 WA average 50.4 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 $28.96 WA average $21.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 74 30-Day Fills standardized to 30-day supplies 1,725 Days of Medication total across all patients in 2024
Trazodone Hcl	74	$16.31	≈ 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 74 Medicare prescriptions for Trazodone Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (60.6). Medicare paid an average of $16.31 per fill, versus $10.78 statewide. How often this provider prescribes it This provider 74 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 $16.31 WA average $10.78 Gross Part D cost per fill; not the patient's out-of-pocket price. 74 30-Day Fills standardized to 30-day supplies 1,655 Days of Medication total across all patients in 2024
Ondansetron Hcl	64	$19.55	▲ More than typical
About Ondansetron Hcl: 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. It 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 64 Medicare prescriptions for Ondansetron Hcl, about 2.2 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $19.55 per fill, versus $11.67 statewide. How often this provider prescribes it This provider 64 WA average 29.0 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 $19.55 WA average $11.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 64 30-Day Fills standardized to 30-day supplies 344 Days of Medication total across all patients in 2024
Sertraline Hcl	60	$20.16	≈ 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 60 Medicare prescriptions for Sertraline Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (50.3). Medicare paid an average of $20.16 per fill, versus $11.19 statewide. How often this provider prescribes it This provider 60 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 $20.16 WA average $11.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 1,339 Days of Medication total across all patients in 2024
Duloxetine Hcl	58	$47.35	▲ More 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 58 Medicare prescriptions for Duloxetine Hcl, about 1.3 times the volume of the typical Washington prescriber of this medication (44.1). Medicare paid an average of $47.35 per fill, versus $26.10 statewide. How often this provider prescribes it This provider 58 WA average 44.1 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 $47.35 WA average $26.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 58 30-Day Fills standardized to 30-day supplies 1,599 Days of Medication total across all patients in 2024
Carvedilol	58	$17.48	≈ Typical
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2024, this provider wrote 58 Medicare prescriptions for Carvedilol, about 1.2 times the volume of the typical Washington prescriber of this medication (47.5). Medicare paid an average of $17.48 per fill, versus $10.02 statewide. How often this provider prescribes it This provider 58 WA average 47.5 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 $17.48 WA average $10.02 Gross Part D cost per fill; not the patient's out-of-pocket price. 58 30-Day Fills standardized to 30-day supplies 1,386 Days of Medication total across all patients in 2024
Spironolactone	57	$11.69	▲ More than typical
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a "water pill" (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2024, this provider wrote 57 Medicare prescriptions for Spironolactone, about 1.4 times the volume of the typical Washington prescriber of this medication (41.2). Medicare paid an average of $11.69 per fill, versus $9.91 statewide. How often this provider prescribes it This provider 57 WA average 41.2 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 $11.69 WA average $9.91 Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 1,325 Days of Medication total across all patients in 2024
Losartan Potassium	57	$15.44	▼ Less than typical
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2024, this provider wrote 57 Medicare prescriptions for Losartan Potassium, about half the volume of the typical Washington prescriber of this medication (102.4). Medicare paid an average of $15.44 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 57 WA average 102.4 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 $15.44 WA average $10.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 1,434 Days of Medication total across all patients in 2024
Baclofen	56	$53.78	▲ More than typical
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2024, this provider wrote 56 Medicare prescriptions for Baclofen, about 1.7 times the volume of the typical Washington prescriber of this medication (32.4). Medicare paid an average of $53.78 per fill, versus $21.15 statewide. How often this provider prescribes it This provider 56 WA average 32.4 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 $53.78 WA average $21.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 56 30-Day Fills standardized to 30-day supplies 1,168 Days of Medication total across all patients in 2024
Metoprolol Tartrate	55	$12.49	▲ More than typical
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2024, this provider wrote 55 Medicare prescriptions for Metoprolol Tartrate, about 1.3 times the volume of the typical Washington prescriber of this medication (43.4). Medicare paid an average of $12.49 per fill, versus $8.03 statewide. How often this provider prescribes it This provider 55 WA average 43.4 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 $12.49 WA average $8.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 55 30-Day Fills standardized to 30-day supplies 1,151 Days of Medication total across all patients in 2024
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	53	$42.15▼ below WA avg	▲ More than typical
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-aglr, and insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2024, this provider wrote 53 Medicare prescriptions for Lantus Solostar, about 1.6 times the volume of the typical Washington prescriber of this medication (33.7). Medicare paid an average of $42.15 per fill, versus $136.88 statewide. How often this provider prescribes it This provider 53 WA average 33.7 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 $42.15 WA average $136.88 This provider's average cost per fill is below the WA average for this medication. 53.3 30-Day Fills standardized to 30-day supplies 882 Days of Medication total across all patients in 2024
JardianceEmpagliflozin	53	$343.44▼ below WA avg	≈ 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 53 Medicare prescriptions for Jardiance, about 1.2 times the volume of the typical Washington prescriber of this medication (44.1). Medicare paid an average of $343.44 per fill, versus $1,041.39 statewide. How often this provider prescribes it This provider 53 WA average 44.1 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 $343.44 WA average $1,041.39 This provider's average cost per fill is below the WA average for this medication. 53 30-Day Fills standardized to 30-day supplies 841 Days of Medication total across all patients in 2024
Oxycodone Hcl	51	$16.61	≈ 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 51 Medicare prescriptions for Oxycodone Hcl, about the same volume as the typical Washington prescriber of this medication (50.3). Medicare paid an average of $16.61 per fill, versus $14.22 statewide. How often this provider prescribes it This provider 51 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 $16.61 WA average $14.22 Gross Part D cost per fill; not the patient's out-of-pocket price. 51 30-Day Fills standardized to 30-day supplies 492 Days of Medication total across all patients in 2024
ClopidogrelClopidogrel Bisulfate	50	$23.83	▲ More than typical
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2024, this provider wrote 50 Medicare prescriptions for Clopidogrel, about 1.3 times the volume of the typical Washington prescriber of this medication (39.2). Medicare paid an average of $23.83 per fill, versus $13.50 statewide. How often this provider prescribes it This provider 50 WA average 39.2 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 $23.83 WA average $13.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 50 30-Day Fills standardized to 30-day supplies 1,268 Days of Medication total across all patients in 2024
Quetiapine Fumarate	50	$23.57	≈ 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 50 Medicare prescriptions for Quetiapine Fumarate, about the same volume as the typical Washington prescriber of this medication (49.5). Medicare paid an average of $23.57 per fill, versus $19.76 statewide. How often this provider prescribes it This provider 50 WA average 49.5 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 $23.57 WA average $19.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 50 30-Day Fills standardized to 30-day supplies 1,285 Days of Medication total across all patients in 2024

Lisinopril	49	$15.29	▼ 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 49 Medicare prescriptions for Lisinopril, about half the volume of the typical Washington prescriber of this medication (104.5). Medicare paid an average of $15.29 per fill, versus $8.60 statewide. How often this provider prescribes it This provider 49 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 $15.29 WA average $8.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 49 30-Day Fills standardized to 30-day supplies 1,078 Days of Medication total across all patients in 2024
Metformin Hcl	48	$16.47	≈ 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 48 Medicare prescriptions for Metformin Hcl, about 76% of the volume of the typical Washington prescriber of this medication (62.9). Medicare paid an average of $16.47 per fill, versus $9.63 statewide. How often this provider prescribes it This provider 48 WA average 62.9 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 $16.47 WA average $9.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 48 30-Day Fills standardized to 30-day supplies 1,071 Days of Medication total across all patients in 2024
Levetiracetam	48	$46.03	≈ Typical
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2024, this provider wrote 48 Medicare prescriptions for Levetiracetam, about the same volume as the typical Washington prescriber of this medication (44). Medicare paid an average of $46.03 per fill, versus $33.32 statewide. How often this provider prescribes it This provider 48 WA average 44.0 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 $46.03 WA average $33.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 48 30-Day Fills standardized to 30-day supplies 1,078 Days of Medication total across all patients in 2024
Omeprazole	46	$18.22	▼ 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 46 Medicare prescriptions for Omeprazole, about half the volume of the typical Washington prescriber of this medication (78.2). Medicare paid an average of $18.22 per fill, versus $15.28 statewide. How often this provider prescribes it This provider 46 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 $18.22 WA average $15.28 Gross Part D cost per fill; not the patient's out-of-pocket price. 46 30-Day Fills standardized to 30-day supplies 1,026 Days of Medication total across all patients in 2024
Mirtazapine	43	$27.90	≈ Typical
About Mirtazapine: This medication is used to treat depression. Show more ▾ Mirtazapine works by helping to restore the balance of certain natural substances in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2024, this provider wrote 43 Medicare prescriptions for Mirtazapine, about 1.2 times the volume of the typical Washington prescriber of this medication (35.3). Medicare paid an average of $27.90 per fill, versus $22.38 statewide. How often this provider prescribes it This provider 43 WA average 35.3 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 $27.90 WA average $22.38 Gross Part D cost per fill; not the patient's out-of-pocket price. 43 30-Day Fills standardized to 30-day supplies 882 Days of Medication total across all patients in 2024
Hydroxyzine Hcl	41	$25.77	▲ More than typical
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2024, this provider wrote 41 Medicare prescriptions for Hydroxyzine Hcl, about 1.6 times the volume of the typical Washington prescriber of this medication (26.3). Medicare paid an average of $25.77 per fill, versus $18.29 statewide. How often this provider prescribes it This provider 41 WA average 26.3 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 $25.77 WA average $18.29 Gross Part D cost per fill; not the patient's out-of-pocket price. 41 30-Day Fills standardized to 30-day supplies 784 Days of Medication total across all patients in 2024
Pregabalin	40	$26.61	≈ Typical
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2024, this provider wrote 40 Medicare prescriptions for Pregabalin, about the same volume as the typical Washington prescriber of this medication (35.3). Medicare paid an average of $26.61 per fill, versus $26.03 statewide. How often this provider prescribes it This provider 40 WA average 35.3 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 $26.61 WA average $26.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 40 30-Day Fills standardized to 30-day supplies 639 Days of Medication total across all patients in 2024
Midodrine Hcl	39	$78.45	▲ More than typical
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. An ethanolamine derivative that is an adrenergic alpha-1 agonist. It is used as a vasoconstrictor agent in the treatment of HYPOTENSION. In 2024, this provider wrote 39 Medicare prescriptions for Midodrine Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (22.5). Medicare paid an average of $78.45 per fill, versus $59.93 statewide. How often this provider prescribes it This provider 39 WA average 22.5 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 $78.45 WA average $59.93 Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 845 Days of Medication total across all patients in 2024
ErtapenemErtapenem Sodium	38	$205.88▼ below WA avg	▲ More than typical
About Ertapenem: Ertapenem is used to prevent and treat a wide variety of bacterial infections. Show more ▾ This medication is known as a carbapenem-type antibiotic. It works by stopping the growth of bacteria. A carbapenem derivative antibacterial agent that is more stable to renal dehydropeptidase I than IMIPENEM, but does not need to be given with an enzyme inhibitor such as CILASTATIN. It is used in the treatment of Gram-positive and Gram-negative bacterial infections including intra-abdominal infections, acute gynecological infections, complicated urinary tract infections, skin infections, and respiratory tract infections. It is also used to prevent infection in colorectal surgery. In 2024, this provider wrote 38 Medicare prescriptions for Ertapenem, about 1.6 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $205.88 per fill, versus $309.27 statewide. How often this provider prescribes it This provider 38 WA average 24.0 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 $205.88 WA average $309.27 This provider's average cost per fill is below the WA average for this medication. 38 30-Day Fills standardized to 30-day supplies 118 Days of Medication total across all patients in 2024
Buspirone Hcl	37	$25.77	≈ Typical
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 37 Medicare prescriptions for Buspirone Hcl, about the same volume as the typical Washington prescriber of this medication (33.6). Medicare paid an average of $25.77 per fill, versus $17.37 statewide. How often this provider prescribes it This provider 37 WA average 33.6 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 $25.77 WA average $17.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 945 Days of Medication total across all patients in 2024
Citalopram HbrCitalopram Hydrobromide	35	$22.43	≈ Typical
About Citalopram Hbr: This medication is used to treat depression. Show more ▾ Citalopram 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 furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2024, this provider wrote 35 Medicare prescriptions for Citalopram Hbr, about the same volume as the typical Washington prescriber of this medication (34.7). Medicare paid an average of $22.43 per fill, versus $9.43 statewide. How often this provider prescribes it This provider 35 WA average 34.7 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 $22.43 WA average $9.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 914 Days of Medication total across all patients in 2024
Famotidine	34	$36.36	≈ 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 34 Medicare prescriptions for Famotidine, about 88% of the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $36.36 per fill, versus $16.42 statewide. How often this provider prescribes it This provider 34 WA average 38.8 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 $36.36 WA average $16.42 Gross Part D cost per fill; not the patient's out-of-pocket price. 34.4 30-Day Fills standardized to 30-day supplies 864 Days of Medication total across all patients in 2024
Finasteride	33	$24.55	≈ Typical
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2024, this provider wrote 33 Medicare prescriptions for Finasteride, about 77% of the volume of the typical Washington prescriber of this medication (42.7). Medicare paid an average of $24.55 per fill, versus $13.77 statewide. How often this provider prescribes it This provider 33 WA average 42.7 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 $24.55 WA average $13.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 879 Days of Medication total across all patients in 2024
Isosorbide Mononitrate ErIsosorbide Mononitrate	32	$24.20	≈ Typical
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. For prevention of angina pectoris; a Russian drug. In 2024, this provider wrote 32 Medicare prescriptions for Isosorbide Mononitrate Er, about 82% of the volume of the typical Washington prescriber of this medication (39.1). Medicare paid an average of $24.20 per fill, versus $14.95 statewide. How often this provider prescribes it This provider 32 WA average 39.1 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 $24.20 WA average $14.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 755 Days of Medication total across all patients in 2024
Insulin Lispro Kwikpen U-100Insulin Lispro	32	$67.21▼ below WA avg	▲ More than typical
About Insulin Lispro Kwikpen U-100: Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2024, this provider wrote 32 Medicare prescriptions for Insulin Lispro Kwikpen U-100, about 1.3 times the volume of the typical Washington prescriber of this medication (25.5). Medicare paid an average of $67.21 per fill, versus $167.96 statewide. How often this provider prescribes it This provider 32 WA average 25.5 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 $67.21 WA average $167.96 This provider's average cost per fill is below the WA average for this medication. 37.1 30-Day Fills standardized to 30-day supplies 529 Days of Medication total across all patients in 2024
XareltoRivaroxaban	31	$337.20▼ below WA avg	≈ 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 31 Medicare prescriptions for Xarelto, about 80% of the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $337.20 per fill, versus $1,017.77 statewide. How often this provider prescribes it This provider 31 WA average 38.8 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 $337.20 WA average $1,017.77 This provider's average cost per fill is below the WA average for this medication. 31 30-Day Fills standardized to 30-day supplies 517 Days of Medication total across all patients in 2024
Olanzapine	31	$33.52	▼ Less than typical
About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine 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. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2024, this provider wrote 31 Medicare prescriptions for Olanzapine, about 66% of the volume of the typical Washington prescriber of this medication (46.8). Medicare paid an average of $33.52 per fill, versus $23.35 statewide. How often this provider prescribes it This provider 31 WA average 46.8 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 $33.52 WA average $23.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 31 30-Day Fills standardized to 30-day supplies 597 Days of Medication total across all patients in 2024
Insulin Glargine-Yfgn	31	$41.84▼ below WA avg	▲ More than typical
About Insulin Glargine-Yfgn: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-aglr, and insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2024, this provider wrote 31 Medicare prescriptions for Insulin Glargine-Yfgn, about 1.3 times the volume of the typical Washington prescriber of this medication (23.3). Medicare paid an average of $41.84 per fill, versus $102.88 statewide. How often this provider prescribes it This provider 31 WA average 23.3 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 $41.84 WA average $102.88 This provider's average cost per fill is below the WA average for this medication. 33 30-Day Fills standardized to 30-day supplies 605 Days of Medication total across all patients in 2024
Trelegy ElliptaFluticasone/Umeclidin/Vilanter	30	$435.06▼ below WA avg	▼ Less than typical
About Trelegy Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾ Controlling symptoms of breathing problems helps you stay active. This inhaler contains 3 medications: fluticasone, umeclidinium, and vilanterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling of the airways in the lungs to make breathing easier. Umeclidinium belongs to a class of drugs known as anticholinergics and vilanterol is a LABA medication. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Both drugs are also known as bronchodilators. When used alone, long-acting beta agonists (such as vilanterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination products containing both an inhaled corticosteroid and long-acting beta agonist, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with two asthma-control medications (such as inhaled corticosteroid and long-acting beta agonist) or if your symptoms need combination treatment. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden shortness of breath. If sudden breathing problems occur, use your quick-relief inhaler as prescribed. In 2024, this provider wrote 30 Medicare prescriptions for Trelegy Ellipta, about half the volume of the typical Washington prescriber of this medication (50.8). Medicare paid an average of $435.06 per fill, versus $853.58 statewide. How often this provider prescribes it This provider 30 WA average 50.8 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 $435.06 WA average $853.58 This provider's average cost per fill is below the WA average for this medication. 30 30-Day Fills standardized to 30-day supplies 530 Days of Medication total across all patients in 2024
Albuterol Sulfate HfaAlbuterol Sulfate	30	$35.32	▼ 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 30 Medicare prescriptions for Albuterol Sulfate Hfa, about half the volume of the typical Washington prescriber of this medication (50.9). Medicare paid an average of $35.32 per fill, versus $29.37 statewide. How often this provider prescribes it This provider 30 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 $35.32 WA average $29.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 646 Days of Medication total across all patients in 2024
Scopolamine	29	$119.51	▲ More than typical
About Scopolamine: This skin patch is used to prevent nausea and vomiting caused by motion sickness or recovery from anesthesia and surgery. Show more ▾ This medication works by correcting the imbalance of natural substances (acetylcholine and norepinephrine) that can occur in motion sickness. It also blocks certain signals to the brain that can cause nausea and vomiting. This medication is not recommended for use in children. An alkaloid from SOLANACEAE, especially DATURA and SCOPOLIA. Scopolamine and its quaternary derivatives act as antimuscarinics like ATROPINE, but may have more central nervous system effects. Its many uses include an anesthetic premedication, the treatment of URINARY INCONTINENCE and MOTION SICKNESS, an antispasmodic, and a mydriatic and cycloplegic. In 2024, this provider wrote 29 Medicare prescriptions for Scopolamine, about 1.4 times the volume of the typical Washington prescriber of this medication (20.5). Medicare paid an average of $119.51 per fill, versus $94.37 statewide. How often this provider prescribes it This provider 29 WA average 20.5 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 $119.51 WA average $94.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2024
Cyclobenzaprine Hcl	29	$20.72	≈ Typical
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. Lisseril is synonymous for HCl; structure. In 2024, this provider wrote 29 Medicare prescriptions for Cyclobenzaprine Hcl, about the same volume as the typical Washington prescriber of this medication (30.5). Medicare paid an average of $20.72 per fill, versus $10.11 statewide. How often this provider prescribes it This provider 29 WA average 30.5 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 $20.72 WA average $10.11 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 455 Days of Medication total across all patients in 2024
Hydralazine Hcl	29	$17.21	≈ Typical
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. A direct-acting vasodilator that is used as an antihypertensive agent. In 2024, this provider wrote 29 Medicare prescriptions for Hydralazine Hcl, about the same volume as the typical Washington prescriber of this medication (30.3). Medicare paid an average of $17.21 per fill, versus $15.61 statewide. How often this provider prescribes it This provider 29 WA average 30.3 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 $17.21 WA average $15.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 474 Days of Medication total across all patients in 2024
Ondansetron OdtOndansetron	28	$27.64	≈ 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 28 Medicare prescriptions for Ondansetron Odt, about the same volume as the typical Washington prescriber of this medication (26). Medicare paid an average of $27.64 per fill, versus $15.16 statewide. How often this provider prescribes it This provider 28 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 $27.64 WA average $15.16 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2024
Allopurinol	28	$13.06	▼ 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 28 Medicare prescriptions for Allopurinol, about 71% of the volume of the typical Washington prescriber of this medication (39.4). Medicare paid an average of $13.06 per fill, versus $11.44 statewide. How often this provider prescribes it This provider 28 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 $13.06 WA average $11.44 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 733 Days of Medication total across all patients in 2024
Lacosamide	27	$62.64▼ below WA avg	▼ Less than typical
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2024, this provider wrote 27 Medicare prescriptions for Lacosamide, about half the volume of the typical Washington prescriber of this medication (47.2). Medicare paid an average of $62.64 per fill, versus $110.21 statewide. How often this provider prescribes it This provider 27 WA average 47.2 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 $62.64 WA average $110.21 This provider's average cost per fill is below the WA average for this medication. 27 30-Day Fills standardized to 30-day supplies 222 Days of Medication total across all patients in 2024
Fluticasone Propionate	26	$21.02	▼ 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 26 Medicare prescriptions for Fluticasone Propionate, about 74% of the volume of the typical Washington prescriber of this medication (35.1). Medicare paid an average of $21.02 per fill, versus $18.06 statewide. How often this provider prescribes it This provider 26 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 $21.02 WA average $18.06 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2024
Methocarbamol	25	$38.54	≈ 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 25 Medicare prescriptions for Methocarbamol, about the same volume as the typical Washington prescriber of this medication (26.6). Medicare paid an average of $38.54 per fill, versus $14.08 statewide. How often this provider prescribes it This provider 25 WA average 26.6 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 $38.54 WA average $14.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 25 30-Day Fills standardized to 30-day supplies 578 Days of Medication total across all patients in 2024
Divalproex Sodium	24	$121.44	▼ Less than typical
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 24 Medicare prescriptions for Divalproex Sodium, about 60% of the volume of the typical Washington prescriber of this medication (39.9). Medicare paid an average of $121.44 per fill, versus $43.04 statewide. How often this provider prescribes it This provider 24 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 $121.44 WA average $43.04 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 700 Days of Medication total across all patients in 2024
Prednisone	24	$10.51	▼ 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 24 Medicare prescriptions for Prednisone, about 63% of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $10.51 per fill, versus $5.30 statewide. How often this provider prescribes it This provider 24 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 $10.51 WA average $5.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 434 Days of Medication total across all patients in 2024
Risperidone	24	$23.14	▼ Less than typical
About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾ Risperidone 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 selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2024, this provider wrote 24 Medicare prescriptions for Risperidone, about half the volume of the typical Washington prescriber of this medication (42). Medicare paid an average of $23.14 per fill, versus $17.56 statewide. How often this provider prescribes it This provider 24 WA average 42.0 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 $23.14 WA average $17.56 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 639 Days of Medication total across all patients in 2024
Tramadol Hcl	24	$12.13	▼ 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 24 Medicare prescriptions for Tramadol Hcl, about 60% of the volume of the typical Washington prescriber of this medication (39.9). Medicare paid an average of $12.13 per fill, versus $8.40 statewide. How often this provider prescribes it This provider 24 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 $12.13 WA average $8.40 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 332 Days of Medication total across all patients in 2024
Doxycycline Hyclate	24	$37.55	≈ Typical
About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾ This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity. In 2024, this provider wrote 24 Medicare prescriptions for Doxycycline Hyclate, about the same volume as the typical Washington prescriber of this medication (25.8). Medicare paid an average of $37.55 per fill, versus $16.76 statewide. How often this provider prescribes it This provider 24 WA average 25.8 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 $37.55 WA average $16.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 320 Days of Medication total across all patients in 2024
Ipratropium-AlbuterolIpratropium/Albuterol Sulfate	22	$37.70	≈ Typical
About Ipratropium-Albuterol: This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾ This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both drugs work 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. In 2024, this provider wrote 22 Medicare prescriptions for Ipratropium-Albuterol, about 78% of the volume of the typical Washington prescriber of this medication (28.3). Medicare paid an average of $37.70 per fill, versus $29.32 statewide. How often this provider prescribes it This provider 22 WA average 28.3 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 $37.70 WA average $29.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 130 Days of Medication total across all patients in 2024
Aripiprazole	21	$35.15▼ 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 21 Medicare prescriptions for Aripiprazole, about half the volume of the typical Washington prescriber of this medication (35.2). Medicare paid an average of $35.15 per fill, versus $48.17 statewide. How often this provider prescribes it This provider 21 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 $35.15 WA average $48.17 This provider's average cost per fill is below the WA average for this medication. 21 30-Day Fills standardized to 30-day supplies 515 Days of Medication total across all patients in 2024
Amiodarone Hcl	21	$23.03▼ below WA avg	▼ Less than typical
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. An antianginal and class III antiarrhythmic drug. It increases the duration of ventricular and atrial muscle action by inhibiting POTASSIUM CHANNELS and VOLTAGE-GATED SODIUM CHANNELS. There is a resulting decrease in heart rate and in vascular resistance. In 2024, this provider wrote 21 Medicare prescriptions for Amiodarone Hcl, about 65% of the volume of the typical Washington prescriber of this medication (32.3). Medicare paid an average of $23.03 per fill, versus $24.65 statewide. How often this provider prescribes it This provider 21 WA average 32.3 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 $23.03 WA average $24.65 This provider's average cost per fill is below the WA average for this medication. 21 30-Day Fills standardized to 30-day supplies 464 Days of Medication total across all patients in 2024
Escitalopram Oxalate	21	$19.79	▼ 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 21 Medicare prescriptions for Escitalopram Oxalate, about half the volume of the typical Washington prescriber of this medication (37). Medicare paid an average of $19.79 per fill, versus $13.03 statewide. How often this provider prescribes it This provider 21 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 $19.79 WA average $13.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 530 Days of Medication total across all patients in 2024
Fluoxetine Hcl	19	$20.48	▼ Less than 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 19 Medicare prescriptions for Fluoxetine Hcl, about half the volume of the typical Washington prescriber of this medication (34.2). Medicare paid an average of $20.48 per fill, versus $12.85 statewide. How often this provider prescribes it This provider 19 WA average 34.2 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 $20.48 WA average $12.85 Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 499 Days of Medication total across all patients in 2024
Esomeprazole Magnesium	19	$171.41	≈ 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 19 Medicare prescriptions for Esomeprazole Magnesium, about the same volume as the typical Washington prescriber of this medication (19.6). Medicare paid an average of $171.41 per fill, versus $49.86 statewide. How often this provider prescribes it This provider 19 WA average 19.6 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 $171.41 WA average $49.86 Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 517 Days of Medication total across all patients in 2024
Montelukast Sodium	18	$17.37	▼ 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 18 Medicare prescriptions for Montelukast Sodium, about half the volume of the typical Washington prescriber of this medication (37.9). Medicare paid an average of $17.37 per fill, versus $12.60 statewide. How often this provider prescribes it This provider 18 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 $17.37 WA average $12.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 299 Days of Medication total across all patients in 2024
Lovastatin	18	$10.62▼ below WA avg	▼ Less than typical
About Lovastatin: Lovastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A fungal metabolite isolated from cultures of Aspergillus terreus. The compound is a potent anticholesteremic agent. It inhibits 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It also stimulates the production of low-density lipoprotein receptors in the liver. In 2024, this provider wrote 18 Medicare prescriptions for Lovastatin, about 66% of the volume of the typical Washington prescriber of this medication (27.1). Medicare paid an average of $10.62 per fill, versus $11.20 statewide. How often this provider prescribes it This provider 18 WA average 27.1 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 $10.62 WA average $11.20 This provider's average cost per fill is below the WA average for this medication. 18 30-Day Fills standardized to 30-day supplies 283 Days of Medication total across all patients in 2024
AbrysvoRsv Vacc, Pref A And Pref B/Pf	18	$312.97	▼ Less than typical
About Abrysvo: This vaccine is used to prevent infection by the respiratory syncytial virus (RSV). Show more ▾ Some brands may also be given during the third trimester of pregnancy to help prevent RSV in the newborn baby. RSV can cause serious illness, especially in older adults with certain health problems (such as heart disease, lung disease) and infants. It works by causing the body to produce its own protection (antibodies) against the virus. Vaccines may not fully protect everyone who receives them. In 2024, this provider wrote 18 Medicare prescriptions for Abrysvo, about half the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $312.97 per fill, versus $289.73 statewide. How often this provider prescribes it This provider 18 WA average 31.0 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 $312.97 WA average $289.73 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 19 Days of Medication total across all patients in 2024
Doxazosin Mesylate	18	$26.74	≈ Typical
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2024, this provider wrote 18 Medicare prescriptions for Doxazosin Mesylate, about 78% of the volume of the typical Washington prescriber of this medication (23.2). Medicare paid an average of $26.74 per fill, versus $15.98 statewide. How often this provider prescribes it This provider 18 WA average 23.2 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 $26.74 WA average $15.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 461 Days of Medication total across all patients in 2024
Heparin SodiumHeparin Sodium,porcine	18	$45.95	≈ Typical
About Heparin Sodium: This medication is used to prevent and treat blood clots. Show more ▾ It may be used to prevent and treat blood clots in the lungs/legs (including in patients with atrial fibrillation). It may be used to treat certain blood clotting disorders. It may also be used to prevent blood clots after surgery, during dialysis, during blood transfusions, when collecting blood samples, or when a person is unable to move for a long time. Heparin helps to keep blood flowing smoothly by making a certain natural substance in your body (anti-clotting protein) work better. It is known as an anticoagulant. A highly acidic mucopolysaccharide formed of equal parts of sulfated D-glucosamine and D-glucuronic acid with sulfaminic bridges. The molecular weight ranges from six to twenty thousand. Heparin occurs in and is obtained from liver, lung, mast cells, etc., of vertebrates. Its function is unknown, but it is used to prevent blood clotting in vivo and vitro, in the form of many different salts. In 2024, this provider wrote 18 Medicare prescriptions for Heparin Sodium, about the same volume as the typical Washington prescriber of this medication (15.9). Medicare paid an average of $45.95 per fill, versus $40.36 statewide. How often this provider prescribes it This provider 18 WA average 15.9 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 $45.95 WA average $40.36 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 212 Days of Medication total across all patients in 2024
Latanoprost	18	$18.82	▼ Less than typical
About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾ It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA. In 2024, this provider wrote 18 Medicare prescriptions for Latanoprost, about 14% of the volume of the typical Washington prescriber of this medication (125.5). Medicare paid an average of $18.82 per fill, versus $13.05 statewide. How often this provider prescribes it This provider 18 WA average 125.5 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 $18.82 WA average $13.05 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 395 Days of Medication total across all patients in 2024
Cephalexin	18	$20.42	▼ Less than typical
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2024, this provider wrote 18 Medicare prescriptions for Cephalexin, about 66% of the volume of the typical Washington prescriber of this medication (27.4). Medicare paid an average of $20.42 per fill, versus $8.96 statewide. How often this provider prescribes it This provider 18 WA average 27.4 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 $20.42 WA average $8.96 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 98 Days of Medication total across all patients in 2024
Lactulose	18	$38.74	≈ Typical
About Lactulose: This medication is a laxative used to treat constipation. Show more ▾ It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887) In 2024, this provider wrote 18 Medicare prescriptions for Lactulose, about 80% of the volume of the typical Washington prescriber of this medication (22.5). Medicare paid an average of $38.74 per fill, versus $27.98 statewide. How often this provider prescribes it This provider 18 WA average 22.5 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 $38.74 WA average $27.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 260 Days of Medication total across all patients in 2024
Alendronate Sodium	17	$26.54	▼ Less than typical
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2024, this provider wrote 17 Medicare prescriptions for Alendronate Sodium, about a third of the volume of the typical Washington prescriber of this medication (41.8). Medicare paid an average of $26.54 per fill, versus $10.30 statewide. How often this provider prescribes it This provider 17 WA average 41.8 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 $26.54 WA average $10.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 378 Days of Medication total across all patients in 2024
XifaxanRifaximin	17	$1,491.69▼ below WA avg	≈ Typical
About Xifaxan: This medication is used to treat diarrhea caused by the common bacteria known as E. Show more ▾ coli ("traveler's diarrhea"). Rifaximin should not be used if you have a fever or bloody diarrhea. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. Rifaximin is also used to treat irritable bowel syndrome with diarrhea. It is also used to prevent a brain problem caused by liver disease (hepatic encephalopathy). A synthetic rifamycin derivative and anti-bacterial agent that is used for the treatment of GASTROENTERITIS caused by ESCHERICHIA COLI INFECTIONS. It may also be used in the treatment of HEPATIC ENCEPHALOPATHY. In 2024, this provider wrote 17 Medicare prescriptions for Xifaxan, about 76% of the volume of the typical Washington prescriber of this medication (22.5). Medicare paid an average of $1,491.69 per fill, versus $3,020.05 statewide. How often this provider prescribes it This provider 17 WA average 22.5 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 $1,491.69 WA average $3,020.05 This provider's average cost per fill is below the WA average for this medication. 17 30-Day Fills standardized to 30-day supplies 214 Days of Medication total across all patients in 2024
Diclofenac Sodium	16	$32.57	▼ Less than typical
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2024, this provider wrote 16 Medicare prescriptions for Diclofenac Sodium, about half the volume of the typical Washington prescriber of this medication (30.4). Medicare paid an average of $32.57 per fill, versus $27.14 statewide. How often this provider prescribes it This provider 16 WA average 30.4 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 $32.57 WA average $27.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 247 Days of Medication total across all patients in 2024
Venlafaxine Hcl ErVenlafaxine Hcl	16	$52.94	▼ Less than typical
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine 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 cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 16 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical Washington prescriber of this medication (29.4). Medicare paid an average of $52.94 per fill, versus $24.61 statewide. How often this provider prescribes it This provider 16 WA average 29.4 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 $52.94 WA average $24.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 343 Days of Medication total across all patients in 2024
Breo ElliptaFluticasone/Vilanterol	16	$208.40▼ below WA avg	▼ Less than typical
About Breo Ellipta: This medication is used to prevent and decrease symptoms (wheezing and trouble breathing) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Show more ▾ This inhaler contains 2 medications: fluticasone and vilanterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the swelling of the airways in the lungs to make breathing easier. Vilanterol belongs to a class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. When used alone, long-acting beta agonists (like vilanterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. 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. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. In 2024, this provider wrote 16 Medicare prescriptions for Breo Ellipta, about half the volume of the typical Washington prescriber of this medication (28.4). Medicare paid an average of $208.40 per fill, versus $532.52 statewide. How often this provider prescribes it This provider 16 WA average 28.4 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 $208.40 WA average $532.52 This provider's average cost per fill is below the WA average for this medication. 16 30-Day Fills standardized to 30-day supplies 240 Days of Medication total across all patients in 2024
Lamotrigine	16	$38.35	▼ Less than typical
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2024, this provider wrote 16 Medicare prescriptions for Lamotrigine, about a third of the volume of the typical Washington prescriber of this medication (41.2). Medicare paid an average of $38.35 per fill, versus $17.54 statewide. How often this provider prescribes it This provider 16 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 $38.35 WA average $17.54 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 400 Days of Medication total across all patients in 2024
Clonazepam	16	$17.50	▼ 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 16 Medicare prescriptions for Clonazepam, about half the volume of the typical Washington prescriber of this medication (34.7). Medicare paid an average of $17.50 per fill, versus $9.50 statewide. How often this provider prescribes it This provider 16 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 $17.50 WA average $9.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 294 Days of Medication total across all patients in 2024
Fentanyl	15	$96.70▼ 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 15 Medicare prescriptions for Fentanyl, about half the volume of the typical Washington prescriber of this medication (26.4). Medicare paid an average of $96.70 per fill, versus $116.18 statewide. How often this provider prescribes it This provider 15 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 $96.70 WA average $116.18 This provider's average cost per fill is below the WA average for this medication. 15 30-Day Fills standardized to 30-day supplies 204 Days of Medication total across all patients in 2024
Budesonide	15	$167.20	▼ Less than typical
About Budesonide: Budesonide is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. Show more ▾ This medication belongs to a class of drugs known as corticosteroids. It works directly in the lungs to make breathing easier by reducing the irritation and swelling of the airways. 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. If an asthma attack occurs, use your quick-relief inhaler as prescribed. A glucocorticoid used in the management of ASTHMA, the treatment of various skin disorders, and allergic RHINITIS. In 2024, this provider wrote 15 Medicare prescriptions for Budesonide, about 68% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $167.20 per fill, versus $139.71 statewide. How often this provider prescribes it This provider 15 WA average 22.0 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 $167.20 WA average $139.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 225 Days of Medication total across all patients in 2024
Chlorhexidine Gluconate	15	$13.97	▼ Less than typical
About Chlorhexidine Gluconate: This medication is used along with regular tooth brushing/flossing to treat gingivitis, a gum disease that causes red, swollen, and easily bleeding gums. Show more ▾ Chlorhexidine belongs to a class of drugs known as antimicrobials. It works by decreasing the amount of bacteria in the mouth, helping to reduce swelling and redness of the gums and bleeding when you brush. A disinfectant and topical anti-infective agent used also as mouthwash to prevent oral plaque. In 2024, this provider wrote 15 Medicare prescriptions for Chlorhexidine Gluconate, about a third of the volume of the typical Washington prescriber of this medication (42.8). Medicare paid an average of $13.97 per fill, versus $5.71 statewide. How often this provider prescribes it This provider 15 WA average 42.8 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 $13.97 WA average $5.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 261 Days of Medication total across all patients in 2024
Simvastatin	15	$13.50	▼ 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 15 Medicare prescriptions for Simvastatin, about a third of the volume of the typical Washington prescriber of this medication (52.1). Medicare paid an average of $13.50 per fill, versus $9.61 statewide. How often this provider prescribes it This provider 15 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 $13.50 WA average $9.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 332 Days of Medication total across all patients in 2024
Levofloxacin	15	$20.16	▼ Less than typical
About Levofloxacin: Levofloxacin is used to treat a variety of bacterial infections. Show more ▾ This medication belongs to a class of drugs known as quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. The L-isomer of Ofloxacin. In 2024, this provider wrote 15 Medicare prescriptions for Levofloxacin, about 72% of the volume of the typical Washington prescriber of this medication (20.9). Medicare paid an average of $20.16 per fill, versus $7.60 statewide. How often this provider prescribes it This provider 15 WA average 20.9 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 $20.16 WA average $7.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 62 Days of Medication total across all patients in 2024
Glipizide	15	$17.81	▼ Less than typical
About Glipizide: 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 15 Medicare prescriptions for Glipizide, about half the volume of the typical Washington prescriber of this medication (29.9). Medicare paid an average of $17.81 per fill, versus $10.39 statewide. How often this provider prescribes it This provider 15 WA average 29.9 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 $17.81 WA average $10.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 412 Days of Medication total across all patients in 2024
Sevelamer Carbonate	14	$82.21▼ below WA avg	▼ Less than typical
About Sevelamer Carbonate: Sevelamer is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Sevelamer works by holding onto phosphate from the diet so that it can pass out of your body. A polymeric amine that binds phosphate and is used to treat HYPERPHOSPHATEMIA in patients with kidney disease. In 2024, this provider wrote 14 Medicare prescriptions for Sevelamer Carbonate, about a third of the volume of the typical Washington prescriber of this medication (43.8). Medicare paid an average of $82.21 per fill, versus $189.31 statewide. How often this provider prescribes it This provider 14 WA average 43.8 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 $82.21 WA average $189.31 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 306 Days of Medication total across all patients in 2024
Glycopyrrolate	14	$57.06	≈ Typical
About Glycopyrrolate: Glycopyrrolate is used with other drugs to treat a certain type of stomach/intestinal ulcer (peptic ulcer). Show more ▾ This medication may help relieve stomach/abdominal pain. However, it has not been shown to be effective in healing these ulcers, preventing them from returning, or preventing other problems caused by ulcers. Glycopyrrolate works by decreasing the amount of acid in the stomach. It also slows the natural movements of the gut and relaxes the muscles in the stomach/intestines. Glycopyrrolate belongs to a class of drugs known as anticholinergics. A muscarinic antagonist used as an antispasmodic, in some disorders of the gastrointestinal tract, and to reduce salivation with some anesthetics. In 2024, this provider wrote 14 Medicare prescriptions for Glycopyrrolate, about 77% of the volume of the typical Washington prescriber of this medication (18.1). Medicare paid an average of $57.06 per fill, versus $37.54 statewide. How often this provider prescribes it This provider 14 WA average 18.1 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 $57.06 WA average $37.54 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 305 Days of Medication total across all patients in 2024
NuedextaDextromethorphan Hbr/Quinidine	14	$780.53▼ below WA avg	▼ Less than typical
About Nuedexta: This medication is used to treat a certain mental/mood disorder (pseudobulbar affect). Show more ▾ This disorder may occur due to various conditions that affect the brain (such as stroke, amyotrophic lateral sclerosis-ALS, multiple sclerosis). This medication may help decrease sudden outbursts of uncontrollable/inappropriate laughing and/or crying. This medication is a combination of 2 ingredients: dextromethorphan and quinidine. Dextromethorphan works in the brain, though it is not known exactly how it helps treat pseudobulbar affect. Quinidine is added to this medication to increase the effect of dextromethorphan. In 2024, this provider wrote 14 Medicare prescriptions for Nuedexta, about 67% of the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $780.53 per fill, versus $1,229.86 statewide. How often this provider prescribes it This provider 14 WA average 21.0 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 $780.53 WA average $1,229.86 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 205 Days of Medication total across all patients in 2024
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst	13	$41.48	▼ Less than typical
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2024, this provider wrote 13 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 60% of the volume of the typical Washington prescriber of this medication (21.7). Medicare paid an average of $41.48 per fill, versus $17.76 statewide. How often this provider prescribes it This provider 13 WA average 21.7 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 $41.48 WA average $17.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 236 Days of Medication total across all patients in 2024
Nitroglycerin	13	$17.92	▼ Less than typical
About Nitroglycerin: This medication is used to relieve chest pain (angina) in people that have a certain heart condition (coronary artery disease). Show more ▾ It may also be used before physical activities (such as exercise, sexual activity) to help prevent chest pain. Nitroglycerin belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2024, this provider wrote 13 Medicare prescriptions for Nitroglycerin, about half the volume of the typical Washington prescriber of this medication (29.7). Medicare paid an average of $17.92 per fill, versus $13.75 statewide. How often this provider prescribes it This provider 13 WA average 29.7 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 $17.92 WA average $13.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 179 Days of Medication total across all patients in 2024
Sodium Chloride0.9 % Sodium Chloride	13	$32.02	▼ Less than typical
About Sodium Chloride: This solution is used to supply water and salt (sodium chloride) to the body. Show more ▾ Sodium chloride solution may also be mixed with other medications given by injection into a vein. A ubiquitous sodium salt that is commonly used to season food. In 2024, this provider wrote 13 Medicare prescriptions for Sodium Chloride, about half the volume of the typical Washington prescriber of this medication (28.1). Medicare paid an average of $32.02 per fill, versus $28.87 statewide. How often this provider prescribes it This provider 13 WA average 28.1 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 $32.02 WA average $28.87 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 39 Days of Medication total across all patients in 2024
Albuterol Sulfate	13	$29.54▼ below WA avg	▼ Less than typical
About Albuterol Sulfate: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. 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 13 Medicare prescriptions for Albuterol Sulfate, about half the volume of the typical Washington prescriber of this medication (24.9). Medicare paid an average of $29.54 per fill, versus $34.50 statewide. How often this provider prescribes it This provider 13 WA average 24.9 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 $29.54 WA average $34.50 This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 76 Days of Medication total across all patients in 2024
Hydroxychloroquine Sulfate	13	$51.14	▼ Less than typical
About Hydroxychloroquine Sulfate: Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. Show more ▾ The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis. Hydroxychloroquine is not recommended for coronavirus infection, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970) In 2024, this provider wrote 13 Medicare prescriptions for Hydroxychloroquine Sulfate, about 17% of the volume of the typical Washington prescriber of this medication (78.6). Medicare paid an average of $51.14 per fill, versus $42.45 statewide. How often this provider prescribes it This provider 13 WA average 78.6 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 $51.14 WA average $42.45 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 260 Days of Medication total across all patients in 2024
Digoxin	13	$23.70▼ below WA avg	▼ 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 13 Medicare prescriptions for Digoxin, about half the volume of the typical Washington prescriber of this medication (27.2). Medicare paid an average of $23.70 per fill, versus $27.48 statewide. How often this provider prescribes it This provider 13 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 $23.70 WA average $27.48 This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 233 Days of Medication total across all patients in 2024
Ezetimibe	13	$33.03	▼ Less than typical
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as "statins" or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2024, this provider wrote 13 Medicare prescriptions for Ezetimibe, about a third of the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $33.03 per fill, versus $22.63 statewide. How often this provider prescribes it This provider 13 WA average 40.1 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 $33.03 WA average $22.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 358 Days of Medication total across all patients in 2024
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip	12	$31.15	▼ Less than typical
About Clotrimazole-Betamethasone: This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Show more ▾ This product contains 2 medications. Clotrimazole is an azole antifungal that works by preventing the growth of fungus. Betamethasone is a strong corticosteroid that works by reducing the swelling, redness, and itching that occurs in the skin infection. This medication is not recommended for children younger than 17 years or for diaper rash. In 2024, this provider wrote 12 Medicare prescriptions for Clotrimazole-Betamethasone, about half the volume of the typical Washington prescriber of this medication (21.2). Medicare paid an average of $31.15 per fill, versus $22.41 statewide. How often this provider prescribes it This provider 12 WA average 21.2 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 $31.15 WA average $22.41 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 128 Days of Medication total across all patients in 2024
Nystatin	12	$22.04	▼ Less than typical
About Nystatin: Nystatin is used to treat fungal skin infections. Show more ▾ Nystatin is an antifungal that works by stopping the growth of fungus. Macrolide antifungal antibiotic complex produced by Streptomyces noursei, S. aureus, and other Streptomyces species. The biologically active components of the complex are nystatin A1, A2, and A3. In 2024, this provider wrote 12 Medicare prescriptions for Nystatin, about half the volume of the typical Washington prescriber of this medication (21.4). Medicare paid an average of $22.04 per fill, versus $20.29 statewide. How often this provider prescribes it This provider 12 WA average 21.4 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 $22.04 WA average $20.29 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 137 Days of Medication total across all patients in 2024
Diltiazem 24hr ErDiltiazem Hcl	12	$24.87▼ below WA avg	▼ Less than typical
About Diltiazem 24hr Er: Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 12 Medicare prescriptions for Diltiazem 24hr Er, about 63% of the volume of the typical Washington prescriber of this medication (19.1). Medicare paid an average of $24.87 per fill, versus $29.98 statewide. How often this provider prescribes it This provider 12 WA average 19.1 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 $24.87 WA average $29.98 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 184 Days of Medication total across all patients in 2024
CeftriaxoneCeftriaxone Sodium	12	$11.94▼ below WA avg	▼ Less than typical
About Ceftriaxone: Ceftriaxone is used to treat a wide variety of bacterial infections. Show more ▾ This medication belongs to a class of drugs known as cephalosporin antibiotics. It works by stopping the growth of bacteria. This drug is not recommended for use in newborns with high blood bilirubin levels and premature infants due to increased risk of side effects. Ask the doctor or pharmacist for details. A broad-spectrum cephalosporin antibiotic and cefotaxime derivative with a very long half-life and high penetrability to meninges, eyes and inner ears. In 2024, this provider wrote 12 Medicare prescriptions for Ceftriaxone, about half the volume of the typical Washington prescriber of this medication (24.5). Medicare paid an average of $11.94 per fill, versus $78.56 statewide. How often this provider prescribes it This provider 12 WA average 24.5 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 $11.94 WA average $78.56 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 25 Days of Medication total across all patients in 2024
Meclizine Hcl	12	$27.63	▼ Less than typical
About Meclizine Hcl: Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Show more ▾ It may also be used to reduce dizziness and loss of balance (vertigo) caused by inner ear problems. A histamine H1 antagonist used in the treatment of motion sickness, vertigo, and nausea during pregnancy and radiation sickness. In 2024, this provider wrote 12 Medicare prescriptions for Meclizine Hcl, about 60% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $27.63 per fill, versus $11.25 statewide. How often this provider prescribes it This provider 12 WA average 20.0 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 $27.63 WA average $11.25 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 323 Days of Medication total across all patients in 2024
Fludrocortisone Acetate	12	$43.64	▼ Less than typical
About Fludrocortisone Acetate: Fludrocortisone is a man-made form of a natural substance (glucocorticoid) made by the body. Show more ▾ It is used along with other medications (such as hydrocortisone) to treat low glucocorticoid levels caused by disease of the adrenal gland (such as Addison's disease, adrenocortical insufficiency, salt-losing adrenogenital syndrome). Glucocorticoids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. They are also needed to break down carbohydrates in your diet. A synthetic mineralocorticoid with anti-inflammatory activity. In 2024, this provider wrote 12 Medicare prescriptions for Fludrocortisone Acetate, about 62% of the volume of the typical Washington prescriber of this medication (19.5). Medicare paid an average of $43.64 per fill, versus $26.16 statewide. How often this provider prescribes it This provider 12 WA average 19.5 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 $43.64 WA average $26.16 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 268 Days of Medication total across all patients in 2024
Ropinirole Hcl	11	$14.22▼ below WA avg	▼ Less than typical
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move ("on-off syndrome"). Ropinirole is also used to treat restless legs syndrome (RLS). It may improve your sleep by decreasing the urge to move your legs and decreasing uncomfortable/unpleasant feelings in the legs. This medication works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2024, this provider wrote 11 Medicare prescriptions for Ropinirole Hcl, about half the volume of the typical Washington prescriber of this medication (23.6). Medicare paid an average of $14.22 per fill, versus $20.58 statewide. How often this provider prescribes it This provider 11 WA average 23.6 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 $14.22 WA average $20.58 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 247 Days of Medication total across all patients in 2024
Clonidine Hcl	11	$8.45	▼ Less than typical
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION. In 2024, this provider wrote 11 Medicare prescriptions for Clonidine Hcl, about half the volume of the typical Washington prescriber of this medication (22.5). Medicare paid an average of $8.45 per fill, versus $7.61 statewide. How often this provider prescribes it This provider 11 WA average 22.5 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 $8.45 WA average $7.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 234 Days of Medication total across all patients in 2024
JanuviaSitagliptin Phosphate	11	$326.07▼ below WA avg	▼ Less than typical
About Januvia: Sitagliptin 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 people 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. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES. In 2024, this provider wrote 11 Medicare prescriptions for Januvia, about half the volume of the typical Washington prescriber of this medication (24.9). Medicare paid an average of $326.07 per fill, versus $972.52 statewide. How often this provider prescribes it This provider 11 WA average 24.9 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 $326.07 WA average $972.52 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 154 Days of Medication total across all patients in 2024
Alprazolam	11	$6.33	▼ Less than typical
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2024, this provider wrote 11 Medicare prescriptions for Alprazolam, about a third of the volume of the typical Washington prescriber of this medication (34.1). Medicare paid an average of $6.33 per fill, versus $4.76 statewide. How often this provider prescribes it This provider 11 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 $6.33 WA average $4.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 126 Days of Medication total across all patients in 2024
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	11	$15.86▼ below WA avg	▼ Less than typical
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2024, this provider wrote 11 Medicare prescriptions for Hydrocodone-Acetaminophen, about 18% of the volume of the typical Washington prescriber of this medication (60.4). Medicare paid an average of $15.86 per fill, versus $20.62 statewide. How often this provider prescribes it This provider 11 WA average 60.4 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 $15.86 WA average $20.62 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 81 Days of Medication total across all patients in 2024
Memantine Hcl	11	$50.73	▼ 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 11 Medicare prescriptions for Memantine Hcl, about a quarter of the volume of the typical Washington prescriber of this medication (44.6). Medicare paid an average of $50.73 per fill, versus $32.88 statewide. How often this provider prescribes it This provider 11 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 $50.73 WA average $32.88 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 269 Days of Medication total across all patients in 2024

No medications match the current filters.

= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average 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 DR. LUCAS MARIAN KOGUT 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 Bremerton, 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.