DR. HERMINIO GARCIA-ESTRADA MD
Prescription History 1285636613
Internal Medicine - Nephrology in Miami, FL

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
550 S.W. 27TH AVENUE, MIAMI, FL 33135(305) 541-2655(305) 541-2667 Get Directions

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

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. HERMINIO GARCIA-ESTRADA MD, an active Nephrology specialist practicing in Miami, FL. Our medical registry currently tracks 22 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 594 documented patient claims. Among these therapy options, the most frequently utilized medication is Farxiga, which accounts for 63 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.

22
Medications
594
Total Claims
892
30-Day Fills
Farxiga
Most Prescribed · 63 claims
View details
22 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. HERMINIO GARCIA-ESTRADA MD in 2024, with prescription volumes, average cost per fill, and FL state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other FL PrescribersVs. FL Avg

About Farxiga: Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It helps to lower the risk of death from heart disease and reduces the need of going to a doctor or hospital to treat heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys.

In 2024, this provider wrote 63 Medicare prescriptions for Farxiga, about 1.4 times the volume of the typical Florida prescriber of this medication (44). Medicare paid an average of $625.89 per fill, versus $985.63 statewide.

How often this provider prescribes it

This provider
63
FL average
44.0

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

What Medicare paid per fill

This provider
$625.89
FL average
$985.63

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

69
30-Day Fills
standardized to 30-day supplies
2,070
Days of Medication
total across all patients in 2024

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 62 Medicare prescriptions for Sevelamer Carbonate, about 1.6 times the volume of the typical Florida prescriber of this medication (38.2). Medicare paid an average of $101.88 per fill, versus $199.34 statewide.

How often this provider prescribes it

This provider
62
FL average
38.2

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

What Medicare paid per fill

This provider
$101.88
FL average
$199.34

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

92
30-Day Fills
standardized to 30-day supplies
2,760
Days of Medication
total across all patients in 2024

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 Florida prescriber of this medication (132.7). Medicare paid an average of $6.03 per fill, versus $8.87 statewide.

How often this provider prescribes it

This provider
57
FL average
132.7

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

What Medicare paid per fill

This provider
$6.03
FL average
$8.87

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

108.1
30-Day Fills
standardized to 30-day supplies
3,240
Days of Medication
total across all patients in 2024

About Labetalol Hcl: Labetalol 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 both an alpha blocker and beta blocker. 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 salicylamide derivative that is a non-cardioselective blocker of BETA-ADRENERGIC RECEPTORS and ALPHA-1 ADRENERGIC RECEPTORS.

In 2024, this provider wrote 51 Medicare prescriptions for Labetalol Hcl, about 2.1 times the volume of the typical Florida prescriber of this medication (24.7). Medicare paid an average of $14.70 per fill, versus $30.77 statewide.

How often this provider prescribes it

This provider
51
FL average
24.7

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

What Medicare paid per fill

This provider
$14.70
FL average
$30.77

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

85
30-Day Fills
standardized to 30-day supplies
2,550
Days of Medication
total across all patients in 2024

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 47 Medicare prescriptions for Furosemide, about 68% of the volume of the typical Florida prescriber of this medication (69.1). Medicare paid an average of $1.99 per fill, versus $4.78 statewide.

How often this provider prescribes it

This provider
47
FL average
69.1

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

What Medicare paid per fill

This provider
$1.99
FL average
$4.78

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

84
30-Day Fills
standardized to 30-day supplies
2,510
Days of Medication
total across all patients in 2024

About Velphoro: Sucroferric oxyhydroxide is used to lower high blood phosphate levels in people 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 may decrease the risk of heart disease and strokes that can result from high phosphate levels. Sucroferric oxyhydroxide contains a form of iron which is not absorbed by your body. It works by binding to phosphate in your diet. The phosphate then passes out of your body in your stool. An oral phosphate binder for treatment of hyperphosphatemia.

In 2024, this provider wrote 30 Medicare prescriptions for Velphoro, about the same volume as the typical Florida prescriber of this medication (32.9). Medicare paid an average of $1,461.93 per fill, versus $2,531.43 statewide.

How often this provider prescribes it

This provider
30
FL average
32.9

This provider's prescribing volume for this medication is in line with the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1,461.93
FL average
$2,531.43

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

30
30-Day Fills
standardized to 30-day supplies
900
Days of Medication
total across all patients in 2024

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 27 Medicare prescriptions for Prednisone, about half the volume of the typical Florida prescriber of this medication (52.8). Medicare paid an average of $1.04 per fill, versus $4.25 statewide.

How often this provider prescribes it

This provider
27
FL average
52.8

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

What Medicare paid per fill

This provider
$1.04
FL average
$4.25

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

33.2
30-Day Fills
standardized to 30-day supplies
996
Days of Medication
total across all patients in 2024

About Procrit: This medication is used to treat anemia (low red blood cell count) in people with long-term serious kidney disease (chronic kidney failure), people receiving zidovudine to treat HIV, and people receiving chemotherapy for some types of cancer (cancer that does Show more ▾

not involve the bone marrow or blood cells). It may also be used in anemic patients to reduce the need for blood transfusions before certain planned surgeries that have a high risk of blood loss (usually given with an anticoagulant/"blood thinner" medication such as warfarin to lower the risk of serious blood clots). Epoetin alfa works by signaling the bone marrow to make more red blood cells. This medication is very similar to the natural substance in your body (erythropoietin) that prevents anemia. This monograph is about the following epoetin alfa products: epoetin alfa and epoetin alfa-epbx. A recombinant glycosylated form of erythropoietin which stimulates the differentiation and proliferation of erythroid precursors. It is used for the treatment of ANEMIA associated with CHRONIC RENAL FAILURE in dialysis and predialysis patients.

In 2024, this provider wrote 26 Medicare prescriptions for Procrit, about 81% of the volume of the typical Florida prescriber of this medication (32.0). Medicare paid an average of $849.07 per fill, versus $1,341.34 statewide.

How often this provider prescribes it

This provider
26
FL average
32.0

This provider's prescribing volume for this medication is in line with the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$849.07
FL average
$1,341.34

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

26.9
30-Day Fills
standardized to 30-day supplies
756
Days of Medication
total across all patients in 2024

About Calcium Acetate: Calcium acetate is used to prevent high blood 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. Calcium acetate is a natural mineral that works by holding onto phosphate from the diet so that it can pass out of your body. A principal compound used as phosphate binders in patients with chronic renal failure; used like sevelamer.

In 2024, this provider wrote 24 Medicare prescriptions for Calcium Acetate, about 84% of the volume of the typical Florida prescriber of this medication (28.5). Medicare paid an average of $83.70 per fill, versus $77.99 statewide.

How often this provider prescribes it

This provider
24
FL average
28.5

This provider's prescribing volume for this medication is in line with the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$83.70
FL average
$77.99

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

42
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2024

About Veltassa: This medication is used to treat a high level of potassium in your blood. Show more ▾

Too much potassium in your blood can sometimes cause heart rhythm problems. Patiromer helps get rid of extra potassium by binding to it. The potassium then passes out of your body in your stool. Binds potassium ions in the gastrointestinal tract to lower serum potassium levels.

In 2024, this provider wrote 22 Medicare prescriptions for Veltassa, about 71% of the volume of the typical Florida prescriber of this medication (30.8). Medicare paid an average of $1,079.88 per fill, versus $1,075.53 statewide.

How often this provider prescribes it

This provider
22
FL average
30.8

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

What Medicare paid per fill

This provider
$1,079.88
FL average
$1,075.53

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

24
30-Day Fills
standardized to 30-day supplies
720
Days of Medication
total across all patients in 2024

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 22 Medicare prescriptions for Gabapentin, about a quarter of the volume of the typical Florida prescriber of this medication (102.2). Medicare paid an average of $9.81 per fill, versus $14.90 statewide.

How often this provider prescribes it

This provider
22
FL average
102.2

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

What Medicare paid per fill

This provider
$9.81
FL average
$14.90

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

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2024

About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills." It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.

In 2024, this provider wrote 21 Medicare prescriptions for Hydrochlorothiazide, about a third of the volume of the typical Florida prescriber of this medication (75). Medicare paid an average of $0.77 per fill, versus $4.16 statewide.

How often this provider prescribes it

This provider
21
FL average
75.0

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

What Medicare paid per fill

This provider
$0.77
FL average
$4.16

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

37.1
30-Day Fills
standardized to 30-day supplies
1,114
Days of Medication
total across all patients in 2024

About Febuxostat: Febuxostat is used to lower uric acid levels in people with gout. Show more ▾

Febuxostat works by reducing the amount of uric acid made by the body. An increased uric acid level can cause gout. Because of the risk of very serious heart-related problems and stroke with febuxostat (see also Warning section), febuxostat should be used only after treatment with a medication called allopurinol did not work to lower your uric acid level, caused serious side effects, or is not recommended by your doctor. Febuxostat should be used only if you have symptoms caused by a high blood uric acid level. A thiazole derivative and inhibitor of XANTHINE OXIDASE that is used for the treatment of HYPERURICEMIA in patients with chronic GOUT.

In 2024, this provider wrote 19 Medicare prescriptions for Febuxostat, about the same volume as the typical Florida prescriber of this medication (18.9). Medicare paid an average of $89.13 per fill, versus $103.35 statewide.

How often this provider prescribes it

This provider
19
FL average
18.9

This provider's prescribing volume for this medication is in line with the average FL prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$89.13
FL average
$103.35

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

45
30-Day Fills
standardized to 30-day supplies
1,350
Days of Medication
total across all patients in 2024

About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾

It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent.

In 2024, this provider wrote 17 Medicare prescriptions for Temazepam, about a third of the volume of the typical Florida prescriber of this medication (51.3). Medicare paid an average of $9.08 per fill, versus $9.95 statewide.

How often this provider prescribes it

This provider
17
FL average
51.3

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

What Medicare paid per fill

This provider
$9.08
FL average
$9.95

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

17
30-Day Fills
standardized to 30-day supplies
510
Days of Medication
total across all patients in 2024

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 16 Medicare prescriptions for Eliquis, about 19% of the volume of the typical Florida prescriber of this medication (84.2). Medicare paid an average of $539.32 per fill, versus $915.40 statewide.

How often this provider prescribes it

This provider
16
FL average
84.2

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

What Medicare paid per fill

This provider
$539.32
FL average
$915.40

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

25
30-Day Fills
standardized to 30-day supplies
750
Days of Medication
total across all patients in 2024

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 15 Medicare prescriptions for Lisinopril, about 13% of the volume of the typical Florida prescriber of this medication (119.3). Medicare paid an average of $2.82 per fill, versus $6.26 statewide.

How often this provider prescribes it

This provider
15
FL average
119.3

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

What Medicare paid per fill

This provider
$2.82
FL average
$6.26

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

35
30-Day Fills
standardized to 30-day supplies
1,050
Days of Medication
total across all patients in 2024

About Retacrit: This medication is used to treat anemia (low red blood cell count) in people with long-term serious kidney disease (chronic kidney failure), people receiving zidovudine to treat HIV, and people receiving chemotherapy for some types of cancer (cancer that does Show more ▾

not involve the bone marrow or blood cells). It may also be used in anemic patients to reduce the need for blood transfusions before certain planned surgeries that have a high risk of blood loss (usually given with an anticoagulant/"blood thinner" medication such as warfarin to lower the risk of serious blood clots). Epoetin alfa works by signaling the bone marrow to make more red blood cells. This medication is very similar to the natural substance in your body (erythropoietin) that prevents anemia. This monograph is about the following epoetin alfa products: epoetin alfa and epoetin alfa-epbx. A recombinant glycosylated form of erythropoietin which stimulates the differentiation and proliferation of erythroid precursors. It is used for the treatment of ANEMIA associated with CHRONIC RENAL FAILURE in dialysis and predialysis patients.

In 2024, this provider wrote 15 Medicare prescriptions for Retacrit, about half the volume of the typical Florida prescriber of this medication (26.9). Medicare paid an average of $351.80 per fill, versus $608.04 statewide.

How often this provider prescribes it

This provider
15
FL average
26.9

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

What Medicare paid per fill

This provider
$351.80
FL average
$608.04

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

15
30-Day Fills
standardized to 30-day supplies
421
Days of Medication
total across all patients in 2024

About Sodium Polystyrene Sulfonate: This medication is used to treat a high level of potassium in your blood. Show more ▾

Too much potassium in your blood can sometimes cause heart rhythm problems. Sodium polystyrene sulfonate works by helping your body get rid of extra potassium. Ca salt is potassium absorbing resin administered orally for treatment of hyperkalemia.

In 2024, this provider wrote 14 Medicare prescriptions for Sodium Polystyrene Sulfonate, about 60% of the volume of the typical Florida prescriber of this medication (23.2). Medicare paid an average of $73.35 per fill, versus $76.30 statewide.

How often this provider prescribes it

This provider
14
FL average
23.2

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

What Medicare paid per fill

This provider
$73.35
FL average
$76.30

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

20
30-Day Fills
standardized to 30-day supplies
548
Days of Medication
total across all patients in 2024

About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a "water pill" (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not keep taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication.

In 2024, this provider wrote 13 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about a third of the volume of the typical Florida prescriber of this medication (31.6). Medicare paid an average of $2.94 per fill, versus $7.26 statewide.

How often this provider prescribes it

This provider
13
FL average
31.6

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

What Medicare paid per fill

This provider
$2.94
FL average
$7.26

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2024

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 11 Medicare prescriptions for Tamsulosin Hcl, about 12% of the volume of the typical Florida prescriber of this medication (91.1). Medicare paid an average of $6.30 per fill, versus $12.84 statewide.

How often this provider prescribes it

This provider
11
FL average
91.1

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

What Medicare paid per fill

This provider
$6.30
FL average
$12.84

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

31
30-Day Fills
standardized to 30-day supplies
930
Days of Medication
total across all patients in 2024

About Bumetanide: Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾

This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic.

In 2024, this provider wrote 11 Medicare prescriptions for Bumetanide, about a third of the volume of the typical Florida prescriber of this medication (31.6). Medicare paid an average of $11.29 per fill, versus $30.03 statewide.

How often this provider prescribes it

This provider
11
FL average
31.6

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

What Medicare paid per fill

This provider
$11.29
FL average
$30.03

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

17
30-Day Fills
standardized to 30-day supplies
510
Days of Medication
total across all patients in 2024

About Amitriptyline Hcl: This medication is used to treat depression. Show more ▾

Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines.

In 2024, this provider wrote 11 Medicare prescriptions for Amitriptyline Hcl, about a third of the volume of the typical Florida prescriber of this medication (27.1). Medicare paid an average of $13.45 per fill, versus $15.33 statewide.

How often this provider prescribes it

This provider
11
FL average
27.1

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

What Medicare paid per fill

This provider
$13.45
FL average
$15.33

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

21
30-Day Fills
standardized to 30-day supplies
630
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 FL prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the FL average cost per fill.

About this data. The prescription history for DR. HERMINIO GARCIA-ESTRADA 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 Nephrology prescribing approach at this Miami, FL 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 FL 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.