DR. RUPAL DILIPBHAI PATEL M.D.
Prescription History 1295979821
Internal Medicine - Nephrology in San Antonio, TX
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. RUPAL DILIPBHAI PATEL M.D., an active Nephrology specialist practicing in San Antonio, TX. Our medical registry currently tracks 35 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,918 documented patient claims. Among these therapy options, the most frequently utilized medication is Prednisone, which accounts for 307 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other TX PrescribersVs. TX Avg |
|---|---|---|---|
| Prednisone | 307 | $3.59 | ▲ More than typical |
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2024, this provider wrote 307 Medicare prescriptions for Prednisone, about 6.5 times the volume of the typical Texas prescriber of this medication (47). Medicare paid an average of $3.59 per fill, versus $3.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 394 30-Day Fills standardized to 30-day supplies 11,735 Days of Medication total across all patients in 2024 | |||
| Carvedilol | 187 | $4.93▼ below TX avg | ▲ More than 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 187 Medicare prescriptions for Carvedilol, about 2.6 times the volume of the typical Texas prescriber of this medication (70.7). Medicare paid an average of $4.93 per fill, versus $8.22 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 279.5 30-Day Fills standardized to 30-day supplies 8,234 Days of Medication total across all patients in 2024 | |||
| Rosuvastatin Calcium | 158 | $3.77▼ below TX avg | ▲ More than typical |
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2024, this provider wrote 158 Medicare prescriptions for Rosuvastatin Calcium, about 1.3 times the volume of the typical Texas prescriber of this medication (122.4). Medicare paid an average of $3.77 per fill, versus $13.19 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 191.2 30-Day Fills standardized to 30-day supplies 5,736 Days of Medication total across all patients in 2024 | |||
| Nifedipine ErNifedipine | 148 | $13.86▼ below TX avg | ▲ More than typical |
About Nifedipine Er: Nifedipine is used alone or in combination 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 is also used for certain types of chest pain (angina). It may help increase your ability to exercise and decrease the frequency of chest pain attacks. It should not be used to treat chest pain when it occurs. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for more details. This medication is known as a calcium channel blocker. It works by relaxing and widening blood vessels so blood can flow more easily. A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2024, this provider wrote 148 Medicare prescriptions for Nifedipine Er, about 3.8 times the volume of the typical Texas prescriber of this medication (38.9). Medicare paid an average of $13.86 per fill, versus $25.74 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 234.6 30-Day Fills standardized to 30-day supplies 7,038 Days of Medication total across all patients in 2024 | |||
| Valganciclovir Hcl | 107 | $175.53▼ below TX avg | ▲ More than typical |
About Valganciclovir Hcl: Valganciclovir is an anti-viral drug. Show more ▾ It is changed in the body to the active form of the drug called ganciclovir. It is used to prevent disease caused by a virus called cytomegalovirus (CMV) in people who have received organ transplants. CMV disease can lead to serious infections in the body, including an infection in the eye, called CMV retinitis, that can cause blindness. Valganciclovir works by slowing the growth of the CMV virus. It helps prevent the spread of infection to other areas of the body. Valganciclovir is also used to treat CMV retinitis in people with advanced HIV disease (AIDS). This medication helps control CMV retinitis and decrease the risk of blindness. Valganciclovir is not a cure for CMV disease. Some people may have worsening CMV retinitis even with treatment. It is important to have your eyes checked regularly by your doctor. A ganciclovir prodrug and antiviral agent that is used to treat CYTOMEGALOVIRUS RETINITIS in patients with AIDS, and for the prevention of CYTOMEGALOVIRUS INFECTIONS in organ transplant recipients who have received an organ from a CMV-positive donor. In 2024, this provider wrote 107 Medicare prescriptions for Valganciclovir Hcl, about 2.3 times the volume of the typical Texas prescriber of this medication (46.6). Medicare paid an average of $175.53 per fill, versus $244.18 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 118.4 30-Day Fills standardized to 30-day supplies 3,481 Days of Medication total across all patients in 2024 | |||
| Tamsulosin Hcl | 98 | $5.83▼ below TX avg | ≈ 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 98 Medicare prescriptions for Tamsulosin Hcl, about the same volume as the typical Texas prescriber of this medication (86.4). Medicare paid an average of $5.83 per fill, versus $14.12 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 156 30-Day Fills standardized to 30-day supplies 4,680 Days of Medication total across all patients in 2024 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 93 | $4.83▼ below TX avg | ▲ More than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. In 2024, this provider wrote 93 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 3.4 times the volume of the typical Texas prescriber of this medication (27.5). Medicare paid an average of $4.83 per fill, versus $5.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 98.9 30-Day Fills standardized to 30-day supplies 2,897 Days of Medication total across all patients in 2024 | |||
| M-Natal PlusPnv,calcium 72/Iron/Folic Acid | 76 | $8.42 | ▲ More than typical |
About M-Natal Plus: This medication is a multivitamin and iron product used to treat or prevent vitamin deficiency due to poor diet, certain illnesses, or during pregnancy. Show more ▾ Vitamins and iron are important building blocks of the body and help keep you in good health. In 2024, this provider wrote 76 Medicare prescriptions for M-Natal Plus, about 2.4 times the volume of the typical Texas prescriber of this medication (31.1). Medicare paid an average of $8.42 per fill, versus $7.66 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 151.5 30-Day Fills standardized to 30-day supplies 4,544 Days of Medication total across all patients in 2024 | |||
| Methenamine Hippurate | 65 | $52.19▼ below TX avg | ▲ More than typical |
About Methenamine Hippurate: Methenamine is used to prevent or control returning urinary tract infections caused by certain bacteria. Show more ▾ It is not used to treat an active infection. Antibiotics must be used first to treat and cure the infection. Methenamine is a drug that stops the growth of bacteria in urine. This medication also contains an ingredient that helps to make the urine acidic. When the urine is acidic, methenamine turns into formaldehyde to kill the bacteria. This drug is effective only against bacterial infections in the urinary tract. It will not work for other types of bacterial infections (such as in the blood) or for viral infections (such as the common cold or flu). Unnecessary use or misuse of any antibacterial drug can lead to its decreased effectiveness. Both parts of molecule contribute to its antibacterial action. In 2024, this provider wrote 65 Medicare prescriptions for Methenamine Hippurate, about 1.6 times the volume of the typical Texas prescriber of this medication (40.3). Medicare paid an average of $52.19 per fill, versus $68.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 82 30-Day Fills standardized to 30-day supplies 2,460 Days of Medication total across all patients in 2024 | |||
| Famotidine | 56 | $5.40▼ below TX avg | ≈ 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 56 Medicare prescriptions for Famotidine, about 1.2 times the volume of the typical Texas prescriber of this medication (48.6). Medicare paid an average of $5.40 per fill, versus $14.87 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,800 Days of Medication total across all patients in 2024 | |||
| Cinacalcet Hcl | 55 | $131.82▼ below TX avg | ▲ More than typical |
About Cinacalcet Hcl: Cinacalcet is used to treat increased amounts of a certain hormone (parathyroid) in people with long-term kidney disease who are on dialysis. Show more ▾ It is also used to treat increased amounts of calcium in people with an overactive parathyroid gland or in people with cancer of the parathyroid gland. Cinacalcet works by decreasing the amount of parathyroid hormone, calcium, and phosphorus in your body. Having the right amount of these substances in your body helps to prevent bone disease. In 2024, this provider wrote 55 Medicare prescriptions for Cinacalcet Hcl, about 2 times the volume of the typical Texas prescriber of this medication (28.2). Medicare paid an average of $131.82 per fill, versus $265.18 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 87.5 30-Day Fills standardized to 30-day supplies 2,625 Days of Medication total across all patients in 2024 | |||
| Pantoprazole Sodium | 49 | $4.87▼ below TX avg | ▼ Less than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2024, this provider wrote 49 Medicare prescriptions for Pantoprazole Sodium, about 61% of the volume of the typical Texas prescriber of this medication (80.6). Medicare paid an average of $4.87 per fill, versus $11.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2024 | |||
| Atorvastatin Calcium | 47 | $4.04▼ below TX avg | ▼ Less than typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2024, this provider wrote 47 Medicare prescriptions for Atorvastatin Calcium, about a quarter of the volume of the typical Texas prescriber of this medication (180.4). Medicare paid an average of $4.04 per fill, versus $9.48 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 62 30-Day Fills standardized to 30-day supplies 1,860 Days of Medication total across all patients in 2024 | |||
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 37 | $86.77▼ below TX avg | ≈ 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 37 Medicare prescriptions for Lantus Solostar, about the same volume as the typical Texas prescriber of this medication (35.6). Medicare paid an average of $86.77 per fill, versus $135.60 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 109.3 30-Day Fills standardized to 30-day supplies 3,274 Days of Medication total across all patients in 2024 | |||
| Levofloxacin | 37 | $0.95▼ below TX avg | ▲ More 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 37 Medicare prescriptions for Levofloxacin, about 1.3 times the volume of the typical Texas prescriber of this medication (27.7). Medicare paid an average of $0.95 per fill, versus $5.32 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 37 30-Day Fills standardized to 30-day supplies 86 Days of Medication total across all patients in 2024 | |||
| LokelmaSodium Zirconium Cyclosilicate | 37 | $634.74▼ below TX avg | ▲ More than typical |
About Lokelma: This medication is used to treat high levels of potassium in the blood. Show more ▾ It works by binding to potassium in the gut. This medication does not work right away, and should not be used to treat life-threatening high levels of potassium. High potassium levels can cause symptoms such as nausea, muscle weakness/tiredness, irregular heartbeats, or paralysis. Used to treat hyperkalemia. In 2024, this provider wrote 37 Medicare prescriptions for Lokelma, about 1.3 times the volume of the typical Texas prescriber of this medication (28.9). Medicare paid an average of $634.74 per fill, versus $829.48 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 38.4 30-Day Fills standardized to 30-day supplies 929 Days of Medication total across all patients in 2024 | |||
| Humalog Kwikpen U-100Insulin Lispro | 30 | $148.01▼ below TX avg | ≈ Typical |
About Humalog 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 30 Medicare prescriptions for Humalog Kwikpen U-100, about the same volume as the typical Texas prescriber of this medication (30.5). Medicare paid an average of $148.01 per fill, versus $255.26 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 48.2 30-Day Fills standardized to 30-day supplies 1,446 Days of Medication total across all patients in 2024 | |||
| OzempicSemaglutide | 29 | $962.28▼ below TX avg | ▼ Less than typical |
About Ozempic: Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment. A glucagon-like peptide and GLP-1 agonist used to enhance glycemic control of TYPE 2 DIABETES MELLITUS, and for OBESITY MANAGEMENT. In 2024, this provider wrote 29 Medicare prescriptions for Ozempic, about half the volume of the typical Texas prescriber of this medication (66.7). Medicare paid an average of $962.28 per fill, versus $1,293.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 38.6 30-Day Fills standardized to 30-day supplies 1,120 Days of Medication total across all patients in 2024 | |||
| Tacrolimus | 27 | $143.14 | ≈ Typical |
About Tacrolimus: This form of tacrolimus is used on the skin to treat a skin condition called eczema (atopic dermatitis) in patients who have not responded well to (or should not use) other eczema medications. Show more ▾ Eczema is an allergic-type condition that causes red, irritated, and itchy skin. This drug works by weakening the skin's defense (immune) system, thereby decreasing the allergic reaction and relieving the eczema. Tacrolimus belongs to a class of drugs known as topical calcineurin inhibitors (TCIs). For children 2 to 15 years of age, the lower strength product should be used. This medication is not recommended if you have a history of a certain rare genetic disorder (Netherton's syndrome). Also, this medication should not be used by anyone who has a weakened immune system (for example, following an organ transplant). A macrolide isolated from the culture broth of a strain of Streptomyces tsukubaensis that has strong immunosuppressive activity in vivo and prevents the activation of T-lymphocytes in response to antigenic or mitogenic stimulation in vitro. In 2024, this provider wrote 27 Medicare prescriptions for Tacrolimus, about 77% of the volume of the typical Texas prescriber of this medication (34.9). Medicare paid an average of $143.14 per fill, versus $126.27 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2024 | |||
| TrulicityDulaglutide | 26 | $897.34▼ below TX avg | ≈ Typical |
About Trulicity: Dulaglutide 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. This medication is also used to lessen the risk of a major cardiovascular event (such as heart attack or stroke) in people who already have, or are at high risk for heart/blood vessel disease. Dulaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and by decreasing the amount of sugar your liver makes. Dulaglutide is not a substitute for insulin if you need insulin treatment. A glucagon-like peptide-1 receptor agonist; GLP-1 immunoglobulin G (IgG4) Fc fusion protein with extended activity. In 2024, this provider wrote 26 Medicare prescriptions for Trulicity, about 77% of the volume of the typical Texas prescriber of this medication (34). Medicare paid an average of $897.34 per fill, versus $1,393.87 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 26 30-Day Fills standardized to 30-day supplies 728 Days of Medication total across all patients in 2024 | |||
| Mycophenolate Mofetil | 25 | $91.78▼ below TX avg | ≈ Typical |
About Mycophenolate Mofetil: Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart). Show more ▾ It belongs to a class of medications called immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own. Compound derived from Penicillium stoloniferum and related species. It blocks de novo biosynthesis of purine nucleotides by inhibition of the enzyme inosine monophosphate dehydrogenase (IMP DEHYDROGENASE). Mycophenolic acid exerts selective effects on the immune system in which it prevents the proliferation of T-CELLS, LYMPHOCYTES, and the formation of antibodies from B-CELLS. It may also inhibit recruitment of LEUKOCYTES to sites of INFLAMMATION. In 2024, this provider wrote 25 Medicare prescriptions for Mycophenolate Mofetil, about 76% of the volume of the typical Texas prescriber of this medication (32.8). Medicare paid an average of $91.78 per fill, versus $112.33 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2024 | |||
| Torsemide | 25 | $8.22▼ below TX avg | ▼ Less than typical |
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2024, this provider wrote 25 Medicare prescriptions for Torsemide, about 70% of the volume of the typical Texas prescriber of this medication (35.8). Medicare paid an average of $8.22 per fill, versus $19.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 27 30-Day Fills standardized to 30-day supplies 760 Days of Medication total across all patients in 2024 | |||
| Easy Touch Pen NeedlePen Needle, Diabetic | 25 | $29.97▼ below TX avg | ▲ More than typical |
In 2024, this provider wrote 25 Medicare prescriptions for Easy Touch Pen Needle, about 1.4 times the volume of the typical Texas prescriber of this medication (17.3). Medicare paid an average of $29.97 per fill, versus $47.95 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 27.7 30-Day Fills standardized to 30-day supplies 730 Days of Medication total across all patients in 2024 | |||
| Novolog FlexpenInsulin Aspart | 18 | $126.12▼ below TX avg | ▼ Less than typical |
About Novolog Flexpen: Insulin aspart 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 aspart is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin aspart 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 that has been modified to contain an ASPARTIC ACID instead of a PROLINE at position 38 of the B-chain. In 2024, this provider wrote 18 Medicare prescriptions for Novolog Flexpen, about 61% of the volume of the typical Texas prescriber of this medication (29.3). Medicare paid an average of $126.12 per fill, versus $233.34 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 38.4 30-Day Fills standardized to 30-day supplies 1,152 Days of Medication total across all patients in 2024 | |||
| Ultra-Fine Micro Pen NeedlePen Needle, Diabetic | 17 | $61.81▼ below TX avg | ≈ Typical |
In 2024, this provider wrote 17 Medicare prescriptions for Ultra-Fine Micro Pen Needle, about the same volume as the typical Texas prescriber of this medication (16.5). Medicare paid an average of $61.81 per fill, versus $92.81 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 18.3 30-Day Fills standardized to 30-day supplies 460 Days of Medication total across all patients in 2024 | |||
| Ultra-Fine Mini Pen NeedlePen Needle, Diabetic | 16 | $57.73▼ below TX avg | ▼ Less than typical |
In 2024, this provider wrote 16 Medicare prescriptions for Ultra-Fine Mini Pen Needle, about 73% of the volume of the typical Texas prescriber of this medication (21.9). Medicare paid an average of $57.73 per fill, versus $89.59 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 16 30-Day Fills standardized to 30-day supplies 400 Days of Medication total across all patients in 2024 | |||
| Ciprofloxacin Hcl | 16 | $4.06▼ below TX avg | ▼ Less than typical |
About Ciprofloxacin Hcl: This medication is used to treat a variety of bacterial infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2024, this provider wrote 16 Medicare prescriptions for Ciprofloxacin Hcl, about half the volume of the typical Texas prescriber of this medication (32). Medicare paid an average of $4.06 per fill, versus $7.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 16 30-Day Fills standardized to 30-day supplies 113 Days of Medication total across all patients in 2024 | |||
| Finasteride | 16 | $5.88▼ below TX avg | ▼ Less than 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 16 Medicare prescriptions for Finasteride, about a third of the volume of the typical Texas prescriber of this medication (54.5). Medicare paid an average of $5.88 per fill, versus $13.02 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2024 | |||
| Amlodipine Besylate | 15 | $7.55 | ▼ Less than typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2024, this provider wrote 15 Medicare prescriptions for Amlodipine Besylate, about 11% of the volume of the typical Texas prescriber of this medication (132.9). Medicare paid an average of $7.55 per fill, versus $6.07 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2024 | |||
| MounjaroTirzepatide | 15 | $1,001.69▼ below TX avg | ▼ Less than typical |
About Mounjaro: Tirzepatide 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. It lowers blood sugar by causing the release of your body's natural insulin and decreasing the amount of sugar your liver makes. An analog of GASTRIC INHIBITORY POLYPEPTIDE and agonist of GLUCOSE-DEPENDENT INSULINOTROPIC POLYPEPTIDE RECEPTOR and GLUCAGON-LIKE PEPTIDE-1 RECEPTOR used to enhance glycemic control of TYPE 2 DIABETES MELLITUS. In 2024, this provider wrote 15 Medicare prescriptions for Mounjaro, about a third of the volume of the typical Texas prescriber of this medication (51.2). Medicare paid an average of $1,001.69 per fill, versus $1,267.11 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 15 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2024 | |||
| EntrestoSacubitril/Valsartan | 13 | $891.16▼ below TX avg | ▼ Less than typical |
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. An angiotensin II receptor antagonist. In 2024, this provider wrote 13 Medicare prescriptions for Entresto, about a quarter of the volume of the typical Texas prescriber of this medication (53.1). Medicare paid an average of $891.16 per fill, versus $1,062.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2024 | |||
| FarxigaDapagliflozin Propanediol | 12 | $706.33▼ below TX avg | ▼ Less than typical |
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 12 Medicare prescriptions for Farxiga, about a quarter of the volume of the typical Texas prescriber of this medication (46). Medicare paid an average of $706.33 per fill, versus $985.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2024 | |||
| Losartan Potassium | 12 | $7.85▼ below TX avg | ▼ 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 12 Medicare prescriptions for Losartan Potassium, about 11% of the volume of the typical Texas prescriber of this medication (111.1). Medicare paid an average of $7.85 per fill, versus $9.74 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 26 30-Day Fills standardized to 30-day supplies 780 Days of Medication total across all patients in 2024 | |||
| Icosapent Ethyl | 12 | $92.65▼ below TX avg | ▼ Less than typical |
About Icosapent Ethyl: Icosapent ethyl is used along with certain other cholesterol medications ("statins" such as atorvastatin, simvastatin) to reduce the risk of heart attack, stroke, and certain types of heart problems that require treatment in a hospital. Show more ▾ It is also used along with a proper diet to help lower fats (triglycerides) in the blood. Icosapent ethyl is a type of omega-3 fatty acid, a fat found in fish oil. It is thought to work by decreasing the amount of triglycerides made by the body. 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. In 2024, this provider wrote 12 Medicare prescriptions for Icosapent Ethyl, about half the volume of the typical Texas prescriber of this medication (23.4). Medicare paid an average of $92.65 per fill, versus $295.28 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Acyclovir | 12 | $23.84 | ▼ Less than typical |
About Acyclovir: Acyclovir is used to treat infections caused by certain types of viruses. Show more ▾ It treats cold sores around the mouth (caused by herpes simplex), shingles (caused by herpes zoster), and chickenpox. This medication is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, acyclovir is used to help reduce the number of future episodes. Acyclovir is an antiviral drug. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Acyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. In addition, in people with a weakened immune system, acyclovir can decrease the risk of the virus spreading to other parts of the body and causing serious infections. A GUANOSINE analog that acts as an antimetabolite. Viruses are especially susceptible. Used especially against herpes. In 2024, this provider wrote 12 Medicare prescriptions for Acyclovir, about half the volume of the typical Texas prescriber of this medication (23.6). Medicare paid an average of $23.84 per fill, versus $14.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. RUPAL DILIPBHAI PATEL M.D. 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 San Antonio, TX 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 TX 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.
