DR. JUSTIN R FISHER MD
Prescription History 1306803721
Psychiatry & Neurology - Clinical Neurophysiology in Ephrata, PA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. JUSTIN R FISHER MD, an active Clinical Neurophysiology specialist practicing in Ephrata, PA. Our medical registry currently tracks 56 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,892 documented patient claims. Among these therapy options, the most frequently utilized medication is Carbidopa-Levodopa, 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.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other PA PrescribersVs. PA Avg |
|---|---|---|---|
| Carbidopa-LevodopaCarbidopa/Levodopa | 189 | $41.49 | ▲ More than typical |
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2024, this provider wrote 189 Medicare prescriptions for Carbidopa-Levodopa, about 2.6 times the volume of the typical Pennsylvania prescriber of this medication (72.1). Medicare paid an average of $41.49 per fill, versus $31.55 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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. 375.6 30-Day Fills standardized to 30-day supplies 11,245 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 110 | $15.52 | ≈ 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 110 Medicare prescriptions for Gabapentin, about the same volume as the typical Pennsylvania prescriber of this medication (100.2). Medicare paid an average of $15.52 per fill, versus $14.77 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 150 30-Day Fills standardized to 30-day supplies 4,465 Days of Medication total across all patients in 2024 | |||
| Levetiracetam | 103 | $49.47 | ▲ More than 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 103 Medicare prescriptions for Levetiracetam, about 1.9 times the volume of the typical Pennsylvania prescriber of this medication (53). Medicare paid an average of $49.47 per fill, versus $30.43 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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. 227 30-Day Fills standardized to 30-day supplies 6,762 Days of Medication total across all patients in 2024 | |||
| Pregabalin | 91 | $27.73 | ▲ More than typical |
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2024, this provider wrote 91 Medicare prescriptions for Pregabalin, about 2.2 times the volume of the typical Pennsylvania prescriber of this medication (41.2). Medicare paid an average of $27.73 per fill, versus $26.46 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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. 119 30-Day Fills standardized to 30-day supplies 3,570 Days of Medication total across all patients in 2024 | |||
| Donepezil Hcl | 77 | $10.71▼ below PA avg | ≈ Typical |
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE. In 2024, this provider wrote 77 Medicare prescriptions for Donepezil Hcl, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (63.2). Medicare paid an average of $10.71 per fill, versus $13.34 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 143.3 30-Day Fills standardized to 30-day supplies 4,300 Days of Medication total across all patients in 2024 | |||
| Primidone | 75 | $18.71▼ below PA avg | ▲ More than typical |
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2024, this provider wrote 75 Medicare prescriptions for Primidone, about 2.2 times the volume of the typical Pennsylvania prescriber of this medication (34.1). Medicare paid an average of $18.71 per fill, versus $23.71 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 126.6 30-Day Fills standardized to 30-day supplies 3,771 Days of Medication total across all patients in 2024 | |||
| Memantine Hcl | 71 | $19.87▼ below PA avg | ▲ More 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 71 Medicare prescriptions for Memantine Hcl, about 1.3 times the volume of the typical Pennsylvania prescriber of this medication (54.8). Medicare paid an average of $19.87 per fill, versus $32.51 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 123 30-Day Fills standardized to 30-day supplies 3,661 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl ErPropranolol Hcl | 59 | $41.30 | ▲ More than typical |
About Propranolol Hcl Er: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions as determined by your doctor. Show more ▾ It is used after a heart attack to improve survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. 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 effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs. In 2024, this provider wrote 59 Medicare prescriptions for Propranolol Hcl Er, about 2.8 times the volume of the typical Pennsylvania prescriber of this medication (21). Medicare paid an average of $41.30 per fill, versus $39.13 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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. 117 30-Day Fills standardized to 30-day supplies 3,510 Days of Medication total across all patients in 2024 | |||
| Topiramate | 52 | $24.96 | ▲ More than typical |
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2024, this provider wrote 52 Medicare prescriptions for Topiramate, about 1.4 times the volume of the typical Pennsylvania prescriber of this medication (37.1). Medicare paid an average of $24.96 per fill, versus $13.08 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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. 122 30-Day Fills standardized to 30-day supplies 3,660 Days of Medication total across all patients in 2024 | |||
| Baclofen | 52 | $11.74▼ below PA avg | ▲ 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 52 Medicare prescriptions for Baclofen, about 1.3 times the volume of the typical Pennsylvania prescriber of this medication (41.5). Medicare paid an average of $11.74 per fill, versus $18.41 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 92 30-Day Fills standardized to 30-day supplies 2,663 Days of Medication total across all patients in 2024 | |||
| AmantadineAmantadine Hcl | 46 | $37.11▼ below PA avg | ▲ More than typical |
About Amantadine: Amantadine is used to treat Parkinson's disease, as well as side effects caused by drugs (such as drug-induced extrapyramidal symptoms), chemicals, and other medical conditions. Show more ▾ In these cases, this medication may help to improve your range of motion and ability to exercise. For the treatment of these conditions, amantadine is believed to work by restoring the balance of natural chemicals (neurotransmitters) in the brain. Amantadine is used to prevent or treat a certain type of flu (influenza A). If you have been infected with the flu, this medication may help make your symptoms less severe and shorten the time it will take you to get better. Taking amantadine if you have been or will be exposed to the flu may help to prevent you from getting the flu. This medication is an antiviral that is believed to work by stopping growth of the flu virus. This medication is not a vaccine. To increase the chance that you will not get the flu, it is important to get a flu shot once a year at the beginning of every flu season, if possible. Based on the recommendation from the Centers for Disease Control (CDC) in the US, amantadine should not be used to treat or prevent influenza A because the current influenza A virus in the United States and Canada is resistant to this medication. For more details, talk to your doctor or pharmacist. An antiviral that is used in the prophylactic or symptomatic treatment of influenza A. It is also used as an antiparkinsonian agent, to treat extrapyramidal reactions, and for postherpetic neuralgia. The mechanisms of its effects in movement disorders are not well understood but probably reflect an increase in synthesis and release of dopamine, with perhaps some inhibition of dopamine uptake. In 2024, this provider wrote 46 Medicare prescriptions for Amantadine, about 1.4 times the volume of the typical Pennsylvania prescriber of this medication (33.5). Medicare paid an average of $37.11 per fill, versus $40.68 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 80 30-Day Fills standardized to 30-day supplies 2,358 Days of Medication total across all patients in 2024 | |||
| Ropinirole Hcl | 42 | $28.10 | ▲ More 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 42 Medicare prescriptions for Ropinirole Hcl, about 1.3 times the volume of the typical Pennsylvania prescriber of this medication (32.8). Medicare paid an average of $28.10 per fill, versus $14.62 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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. 86 30-Day Fills standardized to 30-day supplies 2,580 Days of Medication total across all patients in 2024 | |||
| Lamotrigine | 41 | $32.04 | ≈ 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 41 Medicare prescriptions for Lamotrigine, about 77% of the volume of the typical Pennsylvania prescriber of this medication (53). Medicare paid an average of $32.04 per fill, versus $13.86 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 105 30-Day Fills standardized to 30-day supplies 3,142 Days of Medication total across all patients in 2024 | |||
| Modafinil | 41 | $47.56▼ below PA avg | ▲ More than typical |
About Modafinil: Modafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). Show more ▾ It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder). This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Modafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder. It is not known how modafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle. A benzhydryl acetamide compound, central nervous system stimulant, and CYP3A4 inducing agent that is used in the treatment of NARCOLEPSY and SLEEP WAKE DISORDERS. In 2024, this provider wrote 41 Medicare prescriptions for Modafinil, about 1.9 times the volume of the typical Pennsylvania prescriber of this medication (21.9). Medicare paid an average of $47.56 per fill, versus $65.98 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 47 30-Day Fills standardized to 30-day supplies 1,410 Days of Medication total across all patients in 2024 | |||
| Rivastigmine | 41 | $162.85▼ below PA avg | ▲ More than typical |
About Rivastigmine: Rivastigmine is used to treat confusion (dementia) related to Alzheimer's disease and to Parkinson's disease. Show more ▾ Rivastigmine does not cure either of these diseases, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by restoring the balance of natural substances (neurotransmitters) in the brain. A carbamate-derived reversible CHOLINESTERASE INHIBITOR that is selective for the CENTRAL NERVOUS SYSTEM and is used for the treatment of DEMENTIA in ALZHEIMER DISEASE and PARKINSON DISEASE. In 2024, this provider wrote 41 Medicare prescriptions for Rivastigmine, about 1.7 times the volume of the typical Pennsylvania prescriber of this medication (24.4). Medicare paid an average of $162.85 per fill, versus $168.93 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 53 30-Day Fills standardized to 30-day supplies 1,590 Days of Medication total across all patients in 2024 | |||
| BotoxOnabotulinumtoxina | 36 | $1,297.25▼ below PA avg | ≈ Typical |
About Botox: There are different types of botulinum toxin products (toxin A and B) with different uses (eye problems, muscle stiffness/spasms, migraines, cosmetic, overactive bladder). Show more ▾ Different brands of this medication deliver different amounts of medication. Your doctor will choose the correct product for you. Botulinum toxin is used to treat certain eye disorders such as crossed eyes (strabismus) and uncontrolled blinking (blepharospasm), to treat muscle stiffness/spasms or movement disorders (such as cervical dystonia, torticollis), and to reduce the cosmetic appearance of wrinkles or vertical neck bands connecting the jaw and neck (platysma bands). It is also used to prevent headaches in people with very frequent migraines. Botulinum toxin relaxes muscle by blocking the release of a chemical called acetylcholine. Botulinum toxin is also used to treat overactive bladder by patients who do not respond to or who cannot tolerate the side effects of other medications. It helps to reduce leaking of urine, feeling of needing to urinate right away, and frequent trips to the bathroom. It is also used to treat severe underarm sweating and drooling/excess saliva. Botulinum toxin works by blocking the chemicals that turn on the sweat and salivary glands. Botulinum toxin is not a cure, and your symptoms will gradually return as the medication wears off. A serotype of botulinum toxins that has specificity for cleavage of SYNAPTOSOMAL-ASSOCIATED PROTEIN 25. In 2024, this provider wrote 36 Medicare prescriptions for Botox, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (31.2). Medicare paid an average of $1,297.25 per fill, versus $1,436.45 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 99 30-Day Fills standardized to 30-day supplies 2,968 Days of Medication total across all patients in 2024 | |||
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 32 | $26.14▼ below PA avg | ▼ Less than typical |
About Carbidopa-Levodopa Er: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2024, this provider wrote 32 Medicare prescriptions for Carbidopa-Levodopa Er, about 75% of the volume of the typical Pennsylvania prescriber of this medication (42.7). Medicare paid an average of $26.14 per fill, versus $44.37 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 68 30-Day Fills standardized to 30-day supplies 2,040 Days of Medication total across all patients in 2024 | |||
| Dalfampridine ErDalfampridine | 30 | $650.61 | ≈ Typical |
About Dalfampridine Er: Dalfampridine is used to improve walking in people with multiple sclerosis (MS). Show more ▾ It is a potassium channel blocker. It is thought to work by improving nerve conduction. One of the POTASSIUM CHANNEL BLOCKERS with secondary effect on calcium currents which is used mainly as a research tool and to characterize channel subtypes. In 2024, this provider wrote 30 Medicare prescriptions for Dalfampridine Er, about 87% of the volume of the typical Pennsylvania prescriber of this medication (34.4). Medicare paid an average of $650.61 per fill, versus $535.43 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 38 30-Day Fills standardized to 30-day supplies 1,140 Days of Medication total across all patients in 2024 | |||
| Entacapone | 29 | $143.46▼ below PA avg | ≈ Typical |
About Entacapone: This medication is used with other medications (levodopa/carbidopa) to treat Parkinson's disease. Show more ▾ Entacapone belongs to a class of drugs known as COMT inhibitors. Many people taking levodopa for Parkinson's have problems with the effects of the levodopa wearing off between scheduled doses, causing symptoms to return or worsen. Entacapone blocks a certain natural substance (COMT enzyme) that breaks down the levodopa in the body. This effect allows the levodopa to last longer in the system so that it doesn't wear off before the next dose. In 2024, this provider wrote 29 Medicare prescriptions for Entacapone, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (24.9). Medicare paid an average of $143.46 per fill, versus $154.44 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 47.1 30-Day Fills standardized to 30-day supplies 1,407 Days of Medication total across all patients in 2024 | |||
| Carbidopa-Levodopa-EntacaponeCarbidopa/Levodopa/Entacapone | 28 | $404.85 | ≈ Typical |
About Carbidopa-Levodopa-Entacapone: This combination medication is used to treat symptoms of Parkinson's disease (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa and entacapone prevent the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2024, this provider wrote 28 Medicare prescriptions for Carbidopa-Levodopa-Entacapone, about the same volume as the typical Pennsylvania prescriber of this medication (24.4). Medicare paid an average of $404.85 per fill, versus $220.48 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 58 30-Day Fills standardized to 30-day supplies 1,740 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl | 27 | $44.60 | ≈ Typical |
About Propranolol Hcl: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. Show more ▾ It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. 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 effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs. In 2024, this provider wrote 27 Medicare prescriptions for Propranolol Hcl, about the same volume as the typical Pennsylvania prescriber of this medication (25.3). Medicare paid an average of $44.60 per fill, versus $16.91 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 59 30-Day Fills standardized to 30-day supplies 1,770 Days of Medication total across all patients in 2024 | |||
| Carbamazepine | 27 | $17.14▼ below PA avg | ≈ Typical |
About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2024, this provider wrote 27 Medicare prescriptions for Carbamazepine, about the same volume as the typical Pennsylvania prescriber of this medication (25). Medicare paid an average of $17.14 per fill, versus $45.75 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,160 Days of Medication total across all patients in 2024 | |||
| Pramipexole DihydrochloridePramipexole Di-Hcl | 27 | $20.61 | ≈ Typical |
About Pramipexole Dihydrochloride: Pramipexole 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"). This medication is also used to treat a certain medical condition (restless legs syndrome - RLS) that causes an unusual urge to move the legs. Symptoms usually occur at night along with uncomfortable/unpleasant feelings in the legs. This medication can decrease these symptoms and thereby improve sleep. Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. A benzothiazole derivative and dopamine agonist with antioxidant properties that is used in the treatment of PARKINSON DISEASE and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 27 Medicare prescriptions for Pramipexole Dihydrochloride, about the same volume as the typical Pennsylvania prescriber of this medication (27.1). Medicare paid an average of $20.61 per fill, versus $14.13 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 44.7 30-Day Fills standardized to 30-day supplies 1,340 Days of Medication total across all patients in 2024 | |||
| Amitriptyline Hcl | 26 | $17.80 | ≈ Typical |
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 26 Medicare prescriptions for Amitriptyline Hcl, about the same volume as the typical Pennsylvania prescriber of this medication (26.7). Medicare paid an average of $17.80 per fill, versus $13.48 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 44 30-Day Fills standardized to 30-day supplies 1,320 Days of Medication total across all patients in 2024 | |||
| Nortriptyline Hcl | 25 | $17.87 | ≈ Typical |
About Nortriptyline Hcl: This medication is used to treat depression. Show more ▾ Nortriptyline 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. A metabolite of AMITRIPTYLINE that is also used as an antidepressive agent. Nortriptyline is used in major depression, dysthymia, and atypical depressions. In 2024, this provider wrote 25 Medicare prescriptions for Nortriptyline Hcl, about the same volume as the typical Pennsylvania prescriber of this medication (24.4). Medicare paid an average of $17.87 per fill, versus $13.89 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 63 30-Day Fills standardized to 30-day supplies 1,890 Days of Medication total across all patients in 2024 | |||
| Aimovig AutoinjectorErenumab-Aooe | 25 | $1,202.77 | ▼ Less than typical |
About Aimovig Autoinjector: This medication is used to help prevent migraine. Show more ▾ This medication may work by changing the amounts of certain natural substances in the brain. Erenumab belongs to a class of drugs known as monoclonal antibodies. Preventing frequent migraine attacks can help improve your ability to concentrate and do your usual tasks. Anti-human calcitonin gene-related peptide monoclonal antibody for the prevention of migraine headaches. In 2024, this provider wrote 25 Medicare prescriptions for Aimovig Autoinjector, about 66% of the volume of the typical Pennsylvania prescriber of this medication (37.8). Medicare paid an average of $1,202.77 per fill, versus $822.06 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 41.2 30-Day Fills standardized to 30-day supplies 1,232 Days of Medication total across all patients in 2024 | |||
| Lisinopril | 25 | $1.80▼ below PA avg | ▼ Less than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2024, this provider wrote 25 Medicare prescriptions for Lisinopril, about 18% of the volume of the typical Pennsylvania prescriber of this medication (136). Medicare paid an average of $1.80 per fill, versus $7.55 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2024 | |||
| Lacosamide | 25 | $197.68 | ▼ 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 25 Medicare prescriptions for Lacosamide, about 63% of the volume of the typical Pennsylvania prescriber of this medication (39.8). Medicare paid an average of $197.68 per fill, versus $132.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2024 | |||
| NeuproRotigotine | 24 | $895.22▼ below PA avg | ≈ Typical |
About Neupro: Rotigotine 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. Rotigotine is also used to treat restless legs syndrome (RLS). Rotigotine is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. Antiparkinson Agent and dopamine receptor agonist. In 2024, this provider wrote 24 Medicare prescriptions for Neupro, about the same volume as the typical Pennsylvania prescriber of this medication (21). Medicare paid an average of $895.22 per fill, versus $1,066.78 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2024 | |||
| Rasagiline Mesylate | 23 | $166.66▼ below PA avg | ▼ Less than typical |
About Rasagiline Mesylate: Rasagiline is used alone or with other medications (such as levodopa/carbidopa) to treat symptoms of Parkinson's disease. Show more ▾ It can help improve symptoms such as shakiness, stiffness, and difficulty moving. It can also help reduce the amount of "off" time (periods of slow movement or stiffness). Rasagiline belongs to a class of drugs known as MAO inhibitors. It works by increasing the levels of certain natural substances in the brain (such as dopamine, norepinephrine, serotonin). Parkinson's disease is thought to be caused by too little dopamine in the brain. Monoamine oxidase type-B inhibitor that is not metabolized to amphetamine derivatives; can lead to fatal hypertensive crisis in patients who consume tyramine-rich foods. In 2024, this provider wrote 23 Medicare prescriptions for Rasagiline Mesylate, about 69% of the volume of the typical Pennsylvania prescriber of this medication (33.2). Medicare paid an average of $166.66 per fill, versus $178.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 47 30-Day Fills standardized to 30-day supplies 1,387 Days of Medication total across all patients in 2024 | |||
| Clonazepam | 22 | $10.54 | ▼ 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 22 Medicare prescriptions for Clonazepam, about a third of the volume of the typical Pennsylvania prescriber of this medication (54.1). Medicare paid an average of $10.54 per fill, versus $7.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2024 | |||
| RizatriptanRizatriptan Benzoate | 21 | $5.20▼ below PA avg | ≈ Typical |
About Rizatriptan: Rizatriptan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Rizatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Rizatriptan does not prevent future migraines or lessen how often you get migraine attacks. In 2024, this provider wrote 21 Medicare prescriptions for Rizatriptan, about 90% of the volume of the typical Pennsylvania prescriber of this medication (23.4). Medicare paid an average of $5.20 per fill, versus $14.99 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 21 30-Day Fills standardized to 30-day supplies 374 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 21 | $53.08 | ▼ Less than typical |
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2024, this provider wrote 21 Medicare prescriptions for Duloxetine Hcl, about a third of the volume of the typical Pennsylvania prescriber of this medication (62). Medicare paid an average of $53.08 per fill, versus $23.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 48.3 30-Day Fills standardized to 30-day supplies 1,450 Days of Medication total across all patients in 2024 | |||
| Tizanidine Hcl | 20 | $15.70 | ▼ Less than typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2024, this provider wrote 20 Medicare prescriptions for Tizanidine Hcl, about half the volume of the typical Pennsylvania prescriber of this medication (38.6). Medicare paid an average of $15.70 per fill, versus $12.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 30 30-Day Fills standardized to 30-day supplies 865 Days of Medication total across all patients in 2024 | |||
| Glatiramer Acetate | 19 | $2,695.51 | ≈ Typical |
About Glatiramer Acetate: This medication is used to treat multiple sclerosis (MS). Show more ▾ It is a protein that is thought to work by preventing your immune system from attacking the nerves in your brain and spinal cord. This effect can decrease the number of periods of disease worsening (relapses) and prevent or delay disability. It is not a cure for MS. A random polymer of L-ALANINE, L-GLUTAMIC ACID, L-LYSINE, and L-TYROSINE that structurally resembles MYELIN BASIC PROTEIN. It is used in the treatment of RELAPSING-REMITTING MULTIPLE SCLEROSIS. In 2024, this provider wrote 19 Medicare prescriptions for Glatiramer Acetate, about 88% of the volume of the typical Pennsylvania prescriber of this medication (21.5). Medicare paid an average of $2,695.51 per fill, versus $2,333.75 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 19 30-Day Fills standardized to 30-day supplies 532 Days of Medication total across all patients in 2024 | |||
| Valproic AcidValproic Acid (As Sodium Salt) | 19 | $19.16▼ below PA avg | ≈ Typical |
About Valproic Acid: This medication is used to treat seizure disorders, mental/mood conditions (such as 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 19 Medicare prescriptions for Valproic Acid, about 81% of the volume of the typical Pennsylvania prescriber of this medication (23.3). Medicare paid an average of $19.16 per fill, versus $44.88 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 19 30-Day Fills standardized to 30-day supplies 508 Days of Medication total across all patients in 2024 | |||
| Prednisone | 18 | $8.41 | ▼ 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 18 Medicare prescriptions for Prednisone, about a third of the volume of the typical Pennsylvania prescriber of this medication (49.6). Medicare paid an average of $8.41 per fill, versus $4.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 30 30-Day Fills standardized to 30-day supplies 869 Days of Medication total across all patients in 2024 | |||
| Oxcarbazepine | 18 | $136.55 | ▼ Less than typical |
About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2024, this provider wrote 18 Medicare prescriptions for Oxcarbazepine, about half the volume of the typical Pennsylvania prescriber of this medication (30.2). Medicare paid an average of $136.55 per fill, versus $43.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 44 30-Day Fills standardized to 30-day supplies 1,320 Days of Medication total across all patients in 2024 | |||
| UbrelvyUbrogepant | 18 | $962.90▼ below PA avg | ▼ Less than typical |
About Ubrelvy: This medication is used to treat migraine. Show more ▾ Ubrogepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. This medication is not used to prevent future migraines or lessen how often you get migraines. A calcitonin gene-related peptide receptor antagonist (CGRP-RA), for the acute treatment of migraine. In 2024, this provider wrote 18 Medicare prescriptions for Ubrelvy, about half the volume of the typical Pennsylvania prescriber of this medication (30.4). Medicare paid an average of $962.90 per fill, versus $1,270.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 18 30-Day Fills standardized to 30-day supplies 352 Days of Medication total across all patients in 2024 | |||
| Trihexyphenidyl Hcl | 16 | $7.33▼ below PA avg | ▼ Less than typical |
About Trihexyphenidyl Hcl: Trihexyphenidyl is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). Show more ▾ Trihexyphenidyl belongs to a class of medication called anticholinergics that work by blocking a certain natural substance (acetylcholine). This helps decrease muscle stiffness, sweating, and the production of saliva, and helps improve walking ability in people with Parkinson's disease. Anticholinergics can stop severe muscle spasms of the back, neck, and eyes that are sometimes caused by psychiatric drugs. It can also decrease other side effects such as muscle stiffness/rigidity (extrapyramidal signs-EPS). It is not helpful in treating movement problems caused by tardive dyskinesia and may worsen them. One of the centrally acting MUSCARINIC ANTAGONISTS used for treatment of PARKINSONIAN DISORDERS and drug-induced extrapyramidal movement disorders and as an antispasmodic. In 2024, this provider wrote 16 Medicare prescriptions for Trihexyphenidyl Hcl, about 66% of the volume of the typical Pennsylvania prescriber of this medication (24.4). Medicare paid an average of $7.33 per fill, versus $11.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2024 | |||
| Ropinirole ErRopinirole Hcl | 15 | $30.84▼ below PA avg | ≈ Typical |
About Ropinirole Er: 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 works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2024, this provider wrote 15 Medicare prescriptions for Ropinirole Er, about 82% of the volume of the typical Pennsylvania prescriber of this medication (18.3). Medicare paid an average of $30.84 per fill, versus $128.61 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2024 | |||
| MyrbetriqMirabegron | 15 | $451.22▼ below PA avg | ▼ Less than typical |
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. A beta3-adrenergic receptor agonist. In 2024, this provider wrote 15 Medicare prescriptions for Myrbetriq, about a third of the volume of the typical Pennsylvania prescriber of this medication (47.4). Medicare paid an average of $451.22 per fill, versus $570.98 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2024 | |||
| Lamotrigine ErLamotrigine | 14 | $530.45 | ▼ Less than typical |
About Lamotrigine Er: This product is used to prevent or control seizures (epilepsy). Show more ▾ 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 14 Medicare prescriptions for Lamotrigine Er, about 63% of the volume of the typical Pennsylvania prescriber of this medication (22.3). Medicare paid an average of $530.45 per fill, versus $259.80 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2024 | |||
| Aspirin-Dipyridamole ErAspirin/Dipyridamole | 13 | $91.56▼ below PA avg | ≈ Typical |
About Aspirin-Dipyridamole Er: This medication is used to reduce the risk of stroke in patients who have had "mini-strokes" (transient ischemic attacks) or a previous stroke due to a blood clot and are at high risk for another stroke. Show more ▾ It contains two medications: a very low dose of aspirin (25 milligrams per tablet) and dipyridamole in a slow-release form. Low-dose aspirin and dipyridamole are antiplatelet drugs that work to keep blood flowing to the brain by stopping platelets from clumping together. This helps prevent the platelets from forming blood clots, which can lodge in the brain and cause a certain type of stroke (ischemic stroke). In 2024, this provider wrote 13 Medicare prescriptions for Aspirin-Dipyridamole Er, about 82% of the volume of the typical Pennsylvania prescriber of this medication (15.9). Medicare paid an average of $91.56 per fill, versus $132.95 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2024 | |||
| Rufinamide | 13 | $1,602.11 | ▼ Less than typical |
About Rufinamide: Rufinamide is used with other medications to prevent or control seizures (epilepsy) associated with Lennox-Gastaut syndrome (LGS). Show more ▾ This medication is an anticonvulsant. Rufinamide is thought to work by acting on the sodium channels in the brain that carry excessive electrical charges that may cause seizures. For treatment of Lennox-Gastaut syndrome. In 2024, this provider wrote 13 Medicare prescriptions for Rufinamide, about 67% of the volume of the typical Pennsylvania prescriber of this medication (19.5). Medicare paid an average of $1,602.11 per fill, versus $1,234.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 354 Days of Medication total across all patients in 2024 | |||
| Lorazepam | 13 | $0.53▼ below PA avg | ▼ Less than typical |
About Lorazepam: This medication is used to treat anxiety. Show more ▾ Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2024, this provider wrote 13 Medicare prescriptions for Lorazepam, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (60.5). Medicare paid an average of $0.53 per fill, versus $6.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 13 30-Day Fills standardized to 30-day supplies 14 Days of Medication total across all patients in 2024 | |||
| Pyridostigmine Bromide | 13 | $38.67▼ below PA avg | ▼ Less than typical |
About Pyridostigmine Bromide: Pyridostigmine is used to improve muscle strength in patients with a certain muscle disease (myasthenia gravis). Show more ▾ It works by preventing the breakdown of a certain natural substance (acetylcholine) in your body. Acetylcholine is needed for normal muscle function. A cholinesterase inhibitor with a slightly longer duration of action than NEOSTIGMINE. It is used in the treatment of myasthenia gravis and to reverse the actions of muscle relaxants. In 2024, this provider wrote 13 Medicare prescriptions for Pyridostigmine Bromide, about half the volume of the typical Pennsylvania prescriber of this medication (29.5). Medicare paid an average of $38.67 per fill, versus $74.29 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 19.3 30-Day Fills standardized to 30-day supplies 574 Days of Medication total across all patients in 2024 | |||
| QuliptaAtogepant | 12 | $1,034.48▼ below PA avg | ▼ Less than typical |
About Qulipta: This medication is used to prevent migraines. Show more ▾ Atogepant may work by blocking the effects of a certain natural substance in the brain that causes migraines (calcitonin gene-related peptide - CGRP). In 2024, this provider wrote 12 Medicare prescriptions for Qulipta, about half the volume of the typical Pennsylvania prescriber of this medication (26.8). Medicare paid an average of $1,034.48 per fill, versus $1,167.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium | 12 | $42.42 | ▼ 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 12 Medicare prescriptions for Divalproex Sodium, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (54.7). Medicare paid an average of $42.42 per fill, versus $35.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2024 | |||
| Kesimpta PenOfatumumab | 12 | $8,543.03▼ below PA avg | ▼ Less than typical |
About Kesimpta Pen: This medication is used to treat multiple sclerosis (MS). Show more ▾ Ofatumumab belongs to a class of medications known as monoclonal antibodies. This medication is not a cure for MS but it is thought to help by preventing immune system cells (lymphocytes) from attacking the nerves in your brain and spinal cord. It helps decrease the number of episodes of disease worsening (relapses) and may prevent or delay disability. An anti-CD20 MAb used as an antineoplastic agent; in phase 1-2 clinical trials. In 2024, this provider wrote 12 Medicare prescriptions for Kesimpta Pen, about a third of the volume of the typical Pennsylvania prescriber of this medication (34.8). Medicare paid an average of $8,543.03 per fill, versus $9,623.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Ajovy SyringeFremanezumab-Vfrm | 12 | $686.10▼ below PA avg | ▼ Less than typical |
About Ajovy Syringe: This medication is used to help prevent migraine. Show more ▾ This medication may work by changing the amounts of certain natural substances in the brain. Fremanezumab belongs to a class of drugs known as monoclonal antibodies. Preventing frequent migraine attacks can help improve your ability to concentrate and do your usual tasks. An anti-CGRP antibody for treatment of migraine. In 2024, this provider wrote 12 Medicare prescriptions for Ajovy Syringe, about 62% of the volume of the typical Pennsylvania prescriber of this medication (19.5). Medicare paid an average of $686.10 per fill, versus $810.03 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 12 | $26.63 | ▼ 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 12 Medicare prescriptions for Venlafaxine Hcl Er, about a third of the volume of the typical Pennsylvania prescriber of this medication (42.4). Medicare paid an average of $26.63 per fill, versus $20.33 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2024 | |||
| VumerityDiroximel Fumarate | 12 | $8,495.21 | ▼ Less than typical |
About Vumerity: Diroximel fumarate is used to treat multiple sclerosis (MS). Show more ▾ It is not a cure for MS. It helps decrease the number of episodes of worsening MS. In 2024, this provider wrote 12 Medicare prescriptions for Vumerity, about 66% of the volume of the typical Pennsylvania prescriber of this medication (18.3). Medicare paid an average of $8,495.21 per fill, versus $8,399.28 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Carbamazepine ErCarbamazepine | 11 | $97.45▼ below PA avg | ▼ Less than typical |
About Carbamazepine Er: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. Some forms of this medication are also used to treat bipolar disorder. Carbamazepine can help to decrease extreme changes in mood and help you feel less agitated. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2024, this provider wrote 11 Medicare prescriptions for Carbamazepine Er, about half the volume of the typical Pennsylvania prescriber of this medication (23.8). Medicare paid an average of $97.45 per fill, versus $99.02 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2024 | |||
| Phenobarbital | 11 | $30.86 | ▼ Less than typical |
About Phenobarbital: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Phenobarbital belongs to a class of drugs known as barbiturate anticonvulsants/hypnotics. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. This medication is also used for a short time (usually no more than 2 weeks) to help calm you or help you sleep during periods of anxiety. It works by affecting certain parts of the brain to cause calming. A barbituric acid derivative that acts as a nonselective central nervous system depressant. It potentiates GAMMA-AMINOBUTYRIC ACID action on GABA-A RECEPTORS, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations. In 2024, this provider wrote 11 Medicare prescriptions for Phenobarbital, about half the volume of the typical Pennsylvania prescriber of this medication (24.0). Medicare paid an average of $30.86 per fill, versus $28.18 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2024 | |||
| Nurtec OdtRimegepant Sulfate | 11 | $1,273.13▼ below PA avg | ▼ Less than typical |
About Nurtec Odt: This medication is used to prevent or treat migraine. Show more ▾ Rimegepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (such as nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. In 2024, this provider wrote 11 Medicare prescriptions for Nurtec Odt, about a third of the volume of the typical Pennsylvania prescriber of this medication (35.8). Medicare paid an average of $1,273.13 per fill, versus $1,398.29 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 11.1 30-Day Fills standardized to 30-day supplies 333 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. JUSTIN R FISHER 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 Clinical Neurophysiology prescribing approach at this Ephrata, PA 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 PA 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.
