ROBERT THIEL MD
Prescription History 1316514607
Dermatology in San Diego, CA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ROBERT THIEL MD, an active Dermatology specialist practicing in San Diego, CA. Our medical registry currently tracks 14 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 410 documented patient claims. Among these therapy options, the most frequently utilized medication is Triamcinolone Acetonide, which accounts for 91 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 (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other CA PrescribersVs. CA Avg |
|---|---|---|---|
| Triamcinolone Acetonide | 91 | $11.65▼ below CA avg | ▲ More than typical |
About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾ Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions. In 2023, this provider wrote 91 Medicare prescriptions for Triamcinolone Acetonide, about 2.2 times the volume of the typical California prescriber of this medication (42). Medicare paid an average of $11.65 per fill, versus $12.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA 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 CA average for this medication. 132.9 30-Day Fills standardized to 30-day supplies 3,773 Days of Medication total across all patients in 2023 | |||
| Dupixent SyringeDupilumab | 49 | $4,086.72 | ▲ More than typical |
About Dupixent Syringe: This medication is used to treat certain skin conditions (eczema, prurigo nodularis) and a certain esophagus problem (eosinophilic esophagitis). Show more ▾ It is also used along with other medications to help control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. In addition, dupilumab may be used to reduce symptoms caused by nasal polyps and the long-term swelling of the sinuses and nasal passage (chronic rhinosinusitis with nasal polyposis). Dupilumab belongs to a class of drugs known as monoclonal antibodies. It works by blocking certain natural proteins in your body (interleukin-4 and interleukin-13) that may cause inflammation and swelling. This medication should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. In 2023, this provider wrote 49 Medicare prescriptions for Dupixent Syringe, about 2 times the volume of the typical California prescriber of this medication (25). Medicare paid an average of $4,086.72 per fill, versus $3,687.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA 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. 49 30-Day Fills standardized to 30-day supplies 1,302 Days of Medication total across all patients in 2023 | |||
| Clobetasol Propionate | 40 | $94.45 | ≈ Typical |
About Clobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Show more ▾ Clobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high-potency) corticosteroid. A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression. In 2023, this provider wrote 40 Medicare prescriptions for Clobetasol Propionate, about 1.2 times the volume of the typical California prescriber of this medication (33). Medicare paid an average of $94.45 per fill, versus $80.04 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA 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. 45.7 30-Day Fills standardized to 30-day supplies 1,205 Days of Medication total across all patients in 2023 | |||
| Hydrocortisone | 39 | $4.36▼ below CA avg | ▲ More than typical |
About Hydrocortisone: Hydrocortisone is a man-made version of a natural substance (cortisol) made by the adrenal gland. Show more ▾ This drug is used to treat low cortisol levels caused by diseases of the adrenal gland (such as Addison's disease, adrenocortical insufficiency). Hydrocortisone belongs to a class of drugs known as corticosteroids. Corticosteroids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. In 2023, this provider wrote 39 Medicare prescriptions for Hydrocortisone, about 1.4 times the volume of the typical California prescriber of this medication (27). Medicare paid an average of $4.36 per fill, versus $20.18 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA 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 CA average for this medication. 41 30-Day Fills standardized to 30-day supplies 827 Days of Medication total across all patients in 2023 | |||
| Doxycycline Hyclate | 27 | $65.18 | ≈ Typical |
About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾ This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity. In 2023, this provider wrote 27 Medicare prescriptions for Doxycycline Hyclate, about the same volume as the typical California prescriber of this medication (27). Medicare paid an average of $65.18 per fill, versus $30.50 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA 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. 35.5 30-Day Fills standardized to 30-day supplies 940 Days of Medication total across all patients in 2023 | |||
| Ketoconazole | 25 | $28.73▼ below CA avg | ▼ Less than typical |
About Ketoconazole: This medication is used to control dandruff. Show more ▾ Use of this medication may help to relieve the flaking, scaling and itching associated with dandruff. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Ketoconazole 2% shampoo is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients. In 2023, this provider wrote 25 Medicare prescriptions for Ketoconazole, about half the volume of the typical California prescriber of this medication (46). Medicare paid an average of $28.73 per fill, versus $34.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA 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 CA average for this medication. 27 30-Day Fills standardized to 30-day supplies 645 Days of Medication total across all patients in 2023 | |||
| Fluorouracil | 20 | $105.32 | ▼ Less than typical |
About Fluorouracil: Fluorouracil is used to treat various types of cancer. Show more ▾ It is a chemotherapy drug that is used to slow or stop cancer cell growth. A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid. In 2023, this provider wrote 20 Medicare prescriptions for Fluorouracil, about half the volume of the typical California prescriber of this medication (44). Medicare paid an average of $105.32 per fill, versus $90.21 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA 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 576 Days of Medication total across all patients in 2023 | |||
| Minoxidil | 19 | $10.93▼ below CA avg | ≈ Typical |
About Minoxidil: Minoxidil is used with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Minoxidil works by relaxing blood vessels so blood can flow more easily. A potent direct-acting peripheral vasodilator (VASODILATOR AGENTS) that reduces peripheral resistance and produces a fall in BLOOD PRESSURE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p371) In 2023, this provider wrote 19 Medicare prescriptions for Minoxidil, about 83% of the volume of the typical California prescriber of this medication (23). Medicare paid an average of $10.93 per fill, versus $23.06 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA 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 CA average for this medication. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2023 | |||
| Dapsone | 18 | $51.01▼ below CA avg | ≈ Typical |
About Dapsone: This medication is used to treat acne. Show more ▾ It helps decrease the number and severity of acne pimples and helps pimples that do develop to heal more quickly. Dapsone is an antibiotic. It is not known how dapsone works to treat acne. A sulfone active against a wide range of bacteria but mainly employed for its actions against MYCOBACTERIUM LEPRAE. Its mechanism of action is probably similar to that of the SULFONAMIDES which involves inhibition of folic acid synthesis in susceptible organisms. It is also used with PYRIMETHAMINE in the treatment of malaria. (From Martindale, The Extra Pharmacopoeia, 30th ed, p157-8) In 2023, this provider wrote 18 Medicare prescriptions for Dapsone, about the same volume as the typical California prescriber of this medication (18). Medicare paid an average of $51.01 per fill, versus $72.41 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA 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 CA average for this medication. 18 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Hydroxychloroquine Sulfate | 18 | $26.98▼ below CA avg | ▼ Less than typical |
About Hydroxychloroquine Sulfate: Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. Show more ▾ The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis. Hydroxychloroquine is not recommended for coronavirus infection, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970) In 2023, this provider wrote 18 Medicare prescriptions for Hydroxychloroquine Sulfate, about a quarter of the volume of the typical California prescriber of this medication (88). Medicare paid an average of $26.98 per fill, versus $68.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA 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 CA average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023 | |||
| Fluocinonide | 17 | $48.74▼ below CA avg | ▼ Less than typical |
About Fluocinonide: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, psoriasis, allergies, rash). Show more ▾ Fluocinonide reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong corticosteroid. A topical glucocorticoid used in the treatment of ECZEMA. In 2023, this provider wrote 17 Medicare prescriptions for Fluocinonide, about half the volume of the typical California prescriber of this medication (38). Medicare paid an average of $48.74 per fill, versus $195.89 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA 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 CA average for this medication. 25 30-Day Fills standardized to 30-day supplies 735 Days of Medication total across all patients in 2023 | |||
| Imiquimod | 17 | $61.23 | ▼ Less than typical |
About Imiquimod: This medication is used to treat certain types of growths on the skin. Show more ▾ These are precancerous growths (actinic keratoses), a certain type of skin cancer (superficial basal cell carcinoma), and warts on the outside of the genitals/anus. Treating these conditions can decrease complications from them. Imiquimod belongs to a group of drugs called immune response modifiers. It is believed to work by helping to activate your immune system to fight these abnormal skin growths. This product is not recommended for use on children under 12 years of age unless specifically directed by your doctor. A topically-applied aminoquinoline immune modulator that induces interferon production. It is used in the treatment of external genital and perianal warts, superficial CARCINOMA, BASAL CELL; and ACTINIC KERATOSIS. In 2023, this provider wrote 17 Medicare prescriptions for Imiquimod, about half the volume of the typical California prescriber of this medication (29). Medicare paid an average of $61.23 per fill, versus $41.29 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA 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. 18.4 30-Day Fills standardized to 30-day supplies 491 Days of Medication total across all patients in 2023 | |||
| Clindamycin Phosphate | 16 | $44.60▼ below CA avg | ▼ Less than typical |
About Clindamycin Phosphate: This medication is used to treat a certain type of vaginal infection (bacterial vaginosis) in women who are not pregnant. Show more ▾ Clindamycin is an antibiotic which works by stopping the growth of bacteria. In 2023, this provider wrote 16 Medicare prescriptions for Clindamycin Phosphate, about 70% of the volume of the typical California prescriber of this medication (23). Medicare paid an average of $44.60 per fill, versus $51.57 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA 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 CA average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023 | |||
| MethotrexateMethotrexate Sodium | 14 | $16.71▼ below CA avg | ▼ Less than typical |
About Methotrexate: Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma) or to control severe psoriasis or rheumatoid arthritis that has not responded to other treatments. Show more ▾ It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA. In 2023, this provider wrote 14 Medicare prescriptions for Methotrexate, about 15% of the volume of the typical California prescriber of this medication (93). Medicare paid an average of $16.71 per fill, versus $40.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA 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 CA average for this medication. 26.2 30-Day Fills standardized to 30-day supplies 704 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for ROBERT THIEL MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, 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 Dermatology prescribing approach at this San Diego, CA 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 volume among CA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
