MR. RICHARD LEE CARL JR. APRN, FNP-C
Prescription History 1346901113
Nurse Practitioner - Family in Longview, TX
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MR. RICHARD LEE CARL JR. APRN, FNP-C, an active Family specialist practicing in Longview, TX. Our medical registry currently tracks 7 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 148 documented patient claims. Among these therapy options, the most frequently utilized medication is Meloxicam, which accounts for 35 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other TX PrescribersVs. TX Avg |
|---|---|---|---|
| Meloxicam | 35 | $2.58▼ below TX avg | ▼ Less than typical |
About Meloxicam: Meloxicam is used to treat arthritis. Show more ▾ It reduces pain, swelling, and stiffness of the joints. Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2024, this provider wrote 35 Medicare prescriptions for Meloxicam, about 61% of the volume of the typical Texas prescriber of this medication (57.4). Medicare paid an average of $2.58 per fill, versus $4.11 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 49 30-Day Fills standardized to 30-day supplies 1,470 Days of Medication total across all patients in 2024 | |||
| Tramadol Hcl | 25 | $3.68▼ below TX avg | ▼ Less than typical |
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2024, this provider wrote 25 Medicare prescriptions for Tramadol Hcl, about a third of the volume of the typical Texas prescriber of this medication (61.4). Medicare paid an average of $3.68 per fill, versus $7.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 25 30-Day Fills standardized to 30-day supplies 208 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 24 | $8.10▼ below TX avg | ▼ Less than typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 24 Medicare prescriptions for Gabapentin, about a quarter of the volume of the typical Texas prescriber of this medication (96.4). Medicare paid an average of $8.10 per fill, versus $15.87 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 24.3 30-Day Fills standardized to 30-day supplies 728 Days of Medication total across all patients in 2024 | |||
| Methocarbamol | 23 | $4.31▼ below TX avg | ▼ Less than typical |
About Methocarbamol: Methocarbamol is used to treat muscle spasms/pain. Show more ▾ It is usually used along with rest, physical therapy, and other treatment. It works by helping to relax the muscles. A centrally acting muscle relaxant whose mode of action has not been established. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1206) In 2024, this provider wrote 23 Medicare prescriptions for Methocarbamol, about 64% of the volume of the typical Texas prescriber of this medication (35.7). Medicare paid an average of $4.31 per fill, versus $13.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 23 30-Day Fills standardized to 30-day supplies 250 Days of Medication total across all patients in 2024 | |||
| Acetaminophen-CodeineAcetaminophen With Codeine | 17 | $11.92▼ below TX avg | ▼ Less than typical |
About Acetaminophen-Codeine: See also Warning section. Show more ▾ This combination medication is used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2024, this provider wrote 17 Medicare prescriptions for Acetaminophen-Codeine, about a third of the volume of the typical Texas prescriber of this medication (45.8). Medicare paid an average of $11.92 per fill, versus $16.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 17 30-Day Fills standardized to 30-day supplies 128 Days of Medication total across all patients in 2024 | |||
| Celecoxib | 12 | $5.77▼ below TX avg | ▼ Less than typical |
About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾ It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN. In 2024, this provider wrote 12 Medicare prescriptions for Celecoxib, about a quarter of the volume of the typical Texas prescriber of this medication (44.4). Medicare paid an average of $5.77 per fill, versus $26.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 22.3 30-Day Fills standardized to 30-day supplies 670 Days of Medication total across all patients in 2024 | |||
| Tizanidine Hcl | 12 | $9.32▼ below TX avg | ▼ 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 12 Medicare prescriptions for Tizanidine Hcl, about a quarter of the volume of the typical Texas prescriber of this medication (55.4). Medicare paid an average of $9.32 per fill, versus $10.81 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 18 30-Day Fills standardized to 30-day supplies 500 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for MR. RICHARD LEE CARL JR. APRN, FNP-C is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Family prescribing approach at this Longview, TX practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among TX prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
