AMY NAQUIN-CHAPPEL MD
Prescription History 1376861237
Psychiatry & Neurology - Neurology in Houston, TX
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for AMY NAQUIN-CHAPPEL MD, an active Neurology specialist practicing in Houston, TX. Our medical registry currently tracks 63 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,390 documented patient claims. Among these therapy options, the most frequently utilized medication is Sertraline Hcl, which accounts for 339 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 TX PrescribersVs. TX Avg |
|---|---|---|---|
| Sertraline Hcl | 339 | $12.01 | ▲ More than typical |
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 339 Medicare prescriptions for Sertraline Hcl, about 5.8 times the volume of the typical Texas prescriber of this medication (58). Medicare paid an average of $12.01 per fill, versus $11.23 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 721.2 30-Day Fills standardized to 30-day supplies 21,563 Days of Medication total across all patients in 2023 | |||
| Donepezil Hcl | 322 | $16.25 | ▲ More than 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. In 2023, this provider wrote 322 Medicare prescriptions for Donepezil Hcl, about 5 times the volume of the typical Texas prescriber of this medication (65). Medicare paid an average of $16.25 per fill, versus $16.03 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 773.9 30-Day Fills standardized to 30-day supplies 23,155 Days of Medication total across all patients in 2023 | |||
| Memantine Hcl | 191 | $40.57▼ below TX 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. In 2023, this provider wrote 191 Medicare prescriptions for Memantine Hcl, about 3.1 times the volume of the typical Texas prescriber of this medication (62). Medicare paid an average of $40.57 per fill, versus $50.26 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 402.2 30-Day Fills standardized to 30-day supplies 11,931 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 186 | $29.90 | ▲ More 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 2023, this provider wrote 186 Medicare prescriptions for Gabapentin, about 2 times the volume of the typical Texas prescriber of this medication (94). Medicare paid an average of $29.90 per fill, versus $21.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 410.6 30-Day Fills standardized to 30-day supplies 12,248 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 180 | $28.72▼ below TX avg | ▲ More than typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is 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 may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication 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 2023, this provider wrote 180 Medicare prescriptions for Duloxetine Hcl, about 3.5 times the volume of the typical Texas prescriber of this medication (51). Medicare paid an average of $28.72 per fill, versus $41.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 396 30-Day Fills standardized to 30-day supplies 11,840 Days of Medication total across all patients in 2023 | |||
| Carbidopa-LevodopaCarbidopa/Levodopa | 171 | $39.42▼ below TX avg | ▲ 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 2023, this provider wrote 171 Medicare prescriptions for Carbidopa-Levodopa, about 2.8 times the volume of the typical Texas prescriber of this medication (61). Medicare paid an average of $39.42 per fill, versus $45.87 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 402.8 30-Day Fills standardized to 30-day supplies 12,012 Days of Medication total across all patients in 2023 | |||
| Levetiracetam | 168 | $56.56 | ▲ 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 2023, this provider wrote 168 Medicare prescriptions for Levetiracetam, about 3.4 times the volume of the typical Texas prescriber of this medication (50). Medicare paid an average of $56.56 per fill, versus $43.22 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 423.3 30-Day Fills standardized to 30-day supplies 12,700 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 148 | $19.14▼ below TX avg | ▲ More than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 148 Medicare prescriptions for Quetiapine Fumarate, about 2.8 times the volume of the typical Texas prescriber of this medication (53). Medicare paid an average of $19.14 per fill, versus $30.05 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 282 30-Day Fills standardized to 30-day supplies 8,357 Days of Medication total across all patients in 2023 | |||
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 114 | $63.41▼ below TX avg | ▲ More 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 2023, this provider wrote 114 Medicare prescriptions for Carbidopa-Levodopa Er, about 2.9 times the volume of the typical Texas prescriber of this medication (40). Medicare paid an average of $63.41 per fill, versus $96.15 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 284.4 30-Day Fills standardized to 30-day supplies 8,463 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 112 | $41.74 | ▲ More than typical |
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 112 Medicare prescriptions for Mirtazapine, about 2.4 times the volume of the typical Texas prescriber of this medication (46). Medicare paid an average of $41.74 per fill, versus $23.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 204 30-Day Fills standardized to 30-day supplies 6,119 Days of Medication total across all patients in 2023 | |||
| Topiramate | 104 | $22.32 | ▲ 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 2023, this provider wrote 104 Medicare prescriptions for Topiramate, about 3.1 times the volume of the typical Texas prescriber of this medication (34). Medicare paid an average of $22.32 per fill, versus $18.14 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 261.7 30-Day Fills standardized to 30-day supplies 7,850 Days of Medication total across all patients in 2023 | |||
| Galantamine Hbr | 89 | $84.02▼ below TX avg | ▲ More than typical |
About Galantamine Hbr: Galantamine is used to treat mild to moderate 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 restoring the balance of certain natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 89 Medicare prescriptions for Galantamine Hbr, about 3.6 times the volume of the typical Texas prescriber of this medication (25). Medicare paid an average of $84.02 per fill, versus $96.50 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 187 30-Day Fills standardized to 30-day supplies 5,592 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 78 | $45.80 | ▲ 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 2023, this provider wrote 78 Medicare prescriptions for Pregabalin, about 1.6 times the volume of the typical Texas prescriber of this medication (48). Medicare paid an average of $45.80 per fill, versus $43.36 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 166 30-Day Fills standardized to 30-day supplies 4,955 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 69 | $9.30▼ below TX avg | ▲ More than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 69 Medicare prescriptions for Cyclobenzaprine Hcl, about 1.9 times the volume of the typical Texas prescriber of this medication (36). Medicare paid an average of $9.30 per fill, versus $16.21 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 133 30-Day Fills standardized to 30-day supplies 3,990 Days of Medication total across all patients in 2023 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 67 | $26.61▼ below TX avg | ▲ More than typical |
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 67 Medicare prescriptions for Venlafaxine Hcl Er, about 2.1 times the volume of the typical Texas prescriber of this medication (32). Medicare paid an average of $26.61 per fill, versus $29.81 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 151 30-Day Fills standardized to 30-day supplies 4,530 Days of Medication total across all patients in 2023 | |||
| Oxcarbazepine | 47 | $85.82 | ▲ More 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 2023, this provider wrote 47 Medicare prescriptions for Oxcarbazepine, about 1.3 times the volume of the typical Texas prescriber of this medication (36). Medicare paid an average of $85.82 per fill, versus $64.87 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 116.2 30-Day Fills standardized to 30-day supplies 3,480 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 44 | $10.26 | ≈ 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 2023, this provider wrote 44 Medicare prescriptions for Clonazepam, about 88% of the volume of the typical Texas prescriber of this medication (50). Medicare paid an average of $10.26 per fill, versus $9.40 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 48 30-Day Fills standardized to 30-day supplies 1,242 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 38 | $22.35 | ≈ 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 2023, this provider wrote 38 Medicare prescriptions for Lamotrigine, about the same volume as the typical Texas prescriber of this medication (42). Medicare paid an average of $22.35 per fill, versus $17.15 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 84 30-Day Fills standardized to 30-day supplies 2,514 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl | 35 | $43.66 | ▲ More than typical |
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 35 Medicare prescriptions for Propranolol Hcl, about 1.5 times the volume of the typical Texas prescriber of this medication (23). Medicare paid an average of $43.66 per fill, versus $27.32 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 69 30-Day Fills standardized to 30-day supplies 2,070 Days of Medication total across all patients in 2023 | |||
| Sumatriptan Succinate | 33 | $65.38 | ▲ More than typical |
About Sumatriptan Succinate: Sumatriptan is used to treat migraines and cluster headaches. Show more ▾ It helps to relieve pain and other symptoms of migraines/headaches including sensitivity to light or sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. It does not prevent future migraines/headaches or reduce how often you may get a headache. Sumatriptan belongs to a group of drugs called triptans. It affects a certain natural chemical (serotonin) that constricts blood vessels in the brain. It may also block other pain pathways in the brain. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2023, this provider wrote 33 Medicare prescriptions for Sumatriptan Succinate, about 1.6 times the volume of the typical Texas prescriber of this medication (21). Medicare paid an average of $65.38 per fill, versus $35.25 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 959 Days of Medication total across all patients in 2023 | |||
| Memantine Hcl ErMemantine Hcl | 32 | $148.21▼ below TX avg | ≈ Typical |
About Memantine Hcl Er: 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. In 2023, this provider wrote 32 Medicare prescriptions for Memantine Hcl Er, about the same volume as the typical Texas prescriber of this medication (28). Medicare paid an average of $148.21 per fill, versus $167.02 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 62 30-Day Fills standardized to 30-day supplies 1,860 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 32 | $29.13 | ▼ 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 2023, this provider wrote 32 Medicare prescriptions for Tizanidine Hcl, about half the volume of the typical Texas prescriber of this medication (55). Medicare paid an average of $29.13 per fill, versus $14.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 72 30-Day Fills standardized to 30-day supplies 2,145 Days of Medication total across all patients in 2023 | |||
| Ondansetron OdtOndansetron | 32 | $18.09▼ below TX avg | ▲ More than typical |
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2023, this provider wrote 32 Medicare prescriptions for Ondansetron Odt, about 1.3 times the volume of the typical Texas prescriber of this medication (24). Medicare paid an average of $18.09 per fill, versus $22.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 37 30-Day Fills standardized to 30-day supplies 706 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 32 | $54.75 | ▼ 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 2023, this provider wrote 32 Medicare prescriptions for Divalproex Sodium, about 62% of the volume of the typical Texas prescriber of this medication (52). Medicare paid an average of $54.75 per fill, versus $45.97 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 1,800 Days of Medication total across all patients in 2023 | |||
| Nurtec OdtRimegepant Sulfate | 31 | $1,789.96 | ▲ More 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 2023, this provider wrote 31 Medicare prescriptions for Nurtec Odt, about 1.3 times the volume of the typical Texas prescriber of this medication (24). Medicare paid an average of $1,789.96 per fill, versus $1,356.87 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 31 30-Day Fills standardized to 30-day supplies 878 Days of Medication total across all patients in 2023 | |||
| Methylprednisolone | 30 | $12.07 | ≈ Typical |
About Methylprednisolone: Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. Show more ▾ It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone. Methylprednisolone may also be used with other medications in hormone disorders. A PREDNISOLONE derivative with similar anti-inflammatory action. In 2023, this provider wrote 30 Medicare prescriptions for Methylprednisolone, about 86% of the volume of the typical Texas prescriber of this medication (35). Medicare paid an average of $12.07 per fill, versus $10.10 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 180 Days of Medication total across all patients in 2023 | |||
| QuliptaAtogepant | 29 | $1,128.82▼ below TX avg | ▲ More 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 2023, this provider wrote 29 Medicare prescriptions for Qulipta, about 1.7 times the volume of the typical Texas prescriber of this medication (17). Medicare paid an average of $1,128.82 per fill, versus $1,181.51 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023 | |||
| RizatriptanRizatriptan Benzoate | 29 | $18.55▼ below TX avg | ▲ More than 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 2023, this provider wrote 29 Medicare prescriptions for Rizatriptan, about 1.4 times the volume of the typical Texas prescriber of this medication (21). Medicare paid an average of $18.55 per fill, versus $32.78 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 29.5 30-Day Fills standardized to 30-day supplies 649 Days of Medication total across all patients in 2023 | |||
| Lacosamide | 29 | $146.31▼ below TX avg | ≈ 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 2023, this provider wrote 29 Medicare prescriptions for Lacosamide, about 88% of the volume of the typical Texas prescriber of this medication (33). Medicare paid an average of $146.31 per fill, versus $313.77 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 49 30-Day Fills standardized to 30-day supplies 1,470 Days of Medication total across all patients in 2023 | |||
| Phenobarbital | 26 | $56.36 | ≈ 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 2023, this provider wrote 26 Medicare prescriptions for Phenobarbital, about the same volume as the typical Texas prescriber of this medication (23). Medicare paid an average of $56.36 per fill, versus $43.03 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 64 30-Day Fills standardized to 30-day supplies 1,920 Days of Medication total across all patients in 2023 | |||
| Primidone | 25 | $59.89 | ▼ Less 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 2023, this provider wrote 25 Medicare prescriptions for Primidone, about 74% of the volume of the typical Texas prescriber of this medication (34). Medicare paid an average of $59.89 per fill, versus $30.72 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 65 30-Day Fills standardized to 30-day supplies 1,950 Days of Medication total across all patients in 2023 | |||
| Phenytoin Sodium Extended | 25 | $60.40 | ≈ Typical |
About Phenytoin Sodium Extended: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. In 2023, this provider wrote 25 Medicare prescriptions for Phenytoin Sodium Extended, about the same volume as the typical Texas prescriber of this medication (23). Medicare paid an average of $60.40 per fill, versus $44.39 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 75 30-Day Fills standardized to 30-day supplies 2,250 Days of Medication total across all patients in 2023 | |||
| Levetiracetam ErLevetiracetam | 24 | $57.43▼ below TX avg | ≈ Typical |
About Levetiracetam Er: 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 2023, this provider wrote 24 Medicare prescriptions for Levetiracetam Er, about the same volume as the typical Texas prescriber of this medication (24). Medicare paid an average of $57.43 per fill, versus $112.68 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 50.2 30-Day Fills standardized to 30-day supplies 1,504 Days of Medication total across all patients in 2023 | |||
| RivastigmineRivastigmine Tartrate | 24 | $69.53▼ below TX avg | ≈ 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 2023, this provider wrote 24 Medicare prescriptions for Rivastigmine, about 89% of the volume of the typical Texas prescriber of this medication (27). Medicare paid an average of $69.53 per fill, versus $89.23 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2023 | |||
| ClopidogrelClopidogrel Bisulfate | 24 | $19.63 | ▼ Less than typical |
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 24 Medicare prescriptions for Clopidogrel, about a third of the volume of the typical Texas prescriber of this medication (64). Medicare paid an average of $19.63 per fill, versus $17.76 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 1,800 Days of Medication total across all patients in 2023 | |||
| Ropinirole Hcl | 22 | $37.88 | ▼ Less 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 works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 22 Medicare prescriptions for Ropinirole Hcl, about 73% of the volume of the typical Texas prescriber of this medication (30). Medicare paid an average of $37.88 per fill, versus $21.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 66 30-Day Fills standardized to 30-day supplies 1,980 Days of Medication total across all patients in 2023 | |||
| Zonisamide | 22 | $47.44 | ▼ Less than typical |
About Zonisamide: Zonisamide is used with other medications to prevent and control seizures (epilepsy). Show more ▾ Zonisamide is a sulfonamide anticonvulsant and a carbonic anhydrase inhibitor. It is unknown how zonisamide works to prevent seizures. A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization. In 2023, this provider wrote 22 Medicare prescriptions for Zonisamide, about 63% of the volume of the typical Texas prescriber of this medication (35). Medicare paid an average of $47.44 per fill, versus $45.06 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 34.8 30-Day Fills standardized to 30-day supplies 1,035 Days of Medication total across all patients in 2023 | |||
| Galantamine ErGalantamine Hbr | 22 | $165.34 | ▼ Less than typical |
About Galantamine Er: Galantamine is used to treat mild to moderate 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 restoring the balance of certain natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 22 Medicare prescriptions for Galantamine Er, about 67% of the volume of the typical Texas prescriber of this medication (33). Medicare paid an average of $165.34 per fill, versus $129.81 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2023 | |||
| Celecoxib | 22 | $57.55 | ▼ 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 2023, this provider wrote 22 Medicare prescriptions for Celecoxib, about half the volume of the typical Texas prescriber of this medication (39). Medicare paid an average of $57.55 per fill, versus $44.31 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 473 Days of Medication total across all patients in 2023 | |||
| Aimovig AutoinjectorErenumab-Aooe | 21 | $1,092.20 | ▼ 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. In 2023, this provider wrote 21 Medicare prescriptions for Aimovig Autoinjector, about 64% of the volume of the typical Texas prescriber of this medication (33). Medicare paid an average of $1,092.20 per fill, versus $924.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 28.4 30-Day Fills standardized to 30-day supplies 848 Days of Medication total across all patients in 2023 | |||
| UbrelvyUbrogepant | 20 | $1,283.78 | ≈ 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. In 2023, this provider wrote 20 Medicare prescriptions for Ubrelvy, about 83% of the volume of the typical Texas prescriber of this medication (24). Medicare paid an average of $1,283.78 per fill, versus $1,236.34 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 440 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 20 | $14.74▼ below TX avg | ▼ Less than typical |
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 20 Medicare prescriptions for Amitriptyline Hcl, about 71% of the volume of the typical Texas prescriber of this medication (28). Medicare paid an average of $14.74 per fill, versus $20.36 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. 52 30-Day Fills standardized to 30-day supplies 1,560 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 18 | $19.16 | ▼ Less than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 18 Medicare prescriptions for Trazodone Hcl, about a third of the volume of the typical Texas prescriber of this medication (64). Medicare paid an average of $19.16 per fill, versus $12.94 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023 | |||
| Pramipexole DihydrochloridePramipexole Di-Hcl | 18 | $47.80 | ▼ Less than 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 can 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). Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 18 Medicare prescriptions for Pramipexole Dihydrochloride, about 72% of the volume of the typical Texas prescriber of this medication (25). Medicare paid an average of $47.80 per fill, versus $19.94 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023 | |||
| NuplazidPimavanserin Tartrate | 16 | $4,812.67 | ▼ Less than typical |
About Nuplazid: Pimavanserin is used to treat the symptoms of a certain mental/mood disorder (psychosis) that might occur with Parkinson's disease. Show more ▾ It helps lessen symptoms such as seeing or hearing things that are not there (hallucinations) and false beliefs (delusions). Pimavanserin belongs to a class of drugs known as atypical antipsychotics, though it works differently from most other drugs in this class. In 2023, this provider wrote 16 Medicare prescriptions for Nuplazid, about half the volume of the typical Texas prescriber of this medication (29). Medicare paid an average of $4,812.67 per fill, versus $4,288.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023 | |||
| Rivastigmine | 15 | $231.66 | ▼ Less 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 2023, this provider wrote 15 Medicare prescriptions for Rivastigmine, about half the volume of the typical Texas prescriber of this medication (27). Medicare paid an average of $231.66 per fill, versus $89.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 870 Days of Medication total across all patients in 2023 | |||
| DilantinPhenytoin Sodium Extended | 15 | $185.65 | ≈ Typical |
About Dilantin: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. An anticonvulsant that is used to treat a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs. In 2023, this provider wrote 15 Medicare prescriptions for Dilantin, about 83% of the volume of the typical Texas prescriber of this medication (18). Medicare paid an average of $185.65 per fill, versus $164.26 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023 | |||
| Entacapone | 15 | $690.19 | ▼ Less than 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 2023, this provider wrote 15 Medicare prescriptions for Entacapone, about 65% of the volume of the typical Texas prescriber of this medication (23). Medicare paid an average of $690.19 per fill, versus $226.28 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023 | |||
| AptiomEslicarbazepine Acetate | 14 | $2,548.74 | ▼ Less than typical |
About Aptiom: Eslicarbazepine is used alone or with other medications to treat a certain type of seizure disorder (focal seizures). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Eslicarbazepine may reduce the number of seizures you have. In 2023, this provider wrote 14 Medicare prescriptions for Aptiom, about half the volume of the typical Texas prescriber of this medication (30). Medicare paid an average of $2,548.74 per fill, versus $1,443.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023 | |||
| Escitalopram Oxalate | 14 | $18.46 | ▼ Less than typical |
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 14 Medicare prescriptions for Escitalopram Oxalate, about a third of the volume of the typical Texas prescriber of this medication (50). Medicare paid an average of $18.46 per fill, versus $14.13 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023 | |||
| FingolimodFingolimod Hcl | 13 | $660.00▼ below TX avg | ≈ Typical |
About Fingolimod: This medication is used to treat multiple sclerosis-MS. Show more ▾ It 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 worsening and may prevent or delay disability. A sphingosine-derivative and IMMUNOSUPPRESSIVE AGENT that blocks the migration and homing of LYMPHOCYTES to the CENTRAL NERVOUS SYSTEM through its action on SPHINGOSINE 1-PHOSPHATE RECEPTORS. It is used in the treatment of MULTIPLE SCLEROSIS. In 2023, this provider wrote 13 Medicare prescriptions for Fingolimod, about 1.2 times the volume of the typical Texas prescriber of this medication (11). Medicare paid an average of $660.00 per fill, versus $4,690.15 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium ErDivalproex Sodium | 13 | $61.40▼ below TX avg | ▼ Less than typical |
About Divalproex Sodium Er: 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 2023, this provider wrote 13 Medicare prescriptions for Divalproex Sodium Er, about a third of the volume of the typical Texas prescriber of this medication (39). Medicare paid an average of $61.40 per fill, versus $89.65 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. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023 | |||
| NamzaricMemantine Hcl/Donepezil Hcl | 13 | $1,222.58 | ▼ Less than typical |
About Namzaric: This combination medication 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 product contains 2 medications. Memantine 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. Donepezil is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 13 Medicare prescriptions for Namzaric, about half the volume of the typical Texas prescriber of this medication (24). Medicare paid an average of $1,222.58 per fill, versus $584.43 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023 | |||
| Diazepam | 13 | $1.01▼ below TX avg | ▼ Less than typical |
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 13 Medicare prescriptions for Diazepam, about half the volume of the typical Texas prescriber of this medication (27). Medicare paid an average of $1.01 per fill, versus $7.76 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. 13 30-Day Fills standardized to 30-day supplies 37 Days of Medication total across all patients in 2023 | |||
| FycompaPerampanel | 12 | $1,250.74▼ below TX avg | ▼ Less than typical |
About Fycompa: Perampanel is used to treat certain types of seizures (including focal and generalized tonic-clonic seizures). Show more ▾ Perampanel belongs to a class of drugs known as anticonvulsants. In 2023, this provider wrote 12 Medicare prescriptions for Fycompa, about half the volume of the typical Texas prescriber of this medication (25). Medicare paid an average of $1,250.74 per fill, versus $1,270.64 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. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| HorizantGabapentin Enacarbil | 12 | $919.04▼ below TX avg | ▼ Less than typical |
About Horizant: This medication is used to treat moderate to severe restless legs syndrome. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection). This condition is called postherpetic neuralgia. Gabapentin enacarbil is changed by your body to gabapentin. Gabapentin belongs to a class of drugs known as anti-seizure or anticonvulsant drugs. In 2023, this provider wrote 12 Medicare prescriptions for Horizant, about 67% of the volume of the typical Texas prescriber of this medication (18). Medicare paid an average of $919.04 per fill, versus $997.47 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 12 30-Day Fills standardized to 30-day supplies 358 Days of Medication total across all patients in 2023 | |||
| Carbamazepine | 12 | $82.44 | ▼ Less than 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 2023, this provider wrote 12 Medicare prescriptions for Carbamazepine, about half the volume of the typical Texas prescriber of this medication (24). Medicare paid an average of $82.44 per fill, versus $66.68 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023 | |||
| Alprazolam | 12 | $1.30▼ below TX avg | ▼ Less than typical |
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 12 Medicare prescriptions for Alprazolam, about 18% of the volume of the typical Texas prescriber of this medication (68). Medicare paid an average of $1.30 per fill, versus $8.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 12 | $36.37▼ below TX avg | ▼ Less than typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 12 Medicare prescriptions for Bupropion Xl, about a third of the volume of the typical Texas prescriber of this medication (37). Medicare paid an average of $36.37 per fill, versus $37.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 30 30-Day Fills standardized to 30-day supplies 867 Days of Medication total across all patients in 2023 | |||
| Lamotrigine ErLamotrigine | 12 | $298.84▼ below TX avg | ▼ Less than typical |
About Lamotrigine Er: 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 2023, this provider wrote 12 Medicare prescriptions for Lamotrigine Er, about 67% of the volume of the typical Texas prescriber of this medication (18). Medicare paid an average of $298.84 per fill, versus $400.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TX average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 11 | $10.48 | ▼ Less than typical |
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. 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 2023, this provider wrote 11 Medicare prescriptions for Meloxicam, about 20% of the volume of the typical Texas prescriber of this medication (56). Medicare paid an average of $10.48 per fill, versus $6.87 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 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 2023 | |||
| Buspirone Hcl | 11 | $11.03▼ below TX avg | ▼ Less than typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 11 Medicare prescriptions for Buspirone Hcl, about a quarter of the volume of the typical Texas prescriber of this medication (44). Medicare paid an average of $11.03 per fill, versus $18.95 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. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
| Acetazolamide | 11 | $165.97 | ▼ Less than typical |
About Acetazolamide: Acetazolamide is used to prevent and reduce the symptoms of altitude sickness. Show more ▾ This medication can decrease headache, tiredness, nausea, dizziness, and shortness of breath that can occur when you climb quickly to high altitudes (generally above 10,000 feet/3,048 meters). It is particularly useful in situations when you cannot make a slow ascent. The best ways to prevent altitude sickness are climbing slowly, stopping for 24 hours during the climb to allow the body to adjust to the new height, and taking it easy the first 1 to 2 days. This medication is also used with other medications to treat high pressure inside the eye due to certain types of glaucoma. Acetazolamide belongs to a class of drugs known as carbonic anhydrase inhibitors. It works by decreasing the production of fluid inside the eye. It is also used to decrease a buildup of body fluids (edema) caused by heart failure or certain medications. Acetazolamide can work less well over time, so it is usually used only for a short period. It has also been used with other medications to treat certain types of seizures (petit mal and unlocalized seizures). One of the CARBONIC ANHYDRASE INHIBITORS that is sometimes effective against absence seizures. It is sometimes useful also as an adjunct in the treatment of tonic-clonic, myoclonic, and atonic seizures, particularly in women whose seizures occur or are exacerbated at specific times in the menstrual cycle. However, its usefulness is transient often because of rapid development of tolerance. Its antiepileptic effect may be due to its inhibitory effect on brain carbonic anhydrase, which leads to an increased transneuronal chloride gradient, increased chloride current, and increased inhibition. (From Smith and Reynard, Textbook of Pharmacology, 1991, p337) In 2023, this provider wrote 11 Medicare prescriptions for Acetazolamide, about half the volume of the typical Texas prescriber of this medication (21). Medicare paid an average of $165.97 per fill, versus $69.03 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 25 30-Day Fills standardized to 30-day supplies 723 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for AMY NAQUIN-CHAPPEL 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 Neurology prescribing approach at this Houston, 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 volume among TX prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
