ADRIAN B BIRLADEANU M.D.
Prescription History 1386818607
Physical Medicine & Rehabilitation - Pain Medicine in Lawrenceville, GA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ADRIAN B BIRLADEANU M.D., an active Pain Medicine specialist practicing in Lawrenceville, GA. Our medical registry currently tracks 40 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 6,787 documented patient claims. Among these therapy options, the most frequently utilized medication is Hydrocodone-Acetaminophen, which accounts for 1,708 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 GA PrescribersVs. GA Avg |
|---|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 1,708 | $23.57 | ▲ More than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 1,708 Medicare prescriptions for Hydrocodone-Acetaminophen, about 14 times the volume of the typical Georgia prescriber of this medication (123). Medicare paid an average of $23.57 per fill, versus $21.64 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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. 1,708.5 30-Day Fills standardized to 30-day supplies 49,485 Days of Medication total across all patients in 2023 | |||
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 1,238 | $29.59▼ below GA avg | ▲ More than typical |
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 1,238 Medicare prescriptions for Oxycodone-Acetaminophen, about 11 times the volume of the typical Georgia prescriber of this medication (114). Medicare paid an average of $29.59 per fill, versus $30.59 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 1,238 30-Day Fills standardized to 30-day supplies 35,665 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 414 | $17.05▼ below GA avg | ▲ 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 414 Medicare prescriptions for Gabapentin, about 3.6 times the volume of the typical Georgia prescriber of this medication (115). Medicare paid an average of $17.05 per fill, versus $19.38 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 436 30-Day Fills standardized to 30-day supplies 13,018 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 394 | $7.67 | ▲ More 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 2023, this provider wrote 394 Medicare prescriptions for Tramadol Hcl, about 5.6 times the volume of the typical Georgia prescriber of this medication (70). Medicare paid an average of $7.67 per fill, versus $7.28 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 394 30-Day Fills standardized to 30-day supplies 11,057 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 393 | $30.86▼ below GA avg | ▲ 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 393 Medicare prescriptions for Pregabalin, about 7.1 times the volume of the typical Georgia prescriber of this medication (55). Medicare paid an average of $30.86 per fill, versus $39.16 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 405 30-Day Fills standardized to 30-day supplies 11,915 Days of Medication total across all patients in 2023 | |||
| Oxycodone Hcl | 383 | $20.23▼ below GA avg | ▲ More than typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone 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 semisynthetic derivative of CODEINE. In 2023, this provider wrote 383 Medicare prescriptions for Oxycodone Hcl, about 4.3 times the volume of the typical Georgia prescriber of this medication (90). Medicare paid an average of $20.23 per fill, versus $29.14 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 383 30-Day Fills standardized to 30-day supplies 10,608 Days of Medication total across all patients in 2023 | |||
| Buprenorphine | 337 | $326.82▼ below GA avg | ▲ More than typical |
About Buprenorphine: This medication is used to help relieve severe ongoing pain (such as due to arthritis, chronic back pain). Show more ▾ Buprenorphine 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. The higher strengths of this drug (7.5, 10, 15, or 20 micrograms per hour patches) should be used only if you have been regularly taking moderate amounts of opioid pain medication. These strengths may cause overdose (even death) if used by a person who has not been regularly taking opioids. Do not use this medication to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use. In 2023, this provider wrote 337 Medicare prescriptions for Buprenorphine, about 6.1 times the volume of the typical Georgia prescriber of this medication (55). Medicare paid an average of $326.82 per fill, versus $335.14 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 337 30-Day Fills standardized to 30-day supplies 9,432 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 270 | $8.17▼ below GA avg | ▲ More 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 270 Medicare prescriptions for Tizanidine Hcl, about 4 times the volume of the typical Georgia prescriber of this medication (67). Medicare paid an average of $8.17 per fill, versus $12.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 288.5 30-Day Fills standardized to 30-day supplies 8,603 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 234 | $8.30▼ below GA 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 234 Medicare prescriptions for Cyclobenzaprine Hcl, about 5.3 times the volume of the typical Georgia prescriber of this medication (44). Medicare paid an average of $8.30 per fill, versus $13.24 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 242 30-Day Fills standardized to 30-day supplies 7,260 Days of Medication total across all patients in 2023 | |||
| Morphine Sulfate ErMorphine Sulfate | 174 | $25.68▼ below GA avg | ▲ More than typical |
About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾ Morphine 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. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 174 Medicare prescriptions for Morphine Sulfate Er, about 2.1 times the volume of the typical Georgia prescriber of this medication (81). Medicare paid an average of $25.68 per fill, versus $39.63 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 174 30-Day Fills standardized to 30-day supplies 5,151 Days of Medication total across all patients in 2023 | |||
| BelbucaBuprenorphine Hcl | 129 | $795.30 | ▲ More than typical |
About Belbuca: Buprenorphine is used to help relieve severe ongoing pain. Show more ▾ Buprenorphine 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. Do not use this medication to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use. In 2023, this provider wrote 129 Medicare prescriptions for Belbuca, about 2.3 times the volume of the typical Georgia prescriber of this medication (55). Medicare paid an average of $795.30 per fill, versus $746.29 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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. 129 30-Day Fills standardized to 30-day supplies 3,870 Days of Medication total across all patients in 2023 | |||
| Baclofen | 115 | $11.04▼ below GA avg | ▲ More than typical |
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2023, this provider wrote 115 Medicare prescriptions for Baclofen, about 2.3 times the volume of the typical Georgia prescriber of this medication (50). Medicare paid an average of $11.04 per fill, versus $26.27 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 122 30-Day Fills standardized to 30-day supplies 3,620 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl ErTramadol Hcl | 103 | $71.57▼ below GA avg | ▲ More than typical |
About Tramadol Hcl Er: See also Warning section. Show more ▾ This medication is used to help relieve severe ongoing 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 2023, this provider wrote 103 Medicare prescriptions for Tramadol Hcl Er, about 3.2 times the volume of the typical Georgia prescriber of this medication (32). Medicare paid an average of $71.57 per fill, versus $98.68 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 103 30-Day Fills standardized to 30-day supplies 3,036 Days of Medication total across all patients in 2023 | |||
| Diclofenac Sodium | 80 | $24.36▼ below GA avg | ▲ More than typical |
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). 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. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2023, this provider wrote 80 Medicare prescriptions for Diclofenac Sodium, about 1.6 times the volume of the typical Georgia prescriber of this medication (51). Medicare paid an average of $24.36 per fill, versus $31.76 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 80.8 30-Day Fills standardized to 30-day supplies 2,288 Days of Medication total across all patients in 2023 | |||
| RelistorMethylnaltrexone Bromide | 72 | $2,452.17▼ below GA avg | ▲ More than typical |
About Relistor: This medication is used to treat constipation caused by opioid medication. Show more ▾ It blocks the effect of opioids on the gut without blocking the effect on pain. Methylnaltrexone belongs to a class of medications known as opioid antagonists. In 2023, this provider wrote 72 Medicare prescriptions for Relistor, about 2.3 times the volume of the typical Georgia prescriber of this medication (31). Medicare paid an average of $2,452.17 per fill, versus $2,578.55 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 74 30-Day Fills standardized to 30-day supplies 2,195 Days of Medication total across all patients in 2023 | |||
| OxycontinOxycodone Hcl | 71 | $543.43▼ below GA avg | ▲ More than typical |
About Oxycontin: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Oxycodone 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. The higher strengths of this drug (more than 40 milligrams per tablet) should be used only if you have been regularly taking moderate to large amounts of an opioid pain medication. These strengths may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 71 Medicare prescriptions for Oxycontin, about 2.1 times the volume of the typical Georgia prescriber of this medication (34). Medicare paid an average of $543.43 per fill, versus $764.61 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 71 30-Day Fills standardized to 30-day supplies 2,018 Days of Medication total across all patients in 2023 | |||
| Acetaminophen-CodeineAcetaminophen With Codeine | 64 | $20.75 | ▲ More 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 2023, this provider wrote 64 Medicare prescriptions for Acetaminophen-Codeine, about 2 times the volume of the typical Georgia prescriber of this medication (32). Medicare paid an average of $20.75 per fill, versus $12.79 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 1,674 Days of Medication total across all patients in 2023 | |||
| Celecoxib | 64 | $49.74 | ▲ More 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 64 Medicare prescriptions for Celecoxib, about 1.6 times the volume of the typical Georgia prescriber of this medication (40). Medicare paid an average of $49.74 per fill, versus $42.96 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 2,160 Days of Medication total across all patients in 2023 | |||
| Methocarbamol | 50 | $10.67▼ below GA avg | ▲ More 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 2023, this provider wrote 50 Medicare prescriptions for Methocarbamol, about 1.6 times the volume of the typical Georgia prescriber of this medication (31). Medicare paid an average of $10.67 per fill, versus $12.03 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average GA 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 GA average for this medication. 50 30-Day Fills standardized to 30-day supplies 1,474 Days of Medication total across all patients in 2023 | |||
| Xtampza ErOxycodone Myristate | 49 | $403.26▼ below GA avg | ≈ Typical |
About Xtampza Er: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Oxycodone 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. Higher doses of this drug (more than 36 milligrams per dose or 72 milligrams per day) should be used only if you have been regularly taking moderate to large amounts of an opioid medication. These doses may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. In 2023, this provider wrote 49 Medicare prescriptions for Xtampza Er, about 88% of the volume of the typical Georgia prescriber of this medication (56). Medicare paid an average of $403.26 per fill, versus $613.26 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA 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 GA average for this medication. 49 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 46 | $6.03 | ▼ 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 46 Medicare prescriptions for Meloxicam, about 72% of the volume of the typical Georgia prescriber of this medication (64). Medicare paid an average of $6.03 per fill, versus $5.80 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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. 56 30-Day Fills standardized to 30-day supplies 1,680 Days of Medication total across all patients in 2023 | |||
| Lidocaine | 35 | $156.33▼ below GA avg | ≈ Typical |
About Lidocaine: This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). Show more ▾ It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a temporary loss of feeling in the area where you apply the patch. A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE. In 2023, this provider wrote 35 Medicare prescriptions for Lidocaine, about the same volume as the typical Georgia prescriber of this medication (31). Medicare paid an average of $156.33 per fill, versus $167.36 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA 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 GA average for this medication. 40 30-Day Fills standardized to 30-day supplies 1,165 Days of Medication total across all patients in 2023 | |||
| MovantikNaloxegol Oxalate | 32 | $516.14 | ≈ Typical |
About Movantik: This medication is used to treat constipation caused by opioid medications in people with ongoing pain that is not caused by cancer. Show more ▾ It blocks the effect of opioids on the gut without blocking the effect on pain. Naloxegol belongs to a class of drugs known as opioid antagonists. In 2023, this provider wrote 32 Medicare prescriptions for Movantik, about 1.2 times the volume of the typical Georgia prescriber of this medication (26). Medicare paid an average of $516.14 per fill, versus $435.65 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 38 30-Day Fills standardized to 30-day supplies 1,140 Days of Medication total across all patients in 2023 | |||
| ZtlidoLidocaine | 31 | $795.64 | ▼ Less than typical |
About Ztlido: This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). Show more ▾ It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a temporary loss of feeling in the area where you apply the patch. A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE. In 2023, this provider wrote 31 Medicare prescriptions for Ztlido, about 70% of the volume of the typical Georgia prescriber of this medication (44). Medicare paid an average of $795.64 per fill, versus $629.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 930 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 30 | $18.19▼ below GA avg | ▼ Less 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 30 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Georgia prescriber of this medication (59). Medicare paid an average of $18.19 per fill, versus $39.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2023 | |||
| Methylprednisolone | 30 | $6.62▼ below GA avg | ≈ 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 75% of the volume of the typical Georgia prescriber of this medication (40). Medicare paid an average of $6.62 per fill, versus $8.81 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA 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 GA average for this medication. 30 30-Day Fills standardized to 30-day supplies 180 Days of Medication total across all patients in 2023 | |||
| Cephalexin | 29 | $4.01▼ below GA avg | ≈ Typical |
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2023, this provider wrote 29 Medicare prescriptions for Cephalexin, about the same volume as the typical Georgia prescriber of this medication (31). Medicare paid an average of $4.01 per fill, versus $7.99 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA 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 GA average for this medication. 29 30-Day Fills standardized to 30-day supplies 209 Days of Medication total across all patients in 2023 | |||
| Hydromorphone Hcl | 28 | $16.03▼ below GA avg | ▼ Less than typical |
About Hydromorphone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Hydromorphone 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. An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine. In 2023, this provider wrote 28 Medicare prescriptions for Hydromorphone Hcl, about 67% of the volume of the typical Georgia prescriber of this medication (42). Medicare paid an average of $16.03 per fill, versus $25.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 28 30-Day Fills standardized to 30-day supplies 799 Days of Medication total across all patients in 2023 | |||
| Ibuprofen | 22 | $6.71▼ below GA avg | ▼ Less than typical |
About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾ When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen 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, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties In 2023, this provider wrote 22 Medicare prescriptions for Ibuprofen, about 65% of the volume of the typical Georgia prescriber of this medication (34). Medicare paid an average of $6.71 per fill, versus $8.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023 | |||
| Ondansetron Hcl | 20 | $24.00 | ≈ Typical |
About Ondansetron Hcl: 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. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. In 2023, this provider wrote 20 Medicare prescriptions for Ondansetron Hcl, about 87% of the volume of the typical Georgia prescriber of this medication (23). Medicare paid an average of $24.00 per fill, versus $9.69 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023 | |||
| Nortriptyline Hcl | 20 | $20.51 | ≈ Typical |
About Nortriptyline 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, 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) in the brain. In 2023, this provider wrote 20 Medicare prescriptions for Nortriptyline Hcl, about 80% of the volume of the typical Georgia prescriber of this medication (25). Medicare paid an average of $20.51 per fill, versus $15.71 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA 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 600 Days of Medication total across all patients in 2023 | |||
| Methadone Hcl | 20 | $11.30▼ below GA avg | ▼ Less than typical |
About Methadone Hcl: This medication is used to treat addiction to opioids (such as heroin) as part of an approved treatment program. Show more ▾ Methadone belongs to a class of drugs known as opioid analgesics. It helps prevent withdrawal symptoms caused by stopping other opioids. A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3) In 2023, this provider wrote 20 Medicare prescriptions for Methadone Hcl, about a third of the volume of the typical Georgia prescriber of this medication (53). Medicare paid an average of $11.30 per fill, versus $21.58 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 20 30-Day Fills standardized to 30-day supplies 569 Days of Medication total across all patients in 2023 | |||
| Butalbital-Aspirin-CaffeineButalbital/Aspirin/Caffeine | 16 | $69.09▼ below GA avg | ≈ Typical |
About Butalbital-Aspirin-Caffeine: This combination medication is used to treat tension headaches. Show more ▾ Aspirin helps to decrease the pain from the headache. Caffeine helps increase the effects of aspirin. Butalbital is a sedative that helps to decrease anxiety and cause sleepiness and relaxation. In 2023, this provider wrote 16 Medicare prescriptions for Butalbital-Aspirin-Caffeine, about the same volume as the typical Georgia prescriber of this medication (16). Medicare paid an average of $69.09 per fill, versus $76.00 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA 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 GA average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023 | |||
| ButransBuprenorphine | 14 | $604.38▼ below GA avg | ≈ Typical |
About Butrans: This medication is used to help relieve severe ongoing pain (such as due to arthritis, chronic back pain). Show more ▾ Buprenorphine 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. The higher strengths of this drug (7.5, 10, 15, or 20 micrograms per hour patches) should be used only if you have been regularly taking moderate amounts of opioid pain medication. These strengths may cause overdose (even death) if used by a person who has not been regularly taking opioids. Do not use this medication to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use. In 2023, this provider wrote 14 Medicare prescriptions for Butrans, about 78% of the volume of the typical Georgia prescriber of this medication (18). Medicare paid an average of $604.38 per fill, versus $726.96 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA 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 GA average for this medication. 14 30-Day Fills standardized to 30-day supplies 392 Days of Medication total across all patients in 2023 | |||
| Nucynta ErTapentadol Hcl | 13 | $1,045.13▼ below GA avg | ▼ Less than typical |
About Nucynta Er: This medication is used to help relieve ongoing severe pain. Show more ▾ Tapentadol is an opioid pain reliever. It acts on certain centers in the brain to give you pain relief. Tapentadol may also be used to help relieve nerve pain (peripheral neuropathy) in people with diabetes. Do not use this medication to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. An opioid analgesic, MU OPIOID RECEPTOR agonist, and noradrenaline reuptake inhibitor that is used in the treatment of moderate to severe pain, and of pain associated with DIABETIC NEUROPATHIES. In 2023, this provider wrote 13 Medicare prescriptions for Nucynta Er, about a third of the volume of the typical Georgia prescriber of this medication (32). Medicare paid an average of $1,045.13 per fill, versus $1,210.61 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 13 30-Day Fills standardized to 30-day supplies 374 Days of Medication total across all patients in 2023 | |||
| Topiramate | 13 | $6.03▼ below GA avg | ▼ Less 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 13 Medicare prescriptions for Topiramate, about a third of the volume of the typical Georgia prescriber of this medication (38). Medicare paid an average of $6.03 per fill, versus $16.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 24.8 30-Day Fills standardized to 30-day supplies 744 Days of Medication total across all patients in 2023 | |||
| Ondansetron OdtOndansetron | 12 | $10.55▼ below GA avg | ▼ Less 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 12 Medicare prescriptions for Ondansetron Odt, about half the volume of the typical Georgia prescriber of this medication (28). Medicare paid an average of $10.55 per fill, versus $22.53 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| PercocetOxycodone Hcl/Acetaminophen | 12 | $2,325.51▼ below GA avg | ≈ Typical |
About Percocet: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 12 Medicare prescriptions for Percocet, about 86% of the volume of the typical Georgia prescriber of this medication (14). Medicare paid an average of $2,325.51 per fill, versus $3,792.88 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average GA 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 GA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Fentanyl | 11 | $43.24▼ below GA avg | ▼ Less than typical |
About Fentanyl: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Fentanyl 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. Do not use the patch form of fentanyl to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078) In 2023, this provider wrote 11 Medicare prescriptions for Fentanyl, about a quarter of the volume of the typical Georgia prescriber of this medication (44). Medicare paid an average of $43.24 per fill, versus $110.92 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 11 | $8.53▼ below GA avg | ▼ 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 11 Medicare prescriptions for Trazodone Hcl, about 14% of the volume of the typical Georgia prescriber of this medication (77). Medicare paid an average of $8.53 per fill, versus $11.35 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average GA 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 GA average for this medication. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for ADRIAN B BIRLADEANU M.D. 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 Pain Medicine prescribing approach at this Lawrenceville, GA 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 GA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
