MRS. TINYEE TSAI CHANG MD
Prescription History 1386861409
Dermatology in Redding, CA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MRS. TINYEE TSAI CHANG MD, an active Dermatology specialist practicing in Redding, CA. Our medical registry currently tracks 39 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,135 documented patient claims. Among these therapy options, the most frequently utilized medication is Triamcinolone Acetonide, which accounts for 559 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other CA PrescribersVs. CA Avg |
|---|---|---|---|
| Triamcinolone Acetonide | 559 | $9.60▼ below CA avg | ▲ More than typical |
About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾ Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions. In 2023, this provider wrote 559 Medicare prescriptions for Triamcinolone Acetonide, about 13 times the volume of the typical California prescriber of this medication (42). Medicare paid an average of $9.60 per fill, versus $12.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 700.2 30-Day Fills standardized to 30-day supplies 20,788 Days of Medication total across all patients in 2023 | |||
| Doxycycline Hyclate | 183 | $52.06 | ▲ More than typical |
About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾ This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity. In 2023, this provider wrote 183 Medicare prescriptions for Doxycycline Hyclate, about 6.8 times the volume of the typical California prescriber of this medication (27). Medicare paid an average of $52.06 per fill, versus $30.50 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 191 30-Day Fills standardized to 30-day supplies 5,684 Days of Medication total across all patients in 2023 | |||
| Clobetasol Propionate | 159 | $44.62▼ below CA avg | ▲ More than typical |
About Clobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Show more ▾ Clobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high-potency) corticosteroid. A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression. In 2023, this provider wrote 159 Medicare prescriptions for Clobetasol Propionate, about 4.8 times the volume of the typical California prescriber of this medication (33). Medicare paid an average of $44.62 per fill, versus $80.04 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 173.7 30-Day Fills standardized to 30-day supplies 4,810 Days of Medication total across all patients in 2023 | |||
| Dupixent PenDupilumab | 153 | $3,873.70 | ▲ More than typical |
About Dupixent Pen: This medication is used to treat certain skin conditions (eczema, prurigo nodularis) and a certain esophagus problem (eosinophilic esophagitis). Show more ▾ It is also used along with other medications to help control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. In addition, dupilumab may be used to reduce symptoms caused by nasal polyps and the long-term swelling of the sinuses and nasal passage (chronic rhinosinusitis with nasal polyposis). Dupilumab belongs to a class of drugs known as monoclonal antibodies. It works by blocking certain natural proteins in your body (interleukin-4 and interleukin-13) that may cause inflammation and swelling. This medication should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. In 2023, this provider wrote 153 Medicare prescriptions for Dupixent Pen, about 7 times the volume of the typical California prescriber of this medication (22). Medicare paid an average of $3,873.70 per fill, versus $3,664.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 163.6 30-Day Fills standardized to 30-day supplies 4,592 Days of Medication total across all patients in 2023 | |||
| Dupixent SyringeDupilumab | 99 | $3,819.24 | ▲ More than typical |
About Dupixent Syringe: This medication is used to treat certain skin conditions (eczema, prurigo nodularis) and a certain esophagus problem (eosinophilic esophagitis). Show more ▾ It is also used along with other medications to help control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. In addition, dupilumab may be used to reduce symptoms caused by nasal polyps and the long-term swelling of the sinuses and nasal passage (chronic rhinosinusitis with nasal polyposis). Dupilumab belongs to a class of drugs known as monoclonal antibodies. It works by blocking certain natural proteins in your body (interleukin-4 and interleukin-13) that may cause inflammation and swelling. This medication should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. In 2023, this provider wrote 99 Medicare prescriptions for Dupixent Syringe, about 4 times the volume of the typical California prescriber of this medication (25). Medicare paid an average of $3,819.24 per fill, versus $3,687.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 100.8 30-Day Fills standardized to 30-day supplies 2,828 Days of Medication total across all patients in 2023 | |||
| Fluorouracil | 94 | $113.31 | ▲ More than typical |
About Fluorouracil: Fluorouracil is used to treat various types of cancer. Show more ▾ It is a chemotherapy drug that is used to slow or stop cancer cell growth. A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid. In 2023, this provider wrote 94 Medicare prescriptions for Fluorouracil, about 2.1 times the volume of the typical California prescriber of this medication (44). Medicare paid an average of $113.31 per fill, versus $90.21 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 99.8 30-Day Fills standardized to 30-day supplies 2,889 Days of Medication total across all patients in 2023 | |||
| Betamethasone Dipropionate | 82 | $70.55▼ below CA avg | ▲ More than typical |
About Betamethasone Dipropionate: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Betamethasone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong corticosteroid. In 2023, this provider wrote 82 Medicare prescriptions for Betamethasone Dipropionate, about 2.6 times the volume of the typical California prescriber of this medication (32). Medicare paid an average of $70.55 per fill, versus $72.49 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 99.1 30-Day Fills standardized to 30-day supplies 2,853 Days of Medication total across all patients in 2023 | |||
| Taltz AutoinjectorIxekizumab | 57 | $6,906.25▼ below CA avg | ▲ More than typical |
About Taltz Autoinjector: This medication is used to treat plaque psoriasis and certain types of arthritis (psoriatic arthritis, ankylosing spondylitis, axial spondyloarthritis). Show more ▾ Ixekizumab belongs to a class of drugs known as monoclonal antibodies. It works by blocking a certain natural protein in your body (interleukin-17A) that may cause inflammation and swelling. In 2023, this provider wrote 57 Medicare prescriptions for Taltz Autoinjector, about 3 times the volume of the typical California prescriber of this medication (19). Medicare paid an average of $6,906.25 per fill, versus $7,022.24 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,596 Days of Medication total across all patients in 2023 | |||
| Mupirocin | 51 | $8.82▼ below CA avg | ▲ More than typical |
About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾ It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing. In 2023, this provider wrote 51 Medicare prescriptions for Mupirocin, about 1.6 times the volume of the typical California prescriber of this medication (31). Medicare paid an average of $8.82 per fill, versus $10.85 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 51 30-Day Fills standardized to 30-day supplies 710 Days of Medication total across all patients in 2023 | |||
| Metronidazole | 50 | $72.70 | ▲ More than typical |
About Metronidazole: This medication is used on the skin to treat a certain skin disorder known as rosacea, a type of adult acne. Show more ▾ It may help to decrease redness, swelling and the number of pimples caused by rosacea. This medication is an antibiotic. For the treatment of rosacea, metronidazole is believed to work by decreasing swelling (inflammation). Some brands of this medication also contain sunscreens (see also Notes section). A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS. In 2023, this provider wrote 50 Medicare prescriptions for Metronidazole, about 3.6 times the volume of the typical California prescriber of this medication (14). Medicare paid an average of $72.70 per fill, versus $18.52 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 51 30-Day Fills standardized to 30-day supplies 1,352 Days of Medication total across all patients in 2023 | |||
| Montelukast Sodium | 47 | $11.03▼ below CA avg | ≈ Typical |
About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾ It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways. In 2023, this provider wrote 47 Medicare prescriptions for Montelukast Sodium, about the same volume as the typical California prescriber of this medication (48). Medicare paid an average of $11.03 per fill, versus $17.68 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 81 30-Day Fills standardized to 30-day supplies 2,430 Days of Medication total across all patients in 2023 | |||
| Mometasone Furoate | 46 | $27.76▼ below CA avg | ▲ More than typical |
About Mometasone Furoate: Mometasone is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. Show more ▾ This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. Mometasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Controlling symptoms of breathing problems can decrease time lost from work or school. A pregnadienediol derivative ANTI-ALLERGIC AGENT and ANTI-INFLAMMATORY AGENT that is used in the management of ASTHMA and ALLERGIC RHINITIS. It is also used as a topical treatment for skin disorders. In 2023, this provider wrote 46 Medicare prescriptions for Mometasone Furoate, about 1.4 times the volume of the typical California prescriber of this medication (32). Medicare paid an average of $27.76 per fill, versus $52.38 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 62 30-Day Fills standardized to 30-day supplies 1,801 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 44 | $7.75▼ below CA avg | ▲ More than typical |
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 44 Medicare prescriptions for Hydroxyzine Hcl, about 1.7 times the volume of the typical California prescriber of this medication (26). Medicare paid an average of $7.75 per fill, versus $17.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,680 Days of Medication total across all patients in 2023 | |||
| ValacyclovirValacyclovir Hcl | 36 | $65.97 | ▲ More than typical |
About Valacyclovir: Valacyclovir is used to treat infections caused by certain types of viruses. Show more ▾ In children, it is used to treat cold sores around the mouth (caused by herpes simplex) and chickenpox (caused by varicella zoster). In adults, it is used to treat shingles (caused by herpes zoster) and cold sores around the mouth. Valacyclovir is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, this medication is used to reduce the number of future episodes. Valacyclovir is an antiviral drug. It stops the growth of certain viruses. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Valacyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. A prodrug of acyclovir that is used in the treatment of HERPES ZOSTER and HERPES SIMPLEX VIRUS INFECTION of the skin and mucous membranes, including GENITAL HERPES. In 2023, this provider wrote 36 Medicare prescriptions for Valacyclovir, about 1.7 times the volume of the typical California prescriber of this medication (21). Medicare paid an average of $65.97 per fill, versus $52.83 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 57.1 30-Day Fills standardized to 30-day supplies 1,534 Days of Medication total across all patients in 2023 | |||
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 33 | $35.52▼ below CA avg | ≈ Typical |
About Clotrimazole-Betamethasone: This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Show more ▾ This product contains 2 medications. Clotrimazole is an azole antifungal that works by preventing the growth of fungus. Betamethasone is a strong corticosteroid that works by reducing the swelling, redness, and itching that occurs in the skin infection. This medication is not recommended for children younger than 17 years or for diaper rash. In 2023, this provider wrote 33 Medicare prescriptions for Clotrimazole-Betamethasone, about 1.2 times the volume of the typical California prescriber of this medication (28). Medicare paid an average of $35.52 per fill, versus $37.16 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 37.7 30-Day Fills standardized to 30-day supplies 984 Days of Medication total across all patients in 2023 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 32 | $9.98 | ▲ More than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS. In 2023, this provider wrote 32 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 1.3 times the volume of the typical California prescriber of this medication (25). Medicare paid an average of $9.98 per fill, versus $5.87 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 40 30-Day Fills standardized to 30-day supplies 1,160 Days of Medication total across all patients in 2023 | |||
| Ciclopirox | 32 | $36.04▼ below CA avg | ≈ Typical |
About Ciclopirox: This medication is used to treat fungal infections of the fingernails and toenails. Show more ▾ It is used as part of a treatment program that may include the removal of unattached, infected nails by a health care professional. Ciclopirox works by stopping the growth of fungus. A cyclohexane and pyridinone derivative that is used for the treatment of fungal infections of the skin and nails, and for treatment of VAGINAL YEAST INFECTIONS. In 2023, this provider wrote 32 Medicare prescriptions for Ciclopirox, about the same volume as the typical California prescriber of this medication (30). Medicare paid an average of $36.04 per fill, versus $36.05 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2023 | |||
| Tretinoin | 28 | $113.28▼ below CA avg | ▲ More than typical |
About Tretinoin: This medication is used to treat acne. Show more ▾ It may decrease the number and severity of acne pimples and promote quick healing of pimples that do develop. Tretinoin belongs to a class of medications called retinoids. It works by affecting the growth of skin cells. An important regulator of GENE EXPRESSION during growth and development, and in NEOPLASMS. Tretinoin, also known as retinoic acid and derived from maternal VITAMIN A, is essential for normal GROWTH; and EMBRYONIC DEVELOPMENT. An excess of tretinoin can be teratogenic. It is used in the treatment of PSORIASIS; ACNE VULGARIS; and several other SKIN DISEASES. It has also been approved for use in promyelocytic leukemia (LEUKEMIA, PROMYELOCYTIC, ACUTE). In 2023, this provider wrote 28 Medicare prescriptions for Tretinoin, about 1.6 times the volume of the typical California prescriber of this medication (17). Medicare paid an average of $113.28 per fill, versus $118.01 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 28 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2023 | |||
| Cosentyx Sensoready (2 Pens)Secukinumab | 28 | $8,357.44 | – No State Data |
About Cosentyx Sensoready (2 Pens): This medication is used to treat plaque psoriasis and certain types of arthritis (such as arthritis of the spine, psoriatic arthritis, axial spondyloarthritis, enthesitis-related arthritis). Show more ▾ Secukinumab belongs to a class of drugs known as monoclonal antibodies. It works by blocking a certain natural protein in your body (interleukin-17A) that may cause inflammation and swelling. In 2023, this provider wrote 28 Medicare prescriptions for Cosentyx Sensoready (2 Pens). Medicare paid an average of $8,357.44 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $8,357.44 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 28.5 30-Day Fills standardized to 30-day supplies 801 Days of Medication total across all patients in 2023 | |||
| Nystatin | 27 | $26.21▼ below CA avg | ≈ Typical |
About Nystatin: Nystatin is used to treat fungal skin infections. Show more ▾ Nystatin is an antifungal that works by stopping the growth of fungus. Macrolide antifungal antibiotic complex produced by Streptomyces noursei, S. aureus, and other Streptomyces species. The biologically active components of the complex are nystatin A1, A2, and A3. In 2023, this provider wrote 27 Medicare prescriptions for Nystatin, about 1.2 times the volume of the typical California prescriber of this medication (22). Medicare paid an average of $26.21 per fill, versus $26.29 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 29 30-Day Fills standardized to 30-day supplies 808 Days of Medication total across all patients in 2023 | |||
| Skyrizi PenRisankizumab-Rzaa | 23 | $19,711.58 | ▲ More than typical |
About Skyrizi Pen: This medication is used to treat plaque psoriasis and psoriatic arthritis. Show more ▾ It is also used to treat a certain bowel condition called Crohn's disease. Risankizumab belongs to a class of drugs known as monoclonal antibodies. It works by blocking a certain natural protein in your body (interleukin-23) that may cause inflammation and swelling. In 2023, this provider wrote 23 Medicare prescriptions for Skyrizi Pen, about 1.4 times the volume of the typical California prescriber of this medication (16). Medicare paid an average of $19,711.58 per fill, versus $19,608.68 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 59 30-Day Fills standardized to 30-day supplies 1,764 Days of Medication total across all patients in 2023 | |||
| Ivermectin | 23 | $459.81 | ≈ Typical |
About Ivermectin: This medication is used to treat certain parasitic roundworm infections. Show more ▾ Curing parasitic infections helps to improve your quality of life. In people with weakened defense (immune) systems, curing roundworm infections can reduce the risk of developing a severe or life-threatening infection. Ivermectin belongs to a class of drugs known as antihelmintics. It works by paralyzing and killing parasites. Ivermectin is not recommended for coronavirus disease, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A mixture of mostly avermectin H2B1a (RN 71827-03-7) with some avermectin H2B1b (RN 70209-81-3), which are macrolides from STREPTOMYCES avermitilis. It binds glutamate-gated chloride channel to cause increased permeability and hyperpolarization of nerve and muscle cells. It also interacts with other CHLORIDE CHANNELS. It is a broad spectrum antiparasitic that is active against microfilariae of ONCHOCERCA VOLVULUS but not the adult form. In 2023, this provider wrote 23 Medicare prescriptions for Ivermectin, about the same volume as the typical California prescriber of this medication (22). Medicare paid an average of $459.81 per fill, versus $128.47 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 31 30-Day Fills standardized to 30-day supplies 915 Days of Medication total across all patients in 2023 | |||
| Humira(Cf) PenAdalimumab | 21 | $9,336.80 | ▼ Less than typical |
About Humira(Cf) Pen: Adalimumab is used to reduce pain and swelling due to certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, ankylosing spondylitis). Show more ▾ This medication is also used to treat certain skin disorders (such as plaque-type psoriasis, hidradenitis suppurativa). It works by blocking a protein (tumor necrosis factor or TNF) found in the body's immune system that causes joint swelling and damage in arthritis as well as red scaly patches in psoriasis. Adalimumab belongs to a class of drugs known as TNF blockers. By reducing joint swelling, this medication helps to reduce further joint damage and preserve joint function. Adalimumab is also used to treat certain bowel conditions (Crohn's disease, ulcerative colitis) and a certain eye disease (uveitis). A humanized monoclonal antibody that binds specifically to TNF-ALPHA and blocks its interaction with endogenous TNF RECEPTORS to modulate INFLAMMATION. It is used in the treatment of RHEUMATOID ARTHRITIS; PSORIATIC ARTHRITIS; CROHN'S DISEASE and ULCERATIVE COLITIS. In 2023, this provider wrote 21 Medicare prescriptions for Humira(Cf) Pen, about 62% of the volume of the typical California prescriber of this medication (34). Medicare paid an average of $9,336.80 per fill, versus $8,031.34 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 588 Days of Medication total across all patients in 2023 | |||
| Ketoconazole | 21 | $19.50▼ below CA avg | ▼ Less than typical |
About Ketoconazole: This medication is used to control dandruff. Show more ▾ Use of this medication may help to relieve the flaking, scaling and itching associated with dandruff. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Ketoconazole 2% shampoo is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients. In 2023, this provider wrote 21 Medicare prescriptions for Ketoconazole, about half the volume of the typical California prescriber of this medication (46). Medicare paid an average of $19.50 per fill, versus $34.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 26 30-Day Fills standardized to 30-day supplies 700 Days of Medication total across all patients in 2023 | |||
| Imiquimod | 20 | $42.03 | ▼ Less than typical |
About Imiquimod: This medication is used to treat certain types of growths on the skin. Show more ▾ These are precancerous growths (actinic keratoses), a certain type of skin cancer (superficial basal cell carcinoma), and warts on the outside of the genitals/anus. Treating these conditions can decrease complications from them. Imiquimod belongs to a group of drugs called immune response modifiers. It is believed to work by helping to activate your immune system to fight these abnormal skin growths. This product is not recommended for use on children under 12 years of age unless specifically directed by your doctor. A topically-applied aminoquinoline immune modulator that induces interferon production. It is used in the treatment of external genital and perianal warts, superficial CARCINOMA, BASAL CELL; and ACTINIC KERATOSIS. In 2023, this provider wrote 20 Medicare prescriptions for Imiquimod, about 69% of the volume of the typical California prescriber of this medication (29). Medicare paid an average of $42.03 per fill, versus $41.29 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 576 Days of Medication total across all patients in 2023 | |||
| JubliaEfinaconazole | 18 | $1,220.49 | ▼ Less than typical |
About Jublia: This medication is used to treat toenail infection caused by fungus. Show more ▾ It works by stopping the growth of certain types of fungus. Efinaconazole belongs to a class of drugs known as azole antifungals. This medication treats only fungal infections. It will not work for other types of infection, such as those caused by bacteria. Unnecessary use or overuse of any drug used to treat infection can lead to its decreased effectiveness. In 2023, this provider wrote 18 Medicare prescriptions for Jublia, about 72% of the volume of the typical California prescriber of this medication (25). Medicare paid an average of $1,220.49 per fill, versus $1,014.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 18.1 30-Day Fills standardized to 30-day supplies 543 Days of Medication total across all patients in 2023 | |||
| Doxepin Hcl | 16 | $18.36▼ below CA avg | ▼ Less than typical |
About Doxepin Hcl: This medication is used to treat mental/mood problems such as depression and anxiety. 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) in the brain. In 2023, this provider wrote 16 Medicare prescriptions for Doxepin Hcl, about 73% of the volume of the typical California prescriber of this medication (22). Medicare paid an average of $18.36 per fill, versus $86.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023 | |||
| Azelaic Acid | 16 | $153.14 | ≈ Typical |
About Azelaic Acid: This medication is used to treat a certain skin condition called rosacea. Show more ▾ It helps to reduce the number of inflamed skin lesions. In 2023, this provider wrote 16 Medicare prescriptions for Azelaic Acid, about the same volume as the typical California prescriber of this medication (17). Medicare paid an average of $153.14 per fill, versus $150.83 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 475 Days of Medication total across all patients in 2023 | |||
| Gentamicin Sulfate | 15 | $23.13▼ below CA avg | ▼ Less than typical |
About Gentamicin Sulfate: This medication is used to treat bacterial infections (such as blepharitis, conjunctivitis) of the eye and the skin around the eyes (such as eyelids). Show more ▾ It is also used to prevent infection after eye injury or surgery. It belongs to a class of drugs known as aminoglycoside antibiotics. Gentamicin works by killing the bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. This drug should not be used in newborns due to an increased risk of serious side effects. A complex of closely related aminoglycosides obtained from MICROMONOSPORA purpurea and related species. They are broad-spectrum antibiotics, but may cause ear and kidney damage. They act to inhibit PROTEIN BIOSYNTHESIS. In 2023, this provider wrote 15 Medicare prescriptions for Gentamicin Sulfate, about half the volume of the typical California prescriber of this medication (26). Medicare paid an average of $23.13 per fill, versus $47.45 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 19.4 30-Day Fills standardized to 30-day supplies 530 Days of Medication total across all patients in 2023 | |||
| Fluocinonide | 14 | $28.09▼ below CA avg | ▼ Less than typical |
About Fluocinonide: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, psoriasis, allergies, rash). Show more ▾ Fluocinonide reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong corticosteroid. A topical glucocorticoid used in the treatment of ECZEMA. In 2023, this provider wrote 14 Medicare prescriptions for Fluocinonide, about a third of the volume of the typical California prescriber of this medication (38). Medicare paid an average of $28.09 per fill, versus $195.89 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 14 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Prednisone | 13 | $11.02 | ▼ Less than typical |
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2023, this provider wrote 13 Medicare prescriptions for Prednisone, about a third of the volume of the typical California prescriber of this medication (40). Medicare paid an average of $11.02 per fill, versus $8.18 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 592 Days of Medication total across all patients in 2023 | |||
| Terbinafine Hcl | 13 | $6.69▼ below CA avg | ▼ Less than typical |
About Terbinafine Hcl: Terbinafine is used to treat certain types of fungal infections (for example, of the fingernail or toenail). Show more ▾ It works by stopping the growth of fungus. This medication belongs to a class of drugs known as antifungals. In 2023, this provider wrote 13 Medicare prescriptions for Terbinafine Hcl, about half the volume of the typical California prescriber of this medication (24). Medicare paid an average of $6.69 per fill, versus $13.67 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 13 30-Day Fills standardized to 30-day supplies 283 Days of Medication total across all patients in 2023 | |||
| CimziaCertolizumab Pegol | 13 | $11,019.14 | ▼ Less than typical |
About Cimzia: This medication is used to reduce pain and swelling due to certain inflammatory conditions (such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, plaque psoriasis). Show more ▾ Some brands may also be used to treat a certain type of spine condition (axial spondyloarthritis) or a certain bowel condition (Crohn's disease). Certolizumab belongs to a class of drugs known as tumor necrosis factor (TNF) blockers. It works by blocking TNF, a substance made by the body that causes inflammation. A polyethylene-glycolated Fab' fragment of TUMOR NECROSIS FACTOR antibody that binds specifically to TNF-ALPHA and neutralises it in a dose-dependent manner. It also inhibits the production of lipopolysaccharide-induced TNF-ALPHA and IL-1 BETA and is used to treat RHEUMATOID ARTHRITIS and PSORIATIC ARTHRITIS. In 2023, this provider wrote 13 Medicare prescriptions for Cimzia, about 65% of the volume of the typical California prescriber of this medication (20). Medicare paid an average of $11,019.14 per fill, versus $6,265.10 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023 | |||
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 12 | $31.51▼ below CA avg | ▼ Less than typical |
About Betamethasone Diprop Augmented: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Betamethasone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong corticosteroid. In 2023, this provider wrote 12 Medicare prescriptions for Betamethasone Diprop Augmented, about 60% of the volume of the typical California prescriber of this medication (20). Medicare paid an average of $31.51 per fill, versus $111.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 12 30-Day Fills standardized to 30-day supplies 304 Days of Medication total across all patients in 2023 | |||
| Pimecrolimus | 12 | $313.62 | ▼ Less than typical |
About Pimecrolimus: Pimecrolimus is used to treat certain skin conditions such as eczema (atopic dermatitis) in people who should not use or have not responded to other eczema medications (such as topical steroids). Show more ▾ Eczema is an allergic-type condition that causes red, irritated, and itchy skin. This drug works by changing the skin's defense (immune) system, thereby decreasing the allergic reaction that causes eczema. Pimecrolimus belongs to a class of drugs known as topical calcineurin inhibitors (TCIs). This medication is not recommended if you have a history of a certain rare genetic disorder (Netherton's syndrome). Also, this medication should not be used by anyone who has a weakened immune system (such as following an organ transplant). In 2023, this provider wrote 12 Medicare prescriptions for Pimecrolimus, about half the volume of the typical California prescriber of this medication (21). Medicare paid an average of $313.62 per fill, versus $267.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 12 | $45.10 | ▼ Less than typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 12 Medicare prescriptions for Spironolactone, about a third of the volume of the typical California prescriber of this medication (34). Medicare paid an average of $45.10 per fill, versus $13.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2023 | |||
| MethotrexateMethotrexate Sodium | 11 | $47.05 | ▼ Less than typical |
About Methotrexate: Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma) or to control severe psoriasis or rheumatoid arthritis that has not responded to other treatments. Show more ▾ It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA. In 2023, this provider wrote 11 Medicare prescriptions for Methotrexate, about 12% of the volume of the typical California prescriber of this medication (93). Medicare paid an average of $47.05 per fill, versus $40.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 14.5 30-Day Fills standardized to 30-day supplies 426 Days of Medication total across all patients in 2023 | |||
| Hydroxychloroquine Sulfate | 11 | $39.26▼ below CA avg | ▼ Less than typical |
About Hydroxychloroquine Sulfate: Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. Show more ▾ The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis. Hydroxychloroquine is not recommended for coronavirus infection, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970) In 2023, this provider wrote 11 Medicare prescriptions for Hydroxychloroquine Sulfate, about 13% of the volume of the typical California prescriber of this medication (88). Medicare paid an average of $39.26 per fill, versus $68.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 23 30-Day Fills standardized to 30-day supplies 675 Days of Medication total across all patients in 2023 | |||
| Econazole Nitrate | 11 | $10.91▼ below CA avg | ▼ Less than typical |
About Econazole Nitrate: Econazole is used to treat a variety of fungal skin infections such as athlete's foot, jock itch, and ringworm. Show more ▾ This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Econazole is an azole antifungal that works by preventing the growth of fungus. An imidazole derivative that is commonly used as a topical antifungal agent. In 2023, this provider wrote 11 Medicare prescriptions for Econazole Nitrate, about half the volume of the typical California prescriber of this medication (25). Medicare paid an average of $10.91 per fill, versus $96.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the CA average for this medication. 11 30-Day Fills standardized to 30-day supplies 225 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for MRS. TINYEE TSAI CHANG MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Dermatology prescribing approach at this Redding, CA practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among CA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
