THOMAS R MERRING P.A.
Prescription History 1447507421
Physician Assistant in Wilmington, DE
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for THOMAS R MERRING P.A., an active Physician Assistant specialist practicing in Wilmington, DE. Our medical registry currently tracks 14 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,622 documented patient claims. Among these therapy options, the most frequently utilized medication is Hydromorphone Hcl, which accounts for 335 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 DE PrescribersVs. DE Avg |
|---|---|---|---|
| Hydromorphone Hcl | 335 | $4.48▼ below DE avg | ▲ More 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 335 Medicare prescriptions for Hydromorphone Hcl, about 7 times the volume of the typical Delaware prescriber of this medication (48). Medicare paid an average of $4.48 per fill, versus $17.43 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average DE 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 DE average for this medication. 335 30-Day Fills standardized to 30-day supplies 1,685 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 292 | $6.27▼ below DE 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 292 Medicare prescriptions for Gabapentin, about 3.7 times the volume of the typical Delaware prescriber of this medication (79). Medicare paid an average of $6.27 per fill, versus $21.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average DE 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 DE average for this medication. 306.1 30-Day Fills standardized to 30-day supplies 6,690 Days of Medication total across all patients in 2023 | |||
| Celecoxib | 267 | $25.81▼ below DE avg | ▲ 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 267 Medicare prescriptions for Celecoxib, about 7.9 times the volume of the typical Delaware prescriber of this medication (34). Medicare paid an average of $25.81 per fill, versus $52.26 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average DE 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 DE average for this medication. 275.5 30-Day Fills standardized to 30-day supplies 4,571 Days of Medication total across all patients in 2023 | |||
| Omeprazole | 215 | $11.17▼ below DE avg | ▲ More than typical |
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 215 Medicare prescriptions for Omeprazole, about 2.4 times the volume of the typical Delaware prescriber of this medication (91). Medicare paid an average of $11.17 per fill, versus $17.45 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average DE 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 DE average for this medication. 299.8 30-Day Fills standardized to 30-day supplies 8,994 Days of Medication total across all patients in 2023 | |||
| Diazepam | 168 | $1.87▼ below DE avg | ▲ More than typical |
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 168 Medicare prescriptions for Diazepam, about 6 times the volume of the typical Delaware prescriber of this medication (28). Medicare paid an average of $1.87 per fill, versus $7.38 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average DE 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 DE average for this medication. 168 30-Day Fills standardized to 30-day supplies 1,118 Days of Medication total across all patients in 2023 | |||
| Oxycodone Hcl | 62 | $5.86▼ below DE avg | ≈ 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 62 Medicare prescriptions for Oxycodone Hcl, about 85% of the volume of the typical Delaware prescriber of this medication (73). Medicare paid an average of $5.86 per fill, versus $25.97 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average DE 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 DE average for this medication. 62 30-Day Fills standardized to 30-day supplies 308 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 51 | $6.76 | ≈ 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 51 Medicare prescriptions for Meloxicam, about 1.2 times the volume of the typical Delaware prescriber of this medication (44). Medicare paid an average of $6.76 per fill, versus $6.70 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average DE 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. 71 30-Day Fills standardized to 30-day supplies 2,114 Days of Medication total across all patients in 2023 | |||
| Amoxicillin | 49 | $2.08▼ below DE avg | ≈ Typical |
About Amoxicillin: Amoxicillin is used to treat a wide variety of bacterial infections. Show more ▾ This medication is a penicillin-type 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. Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. A broad-spectrum semisynthetic antibiotic similar to AMPICILLIN except that its resistance to gastric acid permits higher serum levels with oral administration. In 2023, this provider wrote 49 Medicare prescriptions for Amoxicillin, about the same volume as the typical Delaware prescriber of this medication (43). Medicare paid an average of $2.08 per fill, versus $3.78 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average DE 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 DE average for this medication. 49 30-Day Fills standardized to 30-day supplies 153 Days of Medication total across all patients in 2023 | |||
| Mupirocin | 47 | $7.44▼ below DE 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 47 Medicare prescriptions for Mupirocin, about 1.4 times the volume of the typical Delaware prescriber of this medication (33). Medicare paid an average of $7.44 per fill, versus $10.18 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average DE 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 DE average for this medication. 47 30-Day Fills standardized to 30-day supplies 531 Days of Medication total across all patients in 2023 | |||
| Scopolamine | 40 | $13.13▼ below DE avg | ▲ More than typical |
About Scopolamine: This skin patch is used to prevent nausea and vomiting caused by motion sickness or recovery from anesthesia and surgery. Show more ▾ This medication works by correcting the imbalance of natural substances (acetylcholine and norepinephrine) that can occur in motion sickness. It also blocks certain signals to the brain that can cause nausea and vomiting. This medication is not recommended for use in children. An alkaloid from SOLANACEAE, especially DATURA and SCOPOLIA. Scopolamine and its quaternary derivatives act as antimuscarinics like ATROPINE, but may have more central nervous system effects. Its many uses include an anesthetic premedication, the treatment of URINARY INCONTINENCE and MOTION SICKNESS, an antispasmodic, and a mydriatic and cycloplegic. In 2023, this provider wrote 40 Medicare prescriptions for Scopolamine, about 1.3 times the volume of the typical Delaware prescriber of this medication (30). Medicare paid an average of $13.13 per fill, versus $100.06 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average DE 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 DE average for this medication. 40 30-Day Fills standardized to 30-day supplies 137 Days of Medication total across all patients in 2023 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 38 | $10.89▼ below DE avg | ▼ Less 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 38 Medicare prescriptions for Hydrocodone-Acetaminophen, about 66% of the volume of the typical Delaware prescriber of this medication (58). Medicare paid an average of $10.89 per fill, versus $18.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average DE 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 DE average for this medication. 38 30-Day Fills standardized to 30-day supplies 161 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 32 | $4.16▼ below DE avg | ▼ Less than typical |
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 32 Medicare prescriptions for Tramadol Hcl, about 71% of the volume of the typical Delaware prescriber of this medication (45). Medicare paid an average of $4.16 per fill, versus $7.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average DE 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 DE average for this medication. 32 30-Day Fills standardized to 30-day supplies 180 Days of Medication total across all patients in 2023 | |||
| XareltoRivaroxaban | 15 | $250.48▼ below DE avg | ▼ Less than typical |
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2023, this provider wrote 15 Medicare prescriptions for Xarelto, about a third of the volume of the typical Delaware prescriber of this medication (51). Medicare paid an average of $250.48 per fill, versus $1,057.40 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average DE 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 DE average for this medication. 15 30-Day Fills standardized to 30-day supplies 198 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 11 | $8.44▼ below DE avg | ▼ Less 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 11 Medicare prescriptions for Cyclobenzaprine Hcl, about a third of the volume of the typical Delaware prescriber of this medication (31). Medicare paid an average of $8.44 per fill, versus $16.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average DE 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 DE average for this medication. 11 30-Day Fills standardized to 30-day supplies 227 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for THOMAS R MERRING P.A. 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 Physician Assistant prescribing approach at this Wilmington, DE 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 DE prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
