DR. LITTLETON AUGUSTUS FOWLER SR. O.D.
Prescription History 1457311607
Optometrist in Texarkana, TX

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
4224 TEXAS BLVD, TEXARKANA, TX 75503(903) 794-3711(903) 794-3713 Get Directions

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. LITTLETON AUGUSTUS FOWLER SR. O.D., an active Optometrist specialist practicing in Texarkana, TX. Our medical registry currently tracks 4 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 242 documented patient claims. Among these therapy options, the most frequently utilized medication is Latanoprost, which accounts for 162 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.

4
Medications
242
Total Claims
493
30-Day Fills
Latanoprost
Most Prescribed · 162 claims
View details
4 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. LITTLETON AUGUSTUS FOWLER SR. O.D. in 2024, with prescription volumes, average cost per fill, and TX state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other TX PrescribersVs. TX Avg

About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾

It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA.

In 2024, this provider wrote 162 Medicare prescriptions for Latanoprost, about the same volume as the typical Texas prescriber of this medication (162). Medicare paid an average of $11.42 per fill, versus $10.84 statewide.

How often this provider prescribes it

This provider
162
TX average
162.0

This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.42
TX average
$10.84

Gross Part D cost per fill; not the patient's out-of-pocket price.

363.1
30-Day Fills
standardized to 30-day supplies
10,600
Days of Medication
total across all patients in 2024

About Timolol Maleate: This medication is used to treat high pressure inside the eye due to glaucoma (open angle-type) or other eye diseases (such as ocular hypertension). Show more ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. Timolol belongs to a class of drugs known as beta-blockers. A beta-adrenergic antagonist that is similar in action to PROPRANOLOL; the levo-isomer is more active. Timolol has been proposed as an anti-hypertensive, anti-arrhythmic, anti-angina, and anti-glaucoma agent. It is also used in the treatment of MIGRAINE DISORDERS and tremor.

In 2024, this provider wrote 38 Medicare prescriptions for Timolol Maleate, about half the volume of the typical Texas prescriber of this medication (78.5). Medicare paid an average of $14.11 per fill, versus $14.69 statewide.

How often this provider prescribes it

This provider
38
TX average
78.5

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$14.11
TX average
$14.69

This provider's average cost per fill is below the TX average for this medication.

71.5
30-Day Fills
standardized to 30-day supplies
2,056
Days of Medication
total across all patients in 2024

About Brimonidine Tartrate: This medication is used to treat open-angle glaucoma or high fluid pressure in the eye. Show more ▾

Lowering high fluid pressure in the eye reduces the risk of vision loss, nerve damage, or blindness. This medication lowers pressure by allowing better fluid drainage from within the eye and also by reducing the amount of fluid formed in the eye. It is known as an alpha agonist. This drug is not recommended for use in children less than 2 years of age due to an increased risk of serious side effects such as very slowed breathing. Ask the doctor or pharmacist for details. A quinoxaline derivative and ADRENERGIC ALHPA-2 RECEPTOR AGONIST that is used to manage INTRAOCULAR PRESSURE associated with OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

In 2024, this provider wrote 25 Medicare prescriptions for Brimonidine Tartrate, about a third of the volume of the typical Texas prescriber of this medication (81.3). Medicare paid an average of $41.77 per fill, versus $33.03 statewide.

How often this provider prescribes it

This provider
25
TX average
81.3

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$41.77
TX average
$33.03

Gross Part D cost per fill; not the patient's out-of-pocket price.

40.9
30-Day Fills
standardized to 30-day supplies
1,166
Days of Medication
total across all patients in 2024

About Neomycin-Polymyxin-Dexameth: This medication is used to treat conditions involving swelling (inflammation) of the eyes and to treat or prevent bacterial eye infections. Show more ▾

This product contains neomycin and polymyxin, antibiotics that work by stopping the growth of bacteria. It also contains dexamethasone, an anti-inflammatory corticosteroid that works by reducing swelling. This medication treats/prevents only bacterial eye infections. It will not work for other types of eye infections and may worsen them (such as infections caused by viruses, fungi, mycobacteria). Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 17 Medicare prescriptions for Neomycin-Polymyxin-Dexameth, about a third of the volume of the typical Texas prescriber of this medication (50.8). Medicare paid an average of $10.50 per fill, versus $11.82 statewide.

How often this provider prescribes it

This provider
17
TX average
50.8

This provider prescribes this medication less often than the average TX prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.50
TX average
$11.82

This provider's average cost per fill is below the TX average for this medication.

17.3
30-Day Fills
standardized to 30-day supplies
304
Days of Medication
total across all patients in 2024
No medications match the current filters.
▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average TX prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the TX average cost per fill.

About this data. The prescription history for DR. LITTLETON AUGUSTUS FOWLER SR. O.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Optometrist prescribing approach at this Texarkana, TX practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among TX prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.