MRS. GRETCHEN KLINGLER REYNOLDS PHYSICIAN ASSISTANT
Prescription History 1457504359
Physician Assistant - Medical in Lancaster, PA

Name: Medicare Part D prescriptions by Mrs. Gretchen Reynolds (NPI 1457504359), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since October 23, 2008PECOS EnrolledAccepts Medicare Assignment

1625 OREGON PIKE, LANCASTER, PA 17601(717) 925-2995 Get Directions

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MRS. GRETCHEN KLINGLER REYNOLDS PHYSICIAN ASSISTANT, an active Medical specialist practicing in Lancaster, PA. Our medical registry currently tracks 94 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,466 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 203 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.

Medications

3,466

Total Claims

7,591

30-Day Fills

Atorvastatin Calcium

Most Prescribed · 203 claims

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Prescription Volume vs PA Average

94 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by MRS. GRETCHEN KLINGLER REYNOLDS PHYSICIAN ASSISTANT in 2023, with prescription volumes, average cost per fill, and PA state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other PA PrescribersVs. PA Avg
Atorvastatin Calcium	203	$11.78▼ below PA avg	≈ Typical
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 203 Medicare prescriptions for Atorvastatin Calcium, about the same volume as the typical Pennsylvania prescriber of this medication (204). Medicare paid an average of $11.78 per fill, versus $14.17 statewide. How often this provider prescribes it This provider 203 PA average 204.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.78 PA average $14.17 This provider's average cost per fill is below the PA average for this medication. 586 30-Day Fills standardized to 30-day supplies 17,582 Days of Medication total across all patients in 2023
Levothyroxine Sodium	159	$15.43▼ below PA avg	≈ Typical
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 159 Medicare prescriptions for Levothyroxine Sodium, about the same volume as the typical Pennsylvania prescriber of this medication (171). Medicare paid an average of $15.43 per fill, versus $16.47 statewide. How often this provider prescribes it This provider 159 PA average 171.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.43 PA average $16.47 This provider's average cost per fill is below the PA average for this medication. 451.5 30-Day Fills standardized to 30-day supplies 13,510 Days of Medication total across all patients in 2023
Amlodipine Besylate	141	$7.19▼ below PA avg	≈ Typical
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 141 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Pennsylvania prescriber of this medication (149). Medicare paid an average of $7.19 per fill, versus $7.48 statewide. How often this provider prescribes it This provider 141 PA average 149.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.19 PA average $7.48 This provider's average cost per fill is below the PA average for this medication. 375.7 30-Day Fills standardized to 30-day supplies 11,270 Days of Medication total across all patients in 2023
Lisinopril	124	$6.64▼ below PA avg	≈ Typical
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 124 Medicare prescriptions for Lisinopril, about the same volume as the typical Pennsylvania prescriber of this medication (135). Medicare paid an average of $6.64 per fill, versus $8.19 statewide. How often this provider prescribes it This provider 124 PA average 135.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.64 PA average $8.19 This provider's average cost per fill is below the PA average for this medication. 363 30-Day Fills standardized to 30-day supplies 10,890 Days of Medication total across all patients in 2023
Gabapentin	120	$22.83	≈ 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 120 Medicare prescriptions for Gabapentin, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (97). Medicare paid an average of $22.83 per fill, versus $21.72 statewide. How often this provider prescribes it This provider 120 PA average 97.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.83 PA average $21.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 225.6 30-Day Fills standardized to 30-day supplies 6,741 Days of Medication total across all patients in 2023
Pantoprazole Sodium	93	$19.28	≈ Typical
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 93 Medicare prescriptions for Pantoprazole Sodium, about the same volume as the typical Pennsylvania prescriber of this medication (96). Medicare paid an average of $19.28 per fill, versus $16.43 statewide. How often this provider prescribes it This provider 93 PA average 96.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.28 PA average $16.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 226.5 30-Day Fills standardized to 30-day supplies 6,780 Days of Medication total across all patients in 2023
Omeprazole	88	$10.52▼ below PA avg	≈ 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 88 Medicare prescriptions for Omeprazole, about 81% of the volume of the typical Pennsylvania prescriber of this medication (109). Medicare paid an average of $10.52 per fill, versus $14.36 statewide. How often this provider prescribes it This provider 88 PA average 109.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.52 PA average $14.36 This provider's average cost per fill is below the PA average for this medication. 264 30-Day Fills standardized to 30-day supplies 7,920 Days of Medication total across all patients in 2023
Rosuvastatin Calcium	83	$23.12▼ below PA avg	≈ Typical
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 83 Medicare prescriptions for Rosuvastatin Calcium, about 86% of the volume of the typical Pennsylvania prescriber of this medication (96). Medicare paid an average of $23.12 per fill, versus $30.45 statewide. How often this provider prescribes it This provider 83 PA average 96.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.12 PA average $30.45 This provider's average cost per fill is below the PA average for this medication. 230.1 30-Day Fills standardized to 30-day supplies 6,902 Days of Medication total across all patients in 2023
Metoprolol Succinate	80	$13.52▼ below PA avg	▼ Less than typical
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 80 Medicare prescriptions for Metoprolol Succinate, about 68% of the volume of the typical Pennsylvania prescriber of this medication (118). Medicare paid an average of $13.52 per fill, versus $19.61 statewide. How often this provider prescribes it This provider 80 PA average 118.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.52 PA average $19.61 This provider's average cost per fill is below the PA average for this medication. 216 30-Day Fills standardized to 30-day supplies 6,480 Days of Medication total across all patients in 2023
Sertraline Hcl	77	$11.48	≈ Typical
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 77 Medicare prescriptions for Sertraline Hcl, about the same volume as the typical Pennsylvania prescriber of this medication (79). Medicare paid an average of $11.48 per fill, versus $10.96 statewide. How often this provider prescribes it This provider 77 PA average 79.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.48 PA average $10.96 Gross Part D cost per fill; not the patient's out-of-pocket price. 225 30-Day Fills standardized to 30-day supplies 6,750 Days of Medication total across all patients in 2023
Montelukast Sodium	75	$14.94▼ below PA avg	▲ More than 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 75 Medicare prescriptions for Montelukast Sodium, about 1.3 times the volume of the typical Pennsylvania prescriber of this medication (56). Medicare paid an average of $14.94 per fill, versus $17.17 statewide. How often this provider prescribes it This provider 75 PA average 56.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.94 PA average $17.17 This provider's average cost per fill is below the PA average for this medication. 207.3 30-Day Fills standardized to 30-day supplies 6,220 Days of Medication total across all patients in 2023
Losartan Potassium	75	$8.08▼ below PA avg	▼ Less than typical
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 75 Medicare prescriptions for Losartan Potassium, about 71% of the volume of the typical Pennsylvania prescriber of this medication (105). Medicare paid an average of $8.08 per fill, versus $13.26 statewide. How often this provider prescribes it This provider 75 PA average 105.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.08 PA average $13.26 This provider's average cost per fill is below the PA average for this medication. 213.7 30-Day Fills standardized to 30-day supplies 6,410 Days of Medication total across all patients in 2023
Prednisone	73	$5.45▼ below PA avg	▲ More 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 73 Medicare prescriptions for Prednisone, about 1.5 times the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $5.45 per fill, versus $5.96 statewide. How often this provider prescribes it This provider 73 PA average 48.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.45 PA average $5.96 This provider's average cost per fill is below the PA average for this medication. 87 30-Day Fills standardized to 30-day supplies 1,584 Days of Medication total across all patients in 2023
Albuterol Sulfate HfaAlbuterol Sulfate	70	$35.10▼ below PA avg	≈ Typical
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2023, this provider wrote 70 Medicare prescriptions for Albuterol Sulfate Hfa, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (59). Medicare paid an average of $35.10 per fill, versus $49.09 statewide. How often this provider prescribes it This provider 70 PA average 59.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.10 PA average $49.09 This provider's average cost per fill is below the PA average for this medication. 78.5 30-Day Fills standardized to 30-day supplies 1,579 Days of Medication total across all patients in 2023
Furosemide	69	$5.85▼ below PA avg	▼ Less than typical
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 69 Medicare prescriptions for Furosemide, about 72% of the volume of the typical Pennsylvania prescriber of this medication (96). Medicare paid an average of $5.85 per fill, versus $5.88 statewide. How often this provider prescribes it This provider 69 PA average 96.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.85 PA average $5.88 This provider's average cost per fill is below the PA average for this medication. 155.7 30-Day Fills standardized to 30-day supplies 4,527 Days of Medication total across all patients in 2023
Fluticasone Propionate	63	$10.53▼ below PA avg	≈ Typical
About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾ Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. 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. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2023, this provider wrote 63 Medicare prescriptions for Fluticasone Propionate, about 1.2 times the volume of the typical Pennsylvania prescriber of this medication (54). Medicare paid an average of $10.53 per fill, versus $15.15 statewide. How often this provider prescribes it This provider 63 PA average 54.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.53 PA average $15.15 This provider's average cost per fill is below the PA average for this medication. 107 30-Day Fills standardized to 30-day supplies 3,210 Days of Medication total across all patients in 2023
Metformin Hcl	57	$8.98▼ below PA avg	▼ Less than typical
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 57 Medicare prescriptions for Metformin Hcl, about half the volume of the typical Pennsylvania prescriber of this medication (106). Medicare paid an average of $8.98 per fill, versus $9.38 statewide. How often this provider prescribes it This provider 57 PA average 106.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.98 PA average $9.38 This provider's average cost per fill is below the PA average for this medication. 169 30-Day Fills standardized to 30-day supplies 5,070 Days of Medication total across all patients in 2023
Trazodone Hcl	55	$14.83	≈ 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 55 Medicare prescriptions for Trazodone Hcl, about 86% of the volume of the typical Pennsylvania prescriber of this medication (64). Medicare paid an average of $14.83 per fill, versus $11.62 statewide. How often this provider prescribes it This provider 55 PA average 64.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.83 PA average $11.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 133 30-Day Fills standardized to 30-day supplies 3,975 Days of Medication total across all patients in 2023
Simvastatin	55	$9.72▼ below PA avg	▼ Less than typical
About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 55 Medicare prescriptions for Simvastatin, about half the volume of the typical Pennsylvania prescriber of this medication (95). Medicare paid an average of $9.72 per fill, versus $10.55 statewide. How often this provider prescribes it This provider 55 PA average 95.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.72 PA average $10.55 This provider's average cost per fill is below the PA average for this medication. 163 30-Day Fills standardized to 30-day supplies 4,890 Days of Medication total across all patients in 2023
Tramadol Hcl	53	$10.25	≈ 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 53 Medicare prescriptions for Tramadol Hcl, about the same volume as the typical Pennsylvania prescriber of this medication (52). Medicare paid an average of $10.25 per fill, versus $7.38 statewide. How often this provider prescribes it This provider 53 PA average 52.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.25 PA average $7.38 Gross Part D cost per fill; not the patient's out-of-pocket price. 53 30-Day Fills standardized to 30-day supplies 975 Days of Medication total across all patients in 2023
Oxycodone Hcl	52	$17.46▼ below PA 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 52 Medicare prescriptions for Oxycodone Hcl, about the same volume as the typical Pennsylvania prescriber of this medication (54). Medicare paid an average of $17.46 per fill, versus $22.66 statewide. How often this provider prescribes it This provider 52 PA average 54.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.46 PA average $22.66 This provider's average cost per fill is below the PA average for this medication. 52 30-Day Fills standardized to 30-day supplies 1,382 Days of Medication total across all patients in 2023
Azithromycin	52	$3.98▼ below PA avg	▲ More than typical
About Azithromycin: This medication is used to treat certain eye infections. Show more ▾ It is a macrolide antibiotic that works by stopping the growth of 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. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis. In 2023, this provider wrote 52 Medicare prescriptions for Azithromycin, about 1.5 times the volume of the typical Pennsylvania prescriber of this medication (35). Medicare paid an average of $3.98 per fill, versus $8.15 statewide. How often this provider prescribes it This provider 52 PA average 35.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.98 PA average $8.15 This provider's average cost per fill is below the PA average for this medication. 52 30-Day Fills standardized to 30-day supplies 260 Days of Medication total across all patients in 2023
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	50	$37.37	≈ 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 50 Medicare prescriptions for Oxycodone-Acetaminophen, about the same volume as the typical Pennsylvania prescriber of this medication (52). Medicare paid an average of $37.37 per fill, versus $22.67 statewide. How often this provider prescribes it This provider 50 PA average 52.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.37 PA average $22.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 50 30-Day Fills standardized to 30-day supplies 1,454 Days of Medication total across all patients in 2023
Alprazolam	47	$3.96▼ below PA avg	▼ Less than typical
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 47 Medicare prescriptions for Alprazolam, about 70% of the volume of the typical Pennsylvania prescriber of this medication (67). Medicare paid an average of $3.96 per fill, versus $10.93 statewide. How often this provider prescribes it This provider 47 PA average 67.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.96 PA average $10.93 This provider's average cost per fill is below the PA average for this medication. 47 30-Day Fills standardized to 30-day supplies 1,343 Days of Medication total across all patients in 2023
Doxycycline Hyclate	46	$13.32▼ below PA avg	▲ 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 46 Medicare prescriptions for Doxycycline Hyclate, about 1.6 times the volume of the typical Pennsylvania prescriber of this medication (28). Medicare paid an average of $13.32 per fill, versus $26.72 statewide. How often this provider prescribes it This provider 46 PA average 28.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.32 PA average $26.72 This provider's average cost per fill is below the PA average for this medication. 46 30-Day Fills standardized to 30-day supplies 618 Days of Medication total across all patients in 2023
Escitalopram Oxalate	46	$14.16▼ below PA avg	▼ Less than typical
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 46 Medicare prescriptions for Escitalopram Oxalate, about 72% of the volume of the typical Pennsylvania prescriber of this medication (64). Medicare paid an average of $14.16 per fill, versus $17.79 statewide. How often this provider prescribes it This provider 46 PA average 64.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.16 PA average $17.79 This provider's average cost per fill is below the PA average for this medication. 98 30-Day Fills standardized to 30-day supplies 2,940 Days of Medication total across all patients in 2023
Famotidine	45	$18.82	▲ More than typical
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2023, this provider wrote 45 Medicare prescriptions for Famotidine, about 1.4 times the volume of the typical Pennsylvania prescriber of this medication (33). Medicare paid an average of $18.82 per fill, versus $10.26 statewide. How often this provider prescribes it This provider 45 PA average 33.0 This provider prescribes this medication more often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.82 PA average $10.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 99 30-Day Fills standardized to 30-day supplies 2,927 Days of Medication total across all patients in 2023
EliquisApixaban	44	$1,200.13	▼ Less than typical
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 44 Medicare prescriptions for Eliquis, about half the volume of the typical Pennsylvania prescriber of this medication (92). Medicare paid an average of $1,200.13 per fill, versus $730.59 statewide. How often this provider prescribes it This provider 44 PA average 92.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,200.13 PA average $730.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 90 30-Day Fills standardized to 30-day supplies 2,700 Days of Medication total across all patients in 2023
Metoprolol Tartrate	38	$8.70	▼ Less than typical
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 38 Medicare prescriptions for Metoprolol Tartrate, about half the volume of the typical Pennsylvania prescriber of this medication (86). Medicare paid an average of $8.70 per fill, versus $8.36 statewide. How often this provider prescribes it This provider 38 PA average 86.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.70 PA average $8.36 Gross Part D cost per fill; not the patient's out-of-pocket price. 102 30-Day Fills standardized to 30-day supplies 3,031 Days of Medication total across all patients in 2023
Breo ElliptaFluticasone/Vilanterol	37	$578.44	≈ Typical
About Breo Ellipta: This medication is used to prevent and decrease symptoms (wheezing and trouble breathing) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Show more ▾ This inhaler contains 2 medications: fluticasone and vilanterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the swelling of the airways in the lungs to make breathing easier. Vilanterol belongs to a class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. When used alone, long-acting beta agonists (like vilanterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. 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. In 2023, this provider wrote 37 Medicare prescriptions for Breo Ellipta, about the same volume as the typical Pennsylvania prescriber of this medication (37). Medicare paid an average of $578.44 per fill, versus $497.99 statewide. How often this provider prescribes it This provider 37 PA average 37.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $578.44 PA average $497.99 Gross Part D cost per fill; not the patient's out-of-pocket price. 50 30-Day Fills standardized to 30-day supplies 1,500 Days of Medication total across all patients in 2023
Potassium Chloride	37	$12.14▼ below PA avg	▼ Less than typical
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 37 Medicare prescriptions for Potassium Chloride, about half the volume of the typical Pennsylvania prescriber of this medication (70). Medicare paid an average of $12.14 per fill, versus $30.86 statewide. How often this provider prescribes it This provider 37 PA average 70.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.14 PA average $30.86 This provider's average cost per fill is below the PA average for this medication. 90.3 30-Day Fills standardized to 30-day supplies 2,692 Days of Medication total across all patients in 2023
Spironolactone	37	$7.54▼ below PA avg	≈ 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 37 Medicare prescriptions for Spironolactone, about the same volume as the typical Pennsylvania prescriber of this medication (41). Medicare paid an average of $7.54 per fill, versus $11.39 statewide. How often this provider prescribes it This provider 37 PA average 41.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.54 PA average $11.39 This provider's average cost per fill is below the PA average for this medication. 95 30-Day Fills standardized to 30-day supplies 2,850 Days of Medication total across all patients in 2023
Alendronate Sodium	33	$7.04▼ below PA avg	≈ Typical
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2023, this provider wrote 33 Medicare prescriptions for Alendronate Sodium, about 75% of the volume of the typical Pennsylvania prescriber of this medication (44). Medicare paid an average of $7.04 per fill, versus $11.30 statewide. How often this provider prescribes it This provider 33 PA average 44.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.04 PA average $11.30 This provider's average cost per fill is below the PA average for this medication. 74.4 30-Day Fills standardized to 30-day supplies 2,213 Days of Medication total across all patients in 2023
Lorazepam	33	$5.15▼ below PA avg	▼ Less than typical
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 33 Medicare prescriptions for Lorazepam, about half the volume of the typical Pennsylvania prescriber of this medication (63). Medicare paid an average of $5.15 per fill, versus $7.71 statewide. How often this provider prescribes it This provider 33 PA average 63.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.15 PA average $7.71 This provider's average cost per fill is below the PA average for this medication. 33 30-Day Fills standardized to 30-day supplies 815 Days of Medication total across all patients in 2023
Pravastatin Sodium	32	$13.96▼ below PA avg	▼ Less than typical
About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 32 Medicare prescriptions for Pravastatin Sodium, about half the volume of the typical Pennsylvania prescriber of this medication (56). Medicare paid an average of $13.96 per fill, versus $17.27 statewide. How often this provider prescribes it This provider 32 PA average 56.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.96 PA average $17.27 This provider's average cost per fill is below the PA average for this medication. 96.3 30-Day Fills standardized to 30-day supplies 2,890 Days of Medication total across all patients in 2023
Mirtazapine	30	$16.90▼ below PA avg	▼ Less than typical
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 30 Medicare prescriptions for Mirtazapine, about half the volume of the typical Pennsylvania prescriber of this medication (54). Medicare paid an average of $16.90 per fill, versus $20.50 statewide. How often this provider prescribes it This provider 30 PA average 54.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.90 PA average $20.50 This provider's average cost per fill is below the PA average for this medication. 60.3 30-Day Fills standardized to 30-day supplies 1,810 Days of Medication total across all patients in 2023
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	30	$27.33	▼ 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 30 Medicare prescriptions for Hydrocodone-Acetaminophen, about half the volume of the typical Pennsylvania prescriber of this medication (61). Medicare paid an average of $27.33 per fill, versus $21.32 statewide. How often this provider prescribes it This provider 30 PA average 61.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.33 PA average $21.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 459 Days of Medication total across all patients in 2023
Diclofenac Sodium	29	$23.15▼ below PA avg	▼ Less 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 29 Medicare prescriptions for Diclofenac Sodium, about 67% of the volume of the typical Pennsylvania prescriber of this medication (43). Medicare paid an average of $23.15 per fill, versus $32.57 statewide. How often this provider prescribes it This provider 29 PA average 43.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.15 PA average $32.57 This provider's average cost per fill is below the PA average for this medication. 49.1 30-Day Fills standardized to 30-day supplies 1,346 Days of Medication total across all patients in 2023
Buspirone Hcl	27	$13.10▼ below PA avg	▼ Less than typical
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 27 Medicare prescriptions for Buspirone Hcl, about half the volume of the typical Pennsylvania prescriber of this medication (49). Medicare paid an average of $13.10 per fill, versus $17.07 statewide. How often this provider prescribes it This provider 27 PA average 49.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.10 PA average $17.07 This provider's average cost per fill is below the PA average for this medication. 59 30-Day Fills standardized to 30-day supplies 1,770 Days of Medication total across all patients in 2023
Hydrochlorothiazide	26	$4.35▼ below PA avg	▼ Less than typical
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 26 Medicare prescriptions for Hydrochlorothiazide, about a third of the volume of the typical Pennsylvania prescriber of this medication (79). Medicare paid an average of $4.35 per fill, versus $5.29 statewide. How often this provider prescribes it This provider 26 PA average 79.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.35 PA average $5.29 This provider's average cost per fill is below the PA average for this medication. 75 30-Day Fills standardized to 30-day supplies 2,250 Days of Medication total across all patients in 2023
Atenolol	26	$9.98	▼ Less than typical
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 26 Medicare prescriptions for Atenolol, about half the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $9.98 per fill, versus $9.51 statewide. How often this provider prescribes it This provider 26 PA average 48.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.98 PA average $9.51 Gross Part D cost per fill; not the patient's out-of-pocket price. 78 30-Day Fills standardized to 30-day supplies 2,340 Days of Medication total across all patients in 2023
Fluoxetine Hcl	26	$8.12▼ below PA avg	▼ Less than typical
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 26 Medicare prescriptions for Fluoxetine Hcl, about 62% of the volume of the typical Pennsylvania prescriber of this medication (42). Medicare paid an average of $8.12 per fill, versus $14.42 statewide. How often this provider prescribes it This provider 26 PA average 42.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.12 PA average $14.42 This provider's average cost per fill is below the PA average for this medication. 78 30-Day Fills standardized to 30-day supplies 2,340 Days of Medication total across all patients in 2023
OzempicSemaglutide	26	$1,080.98▼ below PA avg	▼ Less than typical
About Ozempic: Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment. In 2023, this provider wrote 26 Medicare prescriptions for Ozempic, about half the volume of the typical Pennsylvania prescriber of this medication (44). Medicare paid an average of $1,080.98 per fill, versus $1,290.38 statewide. How often this provider prescribes it This provider 26 PA average 44.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,080.98 PA average $1,290.38 This provider's average cost per fill is below the PA average for this medication. 32.2 30-Day Fills standardized to 30-day supplies 924 Days of Medication total across all patients in 2023
Metformin Hcl ErMetformin Hcl	25	$15.36	▼ Less than typical
About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 25 Medicare prescriptions for Metformin Hcl Er, about half the volume of the typical Pennsylvania prescriber of this medication (52). Medicare paid an average of $15.36 per fill, versus $13.63 statewide. How often this provider prescribes it This provider 25 PA average 52.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.36 PA average $13.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 75 30-Day Fills standardized to 30-day supplies 2,250 Days of Medication total across all patients in 2023
Tamsulosin Hcl	25	$12.35▼ below PA avg	▼ Less than typical
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 25 Medicare prescriptions for Tamsulosin Hcl, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (92). Medicare paid an average of $12.35 per fill, versus $19.27 statewide. How often this provider prescribes it This provider 25 PA average 92.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.35 PA average $19.27 This provider's average cost per fill is below the PA average for this medication. 69.5 30-Day Fills standardized to 30-day supplies 2,085 Days of Medication total across all patients in 2023
Ezetimibe	25	$22.33▼ below PA avg	▼ Less than typical
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 25 Medicare prescriptions for Ezetimibe, about half the volume of the typical Pennsylvania prescriber of this medication (44). Medicare paid an average of $22.33 per fill, versus $68.13 statewide. How often this provider prescribes it This provider 25 PA average 44.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.33 PA average $68.13 This provider's average cost per fill is below the PA average for this medication. 67 30-Day Fills standardized to 30-day supplies 2,010 Days of Medication total across all patients in 2023
Trelegy ElliptaFluticasone/Umeclidin/Vilanter	24	$695.93▼ below PA avg	▼ Less than typical
About Trelegy Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾ Controlling symptoms of breathing problems helps you stay active. This inhaler contains 3 medications: fluticasone, umeclidinium, and vilanterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling of the airways in the lungs to make breathing easier. Umeclidinium belongs to a class of drugs known as anticholinergics and vilanterol is a LABA medication. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Both drugs are also known as bronchodilators. When used alone, long-acting beta agonists (such as vilanterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination products containing both an inhaled corticosteroid and long-acting beta agonist, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with two asthma-control medications (such as inhaled corticosteroid and long-acting beta agonist) or if your symptoms need combination treatment. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden shortness of breath. If sudden breathing problems occur, use your quick-relief inhaler as prescribed. In 2023, this provider wrote 24 Medicare prescriptions for Trelegy Ellipta, about half the volume of the typical Pennsylvania prescriber of this medication (53). Medicare paid an average of $695.93 per fill, versus $788.36 statewide. How often this provider prescribes it This provider 24 PA average 53.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $695.93 PA average $788.36 This provider's average cost per fill is below the PA average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023
XareltoRivaroxaban	23	$1,059.52	▼ 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 23 Medicare prescriptions for Xarelto, about half the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $1,059.52 per fill, versus $800.52 statewide. How often this provider prescribes it This provider 23 PA average 48.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,059.52 PA average $800.52 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023
Cyclobenzaprine Hcl	23	$11.09▼ below PA 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 23 Medicare prescriptions for Cyclobenzaprine Hcl, about 70% of the volume of the typical Pennsylvania prescriber of this medication (33). Medicare paid an average of $11.09 per fill, versus $15.20 statewide. How often this provider prescribes it This provider 23 PA average 33.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.09 PA average $15.20 This provider's average cost per fill is below the PA average for this medication. 23 30-Day Fills standardized to 30-day supplies 511 Days of Medication total across all patients in 2023
Duloxetine Hcl	22	$33.26▼ below PA 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 22 Medicare prescriptions for Duloxetine Hcl, about a third of the volume of the typical Pennsylvania prescriber of this medication (58). Medicare paid an average of $33.26 per fill, versus $43.43 statewide. How often this provider prescribes it This provider 22 PA average 58.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.26 PA average $43.43 This provider's average cost per fill is below the PA average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,052 Days of Medication total across all patients in 2023
Nortriptyline Hcl	20	$9.63▼ below PA avg	≈ 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 87% of the volume of the typical Pennsylvania prescriber of this medication (23). Medicare paid an average of $9.63 per fill, versus $17.42 statewide. How often this provider prescribes it This provider 20 PA average 23.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.63 PA average $17.42 This provider's average cost per fill is below the PA average for this medication. 26 30-Day Fills standardized to 30-day supplies 780 Days of Medication total across all patients in 2023
Bupropion XlBupropion Hcl	20	$28.79▼ below PA avg	▼ Less than typical
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 20 Medicare prescriptions for Bupropion Xl, about half the volume of the typical Pennsylvania prescriber of this medication (38). Medicare paid an average of $28.79 per fill, versus $44.39 statewide. How often this provider prescribes it This provider 20 PA average 38.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.79 PA average $44.39 This provider's average cost per fill is below the PA average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,680 Days of Medication total across all patients in 2023
Glimepiride	20	$11.22▼ below PA avg	▼ Less than typical
About Glimepiride: Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glimepiride belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. Alkaloids derived from TYRAMINE combined with 3,4-dihydroxybenzaldehyde via a norbelladine pathway, including GALANTAMINE, lycorine and crinine. They are found in the AMARYLLIDACEAE plant family. In 2023, this provider wrote 20 Medicare prescriptions for Glimepiride, about half the volume of the typical Pennsylvania prescriber of this medication (44). Medicare paid an average of $11.22 per fill, versus $15.24 statewide. How often this provider prescribes it This provider 20 PA average 44.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.22 PA average $15.24 This provider's average cost per fill is below the PA average for this medication. 50 30-Day Fills standardized to 30-day supplies 1,500 Days of Medication total across all patients in 2023
Carvedilol	19	$11.34▼ below PA avg	▼ Less than typical
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 19 Medicare prescriptions for Carvedilol, about a third of the volume of the typical Pennsylvania prescriber of this medication (63). Medicare paid an average of $11.34 per fill, versus $11.51 statewide. How often this provider prescribes it This provider 19 PA average 63.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.34 PA average $11.51 This provider's average cost per fill is below the PA average for this medication. 51 30-Day Fills standardized to 30-day supplies 1,530 Days of Medication total across all patients in 2023
Vitamin D2Ergocalciferol (Vitamin D2)	18	$7.44▼ below PA avg	≈ Typical
About Vitamin D2: Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. Show more ▾ Having the right amount of vitamin D, calcium, and phosphorus is important for building and keeping strong bones. Vitamin D is used to treat and prevent bone disorders (such as rickets, osteomalacia). Vitamin D is made by the body when skin is exposed to sunlight. Sunscreen, protective clothing, limited exposure to sunlight, dark skin, and age may prevent getting enough vitamin D from the sun. Vitamin D with calcium is used to treat or prevent bone loss (osteoporosis). Vitamin D is also used with other medications to treat low levels of calcium or phosphate caused by certain disorders (such as hypoparathyroidism, pseudohypoparathyroidism, familial hypophosphatemia). It may be used in kidney disease to keep calcium levels normal and allow normal bone growth. Vitamin D drops (or other supplements) are given to breast-fed infants because breast milk usually has low levels of vitamin D. Derivatives of ERGOSTEROL formed by ULTRAVIOLET RAYS breaking of the C9-C10 bond. They differ from CHOLECALCIFEROL in having a double bond between C22 and C23 and a methyl group at C24. In 2023, this provider wrote 18 Medicare prescriptions for Vitamin D2, about 82% of the volume of the typical Pennsylvania prescriber of this medication (22). Medicare paid an average of $7.44 per fill, versus $8.10 statewide. How often this provider prescribes it This provider 18 PA average 22.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.44 PA average $8.10 This provider's average cost per fill is below the PA average for this medication. 45.9 30-Day Fills standardized to 30-day supplies 1,370 Days of Medication total across all patients in 2023
Meloxicam	18	$2.92▼ below PA avg	▼ 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 18 Medicare prescriptions for Meloxicam, about a third of the volume of the typical Pennsylvania prescriber of this medication (49). Medicare paid an average of $2.92 per fill, versus $5.76 statewide. How often this provider prescribes it This provider 18 PA average 49.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2.92 PA average $5.76 This provider's average cost per fill is below the PA average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023
Pramipexole DihydrochloridePramipexole Di-Hcl	18	$18.83▼ below PA avg	▼ Less than typical
About Pramipexole Dihydrochloride: Pramipexole is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and can decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 18 Medicare prescriptions for Pramipexole Dihydrochloride, about 69% of the volume of the typical Pennsylvania prescriber of this medication (26). Medicare paid an average of $18.83 per fill, versus $19.44 statewide. How often this provider prescribes it This provider 18 PA average 26.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.83 PA average $19.44 This provider's average cost per fill is below the PA average for this medication. 18.5 30-Day Fills standardized to 30-day supplies 527 Days of Medication total across all patients in 2023
SynthroidLevothyroxine Sodium	18	$51.43▼ below PA avg	▼ Less than typical
About Synthroid: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 18 Medicare prescriptions for Synthroid, about a third of the volume of the typical Pennsylvania prescriber of this medication (44). Medicare paid an average of $51.43 per fill, versus $70.80 statewide. How often this provider prescribes it This provider 18 PA average 44.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $51.43 PA average $70.80 This provider's average cost per fill is below the PA average for this medication. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023
JardianceEmpagliflozin	17	$732.45▼ below PA avg	▼ Less than typical
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 17 Medicare prescriptions for Jardiance, about a third of the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $732.45 per fill, versus $939.26 statewide. How often this provider prescribes it This provider 17 PA average 48.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $732.45 PA average $939.26 This provider's average cost per fill is below the PA average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023
RizatriptanRizatriptan Benzoate	17	$26.82▼ below PA avg	≈ Typical
About Rizatriptan: Rizatriptan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Rizatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Rizatriptan does not prevent future migraines or lessen how often you get migraine attacks. In 2023, this provider wrote 17 Medicare prescriptions for Rizatriptan, about 77% of the volume of the typical Pennsylvania prescriber of this medication (22). Medicare paid an average of $26.82 per fill, versus $30.80 statewide. How often this provider prescribes it This provider 17 PA average 22.0 This provider's prescribing volume for this medication is in line with the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.82 PA average $30.80 This provider's average cost per fill is below the PA average for this medication. 17 30-Day Fills standardized to 30-day supplies 418 Days of Medication total across all patients in 2023
SymbicortBudesonide/Formoterol Fumarate	16	$569.92	▼ Less than typical
About Symbicort: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾ It contains 2 medications: budesonide and formoterol. Budesonide belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Formoterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as formoterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. Before using this medication, it is important to learn how to use it properly. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. See also How to Use section. A pharmaceutical preparation of budesonide and formoterol fumarate that is used as an ANTI-ASTHMATIC AGENT and for the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In 2023, this provider wrote 16 Medicare prescriptions for Symbicort, about half the volume of the typical Pennsylvania prescriber of this medication (30). Medicare paid an average of $569.92 per fill, versus $498.01 statewide. How often this provider prescribes it This provider 16 PA average 30.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $569.92 PA average $498.01 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023
Methylprednisolone	16	$7.91▼ below PA avg	▼ Less than 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 16 Medicare prescriptions for Methylprednisolone, about half the volume of the typical Pennsylvania prescriber of this medication (35). Medicare paid an average of $7.91 per fill, versus $10.73 statewide. How often this provider prescribes it This provider 16 PA average 35.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.91 PA average $10.73 This provider's average cost per fill is below the PA average for this medication. 16 30-Day Fills standardized to 30-day supplies 96 Days of Medication total across all patients in 2023
Azelastine Hcl	16	$30.81▼ below PA avg	▼ Less than typical
About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾ Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms. In 2023, this provider wrote 16 Medicare prescriptions for Azelastine Hcl, about half the volume of the typical Pennsylvania prescriber of this medication (33). Medicare paid an average of $30.81 per fill, versus $42.70 statewide. How often this provider prescribes it This provider 16 PA average 33.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.81 PA average $42.70 This provider's average cost per fill is below the PA average for this medication. 24 30-Day Fills standardized to 30-day supplies 719 Days of Medication total across all patients in 2023
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst	16	$15.13▼ below PA avg	▼ Less than typical
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ 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. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2023, this provider wrote 16 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 70% of the volume of the typical Pennsylvania prescriber of this medication (23). Medicare paid an average of $15.13 per fill, versus $23.67 statewide. How often this provider prescribes it This provider 16 PA average 23.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.13 PA average $23.67 This provider's average cost per fill is below the PA average for this medication. 16 30-Day Fills standardized to 30-day supplies 111 Days of Medication total across all patients in 2023
Clonazepam	15	$4.30▼ below PA avg	▼ Less than typical
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 15 Medicare prescriptions for Clonazepam, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (56). Medicare paid an average of $4.30 per fill, versus $8.58 statewide. How often this provider prescribes it This provider 15 PA average 56.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.30 PA average $8.58 This provider's average cost per fill is below the PA average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023
Ventolin HfaAlbuterol Sulfate	15	$85.76	▼ Less than typical
About Ventolin Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2023, this provider wrote 15 Medicare prescriptions for Ventolin Hfa, about half the volume of the typical Pennsylvania prescriber of this medication (28). Medicare paid an average of $85.76 per fill, versus $72.61 statewide. How often this provider prescribes it This provider 15 PA average 28.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $85.76 PA average $72.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 16.9 30-Day Fills standardized to 30-day supplies 370 Days of Medication total across all patients in 2023
Pregabalin	15	$19.56▼ below PA avg	▼ Less 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 15 Medicare prescriptions for Pregabalin, about a third of the volume of the typical Pennsylvania prescriber of this medication (37). Medicare paid an average of $19.56 per fill, versus $52.12 statewide. How often this provider prescribes it This provider 15 PA average 37.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.56 PA average $52.12 This provider's average cost per fill is below the PA average for this medication. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023
Glipizide ErGlipizide	15	$44.61	▼ Less than typical
About Glipizide Er: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2023, this provider wrote 15 Medicare prescriptions for Glipizide Er, about half the volume of the typical Pennsylvania prescriber of this medication (35). Medicare paid an average of $44.61 per fill, versus $21.26 statewide. How often this provider prescribes it This provider 15 PA average 35.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $44.61 PA average $21.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid	15	$16.46	▼ Less than typical
About Triamterene-Hydrochlorothiazid: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two water pills (diuretics): triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. In 2023, this provider wrote 15 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about half the volume of the typical Pennsylvania prescriber of this medication (28). Medicare paid an average of $16.46 per fill, versus $13.29 statewide. How often this provider prescribes it This provider 15 PA average 28.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.46 PA average $13.29 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023
Glipizide	15	$18.60	▼ Less than typical
About Glipizide: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2023, this provider wrote 15 Medicare prescriptions for Glipizide, about half the volume of the typical Pennsylvania prescriber of this medication (35). Medicare paid an average of $18.60 per fill, versus $10.02 statewide. How often this provider prescribes it This provider 15 PA average 35.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.60 PA average $10.02 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip	15	$32.80	▼ Less than 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 15 Medicare prescriptions for Clotrimazole-Betamethasone, about 63% of the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $32.80 per fill, versus $30.40 statewide. How often this provider prescribes it This provider 15 PA average 24.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.80 PA average $30.40 Gross Part D cost per fill; not the patient's out-of-pocket price. 15.5 30-Day Fills standardized to 30-day supplies 322 Days of Medication total across all patients in 2023
MyrbetriqMirabegron	14	$467.47▼ below PA avg	▼ Less than typical
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. In 2023, this provider wrote 14 Medicare prescriptions for Myrbetriq, about a third of the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $467.47 per fill, versus $554.55 statewide. How often this provider prescribes it This provider 14 PA average 48.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $467.47 PA average $554.55 This provider's average cost per fill is below the PA average for this medication. 14 30-Day Fills standardized to 30-day supplies 411 Days of Medication total across all patients in 2023
Diazepam	14	$1.57▼ below PA avg	▼ Less than typical
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 14 Medicare prescriptions for Diazepam, about half the volume of the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $1.57 per fill, versus $7.75 statewide. How often this provider prescribes it This provider 14 PA average 27.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1.57 PA average $7.75 This provider's average cost per fill is below the PA average for this medication. 14 30-Day Fills standardized to 30-day supplies 400 Days of Medication total across all patients in 2023
Amoxicillin	14	$5.56	▼ Less than 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 14 Medicare prescriptions for Amoxicillin, about a third of the volume of the typical Pennsylvania prescriber of this medication (40). Medicare paid an average of $5.56 per fill, versus $3.61 statewide. How often this provider prescribes it This provider 14 PA average 40.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.56 PA average $3.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 177 Days of Medication total across all patients in 2023
Allopurinol	14	$14.31	▼ Less than typical
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 14 Medicare prescriptions for Allopurinol, about a third of the volume of the typical Pennsylvania prescriber of this medication (50). Medicare paid an average of $14.31 per fill, versus $14.17 statewide. How often this provider prescribes it This provider 14 PA average 50.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.31 PA average $14.17 Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023
ClopidogrelClopidogrel Bisulfate	14	$12.45▼ below PA avg	▼ Less than typical
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 14 Medicare prescriptions for Clopidogrel, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (62). Medicare paid an average of $12.45 per fill, versus $15.22 statewide. How often this provider prescribes it This provider 14 PA average 62.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.45 PA average $15.22 This provider's average cost per fill is below the PA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023
TrulicityDulaglutide	13	$2,373.90	▼ Less than typical
About Trulicity: Dulaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. This medication is also used to lessen the risk of a major cardiovascular event (such as heart attack or stroke) in people who already have, or are at high risk for heart/blood vessel disease. Dulaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and by decreasing the amount of sugar your liver makes. Dulaglutide is not a substitute for insulin if you need insulin treatment. In 2023, this provider wrote 13 Medicare prescriptions for Trulicity, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $2,373.90 per fill, versus $1,235.23 statewide. How often this provider prescribes it This provider 13 PA average 48.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,373.90 PA average $1,235.23 Gross Part D cost per fill; not the patient's out-of-pocket price. 29.2 30-Day Fills standardized to 30-day supplies 868 Days of Medication total across all patients in 2023
Citalopram HbrCitalopram Hydrobromide	13	$7.46▼ below PA avg	▼ Less than typical
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2023, this provider wrote 13 Medicare prescriptions for Citalopram Hbr, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (48). Medicare paid an average of $7.46 per fill, versus $8.10 statewide. How often this provider prescribes it This provider 13 PA average 48.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.46 PA average $8.10 This provider's average cost per fill is below the PA average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023
Hydroxyzine Pamoate	13	$28.83	▼ Less than typical
About Hydroxyzine Pamoate: 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. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2023, this provider wrote 13 Medicare prescriptions for Hydroxyzine Pamoate, about a third of the volume of the typical Pennsylvania prescriber of this medication (34). Medicare paid an average of $28.83 per fill, versus $12.50 statewide. How often this provider prescribes it This provider 13 PA average 34.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.83 PA average $12.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023
Cephalexin	13	$14.37	▼ Less than 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 13 Medicare prescriptions for Cephalexin, about half the volume of the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $14.37 per fill, versus $8.71 statewide. How often this provider prescribes it This provider 13 PA average 27.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.37 PA average $8.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 242 Days of Medication total across all patients in 2023
JantovenWarfarin Sodium	13	$8.41▼ below PA avg	▼ Less than typical
About Jantoven: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾ Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a blood thinner, but the more correct term is anticoagulant. It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide. In 2023, this provider wrote 13 Medicare prescriptions for Jantoven, about half the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $8.41 per fill, versus $11.65 statewide. How often this provider prescribes it This provider 13 PA average 24.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.41 PA average $11.65 This provider's average cost per fill is below the PA average for this medication. 36.9 30-Day Fills standardized to 30-day supplies 1,106 Days of Medication total across all patients in 2023
Levetiracetam	12	$27.81▼ below PA avg	▼ Less than typical
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 12 Medicare prescriptions for Levetiracetam, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (50). Medicare paid an average of $27.81 per fill, versus $35.81 statewide. How often this provider prescribes it This provider 12 PA average 50.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.81 PA average $35.81 This provider's average cost per fill is below the PA average for this medication. 29.3 30-Day Fills standardized to 30-day supplies 880 Days of Medication total across all patients in 2023
Oxybutynin Chloride ErOxybutynin Chloride	12	$23.70▼ below PA avg	▼ Less than typical
About Oxybutynin Chloride Er: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾ It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida). In 2023, this provider wrote 12 Medicare prescriptions for Oxybutynin Chloride Er, about a third of the volume of the typical Pennsylvania prescriber of this medication (34). Medicare paid an average of $23.70 per fill, versus $40.95 statewide. How often this provider prescribes it This provider 12 PA average 34.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.70 PA average $40.95 This provider's average cost per fill is below the PA average for this medication. 26 30-Day Fills standardized to 30-day supplies 774 Days of Medication total across all patients in 2023
Ondansetron OdtOndansetron	12	$13.05▼ below PA 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 Pennsylvania prescriber of this medication (21). Medicare paid an average of $13.05 per fill, versus $22.81 statewide. How often this provider prescribes it This provider 12 PA average 21.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.05 PA average $22.81 This provider's average cost per fill is below the PA average for this medication. 12 30-Day Fills standardized to 30-day supplies 127 Days of Medication total across all patients in 2023
JanuviaSitagliptin Phosphate	12	$1,648.20	▼ Less than typical
About Januvia: Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES. In 2023, this provider wrote 12 Medicare prescriptions for Januvia, about a third of the volume of the typical Pennsylvania prescriber of this medication (34). Medicare paid an average of $1,648.20 per fill, versus $897.35 statewide. How often this provider prescribes it This provider 12 PA average 34.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,648.20 PA average $897.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2023
Betamethasone Valerate	12	$25.22▼ below PA avg	▼ Less than typical
About Betamethasone Valerate: 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 medium-strength corticosteroid. The 17-valerate derivative of BETAMETHASONE. It has substantial topical anti-inflammatory activity and relatively low systemic anti-inflammatory activity. In 2023, this provider wrote 12 Medicare prescriptions for Betamethasone Valerate, about half the volume of the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $25.22 per fill, versus $38.14 statewide. How often this provider prescribes it This provider 12 PA average 27.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.22 PA average $38.14 This provider's average cost per fill is below the PA average for this medication. 12 30-Day Fills standardized to 30-day supplies 272 Days of Medication total across all patients in 2023
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine	11	$28.70▼ below PA avg	▼ Less than typical
About Dextroamphetamine-Amphetamine: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2023, this provider wrote 11 Medicare prescriptions for Dextroamphetamine-Amphetamine, about a third of the volume of the typical Pennsylvania prescriber of this medication (31). Medicare paid an average of $28.70 per fill, versus $38.86 statewide. How often this provider prescribes it This provider 11 PA average 31.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.70 PA average $38.86 This provider's average cost per fill is below the PA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Diltiazem 24hr Er (Cd)Diltiazem Hcl	11	$25.74▼ below PA avg	▼ Less than typical
About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 11 Medicare prescriptions for Diltiazem 24hr Er (Cd), about a third of the volume of the typical Pennsylvania prescriber of this medication (38). Medicare paid an average of $25.74 per fill, versus $42.14 statewide. How often this provider prescribes it This provider 11 PA average 38.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.74 PA average $42.14 This provider's average cost per fill is below the PA average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	11	$1,035.93	▼ Less than typical
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 11 Medicare prescriptions for Lantus Solostar, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (41). Medicare paid an average of $1,035.93 per fill, versus $552.83 statewide. How often this provider prescribes it This provider 11 PA average 41.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,035.93 PA average $552.83 Gross Part D cost per fill; not the patient's out-of-pocket price. 26.4 30-Day Fills standardized to 30-day supplies 772 Days of Medication total across all patients in 2023
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	11	$29.96	▼ Less than typical
About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾ 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 fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate. In 2023, this provider wrote 11 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $29.96 per fill, versus $12.06 statewide. How often this provider prescribes it This provider 11 PA average 24.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.96 PA average $12.06 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 267 Days of Medication total across all patients in 2023
Nystatin	11	$12.86▼ below PA avg	▼ Less than 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 11 Medicare prescriptions for Nystatin, about half the volume of the typical Pennsylvania prescriber of this medication (24). Medicare paid an average of $12.86 per fill, versus $24.52 statewide. How often this provider prescribes it This provider 11 PA average 24.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.86 PA average $24.52 This provider's average cost per fill is below the PA average for this medication. 11 30-Day Fills standardized to 30-day supplies 142 Days of Medication total across all patients in 2023
Modafinil	11	$52.40▼ below PA avg	▼ Less than typical
About Modafinil: Modafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). Show more ▾ It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder). This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Modafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder. It is not known how modafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle. A benzhydryl acetamide compound, central nervous system stimulant, and CYP3A4 inducing agent that is used in the treatment of NARCOLEPSY and SLEEP WAKE DISORDERS. In 2023, this provider wrote 11 Medicare prescriptions for Modafinil, about half the volume of the typical Pennsylvania prescriber of this medication (21). Medicare paid an average of $52.40 per fill, versus $174.53 statewide. How often this provider prescribes it This provider 11 PA average 21.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $52.40 PA average $174.53 This provider's average cost per fill is below the PA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
ValacyclovirValacyclovir Hcl	11	$31.01▼ below PA avg	▼ Less 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 11 Medicare prescriptions for Valacyclovir, about half the volume of the typical Pennsylvania prescriber of this medication (21). Medicare paid an average of $31.01 per fill, versus $43.73 statewide. How often this provider prescribes it This provider 11 PA average 21.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.01 PA average $43.73 This provider's average cost per fill is below the PA average for this medication. 13 30-Day Fills standardized to 30-day supplies 216 Days of Medication total across all patients in 2023
Paroxetine Hcl	11	$8.67▼ below PA avg	▼ Less than typical
About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. In 2023, this provider wrote 11 Medicare prescriptions for Paroxetine Hcl, about a third of the volume of the typical Pennsylvania prescriber of this medication (30). Medicare paid an average of $8.67 per fill, versus $14.12 statewide. How often this provider prescribes it This provider 11 PA average 30.0 This provider prescribes this medication less often than the average PA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.67 PA average $14.12 This provider's average cost per fill is below the PA average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023

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= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average PA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the PA average cost per fill.

About this data. The prescription history for MRS. GRETCHEN KLINGLER REYNOLDS PHYSICIAN ASSISTANT 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 Medical prescribing approach at this Lancaster, PA 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 PA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.