DR. JOHN F MADDOX MD
Prescription History 1477575868
Family Medicine in Andalusia, AL

Name: Medicare Part D prescriptions by Dr. John Maddox (NPI 1477575868), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since July 24, 2006PECOS Enrolled

835 S THREE NOTCH ST, ANDALUSIA, AL 36420(334) 222-8421(334) 222-1248 Get Directions

NPPES record last updated: February 27, 2018. 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 DR. JOHN F MADDOX MD, an active Family Medicine specialist practicing in Andalusia, AL. Our medical registry currently tracks 171 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 11,889 documented patient claims. Among these therapy options, the most frequently utilized medication is Tramadol Hcl, which accounts for 593 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.

171

Medications

11,889

Total Claims

21,978

30-Day Fills

Tramadol Hcl

Most Prescribed · 593 claims

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Prescription Volume vs AL Average

171 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by DR. JOHN F MADDOX MD in 2023, with prescription volumes, average cost per fill, and AL state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other AL PrescribersVs. AL Avg
Tramadol Hcl	593	$8.55	▲ More than typical
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 593 Medicare prescriptions for Tramadol Hcl, about 6.1 times the volume of the typical Alabama prescriber of this medication (98). Medicare paid an average of $8.55 per fill, versus $8.15 statewide. How often this provider prescribes it This provider 593 AL average 98.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.55 AL average $8.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 618 30-Day Fills standardized to 30-day supplies 11,760 Days of Medication total across all patients in 2023
Gabapentin	553	$27.52	▲ More than typical
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 553 Medicare prescriptions for Gabapentin, about 3.1 times the volume of the typical Alabama prescriber of this medication (176). Medicare paid an average of $27.52 per fill, versus $18.27 statewide. How often this provider prescribes it This provider 553 AL average 176.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.52 AL average $18.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 1,085.9 30-Day Fills standardized to 30-day supplies 32,463 Days of Medication total across all patients in 2023
Levothyroxine Sodium	462	$15.56▼ below AL avg	▲ More than 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 462 Medicare prescriptions for Levothyroxine Sodium, about 2.8 times the volume of the typical Alabama prescriber of this medication (167). Medicare paid an average of $15.56 per fill, versus $18.39 statewide. How often this provider prescribes it This provider 462 AL average 167.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.56 AL average $18.39 This provider's average cost per fill is below the AL average for this medication. 920.8 30-Day Fills standardized to 30-day supplies 24,351 Days of Medication total across all patients in 2023
Amlodipine Besylate	362	$11.33	▲ More than 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 362 Medicare prescriptions for Amlodipine Besylate, about 2.1 times the volume of the typical Alabama prescriber of this medication (176). Medicare paid an average of $11.33 per fill, versus $7.76 statewide. How often this provider prescribes it This provider 362 AL average 176.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.33 AL average $7.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 878 30-Day Fills standardized to 30-day supplies 26,047 Days of Medication total across all patients in 2023
Lisinopril	348	$11.61	▲ More than 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 348 Medicare prescriptions for Lisinopril, about 2.9 times the volume of the typical Alabama prescriber of this medication (119). Medicare paid an average of $11.61 per fill, versus $7.67 statewide. How often this provider prescribes it This provider 348 AL average 119.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.61 AL average $7.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 882.7 30-Day Fills standardized to 30-day supplies 26,333 Days of Medication total across all patients in 2023
Rosuvastatin Calcium	347	$32.17	▲ More than 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 347 Medicare prescriptions for Rosuvastatin Calcium, about 3.2 times the volume of the typical Alabama prescriber of this medication (107). Medicare paid an average of $32.17 per fill, versus $31.08 statewide. How often this provider prescribes it This provider 347 AL average 107.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.17 AL average $31.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 960.5 30-Day Fills standardized to 30-day supplies 28,662 Days of Medication total across all patients in 2023
Omeprazole	272	$20.11	▲ More than typical
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 272 Medicare prescriptions for Omeprazole, about 2.2 times the volume of the typical Alabama prescriber of this medication (124). Medicare paid an average of $20.11 per fill, versus $15.72 statewide. How often this provider prescribes it This provider 272 AL average 124.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.11 AL average $15.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 685.5 30-Day Fills standardized to 30-day supplies 20,497 Days of Medication total across all patients in 2023
Hydrochlorothiazide	272	$4.79▼ below AL avg	▲ More 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 272 Medicare prescriptions for Hydrochlorothiazide, about 3 times the volume of the typical Alabama prescriber of this medication (92). Medicare paid an average of $4.79 per fill, versus $5.62 statewide. How often this provider prescribes it This provider 272 AL average 92.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.79 AL average $5.62 This provider's average cost per fill is below the AL average for this medication. 722 30-Day Fills standardized to 30-day supplies 21,640 Days of Medication total across all patients in 2023
Losartan Potassium	253	$18.74	▲ More 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 253 Medicare prescriptions for Losartan Potassium, about 1.9 times the volume of the typical Alabama prescriber of this medication (130). Medicare paid an average of $18.74 per fill, versus $13.26 statewide. How often this provider prescribes it This provider 253 AL average 130.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.74 AL average $13.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 699 30-Day Fills standardized to 30-day supplies 20,889 Days of Medication total across all patients in 2023
Metoprolol Succinate	237	$25.65	▲ More 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 237 Medicare prescriptions for Metoprolol Succinate, about 2 times the volume of the typical Alabama prescriber of this medication (116). Medicare paid an average of $25.65 per fill, versus $20.32 statewide. How often this provider prescribes it This provider 237 AL average 116.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.65 AL average $20.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 603 30-Day Fills standardized to 30-day supplies 18,035 Days of Medication total across all patients in 2023
Potassium Chloride	237	$31.75	▲ More 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 237 Medicare prescriptions for Potassium Chloride, about 2.4 times the volume of the typical Alabama prescriber of this medication (97). Medicare paid an average of $31.75 per fill, versus $28.07 statewide. How often this provider prescribes it This provider 237 AL average 97.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.75 AL average $28.07 Gross Part D cost per fill; not the patient's out-of-pocket price. 490.2 30-Day Fills standardized to 30-day supplies 14,566 Days of Medication total across all patients in 2023
Tamsulosin Hcl	229	$25.63	▲ More 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 229 Medicare prescriptions for Tamsulosin Hcl, about 2.5 times the volume of the typical Alabama prescriber of this medication (92). Medicare paid an average of $25.63 per fill, versus $19.04 statewide. How often this provider prescribes it This provider 229 AL average 92.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.63 AL average $19.04 Gross Part D cost per fill; not the patient's out-of-pocket price. 558.7 30-Day Fills standardized to 30-day supplies 16,499 Days of Medication total across all patients in 2023
Atorvastatin Calcium	226	$17.88	≈ 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 226 Medicare prescriptions for Atorvastatin Calcium, about the same volume as the typical Alabama prescriber of this medication (198). Medicare paid an average of $17.88 per fill, versus $13.96 statewide. How often this provider prescribes it This provider 226 AL average 198.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.88 AL average $13.96 Gross Part D cost per fill; not the patient's out-of-pocket price. 487.9 30-Day Fills standardized to 30-day supplies 14,424 Days of Medication total across all patients in 2023
Trazodone Hcl	217	$12.46▼ below AL avg	▲ More than typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 217 Medicare prescriptions for Trazodone Hcl, about 2.3 times the volume of the typical Alabama prescriber of this medication (94). Medicare paid an average of $12.46 per fill, versus $13.14 statewide. How often this provider prescribes it This provider 217 AL average 94.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.46 AL average $13.14 This provider's average cost per fill is below the AL average for this medication. 370.5 30-Day Fills standardized to 30-day supplies 10,912 Days of Medication total across all patients in 2023
Pantoprazole Sodium	210	$25.05	▲ More than 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 210 Medicare prescriptions for Pantoprazole Sodium, about 1.8 times the volume of the typical Alabama prescriber of this medication (120). Medicare paid an average of $25.05 per fill, versus $17.26 statewide. How often this provider prescribes it This provider 210 AL average 120.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.05 AL average $17.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 399.5 30-Day Fills standardized to 30-day supplies 11,730 Days of Medication total across all patients in 2023
EliquisApixaban	199	$593.95▼ below AL avg	▲ More 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 199 Medicare prescriptions for Eliquis, about 2 times the volume of the typical Alabama prescriber of this medication (100). Medicare paid an average of $593.95 per fill, versus $747.76 statewide. How often this provider prescribes it This provider 199 AL average 100.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $593.95 AL average $747.76 This provider's average cost per fill is below the AL average for this medication. 265.1 30-Day Fills standardized to 30-day supplies 6,038 Days of Medication total across all patients in 2023
Simvastatin	185	$13.42	▲ More 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 185 Medicare prescriptions for Simvastatin, about 2.2 times the volume of the typical Alabama prescriber of this medication (84). Medicare paid an average of $13.42 per fill, versus $9.04 statewide. How often this provider prescribes it This provider 185 AL average 84.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.42 AL average $9.04 Gross Part D cost per fill; not the patient's out-of-pocket price. 471 30-Day Fills standardized to 30-day supplies 14,129 Days of Medication total across all patients in 2023
ClopidogrelClopidogrel Bisulfate	181	$15.51▼ below AL avg	▲ More 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 181 Medicare prescriptions for Clopidogrel, about 2.4 times the volume of the typical Alabama prescriber of this medication (75). Medicare paid an average of $15.51 per fill, versus $16.02 statewide. How often this provider prescribes it This provider 181 AL average 75.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.51 AL average $16.02 This provider's average cost per fill is below the AL average for this medication. 341 30-Day Fills standardized to 30-day supplies 10,009 Days of Medication total across all patients in 2023
Furosemide	168	$6.85	▲ More 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 168 Medicare prescriptions for Furosemide, about 1.7 times the volume of the typical Alabama prescriber of this medication (101). Medicare paid an average of $6.85 per fill, versus $6.19 statewide. How often this provider prescribes it This provider 168 AL average 101.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.85 AL average $6.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 337.5 30-Day Fills standardized to 30-day supplies 9,887 Days of Medication total across all patients in 2023
Diclofenac Sodium	164	$30.64▼ below AL avg	▲ More than typical
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2023, this provider wrote 164 Medicare prescriptions for Diclofenac Sodium, about 2.8 times the volume of the typical Alabama prescriber of this medication (58). Medicare paid an average of $30.64 per fill, versus $30.80 statewide. How often this provider prescribes it This provider 164 AL average 58.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.64 AL average $30.80 This provider's average cost per fill is below the AL average for this medication. 248.5 30-Day Fills standardized to 30-day supplies 6,235 Days of Medication total across all patients in 2023
Sertraline Hcl	143	$16.45	▲ More than 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 143 Medicare prescriptions for Sertraline Hcl, about 2.1 times the volume of the typical Alabama prescriber of this medication (69). Medicare paid an average of $16.45 per fill, versus $10.97 statewide. How often this provider prescribes it This provider 143 AL average 69.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.45 AL average $10.97 Gross Part D cost per fill; not the patient's out-of-pocket price. 264 30-Day Fills standardized to 30-day supplies 7,878 Days of Medication total across all patients in 2023
Baclofen	140	$10.16▼ below AL avg	▲ More than typical
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2023, this provider wrote 140 Medicare prescriptions for Baclofen, about 2.6 times the volume of the typical Alabama prescriber of this medication (54). Medicare paid an average of $10.16 per fill, versus $25.01 statewide. How often this provider prescribes it This provider 140 AL average 54.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.16 AL average $25.01 This provider's average cost per fill is below the AL average for this medication. 189 30-Day Fills standardized to 30-day supplies 4,952 Days of Medication total across all patients in 2023
Lorazepam	139	$6.84▼ below AL avg	▲ More 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 139 Medicare prescriptions for Lorazepam, about 2.2 times the volume of the typical Alabama prescriber of this medication (64). Medicare paid an average of $6.84 per fill, versus $7.54 statewide. How often this provider prescribes it This provider 139 AL average 64.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.84 AL average $7.54 This provider's average cost per fill is below the AL average for this medication. 151.9 30-Day Fills standardized to 30-day supplies 3,691 Days of Medication total across all patients in 2023
Metoprolol Tartrate	139	$8.38	▲ More 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 139 Medicare prescriptions for Metoprolol Tartrate, about 2.1 times the volume of the typical Alabama prescriber of this medication (67). Medicare paid an average of $8.38 per fill, versus $7.98 statewide. How often this provider prescribes it This provider 139 AL average 67.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.38 AL average $7.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 268 30-Day Fills standardized to 30-day supplies 7,949 Days of Medication total across all patients in 2023
Acetaminophen-CodeineAcetaminophen With Codeine	135	$18.32▼ below AL avg	▲ More than typical
About Acetaminophen-Codeine: See also Warning section. Show more ▾ This combination medication is used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 135 Medicare prescriptions for Acetaminophen-Codeine, about 3.2 times the volume of the typical Alabama prescriber of this medication (42). Medicare paid an average of $18.32 per fill, versus $18.60 statewide. How often this provider prescribes it This provider 135 AL average 42.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.32 AL average $18.60 This provider's average cost per fill is below the AL average for this medication. 135 30-Day Fills standardized to 30-day supplies 2,190 Days of Medication total across all patients in 2023
Metformin Hcl	129	$13.73	≈ 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 129 Medicare prescriptions for Metformin Hcl, about the same volume as the typical Alabama prescriber of this medication (115). Medicare paid an average of $13.73 per fill, versus $7.54 statewide. How often this provider prescribes it This provider 129 AL average 115.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.73 AL average $7.54 Gross Part D cost per fill; not the patient's out-of-pocket price. 325.7 30-Day Fills standardized to 30-day supplies 9,651 Days of Medication total across all patients in 2023
Clonazepam	127	$6.30▼ below AL avg	▲ More 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 127 Medicare prescriptions for Clonazepam, about 1.3 times the volume of the typical Alabama prescriber of this medication (96). Medicare paid an average of $6.30 per fill, versus $7.77 statewide. How often this provider prescribes it This provider 127 AL average 96.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.30 AL average $7.77 This provider's average cost per fill is below the AL average for this medication. 233.1 30-Day Fills standardized to 30-day supplies 6,992 Days of Medication total across all patients in 2023
Fluticasone Propionate	125	$20.21	▲ More than 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 125 Medicare prescriptions for Fluticasone Propionate, about 1.9 times the volume of the typical Alabama prescriber of this medication (65). Medicare paid an average of $20.21 per fill, versus $17.65 statewide. How often this provider prescribes it This provider 125 AL average 65.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.21 AL average $17.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 168.4 30-Day Fills standardized to 30-day supplies 5,052 Days of Medication total across all patients in 2023
Mirtazapine	110	$13.13▼ below AL avg	▲ More 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 110 Medicare prescriptions for Mirtazapine, about 1.7 times the volume of the typical Alabama prescriber of this medication (65). Medicare paid an average of $13.13 per fill, versus $19.72 statewide. How often this provider prescribes it This provider 110 AL average 65.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.13 AL average $19.72 This provider's average cost per fill is below the AL average for this medication. 146.7 30-Day Fills standardized to 30-day supplies 4,239 Days of Medication total across all patients in 2023
Citalopram HbrCitalopram Hydrobromide	110	$7.28▼ below AL avg	▲ More 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 110 Medicare prescriptions for Citalopram Hbr, about 2.1 times the volume of the typical Alabama prescriber of this medication (53). Medicare paid an average of $7.28 per fill, versus $8.96 statewide. How often this provider prescribes it This provider 110 AL average 53.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.28 AL average $8.96 This provider's average cost per fill is below the AL average for this medication. 235 30-Day Fills standardized to 30-day supplies 6,958 Days of Medication total across all patients in 2023
Buspirone Hcl	107	$29.71	▲ More 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 107 Medicare prescriptions for Buspirone Hcl, about 1.8 times the volume of the typical Alabama prescriber of this medication (59). Medicare paid an average of $29.71 per fill, versus $17.53 statewide. How often this provider prescribes it This provider 107 AL average 59.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.71 AL average $17.53 Gross Part D cost per fill; not the patient's out-of-pocket price. 143.3 30-Day Fills standardized to 30-day supplies 4,208 Days of Medication total across all patients in 2023
Alendronate Sodium	106	$15.80	▲ More than 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 106 Medicare prescriptions for Alendronate Sodium, about 2.5 times the volume of the typical Alabama prescriber of this medication (43). Medicare paid an average of $15.80 per fill, versus $11.89 statewide. How often this provider prescribes it This provider 106 AL average 43.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.80 AL average $11.89 Gross Part D cost per fill; not the patient's out-of-pocket price. 213.6 30-Day Fills standardized to 30-day supplies 6,264 Days of Medication total across all patients in 2023
Donepezil Hcl	103	$16.57	▲ More than typical
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 103 Medicare prescriptions for Donepezil Hcl, about 1.4 times the volume of the typical Alabama prescriber of this medication (76). Medicare paid an average of $16.57 per fill, versus $15.44 statewide. How often this provider prescribes it This provider 103 AL average 76.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.57 AL average $15.44 Gross Part D cost per fill; not the patient's out-of-pocket price. 179 30-Day Fills standardized to 30-day supplies 5,264 Days of Medication total across all patients in 2023
Famotidine	102	$16.59▼ below AL avg	▲ 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 102 Medicare prescriptions for Famotidine, about 1.5 times the volume of the typical Alabama prescriber of this medication (66). Medicare paid an average of $16.59 per fill, versus $17.48 statewide. How often this provider prescribes it This provider 102 AL average 66.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.59 AL average $17.48 This provider's average cost per fill is below the AL average for this medication. 141.5 30-Day Fills standardized to 30-day supplies 4,180 Days of Medication total across all patients in 2023
Warfarin Sodium	101	$11.10▼ below AL avg	▲ More than typical
About Warfarin Sodium: 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 101 Medicare prescriptions for Warfarin Sodium, about 2.5 times the volume of the typical Alabama prescriber of this medication (40). Medicare paid an average of $11.10 per fill, versus $13.63 statewide. How often this provider prescribes it This provider 101 AL average 40.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.10 AL average $13.63 This provider's average cost per fill is below the AL average for this medication. 141.1 30-Day Fills standardized to 30-day supplies 3,128 Days of Medication total across all patients in 2023
Hydralazine Hcl	98	$20.84▼ below AL avg	▲ More than typical
About Hydralazine Hcl: Hydralazine 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. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. In 2023, this provider wrote 98 Medicare prescriptions for Hydralazine Hcl, about 1.8 times the volume of the typical Alabama prescriber of this medication (53). Medicare paid an average of $20.84 per fill, versus $21.64 statewide. How often this provider prescribes it This provider 98 AL average 53.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.84 AL average $21.64 This provider's average cost per fill is below the AL average for this medication. 174 30-Day Fills standardized to 30-day supplies 5,020 Days of Medication total across all patients in 2023
Ezetimibe	93	$67.89	▲ More 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 93 Medicare prescriptions for Ezetimibe, about 1.7 times the volume of the typical Alabama prescriber of this medication (54). Medicare paid an average of $67.89 per fill, versus $50.08 statewide. How often this provider prescribes it This provider 93 AL average 54.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $67.89 AL average $50.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 269 30-Day Fills standardized to 30-day supplies 8,047 Days of Medication total across all patients in 2023
Pregabalin	87	$134.53	≈ 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 87 Medicare prescriptions for Pregabalin, about 1.2 times the volume of the typical Alabama prescriber of this medication (75). Medicare paid an average of $134.53 per fill, versus $40.03 statewide. How often this provider prescribes it This provider 87 AL average 75.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $134.53 AL average $40.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 153 30-Day Fills standardized to 30-day supplies 4,455 Days of Medication total across all patients in 2023
Allopurinol	86	$22.91	▲ More 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 86 Medicare prescriptions for Allopurinol, about 1.4 times the volume of the typical Alabama prescriber of this medication (61). Medicare paid an average of $22.91 per fill, versus $15.66 statewide. How often this provider prescribes it This provider 86 AL average 61.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.91 AL average $15.66 Gross Part D cost per fill; not the patient's out-of-pocket price. 182 30-Day Fills standardized to 30-day supplies 5,346 Days of Medication total across all patients in 2023
Glipizide ErGlipizide	83	$27.10	▲ More 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 83 Medicare prescriptions for Glipizide Er, about 2.4 times the volume of the typical Alabama prescriber of this medication (34). Medicare paid an average of $27.10 per fill, versus $21.66 statewide. How often this provider prescribes it This provider 83 AL average 34.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.10 AL average $21.66 Gross Part D cost per fill; not the patient's out-of-pocket price. 219.3 30-Day Fills standardized to 30-day supplies 6,580 Days of Medication total across all patients in 2023
Clonidine Hcl	81	$5.25▼ below AL avg	▲ More than typical
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. In 2023, this provider wrote 81 Medicare prescriptions for Clonidine Hcl, about 1.9 times the volume of the typical Alabama prescriber of this medication (42). Medicare paid an average of $5.25 per fill, versus $10.34 statewide. How often this provider prescribes it This provider 81 AL average 42.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.25 AL average $10.34 This provider's average cost per fill is below the AL average for this medication. 109.2 30-Day Fills standardized to 30-day supplies 1,946 Days of Medication total across all patients in 2023
Temazepam	81	$3.83▼ below AL avg	▲ More than typical
About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾ It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent. In 2023, this provider wrote 81 Medicare prescriptions for Temazepam, about 1.9 times the volume of the typical Alabama prescriber of this medication (43). Medicare paid an average of $3.83 per fill, versus $10.67 statewide. How often this provider prescribes it This provider 81 AL average 43.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.83 AL average $10.67 This provider's average cost per fill is below the AL average for this medication. 81 30-Day Fills standardized to 30-day supplies 2,410 Days of Medication total across all patients in 2023
Prednisone	80	$7.25	▲ 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 80 Medicare prescriptions for Prednisone, about 1.4 times the volume of the typical Alabama prescriber of this medication (58). Medicare paid an average of $7.25 per fill, versus $6.59 statewide. How often this provider prescribes it This provider 80 AL average 58.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.25 AL average $6.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 84 30-Day Fills standardized to 30-day supplies 1,036 Days of Medication total across all patients in 2023
Montelukast Sodium	79	$19.39	≈ 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 79 Medicare prescriptions for Montelukast Sodium, about 90% of the volume of the typical Alabama prescriber of this medication (88). Medicare paid an average of $19.39 per fill, versus $18.69 statewide. How often this provider prescribes it This provider 79 AL average 88.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.39 AL average $18.69 Gross Part D cost per fill; not the patient's out-of-pocket price. 141 30-Day Fills standardized to 30-day supplies 4,131 Days of Medication total across all patients in 2023
Finasteride	74	$18.18	▲ More than typical
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2023, this provider wrote 74 Medicare prescriptions for Finasteride, about 1.5 times the volume of the typical Alabama prescriber of this medication (49). Medicare paid an average of $18.18 per fill, versus $17.47 statewide. How often this provider prescribes it This provider 74 AL average 49.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.18 AL average $17.47 Gross Part D cost per fill; not the patient's out-of-pocket price. 185.9 30-Day Fills standardized to 30-day supplies 5,489 Days of Medication total across all patients in 2023
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	74	$31.43	▼ 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 74 Medicare prescriptions for Hydrocodone-Acetaminophen, about half the volume of the typical Alabama prescriber of this medication (169). Medicare paid an average of $31.43 per fill, versus $20.67 statewide. How often this provider prescribes it This provider 74 AL average 169.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.43 AL average $20.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 74 30-Day Fills standardized to 30-day supplies 1,391 Days of Medication total across all patients in 2023
Carvedilol	73	$13.27	▼ 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 73 Medicare prescriptions for Carvedilol, about 74% of the volume of the typical Alabama prescriber of this medication (99). Medicare paid an average of $13.27 per fill, versus $11.85 statewide. How often this provider prescribes it This provider 73 AL average 99.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.27 AL average $11.85 Gross Part D cost per fill; not the patient's out-of-pocket price. 163 30-Day Fills standardized to 30-day supplies 4,816 Days of Medication total across all patients in 2023
Ropinirole Hcl	72	$30.17	▲ More than typical
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and 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). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 72 Medicare prescriptions for Ropinirole Hcl, about 1.8 times the volume of the typical Alabama prescriber of this medication (41). Medicare paid an average of $30.17 per fill, versus $19.95 statewide. How often this provider prescribes it This provider 72 AL average 41.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.17 AL average $19.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 105 30-Day Fills standardized to 30-day supplies 3,118 Days of Medication total across all patients in 2023
CefuroximeCefuroxime Axetil	64	$21.47▼ below AL avg	▲ More than typical
About Cefuroxime: Cefuroxime 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 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 cephalosporin antibiotic. In 2023, this provider wrote 64 Medicare prescriptions for Cefuroxime, about 1.6 times the volume of the typical Alabama prescriber of this medication (40). Medicare paid an average of $21.47 per fill, versus $26.39 statewide. How often this provider prescribes it This provider 64 AL average 40.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.47 AL average $26.39 This provider's average cost per fill is below the AL average for this medication. 64 30-Day Fills standardized to 30-day supplies 496 Days of Medication total across all patients in 2023
Pravastatin Sodium	62	$19.38▼ below AL 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 62 Medicare prescriptions for Pravastatin Sodium, about 75% of the volume of the typical Alabama prescriber of this medication (83). Medicare paid an average of $19.38 per fill, versus $21.53 statewide. How often this provider prescribes it This provider 62 AL average 83.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.38 AL average $21.53 This provider's average cost per fill is below the AL average for this medication. 154 30-Day Fills standardized to 30-day supplies 4,597 Days of Medication total across all patients in 2023
Dexamethasone	62	$2.97▼ below AL avg	▲ More than typical
About Dexamethasone: Dexamethasone is used to treat conditions such as arthritis, blood/hormone disorders, allergic reactions, skin diseases, eye problems, breathing problems, bowel disorders, cancer, and immune system disorders. Show more ▾ It is also used as a test for an adrenal gland disorder (Cushing's syndrome). Dexamethasone 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. An anti-inflammatory 9-fluoro-glucocorticoid. In 2023, this provider wrote 62 Medicare prescriptions for Dexamethasone, about 1.6 times the volume of the typical Alabama prescriber of this medication (38). Medicare paid an average of $2.97 per fill, versus $12.70 statewide. How often this provider prescribes it This provider 62 AL average 38.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2.97 AL average $12.70 This provider's average cost per fill is below the AL average for this medication. 62 30-Day Fills standardized to 30-day supplies 265 Days of Medication total across all patients in 2023
Amiodarone Hcl	61	$25.66▼ below AL avg	≈ Typical
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. In 2023, this provider wrote 61 Medicare prescriptions for Amiodarone Hcl, about 1.2 times the volume of the typical Alabama prescriber of this medication (49). Medicare paid an average of $25.66 per fill, versus $28.51 statewide. How often this provider prescribes it This provider 61 AL average 49.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.66 AL average $28.51 This provider's average cost per fill is below the AL average for this medication. 95 30-Day Fills standardized to 30-day supplies 2,727 Days of Medication total across all patients in 2023
Meclizine Hcl	60	$11.42▼ below AL avg	▲ More than typical
About Meclizine Hcl: Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Show more ▾ It may also be used to reduce dizziness and loss of balance (vertigo) caused by inner ear problems. In 2023, this provider wrote 60 Medicare prescriptions for Meclizine Hcl, about 1.9 times the volume of the typical Alabama prescriber of this medication (32). Medicare paid an average of $11.42 per fill, versus $12.94 statewide. How often this provider prescribes it This provider 60 AL average 32.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.42 AL average $12.94 This provider's average cost per fill is below the AL average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,241 Days of Medication total across all patients in 2023
TrulicityDulaglutide	60	$1,346.93	≈ 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 60 Medicare prescriptions for Trulicity, about 1.2 times the volume of the typical Alabama prescriber of this medication (51). Medicare paid an average of $1,346.93 per fill, versus $1,315.40 statewide. How often this provider prescribes it This provider 60 AL average 51.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,346.93 AL average $1,315.40 Gross Part D cost per fill; not the patient's out-of-pocket price. 79.8 30-Day Fills standardized to 30-day supplies 2,310 Days of Medication total across all patients in 2023
Azithromycin	55	$6.35▼ below AL avg	≈ 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 55 Medicare prescriptions for Azithromycin, about the same volume as the typical Alabama prescriber of this medication (53). Medicare paid an average of $6.35 per fill, versus $10.06 statewide. How often this provider prescribes it This provider 55 AL average 53.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.35 AL average $10.06 This provider's average cost per fill is below the AL average for this medication. 55 30-Day Fills standardized to 30-day supplies 273 Days of Medication total across all patients in 2023
Midodrine Hcl	53	$30.41▼ below AL avg	▲ More than typical
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. In 2023, this provider wrote 53 Medicare prescriptions for Midodrine Hcl, about 2 times the volume of the typical Alabama prescriber of this medication (27). Medicare paid an average of $30.41 per fill, versus $83.64 statewide. How often this provider prescribes it This provider 53 AL average 27.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.41 AL average $83.64 This provider's average cost per fill is below the AL average for this medication. 53 30-Day Fills standardized to 30-day supplies 1,493 Days of Medication total across all patients in 2023
Amoxicillin	53	$5.43	≈ 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 53 Medicare prescriptions for Amoxicillin, about 1.2 times the volume of the typical Alabama prescriber of this medication (46). Medicare paid an average of $5.43 per fill, versus $4.66 statewide. How often this provider prescribes it This provider 53 AL average 46.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.43 AL average $4.66 Gross Part D cost per fill; not the patient's out-of-pocket price. 53 30-Day Fills standardized to 30-day supplies 504 Days of Medication total across all patients in 2023
JardianceEmpagliflozin	52	$1,125.80	≈ 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 52 Medicare prescriptions for Jardiance, about the same volume as the typical Alabama prescriber of this medication (47). Medicare paid an average of $1,125.80 per fill, versus $1,005.15 statewide. How often this provider prescribes it This provider 52 AL average 47.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,125.80 AL average $1,005.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 102.9 30-Day Fills standardized to 30-day supplies 2,895 Days of Medication total across all patients in 2023
Alprazolam	52	$11.96	▼ 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 52 Medicare prescriptions for Alprazolam, about half the volume of the typical Alabama prescriber of this medication (112). Medicare paid an average of $11.96 per fill, versus $7.96 statewide. How often this provider prescribes it This provider 52 AL average 112.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.96 AL average $7.96 Gross Part D cost per fill; not the patient's out-of-pocket price. 74.7 30-Day Fills standardized to 30-day supplies 1,762 Days of Medication total across all patients in 2023
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide	52	$23.80	≈ Typical
About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. 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. This product contains two medications: losartan and hydrochlorothiazide. Losartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2023, this provider wrote 52 Medicare prescriptions for Losartan-Hydrochlorothiazide, about the same volume as the typical Alabama prescriber of this medication (46). Medicare paid an average of $23.80 per fill, versus $22.03 statewide. How often this provider prescribes it This provider 52 AL average 46.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.80 AL average $22.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 155 30-Day Fills standardized to 30-day supplies 4,650 Days of Medication total across all patients in 2023
EntrestoSacubitril/Valsartan	51	$490.37▼ below AL avg	≈ Typical
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. In 2023, this provider wrote 51 Medicare prescriptions for Entresto, about 84% of the volume of the typical Alabama prescriber of this medication (61). Medicare paid an average of $490.37 per fill, versus $924.58 statewide. How often this provider prescribes it This provider 51 AL average 61.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $490.37 AL average $924.58 This provider's average cost per fill is below the AL average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,046 Days of Medication total across all patients in 2023
Atenolol	51	$10.37	≈ 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 51 Medicare prescriptions for Atenolol, about the same volume as the typical Alabama prescriber of this medication (45). Medicare paid an average of $10.37 per fill, versus $10.30 statewide. How often this provider prescribes it This provider 51 AL average 45.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.37 AL average $10.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 131 30-Day Fills standardized to 30-day supplies 3,889 Days of Medication total across all patients in 2023
Doxycycline Hyclate	51	$19.42▼ below AL avg	≈ 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 51 Medicare prescriptions for Doxycycline Hyclate, about 1.2 times the volume of the typical Alabama prescriber of this medication (41). Medicare paid an average of $19.42 per fill, versus $19.93 statewide. How often this provider prescribes it This provider 51 AL average 41.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.42 AL average $19.93 This provider's average cost per fill is below the AL average for this medication. 51 30-Day Fills standardized to 30-day supplies 443 Days of Medication total across all patients in 2023
Memantine Hcl	50	$55.47	≈ Typical
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 50 Medicare prescriptions for Memantine Hcl, about 77% of the volume of the typical Alabama prescriber of this medication (65). Medicare paid an average of $55.47 per fill, versus $46.61 statewide. How often this provider prescribes it This provider 50 AL average 65.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $55.47 AL average $46.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 76 30-Day Fills standardized to 30-day supplies 2,231 Days of Medication total across all patients in 2023
Primidone	50	$40.18	▲ More than typical
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2023, this provider wrote 50 Medicare prescriptions for Primidone, about 1.4 times the volume of the typical Alabama prescriber of this medication (37). Medicare paid an average of $40.18 per fill, versus $29.57 statewide. How often this provider prescribes it This provider 50 AL average 37.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $40.18 AL average $29.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 96 30-Day Fills standardized to 30-day supplies 2,848 Days of Medication total across all patients in 2023
Bumetanide	49	$38.46▼ below AL avg	▲ More than typical
About Bumetanide: Bumetanide 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. Bumetanide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic. In 2023, this provider wrote 49 Medicare prescriptions for Bumetanide, about 1.3 times the volume of the typical Alabama prescriber of this medication (38). Medicare paid an average of $38.46 per fill, versus $52.07 statewide. How often this provider prescribes it This provider 49 AL average 38.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.46 AL average $52.07 This provider's average cost per fill is below the AL average for this medication. 81.2 30-Day Fills standardized to 30-day supplies 2,367 Days of Medication total across all patients in 2023
Trelegy ElliptaFluticasone/Umeclidin/Vilanter	48	$848.57	≈ 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 48 Medicare prescriptions for Trelegy Ellipta, about 77% of the volume of the typical Alabama prescriber of this medication (62). Medicare paid an average of $848.57 per fill, versus $818.55 statewide. How often this provider prescribes it This provider 48 AL average 62.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $848.57 AL average $818.55 Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 1,800 Days of Medication total across all patients in 2023
JanuviaSitagliptin Phosphate	48	$851.05▼ below AL avg	≈ 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 48 Medicare prescriptions for Januvia, about the same volume as the typical Alabama prescriber of this medication (44). Medicare paid an average of $851.05 per fill, versus $919.42 statewide. How often this provider prescribes it This provider 48 AL average 44.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $851.05 AL average $919.42 This provider's average cost per fill is below the AL average for this medication. 88 30-Day Fills standardized to 30-day supplies 2,217 Days of Medication total across all patients in 2023
XareltoRivaroxaban	48	$723.47▼ below AL avg	≈ 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 48 Medicare prescriptions for Xarelto, about the same volume as the typical Alabama prescriber of this medication (52). Medicare paid an average of $723.47 per fill, versus $800.76 statewide. How often this provider prescribes it This provider 48 AL average 52.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $723.47 AL average $800.76 This provider's average cost per fill is below the AL average for this medication. 74 30-Day Fills standardized to 30-day supplies 1,934 Days of Medication total across all patients in 2023
Ondansetron Hcl	47	$21.52	▲ More than typical
About Ondansetron Hcl: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. In 2023, this provider wrote 47 Medicare prescriptions for Ondansetron Hcl, about 2 times the volume of the typical Alabama prescriber of this medication (23). Medicare paid an average of $21.52 per fill, versus $4.87 statewide. How often this provider prescribes it This provider 47 AL average 23.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.52 AL average $4.87 Gross Part D cost per fill; not the patient's out-of-pocket price. 47 30-Day Fills standardized to 30-day supplies 246 Days of Medication total across all patients in 2023
Quetiapine Fumarate	47	$16.55▼ below AL avg	▼ Less than typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 47 Medicare prescriptions for Quetiapine Fumarate, about 68% of the volume of the typical Alabama prescriber of this medication (69). Medicare paid an average of $16.55 per fill, versus $25.56 statewide. How often this provider prescribes it This provider 47 AL average 69.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.55 AL average $25.56 This provider's average cost per fill is below the AL average for this medication. 75 30-Day Fills standardized to 30-day supplies 1,975 Days of Medication total across all patients in 2023
Metformin Hcl ErMetformin Hcl	43	$17.08	▼ 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 43 Medicare prescriptions for Metformin Hcl Er, about 65% of the volume of the typical Alabama prescriber of this medication (66). Medicare paid an average of $17.08 per fill, versus $10.53 statewide. How often this provider prescribes it This provider 43 AL average 66.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.08 AL average $10.53 Gross Part D cost per fill; not the patient's out-of-pocket price. 122 30-Day Fills standardized to 30-day supplies 3,605 Days of Medication total across all patients in 2023
Escitalopram Oxalate	41	$15.85	▼ 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 41 Medicare prescriptions for Escitalopram Oxalate, about 61% of the volume of the typical Alabama prescriber of this medication (67). Medicare paid an average of $15.85 per fill, versus $14.62 statewide. How often this provider prescribes it This provider 41 AL average 67.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.85 AL average $14.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 107 30-Day Fills standardized to 30-day supplies 3,083 Days of Medication total across all patients in 2023
Risperidone	41	$11.20▼ below AL avg	▼ Less than typical
About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 41 Medicare prescriptions for Risperidone, about 67% of the volume of the typical Alabama prescriber of this medication (61). Medicare paid an average of $11.20 per fill, versus $15.29 statewide. How often this provider prescribes it This provider 41 AL average 61.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.20 AL average $15.29 This provider's average cost per fill is below the AL average for this medication. 49 30-Day Fills standardized to 30-day supplies 1,447 Days of Medication total across all patients in 2023
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	41	$6.70	▲ More than typical
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS. In 2023, this provider wrote 41 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 1.4 times the volume of the typical Alabama prescriber of this medication (30). Medicare paid an average of $6.70 per fill, versus $6.33 statewide. How often this provider prescribes it This provider 41 AL average 30.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.70 AL average $6.33 Gross Part D cost per fill; not the patient's out-of-pocket price. 41 30-Day Fills standardized to 30-day supplies 322 Days of Medication total across all patients in 2023
Nitroglycerin	39	$17.86▼ below AL avg	≈ Typical
About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2023, this provider wrote 39 Medicare prescriptions for Nitroglycerin, about the same volume as the typical Alabama prescriber of this medication (39). Medicare paid an average of $17.86 per fill, versus $21.96 statewide. How often this provider prescribes it This provider 39 AL average 39.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.86 AL average $21.96 This provider's average cost per fill is below the AL average for this medication. 39.3 30-Day Fills standardized to 30-day supplies 791 Days of Medication total across all patients in 2023
FarxigaDapagliflozin Propanediol	39	$895.71▼ below AL avg	≈ Typical
About Farxiga: Dapagliflozin 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. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 39 Medicare prescriptions for Farxiga, about the same volume as the typical Alabama prescriber of this medication (39). Medicare paid an average of $895.71 per fill, versus $918.12 statewide. How often this provider prescribes it This provider 39 AL average 39.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $895.71 AL average $918.12 This provider's average cost per fill is below the AL average for this medication. 59 30-Day Fills standardized to 30-day supplies 1,770 Days of Medication total across all patients in 2023
Isosorbide Mononitrate ErIsosorbide Mononitrate	37	$45.32	≈ Typical
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. In 2023, this provider wrote 37 Medicare prescriptions for Isosorbide Mononitrate Er, about 77% of the volume of the typical Alabama prescriber of this medication (48). Medicare paid an average of $45.32 per fill, versus $19.87 statewide. How often this provider prescribes it This provider 37 AL average 48.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $45.32 AL average $19.87 Gross Part D cost per fill; not the patient's out-of-pocket price. 109 30-Day Fills standardized to 30-day supplies 3,270 Days of Medication total across all patients in 2023
Topiramate	36	$8.62▼ below AL avg	≈ Typical
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 36 Medicare prescriptions for Topiramate, about the same volume as the typical Alabama prescriber of this medication (39). Medicare paid an average of $8.62 per fill, versus $18.70 statewide. How often this provider prescribes it This provider 36 AL average 39.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.62 AL average $18.70 This provider's average cost per fill is below the AL average for this medication. 50 30-Day Fills standardized to 30-day supplies 1,477 Days of Medication total across all patients in 2023
Calcitonin-SalmonCalcitonin,salmon,synthetic	35	$69.10▼ below AL avg	▲ More than typical
About Calcitonin-Salmon: This medication is used to treat brittle bone disease (osteoporosis) in women who are at least 5 years past the change of life (menopause). Show more ▾ Calcitonin works by slowing bone loss to help maintain strong bones and reduce your risk of fractures. This product has been withdrawn from the Canadian market due to safety problems. In 2023, this provider wrote 35 Medicare prescriptions for Calcitonin-Salmon, about 1.3 times the volume of the typical Alabama prescriber of this medication (27). Medicare paid an average of $69.10 per fill, versus $74.42 statewide. How often this provider prescribes it This provider 35 AL average 27.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $69.10 AL average $74.42 This provider's average cost per fill is below the AL average for this medication. 39.2 30-Day Fills standardized to 30-day supplies 1,153 Days of Medication total across all patients in 2023
Levetiracetam	35	$71.17	▼ 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 35 Medicare prescriptions for Levetiracetam, about 61% of the volume of the typical Alabama prescriber of this medication (57). Medicare paid an average of $71.17 per fill, versus $38.94 statewide. How often this provider prescribes it This provider 35 AL average 57.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $71.17 AL average $38.94 Gross Part D cost per fill; not the patient's out-of-pocket price. 61 30-Day Fills standardized to 30-day supplies 1,797 Days of Medication total across all patients in 2023
VascepaIcosapent Ethyl	34	$226.12▼ below AL avg	≈ Typical
About Vascepa: Icosapent ethyl is used along with certain other cholesterol medications (statins such as atorvastatin, simvastatin) to reduce the risk of heart attack, stroke, and certain types of heart problems that require treatment in a hospital. Show more ▾ It is also used along with a proper diet to help lower fats (triglycerides) in the blood. Icosapent ethyl is a type of omega-3 fatty acid, a fat found in fish oil. It is thought to work by decreasing the amount of triglycerides made by the body. 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. In 2023, this provider wrote 34 Medicare prescriptions for Vascepa, about the same volume as the typical Alabama prescriber of this medication (33). Medicare paid an average of $226.12 per fill, versus $545.49 statewide. How often this provider prescribes it This provider 34 AL average 33.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $226.12 AL average $545.49 This provider's average cost per fill is below the AL average for this medication. 34 30-Day Fills standardized to 30-day supplies 604 Days of Medication total across all patients in 2023
Diltiazem 24hr Er (Cd)Diltiazem Hcl	33	$21.77▼ below AL avg	≈ 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 33 Medicare prescriptions for Diltiazem 24hr Er (Cd), about 85% of the volume of the typical Alabama prescriber of this medication (39). Medicare paid an average of $21.77 per fill, versus $46.50 statewide. How often this provider prescribes it This provider 33 AL average 39.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.77 AL average $46.50 This provider's average cost per fill is below the AL average for this medication. 53 30-Day Fills standardized to 30-day supplies 1,495 Days of Medication total across all patients in 2023
Amitriptyline Hcl	31	$25.98	≈ Typical
About Amitriptyline 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, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 31 Medicare prescriptions for Amitriptyline Hcl, about 82% of the volume of the typical Alabama prescriber of this medication (38). Medicare paid an average of $25.98 per fill, versus $22.57 statewide. How often this provider prescribes it This provider 31 AL average 38.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.98 AL average $22.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 55 30-Day Fills standardized to 30-day supplies 1,650 Days of Medication total across all patients in 2023
CholestyramineCholestyramine (With Sugar)	31	$67.60▼ below AL avg	▲ More than typical
About Cholestyramine: Cholestyramine is used along with a proper diet to lower cholesterol in the blood. Show more ▾ Lowering cholesterol helps decrease the risk for strokes and heart attacks. In addition to 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. Cholestyramine may also be used to treat itching in people with too much bile acid caused by a certain type of liver/bile duct disease (partial biliary obstruction). This medication is known as a bile acid-binding resin. It works by removing bile acid from the body. In people with high cholesterol, this causes the liver to make more bile acid by using cholesterol in the blood. This helps to lower the cholesterol levels. A strongly basic anion exchange resin whose main constituent is polystyrene trimethylbenzylammonium Cl(-) anion. In 2023, this provider wrote 31 Medicare prescriptions for Cholestyramine, about 1.6 times the volume of the typical Alabama prescriber of this medication (19). Medicare paid an average of $67.60 per fill, versus $111.98 statewide. How often this provider prescribes it This provider 31 AL average 19.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $67.60 AL average $111.98 This provider's average cost per fill is below the AL average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,245 Days of Medication total across all patients in 2023
Novolin NInsulin Nph Human Isophane	30	$383.21	▲ More than typical
In 2023, this provider wrote 30 Medicare prescriptions for Novolin N, about 1.7 times the volume of the typical Alabama prescriber of this medication (18). Medicare paid an average of $383.21 per fill, versus $380.00 statewide. How often this provider prescribes it This provider 30 AL average 18.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $383.21 AL average $380.00 Gross Part D cost per fill; not the patient's out-of-pocket price. 32.7 30-Day Fills standardized to 30-day supplies 724 Days of Medication total across all patients in 2023
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	30	$20.49▼ below AL avg	▼ Less than typical
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 30 Medicare prescriptions for Oxycodone-Acetaminophen, about a quarter of the volume of the typical Alabama prescriber of this medication (121). Medicare paid an average of $20.49 per fill, versus $30.44 statewide. How often this provider prescribes it This provider 30 AL average 121.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.49 AL average $30.44 This provider's average cost per fill is below the AL average for this medication. 30 30-Day Fills standardized to 30-day supplies 468 Days of Medication total across all patients in 2023
Cyclobenzaprine Hcl	30	$6.85▼ below AL 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 30 Medicare prescriptions for Cyclobenzaprine Hcl, about 60% of the volume of the typical Alabama prescriber of this medication (50). Medicare paid an average of $6.85 per fill, versus $13.26 statewide. How often this provider prescribes it This provider 30 AL average 50.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.85 AL average $13.26 This provider's average cost per fill is below the AL average for this medication. 30.8 30-Day Fills standardized to 30-day supplies 894 Days of Medication total across all patients in 2023
Pentoxifylline	30	$28.18▼ below AL avg	≈ Typical
About Pentoxifylline: This medication is used to improve the symptoms of a certain blood flow problem in the legs/arms (intermittent claudication due to occlusive artery disease). Show more ▾ Pentoxifylline can decrease the muscle aching/pain/cramps during exercise, including walking, that occur with intermittent claudication. Pentoxifylline belongs to a class of drugs known as hemorrheologic agents. It works by helping blood flow more easily through narrowed arteries. This increases the amount of oxygen that can be delivered by the blood when the muscles need more (such as during exercise) thereby increasing walking distance and duration. A METHYLXANTHINE derivative that inhibits phosphodiesterase and affects blood rheology. It improves blood flow by increasing erythrocyte and leukocyte flexibility. It also inhibits platelet aggregation. Pentoxifylline modulates immunologic activity by stimulating cytokine production. In 2023, this provider wrote 30 Medicare prescriptions for Pentoxifylline, about 1.2 times the volume of the typical Alabama prescriber of this medication (26). Medicare paid an average of $28.18 per fill, versus $35.66 statewide. How often this provider prescribes it This provider 30 AL average 26.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.18 AL average $35.66 This provider's average cost per fill is below the AL average for this medication. 38 30-Day Fills standardized to 30-day supplies 1,140 Days of Medication total across all patients in 2023
Spironolactone	29	$20.66	▼ Less than typical
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 29 Medicare prescriptions for Spironolactone, about 62% of the volume of the typical Alabama prescriber of this medication (47). Medicare paid an average of $20.66 per fill, versus $14.51 statewide. How often this provider prescribes it This provider 29 AL average 47.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.66 AL average $14.51 Gross Part D cost per fill; not the patient's out-of-pocket price. 77 30-Day Fills standardized to 30-day supplies 2,268 Days of Medication total across all patients in 2023
Duloxetine Hcl	29	$34.53▼ below AL 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 29 Medicare prescriptions for Duloxetine Hcl, about a third of the volume of the typical Alabama prescriber of this medication (73). Medicare paid an average of $34.53 per fill, versus $40.47 statewide. How often this provider prescribes it This provider 29 AL average 73.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.53 AL average $40.47 This provider's average cost per fill is below the AL average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,664 Days of Medication total across all patients in 2023
Ondansetron OdtOndansetron	28	$12.89▼ below AL avg	≈ 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 28 Medicare prescriptions for Ondansetron Odt, about the same volume as the typical Alabama prescriber of this medication (28). Medicare paid an average of $12.89 per fill, versus $21.19 statewide. How often this provider prescribes it This provider 28 AL average 28.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.89 AL average $21.19 This provider's average cost per fill is below the AL average for this medication. 28 30-Day Fills standardized to 30-day supplies 160 Days of Medication total across all patients in 2023
Humulin NInsulin Nph Human Isophane	28	$316.81▼ below AL avg	▲ More than typical
In 2023, this provider wrote 28 Medicare prescriptions for Humulin N, about 1.8 times the volume of the typical Alabama prescriber of this medication (16). Medicare paid an average of $316.81 per fill, versus $406.25 statewide. How often this provider prescribes it This provider 28 AL average 16.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $316.81 AL average $406.25 This provider's average cost per fill is below the AL average for this medication. 28 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023
Hydroxyzine Hcl	27	$16.23▼ below AL avg	≈ Typical
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 27 Medicare prescriptions for Hydroxyzine Hcl, about 84% of the volume of the typical Alabama prescriber of this medication (32). Medicare paid an average of $16.23 per fill, versus $18.01 statewide. How often this provider prescribes it This provider 27 AL average 32.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.23 AL average $18.01 This provider's average cost per fill is below the AL average for this medication. 27 30-Day Fills standardized to 30-day supplies 490 Days of Medication total across all patients in 2023
Ketoconazole	27	$33.88	▼ Less than typical
About Ketoconazole: This medication is used to control dandruff. Show more ▾ Use of this medication may help to relieve the flaking, scaling and itching associated with dandruff. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Ketoconazole 2% shampoo is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients. In 2023, this provider wrote 27 Medicare prescriptions for Ketoconazole, about half the volume of the typical Alabama prescriber of this medication (51). Medicare paid an average of $33.88 per fill, versus $27.56 statewide. How often this provider prescribes it This provider 27 AL average 51.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.88 AL average $27.56 Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 564 Days of Medication total across all patients in 2023
Albuterol Sulfate HfaAlbuterol Sulfate	26	$33.69▼ below AL avg	▼ Less than 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 26 Medicare prescriptions for Albuterol Sulfate Hfa, about a third of the volume of the typical Alabama prescriber of this medication (72). Medicare paid an average of $33.69 per fill, versus $48.06 statewide. How often this provider prescribes it This provider 26 AL average 72.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.69 AL average $48.06 This provider's average cost per fill is below the AL average for this medication. 34.4 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2023
Phenytoin	26	$39.53	▲ More than typical
About Phenytoin: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. An anticonvulsant that is used to treat a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs. In 2023, this provider wrote 26 Medicare prescriptions for Phenytoin, about 1.4 times the volume of the typical Alabama prescriber of this medication (19). Medicare paid an average of $39.53 per fill, versus $30.20 statewide. How often this provider prescribes it This provider 26 AL average 19.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.53 AL average $30.20 Gross Part D cost per fill; not the patient's out-of-pocket price. 26 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023
Tizanidine Hcl	26	$10.02▼ below AL avg	▼ Less than typical
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2023, this provider wrote 26 Medicare prescriptions for Tizanidine Hcl, about a third of the volume of the typical Alabama prescriber of this medication (87). Medicare paid an average of $10.02 per fill, versus $14.22 statewide. How often this provider prescribes it This provider 26 AL average 87.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.02 AL average $14.22 This provider's average cost per fill is below the AL average for this medication. 30.7 30-Day Fills standardized to 30-day supplies 793 Days of Medication total across all patients in 2023
OzempicSemaglutide	25	$961.91▼ below AL 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 25 Medicare prescriptions for Ozempic, about half the volume of the typical Alabama prescriber of this medication (54). Medicare paid an average of $961.91 per fill, versus $1,305.48 statewide. How often this provider prescribes it This provider 25 AL average 54.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $961.91 AL average $1,305.48 This provider's average cost per fill is below the AL average for this medication. 25 30-Day Fills standardized to 30-day supplies 700 Days of Medication total across all patients in 2023
Diltiazem Hcl	24	$13.51▼ below AL avg	≈ Typical
About Diltiazem Hcl: 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 24 Medicare prescriptions for Diltiazem Hcl, about 89% of the volume of the typical Alabama prescriber of this medication (27). Medicare paid an average of $13.51 per fill, versus $32.94 statewide. How often this provider prescribes it This provider 24 AL average 27.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.51 AL average $32.94 This provider's average cost per fill is below the AL average for this medication. 30 30-Day Fills standardized to 30-day supplies 564 Days of Medication total across all patients in 2023
Nifedipine ErNifedipine	24	$40.32▼ below AL avg	≈ Typical
About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾ It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. 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. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2023, this provider wrote 24 Medicare prescriptions for Nifedipine Er, about 77% of the volume of the typical Alabama prescriber of this medication (31). Medicare paid an average of $40.32 per fill, versus $53.91 statewide. How often this provider prescribes it This provider 24 AL average 31.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $40.32 AL average $53.91 This provider's average cost per fill is below the AL average for this medication. 38.7 30-Day Fills standardized to 30-day supplies 1,161 Days of Medication total across all patients in 2023
Testosterone Cypionate	24	$53.12	≈ Typical
About Testosterone Cypionate: This medication is used in men who do not make enough of a natural substance called testosterone. Show more ▾ In males, testosterone is responsible for many normal functions, including growth and development of the genitals, muscles, and bones. It also helps cause normal sexual development (puberty) in boys. Testosterone belongs to a class of drugs known as androgens. It works by affecting many body systems so that the body can develop and function normally. Testosterone may also be used in certain adolescent boys to cause puberty in those with delayed puberty. It may also be used to treat certain types of breast cancer in women. In 2023, this provider wrote 24 Medicare prescriptions for Testosterone Cypionate, about 77% of the volume of the typical Alabama prescriber of this medication (31). Medicare paid an average of $53.12 per fill, versus $45.63 statewide. How often this provider prescribes it This provider 24 AL average 31.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $53.12 AL average $45.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 47.7 30-Day Fills standardized to 30-day supplies 1,385 Days of Medication total across all patients in 2023
Naproxen	23	$14.72▼ below AL avg	▼ Less than typical
About Naproxen: Naproxen is used to relieve mild to moderate pain from various conditions. Show more ▾ It also reduces pain, swelling, and joint stiffness from arthritis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This form of naproxen is absorbed slowly and should not be used for pain that needs quick relief (such as during a gout attack). Ask your doctor or pharmacist about using a different form of this drug or other medications for quick relief of pain. An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout. In 2023, this provider wrote 23 Medicare prescriptions for Naproxen, about 74% of the volume of the typical Alabama prescriber of this medication (31). Medicare paid an average of $14.72 per fill, versus $16.03 statewide. How often this provider prescribes it This provider 23 AL average 31.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.72 AL average $16.03 This provider's average cost per fill is below the AL average for this medication. 65 30-Day Fills standardized to 30-day supplies 1,950 Days of Medication total across all patients in 2023
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	23	$983.30	▼ 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 23 Medicare prescriptions for Lantus Solostar, about 61% of the volume of the typical Alabama prescriber of this medication (38). Medicare paid an average of $983.30 per fill, versus $674.98 statewide. How often this provider prescribes it This provider 23 AL average 38.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $983.30 AL average $674.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 31.8 30-Day Fills standardized to 30-day supplies 929 Days of Medication total across all patients in 2023
Doxepin Hcl	23	$43.48▼ below AL avg	▼ Less than typical
About Doxepin Hcl: This medication is used to treat mental/mood problems such as depression and anxiety. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain. In 2023, this provider wrote 23 Medicare prescriptions for Doxepin Hcl, about 74% of the volume of the typical Alabama prescriber of this medication (31). Medicare paid an average of $43.48 per fill, versus $49.39 statewide. How often this provider prescribes it This provider 23 AL average 31.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $43.48 AL average $49.39 This provider's average cost per fill is below the AL average for this medication. 49 30-Day Fills standardized to 30-day supplies 1,470 Days of Medication total across all patients in 2023
Fluoxetine Hcl	23	$21.97	▼ 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 23 Medicare prescriptions for Fluoxetine Hcl, about half the volume of the typical Alabama prescriber of this medication (46). Medicare paid an average of $21.97 per fill, versus $15.07 statewide. How often this provider prescribes it This provider 23 AL average 46.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.97 AL average $15.07 Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2023
Levocetirizine Dihydrochloride	22	$15.50▼ below AL avg	▼ Less than typical
About Levocetirizine Dihydrochloride: Levocetirizine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, and sneezing. Show more ▾ It is also used to relieve itching and hives. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Levocetirizine does not prevent hives or prevent/treat a serious allergic reaction (such as anaphylaxis). If your doctor has prescribed epinephrine to treat allergic reactions, always carry your epinephrine injector with you. Do not use levocetirizine in place of your epinephrine. In 2023, this provider wrote 22 Medicare prescriptions for Levocetirizine Dihydrochloride, about a third of the volume of the typical Alabama prescriber of this medication (55). Medicare paid an average of $15.50 per fill, versus $15.75 statewide. How often this provider prescribes it This provider 22 AL average 55.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.50 AL average $15.75 This provider's average cost per fill is below the AL average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023
Oxybutynin Chloride ErOxybutynin Chloride	22	$65.40	▼ 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 22 Medicare prescriptions for Oxybutynin Chloride Er, about 63% of the volume of the typical Alabama prescriber of this medication (35). Medicare paid an average of $65.40 per fill, versus $40.46 statewide. How often this provider prescribes it This provider 22 AL average 35.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $65.40 AL average $40.46 Gross Part D cost per fill; not the patient's out-of-pocket price. 52 30-Day Fills standardized to 30-day supplies 1,560 Days of Medication total across all patients in 2023
Benztropine Mesylate	22	$9.36▼ below AL avg	▼ Less than typical
About Benztropine Mesylate: Benztropine is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). Show more ▾ Benztropine belongs to a class of medication called anticholinergics that work by blocking a certain natural substance (acetylcholine). This helps decrease muscle stiffness, sweating, and the production of saliva, and helps improve walking ability in people with Parkinson's disease. Anticholinergics can stop severe muscle spasms of the back, neck, and eyes that are sometimes caused by psychiatric drugs. It can also decrease other side effects such as muscle stiffness/rigidity (extrapyramidal signs-EPS). It is not helpful in treating movement problems caused by tardive dyskinesia and may worsen them. Benztropine should not be used by children younger than 3 years. A centrally active muscarinic antagonist that has been used in the symptomatic treatment of PARKINSON DISEASE. Benztropine also inhibits the uptake of dopamine. In 2023, this provider wrote 22 Medicare prescriptions for Benztropine Mesylate, about a third of the volume of the typical Alabama prescriber of this medication (74). Medicare paid an average of $9.36 per fill, versus $14.68 statewide. How often this provider prescribes it This provider 22 AL average 74.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.36 AL average $14.68 This provider's average cost per fill is below the AL average for this medication. 22 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023
Hydrocortisone	21	$34.98	▼ Less than typical
About Hydrocortisone: Hydrocortisone is a man-made version of a natural substance (cortisol) made by the adrenal gland. Show more ▾ This drug is used to treat low cortisol levels caused by diseases of the adrenal gland (such as Addison's disease, adrenocortical insufficiency). Hydrocortisone belongs to a class of drugs known as corticosteroids. Corticosteroids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. In 2023, this provider wrote 21 Medicare prescriptions for Hydrocortisone, about 70% of the volume of the typical Alabama prescriber of this medication (30). Medicare paid an average of $34.98 per fill, versus $21.38 statewide. How often this provider prescribes it This provider 21 AL average 30.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.98 AL average $21.38 Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 127 Days of Medication total across all patients in 2023
Ramipril	21	$18.88	▼ Less than typical
About Ramipril: Ramipril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Ramipril is also used to improve survival after a heart attack. It may also be used in high risk patients (such as patients with heart disease/diabetes) to help prevent heart attacks and strokes. This medication may also be used to treat heart failure in patients who have had a recent heart attack. Ramipril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. A long-acting angiotensin-converting enzyme inhibitor. It is a prodrug that is transformed in the liver to its active metabolite ramiprilat. In 2023, this provider wrote 21 Medicare prescriptions for Ramipril, about 64% of the volume of the typical Alabama prescriber of this medication (33). Medicare paid an average of $18.88 per fill, versus $16.08 statewide. How often this provider prescribes it This provider 21 AL average 33.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.88 AL average $16.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023
Triamcinolone Acetonide	21	$9.37▼ below AL avg	▼ Less than typical
About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾ Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions. In 2023, this provider wrote 21 Medicare prescriptions for Triamcinolone Acetonide, about half the volume of the typical Alabama prescriber of this medication (37). Medicare paid an average of $9.37 per fill, versus $13.99 statewide. How often this provider prescribes it This provider 21 AL average 37.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.37 AL average $13.99 This provider's average cost per fill is below the AL average for this medication. 22.5 30-Day Fills standardized to 30-day supplies 425 Days of Medication total across all patients in 2023
Divalproex Sodium	21	$138.14	▼ Less than typical
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 21 Medicare prescriptions for Divalproex Sodium, about a third of the volume of the typical Alabama prescriber of this medication (66). Medicare paid an average of $138.14 per fill, versus $37.87 statewide. How often this provider prescribes it This provider 21 AL average 66.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $138.14 AL average $37.87 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 870 Days of Medication total across all patients in 2023
Ciprofloxacin Hcl	20	$7.31▼ below AL avg	▼ Less than typical
About Ciprofloxacin Hcl: This medication is used to treat eye infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It 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 overuse of any antibiotic can lead to its decreased effectiveness. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2023, this provider wrote 20 Medicare prescriptions for Ciprofloxacin Hcl, about 61% of the volume of the typical Alabama prescriber of this medication (33). Medicare paid an average of $7.31 per fill, versus $8.73 statewide. How often this provider prescribes it This provider 20 AL average 33.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.31 AL average $8.73 This provider's average cost per fill is below the AL average for this medication. 20 30-Day Fills standardized to 30-day supplies 162 Days of Medication total across all patients in 2023
Venlafaxine Hcl ErVenlafaxine Hcl	20	$52.02	▼ Less than typical
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 20 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical Alabama prescriber of this medication (39). Medicare paid an average of $52.02 per fill, versus $29.71 statewide. How often this provider prescribes it This provider 20 AL average 39.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $52.02 AL average $29.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023
Fluconazole	20	$9.28▼ below AL avg	▼ Less than typical
About Fluconazole: Fluconazole is used to treat vaginal yeast infections. Show more ▾ It works by stopping the growth of common types of vaginal yeast (fungus). This medication belongs to a class of drugs called azole antifungals. Triazole antifungal agent that is used to treat oropharyngeal CANDIDIASIS and cryptococcal MENINGITIS in AIDS. In 2023, this provider wrote 20 Medicare prescriptions for Fluconazole, about 63% of the volume of the typical Alabama prescriber of this medication (32). Medicare paid an average of $9.28 per fill, versus $11.23 statewide. How often this provider prescribes it This provider 20 AL average 32.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.28 AL average $11.23 This provider's average cost per fill is below the AL average for this medication. 20 30-Day Fills standardized to 30-day supplies 129 Days of Medication total across all patients in 2023
Cyclosporine	20	$319.27▼ below AL avg	▲ More than typical
About Cyclosporine: Cyclosporine eye drops are used to treat a certain type of dry eyes. Show more ▾ They work by increasing the amount of tears you make. A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection. In 2023, this provider wrote 20 Medicare prescriptions for Cyclosporine, about 1.3 times the volume of the typical Alabama prescriber of this medication (15). Medicare paid an average of $319.27 per fill, versus $678.03 statewide. How often this provider prescribes it This provider 20 AL average 15.0 This provider prescribes this medication more often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $319.27 AL average $678.03 This provider's average cost per fill is below the AL average for this medication. 20 30-Day Fills standardized to 30-day supplies 405 Days of Medication total across all patients in 2023
Nystatin	20	$18.38▼ below AL avg	≈ Typical
About Nystatin: Nystatin is used to treat fungal skin infections. Show more ▾ Nystatin is an antifungal that works by stopping the growth of fungus. Macrolide antifungal antibiotic complex produced by Streptomyces noursei, S. aureus, and other Streptomyces species. The biologically active components of the complex are nystatin A1, A2, and A3. In 2023, this provider wrote 20 Medicare prescriptions for Nystatin, about 83% of the volume of the typical Alabama prescriber of this medication (24). Medicare paid an average of $18.38 per fill, versus $23.27 statewide. How often this provider prescribes it This provider 20 AL average 24.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.38 AL average $23.27 This provider's average cost per fill is below the AL average for this medication. 20 30-Day Fills standardized to 30-day supplies 187 Days of Medication total across all patients in 2023
Meloxicam	19	$10.68	▼ 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 19 Medicare prescriptions for Meloxicam, about a quarter of the volume of the typical Alabama prescriber of this medication (86). Medicare paid an average of $10.68 per fill, versus $7.54 statewide. How often this provider prescribes it This provider 19 AL average 86.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.68 AL average $7.54 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,321 Days of Medication total across all patients in 2023
Guanfacine Hcl	18	$32.81▼ below AL avg	≈ Typical
About Guanfacine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Guanfacine acts in the brain. It decreases certain nerve signals from the brain to the blood vessels and the heart. This causes the blood vessels to relax so that blood can flow more easily and also slows the heart rate. These effects help to lower blood pressure. In 2023, this provider wrote 18 Medicare prescriptions for Guanfacine Hcl, about 86% of the volume of the typical Alabama prescriber of this medication (21). Medicare paid an average of $32.81 per fill, versus $34.80 statewide. How often this provider prescribes it This provider 18 AL average 21.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.81 AL average $34.80 This provider's average cost per fill is below the AL average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023
LinzessLinaclotide	18	$524.80▼ below AL avg	▼ Less than typical
About Linzess: See also Warning section. Show more ▾ Linaclotide is used to treat certain types of bowel problems (irritable bowel syndrome with constipation, chronic idiopathic constipation). It works by increasing fluid in your intestines and helping speed up movement of food through the gut. Linaclotide may improve stool texture and lessen symptoms such as bloating, abdominal pain/discomfort, straining, and feelings of incomplete bowel movements. In 2023, this provider wrote 18 Medicare prescriptions for Linzess, about half the volume of the typical Alabama prescriber of this medication (38). Medicare paid an average of $524.80 per fill, versus $778.80 statewide. How often this provider prescribes it This provider 18 AL average 38.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $524.80 AL average $778.80 This provider's average cost per fill is below the AL average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023
Bupropion Hcl SrBupropion Hcl	18	$39.87	▼ Less than typical
About Bupropion Hcl Sr: 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 18 Medicare prescriptions for Bupropion Hcl Sr, about 69% of the volume of the typical Alabama prescriber of this medication (26). Medicare paid an average of $39.87 per fill, versus $30.14 statewide. How often this provider prescribes it This provider 18 AL average 26.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.87 AL average $30.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 26 30-Day Fills standardized to 30-day supplies 780 Days of Medication total across all patients in 2023
BrilintaTicagrelor	18	$526.87▼ below AL avg	▼ Less than typical
About Brilinta: Ticagrelor is used along with low-dose aspirin to help prevent heart attack and stroke in people with a history of heart disease, stroke, or at increased risk for heart disease or stroke (for example, due to diabetes, history of transient ischemic attack-TIA). Show more ▾ It may also prevent blood clots after certain heart surgeries (such as stent placement). Ticagrelor works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It keeps blood flowing smoothly in your body. An adenosine triphosphate analogue and reversible P2Y12 PURINORECEPTOR antagonist that inhibits ADP-mediated PLATELET AGGREGATION. It is used for the prevention of THROMBOEMBOLISM by patients with ACUTE CORONARY SYNDROME or a history of MYOCARDIAL INFARCTION. In 2023, this provider wrote 18 Medicare prescriptions for Brilinta, about 62% of the volume of the typical Alabama prescriber of this medication (29). Medicare paid an average of $526.87 per fill, versus $600.13 statewide. How often this provider prescribes it This provider 18 AL average 29.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $526.87 AL average $600.13 This provider's average cost per fill is below the AL average for this medication. 27 30-Day Fills standardized to 30-day supplies 785 Days of Medication total across all patients in 2023
Cephalexin	18	$9.44	▼ 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 18 Medicare prescriptions for Cephalexin, about half the volume of the typical Alabama prescriber of this medication (34). Medicare paid an average of $9.44 per fill, versus $8.65 statewide. How often this provider prescribes it This provider 18 AL average 34.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.44 AL average $8.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 130 Days of Medication total across all patients in 2023
Humulin N KwikpenInsulin Nph Human Isophane	18	$1,703.71	≈ Typical
In 2023, this provider wrote 18 Medicare prescriptions for Humulin N Kwikpen, about the same volume as the typical Alabama prescriber of this medication (19). Medicare paid an average of $1,703.71 per fill, versus $954.67 statewide. How often this provider prescribes it This provider 18 AL average 19.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,703.71 AL average $954.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 28.5 30-Day Fills standardized to 30-day supplies 759 Days of Medication total across all patients in 2023
LantusInsulin Glargine,hum.Rec.Anlog	17	$334.69▼ below AL avg	▼ Less than typical
About Lantus: 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 17 Medicare prescriptions for Lantus, about half the volume of the typical Alabama prescriber of this medication (29). Medicare paid an average of $334.69 per fill, versus $538.48 statewide. How often this provider prescribes it This provider 17 AL average 29.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $334.69 AL average $538.48 This provider's average cost per fill is below the AL average for this medication. 17 30-Day Fills standardized to 30-day supplies 399 Days of Medication total across all patients in 2023
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	17	$18.12	▼ 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 17 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical Alabama prescriber of this medication (30). Medicare paid an average of $18.12 per fill, versus $14.21 statewide. How often this provider prescribes it This provider 17 AL average 30.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.12 AL average $14.21 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 137 Days of Medication total across all patients in 2023
Imipramine Hcl	16	$49.55	▼ Less than typical
About Imipramine Hcl: This medication is used to treat depression. Show more ▾ It is also used with other therapies for the treatment of nighttime bed-wetting (enuresis) in children. Using this medication to treat depression may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. Imipramine can help your child control nighttime bed-wetting. Imipramine belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain natural substances (neurotransmitters such as norepinephrine) in the brain. For bed-wetting, this medication may work by blocking the effect of a certain natural substance (acetylcholine) on the bladder. In 2023, this provider wrote 16 Medicare prescriptions for Imipramine Hcl, about 73% of the volume of the typical Alabama prescriber of this medication (22). Medicare paid an average of $49.55 per fill, versus $17.32 statewide. How often this provider prescribes it This provider 16 AL average 22.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $49.55 AL average $17.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2023
Dicyclomine Hcl	16	$21.40▼ below AL avg	▼ Less than typical
In 2023, this provider wrote 16 Medicare prescriptions for Dicyclomine Hcl, about half the volume of the typical Alabama prescriber of this medication (37). Medicare paid an average of $21.40 per fill, versus $23.63 statewide. How often this provider prescribes it This provider 16 AL average 37.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.40 AL average $23.63 This provider's average cost per fill is below the AL average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023
Omega-3 Acid Ethyl Esters	16	$163.78	≈ Typical
About Omega-3 Acid Ethyl Esters: Omega-3 acid ethyl esters, a type of fat found in fish oil, is used along with diet and exercise to help lower levels of a certain blood fat (triglyceride). Show more ▾ It may also raise good cholesterol (HDL). In general, this drug is used after your blood fat levels have not been fully controlled by non-drug treatments (such as diet changes, exercise, decreasing alcohol intake, weight loss if overweight, controlling blood sugar if diabetic, and regulating your thyroid hormone levels). Lowering triglycerides and increasing good cholesterol may help decrease the risk for strokes and heart attacks. Omega-3 acid ethyl esters are thought to work by decreasing the amount of triglyceride the body makes. In 2023, this provider wrote 16 Medicare prescriptions for Omega-3 Acid Ethyl Esters, about 80% of the volume of the typical Alabama prescriber of this medication (20). Medicare paid an average of $163.78 per fill, versus $105.33 statewide. How often this provider prescribes it This provider 16 AL average 20.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $163.78 AL average $105.33 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
Carbidopa-LevodopaCarbidopa/Levodopa	16	$37.99▼ below AL avg	▼ Less than typical
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 16 Medicare prescriptions for Carbidopa-Levodopa, about a quarter of the volume of the typical Alabama prescriber of this medication (61). Medicare paid an average of $37.99 per fill, versus $45.40 statewide. How often this provider prescribes it This provider 16 AL average 61.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.99 AL average $45.40 This provider's average cost per fill is below the AL average for this medication. 33.8 30-Day Fills standardized to 30-day supplies 989 Days of Medication total across all patients in 2023
Doxazosin Mesylate	15	$29.60	▼ Less than typical
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of 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 frequently or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2023, this provider wrote 15 Medicare prescriptions for Doxazosin Mesylate, about half the volume of the typical Alabama prescriber of this medication (32). Medicare paid an average of $29.60 per fill, versus $24.26 statewide. How often this provider prescribes it This provider 15 AL average 32.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.60 AL average $24.26 Gross Part D cost per fill; not the patient's out-of-pocket price. 41 30-Day Fills standardized to 30-day supplies 1,230 Days of Medication total across all patients in 2023
Ranolazine ErRanolazine	15	$109.32▼ below AL avg	▼ Less than typical
About Ranolazine Er: Ranolazine is used to treat a certain type of chest pain (chronic angina). Show more ▾ It decreases how often you may get chest pain and may help to increase your ability to exercise. Ranolazine works differently than other drugs for angina, so it can be used with your other angina medications (including nitrates, calcium channel blockers such as amlodipine, beta blockers such as metoprolol). It is thought to work by improving how well the heart uses oxygen so that it can do more work with less oxygen. An acetanilide and piperazine derivative that functions as a SODIUM CHANNEL BLOCKER and prevents the release of enzymes during MYOCARDIAL ISCHEMIA. It is used in the treatment of ANGINA PECTORIS. In 2023, this provider wrote 15 Medicare prescriptions for Ranolazine Er, about a third of the volume of the typical Alabama prescriber of this medication (50). Medicare paid an average of $109.32 per fill, versus $136.87 statewide. How often this provider prescribes it This provider 15 AL average 50.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $109.32 AL average $136.87 This provider's average cost per fill is below the AL average for this medication. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023
Cilostazol	15	$25.57▼ below AL avg	▼ Less than typical
About Cilostazol: Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs (intermittent claudication). Show more ▾ Cilostazol can decrease the muscle pain/cramps that occur during exercise/walking. Claudication pain is caused by too little oxygen getting to the muscles. Cilostazol can increase blood flow and the amount of oxygen that gets to the muscles. Cilostazol is an antiplatelet drug and a vasodilator. It works by stopping blood cells called platelets from sticking together and prevents them from forming harmful clots. It also widens blood vessels in the legs. Cilostazol helps the blood to move more easily and keeps blood flowing smoothly in your body. A quinoline and tetrazole derivative that acts as a phosphodiesterase type 3 inhibitor, with anti-platelet and vasodilating activity. It is used in the treatment of PERIPHERAL VASCULAR DISEASES; ISCHEMIC HEART DISEASE; and in the prevention of stroke. In 2023, this provider wrote 15 Medicare prescriptions for Cilostazol, about half the volume of the typical Alabama prescriber of this medication (32). Medicare paid an average of $25.57 per fill, versus $34.30 statewide. How often this provider prescribes it This provider 15 AL average 32.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.57 AL average $34.30 This provider's average cost per fill is below the AL average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023
Haloperidol	15	$21.27▼ below AL avg	▼ Less than typical
About Haloperidol: Haloperidol is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorders). Show more ▾ This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can also help prevent suicide in people who are likely to harm themselves. It also reduces aggression and the desire to hurt others. It can decrease negative thoughts and hallucinations. Haloperidol can also be used to treat uncontrolled movements and outbursts of words/sounds related to Tourette's syndrome. Haloperidol is also used for severe behavior problems in hyperactive children when other treatments or medications have not worked. Haloperidol is a psychiatric medication (antipsychotic-type) that works by helping to restore the balance of certain natural substances in the brain (neurotransmitters). A phenyl-piperidinyl-butyrophenone that is used primarily to treat SCHIZOPHRENIA and other PSYCHOSES. It is also used in schizoaffective disorder, DELUSIONAL DISORDERS, ballism, and TOURETTE SYNDROME (a drug of choice) and occasionally as adjunctive therapy in INTELLECTUAL DISABILITY and the chorea of HUNTINGTON DISEASE. It is a potent antiemetic and is used in the treatment of intractable HICCUPS. (From AMA Drug Evaluations Annual, 1994, p279) In 2023, this provider wrote 15 Medicare prescriptions for Haloperidol, about a third of the volume of the typical Alabama prescriber of this medication (47). Medicare paid an average of $21.27 per fill, versus $36.69 statewide. How often this provider prescribes it This provider 15 AL average 47.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.27 AL average $36.69 This provider's average cost per fill is below the AL average for this medication. 15 30-Day Fills standardized to 30-day supplies 424 Days of Medication total across all patients in 2023
Phenytoin Sodium Extended	15	$34.50▼ below AL avg	▼ Less than typical
About Phenytoin Sodium Extended: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. In 2023, this provider wrote 15 Medicare prescriptions for Phenytoin Sodium Extended, about 60% of the volume of the typical Alabama prescriber of this medication (25). Medicare paid an average of $34.50 per fill, versus $38.70 statewide. How often this provider prescribes it This provider 15 AL average 25.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.50 AL average $38.70 This provider's average cost per fill is below the AL average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023
Ibuprofen	15	$9.69▼ below AL avg	▼ Less than typical
About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾ When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties In 2023, this provider wrote 15 Medicare prescriptions for Ibuprofen, about a third of the volume of the typical Alabama prescriber of this medication (38). Medicare paid an average of $9.69 per fill, versus $13.09 statewide. How often this provider prescribes it This provider 15 AL average 38.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.69 AL average $13.09 This provider's average cost per fill is below the AL average for this medication. 17.3 30-Day Fills standardized to 30-day supplies 520 Days of Medication total across all patients in 2023
Indapamide	15	$22.56▼ below AL avg	▼ Less than typical
About Indapamide: This medication is used to treat high blood pressure. Show more ▾ Indapamide is also used to reduce extra fluid in the body (edema) caused by heart failure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Indapamide 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 can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A benzamide-sulfonamide-indole derived DIURETIC that functions by inhibiting SODIUM CHLORIDE SYMPORTERS. In 2023, this provider wrote 15 Medicare prescriptions for Indapamide, about half the volume of the typical Alabama prescriber of this medication (27). Medicare paid an average of $22.56 per fill, versus $23.23 statewide. How often this provider prescribes it This provider 15 AL average 27.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.56 AL average $23.23 This provider's average cost per fill is below the AL average for this medication. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023
NitrofurantoinNitrofurantoin Macrocrystal	15	$27.83▼ below AL avg	▼ Less than typical
About Nitrofurantoin: Nitrofurantoin is an antibiotic used to treat or prevent certain bladder 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. 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). A urinary anti-infective agent effective against most gram-positive and gram-negative organisms. Although sulfonamides and antibiotics are usually the agents of choice for urinary tract infections, nitrofurantoin is widely used for prophylaxis and long-term suppression. In 2023, this provider wrote 15 Medicare prescriptions for Nitrofurantoin, about half the volume of the typical Alabama prescriber of this medication (33). Medicare paid an average of $27.83 per fill, versus $46.08 statewide. How often this provider prescribes it This provider 15 AL average 33.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.83 AL average $46.08 This provider's average cost per fill is below the AL average for this medication. 17 30-Day Fills standardized to 30-day supplies 274 Days of Medication total across all patients in 2023
PremarinEstrogens, Conjugated	14	$182.18▼ below AL avg	▼ Less than typical
About Premarin: This medication is a female hormone. Show more ▾ It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. Certain estrogen products may also be used by men and women to treat cancers (certain types of prostate cancer, breast cancer that has spread to other parts of the body) and by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). A pharmaceutical preparation containing a mixture of water-soluble, conjugated estrogens derived wholly or in part from URINE of pregnant mares or synthetically from ESTRONE and EQUILIN. It contains a sodium-salt mixture of estrone sulfate (52-62%) and equilin sulfate (22-30%) with a total of the two between 80-88%. Other concomitant conjugates include 17-alpha-dihydroequilin, 17-alpha-estradiol, and 17-beta-dihydroequilin. The potency of the preparation is expressed in terms of an equivalent quantity of sodium estrone sulfate. In 2023, this provider wrote 14 Medicare prescriptions for Premarin, about 64% of the volume of the typical Alabama prescriber of this medication (22). Medicare paid an average of $182.18 per fill, versus $352.33 statewide. How often this provider prescribes it This provider 14 AL average 22.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $182.18 AL average $352.33 This provider's average cost per fill is below the AL average for this medication. 16 30-Day Fills standardized to 30-day supplies 352 Days of Medication total across all patients in 2023
Paroxetine Hcl	14	$25.37	▼ 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 14 Medicare prescriptions for Paroxetine Hcl, about a third of the volume of the typical Alabama prescriber of this medication (34). Medicare paid an average of $25.37 per fill, versus $14.51 statewide. How often this provider prescribes it This provider 14 AL average 34.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.37 AL average $14.51 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
Propranolol Hcl	14	$26.13▼ below AL avg	▼ Less than typical
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 14 Medicare prescriptions for Propranolol Hcl, about half the volume of the typical Alabama prescriber of this medication (27). Medicare paid an average of $26.13 per fill, versus $27.15 statewide. How often this provider prescribes it This provider 14 AL average 27.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.13 AL average $27.15 This provider's average cost per fill is below the AL average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023
Ultra-Fine Nano Pen NeedlePen Needle, Diabetic	14	$71.94▼ below AL avg	▼ Less than typical
In 2023, this provider wrote 14 Medicare prescriptions for Ultra-Fine Nano Pen Needle, about 70% of the volume of the typical Alabama prescriber of this medication (20). Medicare paid an average of $71.94 per fill, versus $84.81 statewide. How often this provider prescribes it This provider 14 AL average 20.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $71.94 AL average $84.81 This provider's average cost per fill is below the AL average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023
Oxybutynin Chloride	14	$30.13	▼ Less than typical
About Oxybutynin Chloride: 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 14 Medicare prescriptions for Oxybutynin Chloride, about half the volume of the typical Alabama prescriber of this medication (28). Medicare paid an average of $30.13 per fill, versus $22.60 statewide. How often this provider prescribes it This provider 14 AL average 28.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.13 AL average $22.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2023
MyrbetriqMirabegron	14	$685.45	▼ 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 Alabama prescriber of this medication (47). Medicare paid an average of $685.45 per fill, versus $602.67 statewide. How often this provider prescribes it This provider 14 AL average 47.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $685.45 AL average $602.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2023
Paxlovid (Eua)Nirmatrelvir/Ritonavir	14	$9.25▼ below AL avg	▼ Less than typical
About Paxlovid (Eua): The combination of nirmatrelvir tablets and ritonavir tablets is a product that the FDA is allowing to be given for emergency use to treat COVID-19. Show more ▾ The product is also approved to be used in Canada to treat COVID-19. It is used by people who have recently tested positive for coronavirus, have had mild to moderate symptoms for no more than 5 days and are not hospitalized. To receive this product you must also be at high risk for COVID-19 complications due to older age, obesity, or ongoing medical conditions (such as lung or heart disease or diabetes, among others). Talk to your doctor about the risks and benefits of treatment with nirmatrelvir and ritonavir. Nirmatrelvir is a SARS-CoV-2 main protease inhibitor. It works by preventing the growth of the virus that causes COVID-19. Ritonavir increases (boosts) the levels of nirmatrelvir. This helps nirmatrelvir work better. More information about nirmatrelvir and ritonavir is available from the FDA Fact Sheet for Patients, Parents, and Caregivers for Emergency Use and from the Health Canada Patient Medication Information sheet. There is limited information about how safe and effective the combination of nirmatrelvir and ritonavir is for treating COVID-19. Study results show that nirmatrelvir and ritonavir may help people who have recently tested positive for coronavirus stay out of the hospital. This product is not for use by people who are hospitalized due to COVID-19. The information in this document reflects emerging data, which is evolving and subject to reassessment. Users should be aware of these considerations in their review of nirmatrelvir and ritonavir, and it is always the responsibility of treating practitioners to exercise independent judgement in making care decisions. In 2023, this provider wrote 14 Medicare prescriptions for Paxlovid (Eua), about 61% of the volume of the typical Alabama prescriber of this medication (23). Medicare paid an average of $9.25 per fill, versus $10.69 statewide. How often this provider prescribes it This provider 14 AL average 23.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.25 AL average $10.69 This provider's average cost per fill is below the AL average for this medication. 14 30-Day Fills standardized to 30-day supplies 70 Days of Medication total across all patients in 2023
MethotrexateMethotrexate Sodium	13	$35.06	▼ Less than typical
About Methotrexate: Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma) or to control severe psoriasis or rheumatoid arthritis that has not responded to other treatments. Show more ▾ It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA. In 2023, this provider wrote 13 Medicare prescriptions for Methotrexate, about 13% of the volume of the typical Alabama prescriber of this medication (101). Medicare paid an average of $35.06 per fill, versus $32.59 statewide. How often this provider prescribes it This provider 13 AL average 101.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.06 AL average $32.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 377 Days of Medication total across all patients in 2023
Torsemide	13	$14.93▼ below AL avg	▼ Less than typical
About Torsemide: Torsemide 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. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2023, this provider wrote 13 Medicare prescriptions for Torsemide, about a third of the volume of the typical Alabama prescriber of this medication (37). Medicare paid an average of $14.93 per fill, versus $22.04 statewide. How often this provider prescribes it This provider 13 AL average 37.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.93 AL average $22.04 This provider's average cost per fill is below the AL average for this medication. 22 30-Day Fills standardized to 30-day supplies 611 Days of Medication total across all patients in 2023
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid	13	$9.07▼ below AL avg	▼ 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 13 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about a third of the volume of the typical Alabama prescriber of this medication (40). Medicare paid an average of $9.07 per fill, versus $13.33 statewide. How often this provider prescribes it This provider 13 AL average 40.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.07 AL average $13.33 This provider's average cost per fill is below the AL average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023
VyzultaLatanoprostene Bunod	13	$252.36▼ below AL avg	▼ Less than typical
About Vyzulta: Latanoprostene bunod is used to treat high pressure inside the eye due to glaucoma (open-angle type) or other eye diseases (such as ocular hypertension). Show more ▾ Lowering high pressure inside the eye can help prevent blindness. This medication works by controlling the flow of fluid within the eye to maintain a normal pressure. In 2023, this provider wrote 13 Medicare prescriptions for Vyzulta, about a third of the volume of the typical Alabama prescriber of this medication (42). Medicare paid an average of $252.36 per fill, versus $366.44 statewide. How often this provider prescribes it This provider 13 AL average 42.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $252.36 AL average $366.44 This provider's average cost per fill is below the AL average for this medication. 13 30-Day Fills standardized to 30-day supplies 259 Days of Medication total across all patients in 2023
Breo ElliptaFluticasone/Vilanterol	13	$403.75▼ below AL avg	▼ Less than 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 13 Medicare prescriptions for Breo Ellipta, about a third of the volume of the typical Alabama prescriber of this medication (41). Medicare paid an average of $403.75 per fill, versus $513.49 statewide. How often this provider prescribes it This provider 13 AL average 41.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $403.75 AL average $513.49 This provider's average cost per fill is below the AL average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023
ZypitamagPitavastatin Magnesium	13	$223.70▼ below AL avg	≈ Typical
About Zypitamag: Pitavastatin 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. In 2023, this provider wrote 13 Medicare prescriptions for Zypitamag, about the same volume as the typical Alabama prescriber of this medication (13). Medicare paid an average of $223.70 per fill, versus $262.95 statewide. How often this provider prescribes it This provider 13 AL average 13.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $223.70 AL average $262.95 This provider's average cost per fill is below the AL average for this medication. 13 30-Day Fills standardized to 30-day supplies 352 Days of Medication total across all patients in 2023
Dutasteride	13	$35.45▼ below AL avg	▼ Less than typical
About Dutasteride: This medication is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It works by reducing the size of the enlarged prostate. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). It may also reduce the need for surgery to treat BPH. Dutasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. This medication should not be used by women or children. A 5-ALPHA-REDUCTASE INHIBITOR that is reported to inhibit both type-1 and type2 isoforms of the enzyme and is used to treat BENIGN PROSTATIC HYPERPLASIA. In 2023, this provider wrote 13 Medicare prescriptions for Dutasteride, about half the volume of the typical Alabama prescriber of this medication (29). Medicare paid an average of $35.45 per fill, versus $45.40 statewide. How often this provider prescribes it This provider 13 AL average 29.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.45 AL average $45.40 This provider's average cost per fill is below the AL average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023
Memantine Hcl ErMemantine Hcl	13	$391.29	▼ Less than typical
About Memantine Hcl Er: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 13 Medicare prescriptions for Memantine Hcl Er, about half the volume of the typical Alabama prescriber of this medication (26). Medicare paid an average of $391.29 per fill, versus $117.93 statewide. How often this provider prescribes it This provider 13 AL average 26.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $391.29 AL average $117.93 Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023
NexletolBempedoic Acid	13	$742.23	≈ Typical
About Nexletol: Bempedoic acid is used along with a proper diet and other medications to help lower bad cholesterol (such as LDL) in the blood. Show more ▾ It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol may help to decrease the risk of heart disease and help 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. In 2023, this provider wrote 13 Medicare prescriptions for Nexletol, about 76% of the volume of the typical Alabama prescriber of this medication (17). Medicare paid an average of $742.23 per fill, versus $550.05 statewide. How often this provider prescribes it This provider 13 AL average 17.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $742.23 AL average $550.05 Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023
Potassium Citrate ErPotassium Citrate	13	$56.36▼ below AL avg	▼ Less than typical
About Potassium Citrate Er: This medication is used to make the urine less acidic. Show more ▾ This effect helps the kidneys get rid of uric acid, thereby helping to prevent gout and kidney stones. This medication can also prevent and treat certain metabolic problems (acidosis) caused by kidney disease. Citric acid and citrate salts (which contain potassium and sodium) belong to a class of drugs known as urinary alkalinizers. If you have a condition that requires you to limit your intake of potassium and sodium, your doctor may direct you to take a product that is lower in potassium and sodium. A powder that dissolves in water, which is administered orally, and is used as a diuretic, expectorant, systemic alkalizer, and electrolyte replenisher. In 2023, this provider wrote 13 Medicare prescriptions for Potassium Citrate Er, about half the volume of the typical Alabama prescriber of this medication (25). Medicare paid an average of $56.36 per fill, versus $117.67 statewide. How often this provider prescribes it This provider 13 AL average 25.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $56.36 AL average $117.67 This provider's average cost per fill is below the AL average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023
Hydroxychloroquine Sulfate	13	$140.80	▼ Less than typical
About Hydroxychloroquine Sulfate: Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. Show more ▾ The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis. Hydroxychloroquine is not recommended for coronavirus infection, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970) In 2023, this provider wrote 13 Medicare prescriptions for Hydroxychloroquine Sulfate, about 14% of the volume of the typical Alabama prescriber of this medication (92). Medicare paid an average of $140.80 per fill, versus $60.08 statewide. How often this provider prescribes it This provider 13 AL average 92.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $140.80 AL average $60.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 444 Days of Medication total across all patients in 2023
Albuterol Sulfate	13	$16.52▼ below AL avg	▼ Less than typical
About Albuterol Sulfate: 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 13 Medicare prescriptions for Albuterol Sulfate, about half the volume of the typical Alabama prescriber of this medication (27). Medicare paid an average of $16.52 per fill, versus $63.13 statewide. How often this provider prescribes it This provider 13 AL average 27.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.52 AL average $63.13 This provider's average cost per fill is below the AL average for this medication. 13 30-Day Fills standardized to 30-day supplies 128 Days of Medication total across all patients in 2023
Novolin RInsulin Regular, Human	13	$330.97	▼ Less than typical
About Novolin R: Inhaled insulin powder 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. This man-made insulin product is the same as human insulin. It replaces the insulin that your body would normally make. It is a short-acting insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This product is absorbed into the blood through your lungs. It starts working faster and lasts for a shorter time than regular insulin injected under the skin. It is usually used in combination with a medium- or long-acting insulin product. This medication may also be used alone or with other oral diabetes drugs (such as metformin). In 2023, this provider wrote 13 Medicare prescriptions for Novolin R, about half the volume of the typical Alabama prescriber of this medication (25). Medicare paid an average of $330.97 per fill, versus $212.24 statewide. How often this provider prescribes it This provider 13 AL average 25.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $330.97 AL average $212.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 16.8 30-Day Fills standardized to 30-day supplies 429 Days of Medication total across all patients in 2023
Phenobarbital	12	$17.25▼ below AL avg	▼ Less than typical
About Phenobarbital: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Phenobarbital belongs to a class of drugs known as barbiturate anticonvulsants/hypnotics. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. This medication is also used for a short time (usually no more than 2 weeks) to help calm you or help you sleep during periods of anxiety. It works by affecting certain parts of the brain to cause calming. A barbituric acid derivative that acts as a nonselective central nervous system depressant. It potentiates GAMMA-AMINOBUTYRIC ACID action on GABA-A RECEPTORS, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations. In 2023, this provider wrote 12 Medicare prescriptions for Phenobarbital, about half the volume of the typical Alabama prescriber of this medication (25). Medicare paid an average of $17.25 per fill, versus $40.28 statewide. How often this provider prescribes it This provider 12 AL average 25.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.25 AL average $40.28 This provider's average cost per fill is below the AL average for this medication. 14 30-Day Fills standardized to 30-day supplies 396 Days of Medication total across all patients in 2023
Verapamil SrVerapamil Hcl	12	$126.73▼ below AL avg	≈ Typical
About Verapamil Sr: Verapamil is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Verapamil belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Verapamil may also lower your heart rate. In 2023, this provider wrote 12 Medicare prescriptions for Verapamil Sr, about 75% of the volume of the typical Alabama prescriber of this medication (16). Medicare paid an average of $126.73 per fill, versus $126.99 statewide. How often this provider prescribes it This provider 12 AL average 16.0 This provider's prescribing volume for this medication is in line with the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $126.73 AL average $126.99 This provider's average cost per fill is below the AL average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023
Digoxin	12	$43.29	▼ Less than typical
About Digoxin: Digoxin is used to treat heart failure, usually along with other medications. Show more ▾ It is also used to treat certain types of irregular heartbeat (such as chronic atrial fibrillation). Treating heart failure may help maintain your ability to walk and exercise and may improve the strength of your heart. Treating an irregular heartbeat can also improve your ability to exercise. Digoxin belongs to a class of medications called cardiac glycosides. It works by affecting certain minerals (sodium and potassium) inside heart cells. This reduces strain on the heart and helps it maintain a normal, steady, and strong heartbeat. A cardiotonic glycoside obtained mainly from Digitalis lanata; it consists of three sugars and the aglycone DIGOXIGENIN. Digoxin has positive inotropic and negative chronotropic activity. It is used to control ventricular rate in ATRIAL FIBRILLATION and in the management of congestive heart failure with atrial fibrillation. Its use in congestive heart failure and sinus rhythm is less certain. The margin between toxic and therapeutic doses is small. (From Martindale, The Extra Pharmacopoeia, 30th ed, p666) In 2023, this provider wrote 12 Medicare prescriptions for Digoxin, about a third of the volume of the typical Alabama prescriber of this medication (30). Medicare paid an average of $43.29 per fill, versus $32.08 statewide. How often this provider prescribes it This provider 12 AL average 30.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $43.29 AL average $32.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 14.6 30-Day Fills standardized to 30-day supplies 416 Days of Medication total across all patients in 2023
Bupropion XlBupropion Hcl	12	$8.45▼ below AL 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 12 Medicare prescriptions for Bupropion Xl, about a quarter of the volume of the typical Alabama prescriber of this medication (43). Medicare paid an average of $8.45 per fill, versus $37.57 statewide. How often this provider prescribes it This provider 12 AL average 43.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.45 AL average $37.57 This provider's average cost per fill is below the AL average for this medication. 12 30-Day Fills standardized to 30-day supplies 337 Days of Medication total across all patients in 2023
Candesartan Cilexetil	12	$87.06▼ below AL avg	▼ Less than typical
About Candesartan Cilexetil: Candesartan is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Candesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. This medication is also used to treat heart failure. This medication is not recommended for use in children younger than 1 year due to increased risk of side effects. In 2023, this provider wrote 12 Medicare prescriptions for Candesartan Cilexetil, about half the volume of the typical Alabama prescriber of this medication (26). Medicare paid an average of $87.06 per fill, versus $120.48 statewide. How often this provider prescribes it This provider 12 AL average 26.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $87.06 AL average $120.48 This provider's average cost per fill is below the AL average for this medication. 12 30-Day Fills standardized to 30-day supplies 318 Days of Medication total across all patients in 2023
Isosorbide Dinitrate	12	$58.56▼ below AL avg	▼ Less than typical
About Isosorbide Dinitrate: Isosorbide dinitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be taken just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A vasodilator used in the treatment of ANGINA PECTORIS. Its actions are similar to NITROGLYCERIN but with a slower onset of action. In 2023, this provider wrote 12 Medicare prescriptions for Isosorbide Dinitrate, about half the volume of the typical Alabama prescriber of this medication (24). Medicare paid an average of $58.56 per fill, versus $81.53 statewide. How often this provider prescribes it This provider 12 AL average 24.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $58.56 AL average $81.53 This provider's average cost per fill is below the AL average for this medication. 16 30-Day Fills standardized to 30-day supplies 457 Days of Medication total across all patients in 2023
Atenolol-ChlorthalidoneAtenolol/Chlorthalidone	11	$55.43	▼ Less than typical
About Atenolol-Chlorthalidone: This medication is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains 2 medications: atenolol and chlorthalidone. 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. Chlorthalidone is a water pill (diuretic) and causes your body to get rid of extra salt and water. This effect may increase the amount of urine you make when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. These medications are used together when 1 drug alone is not controlling your blood pressure. Your doctor may direct you to start taking the individual medications first, and then switch you over to this combination product if this is the best dose combination for you. In 2023, this provider wrote 11 Medicare prescriptions for Atenolol-Chlorthalidone, about half the volume of the typical Alabama prescriber of this medication (22). Medicare paid an average of $55.43 per fill, versus $50.01 statewide. How often this provider prescribes it This provider 11 AL average 22.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $55.43 AL average $50.01 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023
Clobetasol Propionate	11	$36.11▼ below AL avg	▼ Less than typical
About Clobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Show more ▾ Clobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high-potency) corticosteroid. A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression. In 2023, this provider wrote 11 Medicare prescriptions for Clobetasol Propionate, about a quarter of the volume of the typical Alabama prescriber of this medication (42). Medicare paid an average of $36.11 per fill, versus $68.99 statewide. How often this provider prescribes it This provider 11 AL average 42.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $36.11 AL average $68.99 This provider's average cost per fill is below the AL average for this medication. 11 30-Day Fills standardized to 30-day supplies 270 Days of Medication total across all patients in 2023
Valsartan	11	$63.89	▼ Less than typical
About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾ It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION. In 2023, this provider wrote 11 Medicare prescriptions for Valsartan, about a third of the volume of the typical Alabama prescriber of this medication (39). Medicare paid an average of $63.89 per fill, versus $38.69 statewide. How often this provider prescribes it This provider 11 AL average 39.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $63.89 AL average $38.69 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023
Pramipexole DihydrochloridePramipexole Di-Hcl	11	$41.77	▼ 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 11 Medicare prescriptions for Pramipexole Dihydrochloride, about a third of the volume of the typical Alabama prescriber of this medication (32). Medicare paid an average of $41.77 per fill, versus $18.43 statewide. How often this provider prescribes it This provider 11 AL average 32.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $41.77 AL average $18.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023
Tresiba Flextouch U-200Insulin Degludec	11	$1,434.77	▼ Less than typical
About Tresiba Flextouch U-200: Insulin degludec 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 degludec 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 degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. In 2023, this provider wrote 11 Medicare prescriptions for Tresiba Flextouch U-200, about a third of the volume of the typical Alabama prescriber of this medication (31). Medicare paid an average of $1,434.77 per fill, versus $1,145.31 statewide. How often this provider prescribes it This provider 11 AL average 31.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,434.77 AL average $1,145.31 Gross Part D cost per fill; not the patient's out-of-pocket price. 28.8 30-Day Fills standardized to 30-day supplies 864 Days of Medication total across all patients in 2023
Flecainide Acetate	11	$150.72	▼ Less than typical
About Flecainide Acetate: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as sustained ventricular tachycardia and paroxysmal supraventricular tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. It is also used to prevent certain types of irregular heartbeat from returning (such as atrial fibrillation). Flecainide is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other effective and possibly safer treatments. A potent anti-arrhythmia agent, effective in a wide range of ventricular and atrial ARRHYTHMIAS and TACHYCARDIAS. In 2023, this provider wrote 11 Medicare prescriptions for Flecainide Acetate, about a quarter of the volume of the typical Alabama prescriber of this medication (46). Medicare paid an average of $150.72 per fill, versus $71.58 statewide. How often this provider prescribes it This provider 11 AL average 46.0 This provider prescribes this medication less often than the average AL prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $150.72 AL average $71.58 Gross Part D cost per fill; not the patient's out-of-pocket price. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023

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

About this data. The prescription history for DR. JOHN F MADDOX MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Family Medicine prescribing approach at this Andalusia, AL 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 AL prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.