DONALD DEAN GRAHAM JR. MD
Prescription History 1497737621
Internal Medicine - Pulmonary Disease in Boone, NC

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
148 HIGHWAY 105 EXT, SUITE 104, BOONE, NC 28607(336) 386-2746(336) 386-2750 Get Directions

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DONALD DEAN GRAHAM JR. MD, an active Pulmonary Disease specialist practicing in Boone, NC. Our medical registry currently tracks 35 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,392 documented patient claims. Among these therapy options, the most frequently utilized medication is Azithromycin, which accounts for 851 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.

35
Medications
3,392
Total Claims
4,940
30-Day Fills
Azithromycin
Most Prescribed · 851 claims
View details
35 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by DONALD DEAN GRAHAM JR. MD in 2023, with claim volumes, costs, and NC state comparisons
Medication Claims 30-Day Fills Days Supply Cost / Claim Utilization vs NC Avg

Utilization: claims vs the average NC prescriber

This provider
851
NC average
35.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$12.93
NC average
$11.85

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

1,282.5
30-Day Fills
37,554
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
297
NC average
51.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$6.22
NC average
$6.87

This provider's average cost per claim is below the NC average for this medication.

430.5
30-Day Fills
10,191
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
290
NC average
33.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$581.27
NC average
$527.88

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

424.0
30-Day Fills
12,720
Days Supply

About Symbicort: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: budesonide and formoterol. Budesonide belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Formoterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as formoterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. Before using this medication, it is important to learn how to use it properly. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. See also How to Use section. A pharmaceutical preparation of budesonide and formoterol fumarate that is used as an ANTI-ASTHMATIC AGENT and for the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

Utilization: claims vs the average NC prescriber

This provider
285
NC average
60.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$34.99
NC average
$46.94

This provider's average cost per claim is below the NC average for this medication.

413.1
30-Day Fills
11,200
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
226
NC average
54.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$977.90
NC average
$824.17

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

325.5
30-Day Fills
9,765
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
190
NC average
35.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$564.68
NC average
$509.72

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

254.0
30-Day Fills
7,620
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
112
NC average
19.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$254.00
NC average
$253.96

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

176.0
30-Day Fills
5,280
Days Supply

About Fluticasone-Salmeterol: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) 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.

Utilization: claims vs the average NC prescriber

This provider
112
NC average
61.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$12.30
NC average
$16.86

This provider's average cost per claim is below the NC average for this medication.

250.6
30-Day Fills
7,499
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
92
NC average
30.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$556.31
NC average
$572.60

This provider's average cost per claim is below the NC average for this medication.

104.0
30-Day Fills
3,120
Days Supply

About Anoro Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by 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 2 medications: umeclidinium and vilanterol. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Umeclidinium belongs to a class of drugs known as anticholinergics. Vilanterol belongs to the class of drugs known as long-acting beta agonists (LABAs). Both drugs are also known as bronchodilators. 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. Umeclidinium/vilanterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as vilanterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems.

Utilization: claims vs the average NC prescriber

This provider
91
NC average
20.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$543.20
NC average
$541.25

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

115.0
30-Day Fills
3,450
Days Supply

About Advair Diskus: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) 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.

Utilization: claims vs the average NC prescriber

This provider
81
NC average
36.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$724.73
NC average
$780.06

This provider's average cost per claim is below the NC average for this medication.

87.0
30-Day Fills
2,610
Days Supply

About Breztri Aerosphere: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

Controlling symptoms of breathing problems helps you maintain your normal activities and decreases time lost from work or school. This inhaler contains 3 medications: budesonide, glycopyrrolate, and formoterol. Budesonide works by reducing the irritation and swelling of the airways. Budesonide belongs to a class of drugs known as corticosteroids. Glycopyrrolate and formoterol work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Glycopyrrolate belongs to a class of drugs known as anticholinergics. Formoterol belongs to the class of drugs known as long-acting beta agonists (LABAs). Both drugs are also known as bronchodilators. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This medication is not approved to treat asthma.

Utilization: claims vs the average NC prescriber

This provider
66
NC average
24.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$84.28
NC average
$74.48

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

80.0
30-Day Fills
2,010
Days Supply

About Ventolin Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾

It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol.

Utilization: claims vs the average NC prescriber

This provider
63
NC average
32.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$36.51
NC average
$44.83

This provider's average cost per claim is below the NC average for this medication.

105.7
30-Day Fills
3,065
Days Supply

About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾

Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms.

Utilization: claims vs the average NC prescriber

This provider
62
NC average
31.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$9.29
NC average
$24.06

This provider's average cost per claim is below the NC average for this medication.

62.0
30-Day Fills
434
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
62
NC average
28.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$719.90
NC average
$669.22

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

82.0
30-Day Fills
2,460
Days Supply

About Spiriva Respimat: Tiotropium is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾

It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Tiotropium belongs to a class of drugs known as anticholinergics. Controlling symptoms of breathing problems can decrease time lost from work or school. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If wheezing or sudden shortness of breath occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A scopolamine derivative and CHOLINERGIC ANTAGONIST that functions as a BRONCHODILATOR AGENT. It is used in the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

Utilization: claims vs the average NC prescriber

This provider
57
NC average
19.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$654.49
NC average
$536.36

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

83.0
30-Day Fills
2,490
Days Supply

About Bevespi Aerosphere: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

Controlling symptoms of breathing problems helps you maintain your normal activities and decreases time lost from work or school. This inhaler contains 2 medications: glycopyrrolate and formoterol. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Glycopyrrolate belongs to a class of drugs known as anticholinergics. Formoterol belongs to the class of drugs known as long-acting beta agonists (LABAs). Both drugs are also known as bronchodilators. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. Glycopyrrolate/formoterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as formoterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems.

Utilization: claims vs the average NC prescriber

This provider
50
NC average
22.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$993.03
NC average
$721.72

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

93.0
30-Day Fills
2,790
Days Supply

About Spiriva Handihaler: Tiotropium is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾

It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Tiotropium belongs to a class of drugs known as anticholinergics. Controlling symptoms of breathing problems can decrease time lost from work or school. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If wheezing or sudden shortness of breath occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A scopolamine derivative and CHOLINERGIC ANTAGONIST that functions as a BRONCHODILATOR AGENT. It is used in the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

Utilization: claims vs the average NC prescriber

This provider
46
NC average
12.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$11.56
NC average
$22.57

This provider's average cost per claim is below the NC average for this medication.

93.0
30-Day Fills
2,775
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
45
NC average
30.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$882.85
NC average
$621.61

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

79.0
30-Day Fills
2,370
Days Supply

About Stiolto Respimat: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by 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 2 medications: tiotropium and olodaterol. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Tiotropium belongs to a class of drugs known as anticholinergics. Olodaterol belongs to the class of drugs known as long-acting inhaled beta-agonists (LABAs). Both drugs are also known as bronchodilators. 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. Tiotropium/olodaterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as olodaterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems.

Utilization: claims vs the average NC prescriber

This provider
43
NC average
23.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$3,066.75
NC average
$5,680.89

This provider's average cost per claim is below the NC average for this medication.

45.0
30-Day Fills
1,350
Days Supply

About Pirfenidone: Pirfenidone is used to treat a certain lung disease called idiopathic pulmonary fibrosis (IPF). Show more ▾

This disease causes the lungs to get scarred and become stiff, making it hard to breathe. Pirfenidone may help slow down the worsening of your IPF.

Utilization: claims vs the average NC prescriber

This provider
41
NC average
23.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$294.67
NC average
$297.25

This provider's average cost per claim is below the NC average for this medication.

55.0
30-Day Fills
1,650
Days Supply

About Arnuity Ellipta: 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.

Utilization: claims vs the average NC prescriber

This provider
30
NC average
80.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$5.27
NC average
$16.84

This provider's average cost per claim is below the NC average for this medication.

46.0
30-Day Fills
1,363
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
26
NC average
58.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$18.90
NC average
$17.66

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

52.0
30-Day Fills
1,560
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
22
NC average
19.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$508.16
NC average
$595.72

This provider's average cost per claim is below the NC average for this medication.

22.0
30-Day Fills
620
Days Supply

About Combivent Respimat: This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes bronchitis and emphysema). Show more ▾

This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both drugs work by relaxing the muscles around the airways so that the airways open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school.

Utilization: claims vs the average NC prescriber

This provider
19
NC average
18.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$95.85
NC average
$178.28

This provider's average cost per claim is below the NC average for this medication.

25.0
30-Day Fills
750
Days Supply

About Theophylline Er: Theophylline is used to treat lung diseases such as asthma and COPD (bronchitis, emphysema). Show more ▾

It must be used regularly to prevent wheezing and shortness of breath. This medication belongs to a class of drugs known as xanthines. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. It also decreases the lungs' response to irritants. Controlling symptoms of breathing problems can decrease time lost from work or school. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. A drug combination that contains THEOPHYLLINE and ethylenediamine. It is more soluble in water than theophylline but has similar pharmacologic actions. It's most common use is in bronchial asthma, but it has been investigated for several other applications.

Utilization: claims vs the average NC prescriber

This provider
18
NC average
18.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$255.50
NC average
$296.50

This provider's average cost per claim is below the NC average for this medication.

34.0
30-Day Fills
1,020
Days Supply

About Wixela Inhub: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) 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.

Utilization: claims vs the average NC prescriber

This provider
15
NC average
18.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$265.22
NC average
$429.36

This provider's average cost per claim is below the NC average for this medication.

15.0
30-Day Fills
323
Days Supply

About Varenicline Tartrate: Varenicline is used by adults to help stop smoking. Show more ▾

To increase your chance of success, use this medication with a stop-smoking program that includes education, support, and counseling. Quitting smoking lowers your risk of heart and lung disease, as well as cancer. Varenicline works by blocking nicotine's effects in the brain that make you want to smoke. Discuss the risks and benefits of this medication, as well as other ways to quit smoking (such as nicotine replacement treatment), with your doctor. A benzazepine derivative that functions as an ALPHA4-BETA2 NICOTINIC RECEPTOR partial agonist. It is used for SMOKING CESSATION.

Utilization: claims vs the average NC prescriber

This provider
14
NC average
16.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$331.77
NC average
$396.87

This provider's average cost per claim is below the NC average for this medication.

14.0
30-Day Fills
412
Days Supply

About Dulera: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. Show more ▾

It contains 2 medications: mometasone and formoterol. Mometasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Formoterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as formoterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. Before using this medication, it is important to learn how to use it properly. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. See also How to Use section. A pharmaceutical preparation of mometasone furoate and formoterol fumarate that is used as an inhaled dosage form for the treatment of ASTHMA.

Utilization: claims vs the average NC prescriber

This provider
13
NC average
20.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$3,906.43
NC average
$4,154.03

This provider's average cost per claim is below the NC average for this medication.

13.0
30-Day Fills
364
Days Supply

About Nucala: This medication is used along with other medications to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾

Controlling symptoms of asthma helps you do your normal activities and decreases time lost from work or school. Mepolizumab is also used to treat certain other immune system disorders (chronic rhinosinusitis with nasal polyps, eosinophilic granulomatosis with polyangiitis, hypereosinophilic syndrome). This medication works by decreasing a certain type of white blood cell (eosinophils). This effect helps reduce swelling (inflammation) of the airways to make breathing easier. It may also help reduce the size of nasal polyps, and lessen symptoms such as runny/stuffy nose, mucus in the throat, loss of smell, facial pain, and tiredness. 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 occurs, use your quick-relief inhaler as prescribed.

Utilization: claims vs the average NC prescriber

This provider
13
NC average
17.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$257.24
NC average
$340.45

This provider's average cost per claim is below the NC average for this medication.

13.0
30-Day Fills
390
Days Supply

About Budesonide-Formoterol Fumarate: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: budesonide and formoterol. Budesonide belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Formoterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as formoterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. Before using this medication, it is important to learn how to use it properly. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. See also How to Use section. A pharmaceutical preparation of budesonide and formoterol fumarate that is used as an ANTI-ASTHMATIC AGENT and for the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

Utilization: claims vs the average NC prescriber

This provider
13
NC average
25.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$12.11
NC average
$14.52

This provider's average cost per claim is below the NC average for this medication.

13.0
30-Day Fills
103
Days Supply

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.

Utilization: claims vs the average NC prescriber

This provider
13
NC average
32.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$55.91
NC average
$46.93

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

18.6
30-Day Fills
476
Days Supply

About Ipratropium Bromide: Ipratropium is used to control and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾

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. For preventing symptoms of lung disease, this medication must be used regularly to be effective. Use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) for wheezing or sudden shortness of breath unless otherwise directed by your doctor. Ipratropium does not work as fast as your quick-relief inhaler, but may sometimes be used to relieve symptoms of wheezing or sudden shortness of breath if so prescribed by your doctor. A muscarinic antagonist structurally related to ATROPINE but often considered safer and more effective for inhalation use. It is used for various bronchial disorders, in rhinitis, and as an antiarrhythmic.

Utilization: claims vs the average NC prescriber

This provider
12
NC average
37.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$14,279.30
NC average
$12,595.23

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

12.0
30-Day Fills
360
Days Supply

About Ofev: This medication is used to treat certain types of lung disease (idiopathic pulmonary fibrosis- IPF, interstitial lung disease). Show more ▾

Both types of lung disease scar and stiffen your lungs, making it hard to breathe. Nintedanib may help slow down the worsening of your lung disease.

Utilization: claims vs the average NC prescriber

This provider
11
NC average
15.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$10,665.62
NC average
$10,278.45

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

11.0
30-Day Fills
308
Days Supply

About Prolastin C: This medication is used to treat lung problems (emphysema) caused by a certain inherited disease (alpha-1-proteinase inhibitor deficiency). Show more ▾

In people with this condition, lung damage is caused by elastase, a natural substance that the body needs to kill bacteria in the lungs. Normally, a protein (alpha-1-proteinase inhibitor) stops elastase from working when it is no longer needed. However, in people who do not make enough of this protein, elastase does not stop working and damages the lungs. This medication replaces the missing alpha-1-proteinase inhibitor and helps to prevent further lung damage. Plasma glycoprotein member of the serpin superfamily which inhibits TRYPSIN; NEUTROPHIL ELASTASE; and other PROTEOLYTIC ENZYMES.

Utilization: claims vs the average NC prescriber

This provider
11
NC average
13.0

Averages are among NC prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the NC average

This provider
$649.99
NC average
$733.02

This provider's average cost per claim is below the NC average for this medication.

11.0
30-Day Fills
330
Days Supply

About Tudorza Pressair: Aclidinium is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾

It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Aclidinium belongs to a class of drugs known as anticholinergics. Controlling symptoms of breathing problems can decrease time lost from work or school. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If wheezing or sudden shortness of breath occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed.

No medications match the current filters.
Top Prescribed= this provider's 5 highest-utilization medications. Above Avg. Typical Below Avg.= utilization vs the average NC prescriber of the same drug; volume reflects practice size as well as clinical preference.Green cost= below the NC average cost per claim.

About this data. The prescription history for DONALD DEAN GRAHAM JR. 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 Pulmonary Disease prescribing approach at this Boone, NC 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 NC prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.