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: August 09, 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 prescription volumes, average cost per fill, and NC state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other NC PrescribersVs. NC Avg

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 851 Medicare prescriptions for Azithromycin, about 24 times the volume of the typical North Carolina prescriber of this medication (35). Medicare paid an average of $12.93 per fill, versus $11.85 statewide.

How often this provider prescribes it

This provider
851
NC average
35.0

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

What Medicare paid per fill

This provider
$12.93
NC average
$11.85

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

1,282.5
30-Day Fills
standardized to 30-day supplies
37,554
Days of Medication
total across all patients in 2023

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 297 Medicare prescriptions for Prednisone, about 5.8 times the volume of the typical North Carolina prescriber of this medication (51). Medicare paid an average of $6.22 per fill, versus $6.87 statewide.

How often this provider prescribes it

This provider
297
NC average
51.0

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

What Medicare paid per fill

This provider
$6.22
NC average
$6.87

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

430.5
30-Day Fills
standardized to 30-day supplies
10,191
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 290 Medicare prescriptions for Symbicort, about 8.8 times the volume of the typical North Carolina prescriber of this medication (33). Medicare paid an average of $581.27 per fill, versus $527.88 statewide.

How often this provider prescribes it

This provider
290
NC average
33.0

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

What Medicare paid per fill

This provider
$581.27
NC average
$527.88

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

424
30-Day Fills
standardized to 30-day supplies
12,720
Days of Medication
total across all patients in 2023

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 285 Medicare prescriptions for Albuterol Sulfate Hfa, about 4.8 times the volume of the typical North Carolina prescriber of this medication (60). Medicare paid an average of $34.99 per fill, versus $46.94 statewide.

How often this provider prescribes it

This provider
285
NC average
60.0

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

What Medicare paid per fill

This provider
$34.99
NC average
$46.94

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

413.1
30-Day Fills
standardized to 30-day supplies
11,200
Days of Medication
total across all patients in 2023

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 226 Medicare prescriptions for Trelegy Ellipta, about 4.2 times the volume of the typical North Carolina prescriber of this medication (54). Medicare paid an average of $977.90 per fill, versus $824.17 statewide.

How often this provider prescribes it

This provider
226
NC average
54.0

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

What Medicare paid per fill

This provider
$977.90
NC average
$824.17

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

325.5
30-Day Fills
standardized to 30-day supplies
9,765
Days of Medication
total across all patients in 2023

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 190 Medicare prescriptions for Breo Ellipta, about 5.4 times the volume of the typical North Carolina prescriber of this medication (35). Medicare paid an average of $564.68 per fill, versus $509.72 statewide.

How often this provider prescribes it

This provider
190
NC average
35.0

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

What Medicare paid per fill

This provider
$564.68
NC average
$509.72

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

254
30-Day Fills
standardized to 30-day supplies
7,620
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 112 Medicare prescriptions for Fluticasone-Salmeterol, about 5.9 times the volume of the typical North Carolina prescriber of this medication (19). Medicare paid an average of $254.00 per fill, versus $253.96 statewide.

How often this provider prescribes it

This provider
112
NC average
19.0

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

What Medicare paid per fill

This provider
$254.00
NC average
$253.96

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

176
30-Day Fills
standardized to 30-day supplies
5,280
Days of Medication
total across all patients in 2023

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 112 Medicare prescriptions for Montelukast Sodium, about 1.8 times the volume of the typical North Carolina prescriber of this medication (61). Medicare paid an average of $12.30 per fill, versus $16.86 statewide.

How often this provider prescribes it

This provider
112
NC average
61.0

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

What Medicare paid per fill

This provider
$12.30
NC average
$16.86

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

250.6
30-Day Fills
standardized to 30-day supplies
7,499
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 92 Medicare prescriptions for Anoro Ellipta, about 3.1 times the volume of the typical North Carolina prescriber of this medication (30). Medicare paid an average of $556.31 per fill, versus $572.60 statewide.

How often this provider prescribes it

This provider
92
NC average
30.0

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

What Medicare paid per fill

This provider
$556.31
NC average
$572.60

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

104
30-Day Fills
standardized to 30-day supplies
3,120
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 91 Medicare prescriptions for Advair Diskus, about 4.6 times the volume of the typical North Carolina prescriber of this medication (20). Medicare paid an average of $543.20 per fill, versus $541.25 statewide.

How often this provider prescribes it

This provider
91
NC average
20.0

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

What Medicare paid per fill

This provider
$543.20
NC average
$541.25

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

115
30-Day Fills
standardized to 30-day supplies
3,450
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 81 Medicare prescriptions for Breztri Aerosphere, about 2.3 times the volume of the typical North Carolina prescriber of this medication (36). Medicare paid an average of $724.73 per fill, versus $780.06 statewide.

How often this provider prescribes it

This provider
81
NC average
36.0

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

What Medicare paid per fill

This provider
$724.73
NC average
$780.06

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

87
30-Day Fills
standardized to 30-day supplies
2,610
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 66 Medicare prescriptions for Ventolin Hfa, about 2.8 times the volume of the typical North Carolina prescriber of this medication (24). Medicare paid an average of $84.28 per fill, versus $74.48 statewide.

How often this provider prescribes it

This provider
66
NC average
24.0

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

What Medicare paid per fill

This provider
$84.28
NC average
$74.48

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

80
30-Day Fills
standardized to 30-day supplies
2,010
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 63 Medicare prescriptions for Azelastine Hcl, about 2 times the volume of the typical North Carolina prescriber of this medication (32). Medicare paid an average of $36.51 per fill, versus $44.83 statewide.

How often this provider prescribes it

This provider
63
NC average
32.0

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

What Medicare paid per fill

This provider
$36.51
NC average
$44.83

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

105.7
30-Day Fills
standardized to 30-day supplies
3,065
Days of Medication
total across all patients in 2023

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 62 Medicare prescriptions for Doxycycline Hyclate, about 2 times the volume of the typical North Carolina prescriber of this medication (31). Medicare paid an average of $9.29 per fill, versus $24.06 statewide.

How often this provider prescribes it

This provider
62
NC average
31.0

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

What Medicare paid per fill

This provider
$9.29
NC average
$24.06

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

62
30-Day Fills
standardized to 30-day supplies
434
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 62 Medicare prescriptions for Spiriva Respimat, about 2.2 times the volume of the typical North Carolina prescriber of this medication (28). Medicare paid an average of $719.90 per fill, versus $669.22 statewide.

How often this provider prescribes it

This provider
62
NC average
28.0

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

What Medicare paid per fill

This provider
$719.90
NC average
$669.22

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

82
30-Day Fills
standardized to 30-day supplies
2,460
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 57 Medicare prescriptions for Bevespi Aerosphere, about 3 times the volume of the typical North Carolina prescriber of this medication (19). Medicare paid an average of $654.49 per fill, versus $536.36 statewide.

How often this provider prescribes it

This provider
57
NC average
19.0

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

What Medicare paid per fill

This provider
$654.49
NC average
$536.36

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

83
30-Day Fills
standardized to 30-day supplies
2,490
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 50 Medicare prescriptions for Spiriva Handihaler, about 2.3 times the volume of the typical North Carolina prescriber of this medication (22). Medicare paid an average of $993.03 per fill, versus $721.72 statewide.

How often this provider prescribes it

This provider
50
NC average
22.0

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

What Medicare paid per fill

This provider
$993.03
NC average
$721.72

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

93
30-Day Fills
standardized to 30-day supplies
2,790
Days of Medication
total across all patients in 2023

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 46 Medicare prescriptions for Famotidine, about 3.8 times the volume of the typical North Carolina prescriber of this medication (12). Medicare paid an average of $11.56 per fill, versus $22.57 statewide.

How often this provider prescribes it

This provider
46
NC average
12.0

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

What Medicare paid per fill

This provider
$11.56
NC average
$22.57

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

93
30-Day Fills
standardized to 30-day supplies
2,775
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 45 Medicare prescriptions for Stiolto Respimat, about 1.5 times the volume of the typical North Carolina prescriber of this medication (30). Medicare paid an average of $882.85 per fill, versus $621.61 statewide.

How often this provider prescribes it

This provider
45
NC average
30.0

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

What Medicare paid per fill

This provider
$882.85
NC average
$621.61

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

79
30-Day Fills
standardized to 30-day supplies
2,370
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 43 Medicare prescriptions for Pirfenidone, about 1.9 times the volume of the typical North Carolina prescriber of this medication (23). Medicare paid an average of $3,066.75 per fill, versus $5,680.89 statewide.

How often this provider prescribes it

This provider
43
NC average
23.0

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

What Medicare paid per fill

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

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

45
30-Day Fills
standardized to 30-day supplies
1,350
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 41 Medicare prescriptions for Arnuity Ellipta, about 1.8 times the volume of the typical North Carolina prescriber of this medication (23). Medicare paid an average of $294.67 per fill, versus $297.25 statewide.

How often this provider prescribes it

This provider
41
NC average
23.0

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

What Medicare paid per fill

This provider
$294.67
NC average
$297.25

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

55
30-Day Fills
standardized to 30-day supplies
1,650
Days of Medication
total across all patients in 2023

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 30 Medicare prescriptions for Pantoprazole Sodium, about a third of the volume of the typical North Carolina prescriber of this medication (80). Medicare paid an average of $5.27 per fill, versus $16.84 statewide.

How often this provider prescribes it

This provider
30
NC average
80.0

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

What Medicare paid per fill

This provider
$5.27
NC average
$16.84

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

46
30-Day Fills
standardized to 30-day supplies
1,363
Days of Medication
total across all patients in 2023

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 26 Medicare prescriptions for Fluticasone Propionate, about half the volume of the typical North Carolina prescriber of this medication (58). Medicare paid an average of $18.90 per fill, versus $17.66 statewide.

How often this provider prescribes it

This provider
26
NC average
58.0

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

What Medicare paid per fill

This provider
$18.90
NC average
$17.66

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

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.

In 2023, this provider wrote 22 Medicare prescriptions for Combivent Respimat, about 1.2 times the volume of the typical North Carolina prescriber of this medication (19). Medicare paid an average of $508.16 per fill, versus $595.72 statewide.

How often this provider prescribes it

This provider
22
NC average
19.0

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

What Medicare paid per fill

This provider
$508.16
NC average
$595.72

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

22
30-Day Fills
standardized to 30-day supplies
620
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 19 Medicare prescriptions for Theophylline Er, about the same volume as the typical North Carolina prescriber of this medication (18). Medicare paid an average of $95.85 per fill, versus $178.28 statewide.

How often this provider prescribes it

This provider
19
NC average
18.0

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

What Medicare paid per fill

This provider
$95.85
NC average
$178.28

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

25
30-Day Fills
standardized to 30-day supplies
750
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 18 Medicare prescriptions for Wixela Inhub, about the same volume as the typical North Carolina prescriber of this medication (18). Medicare paid an average of $255.50 per fill, versus $296.50 statewide.

How often this provider prescribes it

This provider
18
NC average
18.0

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

What Medicare paid per fill

This provider
$255.50
NC average
$296.50

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

34
30-Day Fills
standardized to 30-day supplies
1,020
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 15 Medicare prescriptions for Varenicline Tartrate, about 83% of the volume of the typical North Carolina prescriber of this medication (18). Medicare paid an average of $265.22 per fill, versus $429.36 statewide.

How often this provider prescribes it

This provider
15
NC average
18.0

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

What Medicare paid per fill

This provider
$265.22
NC average
$429.36

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

15
30-Day Fills
standardized to 30-day supplies
323
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 14 Medicare prescriptions for Dulera, about 88% of the volume of the typical North Carolina prescriber of this medication (16). Medicare paid an average of $331.77 per fill, versus $396.87 statewide.

How often this provider prescribes it

This provider
14
NC average
16.0

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

What Medicare paid per fill

This provider
$331.77
NC average
$396.87

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

14
30-Day Fills
standardized to 30-day supplies
412
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 13 Medicare prescriptions for Nucala, about 65% of the volume of the typical North Carolina prescriber of this medication (20). Medicare paid an average of $3,906.43 per fill, versus $4,154.03 statewide.

How often this provider prescribes it

This provider
13
NC average
20.0

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

What Medicare paid per fill

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

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

13
30-Day Fills
standardized to 30-day supplies
364
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 13 Medicare prescriptions for Budesonide-Formoterol Fumarate, about 76% of the volume of the typical North Carolina prescriber of this medication (17). Medicare paid an average of $257.24 per fill, versus $340.45 statewide.

How often this provider prescribes it

This provider
13
NC average
17.0

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

What Medicare paid per fill

This provider
$257.24
NC average
$340.45

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2023

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 13 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical North Carolina prescriber of this medication (25). Medicare paid an average of $12.11 per fill, versus $14.52 statewide.

How often this provider prescribes it

This provider
13
NC average
25.0

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

What Medicare paid per fill

This provider
$12.11
NC average
$14.52

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

13
30-Day Fills
standardized to 30-day supplies
103
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 13 Medicare prescriptions for Ipratropium Bromide, about a third of the volume of the typical North Carolina prescriber of this medication (32). Medicare paid an average of $55.91 per fill, versus $46.93 statewide.

How often this provider prescribes it

This provider
13
NC average
32.0

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

What Medicare paid per fill

This provider
$55.91
NC average
$46.93

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

18.6
30-Day Fills
standardized to 30-day supplies
476
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 12 Medicare prescriptions for Ofev, about a third of the volume of the typical North Carolina prescriber of this medication (37). Medicare paid an average of $14,279.30 per fill, versus $12,595.23 statewide.

How often this provider prescribes it

This provider
12
NC average
37.0

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

What Medicare paid per fill

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

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

12
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 11 Medicare prescriptions for Prolastin C, about 73% of the volume of the typical North Carolina prescriber of this medication (15). Medicare paid an average of $10,665.62 per fill, versus $10,278.45 statewide.

How often this provider prescribes it

This provider
11
NC average
15.0

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

What Medicare paid per fill

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

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

11
30-Day Fills
standardized to 30-day supplies
308
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 11 Medicare prescriptions for Tudorza Pressair, about 85% of the volume of the typical North Carolina prescriber of this medication (13). Medicare paid an average of $649.99 per fill, versus $733.02 statewide.

How often this provider prescribes it

This provider
11
NC average
13.0

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

What Medicare paid per fill

This provider
$649.99
NC average
$733.02

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

11
30-Day Fills
standardized to 30-day supplies
330
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average NC prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the NC average cost per fill.

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.