JAMES RUSSELL BELL MD
Prescription History 1528044310
Family Medicine - Adolescent Medicine in Marion, IA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JAMES RUSSELL BELL MD, an active Adolescent Medicine specialist practicing in Marion, IA. Our medical registry currently tracks 9 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 163 documented patient claims. Among these therapy options, the most frequently utilized medication is Morphine Sulfate, which accounts for 38 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.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other IA PrescribersVs. IA Avg |
|---|---|---|---|
| Morphine Sulfate | 38 | $21.83▼ below IA avg | ▲ More than typical |
About Morphine Sulfate: This medication is used to treat severe pain. Show more ▾ Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 38 Medicare prescriptions for Morphine Sulfate, about 1.8 times the volume of the typical Iowa prescriber of this medication (21). Medicare paid an average of $21.83 per fill, versus $27.97 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the IA average for this medication. 40 30-Day Fills standardized to 30-day supplies 868 Days of Medication total across all patients in 2023 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $22.00 | ▼ Less than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 23 Medicare prescriptions for Hydrocodone-Acetaminophen, about a third of the volume of the typical Iowa prescriber of this medication (62). Medicare paid an average of $22.00 per fill, versus $21.05 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 23.3 30-Day Fills standardized to 30-day supplies 321 Days of Medication total across all patients in 2023 | |||
| Oxycodone Hcl | 20 | $19.49▼ below IA avg | ▼ Less than typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 20 Medicare prescriptions for Oxycodone Hcl, about half the volume of the typical Iowa prescriber of this medication (36). Medicare paid an average of $19.49 per fill, versus $20.08 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the IA average for this medication. 20 30-Day Fills standardized to 30-day supplies 344 Days of Medication total across all patients in 2023 | |||
| Methadone Hcl | 17 | $13.05▼ below IA avg | ▼ Less than typical |
About Methadone Hcl: This medication is used to treat addiction to opioids (such as heroin) as part of an approved treatment program. Show more ▾ Methadone belongs to a class of drugs known as opioid analgesics. It helps prevent withdrawal symptoms caused by stopping other opioids. A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3) In 2023, this provider wrote 17 Medicare prescriptions for Methadone Hcl, about 71% of the volume of the typical Iowa prescriber of this medication (24). Medicare paid an average of $13.05 per fill, versus $26.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the IA average for this medication. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2023 | |||
| Morphine Sulfate ErMorphine Sulfate | 16 | $26.03▼ below IA avg | ▼ Less than typical |
About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾ Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 16 Medicare prescriptions for Morphine Sulfate Er, about half the volume of the typical Iowa prescriber of this medication (31). Medicare paid an average of $26.03 per fill, versus $43.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the IA average for this medication. 16 30-Day Fills standardized to 30-day supplies 432 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 13 | $22.78 | ▼ Less than typical |
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 13 Medicare prescriptions for Mirtazapine, about a quarter of the volume of the typical Iowa prescriber of this medication (47). Medicare paid an average of $22.78 per fill, versus $21.33 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 12 | $25.13▼ below IA avg | ▼ Less than typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 12 Medicare prescriptions for Duloxetine Hcl, about a quarter of the volume of the typical Iowa prescriber of this medication (59). Medicare paid an average of $25.13 per fill, versus $44.81 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the IA average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Ondansetron OdtOndansetron | 12 | $7.42▼ below IA avg | ▼ Less than typical |
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2023, this provider wrote 12 Medicare prescriptions for Ondansetron Odt, about 60% of the volume of the typical Iowa prescriber of this medication (20). Medicare paid an average of $7.42 per fill, versus $21.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the IA average for this medication. 12 30-Day Fills standardized to 30-day supplies 63 Days of Medication total across all patients in 2023 | |||
| Phenytoin | 12 | $27.77▼ below IA avg | ≈ Typical |
About Phenytoin: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. An anticonvulsant that is used to treat a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs. In 2023, this provider wrote 12 Medicare prescriptions for Phenytoin, about 80% of the volume of the typical Iowa prescriber of this medication (15). Medicare paid an average of $27.77 per fill, versus $35.03 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average IA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the IA average for this medication. 12 30-Day Fills standardized to 30-day supplies 348 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for JAMES RUSSELL BELL 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 Adolescent Medicine prescribing approach at this Marion, IA 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 IA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
