DR. RAJASRI DHARANI PALEPU MD
Prescription History 1568644607
Internal Medicine in Mukilteo, WA

Name: Medicare Part D prescriptions by Dr. Rajasri Palepu (NPI 1568644607), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since November 30, 2007PECOS EnrolledAccepts Medicare Assignment

4112 HARBOUR POINTE BLVD SW, MUKILTEO, WA 98275(425) 347-6330(425) 374-6335 Get Directions

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Nov 3, 2016 (2 updates tracked since 2016).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. RAJASRI DHARANI PALEPU MD, an active Internal Medicine specialist practicing in Mukilteo, WA. Our medical registry currently tracks 115 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 6,006 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 656 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.

115

Medications

6,006

Total Claims

13,127

30-Day Fills

Atorvastatin Calcium

Most Prescribed · 656 claims

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Prescription Volume vs WA Average

115 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by DR. RAJASRI DHARANI PALEPU MD in 2023, with prescription volumes, average cost per fill, and WA state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other WA PrescribersVs. WA Avg
Atorvastatin Calcium	656	$15.61	▲ More than typical
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 656 Medicare prescriptions for Atorvastatin Calcium, about 4.4 times the volume of the typical Washington prescriber of this medication (149). Medicare paid an average of $15.61 per fill, versus $13.28 statewide. How often this provider prescribes it This provider 656 WA average 149.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.61 WA average $13.28 Gross Part D cost per fill; not the patient's out-of-pocket price. 1,676.4 30-Day Fills standardized to 30-day supplies 50,001 Days of Medication total across all patients in 2023
Losartan Potassium	273	$16.84	▲ More than typical
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 273 Medicare prescriptions for Losartan Potassium, about 2.9 times the volume of the typical Washington prescriber of this medication (93). Medicare paid an average of $16.84 per fill, versus $11.70 statewide. How often this provider prescribes it This provider 273 WA average 93.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.84 WA average $11.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 690.9 30-Day Fills standardized to 30-day supplies 20,576 Days of Medication total across all patients in 2023
Amlodipine Besylate	267	$8.41	▲ More than typical
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 267 Medicare prescriptions for Amlodipine Besylate, about 2.8 times the volume of the typical Washington prescriber of this medication (97). Medicare paid an average of $8.41 per fill, versus $8.27 statewide. How often this provider prescribes it This provider 267 WA average 97.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.41 WA average $8.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 702.8 30-Day Fills standardized to 30-day supplies 20,949 Days of Medication total across all patients in 2023
Levothyroxine Sodium	256	$17.42▼ below WA avg	▲ More than typical
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 256 Medicare prescriptions for Levothyroxine Sodium, about 2.3 times the volume of the typical Washington prescriber of this medication (110). Medicare paid an average of $17.42 per fill, versus $18.23 statewide. How often this provider prescribes it This provider 256 WA average 110.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.42 WA average $18.23 This provider's average cost per fill is below the WA average for this medication. 641.9 30-Day Fills standardized to 30-day supplies 19,029 Days of Medication total across all patients in 2023
Rosuvastatin Calcium	200	$27.09▼ below WA avg	▲ More than typical
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 200 Medicare prescriptions for Rosuvastatin Calcium, about 3.1 times the volume of the typical Washington prescriber of this medication (64). Medicare paid an average of $27.09 per fill, versus $28.00 statewide. How often this provider prescribes it This provider 200 WA average 64.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.09 WA average $28.00 This provider's average cost per fill is below the WA average for this medication. 595.3 30-Day Fills standardized to 30-day supplies 17,834 Days of Medication total across all patients in 2023
Gabapentin	199	$26.53	▲ More than typical
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 199 Medicare prescriptions for Gabapentin, about 2.9 times the volume of the typical Washington prescriber of this medication (69). Medicare paid an average of $26.53 per fill, versus $25.75 statewide. How often this provider prescribes it This provider 199 WA average 69.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.53 WA average $25.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 387.3 30-Day Fills standardized to 30-day supplies 11,552 Days of Medication total across all patients in 2023
Lisinopril	181	$9.94	▲ More than typical
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 181 Medicare prescriptions for Lisinopril, about 1.7 times the volume of the typical Washington prescriber of this medication (104). Medicare paid an average of $9.94 per fill, versus $8.10 statewide. How often this provider prescribes it This provider 181 WA average 104.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.94 WA average $8.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 438 30-Day Fills standardized to 30-day supplies 13,064 Days of Medication total across all patients in 2023
Metformin Hcl	159	$10.53	▲ More than typical
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 159 Medicare prescriptions for Metformin Hcl, about 2.4 times the volume of the typical Washington prescriber of this medication (65). Medicare paid an average of $10.53 per fill, versus $9.35 statewide. How often this provider prescribes it This provider 159 WA average 65.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.53 WA average $9.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 385.1 30-Day Fills standardized to 30-day supplies 11,476 Days of Medication total across all patients in 2023
Metoprolol Succinate	159	$23.26	▲ More than typical
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 159 Medicare prescriptions for Metoprolol Succinate, about 1.9 times the volume of the typical Washington prescriber of this medication (82). Medicare paid an average of $23.26 per fill, versus $22.27 statewide. How often this provider prescribes it This provider 159 WA average 82.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.26 WA average $22.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 404.2 30-Day Fills standardized to 30-day supplies 12,040 Days of Medication total across all patients in 2023
Sertraline Hcl	151	$8.58▼ below WA avg	▲ More than typical
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 151 Medicare prescriptions for Sertraline Hcl, about 3.1 times the volume of the typical Washington prescriber of this medication (48). Medicare paid an average of $8.58 per fill, versus $12.87 statewide. How often this provider prescribes it This provider 151 WA average 48.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.58 WA average $12.87 This provider's average cost per fill is below the WA average for this medication. 316.4 30-Day Fills standardized to 30-day supplies 9,473 Days of Medication total across all patients in 2023
Famotidine	128	$17.25	▲ More than typical
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2023, this provider wrote 128 Medicare prescriptions for Famotidine, about 3.6 times the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $17.25 per fill, versus $11.59 statewide. How often this provider prescribes it This provider 128 WA average 36.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.25 WA average $11.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 244.4 30-Day Fills standardized to 30-day supplies 7,289 Days of Medication total across all patients in 2023
Trazodone Hcl	124	$10.52▼ below WA avg	▲ More than typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 124 Medicare prescriptions for Trazodone Hcl, about 2.3 times the volume of the typical Washington prescriber of this medication (55). Medicare paid an average of $10.52 per fill, versus $14.86 statewide. How often this provider prescribes it This provider 124 WA average 55.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.52 WA average $14.86 This provider's average cost per fill is below the WA average for this medication. 308.5 30-Day Fills standardized to 30-day supplies 9,254 Days of Medication total across all patients in 2023
Omeprazole	122	$21.70	▲ More than typical
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 122 Medicare prescriptions for Omeprazole, about 1.6 times the volume of the typical Washington prescriber of this medication (76). Medicare paid an average of $21.70 per fill, versus $15.63 statewide. How often this provider prescribes it This provider 122 WA average 76.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.70 WA average $15.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 260 30-Day Fills standardized to 30-day supplies 7,710 Days of Medication total across all patients in 2023
Montelukast Sodium	105	$16.12▼ below WA avg	▲ More than typical
About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾ It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways. In 2023, this provider wrote 105 Medicare prescriptions for Montelukast Sodium, about 2.9 times the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $16.12 per fill, versus $18.30 statewide. How often this provider prescribes it This provider 105 WA average 36.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.12 WA average $18.30 This provider's average cost per fill is below the WA average for this medication. 232.3 30-Day Fills standardized to 30-day supplies 6,909 Days of Medication total across all patients in 2023
Furosemide	95	$6.05▼ below WA avg	▲ More than typical
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 95 Medicare prescriptions for Furosemide, about 1.6 times the volume of the typical Washington prescriber of this medication (58). Medicare paid an average of $6.05 per fill, versus $7.30 statewide. How often this provider prescribes it This provider 95 WA average 58.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.05 WA average $7.30 This provider's average cost per fill is below the WA average for this medication. 168.9 30-Day Fills standardized to 30-day supplies 4,993 Days of Medication total across all patients in 2023
Albuterol Sulfate HfaAlbuterol Sulfate	92	$39.09▼ below WA avg	▲ More than typical
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2023, this provider wrote 92 Medicare prescriptions for Albuterol Sulfate Hfa, about 2 times the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $39.09 per fill, versus $47.79 statewide. How often this provider prescribes it This provider 92 WA average 45.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.09 WA average $47.79 This provider's average cost per fill is below the WA average for this medication. 113.1 30-Day Fills standardized to 30-day supplies 2,762 Days of Medication total across all patients in 2023
Escitalopram Oxalate	91	$10.51▼ below WA avg	▲ More than typical
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 91 Medicare prescriptions for Escitalopram Oxalate, about 2.7 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $10.51 per fill, versus $16.03 statewide. How often this provider prescribes it This provider 91 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.51 WA average $16.03 This provider's average cost per fill is below the WA average for this medication. 180.3 30-Day Fills standardized to 30-day supplies 5,354 Days of Medication total across all patients in 2023
Metformin Hcl ErMetformin Hcl	87	$19.84	▲ More than typical
About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 87 Medicare prescriptions for Metformin Hcl Er, about 1.9 times the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $19.84 per fill, versus $11.92 statewide. How often this provider prescribes it This provider 87 WA average 45.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.84 WA average $11.92 Gross Part D cost per fill; not the patient's out-of-pocket price. 254.6 30-Day Fills standardized to 30-day supplies 7,638 Days of Medication total across all patients in 2023
Hydroxyzine Hcl	80	$17.03▼ below WA avg	▲ More than typical
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 80 Medicare prescriptions for Hydroxyzine Hcl, about 3.2 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $17.03 per fill, versus $20.99 statewide. How often this provider prescribes it This provider 80 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.03 WA average $20.99 This provider's average cost per fill is below the WA average for this medication. 96.8 30-Day Fills standardized to 30-day supplies 2,661 Days of Medication total across all patients in 2023
Metoprolol Tartrate	76	$15.73	▲ More than typical
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 76 Medicare prescriptions for Metoprolol Tartrate, about 1.7 times the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $15.73 per fill, versus $9.70 statewide. How often this provider prescribes it This provider 76 WA average 45.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.73 WA average $9.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 182.3 30-Day Fills standardized to 30-day supplies 5,419 Days of Medication total across all patients in 2023
Hydrochlorothiazide	75	$5.64▼ below WA avg	▲ More than typical
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 75 Medicare prescriptions for Hydrochlorothiazide, about 1.3 times the volume of the typical Washington prescriber of this medication (57). Medicare paid an average of $5.64 per fill, versus $5.87 statewide. How often this provider prescribes it This provider 75 WA average 57.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.64 WA average $5.87 This provider's average cost per fill is below the WA average for this medication. 210 30-Day Fills standardized to 30-day supplies 6,265 Days of Medication total across all patients in 2023
Meloxicam	71	$4.91▼ below WA avg	▲ More than typical
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 71 Medicare prescriptions for Meloxicam, about 2.2 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $4.91 per fill, versus $7.67 statewide. How often this provider prescribes it This provider 71 WA average 32.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.91 WA average $7.67 This provider's average cost per fill is below the WA average for this medication. 115.3 30-Day Fills standardized to 30-day supplies 3,454 Days of Medication total across all patients in 2023
Tizanidine Hcl	69	$8.87▼ below WA avg	▲ More than typical
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2023, this provider wrote 69 Medicare prescriptions for Tizanidine Hcl, about 2.1 times the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $8.87 per fill, versus $16.38 statewide. How often this provider prescribes it This provider 69 WA average 33.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.87 WA average $16.38 This provider's average cost per fill is below the WA average for this medication. 79 30-Day Fills standardized to 30-day supplies 1,375 Days of Medication total across all patients in 2023
Buspirone Hcl	67	$13.85▼ below WA avg	▲ More than typical
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 67 Medicare prescriptions for Buspirone Hcl, about 2.1 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $13.85 per fill, versus $22.14 statewide. How often this provider prescribes it This provider 67 WA average 32.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.85 WA average $22.14 This provider's average cost per fill is below the WA average for this medication. 128.4 30-Day Fills standardized to 30-day supplies 3,720 Days of Medication total across all patients in 2023
Atenolol	64	$9.97▼ below WA avg	▲ More than typical
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 64 Medicare prescriptions for Atenolol, about 1.9 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $9.97 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 64 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.97 WA average $10.71 This provider's average cost per fill is below the WA average for this medication. 190.3 30-Day Fills standardized to 30-day supplies 5,682 Days of Medication total across all patients in 2023
Tamsulosin Hcl	61	$25.66	≈ Typical
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 61 Medicare prescriptions for Tamsulosin Hcl, about the same volume as the typical Washington prescriber of this medication (65). Medicare paid an average of $25.66 per fill, versus $21.65 statewide. How often this provider prescribes it This provider 61 WA average 65.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.66 WA average $21.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 123 30-Day Fills standardized to 30-day supplies 3,604 Days of Medication total across all patients in 2023
Fluticasone Propionate	60	$28.61	▲ More than typical
About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾ Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2023, this provider wrote 60 Medicare prescriptions for Fluticasone Propionate, about 1.8 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $28.61 per fill, versus $18.43 statewide. How often this provider prescribes it This provider 60 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.61 WA average $18.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 135.8 30-Day Fills standardized to 30-day supplies 4,075 Days of Medication total across all patients in 2023
Allopurinol	59	$22.92	▲ More than typical
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 59 Medicare prescriptions for Allopurinol, about 1.6 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $22.92 per fill, versus $18.63 statewide. How often this provider prescribes it This provider 59 WA average 38.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.92 WA average $18.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 140.3 30-Day Fills standardized to 30-day supplies 4,188 Days of Medication total across all patients in 2023
Duloxetine Hcl	58	$41.61▼ below WA avg	▲ More 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 58 Medicare prescriptions for Duloxetine Hcl, about 1.4 times the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $41.61 per fill, versus $43.16 statewide. How often this provider prescribes it This provider 58 WA average 41.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $41.61 WA average $43.16 This provider's average cost per fill is below the WA average for this medication. 148 30-Day Fills standardized to 30-day supplies 4,430 Days of Medication total across all patients in 2023
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	55	$20.17▼ below WA avg	≈ 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 55 Medicare prescriptions for Hydrocodone-Acetaminophen, about the same volume as the typical Washington prescriber of this medication (59). Medicare paid an average of $20.17 per fill, versus $20.88 statewide. How often this provider prescribes it This provider 55 WA average 59.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.17 WA average $20.88 This provider's average cost per fill is below the WA average for this medication. 55 30-Day Fills standardized to 30-day supplies 1,416 Days of Medication total across all patients in 2023
Potassium Chloride	55	$24.24▼ below WA avg	≈ Typical
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 55 Medicare prescriptions for Potassium Chloride, about the same volume as the typical Washington prescriber of this medication (50). Medicare paid an average of $24.24 per fill, versus $32.62 statewide. How often this provider prescribes it This provider 55 WA average 50.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.24 WA average $32.62 This provider's average cost per fill is below the WA average for this medication. 119.7 30-Day Fills standardized to 30-day supplies 3,525 Days of Medication total across all patients in 2023
Venlafaxine Hcl ErVenlafaxine Hcl	50	$48.23	▲ More than typical
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 50 Medicare prescriptions for Venlafaxine Hcl Er, about 1.7 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $48.23 per fill, versus $31.53 statewide. How often this provider prescribes it This provider 50 WA average 29.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $48.23 WA average $31.53 Gross Part D cost per fill; not the patient's out-of-pocket price. 100.3 30-Day Fills standardized to 30-day supplies 2,962 Days of Medication total across all patients in 2023
Oxycodone Hcl	45	$9.77▼ below WA avg	≈ Typical
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 45 Medicare prescriptions for Oxycodone Hcl, about the same volume as the typical Washington prescriber of this medication (49). Medicare paid an average of $9.77 per fill, versus $21.32 statewide. How often this provider prescribes it This provider 45 WA average 49.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.77 WA average $21.32 This provider's average cost per fill is below the WA average for this medication. 45 30-Day Fills standardized to 30-day supplies 1,327 Days of Medication total across all patients in 2023
Triamcinolone Acetonide	44	$8.88▼ below WA avg	▲ More than typical
About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾ Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions. In 2023, this provider wrote 44 Medicare prescriptions for Triamcinolone Acetonide, about 1.5 times the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $8.88 per fill, versus $11.41 statewide. How often this provider prescribes it This provider 44 WA average 30.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.88 WA average $11.41 This provider's average cost per fill is below the WA average for this medication. 50.7 30-Day Fills standardized to 30-day supplies 1,189 Days of Medication total across all patients in 2023
Glimepiride	43	$13.90	▲ More than typical
About Glimepiride: Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glimepiride belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. Alkaloids derived from TYRAMINE combined with 3,4-dihydroxybenzaldehyde via a norbelladine pathway, including GALANTAMINE, lycorine and crinine. They are found in the AMARYLLIDACEAE plant family. In 2023, this provider wrote 43 Medicare prescriptions for Glimepiride, about 1.5 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $13.90 per fill, versus $12.10 statewide. How often this provider prescribes it This provider 43 WA average 29.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.90 WA average $12.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 101.7 30-Day Fills standardized to 30-day supplies 3,024 Days of Medication total across all patients in 2023
Baclofen	41	$8.16▼ below WA avg	▲ More than typical
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2023, this provider wrote 41 Medicare prescriptions for Baclofen, about 1.3 times the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $8.16 per fill, versus $33.36 statewide. How often this provider prescribes it This provider 41 WA average 31.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.16 WA average $33.36 This provider's average cost per fill is below the WA average for this medication. 59.7 30-Day Fills standardized to 30-day supplies 1,477 Days of Medication total across all patients in 2023
Carvedilol	40	$20.88	≈ Typical
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 40 Medicare prescriptions for Carvedilol, about 85% of the volume of the typical Washington prescriber of this medication (47). Medicare paid an average of $20.88 per fill, versus $13.14 statewide. How often this provider prescribes it This provider 40 WA average 47.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.88 WA average $13.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 118.7 30-Day Fills standardized to 30-day supplies 3,560 Days of Medication total across all patients in 2023
Bupropion XlBupropion Hcl	38	$27.43▼ below WA avg	▲ More than typical
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 38 Medicare prescriptions for Bupropion Xl, about 1.3 times the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $27.43 per fill, versus $41.14 statewide. How often this provider prescribes it This provider 38 WA average 30.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.43 WA average $41.14 This provider's average cost per fill is below the WA average for this medication. 68 30-Day Fills standardized to 30-day supplies 2,008 Days of Medication total across all patients in 2023
Propranolol Hcl	38	$21.75▼ below WA avg	▲ More than typical
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 38 Medicare prescriptions for Propranolol Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $21.75 per fill, versus $28.88 statewide. How often this provider prescribes it This provider 38 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.75 WA average $28.88 This provider's average cost per fill is below the WA average for this medication. 78.5 30-Day Fills standardized to 30-day supplies 2,343 Days of Medication total across all patients in 2023
Tramadol Hcl	37	$7.26▼ below WA avg	≈ Typical
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 37 Medicare prescriptions for Tramadol Hcl, about the same volume as the typical Washington prescriber of this medication (39). Medicare paid an average of $7.26 per fill, versus $8.73 statewide. How often this provider prescribes it This provider 37 WA average 39.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.26 WA average $8.73 This provider's average cost per fill is below the WA average for this medication. 37 30-Day Fills standardized to 30-day supplies 988 Days of Medication total across all patients in 2023
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid	37	$16.06	▲ More than typical
About Triamterene-Hydrochlorothiazid: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two water pills (diuretics): triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. In 2023, this provider wrote 37 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about 1.5 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $16.06 per fill, versus $13.55 statewide. How often this provider prescribes it This provider 37 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.06 WA average $13.55 Gross Part D cost per fill; not the patient's out-of-pocket price. 97.6 30-Day Fills standardized to 30-day supplies 2,888 Days of Medication total across all patients in 2023
Hydroxyzine Pamoate	36	$16.01	▲ More than typical
About Hydroxyzine Pamoate: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2023, this provider wrote 36 Medicare prescriptions for Hydroxyzine Pamoate, about 1.4 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $16.01 per fill, versus $12.97 statewide. How often this provider prescribes it This provider 36 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.01 WA average $12.97 Gross Part D cost per fill; not the patient's out-of-pocket price. 46 30-Day Fills standardized to 30-day supplies 1,212 Days of Medication total across all patients in 2023
Lidocaine	35	$110.31▼ below WA avg	▲ More than typical
About Lidocaine: This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). Show more ▾ It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a temporary loss of feeling in the area where you apply the patch. A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE. In 2023, this provider wrote 35 Medicare prescriptions for Lidocaine, about 1.7 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $110.31 per fill, versus $135.49 statewide. How often this provider prescribes it This provider 35 WA average 21.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $110.31 WA average $135.49 This provider's average cost per fill is below the WA average for this medication. 37 30-Day Fills standardized to 30-day supplies 1,025 Days of Medication total across all patients in 2023
EliquisApixaban	34	$1,077.09	▼ Less than typical
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 34 Medicare prescriptions for Eliquis, about half the volume of the typical Washington prescriber of this medication (58). Medicare paid an average of $1,077.09 per fill, versus $929.70 statewide. How often this provider prescribes it This provider 34 WA average 58.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,077.09 WA average $929.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 65.3 30-Day Fills standardized to 30-day supplies 1,911 Days of Medication total across all patients in 2023
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide	33	$31.59	▲ More than typical
About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: losartan and hydrochlorothiazide. Losartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2023, this provider wrote 33 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 1.3 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $31.59 per fill, versus $20.15 statewide. How often this provider prescribes it This provider 33 WA average 26.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.59 WA average $20.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 96.7 30-Day Fills standardized to 30-day supplies 2,900 Days of Medication total across all patients in 2023
Pantoprazole Sodium	33	$12.69▼ below WA avg	▼ Less than typical
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 33 Medicare prescriptions for Pantoprazole Sodium, about 73% of the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $12.69 per fill, versus $18.43 statewide. How often this provider prescribes it This provider 33 WA average 45.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.69 WA average $18.43 This provider's average cost per fill is below the WA average for this medication. 78.7 30-Day Fills standardized to 30-day supplies 2,338 Days of Medication total across all patients in 2023
Oxybutynin Chloride ErOxybutynin Chloride	32	$24.41▼ below WA avg	≈ Typical
About Oxybutynin Chloride Er: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾ It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida). In 2023, this provider wrote 32 Medicare prescriptions for Oxybutynin Chloride Er, about 1.2 times the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $24.41 per fill, versus $39.97 statewide. How often this provider prescribes it This provider 32 WA average 27.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.41 WA average $39.97 This provider's average cost per fill is below the WA average for this medication. 61 30-Day Fills standardized to 30-day supplies 1,794 Days of Medication total across all patients in 2023
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	31	$980.32	≈ Typical
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 31 Medicare prescriptions for Lantus Solostar, about the same volume as the typical Washington prescriber of this medication (31). Medicare paid an average of $980.32 per fill, versus $689.25 statewide. How often this provider prescribes it This provider 31 WA average 31.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $980.32 WA average $689.25 Gross Part D cost per fill; not the patient's out-of-pocket price. 88.3 30-Day Fills standardized to 30-day supplies 2,649 Days of Medication total across all patients in 2023
Quetiapine Fumarate	30	$17.64▼ below WA avg	▼ Less than typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 30 Medicare prescriptions for Quetiapine Fumarate, about 63% of the volume of the typical Washington prescriber of this medication (48). Medicare paid an average of $17.64 per fill, versus $27.56 statewide. How often this provider prescribes it This provider 30 WA average 48.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.64 WA average $27.56 This provider's average cost per fill is below the WA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,137 Days of Medication total across all patients in 2023
Zolpidem Tartrate	30	$5.41▼ below WA avg	≈ Typical
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2023, this provider wrote 30 Medicare prescriptions for Zolpidem Tartrate, about the same volume as the typical Washington prescriber of this medication (33). Medicare paid an average of $5.41 per fill, versus $8.33 statewide. How often this provider prescribes it This provider 30 WA average 33.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.41 WA average $8.33 This provider's average cost per fill is below the WA average for this medication. 30 30-Day Fills standardized to 30-day supplies 860 Days of Medication total across all patients in 2023
Citalopram HbrCitalopram Hydrobromide	28	$11.70	≈ Typical
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2023, this provider wrote 28 Medicare prescriptions for Citalopram Hbr, about 80% of the volume of the typical Washington prescriber of this medication (35). Medicare paid an average of $11.70 per fill, versus $10.17 statewide. How often this provider prescribes it This provider 28 WA average 35.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.70 WA average $10.17 Gross Part D cost per fill; not the patient's out-of-pocket price. 64 30-Day Fills standardized to 30-day supplies 1,900 Days of Medication total across all patients in 2023
Alendronate Sodium	28	$11.37▼ below WA avg	▼ Less than typical
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2023, this provider wrote 28 Medicare prescriptions for Alendronate Sodium, about 74% of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $11.37 per fill, versus $13.14 statewide. How often this provider prescribes it This provider 28 WA average 38.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.37 WA average $13.14 This provider's average cost per fill is below the WA average for this medication. 76.6 30-Day Fills standardized to 30-day supplies 2,296 Days of Medication total across all patients in 2023
Prednisone	27	$9.16	▼ Less than typical
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2023, this provider wrote 27 Medicare prescriptions for Prednisone, about 73% of the volume of the typical Washington prescriber of this medication (37). Medicare paid an average of $9.16 per fill, versus $8.30 statewide. How often this provider prescribes it This provider 27 WA average 37.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.16 WA average $8.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 381 Days of Medication total across all patients in 2023
Fluoxetine Hcl	27	$7.85▼ below WA avg	≈ Typical
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 27 Medicare prescriptions for Fluoxetine Hcl, about 82% of the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $7.85 per fill, versus $16.95 statewide. How often this provider prescribes it This provider 27 WA average 33.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.85 WA average $16.95 This provider's average cost per fill is below the WA average for this medication. 73.5 30-Day Fills standardized to 30-day supplies 2,205 Days of Medication total across all patients in 2023
Nortriptyline Hcl	25	$20.66	≈ Typical
About Nortriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain. In 2023, this provider wrote 25 Medicare prescriptions for Nortriptyline Hcl, about 1.3 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $20.66 per fill, versus $19.78 statewide. How often this provider prescribes it This provider 25 WA average 20.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.66 WA average $19.78 Gross Part D cost per fill; not the patient's out-of-pocket price. 73 30-Day Fills standardized to 30-day supplies 2,190 Days of Medication total across all patients in 2023
Lamotrigine	25	$13.88▼ below WA avg	▼ Less than typical
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 25 Medicare prescriptions for Lamotrigine, about half the volume of the typical Washington prescriber of this medication (43). Medicare paid an average of $13.88 per fill, versus $18.11 statewide. How often this provider prescribes it This provider 25 WA average 43.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.88 WA average $18.11 This provider's average cost per fill is below the WA average for this medication. 43.2 30-Day Fills standardized to 30-day supplies 1,289 Days of Medication total across all patients in 2023
Glipizide	25	$4.63▼ below WA avg	≈ Typical
About Glipizide: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2023, this provider wrote 25 Medicare prescriptions for Glipizide, about 86% of the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $4.63 per fill, versus $10.36 statewide. How often this provider prescribes it This provider 25 WA average 29.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.63 WA average $10.36 This provider's average cost per fill is below the WA average for this medication. 53 30-Day Fills standardized to 30-day supplies 1,590 Days of Medication total across all patients in 2023
Simvastatin	24	$6.99▼ below WA avg	▼ Less than typical
About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 24 Medicare prescriptions for Simvastatin, about half the volume of the typical Washington prescriber of this medication (56). Medicare paid an average of $6.99 per fill, versus $8.70 statewide. How often this provider prescribes it This provider 24 WA average 56.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.99 WA average $8.70 This provider's average cost per fill is below the WA average for this medication. 70.2 30-Day Fills standardized to 30-day supplies 2,080 Days of Medication total across all patients in 2023
Clobetasol Propionate	23	$38.25▼ below WA avg	▼ Less than typical
About Clobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Show more ▾ Clobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high-potency) corticosteroid. A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression. In 2023, this provider wrote 23 Medicare prescriptions for Clobetasol Propionate, about 64% of the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $38.25 per fill, versus $60.63 statewide. How often this provider prescribes it This provider 23 WA average 36.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.25 WA average $60.63 This provider's average cost per fill is below the WA average for this medication. 23 30-Day Fills standardized to 30-day supplies 388 Days of Medication total across all patients in 2023
Fluticasone-SalmeterolFluticasone Propion/Salmeterol	23	$371.35	≈ Typical
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 23 Medicare prescriptions for Fluticasone-Salmeterol, about the same volume as the typical Washington prescriber of this medication (21). Medicare paid an average of $371.35 per fill, versus $292.83 statewide. How often this provider prescribes it This provider 23 WA average 21.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $371.35 WA average $292.83 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023
Diclofenac Sodium	22	$30.16▼ below WA avg	▼ Less than typical
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2023, this provider wrote 22 Medicare prescriptions for Diclofenac Sodium, about 69% of the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $30.16 per fill, versus $30.37 statewide. How often this provider prescribes it This provider 22 WA average 32.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.16 WA average $30.37 This provider's average cost per fill is below the WA average for this medication. 23.1 30-Day Fills standardized to 30-day supplies 351 Days of Medication total across all patients in 2023
JardianceEmpagliflozin	22	$1,216.61	▼ Less than typical
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 22 Medicare prescriptions for Jardiance, about 69% of the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $1,216.61 per fill, versus $1,066.24 statewide. How often this provider prescribes it This provider 22 WA average 32.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,216.61 WA average $1,066.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 44 30-Day Fills standardized to 30-day supplies 1,265 Days of Medication total across all patients in 2023
Wixela InhubFluticasone Propion/Salmeterol	22	$279.68	≈ Typical
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 22 Medicare prescriptions for Wixela Inhub, about the same volume as the typical Washington prescriber of this medication (24). Medicare paid an average of $279.68 per fill, versus $266.55 statewide. How often this provider prescribes it This provider 22 WA average 24.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $279.68 WA average $266.55 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
Topiramate	21	$14.70▼ below WA avg	≈ Typical
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 21 Medicare prescriptions for Topiramate, about 75% of the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $14.70 per fill, versus $21.47 statewide. How often this provider prescribes it This provider 21 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.70 WA average $21.47 This provider's average cost per fill is below the WA average for this medication. 54.3 30-Day Fills standardized to 30-day supplies 1,630 Days of Medication total across all patients in 2023
Nystatin	21	$19.30▼ below WA avg	≈ Typical
About Nystatin: Nystatin is used to treat fungal skin infections. Show more ▾ Nystatin is an antifungal that works by stopping the growth of fungus. Macrolide antifungal antibiotic complex produced by Streptomyces noursei, S. aureus, and other Streptomyces species. The biologically active components of the complex are nystatin A1, A2, and A3. In 2023, this provider wrote 21 Medicare prescriptions for Nystatin, about the same volume as the typical Washington prescriber of this medication (21). Medicare paid an average of $19.30 per fill, versus $26.24 statewide. How often this provider prescribes it This provider 21 WA average 21.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.30 WA average $26.24 This provider's average cost per fill is below the WA average for this medication. 22.1 30-Day Fills standardized to 30-day supplies 377 Days of Medication total across all patients in 2023
Lovastatin	21	$19.82	≈ Typical
About Lovastatin: Lovastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A fungal metabolite isolated from cultures of Aspergillus terreus. The compound is a potent anticholesteremic agent. It inhibits 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It also stimulates the production of low-density lipoprotein receptors in the liver. In 2023, this provider wrote 21 Medicare prescriptions for Lovastatin, about 75% of the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $19.82 per fill, versus $12.09 statewide. How often this provider prescribes it This provider 21 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.82 WA average $12.09 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,086 Days of Medication total across all patients in 2023
Hydrocortisone	20	$7.07▼ below WA avg	≈ Typical
About Hydrocortisone: Hydrocortisone is a man-made version of a natural substance (cortisol) made by the adrenal gland. Show more ▾ This drug is used to treat low cortisol levels caused by diseases of the adrenal gland (such as Addison's disease, adrenocortical insufficiency). Hydrocortisone belongs to a class of drugs known as corticosteroids. Corticosteroids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. In 2023, this provider wrote 20 Medicare prescriptions for Hydrocortisone, about 77% of the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $7.07 per fill, versus $24.38 statewide. How often this provider prescribes it This provider 20 WA average 26.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.07 WA average $24.38 This provider's average cost per fill is below the WA average for this medication. 22.3 30-Day Fills standardized to 30-day supplies 577 Days of Medication total across all patients in 2023
Advair HfaFluticasone Propion/Salmeterol	20	$661.60	≈ Typical
About Advair Hfa: 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 20 Medicare prescriptions for Advair Hfa, about 83% of the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $661.60 per fill, versus $636.91 statewide. How often this provider prescribes it This provider 20 WA average 24.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $661.60 WA average $636.91 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023
Olanzapine	20	$47.88	▼ Less than typical
About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2023, this provider wrote 20 Medicare prescriptions for Olanzapine, about half the volume of the typical Washington prescriber of this medication (47). Medicare paid an average of $47.88 per fill, versus $29.94 statewide. How often this provider prescribes it This provider 20 WA average 47.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $47.88 WA average $29.94 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 814 Days of Medication total across all patients in 2023
ValacyclovirValacyclovir Hcl	19	$33.38▼ below WA avg	≈ Typical
About Valacyclovir: Valacyclovir is used to treat infections caused by certain types of viruses. Show more ▾ In children, it is used to treat cold sores around the mouth (caused by herpes simplex) and chickenpox (caused by varicella zoster). In adults, it is used to treat shingles (caused by herpes zoster) and cold sores around the mouth. Valacyclovir is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, this medication is used to reduce the number of future episodes. Valacyclovir is an antiviral drug. It stops the growth of certain viruses. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Valacyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. A prodrug of acyclovir that is used in the treatment of HERPES ZOSTER and HERPES SIMPLEX VIRUS INFECTION of the skin and mucous membranes, including GENITAL HERPES. In 2023, this provider wrote 19 Medicare prescriptions for Valacyclovir, about the same volume as the typical Washington prescriber of this medication (18). Medicare paid an average of $33.38 per fill, versus $50.60 statewide. How often this provider prescribes it This provider 19 WA average 18.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.38 WA average $50.60 This provider's average cost per fill is below the WA average for this medication. 19.4 30-Day Fills standardized to 30-day supplies 467 Days of Medication total across all patients in 2023
Flovent HfaFluticasone Propionate	19	$632.38	≈ Typical
About Flovent Hfa: 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 19 Medicare prescriptions for Flovent Hfa, about the same volume as the typical Washington prescriber of this medication (20). Medicare paid an average of $632.38 per fill, versus $434.52 statewide. How often this provider prescribes it This provider 19 WA average 20.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $632.38 WA average $434.52 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023
Stiolto RespimatTiotropium Br/Olodaterol Hcl	19	$488.16▼ below WA avg	▼ Less than typical
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 19 Medicare prescriptions for Stiolto Respimat, about 63% of the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $488.16 per fill, versus $628.32 statewide. How often this provider prescribes it This provider 19 WA average 30.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $488.16 WA average $628.32 This provider's average cost per fill is below the WA average for this medication. 19.1 30-Day Fills standardized to 30-day supplies 568 Days of Medication total across all patients in 2023
Ventolin HfaAlbuterol Sulfate	19	$107.40	≈ Typical
About Ventolin Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2023, this provider wrote 19 Medicare prescriptions for Ventolin Hfa, about 79% of the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $107.40 per fill, versus $78.57 statewide. How often this provider prescribes it This provider 19 WA average 24.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $107.40 WA average $78.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 34.7 30-Day Fills standardized to 30-day supplies 946 Days of Medication total across all patients in 2023
Pramipexole DihydrochloridePramipexole Di-Hcl	18	$12.82▼ below WA avg	≈ Typical
About Pramipexole Dihydrochloride: Pramipexole is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and can decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 18 Medicare prescriptions for Pramipexole Dihydrochloride, about 78% of the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $12.82 per fill, versus $22.28 statewide. How often this provider prescribes it This provider 18 WA average 23.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.82 WA average $22.28 This provider's average cost per fill is below the WA average for this medication. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
Spironolactone	18	$11.30▼ below WA avg	▼ Less than typical
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 18 Medicare prescriptions for Spironolactone, about half the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $11.30 per fill, versus $14.47 statewide. How often this provider prescribes it This provider 18 WA average 36.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.30 WA average $14.47 This provider's average cost per fill is below the WA average for this medication. 41 30-Day Fills standardized to 30-day supplies 1,221 Days of Medication total across all patients in 2023
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide	18	$10.97	▼ Less than typical
About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication. In 2023, this provider wrote 18 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about 64% of the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $10.97 per fill, versus $9.77 statewide. How often this provider prescribes it This provider 18 WA average 28.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.97 WA average $9.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023
Valsartan	17	$31.75▼ below WA avg	≈ Typical
About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾ It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION. In 2023, this provider wrote 17 Medicare prescriptions for Valsartan, about 77% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $31.75 per fill, versus $34.96 statewide. How often this provider prescribes it This provider 17 WA average 22.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.75 WA average $34.96 This provider's average cost per fill is below the WA average for this medication. 48.7 30-Day Fills standardized to 30-day supplies 1,460 Days of Medication total across all patients in 2023
ClopidogrelClopidogrel Bisulfate	17	$10.12▼ below WA avg	▼ Less than typical
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 17 Medicare prescriptions for Clopidogrel, about half the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $10.12 per fill, versus $17.90 statewide. How often this provider prescribes it This provider 17 WA average 38.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.12 WA average $17.90 This provider's average cost per fill is below the WA average for this medication. 51 30-Day Fills standardized to 30-day supplies 1,530 Days of Medication total across all patients in 2023
Acyclovir	17	$20.93▼ below WA avg	≈ Typical
About Acyclovir: Acyclovir is used to treat infections caused by certain types of viruses. Show more ▾ It treats cold sores around the mouth (caused by herpes simplex), shingles (caused by herpes zoster), and chickenpox. This medication is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, acyclovir is used to help reduce the number of future episodes. Acyclovir is an antiviral drug. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Acyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. In addition, in people with a weakened immune system, acyclovir can decrease the risk of the virus spreading to other parts of the body and causing serious infections. A GUANOSINE analog that acts as an antimetabolite. Viruses are especially susceptible. Used especially against herpes. In 2023, this provider wrote 17 Medicare prescriptions for Acyclovir, about 77% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $20.93 per fill, versus $22.82 statewide. How often this provider prescribes it This provider 17 WA average 22.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.93 WA average $22.82 This provider's average cost per fill is below the WA average for this medication. 17 30-Day Fills standardized to 30-day supplies 260 Days of Medication total across all patients in 2023
Combivent RespimatIpratropium/Albuterol Sulfate	16	$756.88	≈ Typical
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 16 Medicare prescriptions for Combivent Respimat, about 89% of the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $756.88 per fill, versus $622.32 statewide. How often this provider prescribes it This provider 16 WA average 18.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $756.88 WA average $622.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023
Irbesartan	16	$22.18▼ below WA avg	▼ Less than typical
About Irbesartan: Irbesartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Irbesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. A spiro compound, biphenyl and tetrazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION, and in the treatment of kidney disease. In 2023, this provider wrote 16 Medicare prescriptions for Irbesartan, about half the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $22.18 per fill, versus $30.15 statewide. How often this provider prescribes it This provider 16 WA average 28.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.18 WA average $30.15 This provider's average cost per fill is below the WA average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2023
Hydralazine Hcl	16	$23.78▼ below WA avg	▼ Less than typical
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. In 2023, this provider wrote 16 Medicare prescriptions for Hydralazine Hcl, about half the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $23.78 per fill, versus $23.96 statewide. How often this provider prescribes it This provider 16 WA average 29.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.78 WA average $23.96 This provider's average cost per fill is below the WA average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023
Telmisartan	15	$56.66	▼ Less than typical
About Telmisartan: This medication is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Telmisartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. A biphenyl compound and benzimidazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION. In 2023, this provider wrote 15 Medicare prescriptions for Telmisartan, about 60% of the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $56.66 per fill, versus $45.84 statewide. How often this provider prescribes it This provider 15 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $56.66 WA average $45.84 Gross Part D cost per fill; not the patient's out-of-pocket price. 17.3 30-Day Fills standardized to 30-day supplies 459 Days of Medication total across all patients in 2023
Donepezil Hcl	15	$23.50	▼ Less than typical
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 15 Medicare prescriptions for Donepezil Hcl, about a third of the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $23.50 per fill, versus $16.21 statewide. How often this provider prescribes it This provider 15 WA average 40.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.50 WA average $16.21 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,102 Days of Medication total across all patients in 2023
Estradiol	15	$76.71▼ below WA avg	▼ Less than typical
About Estradiol: This medication is a female hormone (estrogen). Show more ▾ It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In 2023, this provider wrote 15 Medicare prescriptions for Estradiol, about half the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $76.71 per fill, versus $83.04 statewide. How often this provider prescribes it This provider 15 WA average 27.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $76.71 WA average $83.04 This provider's average cost per fill is below the WA average for this medication. 29.6 30-Day Fills standardized to 30-day supplies 868 Days of Medication total across all patients in 2023
Bupropion Hcl SrBupropion Hcl	15	$41.32	▼ Less than typical
About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 15 Medicare prescriptions for Bupropion Hcl Sr, about 68% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $41.32 per fill, versus $33.81 statewide. How often this provider prescribes it This provider 15 WA average 22.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $41.32 WA average $33.81 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,095 Days of Medication total across all patients in 2023
SynthroidLevothyroxine Sodium	15	$82.15	▼ Less than typical
About Synthroid: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 15 Medicare prescriptions for Synthroid, about 63% of the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $82.15 per fill, versus $74.43 statewide. How often this provider prescribes it This provider 15 WA average 24.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $82.15 WA average $74.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023
Droplet Pen NeedlePen Needle, Diabetic	15	$48.92▼ below WA avg	≈ Typical
In 2023, this provider wrote 15 Medicare prescriptions for Droplet Pen Needle, about 79% of the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $48.92 per fill, versus $74.20 statewide. How often this provider prescribes it This provider 15 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $48.92 WA average $74.20 This provider's average cost per fill is below the WA average for this medication. 45.6 30-Day Fills standardized to 30-day supplies 1,370 Days of Medication total across all patients in 2023
Ondansetron OdtOndansetron	15	$21.04▼ below WA 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 15 Medicare prescriptions for Ondansetron Odt, about 68% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $21.04 per fill, versus $22.31 statewide. How often this provider prescribes it This provider 15 WA average 22.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.04 WA average $22.31 This provider's average cost per fill is below the WA average for this medication. 15 30-Day Fills standardized to 30-day supplies 180 Days of Medication total across all patients in 2023
Etodolac	15	$27.86▼ below WA avg	▼ Less than typical
About Etodolac: See also Warning section. Show more ▾ Etodolac is used to relieve pain from various conditions. It also reduces pain, swelling, and joint stiffness from arthritis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent and cyclooxygenase-2 (COX-2) inhibitor with potent analgesic and anti-arthritic properties. It has been shown to be effective in the treatment of OSTEOARTHRITIS; RHEUMATOID ARTHRITIS; ANKYLOSING SPONDYLITIS; and in the alleviation of postoperative pain (PAIN, POSTOPERATIVE). In 2023, this provider wrote 15 Medicare prescriptions for Etodolac, about 71% of the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $27.86 per fill, versus $48.97 statewide. How often this provider prescribes it This provider 15 WA average 21.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.86 WA average $48.97 This provider's average cost per fill is below the WA average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	14	$11.64▼ below WA avg	▼ Less than typical
About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate. In 2023, this provider wrote 14 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about 70% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $11.64 per fill, versus $15.72 statewide. How often this provider prescribes it This provider 14 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.64 WA average $15.72 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 137 Days of Medication total across all patients in 2023
Paroxetine Hcl	14	$16.41▼ below WA avg	▼ Less than typical
About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. In 2023, this provider wrote 14 Medicare prescriptions for Paroxetine Hcl, about 64% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $16.41 per fill, versus $17.53 statewide. How often this provider prescribes it This provider 14 WA average 22.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.41 WA average $17.53 This provider's average cost per fill is below the WA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip	14	$32.03	▼ Less than typical
About Clotrimazole-Betamethasone: This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Show more ▾ This product contains 2 medications. Clotrimazole is an azole antifungal that works by preventing the growth of fungus. Betamethasone is a strong corticosteroid that works by reducing the swelling, redness, and itching that occurs in the skin infection. This medication is not recommended for children younger than 17 years or for diaper rash. In 2023, this provider wrote 14 Medicare prescriptions for Clotrimazole-Betamethasone, about 67% of the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $32.03 per fill, versus $31.12 statewide. How often this provider prescribes it This provider 14 WA average 21.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.03 WA average $31.12 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 325 Days of Medication total across all patients in 2023
Clotrimazole	14	$20.39▼ below WA avg	▼ Less than typical
About Clotrimazole: Clotrimazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and other fungal skin infections (candidiasis). Show more ▾ This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Clotrimazole is an azole antifungal that works by preventing the growth of fungus. An imidazole derivative with a broad spectrum of antimycotic activity. It inhibits biosynthesis of the sterol ergostol, an important component of fungal CELL MEMBRANES. Its action leads to increased membrane permeability and apparent disruption of enzyme systems bound to the membrane. In 2023, this provider wrote 14 Medicare prescriptions for Clotrimazole, about 64% of the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $20.39 per fill, versus $28.13 statewide. How often this provider prescribes it This provider 14 WA average 22.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.39 WA average $28.13 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 325 Days of Medication total across all patients in 2023
Cyclobenzaprine Hcl	14	$23.01	▼ Less than typical
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 14 Medicare prescriptions for Cyclobenzaprine Hcl, about half the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $23.01 per fill, versus $15.24 statewide. How often this provider prescribes it This provider 14 WA average 29.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.01 WA average $15.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 230 Days of Medication total across all patients in 2023
Mupirocin	14	$10.25▼ below WA avg	▼ Less than typical
About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾ It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing. In 2023, this provider wrote 14 Medicare prescriptions for Mupirocin, about half the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $10.25 per fill, versus $12.22 statewide. How often this provider prescribes it This provider 14 WA average 24.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.25 WA average $12.22 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 212 Days of Medication total across all patients in 2023
Levetiracetam	14	$15.37▼ below WA avg	▼ Less than typical
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 14 Medicare prescriptions for Levetiracetam, about a third of the volume of the typical Washington prescriber of this medication (43). Medicare paid an average of $15.37 per fill, versus $42.08 statewide. How often this provider prescribes it This provider 14 WA average 43.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.37 WA average $42.08 This provider's average cost per fill is below the WA average for this medication. 16 30-Day Fills standardized to 30-day supplies 448 Days of Medication total across all patients in 2023
Pregabalin	13	$170.93	▼ Less than typical
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 13 Medicare prescriptions for Pregabalin, about a third of the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $170.93 per fill, versus $43.37 statewide. How often this provider prescribes it This provider 13 WA average 32.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $170.93 WA average $43.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 30.5 30-Day Fills standardized to 30-day supplies 915 Days of Medication total across all patients in 2023
Lithium Carbonate	13	$14.17	▼ Less than typical
About Lithium Carbonate: This medication is used to treat manic-depressive disorder (bipolar disorder). Show more ▾ It works to stabilize the mood and reduce extremes in behavior by restoring the balance of certain natural substances (neurotransmitters) in the brain. Some of the benefits of continued use of this medication include decreasing how often manic episodes occur and decreasing the symptoms of manic episodes, such as exaggerated feelings of well-being, feelings that others wish to harm you, irritability, anxiousness, rapid/loud speech, and aggressive/hostile behaviors. A lithium salt, classified as a mood-stabilizing agent. Lithium ion alters the metabolism of BIOGENIC MONOAMINES in the CENTRAL NERVOUS SYSTEM, and affects multiple neurotransmission systems. In 2023, this provider wrote 13 Medicare prescriptions for Lithium Carbonate, about half the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $14.17 per fill, versus $9.43 statewide. How often this provider prescribes it This provider 13 WA average 26.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.17 WA average $9.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023
Torsemide	13	$27.16▼ below WA avg	▼ Less than typical
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2023, this provider wrote 13 Medicare prescriptions for Torsemide, about a third of the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $27.16 per fill, versus $27.88 statewide. How often this provider prescribes it This provider 13 WA average 34.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.16 WA average $27.88 This provider's average cost per fill is below the WA average for this medication. 33 30-Day Fills standardized to 30-day supplies 972 Days of Medication total across all patients in 2023
Amitriptyline Hcl	12	$29.01	▼ Less than typical
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 12 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $29.01 per fill, versus $26.64 statewide. How often this provider prescribes it This provider 12 WA average 22.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.01 WA average $26.64 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023
Finasteride	12	$21.14	▼ Less than typical
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2023, this provider wrote 12 Medicare prescriptions for Finasteride, about a third of the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $21.14 per fill, versus $17.70 statewide. How often this provider prescribes it This provider 12 WA average 41.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.14 WA average $17.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 37.3 30-Day Fills standardized to 30-day supplies 1,120 Days of Medication total across all patients in 2023
MyrbetriqMirabegron	12	$640.15▼ below WA avg	▼ Less than typical
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. In 2023, this provider wrote 12 Medicare prescriptions for Myrbetriq, about a third of the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $640.15 per fill, versus $668.63 statewide. How often this provider prescribes it This provider 12 WA average 36.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $640.15 WA average $668.63 This provider's average cost per fill is below the WA average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023
Ezetimibe	12	$47.73▼ below WA avg	▼ Less than typical
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 12 Medicare prescriptions for Ezetimibe, about a third of the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $47.73 per fill, versus $55.60 statewide. How often this provider prescribes it This provider 12 WA average 33.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $47.73 WA average $55.60 This provider's average cost per fill is below the WA average for this medication. 34 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2023
Carbamazepine	12	$52.12▼ below WA avg	▼ Less than typical
About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 12 Medicare prescriptions for Carbamazepine, about half the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $52.12 per fill, versus $74.27 statewide. How often this provider prescribes it This provider 12 WA average 21.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $52.12 WA average $74.27 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2023
Ropinirole Hcl	12	$25.19▼ below WA avg	▼ Less than typical
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 12 Medicare prescriptions for Ropinirole Hcl, about half the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $25.19 per fill, versus $25.22 statewide. How often this provider prescribes it This provider 12 WA average 24.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.19 WA average $25.22 This provider's average cost per fill is below the WA average for this medication. 30.8 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
Nifedipine ErNifedipine	12	$26.42▼ below WA avg	▼ Less than typical
About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾ It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2023, this provider wrote 12 Medicare prescriptions for Nifedipine Er, about 60% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $26.42 per fill, versus $53.06 statewide. How often this provider prescribes it This provider 12 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.42 WA average $53.06 This provider's average cost per fill is below the WA average for this medication. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2023
Colchicine	12	$50.00▼ below WA avg	▼ Less than typical
About Colchicine: This medication is used to prevent or treat gout attacks (flares). Show more ▾ Usually gout symptoms develop suddenly and involve only one or a few joints. The big toe, knee, or ankle joints are most often affected. Gout is caused by too much uric acid in the blood. When uric acid levels in the blood are too high, the uric acid may form hard crystals in your joints. Colchicine works by decreasing swelling and lessening the build up of uric acid crystals that cause pain in the affected joint(s). This medication is also used to prevent attacks of pain in the abdomen, chest, or joints caused by a certain inherited disease (familial Mediterranean fever). It is thought to work by decreasing your body's production of a certain protein (amyloid A) that builds up in people with familial Mediterranean fever. Colchicine is not a pain medication and should not be used to relieve other causes of pain. A major alkaloid from Colchicum autumnale L. and found also in other Colchicum species. Its primary therapeutic use is in the treatment of gout, but it has been used also in the therapy of familial Mediterranean fever (PERIODIC DISEASE). In 2023, this provider wrote 12 Medicare prescriptions for Colchicine, about 63% of the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $50.00 per fill, versus $104.12 statewide. How often this provider prescribes it This provider 12 WA average 19.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.00 WA average $104.12 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 110 Days of Medication total across all patients in 2023
Lansoprazole	12	$38.77▼ below WA avg	▼ Less than typical
About Lansoprazole: Lansoprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Lansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter lansoprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. Lansoprazole is not recommended for use in children younger than 1 year due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. A 2,2,2-trifluoroethoxypyridyl derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. Lansoprazole is a racemic mixture of (R)- and (S)-isomers. In 2023, this provider wrote 12 Medicare prescriptions for Lansoprazole, about 71% of the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $38.77 per fill, versus $67.76 statewide. How often this provider prescribes it This provider 12 WA average 17.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.77 WA average $67.76 This provider's average cost per fill is below the WA average for this medication. 22 30-Day Fills standardized to 30-day supplies 646 Days of Medication total across all patients in 2023
Omega-3 Acid Ethyl Esters	11	$156.71	▼ Less than typical
About Omega-3 Acid Ethyl Esters: Omega-3 acid ethyl esters, a type of fat found in fish oil, is used along with diet and exercise to help lower levels of a certain blood fat (triglyceride). Show more ▾ It may also raise good cholesterol (HDL). In general, this drug is used after your blood fat levels have not been fully controlled by non-drug treatments (such as diet changes, exercise, decreasing alcohol intake, weight loss if overweight, controlling blood sugar if diabetic, and regulating your thyroid hormone levels). Lowering triglycerides and increasing good cholesterol may help decrease the risk for strokes and heart attacks. Omega-3 acid ethyl esters are thought to work by decreasing the amount of triglyceride the body makes. In 2023, this provider wrote 11 Medicare prescriptions for Omega-3 Acid Ethyl Esters, about half the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $156.71 per fill, versus $88.79 statewide. How often this provider prescribes it This provider 11 WA average 22.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $156.71 WA average $88.79 Gross Part D cost per fill; not the patient's out-of-pocket price. 33.3 30-Day Fills standardized to 30-day supplies 1,000 Days of Medication total across all patients in 2023
Mirtazapine	11	$6.70▼ below WA avg	▼ Less than typical
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 11 Medicare prescriptions for Mirtazapine, about a third of the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $6.70 per fill, versus $26.83 statewide. How often this provider prescribes it This provider 11 WA average 34.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.70 WA average $26.83 This provider's average cost per fill is below the WA average for this medication. 17 30-Day Fills standardized to 30-day supplies 502 Days of Medication total across all patients in 2023
Azathioprine	11	$14.40▼ below WA avg	▼ Less than typical
About Azathioprine: Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. Show more ▾ It is usually taken along with other medications to allow your new kidney to function normally. Azathioprine is also used to treat rheumatoid arthritis. In this condition, the body's defense system (immune system) attacks healthy joints. Azathioprine belongs to a class of drugs known as immunosuppressants. It works by weakening the immune system to help your body accept the new kidney as if it were your own (in the case of an organ transplant) or to prevent further damage to your joints (in the case of rheumatoid arthritis). Talk to your doctor about the risks and benefits of azathioprine, especially when used by children and young adults. An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed) In 2023, this provider wrote 11 Medicare prescriptions for Azathioprine, about half the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $14.40 per fill, versus $76.68 statewide. How often this provider prescribes it This provider 11 WA average 21.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.40 WA average $76.68 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 308 Days of Medication total across all patients in 2023
Olmesartan Medoxomil	11	$26.93▼ below WA avg	▼ Less than typical
About Olmesartan Medoxomil: Olmesartan is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Olmesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to manage HYPERTENSION. In 2023, this provider wrote 11 Medicare prescriptions for Olmesartan Medoxomil, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $26.93 per fill, versus $29.29 statewide. How often this provider prescribes it This provider 11 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.93 WA average $29.29 This provider's average cost per fill is below the WA average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023
OzempicSemaglutide	11	$1,542.23	▼ Less than typical
About Ozempic: Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment. In 2023, this provider wrote 11 Medicare prescriptions for Ozempic, about a third of the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $1,542.23 per fill, versus $1,381.42 statewide. How often this provider prescribes it This provider 11 WA average 34.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,542.23 WA average $1,381.42 Gross Part D cost per fill; not the patient's out-of-pocket price. 18.8 30-Day Fills standardized to 30-day supplies 553 Days of Medication total across all patients in 2023
Ibuprofen	11	$22.53	▼ Less than typical
About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾ When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties In 2023, this provider wrote 11 Medicare prescriptions for Ibuprofen, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $22.53 per fill, versus $10.50 statewide. How often this provider prescribes it This provider 11 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.53 WA average $10.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 32.3 30-Day Fills standardized to 30-day supplies 950 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 WA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the WA average cost per fill.

About this data. The prescription history for DR. RAJASRI DHARANI PALEPU 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 Internal Medicine prescribing approach at this Mukilteo, WA 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 WA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.