DR. NITHYANANDA PAKKALA M.D.
Prescription History 1578558607
Family Medicine in Bolivar, TN

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
630 NUCKOLLS RD, BOLIVAR, TN 38008(731) 658-6011(731) 658-9884 Get Directions

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. NITHYANANDA PAKKALA M.D., an active Family Medicine specialist practicing in Bolivar, TN. Our medical registry currently tracks 101 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 4,468 documented patient claims. Among these therapy options, the most frequently utilized medication is Hydrocodone-Acetaminophen, which accounts for 590 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.

101
Medications
4,468
Total Claims
8,583
30-Day Fills
Hydrocodone-Acetaminophen
Most Prescribed · 590 claims
View details
101 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by DR. NITHYANANDA PAKKALA M.D. in 2023, with prescription volumes, average cost per fill, and TN state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other TN PrescribersVs. TN Avg

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 590 Medicare prescriptions for Hydrocodone-Acetaminophen, about 5.8 times the volume of the typical Tennessee prescriber of this medication (101). Medicare paid an average of $18.65 per fill, versus $20.01 statewide.

How often this provider prescribes it

This provider
590
TN average
101.0

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

What Medicare paid per fill

This provider
$18.65
TN average
$20.01

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

590
30-Day Fills
standardized to 30-day supplies
17,467
Days of Medication
total across all patients in 2023

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 265 Medicare prescriptions for Gabapentin, about 2 times the volume of the typical Tennessee prescriber of this medication (131). Medicare paid an average of $10.92 per fill, versus $17.09 statewide.

How often this provider prescribes it

This provider
265
TN average
131.0

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

What Medicare paid per fill

This provider
$10.92
TN average
$17.09

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

265
30-Day Fills
standardized to 30-day supplies
7,950
Days of Medication
total across all patients in 2023

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 123 Medicare prescriptions for Rosuvastatin Calcium, about 1.2 times the volume of the typical Tennessee prescriber of this medication (101). Medicare paid an average of $20.34 per fill, versus $20.15 statewide.

How often this provider prescribes it

This provider
123
TN average
101.0

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

What Medicare paid per fill

This provider
$20.34
TN average
$20.15

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

351
30-Day Fills
standardized to 30-day supplies
10,530
Days of Medication
total across all patients in 2023

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 119 Medicare prescriptions for Potassium Chloride, about 1.5 times the volume of the typical Tennessee prescriber of this medication (82). Medicare paid an average of $35.48 per fill, versus $26.21 statewide.

How often this provider prescribes it

This provider
119
TN average
82.0

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

What Medicare paid per fill

This provider
$35.48
TN average
$26.21

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

314
30-Day Fills
standardized to 30-day supplies
9,419
Days of Medication
total across all patients in 2023

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 118 Medicare prescriptions for Atorvastatin Calcium, about 69% of the volume of the typical Tennessee prescriber of this medication (172). Medicare paid an average of $11.57 per fill, versus $12.09 statewide.

How often this provider prescribes it

This provider
118
TN average
172.0

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

What Medicare paid per fill

This provider
$11.57
TN average
$12.09

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

327
30-Day Fills
standardized to 30-day supplies
9,810
Days of Medication
total across all patients in 2023

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 111 Medicare prescriptions for Amlodipine Besylate, about 76% of the volume of the typical Tennessee prescriber of this medication (146). Medicare paid an average of $7.25 per fill, versus $6.52 statewide.

How often this provider prescribes it

This provider
111
TN average
146.0

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

What Medicare paid per fill

This provider
$7.25
TN average
$6.52

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

327.7
30-Day Fills
standardized to 30-day supplies
9,830
Days of Medication
total across all patients in 2023

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 110 Medicare prescriptions for Furosemide, about the same volume as the typical Tennessee prescriber of this medication (99). Medicare paid an average of $5.89 per fill, versus $5.99 statewide.

How often this provider prescribes it

This provider
110
TN average
99.0

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

What Medicare paid per fill

This provider
$5.89
TN average
$5.99

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

271.5
30-Day Fills
standardized to 30-day supplies
8,144
Days of Medication
total across all patients in 2023

About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾

It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER.

In 2023, this provider wrote 102 Medicare prescriptions for Pantoprazole Sodium, about the same volume as the typical Tennessee prescriber of this medication (94). Medicare paid an average of $12.00 per fill, versus $16.18 statewide.

How often this provider prescribes it

This provider
102
TN average
94.0

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

What Medicare paid per fill

This provider
$12.00
TN average
$16.18

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

270.3
30-Day Fills
standardized to 30-day supplies
8,110
Days of Medication
total across all patients in 2023

About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾

It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent.

In 2023, this provider wrote 96 Medicare prescriptions for Lorazepam, about 1.9 times the volume of the typical Tennessee prescriber of this medication (51). Medicare paid an average of $6.73 per fill, versus $7.56 statewide.

How often this provider prescribes it

This provider
96
TN average
51.0

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

What Medicare paid per fill

This provider
$6.73
TN average
$7.56

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

96
30-Day Fills
standardized to 30-day supplies
2,810
Days of Medication
total across all patients in 2023

About Januvia: Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES.

In 2023, this provider wrote 92 Medicare prescriptions for Januvia, about 2.7 times the volume of the typical Tennessee prescriber of this medication (34). Medicare paid an average of $821.62 per fill, versus $892.40 statewide.

How often this provider prescribes it

This provider
92
TN average
34.0

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

What Medicare paid per fill

This provider
$821.62
TN average
$892.40

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

136
30-Day Fills
standardized to 30-day supplies
4,080
Days of Medication
total across all patients in 2023

About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾

Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2023, this provider wrote 87 Medicare prescriptions for Fluticasone Propionate, about 1.5 times the volume of the typical Tennessee prescriber of this medication (58). Medicare paid an average of $9.33 per fill, versus $17.07 statewide.

How often this provider prescribes it

This provider
87
TN average
58.0

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

What Medicare paid per fill

This provider
$9.33
TN average
$17.07

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

162
30-Day Fills
standardized to 30-day supplies
4,860
Days of Medication
total across all patients in 2023

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 81 Medicare prescriptions for Metoprolol Succinate, about the same volume as the typical Tennessee prescriber of this medication (88). Medicare paid an average of $14.55 per fill, versus $19.20 statewide.

How often this provider prescribes it

This provider
81
TN average
88.0

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

What Medicare paid per fill

This provider
$14.55
TN average
$19.20

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

187
30-Day Fills
standardized to 30-day supplies
5,610
Days of Medication
total across all patients in 2023

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 79 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 2.3 times the volume of the typical Tennessee prescriber of this medication (35). Medicare paid an average of $26.42 per fill, versus $23.03 statewide.

How often this provider prescribes it

This provider
79
TN average
35.0

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

What Medicare paid per fill

This provider
$26.42
TN average
$23.03

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

191
30-Day Fills
standardized to 30-day supplies
5,730
Days of Medication
total across all patients in 2023

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 77 Medicare prescriptions for Levothyroxine Sodium, about half the volume of the typical Tennessee prescriber of this medication (164). Medicare paid an average of $15.07 per fill, versus $16.05 statewide.

How often this provider prescribes it

This provider
77
TN average
164.0

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

What Medicare paid per fill

This provider
$15.07
TN average
$16.05

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

229
30-Day Fills
standardized to 30-day supplies
6,870
Days of Medication
total across all patients in 2023

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 69 Medicare prescriptions for Lisinopril, about half the volume of the typical Tennessee prescriber of this medication (124). Medicare paid an average of $9.97 per fill, versus $6.78 statewide.

How often this provider prescribes it

This provider
69
TN average
124.0

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

What Medicare paid per fill

This provider
$9.97
TN average
$6.78

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

190.4
30-Day Fills
standardized to 30-day supplies
5,657
Days of Medication
total across all patients in 2023

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 69 Medicare prescriptions for Omeprazole, about half the volume of the typical Tennessee prescriber of this medication (116). Medicare paid an average of $19.75 per fill, versus $14.98 statewide.

How often this provider prescribes it

This provider
69
TN average
116.0

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

What Medicare paid per fill

This provider
$19.75
TN average
$14.98

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

197
30-Day Fills
standardized to 30-day supplies
5,910
Days of Medication
total across all patients in 2023

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 68 Medicare prescriptions for Metformin Hcl, about 72% of the volume of the typical Tennessee prescriber of this medication (94). Medicare paid an average of $9.42 per fill, versus $7.26 statewide.

How often this provider prescribes it

This provider
68
TN average
94.0

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

What Medicare paid per fill

This provider
$9.42
TN average
$7.26

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

152
30-Day Fills
standardized to 30-day supplies
4,560
Days of Medication
total across all patients in 2023

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 64 Medicare prescriptions for Ozempic, about 1.6 times the volume of the typical Tennessee prescriber of this medication (40). Medicare paid an average of $1,150.98 per fill, versus $1,360.77 statewide.

How often this provider prescribes it

This provider
64
TN average
40.0

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

What Medicare paid per fill

This provider
$1,150.98
TN average
$1,360.77

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

76.2
30-Day Fills
standardized to 30-day supplies
2,176
Days of Medication
total across all patients in 2023

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 61 Medicare prescriptions for Nifedipine Er, about 2.1 times the volume of the typical Tennessee prescriber of this medication (29). Medicare paid an average of $44.25 per fill, versus $49.14 statewide.

How often this provider prescribes it

This provider
61
TN average
29.0

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

What Medicare paid per fill

This provider
$44.25
TN average
$49.14

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

151
30-Day Fills
standardized to 30-day supplies
4,530
Days of Medication
total across all patients in 2023

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 60 Medicare prescriptions for Meloxicam, about the same volume as the typical Tennessee prescriber of this medication (66). Medicare paid an average of $6.16 per fill, versus $6.86 statewide.

How often this provider prescribes it

This provider
60
TN average
66.0

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

What Medicare paid per fill

This provider
$6.16
TN average
$6.86

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

148.7
30-Day Fills
standardized to 30-day supplies
4,460
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 59 Medicare prescriptions for Albuterol Sulfate Hfa, about 89% of the volume of the typical Tennessee prescriber of this medication (66). Medicare paid an average of $33.70 per fill, versus $50.30 statewide.

How often this provider prescribes it

This provider
59
TN average
66.0

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

What Medicare paid per fill

This provider
$33.70
TN average
$50.30

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

97.8
30-Day Fills
standardized to 30-day supplies
2,879
Days of Medication
total across all patients in 2023

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 57 Medicare prescriptions for Glimepiride, about the same volume as the typical Tennessee prescriber of this medication (55). Medicare paid an average of $15.33 per fill, versus $11.60 statewide.

How often this provider prescribes it

This provider
57
TN average
55.0

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

What Medicare paid per fill

This provider
$15.33
TN average
$11.60

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

154
30-Day Fills
standardized to 30-day supplies
4,620
Days of Medication
total across all patients in 2023

About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾

This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion.

In 2023, this provider wrote 57 Medicare prescriptions for Famotidine, about 1.5 times the volume of the typical Tennessee prescriber of this medication (38). Medicare paid an average of $10.67 per fill, versus $7.85 statewide.

How often this provider prescribes it

This provider
57
TN average
38.0

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

What Medicare paid per fill

This provider
$10.67
TN average
$7.85

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

143
30-Day Fills
standardized to 30-day supplies
4,290
Days of Medication
total across all patients in 2023

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 54 Medicare prescriptions for Allopurinol, about the same volume as the typical Tennessee prescriber of this medication (55). Medicare paid an average of $19.19 per fill, versus $15.31 statewide.

How often this provider prescribes it

This provider
54
TN average
55.0

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

What Medicare paid per fill

This provider
$19.19
TN average
$15.31

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

158
30-Day Fills
standardized to 30-day supplies
4,740
Days of Medication
total across all patients in 2023

About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾

It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238)

In 2023, this provider wrote 54 Medicare prescriptions for Alprazolam, about half the volume of the typical Tennessee prescriber of this medication (95). Medicare paid an average of $5.44 per fill, versus $7.66 statewide.

How often this provider prescribes it

This provider
54
TN average
95.0

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

What Medicare paid per fill

This provider
$5.44
TN average
$7.66

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

54
30-Day Fills
standardized to 30-day supplies
1,575
Days of Medication
total across all patients in 2023

About Warfarin Sodium: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾

Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a blood thinner, but the more correct term is anticoagulant. It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide.

In 2023, this provider wrote 50 Medicare prescriptions for Warfarin Sodium, about 1.2 times the volume of the typical Tennessee prescriber of this medication (41). Medicare paid an average of $4.38 per fill, versus $11.99 statewide.

How often this provider prescribes it

This provider
50
TN average
41.0

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

What Medicare paid per fill

This provider
$4.38
TN average
$11.99

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

123.5
30-Day Fills
standardized to 30-day supplies
3,706
Days of Medication
total across all patients in 2023

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 48 Medicare prescriptions for Clopidogrel, about 69% of the volume of the typical Tennessee prescriber of this medication (70). Medicare paid an average of $13.64 per fill, versus $15.37 statewide.

How often this provider prescribes it

This provider
48
TN average
70.0

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

What Medicare paid per fill

This provider
$13.64
TN average
$15.37

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

140
30-Day Fills
standardized to 30-day supplies
4,172
Days of Medication
total across all patients in 2023

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 48 Medicare prescriptions for Tamsulosin Hcl, about half the volume of the typical Tennessee prescriber of this medication (86). Medicare paid an average of $19.47 per fill, versus $18.15 statewide.

How often this provider prescribes it

This provider
48
TN average
86.0

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

What Medicare paid per fill

This provider
$19.47
TN average
$18.15

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

132
30-Day Fills
standardized to 30-day supplies
3,960
Days of Medication
total across all patients in 2023

About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾

It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent.

In 2023, this provider wrote 47 Medicare prescriptions for Temazepam, about 1.7 times the volume of the typical Tennessee prescriber of this medication (27). Medicare paid an average of $10.72 per fill, versus $11.21 statewide.

How often this provider prescribes it

This provider
47
TN average
27.0

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

What Medicare paid per fill

This provider
$10.72
TN average
$11.21

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

47
30-Day Fills
standardized to 30-day supplies
1,410
Days of Medication
total across all patients in 2023

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 45 Medicare prescriptions for Lantus Solostar, about 1.3 times the volume of the typical Tennessee prescriber of this medication (35). Medicare paid an average of $596.86 per fill, versus $682.75 statewide.

How often this provider prescribes it

This provider
45
TN average
35.0

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

What Medicare paid per fill

This provider
$596.86
TN average
$682.75

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

55.9
30-Day Fills
standardized to 30-day supplies
1,592
Days of Medication
total across all patients in 2023

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 43 Medicare prescriptions for Carvedilol, about half the volume of the typical Tennessee prescriber of this medication (77). Medicare paid an average of $9.96 per fill, versus $10.38 statewide.

How often this provider prescribes it

This provider
43
TN average
77.0

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

What Medicare paid per fill

This provider
$9.96
TN average
$10.38

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

121
30-Day Fills
standardized to 30-day supplies
3,630
Days of Medication
total across all patients in 2023

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 41 Medicare prescriptions for Cyclobenzaprine Hcl, about the same volume as the typical Tennessee prescriber of this medication (38). Medicare paid an average of $7.05 per fill, versus $14.26 statewide.

How often this provider prescribes it

This provider
41
TN average
38.0

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

What Medicare paid per fill

This provider
$7.05
TN average
$14.26

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

83
30-Day Fills
standardized to 30-day supplies
2,450
Days of Medication
total across all patients in 2023

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 41 Medicare prescriptions for Tizanidine Hcl, about 69% of the volume of the typical Tennessee prescriber of this medication (59). Medicare paid an average of $11.21 per fill, versus $16.19 statewide.

How often this provider prescribes it

This provider
41
TN average
59.0

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

What Medicare paid per fill

This provider
$11.21
TN average
$16.19

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

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

About Janumet: This combination medication 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. This product contains 2 medications. Sitagliptin works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. 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. 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.

In 2023, this provider wrote 40 Medicare prescriptions for Janumet, about 2 times the volume of the typical Tennessee prescriber of this medication (20). Medicare paid an average of $472.96 per fill, versus $870.46 statewide.

How often this provider prescribes it

This provider
40
TN average
20.0

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

What Medicare paid per fill

This provider
$472.96
TN average
$870.46

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

42
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2023

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 40 Medicare prescriptions for Losartan Potassium, about a third of the volume of the typical Tennessee prescriber of this medication (108). Medicare paid an average of $20.55 per fill, versus $11.78 statewide.

How often this provider prescribes it

This provider
40
TN average
108.0

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

What Medicare paid per fill

This provider
$20.55
TN average
$11.78

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

118
30-Day Fills
standardized to 30-day supplies
3,540
Days of Medication
total across all patients in 2023

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 39 Medicare prescriptions for Triamcinolone Acetonide, about 1.2 times the volume of the typical Tennessee prescriber of this medication (33). Medicare paid an average of $10.79 per fill, versus $12.02 statewide.

How often this provider prescribes it

This provider
39
TN average
33.0

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

What Medicare paid per fill

This provider
$10.79
TN average
$12.02

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

53
30-Day Fills
standardized to 30-day supplies
1,355
Days of Medication
total across all patients in 2023

About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾

This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details.

In 2023, this provider wrote 39 Medicare prescriptions for Isosorbide Mononitrate Er, about 81% of the volume of the typical Tennessee prescriber of this medication (48). Medicare paid an average of $18.67 per fill, versus $17.22 statewide.

How often this provider prescribes it

This provider
39
TN average
48.0

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

What Medicare paid per fill

This provider
$18.67
TN average
$17.22

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

99
30-Day Fills
standardized to 30-day supplies
2,970
Days of Medication
total across all patients in 2023

About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾

It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways.

In 2023, this provider wrote 37 Medicare prescriptions for Montelukast Sodium, about half the volume of the typical Tennessee prescriber of this medication (71). Medicare paid an average of $15.30 per fill, versus $16.88 statewide.

How often this provider prescribes it

This provider
37
TN average
71.0

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

What Medicare paid per fill

This provider
$15.30
TN average
$16.88

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

109.7
30-Day Fills
standardized to 30-day supplies
3,290
Days of Medication
total across all patients in 2023

About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾

This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses.

In 2023, this provider wrote 36 Medicare prescriptions for Clonazepam, about 62% of the volume of the typical Tennessee prescriber of this medication (58). Medicare paid an average of $6.00 per fill, versus $7.79 statewide.

How often this provider prescribes it

This provider
36
TN average
58.0

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

What Medicare paid per fill

This provider
$6.00
TN average
$7.79

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

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2023

About Promethazine Hcl: See also Warning section. Show more ▾

Promethazine is used to prevent and treat nausea and vomiting related to certain conditions (such as motion sickness, or before/after surgery). It is also used to treat allergy symptoms such as rash, itching, and runny nose. It may be used to help you feel sleepy/relaxed before and after surgery or to help certain opioid pain relievers (such as meperidine) work better. The suppository form is used when medications cannot be taken by mouth. Promethazine is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Its other effects (such as anti-nausea, calming, pain relief) may work by affecting other natural substances (such as acetylcholine) and by acting directly on certain parts of the brain.

In 2023, this provider wrote 32 Medicare prescriptions for Promethazine Hcl, about the same volume as the typical Tennessee prescriber of this medication (32). Medicare paid an average of $3.28 per fill, versus $9.63 statewide.

How often this provider prescribes it

This provider
32
TN average
32.0

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

What Medicare paid per fill

This provider
$3.28
TN average
$9.63

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

32
30-Day Fills
standardized to 30-day supplies
398
Days of Medication
total across all patients in 2023

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 32 Medicare prescriptions for Diclofenac Sodium, about 76% of the volume of the typical Tennessee prescriber of this medication (42). Medicare paid an average of $20.78 per fill, versus $28.73 statewide.

How often this provider prescribes it

This provider
32
TN average
42.0

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

What Medicare paid per fill

This provider
$20.78
TN average
$28.73

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

50.7
30-Day Fills
standardized to 30-day supplies
1,410
Days of Medication
total across all patients in 2023

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 31 Medicare prescriptions for Metformin Hcl Er, about half the volume of the typical Tennessee prescriber of this medication (61). Medicare paid an average of $9.13 per fill, versus $10.27 statewide.

How often this provider prescribes it

This provider
31
TN average
61.0

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

What Medicare paid per fill

This provider
$9.13
TN average
$10.27

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

69
30-Day Fills
standardized to 30-day supplies
2,060
Days of Medication
total across all patients in 2023

About Meclizine Hcl: Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Show more ▾

It may also be used to reduce dizziness and loss of balance (vertigo) caused by inner ear problems.

In 2023, this provider wrote 30 Medicare prescriptions for Meclizine Hcl, about 1.2 times the volume of the typical Tennessee prescriber of this medication (25). Medicare paid an average of $10.66 per fill, versus $12.72 statewide.

How often this provider prescribes it

This provider
30
TN average
25.0

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

What Medicare paid per fill

This provider
$10.66
TN average
$12.72

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

48.3
30-Day Fills
standardized to 30-day supplies
1,215
Days of Medication
total across all patients in 2023

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 29 Medicare prescriptions for Mirtazapine, about half the volume of the typical Tennessee prescriber of this medication (58). Medicare paid an average of $18.08 per fill, versus $21.35 statewide.

How often this provider prescribes it

This provider
29
TN average
58.0

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

What Medicare paid per fill

This provider
$18.08
TN average
$21.35

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

63
30-Day Fills
standardized to 30-day supplies
1,890
Days of Medication
total across all patients in 2023

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 29 Medicare prescriptions for Sertraline Hcl, about a third of the volume of the typical Tennessee prescriber of this medication (72). Medicare paid an average of $8.53 per fill, versus $10.90 statewide.

How often this provider prescribes it

This provider
29
TN average
72.0

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

What Medicare paid per fill

This provider
$8.53
TN average
$10.90

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

61
30-Day Fills
standardized to 30-day supplies
1,830
Days of Medication
total across all patients in 2023

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 28 Medicare prescriptions for Trazodone Hcl, about a third of the volume of the typical Tennessee prescriber of this medication (76). Medicare paid an average of $12.93 per fill, versus $13.72 statewide.

How often this provider prescribes it

This provider
28
TN average
76.0

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

What Medicare paid per fill

This provider
$12.93
TN average
$13.72

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

75
30-Day Fills
standardized to 30-day supplies
2,250
Days of Medication
total across all patients in 2023

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 28 Medicare prescriptions for Buspirone Hcl, about half the volume of the typical Tennessee prescriber of this medication (57). Medicare paid an average of $8.95 per fill, versus $18.46 statewide.

How often this provider prescribes it

This provider
28
TN average
57.0

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

What Medicare paid per fill

This provider
$8.95
TN average
$18.46

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

28
30-Day Fills
standardized to 30-day supplies
840
Days of Medication
total across all patients in 2023

About Farxiga: Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys.

In 2023, this provider wrote 28 Medicare prescriptions for Farxiga, about 85% of the volume of the typical Tennessee prescriber of this medication (33). Medicare paid an average of $992.33 per fill, versus $940.09 statewide.

How often this provider prescribes it

This provider
28
TN average
33.0

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

What Medicare paid per fill

This provider
$992.33
TN average
$940.09

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

47
30-Day Fills
standardized to 30-day supplies
1,410
Days of Medication
total across all patients in 2023

About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2023, this provider wrote 27 Medicare prescriptions for Cephalexin, about 87% of the volume of the typical Tennessee prescriber of this medication (31). Medicare paid an average of $6.15 per fill, versus $8.37 statewide.

How often this provider prescribes it

This provider
27
TN average
31.0

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

What Medicare paid per fill

This provider
$6.15
TN average
$8.37

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

27
30-Day Fills
standardized to 30-day supplies
305
Days of Medication
total across all patients in 2023

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 27 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about 75% of the volume of the typical Tennessee prescriber of this medication (36). Medicare paid an average of $18.48 per fill, versus $11.91 statewide.

How often this provider prescribes it

This provider
27
TN average
36.0

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

What Medicare paid per fill

This provider
$18.48
TN average
$11.91

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

73.7
30-Day Fills
standardized to 30-day supplies
2,210
Days of Medication
total across all patients in 2023

About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾

Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.

In 2023, this provider wrote 26 Medicare prescriptions for Morphine Sulfate Er, about a third of the volume of the typical Tennessee prescriber of this medication (66). Medicare paid an average of $19.13 per fill, versus $36.48 statewide.

How often this provider prescribes it

This provider
26
TN average
66.0

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

What Medicare paid per fill

This provider
$19.13
TN average
$36.48

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

26
30-Day Fills
standardized to 30-day supplies
780
Days of Medication
total across all patients in 2023

About Testosterone Cypionate: This medication is used in men who do not make enough of a natural substance called testosterone. Show more ▾

In males, testosterone is responsible for many normal functions, including growth and development of the genitals, muscles, and bones. It also helps cause normal sexual development (puberty) in boys. Testosterone belongs to a class of drugs known as androgens. It works by affecting many body systems so that the body can develop and function normally. Testosterone may also be used in certain adolescent boys to cause puberty in those with delayed puberty. It may also be used to treat certain types of breast cancer in women.

In 2023, this provider wrote 26 Medicare prescriptions for Testosterone Cypionate, about the same volume as the typical Tennessee prescriber of this medication (26). Medicare paid an average of $35.80 per fill, versus $46.88 statewide.

How often this provider prescribes it

This provider
26
TN average
26.0

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

What Medicare paid per fill

This provider
$35.80
TN average
$46.88

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

49.5
30-Day Fills
standardized to 30-day supplies
1,454
Days of Medication
total across all patients in 2023

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 26 Medicare prescriptions for Simvastatin, about a third of the volume of the typical Tennessee prescriber of this medication (79). Medicare paid an average of $10.52 per fill, versus $8.02 statewide.

How often this provider prescribes it

This provider
26
TN average
79.0

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

What Medicare paid per fill

This provider
$10.52
TN average
$8.02

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

68
30-Day Fills
standardized to 30-day supplies
2,040
Days of Medication
total across all patients in 2023

About Methocarbamol: Methocarbamol is used to treat muscle spasms/pain. Show more ▾

It is usually used along with rest, physical therapy, and other treatment. It works by helping to relax the muscles. A centrally acting muscle relaxant whose mode of action has not been established. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1206)

In 2023, this provider wrote 26 Medicare prescriptions for Methocarbamol, about 87% of the volume of the typical Tennessee prescriber of this medication (30). Medicare paid an average of $6.00 per fill, versus $14.03 statewide.

How often this provider prescribes it

This provider
26
TN average
30.0

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

What Medicare paid per fill

This provider
$6.00
TN average
$14.03

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

50
30-Day Fills
standardized to 30-day supplies
1,435
Days of Medication
total across all patients in 2023

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 26 Medicare prescriptions for Zolpidem Tartrate, about half the volume of the typical Tennessee prescriber of this medication (54). Medicare paid an average of $4.81 per fill, versus $7.56 statewide.

How often this provider prescribes it

This provider
26
TN average
54.0

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

What Medicare paid per fill

This provider
$4.81
TN average
$7.56

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

26
30-Day Fills
standardized to 30-day supplies
780
Days of Medication
total across all patients in 2023

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 25 Medicare prescriptions for Eliquis, about a third of the volume of the typical Tennessee prescriber of this medication (88). Medicare paid an average of $585.71 per fill, versus $749.99 statewide.

How often this provider prescribes it

This provider
25
TN average
88.0

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

What Medicare paid per fill

This provider
$585.71
TN average
$749.99

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

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

About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾

It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA.

In 2023, this provider wrote 23 Medicare prescriptions for Latanoprost, about 18% of the volume of the typical Tennessee prescriber of this medication (130). Medicare paid an average of $33.16 per fill, versus $20.66 statewide.

How often this provider prescribes it

This provider
23
TN average
130.0

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

What Medicare paid per fill

This provider
$33.16
TN average
$20.66

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

29.1
30-Day Fills
standardized to 30-day supplies
764
Days of Medication
total across all patients in 2023

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 22 Medicare prescriptions for Metoprolol Tartrate, about a quarter of the volume of the typical Tennessee prescriber of this medication (89). Medicare paid an average of $7.48 per fill, versus $7.48 statewide.

How often this provider prescribes it

This provider
22
TN average
89.0

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

What Medicare paid per fill

This provider
$7.48
TN average
$7.48

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

64
30-Day Fills
standardized to 30-day supplies
1,920
Days of Medication
total across all patients in 2023

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 22 Medicare prescriptions for Amitriptyline Hcl, about 71% of the volume of the typical Tennessee prescriber of this medication (31). Medicare paid an average of $25.43 per fill, versus $27.75 statewide.

How often this provider prescribes it

This provider
22
TN average
31.0

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

What Medicare paid per fill

This provider
$25.43
TN average
$27.75

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

66
30-Day Fills
standardized to 30-day supplies
1,980
Days of Medication
total across all patients in 2023

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 22 Medicare prescriptions for Topiramate, about 61% of the volume of the typical Tennessee prescriber of this medication (36). Medicare paid an average of $16.10 per fill, versus $18.66 statewide.

How often this provider prescribes it

This provider
22
TN average
36.0

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

What Medicare paid per fill

This provider
$16.10
TN average
$18.66

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

52
30-Day Fills
standardized to 30-day supplies
1,560
Days of Medication
total across all patients in 2023

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 22 Medicare prescriptions for Spironolactone, about half the volume of the typical Tennessee prescriber of this medication (47). Medicare paid an average of $17.58 per fill, versus $13.20 statewide.

How often this provider prescribes it

This provider
22
TN average
47.0

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

What Medicare paid per fill

This provider
$17.58
TN average
$13.20

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

63.8
30-Day Fills
standardized to 30-day supplies
1,890
Days of Medication
total across all patients in 2023

About Novolog Mix 70-30 Flexpen: Insulin aspart protamine/insulin aspart is used along with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

This product is a combination of two man-made insulins: intermediate-acting insulin aspart protamine and rapid-acting insulin aspart. This combination starts working faster and lasts for a longer time than regular insulin. Insulin is a natural substance that allows the body to properly use sugar from the diet. It replaces the insulin that your body no longer produces, thereby lowering your blood sugar. 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.

In 2023, this provider wrote 20 Medicare prescriptions for Novolog Mix 70-30 Flexpen, about the same volume as the typical Tennessee prescriber of this medication (21). Medicare paid an average of $943.42 per fill, versus $1,285.77 statewide.

How often this provider prescribes it

This provider
20
TN average
21.0

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

What Medicare paid per fill

This provider
$943.42
TN average
$1,285.77

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

28
30-Day Fills
standardized to 30-day supplies
766
Days of Medication
total across all patients in 2023

About Methotrexate: Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma) or to control severe psoriasis or rheumatoid arthritis that has not responded to other treatments. Show more ▾

It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA.

In 2023, this provider wrote 20 Medicare prescriptions for Methotrexate, about a quarter of the volume of the typical Tennessee prescriber of this medication (92). Medicare paid an average of $36.22 per fill, versus $37.32 statewide.

How often this provider prescribes it

This provider
20
TN average
92.0

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

What Medicare paid per fill

This provider
$36.22
TN average
$37.32

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

42.6
30-Day Fills
standardized to 30-day supplies
1,262
Days of Medication
total across all patients in 2023

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 20 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about half the volume of the typical Tennessee prescriber of this medication (40). Medicare paid an average of $7.49 per fill, versus $8.19 statewide.

How often this provider prescribes it

This provider
20
TN average
40.0

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

What Medicare paid per fill

This provider
$7.49
TN average
$8.19

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

56
30-Day Fills
standardized to 30-day supplies
1,680
Days of Medication
total across all patients in 2023

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 20 Medicare prescriptions for Mupirocin, about 67% of the volume of the typical Tennessee prescriber of this medication (30). Medicare paid an average of $12.05 per fill, versus $11.22 statewide.

How often this provider prescribes it

This provider
20
TN average
30.0

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

What Medicare paid per fill

This provider
$12.05
TN average
$11.22

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

21
30-Day Fills
standardized to 30-day supplies
503
Days of Medication
total across all patients in 2023

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 19 Medicare prescriptions for Hydralazine Hcl, about a third of the volume of the typical Tennessee prescriber of this medication (46). Medicare paid an average of $16.48 per fill, versus $18.29 statewide.

How often this provider prescribes it

This provider
19
TN average
46.0

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

What Medicare paid per fill

This provider
$16.48
TN average
$18.29

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

31
30-Day Fills
standardized to 30-day supplies
930
Days of Medication
total across all patients in 2023

About Linzess: See also Warning section. Show more ▾

Linaclotide is used to treat certain types of bowel problems (irritable bowel syndrome with constipation, chronic idiopathic constipation). It works by increasing fluid in your intestines and helping speed up movement of food through the gut. Linaclotide may improve stool texture and lessen symptoms such as bloating, abdominal pain/discomfort, straining, and feelings of incomplete bowel movements.

In 2023, this provider wrote 19 Medicare prescriptions for Linzess, about 61% of the volume of the typical Tennessee prescriber of this medication (31). Medicare paid an average of $776.79 per fill, versus $760.70 statewide.

How often this provider prescribes it

This provider
19
TN average
31.0

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

What Medicare paid per fill

This provider
$776.79
TN average
$760.70

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

27
30-Day Fills
standardized to 30-day supplies
810
Days of Medication
total across all patients in 2023

About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily.

In 2023, this provider wrote 19 Medicare prescriptions for Clonidine Hcl, about half the volume of the typical Tennessee prescriber of this medication (32). Medicare paid an average of $12.15 per fill, versus $9.43 statewide.

How often this provider prescribes it

This provider
19
TN average
32.0

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

What Medicare paid per fill

This provider
$12.15
TN average
$9.43

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

29
30-Day Fills
standardized to 30-day supplies
843
Days of Medication
total across all patients in 2023

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 18 Medicare prescriptions for Citalopram Hbr, about a third of the volume of the typical Tennessee prescriber of this medication (50). Medicare paid an average of $3.99 per fill, versus $7.69 statewide.

How often this provider prescribes it

This provider
18
TN average
50.0

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

What Medicare paid per fill

This provider
$3.99
TN average
$7.69

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

52
30-Day Fills
standardized to 30-day supplies
1,560
Days of Medication
total across all patients in 2023

About Toujeo Max 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 18 Medicare prescriptions for Toujeo Max Solostar, about 82% of the volume of the typical Tennessee prescriber of this medication (22). Medicare paid an average of $582.62 per fill, versus $1,198.76 statewide.

How often this provider prescribes it

This provider
18
TN average
22.0

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

What Medicare paid per fill

This provider
$582.62
TN average
$1,198.76

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

18
30-Day Fills
standardized to 30-day supplies
216
Days of Medication
total across all patients in 2023

About Methylprednisolone: Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. Show more ▾

It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone. Methylprednisolone may also be used with other medications in hormone disorders. A PREDNISOLONE derivative with similar anti-inflammatory action.

In 2023, this provider wrote 16 Medicare prescriptions for Methylprednisolone, about half the volume of the typical Tennessee prescriber of this medication (38). Medicare paid an average of $9.52 per fill, versus $10.22 statewide.

How often this provider prescribes it

This provider
16
TN average
38.0

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

What Medicare paid per fill

This provider
$9.52
TN average
$10.22

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

16
30-Day Fills
standardized to 30-day supplies
96
Days of Medication
total across all patients in 2023

About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾

This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity.

In 2023, this provider wrote 15 Medicare prescriptions for Doxycycline Hyclate, about half the volume of the typical Tennessee prescriber of this medication (33). Medicare paid an average of $9.15 per fill, versus $18.62 statewide.

How often this provider prescribes it

This provider
15
TN average
33.0

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

What Medicare paid per fill

This provider
$9.15
TN average
$18.62

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

15
30-Day Fills
standardized to 30-day supplies
147
Days of Medication
total across all patients in 2023

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 15 Medicare prescriptions for Finasteride, about a third of the volume of the typical Tennessee prescriber of this medication (49). Medicare paid an average of $22.68 per fill, versus $16.09 statewide.

How often this provider prescribes it

This provider
15
TN average
49.0

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

What Medicare paid per fill

This provider
$22.68
TN average
$16.09

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

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

About Fluconazole: Fluconazole is used to treat vaginal yeast infections. Show more ▾

It works by stopping the growth of common types of vaginal yeast (fungus). This medication belongs to a class of drugs called azole antifungals. Triazole antifungal agent that is used to treat oropharyngeal CANDIDIASIS and cryptococcal MENINGITIS in AIDS.

In 2023, this provider wrote 14 Medicare prescriptions for Fluconazole, about half the volume of the typical Tennessee prescriber of this medication (27). Medicare paid an average of $4.96 per fill, versus $11.53 statewide.

How often this provider prescribes it

This provider
14
TN average
27.0

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

What Medicare paid per fill

This provider
$4.96
TN average
$11.53

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

14
30-Day Fills
standardized to 30-day supplies
84
Days of Medication
total across all patients in 2023

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 14 Medicare prescriptions for Oxybutynin Chloride Er, about half the volume of the typical Tennessee prescriber of this medication (30). Medicare paid an average of $38.33 per fill, versus $38.01 statewide.

How often this provider prescribes it

This provider
14
TN average
30.0

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

What Medicare paid per fill

This provider
$38.33
TN average
$38.01

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

42
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2023

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 14 Medicare prescriptions for Oxycodone Hcl, about 19% of the volume of the typical Tennessee prescriber of this medication (74). Medicare paid an average of $11.43 per fill, versus $28.88 statewide.

How often this provider prescribes it

This provider
14
TN average
74.0

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

What Medicare paid per fill

This provider
$11.43
TN average
$28.88

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

14
30-Day Fills
standardized to 30-day supplies
420
Days of Medication
total across all patients in 2023

About Levofloxacin: This medication is used to treat a variety of bacterial infections. Show more ▾

Levofloxacin belongs to a class of drugs known as quinolone antibiotics. It works by stopping the growth of bacteria. Levofloxacin injection is used if you cannot take the medication by mouth. 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. The L-isomer of Ofloxacin.

In 2023, this provider wrote 14 Medicare prescriptions for Levofloxacin, about half the volume of the typical Tennessee prescriber of this medication (26). Medicare paid an average of $7.31 per fill, versus $8.94 statewide.

How often this provider prescribes it

This provider
14
TN average
26.0

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

What Medicare paid per fill

This provider
$7.31
TN average
$8.94

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

14
30-Day Fills
standardized to 30-day supplies
140
Days of Medication
total across all patients in 2023

About Tresiba Flextouch U-200: Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin degludec is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs.

In 2023, this provider wrote 14 Medicare prescriptions for Tresiba Flextouch U-200, about half the volume of the typical Tennessee prescriber of this medication (29). Medicare paid an average of $807.82 per fill, versus $1,284.51 statewide.

How often this provider prescribes it

This provider
14
TN average
29.0

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

What Medicare paid per fill

This provider
$807.82
TN average
$1,284.51

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

19
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2023

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 14 Medicare prescriptions for Quetiapine Fumarate, about a quarter of the volume of the typical Tennessee prescriber of this medication (62). Medicare paid an average of $30.46 per fill, versus $26.62 statewide.

How often this provider prescribes it

This provider
14
TN average
62.0

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

What Medicare paid per fill

This provider
$30.46
TN average
$26.62

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

41.7
30-Day Fills
standardized to 30-day supplies
1,250
Days of Medication
total across all patients in 2023

About Sildenafil Citrate: Sildenafil is used to treat high blood pressure in the lungs (pulmonary hypertension). Show more ▾

It works by relaxing and widening the blood vessels in your lungs which allows the blood to flow more easily. Decreasing high blood pressure in the lungs allows your heart and lungs to work better and improves your ability to exercise. This medication is not recommended for use in children. Discuss the risks and benefits of this medication with the doctor. A PHOSPHODIESTERASE TYPE-5 INHIBITOR; VASODILATOR AGENT and UROLOGICAL AGENT that is used in the treatment of ERECTILE DYSFUNCTION and PRIMARY PULMONARY HYPERTENSION.

In 2023, this provider wrote 14 Medicare prescriptions for Sildenafil Citrate, about 74% of the volume of the typical Tennessee prescriber of this medication (19). Medicare paid an average of $3.04 per fill, versus $170.83 statewide.

How often this provider prescribes it

This provider
14
TN average
19.0

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

What Medicare paid per fill

This provider
$3.04
TN average
$170.83

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

24
30-Day Fills
standardized to 30-day supplies
519
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 14 Medicare prescriptions for Dicyclomine Hcl, about half the volume of the typical Tennessee prescriber of this medication (30). Medicare paid an average of $27.40 per fill, versus $26.25 statewide.

How often this provider prescribes it

This provider
14
TN average
30.0

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

What Medicare paid per fill

This provider
$27.40
TN average
$26.25

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

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2023

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 13 Medicare prescriptions for Nystatin, about half the volume of the typical Tennessee prescriber of this medication (22). Medicare paid an average of $13.00 per fill, versus $23.62 statewide.

How often this provider prescribes it

This provider
13
TN average
22.0

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

What Medicare paid per fill

This provider
$13.00
TN average
$23.62

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

13
30-Day Fills
standardized to 30-day supplies
320
Days of Medication
total across all patients in 2023

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 13 Medicare prescriptions for Duloxetine Hcl, about a quarter of the volume of the typical Tennessee prescriber of this medication (58). Medicare paid an average of $36.86 per fill, versus $37.95 statewide.

How often this provider prescribes it

This provider
13
TN average
58.0

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

What Medicare paid per fill

This provider
$36.86
TN average
$37.95

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

39
30-Day Fills
standardized to 30-day supplies
1,170
Days of Medication
total across all patients in 2023

About Valsartan-Hydrochlorothiazide: This drug 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: valsartan and hydrochlorothiazide. Valsartan 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 12 Medicare prescriptions for Valsartan-Hydrochlorothiazide, about half the volume of the typical Tennessee prescriber of this medication (25). Medicare paid an average of $51.10 per fill, versus $55.47 statewide.

How often this provider prescribes it

This provider
12
TN average
25.0

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

What Medicare paid per fill

This provider
$51.10
TN average
$55.47

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

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

About 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 12 Medicare prescriptions for Hydroxyzine Hcl, about a third of the volume of the typical Tennessee prescriber of this medication (33). Medicare paid an average of $7.30 per fill, versus $19.59 statewide.

How often this provider prescribes it

This provider
12
TN average
33.0

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

What Medicare paid per fill

This provider
$7.30
TN average
$19.59

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

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2023

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 a third of the volume of the typical Tennessee prescriber of this medication (35). Medicare paid an average of $20.17 per fill, versus $18.95 statewide.

How often this provider prescribes it

This provider
12
TN average
35.0

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

What Medicare paid per fill

This provider
$20.17
TN average
$18.95

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

34
30-Day Fills
standardized to 30-day supplies
999
Days of Medication
total across all patients in 2023

About Phenytoin Sodium Extended: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾

It works by reducing the spread of seizure activity in the brain.

In 2023, this provider wrote 12 Medicare prescriptions for Phenytoin Sodium Extended, about half the volume of the typical Tennessee prescriber of this medication (25). Medicare paid an average of $53.35 per fill, versus $37.43 statewide.

How often this provider prescribes it

This provider
12
TN average
25.0

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

What Medicare paid per fill

This provider
$53.35
TN average
$37.43

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

22
30-Day Fills
standardized to 30-day supplies
660
Days of Medication
total across all patients in 2023

About Clozapine: See also Warning section. Show more ▾

This medication is used to treat certain mental/mood disorders (schizophrenia, schizoaffective disorders). Clozapine is a psychiatric medication (anti-psychotic type) that works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. Clozapine decreases hallucinations and helps prevent suicide in people who are likely to try to harm themselves. It helps you to think more clearly and positively about yourself, feel less nervous, and take part in everyday life. A tricylic dibenzodiazepine, classified as an atypical antipsychotic agent. It binds several types of central nervous system receptors, and displays a unique pharmacological profile. Clozapine is a serotonin antagonist, with strong binding to 5-HT 2A/2C receptor subtype. It also displays strong affinity to several dopaminergic receptors, but shows only weak antagonism at the dopamine D2 receptor, a receptor commonly thought to modulate neuroleptic activity. Agranulocytosis is a major adverse effect associated with administration of this agent.

In 2023, this provider wrote 12 Medicare prescriptions for Clozapine, about a quarter of the volume of the typical Tennessee prescriber of this medication (43). Medicare paid an average of $104.30 per fill, versus $90.29 statewide.

How often this provider prescribes it

This provider
12
TN average
43.0

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

What Medicare paid per fill

This provider
$104.30
TN average
$90.29

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

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

About Olmesartan-Hydrochlorothiazide: This drug is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: olmesartan and hydrochlorothiazide. Olmesartan 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 12 Medicare prescriptions for Olmesartan-Hydrochlorothiazide, about half the volume of the typical Tennessee prescriber of this medication (24). Medicare paid an average of $37.78 per fill, versus $60.76 statewide.

How often this provider prescribes it

This provider
12
TN average
24.0

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

What Medicare paid per fill

This provider
$37.78
TN average
$60.76

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

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

About Dextroamphetamine-Amphet Er: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾

It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder.

In 2023, this provider wrote 12 Medicare prescriptions for Dextroamphetamine-Amphet Er, about 60% of the volume of the typical Tennessee prescriber of this medication (20). Medicare paid an average of $158.81 per fill, versus $73.17 statewide.

How often this provider prescribes it

This provider
12
TN average
20.0

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

What Medicare paid per fill

This provider
$158.81
TN average
$73.17

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

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

About Methylphenidate Hcl: This medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾

It works by changing the amounts of certain natural substances in the brain. Methylphenidate belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills.

In 2023, this provider wrote 12 Medicare prescriptions for Methylphenidate Hcl, about half the volume of the typical Tennessee prescriber of this medication (21). Medicare paid an average of $9.05 per fill, versus $36.66 statewide.

How often this provider prescribes it

This provider
12
TN average
21.0

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

What Medicare paid per fill

This provider
$9.05
TN average
$36.66

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

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

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 12 Medicare prescriptions for Glipizide, about a third of the volume of the typical Tennessee prescriber of this medication (33). Medicare paid an average of $11.03 per fill, versus $8.62 statewide.

How often this provider prescribes it

This provider
12
TN average
33.0

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

What Medicare paid per fill

This provider
$11.03
TN average
$8.62

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

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2023

About Novolog Flexpen: Insulin aspart 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 aspart is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin aspart starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin that has been modified to contain an ASPARTIC ACID instead of a PROLINE at position 38 of the B-chain.

In 2023, this provider wrote 12 Medicare prescriptions for Novolog Flexpen, about a third of the volume of the typical Tennessee prescriber of this medication (30). Medicare paid an average of $560.06 per fill, versus $1,035.80 statewide.

How often this provider prescribes it

This provider
12
TN average
30.0

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

What Medicare paid per fill

This provider
$560.06
TN average
$1,035.80

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

15.8
30-Day Fills
standardized to 30-day supplies
475
Days of Medication
total across all patients in 2023

About Bumetanide: Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾

This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic.

In 2023, this provider wrote 11 Medicare prescriptions for Bumetanide, about a third of the volume of the typical Tennessee prescriber of this medication (34). Medicare paid an average of $73.96 per fill, versus $49.93 statewide.

How often this provider prescribes it

This provider
11
TN average
34.0

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

What Medicare paid per fill

This provider
$73.96
TN average
$49.93

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

29
30-Day Fills
standardized to 30-day supplies
870
Days of Medication
total across all patients in 2023

About Nystatin-Triamcinolone: This medication is used to treat fungal skin infections. Show more ▾

This product contains nystatin, an anti-fungal drug that works by stopping the growth of fungus. It also contains triamcinolone, an anti-inflammatory corticosteroid that works by reducing swelling, itching, and redness. This medication treats only fungal skin infections. It will not work for other types of skin infections (such as infections caused by bacteria, viruses). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

In 2023, this provider wrote 11 Medicare prescriptions for Nystatin-Triamcinolone, about 73% of the volume of the typical Tennessee prescriber of this medication (15). Medicare paid an average of $16.60 per fill, versus $61.40 statewide.

How often this provider prescribes it

This provider
11
TN average
15.0

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

What Medicare paid per fill

This provider
$16.60
TN average
$61.40

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

11
30-Day Fills
standardized to 30-day supplies
253
Days of Medication
total across all patients in 2023

About Azithromycin: This medication is used to treat certain eye infections. Show more ▾

It is a macrolide antibiotic that works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis.

In 2023, this provider wrote 11 Medicare prescriptions for Azithromycin, about a quarter of the volume of the typical Tennessee prescriber of this medication (41). Medicare paid an average of $4.93 per fill, versus $9.67 statewide.

How often this provider prescribes it

This provider
11
TN average
41.0

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

What Medicare paid per fill

This provider
$4.93
TN average
$9.67

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

11
30-Day Fills
standardized to 30-day supplies
54
Days of Medication
total across all patients in 2023

About Isosorbide Mononitrate: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾

This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details.

In 2023, this provider wrote 11 Medicare prescriptions for Isosorbide Mononitrate, about half the volume of the typical Tennessee prescriber of this medication (25). Medicare paid an average of $20.62 per fill, versus $20.17 statewide.

How often this provider prescribes it

This provider
11
TN average
25.0

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

What Medicare paid per fill

This provider
$20.62
TN average
$20.17

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

11
30-Day Fills
standardized to 30-day supplies
330
Days of Medication
total across all patients in 2023

About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾

This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.

In 2023, this provider wrote 11 Medicare prescriptions for Nitroglycerin, about a third of the volume of the typical Tennessee prescriber of this medication (33). Medicare paid an average of $14.42 per fill, versus $21.15 statewide.

How often this provider prescribes it

This provider
11
TN average
33.0

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

What Medicare paid per fill

This provider
$14.42
TN average
$21.15

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

11
30-Day Fills
standardized to 30-day supplies
150
Days of Medication
total across all patients in 2023

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 11 Medicare prescriptions for Ezetimibe, about a quarter of the volume of the typical Tennessee prescriber of this medication (42). Medicare paid an average of $29.23 per fill, versus $47.08 statewide.

How often this provider prescribes it

This provider
11
TN average
42.0

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

What Medicare paid per fill

This provider
$29.23
TN average
$47.08

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

31
30-Day Fills
standardized to 30-day supplies
930
Days of Medication
total across all patients in 2023

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 11 Medicare prescriptions for Levetiracetam, about a quarter of the volume of the typical Tennessee prescriber of this medication (53). Medicare paid an average of $43.22 per fill, versus $37.46 statewide.

How often this provider prescribes it

This provider
11
TN average
53.0

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

What Medicare paid per fill

This provider
$43.22
TN average
$37.46

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

29
30-Day Fills
standardized to 30-day supplies
870
Days of Medication
total across all patients in 2023

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 11 Medicare prescriptions for Jardiance, about a third of the volume of the typical Tennessee prescriber of this medication (39). Medicare paid an average of $928.32 per fill, versus $1,024.97 statewide.

How often this provider prescribes it

This provider
11
TN average
39.0

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

What Medicare paid per fill

This provider
$928.32
TN average
$1,024.97

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

16
30-Day Fills
standardized to 30-day supplies
480
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 TN prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the TN average cost per fill.

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