JANICE GONZALES NIGOS M.D.
Prescription History 1609106962
Internal Medicine - Nephrology in Cincinnati, OH
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JANICE GONZALES NIGOS M.D., an active Nephrology specialist practicing in Cincinnati, OH. Our medical registry currently tracks 35 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,608 documented patient claims. Among these therapy options, the most frequently utilized medication is Amlodipine Besylate, which accounts for 192 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other OH PrescribersVs. OH Avg |
|---|---|---|---|
| Amlodipine Besylate | 192 | $5.29▼ below OH avg | ▲ More than typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 192 Medicare prescriptions for Amlodipine Besylate, about 1.3 times the volume of the typical Ohio prescriber of this medication (149). Medicare paid an average of $5.29 per fill, versus $6.55 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 453 30-Day Fills standardized to 30-day supplies 13,590 Days of Medication total across all patients in 2023 | |||
| Furosemide | 132 | $6.22 | ▲ More than typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 132 Medicare prescriptions for Furosemide, about 1.4 times the volume of the typical Ohio prescriber of this medication (95). Medicare paid an average of $6.22 per fill, versus $5.57 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 292.5 30-Day Fills standardized to 30-day supplies 8,662 Days of Medication total across all patients in 2023 | |||
| Hydralazine Hcl | 126 | $18.23▼ below OH avg | ▲ More than typical |
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. In 2023, this provider wrote 126 Medicare prescriptions for Hydralazine Hcl, about 3.1 times the volume of the typical Ohio prescriber of this medication (41). Medicare paid an average of $18.23 per fill, versus $19.23 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 227.6 30-Day Fills standardized to 30-day supplies 6,828 Days of Medication total across all patients in 2023 | |||
| Losartan Potassium | 122 | $10.51▼ below OH avg | ≈ Typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 122 Medicare prescriptions for Losartan Potassium, about the same volume as the typical Ohio prescriber of this medication (108). Medicare paid an average of $10.51 per fill, versus $11.29 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 308 30-Day Fills standardized to 30-day supplies 9,227 Days of Medication total across all patients in 2023 | |||
| Doxazosin Mesylate | 101 | $29.56 | ▲ More than typical |
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of 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 frequently or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2023, this provider wrote 101 Medicare prescriptions for Doxazosin Mesylate, about 3.4 times the volume of the typical Ohio prescriber of this medication (30). Medicare paid an average of $29.56 per fill, versus $21.51 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 214 30-Day Fills standardized to 30-day supplies 6,420 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 90 | $10.39 | ▼ Less than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 90 Medicare prescriptions for Lisinopril, about 66% of the volume of the typical Ohio prescriber of this medication (137). Medicare paid an average of $10.39 per fill, versus $6.59 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 235 30-Day Fills standardized to 30-day supplies 7,020 Days of Medication total across all patients in 2023 | |||
| Carvedilol | 74 | $10.89 | ≈ Typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 74 Medicare prescriptions for Carvedilol, about the same volume as the typical Ohio prescriber of this medication (70). Medicare paid an average of $10.89 per fill, versus $10.60 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 178 30-Day Fills standardized to 30-day supplies 5,324 Days of Medication total across all patients in 2023 | |||
| Allopurinol | 69 | $16.80 | ▲ More than typical |
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 69 Medicare prescriptions for Allopurinol, about 1.3 times the volume of the typical Ohio prescriber of this medication (55). Medicare paid an average of $16.80 per fill, versus $14.60 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 179.7 30-Day Fills standardized to 30-day supplies 5,390 Days of Medication total across all patients in 2023 | |||
| Torsemide | 64 | $42.55 | ▲ More than typical |
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2023, this provider wrote 64 Medicare prescriptions for Torsemide, about 1.6 times the volume of the typical Ohio prescriber of this medication (40). Medicare paid an average of $42.55 per fill, versus $22.89 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 133 30-Day Fills standardized to 30-day supplies 3,922 Days of Medication total across all patients in 2023 | |||
| Calcitriol | 58 | $31.34 | ▲ More than typical |
About Calcitriol: Calcitriol is a man-made active form of vitamin D. Show more ▾ Most people get enough vitamin D from exposure to the sun and from fortified food products (such as dairy products, vitamins). Vitamin D helps control parathyroid hormone and the levels of certain minerals (such as calcium, phosphorus) that are needed for building and keeping strong bones. Before regular vitamin D can be used by the body, it needs to be changed to the active form by the liver and kidneys. Calcitriol is used in patients with kidney disease who can't make enough of the active form of Vitamin D. This medication is also used to prevent and treat certain types of calcium/phosphorus/parathyroid problems that can happen with long-term kidney dialysis or hypoparathyroidism. Calcitriol is usually used along with specific diet recommendations and sometimes other medications. The physiologically active form of vitamin D. It is formed primarily in the kidney by enzymatic hydroxylation of 25-hydroxycholecalciferol (CALCIFEDIOL). Its production is stimulated by low blood calcium levels and parathyroid hormone. Calcitriol increases intestinal absorption of calcium and phosphorus, and in concert with parathyroid hormone increases bone resorption. In 2023, this provider wrote 58 Medicare prescriptions for Calcitriol, about 1.3 times the volume of the typical Ohio prescriber of this medication (46). Medicare paid an average of $31.34 per fill, versus $25.61 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 112.5 30-Day Fills standardized to 30-day supplies 3,311 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 57 | $9.85▼ below OH avg | ≈ Typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 57 Medicare prescriptions for Spironolactone, about 1.2 times the volume of the typical Ohio prescriber of this medication (47). Medicare paid an average of $9.85 per fill, versus $12.77 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 126 30-Day Fills standardized to 30-day supplies 3,768 Days of Medication total across all patients in 2023 | |||
| FarxigaDapagliflozin Propanediol | 49 | $947.54 | ▲ More than typical |
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 49 Medicare prescriptions for Farxiga, about 1.4 times the volume of the typical Ohio prescriber of this medication (34). Medicare paid an average of $947.54 per fill, versus $903.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 77 30-Day Fills standardized to 30-day supplies 2,310 Days of Medication total across all patients in 2023 | |||
| Nifedipine ErNifedipine | 41 | $51.21 | ▲ More than typical |
About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾ It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2023, this provider wrote 41 Medicare prescriptions for Nifedipine Er, about 1.5 times the volume of the typical Ohio prescriber of this medication (28). Medicare paid an average of $51.21 per fill, versus $49.71 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 83 30-Day Fills standardized to 30-day supplies 2,479 Days of Medication total across all patients in 2023 | |||
| Potassium Chloride | 39 | $42.90 | ▼ Less than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 39 Medicare prescriptions for Potassium Chloride, about half the volume of the typical Ohio prescriber of this medication (76). Medicare paid an average of $42.90 per fill, versus $30.49 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 1,664 Days of Medication total across all patients in 2023 | |||
| Magnesium Sulfate | 38 | $15.82▼ below OH avg | ▲ More than typical |
About Magnesium Sulfate: A small colorless crystal used as an anticonvulsant, a cathartic, and an electrolyte replenisher in the treatment of pre-eclampsia and eclampsia. In 2023, this provider wrote 38 Medicare prescriptions for Magnesium Sulfate, about 2 times the volume of the typical Ohio prescriber of this medication (19). Medicare paid an average of $15.82 per fill, versus $24.76 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 38 30-Day Fills standardized to 30-day supplies 267 Days of Medication total across all patients in 2023 | |||
| Hydrochlorothiazide | 30 | $5.12 | ▼ Less than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 30 Medicare prescriptions for Hydrochlorothiazide, about a third of the volume of the typical Ohio prescriber of this medication (80). Medicare paid an average of $5.12 per fill, versus $4.87 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 86 30-Day Fills standardized to 30-day supplies 2,580 Days of Medication total across all patients in 2023 | |||
| Metoprolol Succinate | 29 | $14.23▼ below OH avg | ▼ Less than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 29 Medicare prescriptions for Metoprolol Succinate, about a quarter of the volume of the typical Ohio prescriber of this medication (114). Medicare paid an average of $14.23 per fill, versus $22.92 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 75.3 30-Day Fills standardized to 30-day supplies 2,260 Days of Medication total across all patients in 2023 | |||
| Lactated RingersRinger's Solution,lactated | 28 | $7.62▼ below OH avg | ≈ Typical |
About Lactated Ringers: A crystalloid solution that contains SODIUM CHLORIDE; SODIUM LACTATE; POTASSIUM CHLORIDE; and CALCIUM CHLORIDE. In 2023, this provider wrote 28 Medicare prescriptions for Lactated Ringers, about the same volume as the typical Ohio prescriber of this medication (28). Medicare paid an average of $7.62 per fill, versus $43.67 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 28 30-Day Fills standardized to 30-day supplies 196 Days of Medication total across all patients in 2023 | |||
| Vitamin D2Ergocalciferol (Vitamin D2) | 24 | $6.97▼ below OH avg | ≈ Typical |
About Vitamin D2: Vitamin D (ergocalciferol-D2, cholecalciferol-D3, alfacalcidol) is a fat-soluble vitamin that helps your body absorb calcium and phosphorus. Show more ▾ Having the right amount of vitamin D, calcium, and phosphorus is important for building and keeping strong bones. Vitamin D is used to treat and prevent bone disorders (such as rickets, osteomalacia). Vitamin D is made by the body when skin is exposed to sunlight. Sunscreen, protective clothing, limited exposure to sunlight, dark skin, and age may prevent getting enough vitamin D from the sun. Vitamin D with calcium is used to treat or prevent bone loss (osteoporosis). Vitamin D is also used with other medications to treat low levels of calcium or phosphate caused by certain disorders (such as hypoparathyroidism, pseudohypoparathyroidism, familial hypophosphatemia). It may be used in kidney disease to keep calcium levels normal and allow normal bone growth. Vitamin D drops (or other supplements) are given to breast-fed infants because breast milk usually has low levels of vitamin D. Derivatives of ERGOSTEROL formed by ULTRAVIOLET RAYS breaking of the C9-C10 bond. They differ from CHOLECALCIFEROL in having a double bond between C22 and C23 and a methyl group at C24. In 2023, this provider wrote 24 Medicare prescriptions for Vitamin D2, about the same volume as the typical Ohio prescriber of this medication (22). Medicare paid an average of $6.97 per fill, versus $8.07 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 59.4 30-Day Fills standardized to 30-day supplies 1,776 Days of Medication total across all patients in 2023 | |||
| Midodrine Hcl | 23 | $41.92▼ below OH avg | ▼ Less than typical |
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. In 2023, this provider wrote 23 Medicare prescriptions for Midodrine Hcl, about 72% of the volume of the typical Ohio prescriber of this medication (32). Medicare paid an average of $41.92 per fill, versus $95.45 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 31.1 30-Day Fills standardized to 30-day supplies 883 Days of Medication total across all patients in 2023 | |||
| Klor-Con M20Potassium Chloride | 21 | $33.38▼ below OH avg | ≈ Typical |
About Klor-Con M20: 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 21 Medicare prescriptions for Klor-Con M20, about the same volume as the typical Ohio prescriber of this medication (21). Medicare paid an average of $33.38 per fill, versus $37.82 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 44 30-Day Fills standardized to 30-day supplies 1,320 Days of Medication total across all patients in 2023 | |||
| Metoprolol Tartrate | 19 | $2.75▼ below OH avg | ▼ Less than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 19 Medicare prescriptions for Metoprolol Tartrate, about a quarter of the volume of the typical Ohio prescriber of this medication (90). Medicare paid an average of $2.75 per fill, versus $7.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023 | |||
| Sevelamer Carbonate | 18 | $231.84▼ below OH avg | ▼ Less than typical |
About Sevelamer Carbonate: Sevelamer is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Sevelamer works by holding onto phosphate from the diet so that it can pass out of your body. A polymeric amine that binds phosphate and is used to treat HYPERPHOSPHATEMIA in patients with kidney disease. In 2023, this provider wrote 18 Medicare prescriptions for Sevelamer Carbonate, about half the volume of the typical Ohio prescriber of this medication (40). Medicare paid an average of $231.84 per fill, versus $353.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 25.3 30-Day Fills standardized to 30-day supplies 760 Days of Medication total across all patients in 2023 | |||
| Atorvastatin Calcium | 17 | $15.53 | ▼ Less than typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 17 Medicare prescriptions for Atorvastatin Calcium, about 8% of the volume of the typical Ohio prescriber of this medication (211). Medicare paid an average of $15.53 per fill, versus $13.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 51 30-Day Fills standardized to 30-day supplies 1,530 Days of Medication total across all patients in 2023 | |||
| JardianceEmpagliflozin | 16 | $1,122.41 | ▼ Less than typical |
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 16 Medicare prescriptions for Jardiance, about a third of the volume of the typical Ohio prescriber of this medication (39). Medicare paid an average of $1,122.41 per fill, versus $994.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023 | |||
| Atenolol | 16 | $8.14▼ below OH avg | ▼ Less than typical |
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 16 Medicare prescriptions for Atenolol, about a third of the volume of the typical Ohio prescriber of this medication (45). Medicare paid an average of $8.14 per fill, versus $8.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2023 | |||
| Tamsulosin Hcl | 15 | $18.33▼ below OH avg | ▼ Less than typical |
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 15 Medicare prescriptions for Tamsulosin Hcl, about 17% of the volume of the typical Ohio prescriber of this medication (88). Medicare paid an average of $18.33 per fill, versus $20.03 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023 | |||
| Clonidine Hcl | 14 | $14.39 | ▼ Less than typical |
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 14 Medicare prescriptions for Clonidine Hcl, about half the volume of the typical Ohio prescriber of this medication (29). Medicare paid an average of $14.39 per fill, versus $9.34 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023 | |||
| Nebivolol Hcl | 14 | $19.39▼ below OH avg | ▼ Less than typical |
About Nebivolol Hcl: Nebivolol is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers heart rate, blood pressure, and strain on the heart. A cardioselective ADRENERGIC BETA-1 RECEPTOR ANTAGONIST (beta-blocker) that functions as a VASODILATOR through the endothelial L-arginine/ NITRIC OXIDE system. It is used to manage HYPERTENSION and chronic HEART FAILURE in elderly patients. In 2023, this provider wrote 14 Medicare prescriptions for Nebivolol Hcl, about 64% of the volume of the typical Ohio prescriber of this medication (22). Medicare paid an average of $19.39 per fill, versus $89.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| Chlorthalidone | 14 | $31.12 | ▼ Less than typical |
About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a water pill (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic. In 2023, this provider wrote 14 Medicare prescriptions for Chlorthalidone, about half the volume of the typical Ohio prescriber of this medication (28). Medicare paid an average of $31.12 per fill, versus $28.61 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023 | |||
| Ethacrynic Acid | 12 | $121.95▼ below OH avg | ≈ Typical |
About Ethacrynic Acid: Ethacrynic acid is a water pill (diuretic) that works in your kidneys to increase the amount of urine you make. Show more ▾ This helps your body get rid of extra water. This medication is used to decrease swelling (edema) caused by conditions such as cancer, congestive heart failure, liver disease, and kidney disease. This effect can help your kidneys work better and lessen symptoms such as trouble breathing and swelling in your ankles, feet, hands, or belly. This medication should not be used for infants. A compound that inhibits symport of sodium, potassium, and chloride primarily in the ascending limb of Henle, but also in the proximal and distal tubules. This pharmacological action results in excretion of these ions, increased urinary output, and reduction in extracellular fluid. This compound has been classified as a loop or high ceiling diuretic. In 2023, this provider wrote 12 Medicare prescriptions for Ethacrynic Acid, about the same volume as the typical Ohio prescriber of this medication (12). Medicare paid an average of $121.95 per fill, versus $369.17 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Pantoprazole Sodium | 12 | $8.23▼ below OH avg | ▼ Less than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 12 Medicare prescriptions for Pantoprazole Sodium, about 14% of the volume of the typical Ohio prescriber of this medication (86). Medicare paid an average of $8.23 per fill, versus $15.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Labetalol Hcl | 12 | $108.08 | ▼ Less than typical |
About Labetalol Hcl: Labetalol 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 both an alpha blocker and beta blocker. 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. In 2023, this provider wrote 12 Medicare prescriptions for Labetalol Hcl, about half the volume of the typical Ohio prescriber of this medication (22). Medicare paid an average of $108.08 per fill, versus $43.98 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023 | |||
| Cinacalcet Hcl | 11 | $54.66▼ below OH avg | ▼ Less than typical |
About Cinacalcet Hcl: Cinacalcet is used to treat increased amounts of a certain hormone (parathyroid) in people with long-term kidney disease who are on dialysis. Show more ▾ It is also used to treat increased amounts of calcium in people with an overactive parathyroid gland or in people with cancer of the parathyroid gland. Cinacalcet works by decreasing the amount of parathyroid hormone, calcium, and phosphorus in your body. Having the right amount of these substances in your body helps to prevent bone disease. In 2023, this provider wrote 11 Medicare prescriptions for Cinacalcet Hcl, about half the volume of the typical Ohio prescriber of this medication (23). Medicare paid an average of $54.66 per fill, versus $454.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
| Valsartan | 11 | $50.34 | ▼ Less than typical |
About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾ It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION. In 2023, this provider wrote 11 Medicare prescriptions for Valsartan, about a third of the volume of the typical Ohio prescriber of this medication (32). Medicare paid an average of $50.34 per fill, versus $37.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for JANICE GONZALES NIGOS 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 Nephrology prescribing approach at this Cincinnati, OH 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 OH prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
