DR. SETH L HEPNER MD
Prescription History 1609131663
Psychiatry & Neurology - Neurology in Bridgeton, MO
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. SETH L HEPNER MD, an active Neurology specialist practicing in Bridgeton, MO. Our medical registry currently tracks 54 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,745 documented patient claims. Among these therapy options, the most frequently utilized medication is Sumatriptan Succinate, which accounts for 256 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 (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other MO PrescribersVs. MO Avg |
|---|---|---|---|
| Sumatriptan Succinate | 256 | $9.79▼ below MO avg | ▲ More than typical |
About Sumatriptan Succinate: Sumatriptan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Sumatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Sumatriptan does not prevent future migraines or lessen how often you get migraine attacks. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2024, this provider wrote 256 Medicare prescriptions for Sumatriptan Succinate, about 10 times the volume of the typical Missouri prescriber of this medication (24.9). Medicare paid an average of $9.79 per fill, versus $19.62 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 271.9 30-Day Fills standardized to 30-day supplies 7,500 Days of Medication total across all patients in 2024 | |||
| Nortriptyline Hcl | 163 | $15.10 | ▲ More than typical |
About Nortriptyline Hcl: This medication is used to treat depression. Show more ▾ Nortriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. A metabolite of AMITRIPTYLINE that is also used as an antidepressive agent. Nortriptyline is used in major depression, dysthymia, and atypical depressions. In 2024, this provider wrote 163 Medicare prescriptions for Nortriptyline Hcl, about 5.7 times the volume of the typical Missouri prescriber of this medication (28.4). Medicare paid an average of $15.10 per fill, versus $13.50 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 404.6 30-Day Fills standardized to 30-day supplies 12,103 Days of Medication total across all patients in 2024 | |||
| Carbidopa-LevodopaCarbidopa/Levodopa | 160 | $35.66 | ▲ More than typical |
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2024, this provider wrote 160 Medicare prescriptions for Carbidopa-Levodopa, about 2.3 times the volume of the typical Missouri prescriber of this medication (70.8). Medicare paid an average of $35.66 per fill, versus $29.30 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 370.4 30-Day Fills standardized to 30-day supplies 11,018 Days of Medication total across all patients in 2024 | |||
| Topiramate | 159 | $10.28▼ below MO avg | ▲ More than typical |
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2024, this provider wrote 159 Medicare prescriptions for Topiramate, about 3.8 times the volume of the typical Missouri prescriber of this medication (42.3). Medicare paid an average of $10.28 per fill, versus $10.57 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 419.5 30-Day Fills standardized to 30-day supplies 12,577 Days of Medication total across all patients in 2024 | |||
| Donepezil Hcl | 134 | $9.38▼ below MO avg | ▲ More than typical |
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE. In 2024, this provider wrote 134 Medicare prescriptions for Donepezil Hcl, about 1.9 times the volume of the typical Missouri prescriber of this medication (70.6). Medicare paid an average of $9.38 per fill, versus $10.60 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 386.4 30-Day Fills standardized to 30-day supplies 11,567 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 133 | $21.65 | ≈ Typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 133 Medicare prescriptions for Gabapentin, about 1.2 times the volume of the typical Missouri prescriber of this medication (115.3). Medicare paid an average of $21.65 per fill, versus $15.91 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 297.7 30-Day Fills standardized to 30-day supplies 8,831 Days of Medication total across all patients in 2024 | |||
| Levetiracetam | 122 | $47.13 | ▲ More than typical |
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2024, this provider wrote 122 Medicare prescriptions for Levetiracetam, about 2.2 times the volume of the typical Missouri prescriber of this medication (56). Medicare paid an average of $47.13 per fill, versus $28.95 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 289.4 30-Day Fills standardized to 30-day supplies 8,629 Days of Medication total across all patients in 2024 | |||
| Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine | 115 | $13.45▼ below MO avg | ▲ More than typical |
About Butalbital-Acetaminophen-Caffe: This combination medication is used to treat tension headaches. Show more ▾ Acetaminophen helps to decrease the pain from the headache. Caffeine helps increase the effects of acetaminophen. Butalbital is a sedative that helps to decrease anxiety and cause sleepiness and relaxation. In 2024, this provider wrote 115 Medicare prescriptions for Butalbital-Acetaminophen-Caffe, about 4.5 times the volume of the typical Missouri prescriber of this medication (25.7). Medicare paid an average of $13.45 per fill, versus $31.21 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 117 30-Day Fills standardized to 30-day supplies 908 Days of Medication total across all patients in 2024 | |||
| RizatriptanRizatriptan Benzoate | 81 | $20.48▼ below MO avg | ▲ More than typical |
About Rizatriptan: Rizatriptan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Rizatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Rizatriptan does not prevent future migraines or lessen how often you get migraine attacks. In 2024, this provider wrote 81 Medicare prescriptions for Rizatriptan, about 3.4 times the volume of the typical Missouri prescriber of this medication (23.5). Medicare paid an average of $20.48 per fill, versus $21.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 81 30-Day Fills standardized to 30-day supplies 2,183 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl ErPropranolol Hcl | 68 | $44.38 | ▲ More than typical |
About Propranolol Hcl Er: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions as determined by your doctor. Show more ▾ It is used after a heart attack to improve survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. 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 effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs. In 2024, this provider wrote 68 Medicare prescriptions for Propranolol Hcl Er, about 3.1 times the volume of the typical Missouri prescriber of this medication (21.9). Medicare paid an average of $44.38 per fill, versus $37.42 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 142 30-Day Fills standardized to 30-day supplies 4,213 Days of Medication total across all patients in 2024 | |||
| Baclofen | 67 | $14.82▼ below MO avg | ▲ More than typical |
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2024, this provider wrote 67 Medicare prescriptions for Baclofen, about 1.4 times the volume of the typical Missouri prescriber of this medication (49). Medicare paid an average of $14.82 per fill, versus $17.65 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 111 30-Day Fills standardized to 30-day supplies 3,173 Days of Medication total across all patients in 2024 | |||
| Memantine Hcl | 61 | $25.85▼ below MO avg | ≈ Typical |
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. AMANTADINE derivative that has some dopaminergic effects. It has been proposed as an antiparkinson agent. In 2024, this provider wrote 61 Medicare prescriptions for Memantine Hcl, about the same volume as the typical Missouri prescriber of this medication (63.9). Medicare paid an average of $25.85 per fill, versus $29.12 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 139 30-Day Fills standardized to 30-day supplies 3,834 Days of Medication total across all patients in 2024 | |||
| Metoclopramide Hcl | 60 | $1.55▼ below MO avg | ▲ More than typical |
About Metoclopramide Hcl: This medication is used to treat certain conditions of the stomach and intestines. Show more ▾ Metoclopramide is used as a short-term treatment (4 to 12 weeks) for ongoing heartburn when the usual medicines do not work well enough. It is used mostly for heartburn that occurs after a meal or during the daytime. Treating ongoing heartburn can decrease the damage done by stomach acid to the swallowing tube (esophagus) and help healing. Metoclopramide is also used in diabetic patients who have poor emptying of their stomachs (gastroparesis). Treating gastroparesis can decrease symptoms of nausea, vomiting, and stomach/abdominal fullness. Metoclopramide works by blocking a natural substance (dopamine). It speeds up stomach emptying and movement of the upper intestines. This drug is not recommended for use in children due to an increased risk of serious side effects (such as muscle spasms/uncontrolled muscle movements). Ask the doctor or pharmacist for details. A dopamine D2 antagonist that is used as an antiemetic. In 2024, this provider wrote 60 Medicare prescriptions for Metoclopramide Hcl, about 1.9 times the volume of the typical Missouri prescriber of this medication (31.3). Medicare paid an average of $1.55 per fill, versus $6.64 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 60 30-Day Fills standardized to 30-day supplies 283 Days of Medication total across all patients in 2024 | |||
| Nurtec OdtRimegepant Sulfate | 54 | $1,115.10▼ below MO avg | ▲ More than typical |
About Nurtec Odt: This medication is used to prevent or treat migraine. Show more ▾ Rimegepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (such as nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. In 2024, this provider wrote 54 Medicare prescriptions for Nurtec Odt, about 1.6 times the volume of the typical Missouri prescriber of this medication (33). Medicare paid an average of $1,115.10 per fill, versus $1,356.44 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 54.1 30-Day Fills standardized to 30-day supplies 997 Days of Medication total across all patients in 2024 | |||
| Ondansetron OdtOndansetron | 54 | $13.66▼ below MO avg | ▲ More than typical |
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 54 Medicare prescriptions for Ondansetron Odt, about 1.9 times the volume of the typical Missouri prescriber of this medication (27.8). Medicare paid an average of $13.66 per fill, versus $17.08 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 54 30-Day Fills standardized to 30-day supplies 483 Days of Medication total across all patients in 2024 | |||
| Primidone | 54 | $29.14 | ▲ More than typical |
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2024, this provider wrote 54 Medicare prescriptions for Primidone, about 1.4 times the volume of the typical Missouri prescriber of this medication (39.6). Medicare paid an average of $29.14 per fill, versus $21.92 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 151.3 30-Day Fills standardized to 30-day supplies 4,538 Days of Medication total across all patients in 2024 | |||
| Lacosamide | 51 | $172.87 | ≈ Typical |
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2024, this provider wrote 51 Medicare prescriptions for Lacosamide, about the same volume as the typical Missouri prescriber of this medication (51.2). Medicare paid an average of $172.87 per fill, versus $121.70 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 87 30-Day Fills standardized to 30-day supplies 2,599 Days of Medication total across all patients in 2024 | |||
| Memantine Hcl ErMemantine Hcl | 50 | $118.46 | ▲ More than typical |
About Memantine Hcl Er: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. AMANTADINE derivative that has some dopaminergic effects. It has been proposed as an antiparkinson agent. In 2024, this provider wrote 50 Medicare prescriptions for Memantine Hcl Er, about 1.6 times the volume of the typical Missouri prescriber of this medication (30.4). Medicare paid an average of $118.46 per fill, versus $80.22 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 104 30-Day Fills standardized to 30-day supplies 3,083 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 49 | $34.27 | ▼ Less than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 2024, this provider wrote 49 Medicare prescriptions for Quetiapine Fumarate, about 71% of the volume of the typical Missouri prescriber of this medication (69.4). Medicare paid an average of $34.27 per fill, versus $16.57 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 91 30-Day Fills standardized to 30-day supplies 2,396 Days of Medication total across all patients in 2024 | |||
| Prochlorperazine Maleate | 43 | $9.55▼ below MO avg | ▲ More than typical |
About Prochlorperazine Maleate: This medication is used to treat severe nausea and vomiting from certain causes (for example, after surgery or cancer treatment). Show more ▾ Prochlorperazine belongs to a class of drugs known as phenothiazines. This medication is not recommended for use in children younger than 2 years or in children going through surgery. A phenothiazine antipsychotic used principally in the treatment of NAUSEA; VOMITING; and VERTIGO. It is more likely than CHLORPROMAZINE to cause EXTRAPYRAMIDAL DISORDERS. (From Martindale, The Extra Pharmacopoeia, 30th ed, p612) In 2024, this provider wrote 43 Medicare prescriptions for Prochlorperazine Maleate, about 1.3 times the volume of the typical Missouri prescriber of this medication (33). Medicare paid an average of $9.55 per fill, versus $17.83 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 43 30-Day Fills standardized to 30-day supplies 244 Days of Medication total across all patients in 2024 | |||
| Oxcarbazepine | 42 | $66.53 | ≈ Typical |
About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2024, this provider wrote 42 Medicare prescriptions for Oxcarbazepine, about the same volume as the typical Missouri prescriber of this medication (37). Medicare paid an average of $66.53 per fill, versus $50.96 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 116.6 30-Day Fills standardized to 30-day supplies 3,461 Days of Medication total across all patients in 2024 | |||
| UbrelvyUbrogepant | 42 | $1,355.20 | ▲ More than typical |
About Ubrelvy: This medication is used to treat migraine. Show more ▾ Ubrogepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. This medication is not used to prevent future migraines or lessen how often you get migraines. A calcitonin gene-related peptide receptor antagonist (CGRP-RA), for the acute treatment of migraine. In 2024, this provider wrote 42 Medicare prescriptions for Ubrelvy, about 1.3 times the volume of the typical Missouri prescriber of this medication (31.6). Medicare paid an average of $1,355.20 per fill, versus $1,229.20 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 42 30-Day Fills standardized to 30-day supplies 711 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium | 38 | $76.31 | ▼ Less than typical |
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 38 Medicare prescriptions for Divalproex Sodium, about half the volume of the typical Missouri prescriber of this medication (64.1). Medicare paid an average of $76.31 per fill, versus $38.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 67.8 30-Day Fills standardized to 30-day supplies 1,977 Days of Medication total across all patients in 2024 | |||
| Lamotrigine | 36 | $29.30 | ▼ Less than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2024, this provider wrote 36 Medicare prescriptions for Lamotrigine, about 61% of the volume of the typical Missouri prescriber of this medication (58.8). Medicare paid an average of $29.30 per fill, versus $13.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 72 30-Day Fills standardized to 30-day supplies 2,136 Days of Medication total across all patients in 2024 | |||
| Amitriptyline Hcl | 36 | $14.78▼ below MO avg | ≈ Typical |
About Amitriptyline Hcl: This medication is used to treat depression. Show more ▾ Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines. In 2024, this provider wrote 36 Medicare prescriptions for Amitriptyline Hcl, about the same volume as the typical Missouri prescriber of this medication (34). Medicare paid an average of $14.78 per fill, versus $14.80 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 72 30-Day Fills standardized to 30-day supplies 2,160 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 35 | $31.01 | ▼ Less than typical |
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also 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 belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It 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 2024, this provider wrote 35 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Missouri prescriber of this medication (73.4). Medicare paid an average of $31.01 per fill, versus $21.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 101 30-Day Fills standardized to 30-day supplies 3,030 Days of Medication total across all patients in 2024 | |||
| Pregabalin | 34 | $53.46 | ▼ Less than typical |
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2024, this provider wrote 34 Medicare prescriptions for Pregabalin, about half the volume of the typical Missouri prescriber of this medication (61.4). Medicare paid an average of $53.46 per fill, versus $27.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 58 30-Day Fills standardized to 30-day supplies 1,740 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium ErDivalproex Sodium | 34 | $43.64▼ below MO avg | ≈ Typical |
About Divalproex Sodium Er: This medication is used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 34 Medicare prescriptions for Divalproex Sodium Er, about 81% of the volume of the typical Missouri prescriber of this medication (41.7). Medicare paid an average of $43.64 per fill, versus $56.43 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 88 30-Day Fills standardized to 30-day supplies 2,626 Days of Medication total across all patients in 2024 | |||
| Aimovig AutoinjectorErenumab-Aooe | 33 | $749.48▼ below MO avg | ≈ Typical |
About Aimovig Autoinjector: This medication is used to help prevent migraine. Show more ▾ This medication may work by changing the amounts of certain natural substances in the brain. Erenumab belongs to a class of drugs known as monoclonal antibodies. Preventing frequent migraine attacks can help improve your ability to concentrate and do your usual tasks. Anti-human calcitonin gene-related peptide monoclonal antibody for the prevention of migraine headaches. In 2024, this provider wrote 33 Medicare prescriptions for Aimovig Autoinjector, about the same volume as the typical Missouri prescriber of this medication (36.4). Medicare paid an average of $749.48 per fill, versus $853.37 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 33 30-Day Fills standardized to 30-day supplies 988 Days of Medication total across all patients in 2024 | |||
| Zonisamide | 31 | $23.78▼ below MO avg | ≈ Typical |
About Zonisamide: Zonisamide is used with other medications to prevent and control seizures (epilepsy). Show more ▾ Zonisamide is a sulfonamide anticonvulsant and a carbonic anhydrase inhibitor. It is unknown how zonisamide works to prevent seizures. A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization. In 2024, this provider wrote 31 Medicare prescriptions for Zonisamide, about 81% of the volume of the typical Missouri prescriber of this medication (38.2). Medicare paid an average of $23.78 per fill, versus $30.98 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 65 30-Day Fills standardized to 30-day supplies 1,913 Days of Medication total across all patients in 2024 | |||
| Ketorolac Tromethamine | 29 | $9.74▼ below MO avg | ▼ Less than typical |
About Ketorolac Tromethamine: This medication is used to temporarily relieve itching eyes caused by seasonal allergies. Show more ▾ It is also used to prevent and treat eye swelling due to a certain type of eye surgery (cataract removal). Ketorolac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). It works by blocking certain natural substances in your body to reduce pain and swelling. A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is a non-steroidal anti-inflammatory agent used for analgesia for postoperative pain and inhibits cyclooxygenase activity. In 2024, this provider wrote 29 Medicare prescriptions for Ketorolac Tromethamine, about a third of the volume of the typical Missouri prescriber of this medication (71.5). Medicare paid an average of $9.74 per fill, versus $19.72 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 29 30-Day Fills standardized to 30-day supplies 335 Days of Medication total across all patients in 2024 | |||
| Carbamazepine ErCarbamazepine | 29 | $189.95 | ≈ Typical |
About Carbamazepine Er: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. Some forms of this medication are also used to treat bipolar disorder. Carbamazepine can help to decrease extreme changes in mood and help you feel less agitated. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2024, this provider wrote 29 Medicare prescriptions for Carbamazepine Er, about the same volume as the typical Missouri prescriber of this medication (27). Medicare paid an average of $189.95 per fill, versus $96.57 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 51.2 30-Day Fills standardized to 30-day supplies 1,533 Days of Medication total across all patients in 2024 | |||
| Tizanidine Hcl | 28 | $14.28 | ▼ Less than typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2024, this provider wrote 28 Medicare prescriptions for Tizanidine Hcl, about half the volume of the typical Missouri prescriber of this medication (56.7). Medicare paid an average of $14.28 per fill, versus $11.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 52 30-Day Fills standardized to 30-day supplies 1,535 Days of Medication total across all patients in 2024 | |||
| Ropinirole Hcl | 28 | $27.58 | ▼ Less than typical |
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move ("on-off syndrome"). Ropinirole is also used to treat restless legs syndrome (RLS). It may improve your sleep by decreasing the urge to move your legs and decreasing uncomfortable/unpleasant feelings in the legs. This medication works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2024, this provider wrote 28 Medicare prescriptions for Ropinirole Hcl, about 63% of the volume of the typical Missouri prescriber of this medication (44.3). Medicare paid an average of $27.58 per fill, versus $15.58 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 74 30-Day Fills standardized to 30-day supplies 2,220 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 27 | $12.66 | ▼ Less than typical |
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 27 Medicare prescriptions for Sertraline Hcl, about a third of the volume of the typical Missouri prescriber of this medication (82.4). Medicare paid an average of $12.66 per fill, versus $7.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 39 30-Day Fills standardized to 30-day supplies 834 Days of Medication total across all patients in 2024 | |||
| Emgality PenGalcanezumab-Gnlm | 25 | $920.46 | ▼ Less than typical |
About Emgality Pen: This medication is used to help prevent migraine. Show more ▾ It is also used to treat a certain type of headache (episodic cluster headache). Galcanezumab belongs to a class of drugs known as monoclonal antibodies. This medication may work by changing the amounts of certain natural substances in the brain. Using this medication can help improve your ability to concentrate and do your usual tasks. Immunoglobulin G4 anti-human calcitonin gene-related peptide monoclonal antibody for the treatment of migraine. In 2024, this provider wrote 25 Medicare prescriptions for Emgality Pen, about half the volume of the typical Missouri prescriber of this medication (41.9). Medicare paid an average of $920.46 per fill, versus $820.92 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 29 30-Day Fills standardized to 30-day supplies 859 Days of Medication total across all patients in 2024 | |||
| Valproic AcidValproic Acid (As Sodium Salt) | 22 | $48.27 | ≈ Typical |
About Valproic Acid: This medication is used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 22 Medicare prescriptions for Valproic Acid, about the same volume as the typical Missouri prescriber of this medication (24.2). Medicare paid an average of $48.27 per fill, versus $47.22 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 22 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 22 | $56.61 | ▼ Less than typical |
About Carbidopa-Levodopa Er: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2024, this provider wrote 22 Medicare prescriptions for Carbidopa-Levodopa Er, about half the volume of the typical Missouri prescriber of this medication (43.2). Medicare paid an average of $56.61 per fill, versus $42.34 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 65.5 30-Day Fills standardized to 30-day supplies 1,966 Days of Medication total across all patients in 2024 | |||
| Cyclobenzaprine Hcl | 21 | $11.95 | ▼ Less than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. Lisseril is synonymous for HCl; structure. In 2024, this provider wrote 21 Medicare prescriptions for Cyclobenzaprine Hcl, about half the volume of the typical Missouri prescriber of this medication (45.1). Medicare paid an average of $11.95 per fill, versus $9.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 47 30-Day Fills standardized to 30-day supplies 1,370 Days of Medication total across all patients in 2024 | |||
| Levothyroxine Sodium | 21 | $10.00 | ▼ Less than typical |
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2024, this provider wrote 21 Medicare prescriptions for Levothyroxine Sodium, about 11% of the volume of the typical Missouri prescriber of this medication (193.8). Medicare paid an average of $10.00 per fill, versus $8.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 21 30-Day Fills standardized to 30-day supplies 294 Days of Medication total across all patients in 2024 | |||
| Pantoprazole Sodium | 21 | $16.31 | ▼ 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 2024, this provider wrote 21 Medicare prescriptions for Pantoprazole Sodium, about a quarter of the volume of the typical Missouri prescriber of this medication (104.6). Medicare paid an average of $16.31 per fill, versus $10.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 21 30-Day Fills standardized to 30-day supplies 294 Days of Medication total across all patients in 2024 | |||
| NuplazidPimavanserin Tartrate | 20 | $7,016.93 | ≈ Typical |
About Nuplazid: This medication is used to treat the symptoms of a certain mental/mood disorder (psychosis) that might occur with Parkinson's disease. Show more ▾ Pimavanserin belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A 5-HT(2A) inverse agonist. It is used to treat hallucinations and delusions associated with PARKINSON DISEASE. In 2024, this provider wrote 20 Medicare prescriptions for Nuplazid, about 81% of the volume of the typical Missouri prescriber of this medication (24.6). Medicare paid an average of $7,016.93 per fill, versus $4,036.15 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2024 | |||
| Diazepam | 16 | $66.26 | ▼ Less than typical |
About Diazepam: Diazepam is used to treat anxiety, alcohol withdrawal, and seizures. Show more ▾ It is also used to relieve muscle spasms and to provide sedation before medical procedures. This medication works by calming the brain and nerves. Diazepam belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2024, this provider wrote 16 Medicare prescriptions for Diazepam, about half the volume of the typical Missouri prescriber of this medication (37.6). Medicare paid an average of $66.26 per fill, versus $7.07 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 16 30-Day Fills standardized to 30-day supplies 393 Days of Medication total across all patients in 2024 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $7.79▼ below MO avg | ▼ Less than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2024, this provider wrote 16 Medicare prescriptions for Hydrocodone-Acetaminophen, about 15% of the volume of the typical Missouri prescriber of this medication (108.5). Medicare paid an average of $7.79 per fill, versus $20.32 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 16 30-Day Fills standardized to 30-day supplies 114 Days of Medication total across all patients in 2024 | |||
| Indomethacin | 16 | $9.01▼ below MO avg | ≈ Typical |
About Indomethacin: Indomethacin is used to relieve pain, swelling, and joint stiffness caused by arthritis, gout, bursitis, and tendonitis. Show more ▾ It is also used to relieve pain from various other conditions. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling and pain. 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. See also Warning section. A non-steroidal anti-inflammatory agent (NSAID) that inhibits CYCLOOXYGENASE, which is necessary for the formation of PROSTAGLANDINS and other AUTACOIDS. It also inhibits the motility of POLYMORPHONUCLEAR LEUKOCYTES. In 2024, this provider wrote 16 Medicare prescriptions for Indomethacin, about the same volume as the typical Missouri prescriber of this medication (15.3). Medicare paid an average of $9.01 per fill, versus $12.78 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 16 30-Day Fills standardized to 30-day supplies 300 Days of Medication total across all patients in 2024 | |||
| Ondansetron Hcl | 15 | $4.44▼ below MO avg | ▼ Less than typical |
About Ondansetron Hcl: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 15 Medicare prescriptions for Ondansetron Hcl, about half the volume of the typical Missouri prescriber of this medication (33.7). Medicare paid an average of $4.44 per fill, versus $18.93 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 15 30-Day Fills standardized to 30-day supplies 80 Days of Medication total across all patients in 2024 | |||
| Zolmitriptan OdtZolmitriptan | 14 | $72.97 | – No State Data |
About Zolmitriptan Odt: Zolmitriptan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Zolmitriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Zolmitriptan does not prevent future migraines or lessen how often you get migraine attacks. An antimigraine compound; a serotonin (5HT)-1D receptor agonist. In 2024, this provider wrote 14 Medicare prescriptions for Zolmitriptan Odt. Medicare paid an average of $72.97 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $72.97 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2024 | |||
| Naratriptan Hcl | 13 | $48.49 | ▼ Less than typical |
About Naratriptan Hcl: This medication is used to treat migraines. Show more ▾ It helps to relieve headaches, pain and other symptoms of migraines, including sensitivity to light/sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. Naratriptan does not prevent future migraines or reduce how often you may get a headache. Naratriptan belongs to a group of drugs called triptans. It affects a certain natural chemical (serotonin) that constricts blood vessels in the brain. It may also block other pain pathways in the brain. In 2024, this provider wrote 13 Medicare prescriptions for Naratriptan Hcl, about half the volume of the typical Missouri prescriber of this medication (27.3). Medicare paid an average of $48.49 per fill, versus $31.61 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 13 30-Day Fills standardized to 30-day supplies 277 Days of Medication total across all patients in 2024 | |||
| ReyvowLasmiditan Succinate | 12 | $1,000.39 | ▼ Less than typical |
About Reyvow: Lasmiditan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Lasmiditan belongs to a class of drugs known as ditans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. Lasmiditan does not prevent future migraines or lessen how often you get migraine attacks. A high-affinity, highly selective serotonin 5-HT(1F) receptor agonist. In 2024, this provider wrote 12 Medicare prescriptions for Reyvow, about 63% of the volume of the typical Missouri prescriber of this medication (19). Medicare paid an average of $1,000.39 per fill, versus $786.07 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 12 30-Day Fills standardized to 30-day supplies 348 Days of Medication total across all patients in 2024 | |||
| FingolimodFingolimod Hcl | 11 | $7,217.96 | ▼ Less than typical |
About Fingolimod: This medication is used to treat multiple sclerosis-MS. Show more ▾ It is not a cure for MS but it is thought to help by preventing immune system cells (lymphocytes) from attacking the nerves in your brain and spinal cord. It helps decrease the number of episodes of worsening and may prevent or delay disability. A sphingosine-derivative and IMMUNOSUPPRESSIVE AGENT that blocks the migration and homing of LYMPHOCYTES to the CENTRAL NERVOUS SYSTEM through its action on SPHINGOSINE 1-PHOSPHATE RECEPTORS. It is used in the treatment of MULTIPLE SCLEROSIS. In 2024, this provider wrote 11 Medicare prescriptions for Fingolimod, about half the volume of the typical Missouri prescriber of this medication (25.6). Medicare paid an average of $7,217.96 per fill, versus $2,200.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Carbamazepine | 11 | $32.30▼ below MO avg | ▼ Less than typical |
About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2024, this provider wrote 11 Medicare prescriptions for Carbamazepine, about a third of the volume of the typical Missouri prescriber of this medication (28.5). Medicare paid an average of $32.30 per fill, versus $47.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2024 | |||
| Atorvastatin Calcium | 11 | $3.04▼ below MO avg | ▼ 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 2024, this provider wrote 11 Medicare prescriptions for Atorvastatin Calcium, about 5% of the volume of the typical Missouri prescriber of this medication (225.3). Medicare paid an average of $3.04 per fill, versus $8.36 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Amlodipine Besylate | 11 | $0.91▼ below MO avg | ▼ Less 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 2024, this provider wrote 11 Medicare prescriptions for Amlodipine Besylate, about 7% of the volume of the typical Missouri prescriber of this medication (164.3). Medicare paid an average of $0.91 per fill, versus $5.31 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024 | |||
| Methylphenidate ErMethylphenidate Hcl | 11 | $18.19▼ below MO avg | ▼ Less than typical |
About Methylphenidate Er: 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. A central nervous system stimulant used most commonly in the treatment of ATTENTION DEFICIT DISORDER in children and for NARCOLEPSY. Its mechanisms appear to be similar to those of DEXTROAMPHETAMINE. The d-isomer of this drug is referred to as DEXMETHYLPHENIDATE HYDROCHLORIDE. In 2024, this provider wrote 11 Medicare prescriptions for Methylphenidate Er, about 61% of the volume of the typical Missouri prescriber of this medication (17.9). Medicare paid an average of $18.19 per fill, versus $99.18 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. SETH L HEPNER MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, 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 Neurology prescribing approach at this Bridgeton, MO 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 among MO prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
