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 55 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,833 documented patient claims. Among these therapy options, the most frequently utilized medication is Sumatriptan Succinate, which accounts for 227 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 MO PrescribersVs. MO Avg |
|---|---|---|---|
| Sumatriptan Succinate | 227 | $22.39▼ below MO avg | ▲ More than typical |
About Sumatriptan Succinate: Sumatriptan is used to treat migraines and cluster headaches. Show more ▾ It helps to relieve pain and other symptoms of migraines/headaches including sensitivity to light or sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. It does not prevent future migraines/headaches or reduce how often you may get a headache. Sumatriptan 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. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2023, this provider wrote 227 Medicare prescriptions for Sumatriptan Succinate, about 9.5 times the volume of the typical Missouri prescriber of this medication (24). Medicare paid an average of $22.39 per fill, versus $45.30 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 This provider's average cost per fill is below the MO average for this medication. 236.6 30-Day Fills standardized to 30-day supplies 6,469 Days of Medication total across all patients in 2023 | |||
| Carbidopa-LevodopaCarbidopa/Levodopa | 169 | $63.66 | ▲ 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 2023, this provider wrote 169 Medicare prescriptions for Carbidopa-Levodopa, about 2.6 times the volume of the typical Missouri prescriber of this medication (64). Medicare paid an average of $63.66 per fill, versus $46.12 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. 395.1 30-Day Fills standardized to 30-day supplies 11,783 Days of Medication total across all patients in 2023 | |||
| Donepezil Hcl | 160 | $12.11▼ 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. In 2023, this provider wrote 160 Medicare prescriptions for Donepezil Hcl, about 2.3 times the volume of the typical Missouri prescriber of this medication (71). Medicare paid an average of $12.11 per fill, versus $13.49 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. 427 30-Day Fills standardized to 30-day supplies 12,810 Days of Medication total across all patients in 2023 | |||
| Nortriptyline Hcl | 146 | $17.78 | ▲ More than typical |
About Nortriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain. In 2023, this provider wrote 146 Medicare prescriptions for Nortriptyline Hcl, about 5.4 times the volume of the typical Missouri prescriber of this medication (27). Medicare paid an average of $17.78 per fill, versus $15.43 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. 356.3 30-Day Fills standardized to 30-day supplies 10,636 Days of Medication total across all patients in 2023 | |||
| Topiramate | 142 | $25.05 | ▲ 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 2023, this provider wrote 142 Medicare prescriptions for Topiramate, about 3.2 times the volume of the typical Missouri prescriber of this medication (44). Medicare paid an average of $25.05 per fill, versus $19.22 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. 342.5 30-Day Fills standardized to 30-day supplies 10,102 Days of Medication total across all patients in 2023 | |||
| Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine | 123 | $31.28▼ 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 2023, this provider wrote 123 Medicare prescriptions for Butalbital-Acetaminophen-Caffe, about 4.9 times the volume of the typical Missouri prescriber of this medication (25). Medicare paid an average of $31.28 per fill, versus $41.35 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. 123 30-Day Fills standardized to 30-day supplies 828 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 118 | $31.11 | ≈ Typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 118 Medicare prescriptions for Gabapentin, about the same volume as the typical Missouri prescriber of this medication (115). Medicare paid an average of $31.11 per fill, versus $23.39 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. 244 30-Day Fills standardized to 30-day supplies 7,177 Days of Medication total across all patients in 2023 | |||
| Levetiracetam | 113 | $57.68 | ▲ 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 2023, this provider wrote 113 Medicare prescriptions for Levetiracetam, about 2 times the volume of the typical Missouri prescriber of this medication (56). Medicare paid an average of $57.68 per fill, versus $35.69 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. 262.7 30-Day Fills standardized to 30-day supplies 7,804 Days of Medication total across all patients in 2023 | |||
| RizatriptanRizatriptan Benzoate | 106 | $41.05 | ▲ 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 2023, this provider wrote 106 Medicare prescriptions for Rizatriptan, about 4.6 times the volume of the typical Missouri prescriber of this medication (23). Medicare paid an average of $41.05 per fill, versus $34.91 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. 112.8 30-Day Fills standardized to 30-day supplies 3,051 Days of Medication total across all patients in 2023 | |||
| Memantine Hcl ErMemantine Hcl | 84 | $125.79 | ▲ 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. In 2023, this provider wrote 84 Medicare prescriptions for Memantine Hcl Er, about 2.7 times the volume of the typical Missouri prescriber of this medication (31). Medicare paid an average of $125.79 per fill, versus $123.37 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. 158 30-Day Fills standardized to 30-day supplies 4,199 Days of Medication total across all patients in 2023 | |||
| Baclofen | 73 | $24.33▼ 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 2023, this provider wrote 73 Medicare prescriptions for Baclofen, about 1.5 times the volume of the typical Missouri prescriber of this medication (48). Medicare paid an average of $24.33 per fill, versus $31.05 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. 121 30-Day Fills standardized to 30-day supplies 3,544 Days of Medication total across all patients in 2023 | |||
| Primidone | 71 | $56.62 | ▲ 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 2023, this provider wrote 71 Medicare prescriptions for Primidone, about 1.9 times the volume of the typical Missouri prescriber of this medication (37). Medicare paid an average of $56.62 per fill, versus $28.47 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. 187.1 30-Day Fills standardized to 30-day supplies 5,595 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl ErPropranolol Hcl | 61 | $46.05▼ below MO avg | ▲ More than typical |
About Propranolol Hcl Er: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 61 Medicare prescriptions for Propranolol Hcl Er, about 3 times the volume of the typical Missouri prescriber of this medication (20). Medicare paid an average of $46.05 per fill, versus $76.87 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. 110 30-Day Fills standardized to 30-day supplies 3,255 Days of Medication total across all patients in 2023 | |||
| Aimovig AutoinjectorErenumab-Aooe | 60 | $794.82▼ below MO avg | ▲ More than 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. In 2023, this provider wrote 60 Medicare prescriptions for Aimovig Autoinjector, about 1.5 times the volume of the typical Missouri prescriber of this medication (40). Medicare paid an average of $794.82 per fill, versus $883.45 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 1,790 Days of Medication total across all patients in 2023 | |||
| Nurtec OdtRimegepant Sulfate | 59 | $1,305.12 | ▲ 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 2023, this provider wrote 59 Medicare prescriptions for Nurtec Odt, about 2.1 times the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $1,305.12 per fill, versus $1,261.31 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. 59 30-Day Fills standardized to 30-day supplies 1,280 Days of Medication total across all patients in 2023 | |||
| Lacosamide | 56 | $289.87▼ below MO avg | ▲ More than 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 2023, this provider wrote 56 Medicare prescriptions for Lacosamide, about 1.3 times the volume of the typical Missouri prescriber of this medication (42). Medicare paid an average of $289.87 per fill, versus $332.98 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. 80 30-Day Fills standardized to 30-day supplies 2,321 Days of Medication total across all patients in 2023 | |||
| UbrelvyUbrogepant | 56 | $1,162.22▼ below MO avg | ▲ 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. In 2023, this provider wrote 56 Medicare prescriptions for Ubrelvy, about 1.9 times the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $1,162.22 per fill, versus $1,224.13 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. 56 30-Day Fills standardized to 30-day supplies 1,107 Days of Medication total across all patients in 2023 | |||
| Ketorolac Tromethamine | 55 | $16.27▼ below MO avg | ≈ 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 2023, this provider wrote 55 Medicare prescriptions for Ketorolac Tromethamine, about 81% of the volume of the typical Missouri prescriber of this medication (68). Medicare paid an average of $16.27 per fill, versus $25.32 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. 55 30-Day Fills standardized to 30-day supplies 240 Days of Medication total across all patients in 2023 | |||
| Metoclopramide Hcl | 54 | $2.05▼ below MO avg | ▲ More than typical |
About Metoclopramide Hcl: Metoclopramide is used by diabetic patients who have poor emptying of their stomachs (gastroparesis). Show more ▾ 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 2023, this provider wrote 54 Medicare prescriptions for Metoclopramide Hcl, about 1.9 times the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $2.05 per fill, versus $9.57 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. 54 30-Day Fills standardized to 30-day supplies 197 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 50 | $37.79 | ≈ Typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 50 Medicare prescriptions for Lamotrigine, about 86% of the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $37.79 per fill, versus $16.38 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. 94.7 30-Day Fills standardized to 30-day supplies 2,763 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 45 | $87.06 | ▼ 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 2023, this provider wrote 45 Medicare prescriptions for Divalproex Sodium, about 71% of the volume of the typical Missouri prescriber of this medication (63). Medicare paid an average of $87.06 per fill, versus $44.98 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. 81.1 30-Day Fills standardized to 30-day supplies 2,326 Days of Medication total across all patients in 2023 | |||
| Ondansetron OdtOndansetron | 45 | $10.29▼ 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 2023, this provider wrote 45 Medicare prescriptions for Ondansetron Odt, about 1.8 times the volume of the typical Missouri prescriber of this medication (25). Medicare paid an average of $10.29 per fill, versus $24.37 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. 45 30-Day Fills standardized to 30-day supplies 204 Days of Medication total across all patients in 2023 | |||
| Ropinirole Hcl | 45 | $24.37 | ≈ Typical |
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 45 Medicare prescriptions for Ropinirole Hcl, about the same volume as the typical Missouri prescriber of this medication (42). Medicare paid an average of $24.37 per fill, versus $20.10 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. 99 30-Day Fills standardized to 30-day supplies 2,925 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 44 | $36.24▼ below MO avg | ▼ Less than typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 44 Medicare prescriptions for Duloxetine Hcl, about 63% of the volume of the typical Missouri prescriber of this medication (70). Medicare paid an average of $36.24 per fill, versus $39.56 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. 118 30-Day Fills standardized to 30-day supplies 3,540 Days of Medication total across all patients in 2023 | |||
| Prochlorperazine Maleate | 41 | $9.65▼ 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 2023, this provider wrote 41 Medicare prescriptions for Prochlorperazine Maleate, about 1.3 times the volume of the typical Missouri prescriber of this medication (31). Medicare paid an average of $9.65 per fill, versus $22.25 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. 41 30-Day Fills standardized to 30-day supplies 194 Days of Medication total across all patients in 2023 | |||
| Carbamazepine ErCarbamazepine | 41 | $158.71 | ▲ More than 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. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 41 Medicare prescriptions for Carbamazepine Er, about 1.5 times the volume of the typical Missouri prescriber of this medication (27). Medicare paid an average of $158.71 per fill, versus $135.13 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. 56.4 30-Day Fills standardized to 30-day supplies 1,689 Days of Medication total across all patients in 2023 | |||
| Zonisamide | 40 | $21.53▼ 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 2023, this provider wrote 40 Medicare prescriptions for Zonisamide, about the same volume as the typical Missouri prescriber of this medication (35). Medicare paid an average of $21.53 per fill, versus $44.60 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. 78 30-Day Fills standardized to 30-day supplies 2,313 Days of Medication total across all patients in 2023 | |||
| Oxcarbazepine | 38 | $108.56 | ≈ 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 2023, this provider wrote 38 Medicare prescriptions for Oxcarbazepine, about the same volume as the typical Missouri prescriber of this medication (37). Medicare paid an average of $108.56 per fill, versus $56.27 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. 114 30-Day Fills standardized to 30-day supplies 3,420 Days of Medication total across all patients in 2023 | |||
| Memantine Hcl | 36 | $45.86▼ below MO avg | ▼ Less than 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. In 2023, this provider wrote 36 Medicare prescriptions for Memantine Hcl, about 60% of the volume of the typical Missouri prescriber of this medication (60). Medicare paid an average of $45.86 per fill, versus $46.00 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. 108 30-Day Fills standardized to 30-day supplies 3,240 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium ErDivalproex Sodium | 35 | $73.03▼ below MO avg | ≈ Typical |
About Divalproex Sodium Er: 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 2023, this provider wrote 35 Medicare prescriptions for Divalproex Sodium Er, about 83% of the volume of the typical Missouri prescriber of this medication (42). Medicare paid an average of $73.03 per fill, versus $94.42 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. 85 30-Day Fills standardized to 30-day supplies 2,549 Days of Medication total across all patients in 2023 | |||
| Clobazam | 29 | $392.03 | ▼ Less than typical |
About Clobazam: This medication is used with other medications to help control seizures. Show more ▾ It belongs to a class of medications called benzodiazepines, which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). A benzodiazepine derivative that is a long-acting GABA-A RECEPTOR agonist. It is used as an antiepileptic in the treatment of SEIZURES, including seizures associated with LENNOX-GASTAUT SYNDROME. It is also used as an anxiolytic, for the short-term treatment of acute ANXIETY. In 2023, this provider wrote 29 Medicare prescriptions for Clobazam, about 71% of the volume of the typical Missouri prescriber of this medication (41). Medicare paid an average of $392.03 per fill, versus $272.22 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. 37 30-Day Fills standardized to 30-day supplies 1,048 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 24 | $34.99 | ▼ Less than typical |
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 24 Medicare prescriptions for Amitriptyline Hcl, about 73% of the volume of the typical Missouri prescriber of this medication (33). Medicare paid an average of $34.99 per fill, versus $21.10 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. 56.5 30-Day Fills standardized to 30-day supplies 1,695 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 23 | $38.51 | ▼ 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 2023, this provider wrote 23 Medicare prescriptions for Tizanidine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (55). Medicare paid an average of $38.51 per fill, versus $16.45 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. 45 30-Day Fills standardized to 30-day supplies 1,306 Days of Medication total across all patients in 2023 | |||
| Valproic AcidValproic Acid (As Sodium Salt) | 23 | $37.33▼ below MO avg | ≈ Typical |
About Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. In 2023, this provider wrote 23 Medicare prescriptions for Valproic Acid, about the same volume as the typical Missouri prescriber of this medication (20). Medicare paid an average of $37.33 per fill, versus $40.17 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. 23 30-Day Fills standardized to 30-day supplies 345 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 23 | $118.69 | ▼ Less than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 23 Medicare prescriptions for Quetiapine Fumarate, about a third of the volume of the typical Missouri prescriber of this medication (72). Medicare paid an average of $118.69 per fill, versus $28.28 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. 49 30-Day Fills standardized to 30-day supplies 1,332 Days of Medication total across all patients in 2023 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $7.43▼ 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 2023, this provider wrote 22 Medicare prescriptions for Hydrocodone-Acetaminophen, about a quarter of the volume of the typical Missouri prescriber of this medication (108). Medicare paid an average of $7.43 per fill, versus $22.05 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. 22 30-Day Fills standardized to 30-day supplies 120 Days of Medication total across all patients in 2023 | |||
| Phenobarbital | 22 | $8.60▼ below MO avg | ≈ Typical |
About Phenobarbital: 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. Phenobarbital belongs to a class of drugs known as barbiturate anticonvulsants/hypnotics. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. This medication is also used for a short time (usually no more than 2 weeks) to help calm you or help you sleep during periods of anxiety. It works by affecting certain parts of the brain to cause calming. A barbituric acid derivative that acts as a nonselective central nervous system depressant. It potentiates GAMMA-AMINOBUTYRIC ACID action on GABA-A RECEPTORS, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations. In 2023, this provider wrote 22 Medicare prescriptions for Phenobarbital, about the same volume as the typical Missouri prescriber of this medication (23). Medicare paid an average of $8.60 per fill, versus $39.58 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. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023 | |||
| NuplazidPimavanserin Tartrate | 21 | $6,691.14 | ≈ Typical |
About Nuplazid: Pimavanserin is used to treat the symptoms of a certain mental/mood disorder (psychosis) that might occur with Parkinson's disease. Show more ▾ It helps lessen symptoms such as seeing or hearing things that are not there (hallucinations) and false beliefs (delusions). Pimavanserin belongs to a class of drugs known as atypical antipsychotics, though it works differently from most other drugs in this class. In 2023, this provider wrote 21 Medicare prescriptions for Nuplazid, about the same volume as the typical Missouri prescriber of this medication (21). Medicare paid an average of $6,691.14 per fill, versus $3,542.67 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. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023 | |||
| BriviactBrivaracetam | 21 | $1,461.52 | ▼ Less than typical |
About Briviact: Brivaracetam is used to treat seizures (epilepsy). In 2023, this provider wrote 21 Medicare prescriptions for Briviact, about 62% of the volume of the typical Missouri prescriber of this medication (34). Medicare paid an average of $1,461.52 per fill, versus $1,435.46 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 630 Days of Medication total across all patients in 2023 | |||
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 19 | $66.59▼ below MO avg | ▼ 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 2023, this provider wrote 19 Medicare prescriptions for Carbidopa-Levodopa Er, about half the volume of the typical Missouri prescriber of this medication (35). Medicare paid an average of $66.59 per fill, versus $76.41 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. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 18 | $68.42 | ▼ Less than typical |
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 18 Medicare prescriptions for Pregabalin, about a third of the volume of the typical Missouri prescriber of this medication (54). Medicare paid an average of $68.42 per fill, versus $41.25 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. 46 30-Day Fills standardized to 30-day supplies 1,380 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl | 17 | $56.54 | ▼ Less than typical |
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 17 Medicare prescriptions for Propranolol Hcl, about half the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $56.54 per fill, versus $25.98 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. 35 30-Day Fills standardized to 30-day supplies 1,024 Days of Medication total across all patients in 2023 | |||
| Carbamazepine | 17 | $90.53 | ▼ Less than typical |
About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 17 Medicare prescriptions for Carbamazepine, about 61% of the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $90.53 per fill, versus $59.26 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. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
| QuliptaAtogepant | 16 | $1,707.74 | ≈ Typical |
About Qulipta: This medication is used to prevent migraines. Show more ▾ Atogepant may work by blocking the effects of a certain natural substance in the brain that causes migraines (calcitonin gene-related peptide - CGRP). In 2023, this provider wrote 16 Medicare prescriptions for Qulipta, about 76% of the volume of the typical Missouri prescriber of this medication (21). Medicare paid an average of $1,707.74 per fill, versus $1,137.28 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. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023 | |||
| Methylprednisolone | 16 | $9.00▼ below MO avg | ▼ Less than typical |
About Methylprednisolone: Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. Show more ▾ It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone. Methylprednisolone may also be used with other medications in hormone disorders. A PREDNISOLONE derivative with similar anti-inflammatory action. In 2023, this provider wrote 16 Medicare prescriptions for Methylprednisolone, about half the volume of the typical Missouri prescriber of this medication (35). Medicare paid an average of $9.00 per fill, versus $9.52 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 96 Days of Medication total across all patients in 2023 | |||
| Diazepam | 16 | $44.21 | ▼ Less than typical |
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It 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 2023, this provider wrote 16 Medicare prescriptions for Diazepam, about a third of the volume of the typical Missouri prescriber of this medication (39). Medicare paid an average of $44.21 per fill, versus $7.92 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. 16 30-Day Fills standardized to 30-day supplies 407 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 14 | $11.60▼ below MO avg | ▼ Less than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 14 Medicare prescriptions for Cyclobenzaprine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (43). Medicare paid an average of $11.60 per fill, versus $16.23 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. 35 30-Day Fills standardized to 30-day supplies 1,030 Days of Medication total across all patients in 2023 | |||
| Indomethacin | 14 | $7.88▼ 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 ▾ Reducing these symptoms helps you do more of your normal daily activities. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). 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 2023, this provider wrote 14 Medicare prescriptions for Indomethacin, about the same volume as the typical Missouri prescriber of this medication (15). Medicare paid an average of $7.88 per fill, versus $16.87 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 281 Days of Medication total across all patients in 2023 | |||
| Zolmitriptan | 14 | $83.67▼ below MO avg | ▲ More than typical |
About Zolmitriptan: 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. In 2023, this provider wrote 14 Medicare prescriptions for Zolmitriptan, about 1.3 times the volume of the typical Missouri prescriber of this medication (11). Medicare paid an average of $83.67 per fill, versus $214.81 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. 14 30-Day Fills standardized to 30-day supplies 345 Days of Medication total across all patients in 2023 | |||
| Ondansetron Hcl | 13 | $6.48▼ 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. In 2023, this provider wrote 13 Medicare prescriptions for Ondansetron Hcl, about half the volume of the typical Missouri prescriber of this medication (27). Medicare paid an average of $6.48 per fill, versus $14.39 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 105 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 13 | $20.67 | ▼ Less than typical |
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 13 Medicare prescriptions for Sertraline Hcl, about 16% of the volume of the typical Missouri prescriber of this medication (80). Medicare paid an average of $20.67 per fill, versus $10.43 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. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023 | |||
| Mycophenolate Mofetil | 12 | $1,380.85 | ▼ Less than typical |
About Mycophenolate Mofetil: Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart). Show more ▾ It belongs to a class of medications called immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own. Compound derived from Penicillium stoloniferum and related species. It blocks de novo biosynthesis of purine nucleotides by inhibition of the enzyme inosine monophosphate dehydrogenase (IMP DEHYDROGENASE). Mycophenolic acid exerts selective effects on the immune system in which it prevents the proliferation of T-CELLS, LYMPHOCYTES, and the formation of antibodies from B-CELLS. It may also inhibit recruitment of LEUKOCYTES to sites of INFLAMMATION. In 2023, this provider wrote 12 Medicare prescriptions for Mycophenolate Mofetil, about a third of the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $1,380.85 per fill, versus $131.24 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. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2023 | |||
| Risperidone | 11 | $23.90 | ▼ Less than typical |
About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 11 Medicare prescriptions for Risperidone, about 19% of the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $23.90 per fill, versus $14.07 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. 21 30-Day Fills standardized to 30-day supplies 578 Days of Medication total across all patients in 2023 | |||
| Ascomp With CodeineCodeine/Butalbital/Asa/Caffein | 11 | $25.06▼ below MO avg | ▼ Less than typical |
About Ascomp With Codeine: See also Warning section. Show more ▾ This combination medication is used to treat tension headaches. Codeine is an opioid pain reliever that acts on certain centers in the brain to give you pain relief. Aspirin helps to decrease the pain from the headache. Caffeine helps increase the effects of aspirin. Butalbital is a sedative that helps to decrease anxiety and cause sleepiness and relaxation. In 2023, this provider wrote 11 Medicare prescriptions for Ascomp With Codeine, about 73% of the volume of the typical Missouri prescriber of this medication (15). Medicare paid an average of $25.06 per fill, versus $140.19 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 41 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 11 | $4.05▼ 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 2023, this provider wrote 11 Medicare prescriptions for Amlodipine Besylate, about 7% of the volume of the typical Missouri prescriber of this medication (161). Medicare paid an average of $4.05 per fill, versus $6.67 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 450 Days of Medication total across all patients in 2023 | |||
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 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 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 volume among MO prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
