MARION N. SMITH M.D.
Prescription History 1619083813
Family Medicine in Torrington, WY

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
87.88/100
CMS Quality Rating
625 ALBANY AVE, TORRINGTON, WY 82240(307) 532-2107 Get Directions

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MARION N. SMITH M.D., an active Family Medicine specialist practicing in Torrington, WY. Our medical registry currently tracks 53 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,350 documented patient claims. Among these therapy options, the most frequently utilized medication is Losartan Potassium, which accounts for 69 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.

53
Medications
1,350
Total Claims
1,978
30-Day Fills
Losartan Potassium
Most Prescribed · 69 claims
View details
53 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by MARION N. SMITH M.D. in 2023, with prescription volumes, average cost per fill, and WY state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other WY PrescribersVs. WY Avg

About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾

It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II.

In 2023, this provider wrote 69 Medicare prescriptions for Losartan Potassium, about 81% of the volume of the typical Wyoming prescriber of this medication (85). Medicare paid an average of $20.25 per fill, versus $12.24 statewide.

How often this provider prescribes it

This provider
69
WY average
85.0

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

What Medicare paid per fill

This provider
$20.25
WY average
$12.24

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

145
30-Day Fills
standardized to 30-day supplies
4,321
Days of Medication
total across all patients in 2023

About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure.

In 2023, this provider wrote 63 Medicare prescriptions for Lisinopril, about 65% of the volume of the typical Wyoming prescriber of this medication (97). Medicare paid an average of $12.44 per fill, versus $7.52 statewide.

How often this provider prescribes it

This provider
63
WY average
97.0

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

What Medicare paid per fill

This provider
$12.44
WY average
$7.52

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

95
30-Day Fills
standardized to 30-day supplies
2,776
Days of Medication
total across all patients in 2023

About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors.

In 2023, this provider wrote 61 Medicare prescriptions for Atorvastatin Calcium, about half the volume of the typical Wyoming prescriber of this medication (123). Medicare paid an average of $17.07 per fill, versus $12.77 statewide.

How often this provider prescribes it

This provider
61
WY average
123.0

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

What Medicare paid per fill

This provider
$17.07
WY average
$12.77

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

120.3
30-Day Fills
standardized to 30-day supplies
3,564
Days of Medication
total across all patients in 2023

About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾

It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism.

In 2023, this provider wrote 60 Medicare prescriptions for Levothyroxine Sodium, about half the volume of the typical Wyoming prescriber of this medication (142). Medicare paid an average of $18.18 per fill, versus $16.01 statewide.

How often this provider prescribes it

This provider
60
WY average
142.0

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

What Medicare paid per fill

This provider
$18.18
WY average
$16.01

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

157.3
30-Day Fills
standardized to 30-day supplies
4,689
Days of Medication
total across all patients in 2023

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

This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY.

In 2023, this provider wrote 56 Medicare prescriptions for Furosemide, about 76% of the volume of the typical Wyoming prescriber of this medication (74). Medicare paid an average of $7.96 per fill, versus $5.82 statewide.

How often this provider prescribes it

This provider
56
WY average
74.0

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

What Medicare paid per fill

This provider
$7.96
WY average
$5.82

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

62
30-Day Fills
standardized to 30-day supplies
1,705
Days of Medication
total across all patients in 2023

About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION.

In 2023, this provider wrote 52 Medicare prescriptions for Amlodipine Besylate, about half the volume of the typical Wyoming prescriber of this medication (92). Medicare paid an average of $9.29 per fill, versus $7.81 statewide.

How often this provider prescribes it

This provider
52
WY average
92.0

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

What Medicare paid per fill

This provider
$9.29
WY average
$7.81

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

94
30-Day Fills
standardized to 30-day supplies
2,629
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 49 Medicare prescriptions for Albuterol Sulfate, about 3.1 times the volume of the typical Wyoming prescriber of this medication (16). Medicare paid an average of $16.26 per fill, versus $33.96 statewide.

How often this provider prescribes it

This provider
49
WY average
16.0

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

What Medicare paid per fill

This provider
$16.26
WY average
$33.96

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

49
30-Day Fills
standardized to 30-day supplies
327
Days of Medication
total across all patients in 2023

About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾

It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME.

In 2023, this provider wrote 48 Medicare prescriptions for Gabapentin, about 64% of the volume of the typical Wyoming prescriber of this medication (75). Medicare paid an average of $19.13 per fill, versus $22.84 statewide.

How often this provider prescribes it

This provider
48
WY average
75.0

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

What Medicare paid per fill

This provider
$19.13
WY average
$22.84

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

56
30-Day Fills
standardized to 30-day supplies
1,443
Days of Medication
total across all patients in 2023

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 45 Medicare prescriptions for Hydrocodone-Acetaminophen, about 87% of the volume of the typical Wyoming prescriber of this medication (52). Medicare paid an average of $19.13 per fill, versus $22.45 statewide.

How often this provider prescribes it

This provider
45
WY average
52.0

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

What Medicare paid per fill

This provider
$19.13
WY average
$22.45

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

45
30-Day Fills
standardized to 30-day supplies
703
Days of Medication
total across all patients in 2023

About Ipratropium-Albuterol: This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes bronchitis and emphysema). Show more ▾

This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both drugs work by relaxing the muscles around the airways so that the airways open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school.

In 2023, this provider wrote 45 Medicare prescriptions for Ipratropium-Albuterol, about 2 times the volume of the typical Wyoming prescriber of this medication (23). Medicare paid an average of $21.08 per fill, versus $31.97 statewide.

How often this provider prescribes it

This provider
45
WY average
23.0

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

What Medicare paid per fill

This provider
$21.08
WY average
$31.97

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

45
30-Day Fills
standardized to 30-day supplies
353
Days of Medication
total across all patients in 2023

About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾

It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission.

In 2023, this provider wrote 41 Medicare prescriptions for Baclofen, about 1.4 times the volume of the typical Wyoming prescriber of this medication (29). Medicare paid an average of $28.66 per fill, versus $34.75 statewide.

How often this provider prescribes it

This provider
41
WY average
29.0

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

What Medicare paid per fill

This provider
$28.66
WY average
$34.75

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

41
30-Day Fills
standardized to 30-day supplies
457
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 34 Medicare prescriptions for Warfarin Sodium, about 76% of the volume of the typical Wyoming prescriber of this medication (45). Medicare paid an average of $18.27 per fill, versus $11.94 statewide.

How often this provider prescribes it

This provider
34
WY average
45.0

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

What Medicare paid per fill

This provider
$18.27
WY average
$11.94

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

55.4
30-Day Fills
standardized to 30-day supplies
1,406
Days of Medication
total across all patients in 2023

About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾

Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE.

In 2023, this provider wrote 34 Medicare prescriptions for Oxycodone Hcl, about 79% of the volume of the typical Wyoming prescriber of this medication (43). Medicare paid an average of $12.61 per fill, versus $24.73 statewide.

How often this provider prescribes it

This provider
34
WY average
43.0

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

What Medicare paid per fill

This provider
$12.61
WY average
$24.73

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

34
30-Day Fills
standardized to 30-day supplies
372
Days of Medication
total across all patients in 2023

About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾

This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain.

In 2023, this provider wrote 33 Medicare prescriptions for Sertraline Hcl, about 67% of the volume of the typical Wyoming prescriber of this medication (49). Medicare paid an average of $14.98 per fill, versus $11.77 statewide.

How often this provider prescribes it

This provider
33
WY average
49.0

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

What Medicare paid per fill

This provider
$14.98
WY average
$11.77

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

47
30-Day Fills
standardized to 30-day supplies
1,317
Days of Medication
total across all patients in 2023

About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾

A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA.

In 2023, this provider wrote 29 Medicare prescriptions for Potassium Chloride, about half the volume of the typical Wyoming prescriber of this medication (67). Medicare paid an average of $17.00 per fill, versus $30.03 statewide.

How often this provider prescribes it

This provider
29
WY average
67.0

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

What Medicare paid per fill

This provider
$17.00
WY average
$30.03

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

33.3
30-Day Fills
standardized to 30-day supplies
939
Days of Medication
total across all patients in 2023

About Lactulose: This medication is a laxative used to treat constipation. Show more ▾

It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887)

In 2023, this provider wrote 28 Medicare prescriptions for Lactulose, about 1.6 times the volume of the typical Wyoming prescriber of this medication (17). Medicare paid an average of $58.25 per fill, versus $45.05 statewide.

How often this provider prescribes it

This provider
28
WY average
17.0

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

What Medicare paid per fill

This provider
$58.25
WY average
$45.05

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

28
30-Day Fills
standardized to 30-day supplies
280
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 26 Medicare prescriptions for Azithromycin, about the same volume as the typical Wyoming prescriber of this medication (25). Medicare paid an average of $38.59 per fill, versus $8.63 statewide.

How often this provider prescribes it

This provider
26
WY average
25.0

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

What Medicare paid per fill

This provider
$38.59
WY average
$8.63

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

30
30-Day Fills
standardized to 30-day supplies
580
Days of Medication
total across all patients in 2023

About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES.

In 2023, this provider wrote 26 Medicare prescriptions for Rosuvastatin Calcium, about half the volume of the typical Wyoming prescriber of this medication (48). Medicare paid an average of $15.72 per fill, versus $30.73 statewide.

How often this provider prescribes it

This provider
26
WY average
48.0

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

What Medicare paid per fill

This provider
$15.72
WY average
$30.73

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

50
30-Day Fills
standardized to 30-day supplies
1,499
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 24 Medicare prescriptions for Montelukast Sodium, about half the volume of the typical Wyoming prescriber of this medication (45). Medicare paid an average of $16.69 per fill, versus $17.52 statewide.

How often this provider prescribes it

This provider
24
WY average
45.0

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

What Medicare paid per fill

This provider
$16.69
WY average
$17.52

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

40
30-Day Fills
standardized to 30-day supplies
1,194
Days of Medication
total across all patients in 2023

About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)

In 2023, this provider wrote 24 Medicare prescriptions for Spironolactone, about 65% of the volume of the typical Wyoming prescriber of this medication (37). Medicare paid an average of $16.79 per fill, versus $13.08 statewide.

How often this provider prescribes it

This provider
24
WY average
37.0

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

What Medicare paid per fill

This provider
$16.79
WY average
$13.08

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

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

About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾

In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA.

In 2023, this provider wrote 23 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Wyoming prescriber of this medication (45). Medicare paid an average of $50.63 per fill, versus $46.82 statewide.

How often this provider prescribes it

This provider
23
WY average
45.0

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

What Medicare paid per fill

This provider
$50.63
WY average
$46.82

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

23
30-Day Fills
standardized to 30-day supplies
684
Days of Medication
total across all patients in 2023

About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾

It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia.

In 2023, this provider wrote 22 Medicare prescriptions for Citalopram Hbr, about 61% of the volume of the typical Wyoming prescriber of this medication (36). Medicare paid an average of $5.91 per fill, versus $8.36 statewide.

How often this provider prescribes it

This provider
22
WY average
36.0

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

What Medicare paid per fill

This provider
$5.91
WY average
$8.36

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

36
30-Day Fills
standardized to 30-day supplies
1,018
Days of Medication
total across all patients in 2023

About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.

In 2023, this provider wrote 22 Medicare prescriptions for Hydrochlorothiazide, about a third of the volume of the typical Wyoming prescriber of this medication (59). Medicare paid an average of $5.01 per fill, versus $4.74 statewide.

How often this provider prescribes it

This provider
22
WY average
59.0

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

What Medicare paid per fill

This provider
$5.01
WY average
$4.74

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

60
30-Day Fills
standardized to 30-day supplies
1,771
Days of Medication
total across all patients in 2023

About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾

It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder.

In 2023, this provider wrote 21 Medicare prescriptions for Escitalopram Oxalate, about half the volume of the typical Wyoming prescriber of this medication (43). Medicare paid an average of $14.78 per fill, versus $15.52 statewide.

How often this provider prescribes it

This provider
21
WY average
43.0

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

What Medicare paid per fill

This provider
$14.78
WY average
$15.52

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

37
30-Day Fills
standardized to 30-day supplies
1,110
Days of Medication
total across all patients in 2023

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

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. Timolol belongs to a class of drugs known as beta-blockers. A beta-adrenergic antagonist that is similar in action to PROPRANOLOL; the levo-isomer is more active. Timolol has been proposed as an anti-hypertensive, anti-arrhythmic, anti-angina, and anti-glaucoma agent. It is also used in the treatment of MIGRAINE DISORDERS and tremor.

In 2023, this provider wrote 21 Medicare prescriptions for Timolol Maleate, about 60% of the volume of the typical Wyoming prescriber of this medication (35). Medicare paid an average of $16.26 per fill, versus $19.40 statewide.

How often this provider prescribes it

This provider
21
WY average
35.0

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

What Medicare paid per fill

This provider
$16.26
WY average
$19.40

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

23
30-Day Fills
standardized to 30-day supplies
479
Days of Medication
total across all patients in 2023

About Bupropion Xl: Bupropion is used to treat depression. Show more ▾

It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain.

In 2023, this provider wrote 20 Medicare prescriptions for Bupropion Xl, about 71% of the volume of the typical Wyoming prescriber of this medication (28). Medicare paid an average of $48.23 per fill, versus $38.97 statewide.

How often this provider prescribes it

This provider
20
WY average
28.0

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

What Medicare paid per fill

This provider
$48.23
WY average
$38.97

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

34
30-Day Fills
standardized to 30-day supplies
940
Days of Medication
total across all patients in 2023

About Pioglitazone Hcl: Pioglitazone is a diabetes drug (thiazolidinedione-type, also called glitazones) used along with a proper diet and exercise program to control high blood sugar in patients with type 2 diabetes. Show more ▾

It works by helping to restore your body's proper response to insulin, thereby lowering your blood sugar. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Pioglitazone is used either alone or in combination with other diabetes medications (such as metformin or a sulfonylurea such as glyburide). Talk to your doctor about the risks and benefits of pioglitazone.

In 2023, this provider wrote 19 Medicare prescriptions for Pioglitazone Hcl, about 68% of the volume of the typical Wyoming prescriber of this medication (28). Medicare paid an average of $15.25 per fill, versus $19.70 statewide.

How often this provider prescribes it

This provider
19
WY average
28.0

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

What Medicare paid per fill

This provider
$15.25
WY average
$19.70

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

27
30-Day Fills
standardized to 30-day supplies
799
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 18 Medicare prescriptions for Albuterol Sulfate Hfa, about half the volume of the typical Wyoming prescriber of this medication (35). Medicare paid an average of $17.87 per fill, versus $50.74 statewide.

How often this provider prescribes it

This provider
18
WY average
35.0

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

What Medicare paid per fill

This provider
$17.87
WY average
$50.74

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

18
30-Day Fills
standardized to 30-day supplies
444
Days of Medication
total across all patients in 2023

About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾

It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters).

In 2023, this provider wrote 18 Medicare prescriptions for Buspirone Hcl, about half the volume of the typical Wyoming prescriber of this medication (35). Medicare paid an average of $12.65 per fill, versus $18.67 statewide.

How often this provider prescribes it

This provider
18
WY average
35.0

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

What Medicare paid per fill

This provider
$12.65
WY average
$18.67

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

18
30-Day Fills
standardized to 30-day supplies
496
Days of Medication
total across all patients in 2023

About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾

Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER.

In 2023, this provider wrote 17 Medicare prescriptions for Quetiapine Fumarate, about a third of the volume of the typical Wyoming prescriber of this medication (41). Medicare paid an average of $47.72 per fill, versus $35.81 statewide.

How often this provider prescribes it

This provider
17
WY average
41.0

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

What Medicare paid per fill

This provider
$47.72
WY average
$35.81

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

17
30-Day Fills
standardized to 30-day supplies
446
Days of Medication
total across all patients in 2023

About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾

Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS.

In 2023, this provider wrote 16 Medicare prescriptions for Meloxicam, about a third of the volume of the typical Wyoming prescriber of this medication (41). Medicare paid an average of $11.32 per fill, versus $7.23 statewide.

How often this provider prescribes it

This provider
16
WY average
41.0

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

What Medicare paid per fill

This provider
$11.32
WY average
$7.23

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

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

About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾

It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME.

In 2023, this provider wrote 16 Medicare prescriptions for Xarelto, about half the volume of the typical Wyoming prescriber of this medication (31). Medicare paid an average of $486.39 per fill, versus $838.33 statewide.

How often this provider prescribes it

This provider
16
WY average
31.0

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

What Medicare paid per fill

This provider
$486.39
WY average
$838.33

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

20
30-Day Fills
standardized to 30-day supplies
415
Days of Medication
total across all patients in 2023

About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾

It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure.

In 2023, this provider wrote 16 Medicare prescriptions for Tamsulosin Hcl, about a quarter of the volume of the typical Wyoming prescriber of this medication (68). Medicare paid an average of $20.18 per fill, versus $21.78 statewide.

How often this provider prescribes it

This provider
16
WY average
68.0

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

What Medicare paid per fill

This provider
$20.18
WY average
$21.78

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

23.8
30-Day Fills
standardized to 30-day supplies
705
Days of Medication
total across all patients in 2023

About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾

This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss.

In 2023, this provider wrote 15 Medicare prescriptions for Topiramate, about half the volume of the typical Wyoming prescriber of this medication (27). Medicare paid an average of $14.78 per fill, versus $22.90 statewide.

How often this provider prescribes it

This provider
15
WY average
27.0

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

What Medicare paid per fill

This provider
$14.78
WY average
$22.90

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

17
30-Day Fills
standardized to 30-day supplies
498
Days of Medication
total across all patients in 2023

About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾

It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain.

In 2023, this provider wrote 15 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical Wyoming prescriber of this medication (29). Medicare paid an average of $23.23 per fill, versus $30.66 statewide.

How often this provider prescribes it

This provider
15
WY average
29.0

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

What Medicare paid per fill

This provider
$23.23
WY average
$30.66

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

35
30-Day Fills
standardized to 30-day supplies
1,044
Days of Medication
total across all patients in 2023

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

It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS.

In 2023, this provider wrote 15 Medicare prescriptions for Omeprazole, about 19% of the volume of the typical Wyoming prescriber of this medication (78). Medicare paid an average of $11.10 per fill, versus $15.79 statewide.

How often this provider prescribes it

This provider
15
WY average
78.0

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

What Medicare paid per fill

This provider
$11.10
WY average
$15.79

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

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

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

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

In 2023, this provider wrote 14 Medicare prescriptions for Bumetanide, about half the volume of the typical Wyoming prescriber of this medication (25). Medicare paid an average of $68.58 per fill, versus $60.00 statewide.

How often this provider prescribes it

This provider
14
WY average
25.0

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

What Medicare paid per fill

This provider
$68.58
WY average
$60.00

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

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

About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication.

In 2023, this provider wrote 13 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about a third of the volume of the typical Wyoming prescriber of this medication (31). Medicare paid an average of $15.70 per fill, versus $9.02 statewide.

How often this provider prescribes it

This provider
13
WY average
31.0

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

What Medicare paid per fill

This provider
$15.70
WY average
$9.02

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

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

About Lantus: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS.

In 2023, this provider wrote 13 Medicare prescriptions for Lantus, about 76% of the volume of the typical Wyoming prescriber of this medication (17). Medicare paid an average of $528.03 per fill, versus $614.63 statewide.

How often this provider prescribes it

This provider
13
WY average
17.0

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

What Medicare paid per fill

This provider
$528.03
WY average
$614.63

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

20
30-Day Fills
standardized to 30-day supplies
582
Days of Medication
total across all patients in 2023

About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾

When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties

In 2023, this provider wrote 13 Medicare prescriptions for Ibuprofen, about half the volume of the typical Wyoming prescriber of this medication (24). Medicare paid an average of $27.57 per fill, versus $11.69 statewide.

How often this provider prescribes it

This provider
13
WY average
24.0

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

What Medicare paid per fill

This provider
$27.57
WY average
$11.69

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

13
30-Day Fills
standardized to 30-day supplies
389
Days of Medication
total across all patients in 2023

About Glipizide-Metformin: This diabetes medication is a combination of 2 drugs (glipizide and metformin). Show more ▾

It is used along with a diet and exercise program to control high blood sugar in patients with type 2 diabetes. Glipizide is a sulfonylurea and works by stimulating the release of your body's natural insulin and by decreasing the amount of sugar that your liver makes. Metformin is a biguanide and works by decreasing the amount of sugar that your liver makes and that your stomach/intestines absorb. Both of these medications work by helping to restore your body's proper response to the insulin you naturally produce. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke.

In 2023, this provider wrote 13 Medicare prescriptions for Glipizide-Metformin, about the same volume as the typical Wyoming prescriber of this medication (13). Medicare paid an average of $80.09 per fill, versus $51.08 statewide.

How often this provider prescribes it

This provider
13
WY average
13.0

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

What Medicare paid per fill

This provider
$80.09
WY average
$51.08

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

13
30-Day Fills
standardized to 30-day supplies
372
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 13 Medicare prescriptions for Farxiga, about 62% of the volume of the typical Wyoming prescriber of this medication (21). Medicare paid an average of $604.58 per fill, versus $1,020.49 statewide.

How often this provider prescribes it

This provider
13
WY average
21.0

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

What Medicare paid per fill

This provider
$604.58
WY average
$1,020.49

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 13 Medicare prescriptions for Famotidine, about a third of the volume of the typical Wyoming prescriber of this medication (35). Medicare paid an average of $14.67 per fill, versus $15.89 statewide.

How often this provider prescribes it

This provider
13
WY average
35.0

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

What Medicare paid per fill

This provider
$14.67
WY average
$15.89

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

13
30-Day Fills
standardized to 30-day supplies
389
Days of Medication
total across all patients in 2023

About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. Show more ▾

It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: losartan and hydrochlorothiazide. Losartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water.

In 2023, this provider wrote 12 Medicare prescriptions for Losartan-Hydrochlorothiazide, about a third of the volume of the typical Wyoming prescriber of this medication (29). Medicare paid an average of $33.16 per fill, versus $20.18 statewide.

How often this provider prescribes it

This provider
12
WY average
29.0

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

What Medicare paid per fill

This provider
$33.16
WY average
$20.18

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

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

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

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

In 2023, this provider wrote 12 Medicare prescriptions for Promethazine Hcl, about half the volume of the typical Wyoming prescriber of this medication (22). Medicare paid an average of $9.69 per fill, versus $16.66 statewide.

How often this provider prescribes it

This provider
12
WY average
22.0

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

What Medicare paid per fill

This provider
$9.69
WY average
$16.66

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

12
30-Day Fills
standardized to 30-day supplies
68
Days of Medication
total across all patients in 2023

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 12 Medicare prescriptions for Risperidone, about a third of the volume of the typical Wyoming prescriber of this medication (29). Medicare paid an average of $11.03 per fill, versus $13.44 statewide.

How often this provider prescribes it

This provider
12
WY average
29.0

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

What Medicare paid per fill

This provider
$11.03
WY average
$13.44

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

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

About Hydroxychloroquine Sulfate: Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. Show more ▾

The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis. Hydroxychloroquine is not recommended for coronavirus infection, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970)

In 2023, this provider wrote 12 Medicare prescriptions for Hydroxychloroquine Sulfate, about a quarter of the volume of the typical Wyoming prescriber of this medication (50). Medicare paid an average of $63.25 per fill, versus $68.59 statewide.

How often this provider prescribes it

This provider
12
WY average
50.0

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

What Medicare paid per fill

This provider
$63.25
WY average
$68.59

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

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

About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾

It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION.

In 2023, this provider wrote 12 Medicare prescriptions for Carvedilol, about a quarter of the volume of the typical Wyoming prescriber of this medication (45). Medicare paid an average of $16.15 per fill, versus $10.95 statewide.

How often this provider prescribes it

This provider
12
WY average
45.0

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

What Medicare paid per fill

This provider
$16.15
WY average
$10.95

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

16
30-Day Fills
standardized to 30-day supplies
324
Days of Medication
total across all patients in 2023

About Fluticasone-Salmeterol: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed.

In 2023, this provider wrote 12 Medicare prescriptions for Fluticasone-Salmeterol, about 71% of the volume of the typical Wyoming prescriber of this medication (17). Medicare paid an average of $409.94 per fill, versus $243.04 statewide.

How often this provider prescribes it

This provider
12
WY average
17.0

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

What Medicare paid per fill

This provider
$409.94
WY average
$243.04

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

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

About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾

It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA.

In 2023, this provider wrote 12 Medicare prescriptions for Finasteride, about a quarter of the volume of the typical Wyoming prescriber of this medication (45). Medicare paid an average of $16.75 per fill, versus $18.26 statewide.

How often this provider prescribes it

This provider
12
WY average
45.0

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

What Medicare paid per fill

This provider
$16.75
WY average
$18.26

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

12
30-Day Fills
standardized to 30-day supplies
359
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 11 Medicare prescriptions for Fluticasone Propionate, about a third of the volume of the typical Wyoming prescriber of this medication (32). Medicare paid an average of $30.35 per fill, versus $15.89 statewide.

How often this provider prescribes it

This provider
11
WY average
32.0

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

What Medicare paid per fill

This provider
$30.35
WY average
$15.89

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

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

About Tolterodine Tartrate Er: This medication is used to treat an overactive bladder. Show more ▾

By relaxing the muscles in the bladder, tolterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. An ANTIMUSCARINIC AGENT selective for the MUSCARINIC RECEPTORS of the BLADDER that is used in the treatment of URINARY INCONTINENCE and URINARY URGE INCONTINENCE.

In 2023, this provider wrote 11 Medicare prescriptions for Tolterodine Tartrate Er, about 65% of the volume of the typical Wyoming prescriber of this medication (17). Medicare paid an average of $218.32 per fill, versus $157.42 statewide.

How often this provider prescribes it

This provider
11
WY average
17.0

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

What Medicare paid per fill

This provider
$218.32
WY average
$157.42

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

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

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

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

In 2023, this provider wrote 11 Medicare prescriptions for Cephalexin, about half the volume of the typical Wyoming prescriber of this medication (24). Medicare paid an average of $10.14 per fill, versus $9.66 statewide.

How often this provider prescribes it

This provider
11
WY average
24.0

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

What Medicare paid per fill

This provider
$10.14
WY average
$9.66

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

11
30-Day Fills
standardized to 30-day supplies
54
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average WY prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the WY average cost per fill.

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