SARAH E LAPEY MD
Prescription History 1619084787
Internal Medicine in San Antonio, TX
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SARAH E LAPEY MD, an active Internal Medicine specialist practicing in San Antonio, TX. Our medical registry currently tracks 7 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 300 documented patient claims. Among these therapy options, the most frequently utilized medication is Xifaxan, which accounts for 79 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 TX PrescribersVs. TX Avg |
|---|---|---|---|
| XifaxanRifaximin | 79 | $3,127.89 | ▲ More than typical |
About Xifaxan: This medication is used to treat diarrhea caused by the common bacteria known as E. Show more ▾ coli (traveler's diarrhea). Rifaximin should not be used if you have a fever or bloody diarrhea. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. Rifaximin is also used to treat irritable bowel syndrome with diarrhea. It is also used to prevent a brain problem caused by liver disease (hepatic encephalopathy). It may help you think more clearly. A synthetic rifamycin derivative and anti-bacterial agent that is used for the treatment of GASTROENTERITIS caused by ESCHERICHIA COLI INFECTIONS. It may also be used in the treatment of HEPATIC ENCEPHALOPATHY. In 2023, this provider wrote 79 Medicare prescriptions for Xifaxan, about 2.5 times the volume of the typical Texas prescriber of this medication (32). Medicare paid an average of $3,127.89 per fill, versus $2,897.19 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX 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. 79 30-Day Fills standardized to 30-day supplies 2,370 Days of Medication total across all patients in 2023 | |||
| Lactulose | 71 | $81.45 | ▲ More than typical |
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 71 Medicare prescriptions for Lactulose, about 2.4 times the volume of the typical Texas prescriber of this medication (30). Medicare paid an average of $81.45 per fill, versus $35.40 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX 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. 85 30-Day Fills standardized to 30-day supplies 1,860 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 60 | $30.28 | ▲ More than typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 60 Medicare prescriptions for Spironolactone, about 1.5 times the volume of the typical Texas prescriber of this medication (40). Medicare paid an average of $30.28 per fill, versus $14.33 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TX 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. 158.9 30-Day Fills standardized to 30-day supplies 4,767 Days of Medication total across all patients in 2023 | |||
| Furosemide | 35 | $7.63 | ▼ Less than typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 35 Medicare prescriptions for Furosemide, about half the volume of the typical Texas prescriber of this medication (78). Medicare paid an average of $7.63 per fill, versus $6.45 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX 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. 90.8 30-Day Fills standardized to 30-day supplies 2,725 Days of Medication total across all patients in 2023 | |||
| Ursodiol | 26 | $267.94 | ≈ Typical |
About Ursodiol: Ursodiol is used to dissolve certain types of gallstones, to prevent gallstones from forming in obese patients who are losing weight rapidly, and to treat a certain type of liver disease (primary biliary cholangitis). Show more ▾ Ursodiol is a bile acid. A penicillin derivative commonly used in the form of its sodium or potassium salts in the treatment of a variety of infections. It is effective against most gram-positive bacteria and against gram-negative cocci. It has also been used as an experimental convulsant because of its actions on GAMMA-AMINOBUTYRIC ACID mediated synaptic transmission. In 2023, this provider wrote 26 Medicare prescriptions for Ursodiol, about 87% of the volume of the typical Texas prescriber of this medication (30). Medicare paid an average of $267.94 per fill, versus $251.19 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TX prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 72.7 30-Day Fills standardized to 30-day supplies 2,180 Days of Medication total across all patients in 2023 | |||
| ConstuloseLactulose | 15 | $49.30 | ▼ Less than typical |
About Constulose: 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 15 Medicare prescriptions for Constulose, about 71% of the volume of the typical Texas prescriber of this medication (21). Medicare paid an average of $49.30 per fill, versus $25.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX 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. 15.7 30-Day Fills standardized to 30-day supplies 373 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl | 14 | $22.44▼ below TX avg | ▼ 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 14 Medicare prescriptions for Propranolol Hcl, about 61% of the volume of the typical Texas prescriber of this medication (23). Medicare paid an average of $22.44 per fill, versus $27.32 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TX 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 TX average for this medication. 31.5 30-Day Fills standardized to 30-day supplies 945 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for SARAH E LAPEY 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 Internal Medicine prescribing approach at this San Antonio, TX 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 TX prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
