DR. ROBERT N. PIANA M.D.
Prescription History 1629068556
Internal Medicine - Interventional Cardiology in Nashville, TN
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. ROBERT N. PIANA M.D., an active Interventional Cardiology specialist practicing in Nashville, TN. Our medical registry currently tracks 33 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,628 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 178 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 TN PrescribersVs. TN Avg |
|---|---|---|---|
| Atorvastatin Calcium | 178 | $14.78 | ≈ Typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 178 Medicare prescriptions for Atorvastatin Calcium, about the same volume as the typical Tennessee prescriber of this medication (172). Medicare paid an average of $14.78 per fill, versus $12.09 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN 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. 504 30-Day Fills standardized to 30-day supplies 15,120 Days of Medication total across all patients in 2023 | |||
| Repatha SureclickEvolocumab | 136 | $788.40 | ▲ More than typical |
About Repatha Sureclick: Evolocumab is used along with a proper diet to help lower bad cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as statin drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to help prevent heart attacks and strokes. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. 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. In 2023, this provider wrote 136 Medicare prescriptions for Repatha Sureclick, about 3.4 times the volume of the typical Tennessee prescriber of this medication (40). Medicare paid an average of $788.40 per fill, versus $763.39 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN 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. 175.8 30-Day Fills standardized to 30-day supplies 5,047 Days of Medication total across all patients in 2023 | |||
| Metoprolol Succinate | 96 | $20.06 | ≈ Typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 96 Medicare prescriptions for Metoprolol Succinate, about the same volume as the typical Tennessee prescriber of this medication (88). Medicare paid an average of $20.06 per fill, versus $19.20 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN 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. 269.9 30-Day Fills standardized to 30-day supplies 8,070 Days of Medication total across all patients in 2023 | |||
| ClopidogrelClopidogrel Bisulfate | 93 | $17.16 | ▲ More than typical |
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 93 Medicare prescriptions for Clopidogrel, about 1.3 times the volume of the typical Tennessee prescriber of this medication (70). Medicare paid an average of $17.16 per fill, versus $15.37 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN 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. 271.2 30-Day Fills standardized to 30-day supplies 8,116 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 81 | $9.57 | ▼ Less than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 81 Medicare prescriptions for Lisinopril, about 65% of the volume of the typical Tennessee prescriber of this medication (124). Medicare paid an average of $9.57 per fill, versus $6.78 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 216.1 30-Day Fills standardized to 30-day supplies 6,482 Days of Medication total across all patients in 2023 | |||
| EliquisApixaban | 80 | $1,294.27 | ≈ Typical |
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 80 Medicare prescriptions for Eliquis, about the same volume as the typical Tennessee prescriber of this medication (88). Medicare paid an average of $1,294.27 per fill, versus $749.99 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN 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. 185 30-Day Fills standardized to 30-day supplies 5,548 Days of Medication total across all patients in 2023 | |||
| Carvedilol | 79 | $11.22 | ≈ Typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 79 Medicare prescriptions for Carvedilol, about the same volume as the typical Tennessee prescriber of this medication (77). Medicare paid an average of $11.22 per fill, versus $10.38 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN 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. 218.2 30-Day Fills standardized to 30-day supplies 6,405 Days of Medication total across all patients in 2023 | |||
| Losartan Potassium | 74 | $10.64▼ below TN avg | ▼ Less than typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 74 Medicare prescriptions for Losartan Potassium, about 69% of the volume of the typical Tennessee prescriber of this medication (108). Medicare paid an average of $10.64 per fill, versus $11.78 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 207.6 30-Day Fills standardized to 30-day supplies 6,229 Days of Medication total across all patients in 2023 | |||
| Furosemide | 61 | $6.35 | ▼ 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 61 Medicare prescriptions for Furosemide, about 62% of the volume of the typical Tennessee prescriber of this medication (99). Medicare paid an average of $6.35 per fill, versus $5.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 179.5 30-Day Fills standardized to 30-day supplies 5,385 Days of Medication total across all patients in 2023 | |||
| Metoprolol Tartrate | 59 | $8.65 | ▼ Less than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 59 Medicare prescriptions for Metoprolol Tartrate, about 66% of the volume of the typical Tennessee prescriber of this medication (89). Medicare paid an average of $8.65 per fill, versus $7.48 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 166.8 30-Day Fills standardized to 30-day supplies 4,952 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 59 | $12.42 | ▼ Less than typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 59 Medicare prescriptions for Amlodipine Besylate, about a third of the volume of the typical Tennessee prescriber of this medication (146). Medicare paid an average of $12.42 per fill, versus $6.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 177 30-Day Fills standardized to 30-day supplies 5,310 Days of Medication total across all patients in 2023 | |||
| Nitroglycerin | 56 | $15.35▼ below TN avg | ▲ More than typical |
About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2023, this provider wrote 56 Medicare prescriptions for Nitroglycerin, about 1.7 times the volume of the typical Tennessee prescriber of this medication (33). Medicare paid an average of $15.35 per fill, versus $21.15 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN 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 TN average for this medication. 70 30-Day Fills standardized to 30-day supplies 1,523 Days of Medication total across all patients in 2023 | |||
| Hydrochlorothiazide | 54 | $3.68▼ below TN avg | ▼ Less than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 54 Medicare prescriptions for Hydrochlorothiazide, about 69% of the volume of the typical Tennessee prescriber of this medication (78). Medicare paid an average of $3.68 per fill, versus $4.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 144 30-Day Fills standardized to 30-day supplies 4,293 Days of Medication total across all patients in 2023 | |||
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 53 | $23.20 | ≈ Typical |
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. In 2023, this provider wrote 53 Medicare prescriptions for Isosorbide Mononitrate Er, about the same volume as the typical Tennessee prescriber of this medication (48). Medicare paid an average of $23.20 per fill, versus $17.22 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN 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. 150.8 30-Day Fills standardized to 30-day supplies 4,500 Days of Medication total across all patients in 2023 | |||
| Rosuvastatin Calcium | 50 | $23.59 | ▼ Less than typical |
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 50 Medicare prescriptions for Rosuvastatin Calcium, about half the volume of the typical Tennessee prescriber of this medication (101). Medicare paid an average of $23.59 per fill, versus $20.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 148 30-Day Fills standardized to 30-day supplies 4,440 Days of Medication total across all patients in 2023 | |||
| XareltoRivaroxaban | 45 | $1,028.87 | ≈ Typical |
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 45 Medicare prescriptions for Xarelto, about the same volume as the typical Tennessee prescriber of this medication (46). Medicare paid an average of $1,028.87 per fill, versus $824.97 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 81 30-Day Fills standardized to 30-day supplies 2,415 Days of Medication total across all patients in 2023 | |||
| Ezetimibe | 37 | $34.33▼ below TN avg | ≈ Typical |
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 37 Medicare prescriptions for Ezetimibe, about 88% of the volume of the typical Tennessee prescriber of this medication (42). Medicare paid an average of $34.33 per fill, versus $47.08 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN 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 TN average for this medication. 97 30-Day Fills standardized to 30-day supplies 2,910 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 35 | $10.01▼ below TN avg | ▼ Less 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 35 Medicare prescriptions for Spironolactone, about 74% of the volume of the typical Tennessee prescriber of this medication (47). Medicare paid an average of $10.01 per fill, versus $13.20 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 93.1 30-Day Fills standardized to 30-day supplies 2,749 Days of Medication total across all patients in 2023 | |||
| EntrestoSacubitril/Valsartan | 32 | $1,706.15 | ▼ Less than typical |
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. In 2023, this provider wrote 32 Medicare prescriptions for Entresto, about half the volume of the typical Tennessee prescriber of this medication (56). Medicare paid an average of $1,706.15 per fill, versus $945.83 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 76 30-Day Fills standardized to 30-day supplies 2,280 Days of Medication total across all patients in 2023 | |||
| Pravastatin Sodium | 31 | $23.73 | ▼ Less than typical |
About Pravastatin Sodium: Pravastatin 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. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 31 Medicare prescriptions for Pravastatin Sodium, about half the volume of the typical Tennessee prescriber of this medication (62). Medicare paid an average of $23.73 per fill, versus $16.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 88 30-Day Fills standardized to 30-day supplies 2,640 Days of Medication total across all patients in 2023 | |||
| Potassium Chloride | 30 | $20.86▼ below TN avg | ▼ Less than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 30 Medicare prescriptions for Potassium Chloride, about a third of the volume of the typical Tennessee prescriber of this medication (82). Medicare paid an average of $20.86 per fill, versus $26.21 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 85.9 30-Day Fills standardized to 30-day supplies 2,577 Days of Medication total across all patients in 2023 | |||
| Chlorthalidone | 28 | $14.85▼ below TN avg | ≈ Typical |
About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a water pill (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic. In 2023, this provider wrote 28 Medicare prescriptions for Chlorthalidone, about the same volume as the typical Tennessee prescriber of this medication (31). Medicare paid an average of $14.85 per fill, versus $27.65 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN 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 TN average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,800 Days of Medication total across all patients in 2023 | |||
| Warfarin Sodium | 27 | $38.20 | ▼ Less than typical |
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 27 Medicare prescriptions for Warfarin Sodium, about 66% of the volume of the typical Tennessee prescriber of this medication (41). Medicare paid an average of $38.20 per fill, versus $11.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 76.7 30-Day Fills standardized to 30-day supplies 2,302 Days of Medication total across all patients in 2023 | |||
| Ranolazine ErRanolazine | 23 | $159.69 | ▼ Less than typical |
About Ranolazine Er: Ranolazine is used to treat a certain type of chest pain (chronic angina). Show more ▾ It decreases how often you may get chest pain and may help to increase your ability to exercise. Ranolazine works differently than other drugs for angina, so it can be used with your other angina medications (including nitrates, calcium channel blockers such as amlodipine, beta blockers such as metoprolol). It is thought to work by improving how well the heart uses oxygen so that it can do more work with less oxygen. An acetanilide and piperazine derivative that functions as a SODIUM CHANNEL BLOCKER and prevents the release of enzymes during MYOCARDIAL ISCHEMIA. It is used in the treatment of ANGINA PECTORIS. In 2023, this provider wrote 23 Medicare prescriptions for Ranolazine Er, about 62% of the volume of the typical Tennessee prescriber of this medication (37). Medicare paid an average of $159.69 per fill, versus $149.16 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 66 30-Day Fills standardized to 30-day supplies 1,980 Days of Medication total across all patients in 2023 | |||
| Prasugrel Hcl | 20 | $64.22▼ below TN avg | ▼ Less than typical |
About Prasugrel Hcl: Prasugrel is used with aspirin by patients with heart disease (recent heart attack, unstable angina) who undergo a certain heart procedure (angioplasty). Show more ▾ This medication helps to prevent other serious heart/blood vessel problems (such as heart attacks, strokes, blood clots in stents). It works by blocking platelets from sticking together and prevents them from forming harmful blood clots. This anti-platelet effect helps to keep blood flowing smoothly in your body. A piperazine derivative and PLATELET AGGREGATION INHIBITOR that is used to prevent THROMBOSIS in patients with ACUTE CORONARY SYNDROME; UNSTABLE ANGINA and MYOCARDIAL INFARCTION, as well as in those undergoing PERCUTANEOUS CORONARY INTERVENTIONS. In 2023, this provider wrote 20 Medicare prescriptions for Prasugrel Hcl, about 74% of the volume of the typical Tennessee prescriber of this medication (27). Medicare paid an average of $64.22 per fill, versus $113.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2023 | |||
| Atenolol | 18 | $19.84 | ▼ Less than typical |
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 18 Medicare prescriptions for Atenolol, about half the volume of the typical Tennessee prescriber of this medication (42). Medicare paid an average of $19.84 per fill, versus $9.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023 | |||
| Nifedipine ErNifedipine | 17 | $43.01▼ below TN avg | ▼ Less than typical |
About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾ It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2023, this provider wrote 17 Medicare prescriptions for Nifedipine Er, about half the volume of the typical Tennessee prescriber of this medication (29). Medicare paid an average of $43.01 per fill, versus $49.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 51 30-Day Fills standardized to 30-day supplies 1,530 Days of Medication total across all patients in 2023 | |||
| Simvastatin | 15 | $12.92 | ▼ Less than typical |
About Simvastatin: Simvastatin 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 derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 15 Medicare prescriptions for Simvastatin, about 19% of the volume of the typical Tennessee prescriber of this medication (79). Medicare paid an average of $12.92 per fill, versus $8.02 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023 | |||
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 14 | $35.47▼ below TN avg | ▼ Less than typical |
About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 14 Medicare prescriptions for Diltiazem 24hr Er (Cd), about a third of the volume of the typical Tennessee prescriber of this medication (36). Medicare paid an average of $35.47 per fill, versus $38.83 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023 | |||
| Praluent PenAlirocumab | 13 | $702.73▼ below TN avg | ▼ Less than typical |
About Praluent Pen: Alirocumab is used by people who have blockage in the heart blood vessels to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. Show more ▾ It is also used by people who have an inherited condition that causes high levels of LDL. Treatment with alirocumab, a proper diet, and cholesterol-lowering drugs can help lower bad cholesterol (LDL) in the blood. Alirocumab belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. 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. In 2023, this provider wrote 13 Medicare prescriptions for Praluent Pen, about a third of the volume of the typical Tennessee prescriber of this medication (31). Medicare paid an average of $702.73 per fill, versus $707.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 16.6 30-Day Fills standardized to 30-day supplies 476 Days of Medication total across all patients in 2023 | |||
| Torsemide | 12 | $24.49 | ▼ Less than typical |
About Torsemide: Torsemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2023, this provider wrote 12 Medicare prescriptions for Torsemide, about a third of the volume of the typical Tennessee prescriber of this medication (34). Medicare paid an average of $24.49 per fill, versus $23.11 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2023 | |||
| Ramipril | 11 | $31.72 | ▼ Less than typical |
About Ramipril: Ramipril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Ramipril is also used to improve survival after a heart attack. It may also be used in high risk patients (such as patients with heart disease/diabetes) to help prevent heart attacks and strokes. This medication may also be used to treat heart failure in patients who have had a recent heart attack. Ramipril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. A long-acting angiotensin-converting enzyme inhibitor. It is a prodrug that is transformed in the liver to its active metabolite ramiprilat. In 2023, this provider wrote 11 Medicare prescriptions for Ramipril, about half the volume of the typical Tennessee prescriber of this medication (26). Medicare paid an average of $31.72 per fill, versus $12.69 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
| Flecainide Acetate | 11 | $8.75▼ below TN avg | ▼ Less than typical |
About Flecainide Acetate: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as sustained ventricular tachycardia and paroxysmal supraventricular tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. It is also used to prevent certain types of irregular heartbeat from returning (such as atrial fibrillation). Flecainide is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other effective and possibly safer treatments. A potent anti-arrhythmia agent, effective in a wide range of ventricular and atrial ARRHYTHMIAS and TACHYCARDIAS. In 2023, this provider wrote 11 Medicare prescriptions for Flecainide Acetate, about a quarter of the volume of the typical Tennessee prescriber of this medication (48). Medicare paid an average of $8.75 per fill, versus $63.78 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for DR. ROBERT N. PIANA 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 Interventional Cardiology prescribing approach at this Nashville, TN 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 TN prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
