DR. GERALD DEAN NATZKE JR. DO
Prescription History 1649239708
General Practice in Flint, MI

Active since March 18, 2006Opted out of Medicare · through Jan 1, 2028
2284 S BALLENGER HWY, SUITE H, FLINT, MI 48503(810) 233-5211(810) 233-5740 Get Directions

NPPES record last updated: October 25, 2007. 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 DR. GERALD DEAN NATZKE JR. DO, an active General Practice specialist practicing in Flint, MI. Our medical registry currently tracks 28 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 710 documented patient claims. Among these therapy options, the most frequently utilized medication is Np Thyroid, which accounts for 140 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.

28
Medications
710
Total Claims
1,359
30-Day Fills
Np Thyroid
Most Prescribed · 140 claims
View details
28 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by DR. GERALD DEAN NATZKE JR. DO in 2023, with prescription volumes, average cost per fill, and MI state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other MI PrescribersVs. MI Avg

About Np Thyroid: Thyroid hormone is used to treat underactive thyroid (hypothyroidism). Show more ▾

It is a natural product made from animal thyroid glands (usually a pig's). 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 certain types of goiters, thyroid cancer) and also to test for thyroid function. This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist.

In 2023, this provider wrote 140 Medicare prescriptions for Np Thyroid, about 4.5 times the volume of the typical Michigan prescriber of this medication (31). Medicare paid an average of $139.02 per fill, versus $60.41 statewide.

How often this provider prescribes it

This provider
140
MI average
31.0

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

What Medicare paid per fill

This provider
$139.02
MI average
$60.41

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

311
30-Day Fills
standardized to 30-day supplies
9,210
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 66 Medicare prescriptions for Azithromycin, about 1.9 times the volume of the typical Michigan prescriber of this medication (35). Medicare paid an average of $16.29 per fill, versus $7.93 statewide.

How often this provider prescribes it

This provider
66
MI average
35.0

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

What Medicare paid per fill

This provider
$16.29
MI average
$7.93

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

132.5
30-Day Fills
standardized to 30-day supplies
3,678
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 60 Medicare prescriptions for Amlodipine Besylate, about half the volume of the typical Michigan prescriber of this medication (130). Medicare paid an average of $10.31 per fill, versus $8.17 statewide.

How often this provider prescribes it

This provider
60
MI average
130.0

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

What Medicare paid per fill

This provider
$10.31
MI average
$8.17

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

124.3
30-Day Fills
standardized to 30-day supplies
3,728
Days of Medication
total across all patients in 2023

About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾

This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. 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. A synthetic tetracycline derivative with similar antimicrobial activity.

In 2023, this provider wrote 38 Medicare prescriptions for Doxycycline Hyclate, about 1.4 times the volume of the typical Michigan prescriber of this medication (27). Medicare paid an average of $16.31 per fill, versus $19.36 statewide.

How often this provider prescribes it

This provider
38
MI average
27.0

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

What Medicare paid per fill

This provider
$16.31
MI average
$19.36

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

38
30-Day Fills
standardized to 30-day supplies
905
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 30 Medicare prescriptions for Lisinopril, about a quarter of the volume of the typical Michigan prescriber of this medication (125). Medicare paid an average of $7.35 per fill, versus $9.00 statewide.

How often this provider prescribes it

This provider
30
MI average
125.0

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

What Medicare paid per fill

This provider
$7.35
MI average
$9.00

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

82
30-Day Fills
standardized to 30-day supplies
2,460
Days of Medication
total across all patients in 2023

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 25 Medicare prescriptions for Metoprolol Tartrate, about a third of the volume of the typical Michigan prescriber of this medication (72). Medicare paid an average of $7.58 per fill, versus $8.40 statewide.

How often this provider prescribes it

This provider
25
MI average
72.0

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

What Medicare paid per fill

This provider
$7.58
MI average
$8.40

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

69
30-Day Fills
standardized to 30-day supplies
2,070
Days of Medication
total across all patients in 2023

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 25 Medicare prescriptions for Eliquis, about a third of the volume of the typical Michigan prescriber of this medication (76). Medicare paid an average of $1,043.69 per fill, versus $879.34 statewide.

How often this provider prescribes it

This provider
25
MI average
76.0

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

What Medicare paid per fill

This provider
$1,043.69
MI average
$879.34

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

50
30-Day Fills
standardized to 30-day supplies
1,500
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 23 Medicare prescriptions for Carvedilol, about a third of the volume of the typical Michigan prescriber of this medication (59). Medicare paid an average of $13.95 per fill, versus $12.35 statewide.

How often this provider prescribes it

This provider
23
MI average
59.0

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

What Medicare paid per fill

This provider
$13.95
MI average
$12.35

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

59
30-Day Fills
standardized to 30-day supplies
1,747
Days of Medication
total across all patients in 2023

About Minocycline Hcl: This medication is used to treat acne or rosacea. Show more ▾

Minocycline belongs to a class of drugs known as tetracycline antibiotics. However, it is not used to treat skin infections. It helps decrease pimples and red bumps that happen with acne or rosacea. A TETRACYCLINE analog, having a 7-dimethylamino and lacking the 5 methyl and hydroxyl groups, which is effective against tetracycline-resistant STAPHYLOCOCCUS infections.

In 2023, this provider wrote 21 Medicare prescriptions for Minocycline Hcl, about 68% of the volume of the typical Michigan prescriber of this medication (31). Medicare paid an average of $22.10 per fill, versus $36.67 statewide.

How often this provider prescribes it

This provider
21
MI average
31.0

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

What Medicare paid per fill

This provider
$22.10
MI average
$36.67

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

21
30-Day Fills
standardized to 30-day supplies
435
Days of Medication
total across all patients in 2023

About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾

It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent.

In 2023, this provider wrote 20 Medicare prescriptions for Temazepam, about the same volume as the typical Michigan prescriber of this medication (22). Medicare paid an average of $3.66 per fill, versus $15.98 statewide.

How often this provider prescribes it

This provider
20
MI average
22.0

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

What Medicare paid per fill

This provider
$3.66
MI average
$15.98

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

22
30-Day Fills
standardized to 30-day supplies
660
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 20 Medicare prescriptions for Montelukast Sodium, about a third of the volume of the typical Michigan prescriber of this medication (50). Medicare paid an average of $17.04 per fill, versus $19.21 statewide.

How often this provider prescribes it

This provider
20
MI average
50.0

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

What Medicare paid per fill

This provider
$17.04
MI average
$19.21

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

46
30-Day Fills
standardized to 30-day supplies
1,380
Days of Medication
total across all patients in 2023

About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾

If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA.

In 2023, this provider wrote 20 Medicare prescriptions for Zolpidem Tartrate, about half the volume of the typical Michigan prescriber of this medication (35). Medicare paid an average of $3.58 per fill, versus $7.52 statewide.

How often this provider prescribes it

This provider
20
MI average
35.0

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

What Medicare paid per fill

This provider
$3.58
MI average
$7.52

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

20
30-Day Fills
standardized to 30-day supplies
600
Days of Medication
total across all patients in 2023

About Zaleplon: This medication is used for a short time to treat people who have trouble falling asleep. Show more ▾

If you have other sleep problems such as not being able to sleep through the night, this medication may not be right for you. Zaleplon is known as a hypnotic. It works on certain centers in the brain to relax you and help you fall asleep faster.

In 2023, this provider wrote 19 Medicare prescriptions for Zaleplon, about 1.2 times the volume of the typical Michigan prescriber of this medication (16). Medicare paid an average of $10.60 per fill, versus $26.11 statewide.

How often this provider prescribes it

This provider
19
MI average
16.0

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

What Medicare paid per fill

This provider
$10.60
MI average
$26.11

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

23
30-Day Fills
standardized to 30-day supplies
690
Days of Medication
total across all patients in 2023

About Terazosin Hcl: Terazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Terazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of 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 frequently or urgently (including during the middle of the night). Terazosin belongs to a class of drugs known as alpha blockers.

In 2023, this provider wrote 17 Medicare prescriptions for Terazosin Hcl, about 74% of the volume of the typical Michigan prescriber of this medication (23). Medicare paid an average of $20.61 per fill, versus $22.48 statewide.

How often this provider prescribes it

This provider
17
MI average
23.0

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

What Medicare paid per fill

This provider
$20.61
MI average
$22.48

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

45
30-Day Fills
standardized to 30-day supplies
1,350
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 15 Medicare prescriptions for Levothyroxine Sodium, about 11% of the volume of the typical Michigan prescriber of this medication (139). Medicare paid an average of $8.02 per fill, versus $18.37 statewide.

How often this provider prescribes it

This provider
15
MI average
139.0

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

What Medicare paid per fill

This provider
$8.02
MI average
$18.37

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

35
30-Day Fills
standardized to 30-day supplies
1,050
Days of Medication
total across all patients in 2023

About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in patients with type 2 diabetes. 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. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)

In 2023, this provider wrote 15 Medicare prescriptions for Metformin Hcl Er, about a third of the volume of the typical Michigan prescriber of this medication (43). Medicare paid an average of $6.03 per fill, versus $15.69 statewide.

How often this provider prescribes it

This provider
15
MI average
43.0

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

What Medicare paid per fill

This provider
$6.03
MI average
$15.69

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

45
30-Day Fills
standardized to 30-day supplies
1,350
Days of Medication
total across all patients in 2023

About Hydroxyzine Pamoate: Hydroxyzine is used to treat itching caused by allergies. Show more ▾

It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative.

In 2023, this provider wrote 15 Medicare prescriptions for Hydroxyzine Pamoate, about half the volume of the typical Michigan prescriber of this medication (33). Medicare paid an average of $7.83 per fill, versus $12.77 statewide.

How often this provider prescribes it

This provider
15
MI average
33.0

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

What Medicare paid per fill

This provider
$7.83
MI average
$12.77

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

15
30-Day Fills
standardized to 30-day supplies
187
Days of Medication
total across all patients in 2023

About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾

Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.

In 2023, this provider wrote 15 Medicare prescriptions for Prednisone, about a third of the volume of the typical Michigan prescriber of this medication (44). Medicare paid an average of $2.63 per fill, versus $5.76 statewide.

How often this provider prescribes it

This provider
15
MI average
44.0

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

What Medicare paid per fill

This provider
$2.63
MI average
$5.76

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

18
30-Day Fills
standardized to 30-day supplies
274
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 15 Medicare prescriptions for Tamsulosin Hcl, about 19% of the volume of the typical Michigan prescriber of this medication (80). Medicare paid an average of $32.56 per fill, versus $21.55 statewide.

How often this provider prescribes it

This provider
15
MI average
80.0

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

What Medicare paid per fill

This provider
$32.56
MI average
$21.55

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

41
30-Day Fills
standardized to 30-day supplies
1,230
Days of Medication
total across all patients in 2023

About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾

It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery.

In 2023, this provider wrote 14 Medicare prescriptions for Hydroxyzine Hcl, about half the volume of the typical Michigan prescriber of this medication (27). Medicare paid an average of $11.84 per fill, versus $19.26 statewide.

How often this provider prescribes it

This provider
14
MI average
27.0

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

What Medicare paid per fill

This provider
$11.84
MI average
$19.26

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

16
30-Day Fills
standardized to 30-day supplies
200
Days of Medication
total across all patients in 2023

About Imipramine Hcl: This medication is used to treat depression. Show more ▾

It is also used with other therapies for the treatment of nighttime bed-wetting (enuresis) in children. Using this medication to treat depression may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. Imipramine can help your child control nighttime bed-wetting. Imipramine belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain natural substances (neurotransmitters such as norepinephrine) in the brain. For bed-wetting, this medication may work by blocking the effect of a certain natural substance (acetylcholine) on the bladder.

In 2023, this provider wrote 13 Medicare prescriptions for Imipramine Hcl, about 72% of the volume of the typical Michigan prescriber of this medication (18). Medicare paid an average of $20.59 per fill, versus $18.64 statewide.

How often this provider prescribes it

This provider
13
MI average
18.0

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

What Medicare paid per fill

This provider
$20.59
MI average
$18.64

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

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

About Telmisartan: This medication is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Telmisartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. A biphenyl compound and benzimidazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION.

In 2023, this provider wrote 13 Medicare prescriptions for Telmisartan, about half the volume of the typical Michigan prescriber of this medication (26). Medicare paid an average of $76.29 per fill, versus $55.46 statewide.

How often this provider prescribes it

This provider
13
MI average
26.0

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

What Medicare paid per fill

This provider
$76.29
MI average
$55.46

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

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

About Estradiol (Twice Weekly): This medication is a female hormone (estrogen). Show more ▾

It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids.

In 2023, this provider wrote 13 Medicare prescriptions for Estradiol (Twice Weekly), about half the volume of the typical Michigan prescriber of this medication (23). Medicare paid an average of $97.15 per fill, versus $133.61 statewide.

How often this provider prescribes it

This provider
13
MI average
23.0

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

What Medicare paid per fill

This provider
$97.15
MI average
$133.61

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

20.6
30-Day Fills
standardized to 30-day supplies
600
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 12 Medicare prescriptions for Famotidine, about a third of the volume of the typical Michigan prescriber of this medication (30). Medicare paid an average of $15.13 per fill, versus $10.23 statewide.

How often this provider prescribes it

This provider
12
MI average
30.0

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

What Medicare paid per fill

This provider
$15.13
MI average
$10.23

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 Belsomra: This medication is used to treat a certain sleep problem (insomnia). Show more ▾

It may help you fall asleep and stay asleep longer, so you can get a better night's rest. Suvorexant belongs to a class of drugs known as sedative-hypnotics. If your insomnia continues for longer than 7 to 10 days after starting treatment, talk to your doctor to see if you need other treatment.

In 2023, this provider wrote 12 Medicare prescriptions for Belsomra, about 71% of the volume of the typical Michigan prescriber of this medication (17). Medicare paid an average of $422.25 per fill, versus $444.87 statewide.

How often this provider prescribes it

This provider
12
MI average
17.0

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

What Medicare paid per fill

This provider
$422.25
MI average
$444.87

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

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

About Desvenlafaxine Succinate Er: Desvenlafaxine is used to treat depression. Show more ▾

It may improve your mood, feelings of well-being, and energy level. Desvenlafaxine 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. A cyclohexanol and phenol derivative and metabolite of venlafaxine that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT.

In 2023, this provider wrote 12 Medicare prescriptions for Desvenlafaxine Succinate Er, about half the volume of the typical Michigan prescriber of this medication (27). Medicare paid an average of $40.25 per fill, versus $100.36 statewide.

How often this provider prescribes it

This provider
12
MI average
27.0

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

What Medicare paid per fill

This provider
$40.25
MI average
$100.36

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

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

About Armour Thyroid: Thyroid hormone is used to treat underactive thyroid (hypothyroidism). Show more ▾

It is a natural product made from animal thyroid glands (usually a pig's). 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 certain types of goiters, thyroid cancer) and also to test for thyroid function. This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist.

In 2023, this provider wrote 11 Medicare prescriptions for Armour Thyroid, about half the volume of the typical Michigan prescriber of this medication (25). Medicare paid an average of $81.09 per fill, versus $80.63 statewide.

How often this provider prescribes it

This provider
11
MI average
25.0

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

What Medicare paid per fill

This provider
$81.09
MI average
$80.63

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

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

About Tirosint: 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 11 Medicare prescriptions for Tirosint, about 73% of the volume of the typical Michigan prescriber of this medication (15). Medicare paid an average of $301.58 per fill, versus $258.87 statewide.

How often this provider prescribes it

This provider
11
MI average
15.0

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

What Medicare paid per fill

This provider
$301.58
MI average
$258.87

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

27
30-Day Fills
standardized to 30-day supplies
810
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 MI prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MI average cost per fill.

About this data. The prescription history for DR. GERALD DEAN NATZKE JR. DO 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 General Practice prescribing approach at this Flint, MI 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 MI prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.