DR. ROY R CASIANO MD
Prescription History 1659397321
Otolaryngology in Miami, FL
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. ROY R CASIANO MD, an active Otolaryngology specialist practicing in Miami, FL. Our medical registry currently tracks 10 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 282 documented patient claims. Among these therapy options, the most frequently utilized medication is Fluticasone Propionate, which accounts for 57 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 FL PrescribersVs. FL Avg |
|---|---|---|---|
| Fluticasone Propionate | 57 | $21.99 | ≈ Typical |
About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾ Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2023, this provider wrote 57 Medicare prescriptions for Fluticasone Propionate, about 88% of the volume of the typical Florida prescriber of this medication (65). Medicare paid an average of $21.99 per fill, versus $16.43 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average FL 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. 117 30-Day Fills standardized to 30-day supplies 3,510 Days of Medication total across all patients in 2023 | |||
| Prednisone | 56 | $5.82▼ below FL avg | ≈ Typical |
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 56 Medicare prescriptions for Prednisone, about the same volume as the typical Florida prescriber of this medication (51). Medicare paid an average of $5.82 per fill, versus $6.71 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average FL 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 FL average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,047 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 39 | $2.78▼ below FL avg | ▼ Less than typical |
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 39 Medicare prescriptions for Meloxicam, about 67% of the volume of the typical Florida prescriber of this medication (58). Medicare paid an average of $2.78 per fill, versus $6.18 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 39 30-Day Fills standardized to 30-day supplies 574 Days of Medication total across all patients in 2023 | |||
| Levofloxacin | 29 | $5.65▼ below FL avg | ≈ Typical |
About Levofloxacin: This medication is used to treat a variety of bacterial infections. Show more ▾ Levofloxacin belongs to a class of drugs known as quinolone antibiotics. It works by stopping the growth of bacteria. Levofloxacin injection is used if you cannot take the medication by mouth. 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. The L-isomer of Ofloxacin. In 2023, this provider wrote 29 Medicare prescriptions for Levofloxacin, about the same volume as the typical Florida prescriber of this medication (26). Medicare paid an average of $5.65 per fill, versus $8.89 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average FL 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 FL average for this medication. 29 30-Day Fills standardized to 30-day supplies 389 Days of Medication total across all patients in 2023 | |||
| Ipratropium Bromide | 28 | $42.60▼ below FL avg | ▼ Less than typical |
About Ipratropium Bromide: Ipratropium is used to control and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾ It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. For preventing symptoms of lung disease, this medication must be used regularly to be effective. Use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) for wheezing or sudden shortness of breath unless otherwise directed by your doctor. Ipratropium does not work as fast as your quick-relief inhaler, but may sometimes be used to relieve symptoms of wheezing or sudden shortness of breath if so prescribed by your doctor. A muscarinic antagonist structurally related to ATROPINE but often considered safer and more effective for inhalation use. It is used for various bronchial disorders, in rhinitis, and as an antiarrhythmic. In 2023, this provider wrote 28 Medicare prescriptions for Ipratropium Bromide, about 65% of the volume of the typical Florida prescriber of this medication (43). Medicare paid an average of $42.60 per fill, versus $51.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 FL average for this medication. 45.9 30-Day Fills standardized to 30-day supplies 1,295 Days of Medication total across all patients in 2023 | |||
| Ciprofloxacin Hcl | 20 | $10.46 | ▼ Less than typical |
About Ciprofloxacin Hcl: This medication is used to treat eye infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It 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 overuse of any antibiotic can lead to its decreased effectiveness. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2023, this provider wrote 20 Medicare prescriptions for Ciprofloxacin Hcl, about half the volume of the typical Florida prescriber of this medication (35). Medicare paid an average of $10.46 per fill, versus $8.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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 292 Days of Medication total across all patients in 2023 | |||
| Mupirocin | 17 | $42.57 | ▼ Less than typical |
About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾ It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing. In 2023, this provider wrote 17 Medicare prescriptions for Mupirocin, about a third of the volume of the typical Florida prescriber of this medication (42). Medicare paid an average of $42.57 per fill, versus $10.02 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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. 17 30-Day Fills standardized to 30-day supplies 470 Days of Medication total across all patients in 2023 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $6.84 | ▼ Less than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS. In 2023, this provider wrote 13 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about half the volume of the typical Florida prescriber of this medication (28). Medicare paid an average of $6.84 per fill, versus $5.70 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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. 13 30-Day Fills standardized to 30-day supplies 177 Days of Medication total across all patients in 2023 | |||
| Doxycycline Hyclate | 12 | $28.95 | ▼ Less than typical |
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 12 Medicare prescriptions for Doxycycline Hyclate, about a third of the volume of the typical Florida prescriber of this medication (34). Medicare paid an average of $28.95 per fill, versus $24.49 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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. 12 30-Day Fills standardized to 30-day supplies 213 Days of Medication total across all patients in 2023 | |||
| Azelastine Hcl | 11 | $60.68 | ▼ Less than typical |
About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾ Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms. In 2023, this provider wrote 11 Medicare prescriptions for Azelastine Hcl, about a quarter of the volume of the typical Florida prescriber of this medication (43). Medicare paid an average of $60.68 per fill, versus $45.93 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average FL 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. 13 30-Day Fills standardized to 30-day supplies 370 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for DR. ROY R CASIANO MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Otolaryngology prescribing approach at this Miami, FL 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 FL prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
