JOSEPH HEJKAL
Prescription History 1659613321
Internal Medicine - Geriatric Medicine in Omaha, NE
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JOSEPH HEJKAL, an active Geriatric Medicine specialist practicing in Omaha, NE. Our medical registry currently tracks 69 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,395 documented patient claims. Among these therapy options, the most frequently utilized medication is Levothyroxine Sodium, which accounts for 145 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 NE PrescribersVs. NE Avg |
|---|---|---|---|
| Levothyroxine Sodium | 145 | $12.87▼ below NE avg | ≈ Typical |
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 145 Medicare prescriptions for Levothyroxine Sodium, about 85% of the volume of the typical Nebraska prescriber of this medication (170). Medicare paid an average of $12.87 per fill, versus $14.60 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 254.6 30-Day Fills standardized to 30-day supplies 7,495 Days of Medication total across all patients in 2023 | |||
| Atorvastatin Calcium | 131 | $15.59 | ▼ Less than 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 131 Medicare prescriptions for Atorvastatin Calcium, about 73% of the volume of the typical Nebraska prescriber of this medication (179). Medicare paid an average of $15.59 per fill, versus $11.63 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 354.9 30-Day Fills standardized to 30-day supplies 10,621 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 121 | $19.58▼ below NE avg | ▲ More than typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 121 Medicare prescriptions for Gabapentin, about 1.4 times the volume of the typical Nebraska prescriber of this medication (87). Medicare paid an average of $19.58 per fill, versus $22.62 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NE 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 NE average for this medication. 210.3 30-Day Fills standardized to 30-day supplies 6,230 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 118 | $7.03 | ≈ 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 118 Medicare prescriptions for Amlodipine Besylate, about 89% of the volume of the typical Nebraska prescriber of this medication (132). Medicare paid an average of $7.03 per fill, versus $6.67 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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. 253.9 30-Day Fills standardized to 30-day supplies 7,443 Days of Medication total across all patients in 2023 | |||
| Losartan Potassium | 93 | $10.08▼ below NE avg | ≈ 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 93 Medicare prescriptions for Losartan Potassium, about 85% of the volume of the typical Nebraska prescriber of this medication (109). Medicare paid an average of $10.08 per fill, versus $10.30 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 182.5 30-Day Fills standardized to 30-day supplies 5,440 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 91 | $7.75 | ≈ 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 91 Medicare prescriptions for Lisinopril, about 83% of the volume of the typical Nebraska prescriber of this medication (109). Medicare paid an average of $7.75 per fill, versus $6.62 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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. 236.3 30-Day Fills standardized to 30-day supplies 7,062 Days of Medication total across all patients in 2023 | |||
| Omeprazole | 91 | $12.10▼ below NE avg | ≈ Typical |
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 91 Medicare prescriptions for Omeprazole, about 83% of the volume of the typical Nebraska prescriber of this medication (109). Medicare paid an average of $12.10 per fill, versus $13.84 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 140.6 30-Day Fills standardized to 30-day supplies 4,076 Days of Medication total across all patients in 2023 | |||
| Pantoprazole Sodium | 88 | $21.63 | ≈ Typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 88 Medicare prescriptions for Pantoprazole Sodium, about the same volume as the typical Nebraska prescriber of this medication (84). Medicare paid an average of $21.63 per fill, versus $16.45 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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. 177.3 30-Day Fills standardized to 30-day supplies 5,258 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 66 | $9.04▼ below NE avg | ≈ Typical |
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 66 Medicare prescriptions for Sertraline Hcl, about the same volume as the typical Nebraska prescriber of this medication (68). Medicare paid an average of $9.04 per fill, versus $10.39 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 105.5 30-Day Fills standardized to 30-day supplies 3,140 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 64 | $14.49▼ below NE avg | ≈ Typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 64 Medicare prescriptions for Duloxetine Hcl, about the same volume as the typical Nebraska prescriber of this medication (57). Medicare paid an average of $14.49 per fill, versus $38.86 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 97.2 30-Day Fills standardized to 30-day supplies 2,837 Days of Medication total across all patients in 2023 | |||
| Rosuvastatin Calcium | 55 | $17.63▼ below NE avg | ▼ 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 55 Medicare prescriptions for Rosuvastatin Calcium, about 72% of the volume of the typical Nebraska prescriber of this medication (76). Medicare paid an average of $17.63 per fill, versus $25.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 117 30-Day Fills standardized to 30-day supplies 3,488 Days of Medication total across all patients in 2023 | |||
| Furosemide | 54 | $4.57▼ below NE avg | ▼ 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 54 Medicare prescriptions for Furosemide, about half the volume of the typical Nebraska prescriber of this medication (96). Medicare paid an average of $4.57 per fill, versus $5.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 84.3 30-Day Fills standardized to 30-day supplies 2,491 Days of Medication total across all patients in 2023 | |||
| Donepezil Hcl | 54 | $12.35▼ below NE avg | ≈ Typical |
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 54 Medicare prescriptions for Donepezil Hcl, about the same volume as the typical Nebraska prescriber of this medication (52). Medicare paid an average of $12.35 per fill, versus $14.66 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 83.6 30-Day Fills standardized to 30-day supplies 2,473 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 51 | $7.33▼ below NE avg | ≈ Typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 51 Medicare prescriptions for Trazodone Hcl, about 86% of the volume of the typical Nebraska prescriber of this medication (59). Medicare paid an average of $7.33 per fill, versus $12.33 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 73 30-Day Fills standardized to 30-day supplies 2,125 Days of Medication total across all patients in 2023 | |||
| Alendronate Sodium | 49 | $12.47 | ≈ Typical |
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2023, this provider wrote 49 Medicare prescriptions for Alendronate Sodium, about the same volume as the typical Nebraska prescriber of this medication (44). Medicare paid an average of $12.47 per fill, versus $9.82 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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. 70.8 30-Day Fills standardized to 30-day supplies 1,989 Days of Medication total across all patients in 2023 | |||
| Simvastatin | 48 | $6.33▼ below NE avg | ▼ 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 48 Medicare prescriptions for Simvastatin, about half the volume of the typical Nebraska prescriber of this medication (82). Medicare paid an average of $6.33 per fill, versus $7.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 96 30-Day Fills standardized to 30-day supplies 2,842 Days of Medication total across all patients in 2023 | |||
| Metoprolol Succinate | 39 | $35.39 | ▼ Less than 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 39 Medicare prescriptions for Metoprolol Succinate, about a third of the volume of the typical Nebraska prescriber of this medication (112). Medicare paid an average of $35.39 per fill, versus $17.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 61.6 30-Day Fills standardized to 30-day supplies 1,814 Days of Medication total across all patients in 2023 | |||
| Allopurinol | 39 | $11.94▼ below NE avg | ≈ Typical |
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 39 Medicare prescriptions for Allopurinol, about 75% of the volume of the typical Nebraska prescriber of this medication (52). Medicare paid an average of $11.94 per fill, versus $14.31 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 77 30-Day Fills standardized to 30-day supplies 2,292 Days of Medication total across all patients in 2023 | |||
| Metformin Hcl | 37 | $13.12 | ▼ Less than typical |
About Metformin Hcl: 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 37 Medicare prescriptions for Metformin Hcl, about half the volume of the typical Nebraska prescriber of this medication (86). Medicare paid an average of $13.12 per fill, versus $6.94 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 71 30-Day Fills standardized to 30-day supplies 2,107 Days of Medication total across all patients in 2023 | |||
| Carvedilol | 37 | $11.30 | ▼ Less than 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 37 Medicare prescriptions for Carvedilol, about half the volume of the typical Nebraska prescriber of this medication (70). Medicare paid an average of $11.30 per fill, versus $10.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 71.2 30-Day Fills standardized to 30-day supplies 2,090 Days of Medication total across all patients in 2023 | |||
| EliquisApixaban | 37 | $1,003.21 | ▼ Less than 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 37 Medicare prescriptions for Eliquis, about half the volume of the typical Nebraska prescriber of this medication (80). Medicare paid an average of $1,003.21 per fill, versus $690.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 64 30-Day Fills standardized to 30-day supplies 1,899 Days of Medication total across all patients in 2023 | |||
| Metoprolol Tartrate | 35 | $11.69 | ▼ 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 35 Medicare prescriptions for Metoprolol Tartrate, about half the volume of the typical Nebraska prescriber of this medication (68). Medicare paid an average of $11.69 per fill, versus $7.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 50 30-Day Fills standardized to 30-day supplies 1,478 Days of Medication total across all patients in 2023 | |||
| JanuviaSitagliptin Phosphate | 34 | $621.41▼ below NE avg | ≈ Typical |
About Januvia: Sitagliptin 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 people 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. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES. In 2023, this provider wrote 34 Medicare prescriptions for Januvia, about the same volume as the typical Nebraska prescriber of this medication (30). Medicare paid an average of $621.41 per fill, versus $727.14 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 38 30-Day Fills standardized to 30-day supplies 1,111 Days of Medication total across all patients in 2023 | |||
| Potassium Chloride | 33 | $33.97 | ▼ 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 33 Medicare prescriptions for Potassium Chloride, about a third of the volume of the typical Nebraska prescriber of this medication (88). Medicare paid an average of $33.97 per fill, versus $28.13 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 54.3 30-Day Fills standardized to 30-day supplies 1,575 Days of Medication total across all patients in 2023 | |||
| Tamsulosin Hcl | 32 | $20.78 | ▼ Less than typical |
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 32 Medicare prescriptions for Tamsulosin Hcl, about a third of the volume of the typical Nebraska prescriber of this medication (83). Medicare paid an average of $20.78 per fill, versus $19.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 83.1 30-Day Fills standardized to 30-day supplies 2,487 Days of Medication total across all patients in 2023 | |||
| Warfarin Sodium | 30 | $13.50 | ▼ 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 30 Medicare prescriptions for Warfarin Sodium, about half the volume of the typical Nebraska prescriber of this medication (58). Medicare paid an average of $13.50 per fill, versus $10.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 58.8 30-Day Fills standardized to 30-day supplies 1,732 Days of Medication total across all patients in 2023 | |||
| Memantine Hcl | 29 | $35.76▼ below NE avg | ▼ Less than typical |
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 29 Medicare prescriptions for Memantine Hcl, about 67% of the volume of the typical Nebraska prescriber of this medication (43). Medicare paid an average of $35.76 per fill, versus $51.72 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 35 30-Day Fills standardized to 30-day supplies 962 Days of Medication total across all patients in 2023 | |||
| TrulicityDulaglutide | 29 | $1,216.78 | ≈ Typical |
About Trulicity: Dulaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. This medication is also used to lessen the risk of a major cardiovascular event (such as heart attack or stroke) in people who already have, or are at high risk for heart/blood vessel disease. Dulaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and by decreasing the amount of sugar your liver makes. Dulaglutide is not a substitute for insulin if you need insulin treatment. In 2023, this provider wrote 29 Medicare prescriptions for Trulicity, about 83% of the volume of the typical Nebraska prescriber of this medication (35). Medicare paid an average of $1,216.78 per fill, versus $1,209.64 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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. 36.2 30-Day Fills standardized to 30-day supplies 1,036 Days of Medication total across all patients in 2023 | |||
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $334.15▼ below NE avg | ≈ Typical |
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 28 Medicare prescriptions for Lantus Solostar, about the same volume as the typical Nebraska prescriber of this medication (29). Medicare paid an average of $334.15 per fill, versus $604.31 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 38.7 30-Day Fills standardized to 30-day supplies 1,056 Days of Medication total across all patients in 2023 | |||
| Hydrochlorothiazide | 27 | $5.58 | ▼ 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 27 Medicare prescriptions for Hydrochlorothiazide, about a third of the volume of the typical Nebraska prescriber of this medication (68). Medicare paid an average of $5.58 per fill, versus $4.49 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 57.3 30-Day Fills standardized to 30-day supplies 1,688 Days of Medication total across all patients in 2023 | |||
| Montelukast Sodium | 26 | $14.11▼ below NE avg | ▼ Less than typical |
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 26 Medicare prescriptions for Montelukast Sodium, about half the volume of the typical Nebraska prescriber of this medication (56). Medicare paid an average of $14.11 per fill, versus $15.39 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 52 30-Day Fills standardized to 30-day supplies 1,535 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 26 | $31.39▼ below NE avg | ▼ Less than typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 26 Medicare prescriptions for Bupropion Xl, about 67% of the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $31.39 per fill, versus $34.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023 | |||
| Colestipol Hcl | 25 | $135.88 | ≈ Typical |
About Colestipol Hcl: Colestipol is used along with a proper diet to lower cholesterol in the blood. Show more ▾ Lowering cholesterol helps decrease the risk for strokes and heart attacks. In addition to 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. This medication is known as a bile acid-binding resin. It works by removing bile acid from the body. In people with high cholesterol, this causes the liver to make more bile acid by using cholesterol in the blood. This helps to lower the cholesterol levels. Highly crosslinked and insoluble basic anion exchange resin used as anticholesteremic. It may also may reduce triglyceride levels. In 2023, this provider wrote 25 Medicare prescriptions for Colestipol Hcl, about the same volume as the typical Nebraska prescriber of this medication (27). Medicare paid an average of $135.88 per fill, versus $94.05 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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. 25 30-Day Fills standardized to 30-day supplies 711 Days of Medication total across all patients in 2023 | |||
| Pramipexole DihydrochloridePramipexole Di-Hcl | 23 | $9.87▼ below NE avg | ≈ Typical |
About Pramipexole Dihydrochloride: Pramipexole is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and can decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 23 Medicare prescriptions for Pramipexole Dihydrochloride, about the same volume as the typical Nebraska prescriber of this medication (24). Medicare paid an average of $9.87 per fill, versus $18.33 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 33 30-Day Fills standardized to 30-day supplies 954 Days of Medication total across all patients in 2023 | |||
| Citalopram HbrCitalopram Hydrobromide | 23 | $3.52▼ below NE avg | ▼ Less than typical |
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2023, this provider wrote 23 Medicare prescriptions for Citalopram Hbr, about half the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $3.52 per fill, versus $7.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,142 Days of Medication total across all patients in 2023 | |||
| Fluoxetine Hcl | 21 | $4.55▼ below NE avg | ▼ Less than typical |
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 21 Medicare prescriptions for Fluoxetine Hcl, about half the volume of the typical Nebraska prescriber of this medication (36). Medicare paid an average of $4.55 per fill, versus $12.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 23 30-Day Fills standardized to 30-day supplies 668 Days of Medication total across all patients in 2023 | |||
| Prednisone | 21 | $11.99 | ▼ Less than 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 21 Medicare prescriptions for Prednisone, about half the volume of the typical Nebraska prescriber of this medication (48). Medicare paid an average of $11.99 per fill, versus $6.72 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 27 30-Day Fills standardized to 30-day supplies 719 Days of Medication total across all patients in 2023 | |||
| XareltoRivaroxaban | 20 | $1,032.35 | ▼ Less than 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 20 Medicare prescriptions for Xarelto, about a third of the volume of the typical Nebraska prescriber of this medication (49). Medicare paid an average of $1,032.35 per fill, versus $735.32 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 20 | $5.08▼ below NE 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 20 Medicare prescriptions for Meloxicam, about a third of the volume of the typical Nebraska prescriber of this medication (59). Medicare paid an average of $5.08 per fill, versus $7.19 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 47.3 30-Day Fills standardized to 30-day supplies 1,397 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 19 | $44.03 | ▼ Less than typical |
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 19 Medicare prescriptions for Mirtazapine, about half the volume of the typical Nebraska prescriber of this medication (44). Medicare paid an average of $44.03 per fill, versus $19.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 29 30-Day Fills standardized to 30-day supplies 870 Days of Medication total across all patients in 2023 | |||
| Estradiol | 18 | $146.71 | ▼ Less than typical |
About Estradiol: 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 18 Medicare prescriptions for Estradiol, about 67% of the volume of the typical Nebraska prescriber of this medication (27). Medicare paid an average of $146.71 per fill, versus $52.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 26.2 30-Day Fills standardized to 30-day supplies 770 Days of Medication total across all patients in 2023 | |||
| Escitalopram Oxalate | 18 | $26.11 | ▼ Less than typical |
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 18 Medicare prescriptions for Escitalopram Oxalate, about a third of the volume of the typical Nebraska prescriber of this medication (56). Medicare paid an average of $26.11 per fill, versus $14.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 52.7 30-Day Fills standardized to 30-day supplies 1,582 Days of Medication total across all patients in 2023 | |||
| Torsemide | 17 | $17.87▼ below NE avg | ▼ 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 17 Medicare prescriptions for Torsemide, about a third of the volume of the typical Nebraska prescriber of this medication (41). Medicare paid an average of $17.87 per fill, versus $24.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 30 30-Day Fills standardized to 30-day supplies 878 Days of Medication total across all patients in 2023 | |||
| Morphine Sulfate ErMorphine Sulfate | 16 | $26.69▼ below NE avg | ▼ Less than typical |
About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾ Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2023, this provider wrote 16 Medicare prescriptions for Morphine Sulfate Er, about a third of the volume of the typical Nebraska prescriber of this medication (40). Medicare paid an average of $26.69 per fill, versus $42.35 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 16 30-Day Fills standardized to 30-day supplies 452 Days of Medication total across all patients in 2023 | |||
| Lidocaine | 15 | $142.46▼ below NE avg | ≈ Typical |
About Lidocaine: This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). Show more ▾ It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a temporary loss of feeling in the area where you apply the patch. A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE. In 2023, this provider wrote 15 Medicare prescriptions for Lidocaine, about 83% of the volume of the typical Nebraska prescriber of this medication (18). Medicare paid an average of $142.46 per fill, versus $144.86 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023 | |||
| Metformin Hcl ErMetformin Hcl | 15 | $6.43▼ below NE avg | ▼ Less than typical |
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 Nebraska prescriber of this medication (48). Medicare paid an average of $6.43 per fill, versus $9.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 31.3 30-Day Fills standardized to 30-day supplies 912 Days of Medication total across all patients in 2023 | |||
| Finasteride | 14 | $17.11 | ▼ Less than typical |
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2023, this provider wrote 14 Medicare prescriptions for Finasteride, about a third of the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $17.11 per fill, versus $16.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 43.7 30-Day Fills standardized to 30-day supplies 1,310 Days of Medication total across all patients in 2023 | |||
| Celecoxib | 14 | $12.22▼ below NE avg | ▼ Less than typical |
About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾ It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN. In 2023, this provider wrote 14 Medicare prescriptions for Celecoxib, about a third of the volume of the typical Nebraska prescriber of this medication (35). Medicare paid an average of $12.22 per fill, versus $48.51 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 23 30-Day Fills standardized to 30-day supplies 688 Days of Medication total across all patients in 2023 | |||
| Chlorthalidone | 14 | $11.76▼ below NE avg | ▼ Less than 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 14 Medicare prescriptions for Chlorthalidone, about half the volume of the typical Nebraska prescriber of this medication (31). Medicare paid an average of $11.76 per fill, versus $20.83 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 40 30-Day Fills standardized to 30-day supplies 1,200 Days of Medication total across all patients in 2023 | |||
| ClopidogrelClopidogrel Bisulfate | 14 | $30.99 | ▼ Less 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 14 Medicare prescriptions for Clopidogrel, about a quarter of the volume of the typical Nebraska prescriber of this medication (56). Medicare paid an average of $30.99 per fill, versus $15.43 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 36.3 30-Day Fills standardized to 30-day supplies 1,090 Days of Medication total across all patients in 2023 | |||
| Sucralfate | 13 | $29.98▼ below NE avg | ▼ Less than typical |
About Sucralfate: This medication is used to treat ulcers in the intestines. Show more ▾ Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly. A basic aluminum complex of sulfated sucrose. In 2023, this provider wrote 13 Medicare prescriptions for Sucralfate, about half the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $29.98 per fill, versus $52.56 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 13 | $15.28 | ▼ 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 13 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $15.28 per fill, versus $11.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 488 Days of Medication total across all patients in 2023 | |||
| Ezetimibe | 13 | $23.66▼ below NE avg | ▼ Less than 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 13 Medicare prescriptions for Ezetimibe, about a third of the volume of the typical Nebraska prescriber of this medication (38). Medicare paid an average of $23.66 per fill, versus $51.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 13 | $48.88 | ▼ Less than typical |
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 13 Medicare prescriptions for Pregabalin, about a third of the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $48.88 per fill, versus $44.92 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 23 30-Day Fills standardized to 30-day supplies 669 Days of Medication total across all patients in 2023 | |||
| Acetazolamide ErAcetazolamide | 13 | $184.07 | ▼ Less than typical |
About Acetazolamide Er: Acetazolamide is used to prevent and reduce the symptoms of altitude sickness. Show more ▾ This medication can decrease headache, tiredness, nausea, dizziness, and shortness of breath that can occur when you climb quickly to high altitudes (generally above 10,000 feet/3,048 meters). It is particularly useful in situations when you cannot make a slow ascent. The best ways to prevent altitude sickness are climbing slowly, stopping for 24 hours during the climb to allow the body to adjust to the new height, and taking it easy the first 1 to 2 days. This medication is also used with other medications to treat high pressure inside the eye due to certain types of glaucoma. Acetazolamide belongs to a class of drugs known as carbonic anhydrase inhibitors. It works by decreasing the production of fluid inside the eye. It is also used to decrease a buildup of body fluids (edema) caused by heart failure or certain medications. Acetazolamide can work less well over time, so it is usually used only for a short period. It has also been used with other medications to treat certain types of seizures (petit mal and unlocalized seizures). One of the CARBONIC ANHYDRASE INHIBITORS that is sometimes effective against absence seizures. It is sometimes useful also as an adjunct in the treatment of tonic-clonic, myoclonic, and atonic seizures, particularly in women whose seizures occur or are exacerbated at specific times in the menstrual cycle. However, its usefulness is transient often because of rapid development of tolerance. Its antiepileptic effect may be due to its inhibitory effect on brain carbonic anhydrase, which leads to an increased transneuronal chloride gradient, increased chloride current, and increased inhibition. (From Smith and Reynard, Textbook of Pharmacology, 1991, p337) In 2023, this provider wrote 13 Medicare prescriptions for Acetazolamide Er, about half the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $184.07 per fill, versus $108.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 367 Days of Medication total across all patients in 2023 | |||
| Icosapent Ethyl | 13 | $110.52▼ below NE avg | ≈ Typical |
About Icosapent Ethyl: Icosapent ethyl is used along with certain other cholesterol medications (statins such as atorvastatin, simvastatin) to reduce the risk of heart attack, stroke, and certain types of heart problems that require treatment in a hospital. Show more ▾ It is also used along with a proper diet to help lower fats (triglycerides) in the blood. Icosapent ethyl is a type of omega-3 fatty acid, a fat found in fish oil. It is thought to work by decreasing the amount of triglycerides made by the body. 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 Icosapent Ethyl, about the same volume as the typical Nebraska prescriber of this medication (13). Medicare paid an average of $110.52 per fill, versus $341.60 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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 NE average for this medication. 13 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2023 | |||
| JardianceEmpagliflozin | 13 | $622.52▼ below NE avg | ▼ Less than typical |
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 13 Medicare prescriptions for Jardiance, about a third of the volume of the typical Nebraska prescriber of this medication (37). Medicare paid an average of $622.52 per fill, versus $867.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Oxybutynin Chloride ErOxybutynin Chloride | 13 | $26.61▼ below NE avg | ▼ Less than typical |
About Oxybutynin Chloride Er: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾ It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida). In 2023, this provider wrote 13 Medicare prescriptions for Oxybutynin Chloride Er, about a third of the volume of the typical Nebraska prescriber of this medication (33). Medicare paid an average of $26.61 per fill, versus $37.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023 | |||
| Pravastatin Sodium | 12 | $12.38▼ below NE avg | ▼ 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 12 Medicare prescriptions for Pravastatin Sodium, about a quarter of the volume of the typical Nebraska prescriber of this medication (51). Medicare paid an average of $12.38 per fill, versus $15.59 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023 | |||
| Diazepam | 12 | $3.20▼ below NE avg | ▼ Less than typical |
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 12 Medicare prescriptions for Diazepam, about half the volume of the typical Nebraska prescriber of this medication (22). Medicare paid an average of $3.20 per fill, versus $8.09 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 12 | $21.00 | ▼ Less than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 12 Medicare prescriptions for Lamotrigine, about a quarter of the volume of the typical Nebraska prescriber of this medication (53). Medicare paid an average of $21.00 per fill, versus $15.31 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 360 Days of Medication total across all patients in 2023 | |||
| Albuterol Sulfate HfaAlbuterol Sulfate | 12 | $38.73▼ below NE avg | ▼ Less than typical |
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2023, this provider wrote 12 Medicare prescriptions for Albuterol Sulfate Hfa, about a third of the volume of the typical Nebraska prescriber of this medication (37). Medicare paid an average of $38.73 per fill, versus $47.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 18.2 30-Day Fills standardized to 30-day supplies 485 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 12 | $4.49▼ below NE avg | ▼ Less than typical |
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 12 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $4.49 per fill, versus $21.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 351 Days of Medication total across all patients in 2023 | |||
| Risperidone | 12 | $1.74▼ below NE avg | ▼ Less than typical |
About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 12 Medicare prescriptions for Risperidone, about a quarter of the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $1.74 per fill, versus $14.35 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
| MyrbetriqMirabegron | 11 | $662.66 | ▼ Less than typical |
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. In 2023, this provider wrote 11 Medicare prescriptions for Myrbetriq, about a quarter of the volume of the typical Nebraska prescriber of this medication (42). Medicare paid an average of $662.66 per fill, versus $492.58 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 15.7 30-Day Fills standardized to 30-day supplies 459 Days of Medication total across all patients in 2023 | |||
| Oxycodone Hcl | 11 | $8.68▼ below NE avg | ▼ Less than typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 11 Medicare prescriptions for Oxycodone Hcl, about a third of the volume of the typical Nebraska prescriber of this medication (36). Medicare paid an average of $8.68 per fill, versus $19.02 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 198 Days of Medication total across all patients in 2023 | |||
| Ondansetron Hcl | 11 | $20.61 | ≈ Typical |
About Ondansetron Hcl: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. In 2023, this provider wrote 11 Medicare prescriptions for Ondansetron Hcl, about the same volume as the typical Nebraska prescriber of this medication (12). Medicare paid an average of $20.61 per fill, versus $4.95 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NE 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. 11 30-Day Fills standardized to 30-day supplies 207 Days of Medication total across all patients in 2023 | |||
| Buspirone Hcl | 11 | $25.95 | ▼ Less than typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 11 Medicare prescriptions for Buspirone Hcl, about a quarter of the volume of the typical Nebraska prescriber of this medication (41). Medicare paid an average of $25.95 per fill, versus $19.10 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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 390 Days of Medication total across all patients in 2023 | |||
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 11 | $653.71 | ▼ Less than typical |
About Basaglar Kwikpen U-100: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 11 Medicare prescriptions for Basaglar Kwikpen U-100, about half the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $653.71 per fill, versus $422.10 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NE 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. 11 30-Day Fills standardized to 30-day supplies 295 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for JOSEPH HEJKAL 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 Geriatric Medicine prescribing approach at this Omaha, NE 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 NE prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
