ROSA NICOLE GONZALEZ
Prescription History 1669015921
Physician Assistant in Cleveland, OH
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ROSA NICOLE GONZALEZ, an active Physician Assistant specialist practicing in Cleveland, OH. Our medical registry currently tracks 31 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,448 documented patient claims. Among these therapy options, the most frequently utilized medication is Levetiracetam, which accounts for 196 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 OH PrescribersVs. OH Avg |
|---|---|---|---|
| Levetiracetam | 196 | $93.32 | ▲ More than typical |
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 196 Medicare prescriptions for Levetiracetam, about 3.5 times the volume of the typical Ohio prescriber of this medication (56). Medicare paid an average of $93.32 per fill, versus $41.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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. 464.4 30-Day Fills standardized to 30-day supplies 13,856 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 141 | $30.33 | ▲ More 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 141 Medicare prescriptions for Lamotrigine, about 2.7 times the volume of the typical Ohio prescriber of this medication (53). Medicare paid an average of $30.33 per fill, versus $15.57 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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. 313.9 30-Day Fills standardized to 30-day supplies 9,360 Days of Medication total across all patients in 2023 | |||
| Zonisamide | 115 | $76.16 | ▲ More than typical |
About Zonisamide: Zonisamide is used with other medications to prevent and control seizures (epilepsy). Show more ▾ Zonisamide is a sulfonamide anticonvulsant and a carbonic anhydrase inhibitor. It is unknown how zonisamide works to prevent seizures. A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization. In 2023, this provider wrote 115 Medicare prescriptions for Zonisamide, about 3.4 times the volume of the typical Ohio prescriber of this medication (34). Medicare paid an average of $76.16 per fill, versus $39.93 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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. 239 30-Day Fills standardized to 30-day supplies 7,143 Days of Medication total across all patients in 2023 | |||
| Lacosamide | 113 | $446.02 | ▲ More than typical |
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2023, this provider wrote 113 Medicare prescriptions for Lacosamide, about 3.4 times the volume of the typical Ohio prescriber of this medication (33). Medicare paid an average of $446.02 per fill, versus $290.41 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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. 217 30-Day Fills standardized to 30-day supplies 6,336 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 95 | $12.47 | ▲ More than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 95 Medicare prescriptions for Clonazepam, about 2 times the volume of the typical Ohio prescriber of this medication (48). Medicare paid an average of $12.47 per fill, versus $8.74 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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. 135 30-Day Fills standardized to 30-day supplies 3,366 Days of Medication total across all patients in 2023 | |||
| Clobazam | 91 | $217.40▼ below OH avg | ▲ More than typical |
About Clobazam: This medication is used with other medications to help control seizures. Show more ▾ It belongs to a class of medications called benzodiazepines, which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). A benzodiazepine derivative that is a long-acting GABA-A RECEPTOR agonist. It is used as an antiepileptic in the treatment of SEIZURES, including seizures associated with LENNOX-GASTAUT SYNDROME. It is also used as an anxiolytic, for the short-term treatment of acute ANXIETY. In 2023, this provider wrote 91 Medicare prescriptions for Clobazam, about 1.9 times the volume of the typical Ohio prescriber of this medication (47). Medicare paid an average of $217.40 per fill, versus $387.20 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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 OH average for this medication. 126.5 30-Day Fills standardized to 30-day supplies 3,754 Days of Medication total across all patients in 2023 | |||
| VimpatLacosamide | 66 | $1,628.19 | ▲ More than typical |
About Vimpat: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2023, this provider wrote 66 Medicare prescriptions for Vimpat, about 1.9 times the volume of the typical Ohio prescriber of this medication (34). Medicare paid an average of $1,628.19 per fill, versus $1,063.51 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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. 94 30-Day Fills standardized to 30-day supplies 2,808 Days of Medication total across all patients in 2023 | |||
| Carbamazepine ErCarbamazepine | 50 | $195.47 | ▲ More than typical |
About Carbamazepine Er: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 50 Medicare prescriptions for Carbamazepine Er, about 1.9 times the volume of the typical Ohio prescriber of this medication (27). Medicare paid an average of $195.47 per fill, versus $128.68 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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. 80.1 30-Day Fills standardized to 30-day supplies 2,394 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 46 | $32.52 | ▼ Less 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 46 Medicare prescriptions for Gabapentin, about half the volume of the typical Ohio prescriber of this medication (103). Medicare paid an average of $32.52 per fill, versus $20.67 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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. 96.7 30-Day Fills standardized to 30-day supplies 2,875 Days of Medication total across all patients in 2023 | |||
| Oxcarbazepine | 45 | $85.50 | ≈ Typical |
About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2023, this provider wrote 45 Medicare prescriptions for Oxcarbazepine, about 1.3 times the volume of the typical Ohio prescriber of this medication (36). Medicare paid an average of $85.50 per fill, versus $56.41 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH 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. 91 30-Day Fills standardized to 30-day supplies 2,730 Days of Medication total across all patients in 2023 | |||
| Topiramate | 42 | $38.56 | ≈ Typical |
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 42 Medicare prescriptions for Topiramate, about the same volume as the typical Ohio prescriber of this medication (38). Medicare paid an average of $38.56 per fill, versus $17.10 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH 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. 86 30-Day Fills standardized to 30-day supplies 2,513 Days of Medication total across all patients in 2023 | |||
| Levetiracetam ErLevetiracetam | 41 | $221.72 | ▲ More than typical |
About Levetiracetam Er: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 41 Medicare prescriptions for Levetiracetam Er, about 1.5 times the volume of the typical Ohio prescriber of this medication (27). Medicare paid an average of $221.72 per fill, versus $151.17 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH 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. 103.3 30-Day Fills standardized to 30-day supplies 3,100 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 35 | $215.35 | ≈ 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 35 Medicare prescriptions for Pregabalin, about 85% of the volume of the typical Ohio prescriber of this medication (41). Medicare paid an average of $215.35 per fill, versus $49.62 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 79.5 30-Day Fills standardized to 30-day supplies 2,334 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 29 | $121.54 | ▼ Less than typical |
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 29 Medicare prescriptions for Divalproex Sodium, about half the volume of the typical Ohio prescriber of this medication (62). Medicare paid an average of $121.54 per fill, versus $45.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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 1,720 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium ErDivalproex Sodium | 28 | $124.11 | ▼ Less than typical |
About Divalproex Sodium Er: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 28 Medicare prescriptions for Divalproex Sodium Er, about 68% of the volume of the typical Ohio prescriber of this medication (41). Medicare paid an average of $124.11 per fill, versus $99.02 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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. 39.8 30-Day Fills standardized to 30-day supplies 1,190 Days of Medication total across all patients in 2023 | |||
| Phenytoin Sodium Extended | 28 | $69.60 | ≈ Typical |
About Phenytoin Sodium Extended: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. In 2023, this provider wrote 28 Medicare prescriptions for Phenytoin Sodium Extended, about 1.2 times the volume of the typical Ohio prescriber of this medication (24). Medicare paid an average of $69.60 per fill, versus $42.09 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH 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. 68.3 30-Day Fills standardized to 30-day supplies 2,038 Days of Medication total across all patients in 2023 | |||
| Tegretol XrCarbamazepine | 27 | $465.30 | ▲ More than typical |
About Tegretol Xr: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 27 Medicare prescriptions for Tegretol Xr, about 1.5 times the volume of the typical Ohio prescriber of this medication (18). Medicare paid an average of $465.30 per fill, versus $341.87 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 33.4 30-Day Fills standardized to 30-day supplies 1,001 Days of Medication total across all patients in 2023 | |||
| LamictalLamotrigine | 26 | $3,503.49 | ≈ Typical |
About Lamictal: 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 26 Medicare prescriptions for Lamictal, about the same volume as the typical Ohio prescriber of this medication (26). Medicare paid an average of $3,503.49 per fill, versus $2,288.30 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH 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. 57.9 30-Day Fills standardized to 30-day supplies 1,737 Days of Medication total across all patients in 2023 | |||
| FycompaPerampanel | 26 | $1,390.14 | ≈ Typical |
About Fycompa: Perampanel is used to treat certain types of seizures (including focal and generalized tonic-clonic seizures). Show more ▾ Perampanel belongs to a class of drugs known as anticonvulsants. In 2023, this provider wrote 26 Medicare prescriptions for Fycompa, about 87% of the volume of the typical Ohio prescriber of this medication (30). Medicare paid an average of $1,390.14 per fill, versus $1,099.72 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH 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. 32 30-Day Fills standardized to 30-day supplies 958 Days of Medication total across all patients in 2023 | |||
| Carbamazepine | 25 | $173.34 | ≈ Typical |
About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 25 Medicare prescriptions for Carbamazepine, about 89% of the volume of the typical Ohio prescriber of this medication (28). Medicare paid an average of $173.34 per fill, versus $68.12 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH 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. 49 30-Day Fills standardized to 30-day supplies 1,452 Days of Medication total across all patients in 2023 | |||
| EpidiolexCannabidiol (Cbd) | 24 | $4,084.70▼ below OH avg | ▼ Less than typical |
About Epidiolex: This medication is used to treat seizures due to certain medical conditions (such as Lennox-Gastaut syndrome, Dravet syndrome, tuberous sclerosis complex - TSC). Show more ▾ It is not known how this medication works for these seizures. Cannabidiol belongs to a class of drugs known as cannabinoids. Compound isolated from Cannabis sativa extract. In 2023, this provider wrote 24 Medicare prescriptions for Epidiolex, about 65% of the volume of the typical Ohio prescriber of this medication (37). Medicare paid an average of $4,084.70 per fill, versus $4,566.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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 OH average for this medication. 28 30-Day Fills standardized to 30-day supplies 831 Days of Medication total across all patients in 2023 | |||
| Lamictal XrLamotrigine | 23 | $4,997.60 | ≈ Typical |
About Lamictal Xr: 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 23 Medicare prescriptions for Lamictal Xr, about 1.2 times the volume of the typical Ohio prescriber of this medication (19). Medicare paid an average of $4,997.60 per fill, versus $2,856.50 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH 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. 43.2 30-Day Fills standardized to 30-day supplies 1,295 Days of Medication total across all patients in 2023 | |||
| Rufinamide | 20 | $1,201.97▼ below OH avg | ≈ Typical |
About Rufinamide: Rufinamide is used with other medications to prevent or control seizures (epilepsy) associated with Lennox-Gastaut syndrome (LGS). Show more ▾ This medication is an anticonvulsant. Rufinamide is thought to work by acting on the sodium channels in the brain that carry excessive electrical charges that may cause seizures. In 2023, this provider wrote 20 Medicare prescriptions for Rufinamide, about the same volume as the typical Ohio prescriber of this medication (19). Medicare paid an average of $1,201.97 per fill, versus $1,868.73 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH 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 OH average for this medication. 29.7 30-Day Fills standardized to 30-day supplies 889 Days of Medication total across all patients in 2023 | |||
| BriviactBrivaracetam | 19 | $2,037.25 | ▼ Less than typical |
About Briviact: Brivaracetam is used to treat seizures (epilepsy). In 2023, this provider wrote 19 Medicare prescriptions for Briviact, about 70% of the volume of the typical Ohio prescriber of this medication (27). Medicare paid an average of $2,037.25 per fill, versus $1,488.70 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023 | |||
| Lorazepam | 17 | $4.41▼ below OH avg | ▼ Less than typical |
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 17 Medicare prescriptions for Lorazepam, about a third of the volume of the typical Ohio prescriber of this medication (52). Medicare paid an average of $4.41 per fill, versus $7.81 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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 OH average for this medication. 23 30-Day Fills standardized to 30-day supplies 530 Days of Medication total across all patients in 2023 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 16 | $20.67▼ below OH avg | ▼ Less than typical |
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 16 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical Ohio prescriber of this medication (38). Medicare paid an average of $20.67 per fill, versus $29.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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 OH average for this medication. 20 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| XcopriCenobamate | 16 | $2,443.96 | ▼ Less than typical |
About Xcopri: This medication is used to treat a certain type of seizure disorder (partial onset). Show more ▾ It is not known exactly how it works, but it may affect the action of some nerves that cause seizures. In 2023, this provider wrote 16 Medicare prescriptions for Xcopri, about half the volume of the typical Ohio prescriber of this medication (37). Medicare paid an average of $2,443.96 per fill, versus $1,243.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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. 30 30-Day Fills standardized to 30-day supplies 896 Days of Medication total across all patients in 2023 | |||
| DilantinPhenytoin Sodium Extended | 14 | $208.57 | ▼ Less than typical |
About Dilantin: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. An anticonvulsant that is used to treat a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs. In 2023, this provider wrote 14 Medicare prescriptions for Dilantin, about 67% of the volume of the typical Ohio prescriber of this medication (21). Medicare paid an average of $208.57 per fill, versus $158.33 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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 30-Day Fills standardized to 30-day supplies 738 Days of Medication total across all patients in 2023 | |||
| Lamotrigine ErLamotrigine | 12 | $668.38 | ▼ Less than typical |
About Lamotrigine Er: 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 Er, about half the volume of the typical Ohio prescriber of this medication (25). Medicare paid an average of $668.38 per fill, versus $532.68 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023 | |||
| Levocarnitine | 11 | $151.08 | ▼ Less than typical |
About Levocarnitine: This medication is used to prevent and treat low blood levels of carnitine. Show more ▾ Carnitine is a substance made in the body from meat and dairy products. It helps the body use certain chemicals (long-chain fatty acids) for energy and to keep you in good health. Low blood levels of carnitine may occur in people whose bodies cannot properly use carnitine from their diets, people on dialysis due to serious kidney disease, and people being treated with certain drugs (such as valproic acid, zidovudine). Carnitine levels that are too low can cause liver, heart, and muscle problems. The injectable form of this drug is recommended if you have serious kidney disease (such as ESRD/dialysis) because high doses of the form taken by mouth may increase the risk of serious side effects. Consult your doctor or pharmacist for details. An acetic acid ester of CARNITINE that facilitates movement of ACETYL COA into the matrices of mammalian MITOCHONDRIA during the oxidation of FATTY ACIDS. In 2023, this provider wrote 11 Medicare prescriptions for Levocarnitine, about half the volume of the typical Ohio prescriber of this medication (24). Medicare paid an average of $151.08 per fill, versus $77.91 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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 331 Days of Medication total across all patients in 2023 | |||
| Valproic AcidValproic Acid (As Sodium Salt) | 11 | $36.99▼ below OH avg | ▼ Less than typical |
About Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. In 2023, this provider wrote 11 Medicare prescriptions for Valproic Acid, about 69% of the volume of the typical Ohio prescriber of this medication (16). Medicare paid an average of $36.99 per fill, versus $44.10 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH 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 OH average for this medication. 15 30-Day Fills standardized to 30-day supplies 432 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for ROSA NICOLE GONZALEZ 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 Physician Assistant prescribing approach at this Cleveland, OH 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 OH prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
