DR. ISABEL ALFRADIQUE-DUNHAM MD
Prescription History 1669814521
Psychiatry & Neurology - Neurology in Saint Louis, MO
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. ISABEL ALFRADIQUE-DUNHAM MD, an active Neurology specialist practicing in Saint Louis, MO. Our medical registry currently tracks 43 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,636 documented patient claims. Among these therapy options, the most frequently utilized medication is Carbidopa-Levodopa, which accounts for 689 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 (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other MO PrescribersVs. MO Avg |
|---|---|---|---|
| Carbidopa-LevodopaCarbidopa/Levodopa | 689 | $64.87 | ▲ More than typical |
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2024, this provider wrote 689 Medicare prescriptions for Carbidopa-Levodopa, about 9.7 times the volume of the typical Missouri prescriber of this medication (70.8). Medicare paid an average of $64.87 per fill, versus $29.30 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 1,689.2 30-Day Fills standardized to 30-day supplies 50,489 Days of Medication total across all patients in 2024 | |||
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 212 | $45.92 | ▲ More than typical |
About Carbidopa-Levodopa Er: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2024, this provider wrote 212 Medicare prescriptions for Carbidopa-Levodopa Er, about 4.9 times the volume of the typical Missouri prescriber of this medication (43.2). Medicare paid an average of $45.92 per fill, versus $42.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 463.4 30-Day Fills standardized to 30-day supplies 13,892 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 109 | $18.54 | ≈ 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 2024, this provider wrote 109 Medicare prescriptions for Gabapentin, about the same volume as the typical Missouri prescriber of this medication (115.3). Medicare paid an average of $18.54 per fill, versus $15.91 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 219 30-Day Fills standardized to 30-day supplies 6,570 Days of Medication total across all patients in 2024 | |||
| Clonazepam | 94 | $10.10 | ▲ 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 2024, this provider wrote 94 Medicare prescriptions for Clonazepam, about 1.4 times the volume of the typical Missouri prescriber of this medication (65). Medicare paid an average of $10.10 per fill, versus $8.79 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 185.3 30-Day Fills standardized to 30-day supplies 5,357 Days of Medication total across all patients in 2024 | |||
| Trazodone Hcl | 93 | $13.93 | ≈ Typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309) In 2024, this provider wrote 93 Medicare prescriptions for Trazodone Hcl, about the same volume as the typical Missouri prescriber of this medication (92.7). Medicare paid an average of $13.93 per fill, versus $7.90 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 203.2 30-Day Fills standardized to 30-day supplies 6,066 Days of Medication total across all patients in 2024 | |||
| Mirtazapine | 89 | $15.77▼ below MO avg | ▲ More than typical |
About Mirtazapine: This medication is used to treat depression. Show more ▾ Mirtazapine works by helping to restore the balance of certain natural substances 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 2024, this provider wrote 89 Medicare prescriptions for Mirtazapine, about 1.5 times the volume of the typical Missouri prescriber of this medication (60.5). Medicare paid an average of $15.77 per fill, versus $17.80 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 198.2 30-Day Fills standardized to 30-day supplies 5,947 Days of Medication total across all patients in 2024 | |||
| AmantadineAmantadine Hcl | 84 | $86.52 | ▲ More than typical |
About Amantadine: Amantadine is used to treat Parkinson's disease, as well as side effects caused by drugs (such as drug-induced extrapyramidal symptoms), chemicals, and other medical conditions. Show more ▾ In these cases, this medication may help to improve your range of motion and ability to exercise. For the treatment of these conditions, amantadine is believed to work by restoring the balance of natural chemicals (neurotransmitters) in the brain. Amantadine is used to prevent or treat a certain type of flu (influenza A). If you have been infected with the flu, this medication may help make your symptoms less severe and shorten the time it will take you to get better. Taking amantadine if you have been or will be exposed to the flu may help to prevent you from getting the flu. This medication is an antiviral that is believed to work by stopping growth of the flu virus. This medication is not a vaccine. To increase the chance that you will not get the flu, it is important to get a flu shot once a year at the beginning of every flu season, if possible. Based on the recommendation from the Centers for Disease Control (CDC) in the US, amantadine should not be used to treat or prevent influenza A because the current influenza A virus in the United States and Canada is resistant to this medication. For more details, talk to your doctor or pharmacist. An antiviral that is used in the prophylactic or symptomatic treatment of influenza A. It is also used as an antiparkinsonian agent, to treat extrapyramidal reactions, and for postherpetic neuralgia. The mechanisms of its effects in movement disorders are not well understood but probably reflect an increase in synthesis and release of dopamine, with perhaps some inhibition of dopamine uptake. In 2024, this provider wrote 84 Medicare prescriptions for Amantadine, about 2.6 times the volume of the typical Missouri prescriber of this medication (31.9). Medicare paid an average of $86.52 per fill, versus $42.40 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 226.2 30-Day Fills standardized to 30-day supplies 6,760 Days of Medication total across all patients in 2024 | |||
| Primidone | 79 | $36.95 | ▲ More than typical |
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2024, this provider wrote 79 Medicare prescriptions for Primidone, about 2 times the volume of the typical Missouri prescriber of this medication (39.6). Medicare paid an average of $36.95 per fill, versus $21.92 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 191 30-Day Fills standardized to 30-day supplies 5,664 Days of Medication total across all patients in 2024 | |||
| AustedoDeutetrabenazine | 79 | $9,707.66 | ▲ More than typical |
About Austedo: Deutetrabenazine is used to decrease involuntary movements (chorea) caused by Huntington's disease. Show more ▾ It is also used to treat involuntary movements of the face, tongue, or other body parts (tardive dyskinesia). Reducing involuntary movements will help you take part in more of your normal daily activities. This medication is thought to work by decreasing the amount of certain natural substances in the brain that affect how your nerves and muscles work (monoamines such as dopamine, serotonin, and norepinephrine). A vesicular monoamine transporter type 2 inhibitor. In 2024, this provider wrote 79 Medicare prescriptions for Austedo, about 2.8 times the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $9,707.66 per fill, versus $6,112.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 30-Day Fills standardized to 30-day supplies 2,323 Days of Medication total across all patients in 2024 | |||
| Tetrabenazine | 78 | $3,933.02 | ▲ More than typical |
About Tetrabenazine: Tetrabenazine is used to decrease the uncontrollable movements (chorea) caused by Huntington's disease. Show more ▾ However, it is not a cure for the disease. Reducing the chorea will help you take part in more of your normal daily activities. This medication is thought to work by decreasing the amount of certain natural substances in the brain (monoamines such as dopamine, serotonin, and norepinephrine), which are involved with nerve and muscle function. Tetrabenazine belongs to a class of drugs called monoamine depletors. A drug formerly used as an antipsychotic and treatment of various movement disorders. Tetrabenazine blocks neurotransmitter uptake into adrenergic storage vesicles and has been used as a high affinity label for the vesicle transport system. In 2024, this provider wrote 78 Medicare prescriptions for Tetrabenazine, about 4.5 times the volume of the typical Missouri prescriber of this medication (17.2). Medicare paid an average of $3,933.02 per fill, versus $2,150.92 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 78 30-Day Fills standardized to 30-day supplies 2,331 Days of Medication total across all patients in 2024 | |||
| Pramipexole DihydrochloridePramipexole Di-Hcl | 69 | $37.38 | ▲ More than 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 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"). This medication is also used to treat a certain medical condition (restless legs syndrome - RLS) that causes an unusual urge to move the legs. Symptoms usually occur at night along with uncomfortable/unpleasant feelings in the legs. This medication can decrease these symptoms and thereby improve sleep. Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. A benzothiazole derivative and dopamine agonist with antioxidant properties that is used in the treatment of PARKINSON DISEASE and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 69 Medicare prescriptions for Pramipexole Dihydrochloride, about 2.5 times the volume of the typical Missouri prescriber of this medication (27.7). Medicare paid an average of $37.38 per fill, versus $14.95 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 177.5 30-Day Fills standardized to 30-day supplies 5,317 Days of Medication total across all patients in 2024 | |||
| Risperidone | 67 | $15.68 | ≈ Typical |
About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾ Risperidone belongs to a class of drugs known as atypical antipsychotics. 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 2024, this provider wrote 67 Medicare prescriptions for Risperidone, about 1.2 times the volume of the typical Missouri prescriber of this medication (56.5). Medicare paid an average of $15.68 per fill, versus $13.52 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 137.7 30-Day Fills standardized to 30-day supplies 4,061 Days of Medication total across all patients in 2024 | |||
| RytaryCarbidopa/Levodopa | 54 | $2,851.45 | ▲ More than typical |
About Rytary: This medication is used to treat the symptoms of Parkinson's disease (such as shakiness, stiffness, difficulty moving) or Parkinson-like conditions. Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2024, this provider wrote 54 Medicare prescriptions for Rytary, about 1.3 times the volume of the typical Missouri prescriber of this medication (40.4). Medicare paid an average of $2,851.45 per fill, versus $1,159.75 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 121.8 30-Day Fills standardized to 30-day supplies 3,590 Days of Medication total across all patients in 2024 | |||
| Escitalopram Oxalate | 54 | $18.08 | ≈ Typical |
About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. 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 2024, this provider wrote 54 Medicare prescriptions for Escitalopram Oxalate, about 79% of the volume of the typical Missouri prescriber of this medication (68). Medicare paid an average of $18.08 per fill, versus $9.52 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 142.5 30-Day Fills standardized to 30-day supplies 4,276 Days of Medication total across all patients in 2024 | |||
| Midodrine Hcl | 50 | $135.81 | ▲ More than typical |
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. An ethanolamine derivative that is an adrenergic alpha-1 agonist. It is used as a vasoconstrictor agent in the treatment of HYPOTENSION. In 2024, this provider wrote 50 Medicare prescriptions for Midodrine Hcl, about 1.6 times the volume of the typical Missouri prescriber of this medication (31.2). Medicare paid an average of $135.81 per fill, versus $63.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 114.5 30-Day Fills standardized to 30-day supplies 3,427 Days of Medication total across all patients in 2024 | |||
| Olanzapine | 48 | $36.10 | ≈ Typical |
About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2024, this provider wrote 48 Medicare prescriptions for Olanzapine, about 80% of the volume of the typical Missouri prescriber of this medication (60). Medicare paid an average of $36.10 per fill, versus $23.83 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 2,580 Days of Medication total across all patients in 2024 | |||
| Entacapone | 46 | $276.77 | ▲ More than typical |
About Entacapone: This medication is used with other medications (levodopa/carbidopa) to treat Parkinson's disease. Show more ▾ Entacapone belongs to a class of drugs known as COMT inhibitors. Many people taking levodopa for Parkinson's have problems with the effects of the levodopa wearing off between scheduled doses, causing symptoms to return or worsen. Entacapone blocks a certain natural substance (COMT enzyme) that breaks down the levodopa in the body. This effect allows the levodopa to last longer in the system so that it doesn't wear off before the next dose. In 2024, this provider wrote 46 Medicare prescriptions for Entacapone, about 2 times the volume of the typical Missouri prescriber of this medication (23.4). Medicare paid an average of $276.77 per fill, versus $174.45 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 133.5 30-Day Fills standardized to 30-day supplies 4,006 Days of Medication total across all patients in 2024 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 43 | $18.06▼ below MO avg | ≈ Typical |
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 43 Medicare prescriptions for Venlafaxine Hcl Er, about the same volume as the typical Missouri prescriber of this medication (46.7). Medicare paid an average of $18.06 per fill, versus $21.58 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 MO average for this medication. 87 30-Day Fills standardized to 30-day supplies 2,610 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 42 | $23.37 | ▼ Less than typical |
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also 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 belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It 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 2024, this provider wrote 42 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Missouri prescriber of this medication (73.4). Medicare paid an average of $23.37 per fill, versus $21.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 76 30-Day Fills standardized to 30-day supplies 2,254 Days of Medication total across all patients in 2024 | |||
| Topiramate | 38 | $92.06 | ≈ 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 2024, this provider wrote 38 Medicare prescriptions for Topiramate, about 90% of the volume of the typical Missouri prescriber of this medication (42.3). Medicare paid an average of $92.06 per fill, versus $10.57 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 73.3 30-Day Fills standardized to 30-day supplies 2,154 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl | 37 | $26.10 | ≈ Typical |
About Propranolol Hcl: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. Show more ▾ It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. 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 effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs. In 2024, this provider wrote 37 Medicare prescriptions for Propranolol Hcl, about 1.2 times the volume of the typical Missouri prescriber of this medication (31.6). Medicare paid an average of $26.10 per fill, versus $15.33 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 101 30-Day Fills standardized to 30-day supplies 3,030 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 33 | $17.73 | ▼ Less than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 33 Medicare prescriptions for Quetiapine Fumarate, about half the volume of the typical Missouri prescriber of this medication (69.4). Medicare paid an average of $17.73 per fill, versus $16.57 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 63 30-Day Fills standardized to 30-day supplies 1,755 Days of Medication total across all patients in 2024 | |||
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 32 | $6,710.09▼ below MO avg | ▲ More than typical |
About Gammagard Liquid: This medication is used in people with a certain type of weakened immune system (primary immune deficiency) to strengthen it and to lower the risk of infection. Show more ▾ This medication is made from human blood that has a high level of antibodies which help fight infections. This product is also used to increase the number of certain blood cells (platelets) in people with a certain blood disorder (idiopathic thrombocytopenic purpura-ITP). Platelets are needed to stop bleeding and to form normal blood clots. In addition, this medication is used to treat a certain nerve disorder (chronic inflammatory demyelinating polyneuropathy-CIDP). This disorder causes weakness and numbness/tingling/pain in the arms and legs. This medication helps to improve these symptoms and prevents relapse. In 2024, this provider wrote 32 Medicare prescriptions for Gammagard Liquid, about 1.3 times the volume of the typical Missouri prescriber of this medication (24.2). Medicare paid an average of $6,710.09 per fill, versus $7,387.72 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 MO average for this medication. 32 30-Day Fills standardized to 30-day supplies 896 Days of Medication total across all patients in 2024 | |||
| NeuproRotigotine | 31 | $1,290.10 | ▲ More than typical |
About Neupro: Rotigotine is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. Rotigotine is also used to treat restless legs syndrome (RLS). Rotigotine is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. Antiparkinson Agent and dopamine receptor agonist. In 2024, this provider wrote 31 Medicare prescriptions for Neupro, about 1.7 times the volume of the typical Missouri prescriber of this medication (17.9). Medicare paid an average of $1,290.10 per fill, versus $920.14 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 37 30-Day Fills standardized to 30-day supplies 1,095 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 31 | $7.58▼ below MO avg | ▼ Less than typical |
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 31 Medicare prescriptions for Sertraline Hcl, about a third of the volume of the typical Missouri prescriber of this medication (82.4). Medicare paid an average of $7.58 per fill, versus $7.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 73 30-Day Fills standardized to 30-day supplies 2,190 Days of Medication total across all patients in 2024 | |||
| Donepezil Hcl | 29 | $14.24 | ▼ Less than 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. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE. In 2024, this provider wrote 29 Medicare prescriptions for Donepezil Hcl, about a third of the volume of the typical Missouri prescriber of this medication (70.6). Medicare paid an average of $14.24 per fill, versus $10.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 73 30-Day Fills standardized to 30-day supplies 2,190 Days of Medication total across all patients in 2024 | |||
| Fludrocortisone Acetate | 27 | $49.84 | ▲ More than typical |
About Fludrocortisone Acetate: Fludrocortisone is a man-made form of a natural substance (glucocorticoid) made by the body. Show more ▾ It is used along with other medications (such as hydrocortisone) to treat low glucocorticoid levels caused by disease of the adrenal gland (such as Addison's disease, adrenocortical insufficiency, salt-losing adrenogenital syndrome). Glucocorticoids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. They are also needed to break down carbohydrates in your diet. A synthetic mineralocorticoid with anti-inflammatory activity. In 2024, this provider wrote 27 Medicare prescriptions for Fludrocortisone Acetate, about 1.3 times the volume of the typical Missouri prescriber of this medication (21.5). Medicare paid an average of $49.84 per fill, versus $20.91 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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. 77 30-Day Fills standardized to 30-day supplies 2,310 Days of Medication total across all patients in 2024 | |||
| IngrezzaValbenazine Tosylate | 26 | $8,513.68 | ≈ Typical |
About Ingrezza: Valbenazine is used to treat involuntary movements of the face, tongue, or other body parts (tardive dyskinesia). Show more ▾ This medication is also used to decrease the involuntary movements (chorea) caused by Huntington's disease. Reducing involuntary movements will help you take part in more of your normal daily activities. This medication is thought to work by decreasing the amount of certain natural substances in the brain that affect how your nerves and muscles work (monoamines such as dopamine, serotonin, and norepinephrine). Inhibits vesicular monoamine transporter 2 (VMAT2); used to treat tardive dyskinesia. In 2024, this provider wrote 26 Medicare prescriptions for Ingrezza, about 87% of the volume of the typical Missouri prescriber of this medication (29.8). Medicare paid an average of $8,513.68 per fill, versus $7,267.46 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 780 Days of Medication total across all patients in 2024 | |||
| Baclofen | 25 | $26.74 | ▼ Less than typical |
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2024, this provider wrote 25 Medicare prescriptions for Baclofen, about half the volume of the typical Missouri prescriber of this medication (49). Medicare paid an average of $26.74 per fill, versus $17.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,285 Days of Medication total across all patients in 2024 | |||
| Ropinirole ErRopinirole Hcl | 25 | $159.32 | ▲ More than typical |
About Ropinirole Er: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and 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"). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2024, this provider wrote 25 Medicare prescriptions for Ropinirole Er, about 1.4 times the volume of the typical Missouri prescriber of this medication (17.6). Medicare paid an average of $159.32 per fill, versus $104.51 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO 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 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2024 | |||
| Venlafaxine Hcl | 22 | $22.54 | ≈ Typical |
About Venlafaxine Hcl: This medication is used to treat depression. Show more ▾ Venlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 22 Medicare prescriptions for Venlafaxine Hcl, about the same volume as the typical Missouri prescriber of this medication (22.3). Medicare paid an average of $22.54 per fill, versus $22.44 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2024 | |||
| Alprazolam | 21 | $7.26 | ▼ Less than typical |
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. 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. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2024, this provider wrote 21 Medicare prescriptions for Alprazolam, about 19% of the volume of the typical Missouri prescriber of this medication (112.2). Medicare paid an average of $7.26 per fill, versus $4.98 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2024 | |||
| Rasagiline Mesylate | 20 | $229.15 | ▼ Less than typical |
About Rasagiline Mesylate: Rasagiline is used alone or with other medications (such as levodopa/carbidopa) to treat symptoms of Parkinson's disease. Show more ▾ It can help improve symptoms such as shakiness, stiffness, and difficulty moving. It can also help reduce the amount of "off" time (periods of slow movement or stiffness). Rasagiline belongs to a class of drugs known as MAO inhibitors. It works by increasing the levels of certain natural substances in the brain (such as dopamine, norepinephrine, serotonin). Parkinson's disease is thought to be caused by too little dopamine in the brain. Monoamine oxidase type-B inhibitor that is not metabolized to amphetamine derivatives; can lead to fatal hypertensive crisis in patients who consume tyramine-rich foods. In 2024, this provider wrote 20 Medicare prescriptions for Rasagiline Mesylate, about 64% of the volume of the typical Missouri prescriber of this medication (31). Medicare paid an average of $229.15 per fill, versus $193.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 30-Day Fills standardized to 30-day supplies 1,560 Days of Medication total across all patients in 2024 | |||
| Lorazepam | 20 | $46.13 | ▼ Less than typical |
About Lorazepam: This medication is used to treat anxiety. Show more ▾ Lorazepam belongs to a class of drugs known as 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 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 2024, this provider wrote 20 Medicare prescriptions for Lorazepam, about a third of the volume of the typical Missouri prescriber of this medication (61.5). Medicare paid an average of $46.13 per fill, versus $6.67 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 33.8 30-Day Fills standardized to 30-day supplies 989 Days of Medication total across all patients in 2024 | |||
| Tizanidine Hcl | 20 | $30.31 | ▼ Less than typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2024, this provider wrote 20 Medicare prescriptions for Tizanidine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (56.7). Medicare paid an average of $30.31 per fill, versus $11.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl ErPropranolol Hcl | 18 | $57.48 | ≈ Typical |
About Propranolol Hcl Er: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions as determined by your doctor. Show more ▾ It is used after a heart attack to improve survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. 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 effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs. In 2024, this provider wrote 18 Medicare prescriptions for Propranolol Hcl Er, about 82% of the volume of the typical Missouri prescriber of this medication (21.9). Medicare paid an average of $57.48 per fill, versus $37.42 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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 30-Day Fills standardized to 30-day supplies 1,560 Days of Medication total across all patients in 2024 | |||
| Pregabalin | 17 | $12.17▼ below MO avg | ▼ 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 2024, this provider wrote 17 Medicare prescriptions for Pregabalin, about a quarter of the volume of the typical Missouri prescriber of this medication (61.4). Medicare paid an average of $12.17 per fill, versus $27.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2024 | |||
| Fluoxetine Hcl | 16 | $40.92 | ▼ Less than typical |
About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾ It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. 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 2024, this provider wrote 16 Medicare prescriptions for Fluoxetine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (52). Medicare paid an average of $40.92 per fill, versus $9.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 30-Day Fills standardized to 30-day supplies 1,152 Days of Medication total across all patients in 2024 | |||
| Nortriptyline Hcl | 16 | $22.62 | ▼ Less than typical |
About Nortriptyline Hcl: This medication is used to treat depression. Show more ▾ Nortriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. A metabolite of AMITRIPTYLINE that is also used as an antidepressive agent. Nortriptyline is used in major depression, dysthymia, and atypical depressions. In 2024, this provider wrote 16 Medicare prescriptions for Nortriptyline Hcl, about half the volume of the typical Missouri prescriber of this medication (28.4). Medicare paid an average of $22.62 per fill, versus $13.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 2024 | |||
| Glycopyrrolate | 15 | $69.15 | ≈ Typical |
About Glycopyrrolate: Glycopyrrolate is used with other drugs to treat a certain type of stomach/intestinal ulcer (peptic ulcer). Show more ▾ This medication may help relieve stomach/abdominal pain. However, it has not been shown to be effective in healing these ulcers, preventing them from returning, or preventing other problems caused by ulcers. Glycopyrrolate works by decreasing the amount of acid in the stomach. It also slows the natural movements of the gut and relaxes the muscles in the stomach/intestines. Glycopyrrolate belongs to a class of drugs known as anticholinergics. A muscarinic antagonist used as an antispasmodic, in some disorders of the gastrointestinal tract, and to reduce salivation with some anesthetics. In 2024, this provider wrote 15 Medicare prescriptions for Glycopyrrolate, about 78% of the volume of the typical Missouri prescriber of this medication (19.2). Medicare paid an average of $69.15 per fill, versus $40.90 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO 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. 44.4 30-Day Fills standardized to 30-day supplies 1,333 Days of Medication total across all patients in 2024 | |||
| Ondansetron Hcl | 14 | $11.10▼ below MO avg | ▼ Less than 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. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 14 Medicare prescriptions for Ondansetron Hcl, about a third of the volume of the typical Missouri prescriber of this medication (33.7). Medicare paid an average of $11.10 per fill, versus $18.93 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 MO average for this medication. 14 30-Day Fills standardized to 30-day supplies 410 Days of Medication total across all patients in 2024 | |||
| Bupropion XlBupropion Hcl | 12 | $30.70 | ▼ Less than typical |
About Bupropion Xl: This medication is used to treat depression. Show more ▾ It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 12 Medicare prescriptions for Bupropion Xl, about a quarter of the volume of the typical Missouri prescriber of this medication (50.8). Medicare paid an average of $30.70 per fill, versus $21.98 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2024 | |||
| Atropine Sulfate | 12 | $44.61 | ▼ Less than typical |
About Atropine Sulfate: This medication is used before eye examinations (such as refraction) and to treat certain eye conditions (such as uveitis). Show more ▾ It belongs to a class of drugs known as anticholinergics. Atropine works by widening (dilating) the pupil of the eye. An alkaloid, originally from Atropa belladonna, but found in other plants, mainly SOLANACEAE. Hyoscyamine is the 3(S)-endo isomer of atropine. In 2024, this provider wrote 12 Medicare prescriptions for Atropine Sulfate, about half the volume of the typical Missouri prescriber of this medication (21.8). Medicare paid an average of $44.61 per fill, versus $40.70 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO 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 30-Day Fills standardized to 30-day supplies 335 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. ISABEL ALFRADIQUE-DUNHAM MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, 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 Neurology prescribing approach at this Saint Louis, MO 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 among MO prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
