DR. MARK B. MONAHAN M.D.
Prescription History 1679537021
Urology in Richmond, VA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. MARK B. MONAHAN M.D., an active Urology specialist practicing in Richmond, VA. Our medical registry currently tracks 38 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,771 documented patient claims. Among these therapy options, the most frequently utilized medication is Tamsulosin Hcl, which accounts for 866 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 VA PrescribersVs. VA Avg |
|---|---|---|---|
| Tamsulosin Hcl | 866 | $14.83▼ below VA avg | ▲ More than typical |
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 866 Medicare prescriptions for Tamsulosin Hcl, about 12 times the volume of the typical Virginia prescriber of this medication (72). Medicare paid an average of $14.83 per fill, versus $19.15 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 1,849.1 30-Day Fills standardized to 30-day supplies 54,368 Days of Medication total across all patients in 2023 | |||
| Dutasteride | 372 | $58.46▼ below VA avg | ▲ More than typical |
About Dutasteride: This medication is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It works by reducing the size of the enlarged prostate. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). It may also reduce the need for surgery to treat BPH. Dutasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. This medication should not be used by women or children. A 5-ALPHA-REDUCTASE INHIBITOR that is reported to inhibit both type-1 and type2 isoforms of the enzyme and is used to treat BENIGN PROSTATIC HYPERPLASIA. In 2023, this provider wrote 372 Medicare prescriptions for Dutasteride, about 14 times the volume of the typical Virginia prescriber of this medication (27). Medicare paid an average of $58.46 per fill, versus $62.13 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 830.8 30-Day Fills standardized to 30-day supplies 24,907 Days of Medication total across all patients in 2023 | |||
| MyrbetriqMirabegron | 217 | $599.81▼ below VA avg | ▲ More than typical |
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. In 2023, this provider wrote 217 Medicare prescriptions for Myrbetriq, about 5.4 times the volume of the typical Virginia prescriber of this medication (40). Medicare paid an average of $599.81 per fill, versus $652.31 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 275 30-Day Fills standardized to 30-day supplies 8,224 Days of Medication total across all patients in 2023 | |||
| Finasteride | 194 | $15.74▼ below VA avg | ▲ More than typical |
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2023, this provider wrote 194 Medicare prescriptions for Finasteride, about 4.1 times the volume of the typical Virginia prescriber of this medication (47). Medicare paid an average of $15.74 per fill, versus $18.49 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 506.4 30-Day Fills standardized to 30-day supplies 15,141 Days of Medication total across all patients in 2023 | |||
| Cephalexin | 153 | $4.65▼ below VA avg | ▲ More than typical |
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2023, this provider wrote 153 Medicare prescriptions for Cephalexin, about 5.5 times the volume of the typical Virginia prescriber of this medication (28). Medicare paid an average of $4.65 per fill, versus $8.60 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 181 30-Day Fills standardized to 30-day supplies 2,108 Days of Medication total across all patients in 2023 | |||
| Ciprofloxacin Hcl | 111 | $3.49▼ below VA avg | ▲ More than typical |
About Ciprofloxacin Hcl: This medication is used to treat eye infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2023, this provider wrote 111 Medicare prescriptions for Ciprofloxacin Hcl, about 4.1 times the volume of the typical Virginia prescriber of this medication (27). Medicare paid an average of $3.49 per fill, versus $7.91 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 111 30-Day Fills standardized to 30-day supplies 383 Days of Medication total across all patients in 2023 | |||
| Alfuzosin Hcl ErAlfuzosin Hcl | 59 | $30.36▼ below VA avg | ▲ More than typical |
About Alfuzosin Hcl Er: Alfuzosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Alfuzosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 59 Medicare prescriptions for Alfuzosin Hcl Er, about 1.8 times the volume of the typical Virginia prescriber of this medication (33). Medicare paid an average of $30.36 per fill, versus $33.39 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 142.7 30-Day Fills standardized to 30-day supplies 4,280 Days of Medication total across all patients in 2023 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 57 | $4.28▼ below VA avg | ▲ More than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS. In 2023, this provider wrote 57 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 2.4 times the volume of the typical Virginia prescriber of this medication (24). Medicare paid an average of $4.28 per fill, versus $5.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 57 30-Day Fills standardized to 30-day supplies 758 Days of Medication total across all patients in 2023 | |||
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 53 | $11.21▼ below VA avg | ▲ More than typical |
About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate. In 2023, this provider wrote 53 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about 2.2 times the volume of the typical Virginia prescriber of this medication (24). Medicare paid an average of $11.21 per fill, versus $13.58 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 53 30-Day Fills standardized to 30-day supplies 543 Days of Medication total across all patients in 2023 | |||
| Cefdinir | 52 | $9.71▼ below VA avg | ▲ More than typical |
About Cefdinir: Cefdinir is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A third-generation oral cephalosporin antibacterial agent that is used to treat bacterial infections of the respiratory tract and skin. In 2023, this provider wrote 52 Medicare prescriptions for Cefdinir, about 2 times the volume of the typical Virginia prescriber of this medication (26). Medicare paid an average of $9.71 per fill, versus $20.76 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 52 30-Day Fills standardized to 30-day supplies 162 Days of Medication total across all patients in 2023 | |||
| GemtesaVibegron | 46 | $717.00 | ▲ More than typical |
About Gemtesa: This medication is used to treat overactive bladder. Show more ▾ Overactive bladder is a problem with how your bladder stores urine that causes a sudden urge to urinate. The urge may be hard to control, and overactive bladder symptoms may include frequent urination, strong sudden urges to urinate, or involuntary loss of urine (incontinence). Vibegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder. In 2023, this provider wrote 46 Medicare prescriptions for Gemtesa, about 1.4 times the volume of the typical Virginia prescriber of this medication (33). Medicare paid an average of $717.00 per fill, versus $690.56 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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. 65 30-Day Fills standardized to 30-day supplies 1,950 Days of Medication total across all patients in 2023 | |||
| Methenamine Hippurate | 45 | $58.40▼ below VA avg | ▲ More than typical |
About Methenamine Hippurate: Methenamine is used to prevent or control returning urinary tract infections caused by certain bacteria. Show more ▾ It is not used to treat an active infection. Antibiotics must be used first to treat and cure the infection. Methenamine is a drug that stops the growth of bacteria in urine. This medication also contains an ingredient that helps to make the urine acidic. When the urine is acidic, methenamine turns into formaldehyde to kill the bacteria. This drug is effective only against bacterial infections in the urinary tract. It will not work for other types of bacterial infections (such as in the blood) or for viral infections (such as the common cold or flu). Unnecessary use or misuse of any antibacterial drug can lead to its decreased effectiveness. In 2023, this provider wrote 45 Medicare prescriptions for Methenamine Hippurate, about 1.6 times the volume of the typical Virginia prescriber of this medication (29). Medicare paid an average of $58.40 per fill, versus $99.81 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 68 30-Day Fills standardized to 30-day supplies 2,040 Days of Medication total across all patients in 2023 | |||
| Tadalafil | 40 | $44.27▼ below VA avg | ▲ More than typical |
About Tadalafil: Tadalafil is used to treat high blood pressure in the lungs (pulmonary hypertension). Show more ▾ It works by relaxing and widening the blood vessels in your lungs which allows the blood to flow more easily. Decreasing high blood pressure in the lungs allows your heart and lungs to work better and improves your ability to exercise. A carboline derivative and PHOSPHODIESTERASE 5 INHIBITOR that is used primarily to treat ERECTILE DYSFUNCTION; BENIGN PROSTATIC HYPERPLASIA and PRIMARY PULMONARY HYPERTENSION. In 2023, this provider wrote 40 Medicare prescriptions for Tadalafil, about 1.8 times the volume of the typical Virginia prescriber of this medication (22). Medicare paid an average of $44.27 per fill, versus $596.12 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 64 30-Day Fills standardized to 30-day supplies 1,920 Days of Medication total across all patients in 2023 | |||
| NitrofurantoinNitrofurantoin Macrocrystal | 33 | $20.08▼ below VA avg | ▲ More than typical |
About Nitrofurantoin: Nitrofurantoin is an antibiotic used to treat or prevent certain bladder infections. Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). A urinary anti-infective agent effective against most gram-positive and gram-negative organisms. Although sulfonamides and antibiotics are usually the agents of choice for urinary tract infections, nitrofurantoin is widely used for prophylaxis and long-term suppression. In 2023, this provider wrote 33 Medicare prescriptions for Nitrofurantoin, about 1.4 times the volume of the typical Virginia prescriber of this medication (23). Medicare paid an average of $20.08 per fill, versus $42.74 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,194 Days of Medication total across all patients in 2023 | |||
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 33 | $14.45▼ below VA avg | ▲ More than typical |
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2023, this provider wrote 33 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 1.4 times the volume of the typical Virginia prescriber of this medication (24). Medicare paid an average of $14.45 per fill, versus $23.14 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 33 30-Day Fills standardized to 30-day supplies 199 Days of Medication total across all patients in 2023 | |||
| Solifenacin Succinate | 31 | $23.28▼ below VA avg | ≈ Typical |
About Solifenacin Succinate: Solifenacin is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, solifenacin improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. A quinuclidine and tetrahydroisoquinoline derivative and selective M3 MUSCARINIC ANTAGONIST. It is used as a UROLOGIC AGENT in the treatment of URINARY INCONTINENCE. In 2023, this provider wrote 31 Medicare prescriptions for Solifenacin Succinate, about 1.2 times the volume of the typical Virginia prescriber of this medication (25). Medicare paid an average of $23.28 per fill, versus $85.42 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA 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 VA average for this medication. 61 30-Day Fills standardized to 30-day supplies 1,830 Days of Medication total across all patients in 2023 | |||
| Tolterodine Tartrate | 30 | $56.25▼ below VA avg | ▲ More than typical |
About Tolterodine Tartrate: This medication is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, tolterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. An ANTIMUSCARINIC AGENT selective for the MUSCARINIC RECEPTORS of the BLADDER that is used in the treatment of URINARY INCONTINENCE and URINARY URGE INCONTINENCE. In 2023, this provider wrote 30 Medicare prescriptions for Tolterodine Tartrate, about 2 times the volume of the typical Virginia prescriber of this medication (15). Medicare paid an average of $56.25 per fill, versus $101.98 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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 VA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,226 Days of Medication total across all patients in 2023 | |||
| Silodosin | 30 | $208.92 | ≈ Typical |
About Silodosin: Silodosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Silodosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 30 Medicare prescriptions for Silodosin, about the same volume as the typical Virginia prescriber of this medication (27). Medicare paid an average of $208.92 per fill, versus $150.26 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA 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. 69 30-Day Fills standardized to 30-day supplies 2,070 Days of Medication total across all patients in 2023 | |||
| Oxybutynin Chloride | 29 | $25.00 | ▲ More than typical |
About Oxybutynin Chloride: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾ It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida). In 2023, this provider wrote 29 Medicare prescriptions for Oxybutynin Chloride, about 1.3 times the volume of the typical Virginia prescriber of this medication (23). Medicare paid an average of $25.00 per fill, versus $23.14 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA 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. 57.5 30-Day Fills standardized to 30-day supplies 1,608 Days of Medication total across all patients in 2023 | |||
| Trospium Chloride | 29 | $92.00 | ≈ Typical |
About Trospium Chloride: This medication is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, trospium improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. Trospium belongs to a class of drugs known as antispasmodics. It is also known as an antimuscarinic. In 2023, this provider wrote 29 Medicare prescriptions for Trospium Chloride, about the same volume as the typical Virginia prescriber of this medication (31). Medicare paid an average of $92.00 per fill, versus $89.25 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA 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. 65 30-Day Fills standardized to 30-day supplies 1,938 Days of Medication total across all patients in 2023 | |||
| Oxybutynin Chloride ErOxybutynin Chloride | 22 | $53.58 | ≈ Typical |
About Oxybutynin Chloride Er: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾ It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida). In 2023, this provider wrote 22 Medicare prescriptions for Oxybutynin Chloride Er, about 85% of the volume of the typical Virginia prescriber of this medication (26). Medicare paid an average of $53.58 per fill, versus $45.13 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA 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. 44.2 30-Day Fills standardized to 30-day supplies 1,324 Days of Medication total across all patients in 2023 | |||
| Testosterone Cypionate | 22 | $37.93▼ below VA avg | ≈ Typical |
About Testosterone Cypionate: This medication is used in men who do not make enough of a natural substance called testosterone. Show more ▾ In males, testosterone is responsible for many normal functions, including growth and development of the genitals, muscles, and bones. It also helps cause normal sexual development (puberty) in boys. Testosterone belongs to a class of drugs known as androgens. It works by affecting many body systems so that the body can develop and function normally. Testosterone may also be used in certain adolescent boys to cause puberty in those with delayed puberty. It may also be used to treat certain types of breast cancer in women. In 2023, this provider wrote 22 Medicare prescriptions for Testosterone Cypionate, about the same volume as the typical Virginia prescriber of this medication (24). Medicare paid an average of $37.93 per fill, versus $44.96 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA 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 VA average for this medication. 34.7 30-Day Fills standardized to 30-day supplies 940 Days of Medication total across all patients in 2023 | |||
| Potassium Citrate ErPotassium Citrate | 20 | $76.27▼ below VA avg | ≈ Typical |
About Potassium Citrate Er: This medication is used to make the urine less acidic. Show more ▾ This effect helps the kidneys get rid of uric acid, thereby helping to prevent gout and kidney stones. This medication can also prevent and treat certain metabolic problems (acidosis) caused by kidney disease. Citric acid and citrate salts (which contain potassium and sodium) belong to a class of drugs known as urinary alkalinizers. If you have a condition that requires you to limit your intake of potassium and sodium, your doctor may direct you to take a product that is lower in potassium and sodium. A powder that dissolves in water, which is administered orally, and is used as a diuretic, expectorant, systemic alkalizer, and electrolyte replenisher. In 2023, this provider wrote 20 Medicare prescriptions for Potassium Citrate Er, about the same volume as the typical Virginia prescriber of this medication (20). Medicare paid an average of $76.27 per fill, versus $152.56 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA 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 VA average for this medication. 34 30-Day Fills standardized to 30-day supplies 972 Days of Medication total across all patients in 2023 | |||
| Estradiol | 18 | $128.16 | ▼ Less than typical |
About Estradiol: This medication is a female hormone (estrogen). Show more ▾ It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure). Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In 2023, this provider wrote 18 Medicare prescriptions for Estradiol, about half the volume of the typical Virginia prescriber of this medication (31). Medicare paid an average of $128.16 per fill, versus $76.08 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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. 38 30-Day Fills standardized to 30-day supplies 1,140 Days of Medication total across all patients in 2023 | |||
| Doxycycline Hyclate | 18 | $23.39 | ▼ Less than typical |
About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾ This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity. In 2023, this provider wrote 18 Medicare prescriptions for Doxycycline Hyclate, about 62% of the volume of the typical Virginia prescriber of this medication (29). Medicare paid an average of $23.39 per fill, versus $22.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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. 18 30-Day Fills standardized to 30-day supplies 306 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 18 | $9.62▼ below VA avg | ▼ Less than typical |
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 18 Medicare prescriptions for Amitriptyline Hcl, about 64% of the volume of the typical Virginia prescriber of this medication (28). Medicare paid an average of $9.62 per fill, versus $21.40 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023 | |||
| Nystatin-TriamcinoloneNystatin/Triamcinolone Acet | 17 | $42.24▼ below VA avg | ≈ Typical |
About Nystatin-Triamcinolone: This medication is used to treat fungal skin infections. Show more ▾ This product contains nystatin, an anti-fungal drug that works by stopping the growth of fungus. It also contains triamcinolone, an anti-inflammatory corticosteroid that works by reducing swelling, itching, and redness. This medication treats only fungal skin infections. It will not work for other types of skin infections (such as infections caused by bacteria, viruses). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. In 2023, this provider wrote 17 Medicare prescriptions for Nystatin-Triamcinolone, about the same volume as the typical Virginia prescriber of this medication (16). Medicare paid an average of $42.24 per fill, versus $50.00 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA 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 VA average for this medication. 17 30-Day Fills standardized to 30-day supplies 202 Days of Medication total across all patients in 2023 | |||
| CefuroximeCefuroxime Axetil | 17 | $12.59▼ below VA avg | ▼ Less than typical |
About Cefuroxime: Cefuroxime is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A cephalosporin antibiotic. In 2023, this provider wrote 17 Medicare prescriptions for Cefuroxime, about 63% of the volume of the typical Virginia prescriber of this medication (27). Medicare paid an average of $12.59 per fill, versus $24.29 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 17 30-Day Fills standardized to 30-day supplies 111 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 17 | $6.26▼ below VA avg | ▼ Less than typical |
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 17 Medicare prescriptions for Hydroxyzine Hcl, about half the volume of the typical Virginia prescriber of this medication (29). Medicare paid an average of $6.26 per fill, versus $18.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2023 | |||
| Trospium Chloride ErTrospium Chloride | 17 | $231.57 | ▼ Less than typical |
About Trospium Chloride Er: This medication is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, trospium improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. Trospium belongs to a class of drugs known as antispasmodics. It is also known as an antimuscarinic. In 2023, this provider wrote 17 Medicare prescriptions for Trospium Chloride Er, about half the volume of the typical Virginia prescriber of this medication (31). Medicare paid an average of $231.57 per fill, versus $199.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2023 | |||
| Tolterodine Tartrate ErTolterodine Tartrate | 16 | $202.43 | ≈ Typical |
About Tolterodine Tartrate Er: This medication is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, tolterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. An ANTIMUSCARINIC AGENT selective for the MUSCARINIC RECEPTORS of the BLADDER that is used in the treatment of URINARY INCONTINENCE and URINARY URGE INCONTINENCE. In 2023, this provider wrote 16 Medicare prescriptions for Tolterodine Tartrate Er, about 89% of the volume of the typical Virginia prescriber of this medication (18). Medicare paid an average of $202.43 per fill, versus $166.35 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA 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. 34 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2023 | |||
| Fluconazole | 15 | $5.70▼ below VA avg | ▼ Less than typical |
About Fluconazole: Fluconazole is used to treat vaginal yeast infections. Show more ▾ It works by stopping the growth of common types of vaginal yeast (fungus). This medication belongs to a class of drugs called azole antifungals. Triazole antifungal agent that is used to treat oropharyngeal CANDIDIASIS and cryptococcal MENINGITIS in AIDS. In 2023, this provider wrote 15 Medicare prescriptions for Fluconazole, about 65% of the volume of the typical Virginia prescriber of this medication (23). Medicare paid an average of $5.70 per fill, versus $10.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 15 30-Day Fills standardized to 30-day supplies 59 Days of Medication total across all patients in 2023 | |||
| Lorazepam | 13 | $0.63▼ below VA 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 13 Medicare prescriptions for Lorazepam, about a third of the volume of the typical Virginia prescriber of this medication (45). Medicare paid an average of $0.63 per fill, versus $7.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 13 30-Day Fills standardized to 30-day supplies 14 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Pamoate | 13 | $3.84▼ below VA avg | ▼ Less than typical |
About Hydroxyzine Pamoate: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2023, this provider wrote 13 Medicare prescriptions for Hydroxyzine Pamoate, about a third of the volume of the typical Virginia prescriber of this medication (33). Medicare paid an average of $3.84 per fill, versus $12.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023 | |||
| Doxycycline Monohydrate | 13 | $21.16▼ below VA avg | ▼ Less than typical |
About Doxycycline Monohydrate: This medication is used to treat a certain type of skin condition called rosacea. Show more ▾ It helps to reduce the number of pimples and bumps on the face, but it may not decrease redness. It works by reducing skin inflammation caused by rosacea. Although doxycycline belongs to the class of antibiotics known as tetracyclines, this product does not work as an antibiotic because it does not stop the growth of bacteria. Do not use this product to treat any infection, including viral infections (such as the common cold, flu). Use this medication only as prescribed by your doctor. A plant family of the order Dipsacales, subclass Asteridae, class Magnoliopsida. Members of this family are sometimes classified in CAPRIFOLIACEAE. In 2023, this provider wrote 13 Medicare prescriptions for Doxycycline Monohydrate, about half the volume of the typical Virginia prescriber of this medication (26). Medicare paid an average of $21.16 per fill, versus $22.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 13 30-Day Fills standardized to 30-day supplies 226 Days of Medication total across all patients in 2023 | |||
| Dutasteride-TamsulosinDutasteride/Tamsulosin Hcl | 12 | $108.41▼ below VA avg | ▼ Less than typical |
About Dutasteride-Tamsulosin: This product is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ Dutasteride works by reducing the size of the enlarged prostate. Tamsulosin is known as an alpha-blocker and works by relaxing muscles in the bladder and prostate. This product helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Dutasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. This medication should not be used by women or children. In 2023, this provider wrote 12 Medicare prescriptions for Dutasteride-Tamsulosin, about 60% of the volume of the typical Virginia prescriber of this medication (20). Medicare paid an average of $108.41 per fill, versus $179.84 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023 | |||
| Doxazosin Mesylate | 12 | $21.82 | ▼ Less than typical |
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2023, this provider wrote 12 Medicare prescriptions for Doxazosin Mesylate, about half the volume of the typical Virginia prescriber of this medication (25). Medicare paid an average of $21.82 per fill, versus $20.39 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36.7 30-Day Fills standardized to 30-day supplies 1,100 Days of Medication total across all patients in 2023 | |||
| Oxycodone Hcl | 11 | $2.82▼ below VA avg | ▼ Less than typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 11 Medicare prescriptions for Oxycodone Hcl, about 20% of the volume of the typical Virginia prescriber of this medication (56). Medicare paid an average of $2.82 per fill, versus $25.37 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA 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 VA average for this medication. 11 30-Day Fills standardized to 30-day supplies 42 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for DR. MARK B. MONAHAN M.D. 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 Urology prescribing approach at this Richmond, VA 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 VA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
