SARAH KOHNSTAMM M.D.
Prescription History 1679691521
Internal Medicine - Cardiovascular Disease in Ann Arbor, MI
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SARAH KOHNSTAMM M.D., an active Cardiovascular Disease specialist practicing in Ann Arbor, MI. Our medical registry currently tracks 25 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,226 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 147 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 MI PrescribersVs. MI Avg |
|---|---|---|---|
| Atorvastatin Calcium | 147 | $16.09 | ≈ Typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2024, this provider wrote 147 Medicare prescriptions for Atorvastatin Calcium, about 76% of the volume of the typical Michigan prescriber of this medication (194.2). Medicare paid an average of $16.09 per fill, versus $13.68 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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. 390.7 30-Day Fills standardized to 30-day supplies 11,702 Days of Medication total across all patients in 2024 | |||
| Metoprolol Succinate | 140 | $14.77▼ below MI avg | ▲ More than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2024, this provider wrote 140 Medicare prescriptions for Metoprolol Succinate, about 1.3 times the volume of the typical Michigan prescriber of this medication (110.7). Medicare paid an average of $14.77 per fill, versus $17.89 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MI 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 MI average for this medication. 388.2 30-Day Fills standardized to 30-day supplies 11,645 Days of Medication total across all patients in 2024 | |||
| Rosuvastatin Calcium | 115 | $22.22 | ≈ Typical |
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2024, this provider wrote 115 Medicare prescriptions for Rosuvastatin Calcium, about 1.2 times the volume of the typical Michigan prescriber of this medication (95.8). Medicare paid an average of $22.22 per fill, versus $18.43 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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. 339 30-Day Fills standardized to 30-day supplies 10,164 Days of Medication total across all patients in 2024 | |||
| Furosemide | 88 | $6.46 | ≈ Typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2024, this provider wrote 88 Medicare prescriptions for Furosemide, about 1.2 times the volume of the typical Michigan prescriber of this medication (73.4). Medicare paid an average of $6.46 per fill, versus $5.64 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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. 210.8 30-Day Fills standardized to 30-day supplies 6,324 Days of Medication total across all patients in 2024 | |||
| EliquisApixaban | 68 | $1,349.47 | ≈ Typical |
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. An antithrombotic agent. In 2024, this provider wrote 68 Medicare prescriptions for Eliquis, about 78% of the volume of the typical Michigan prescriber of this medication (86.7). Medicare paid an average of $1,349.47 per fill, versus $945.56 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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. 166.6 30-Day Fills standardized to 30-day supplies 4,972 Days of Medication total across all patients in 2024 | |||
| Ezetimibe | 67 | $21.18▼ below MI avg | ▲ More than typical |
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as "statins" or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2024, this provider wrote 67 Medicare prescriptions for Ezetimibe, about 1.5 times the volume of the typical Michigan prescriber of this medication (45.4). Medicare paid an average of $21.18 per fill, versus $24.93 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MI 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 MI average for this medication. 181.3 30-Day Fills standardized to 30-day supplies 5,434 Days of Medication total across all patients in 2024 | |||
| Lisinopril | 63 | $9.86 | ▼ Less than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2024, this provider wrote 63 Medicare prescriptions for Lisinopril, about half the volume of the typical Michigan prescriber of this medication (124.1). Medicare paid an average of $9.86 per fill, versus $8.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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. 178 30-Day Fills standardized to 30-day supplies 5,340 Days of Medication total across all patients in 2024 | |||
| JardianceEmpagliflozin | 57 | $1,064.47 | ≈ Typical |
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure and kidney disease. It helps to lower the risk of death from heart disease and reduces the need of going to a hospital to treat heart failure or kidney disease. It also helps to lower the risk of dialysis in people with kidney disease. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 57 Medicare prescriptions for Jardiance, about the same volume as the typical Michigan prescriber of this medication (53.3). Medicare paid an average of $1,064.47 per fill, versus $1,053.23 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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. 107 30-Day Fills standardized to 30-day supplies 3,194 Days of Medication total across all patients in 2024 | |||
| Losartan Potassium | 55 | $10.61▼ below MI avg | ▼ Less than typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2024, this provider wrote 55 Medicare prescriptions for Losartan Potassium, about half the volume of the typical Michigan prescriber of this medication (115). Medicare paid an average of $10.61 per fill, versus $12.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 143 30-Day Fills standardized to 30-day supplies 4,290 Days of Medication total across all patients in 2024 | |||
| EntrestoSacubitril/Valsartan | 50 | $1,174.96 | ≈ Typical |
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. An angiotensin II receptor antagonist. In 2024, this provider wrote 50 Medicare prescriptions for Entresto, about the same volume as the typical Michigan prescriber of this medication (49.9). Medicare paid an average of $1,174.96 per fill, versus $1,095.46 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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. 104.3 30-Day Fills standardized to 30-day supplies 3,104 Days of Medication total across all patients in 2024 | |||
| Carvedilol | 45 | $15.89 | ▼ Less than typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2024, this provider wrote 45 Medicare prescriptions for Carvedilol, about 74% of the volume of the typical Michigan prescriber of this medication (60.9). Medicare paid an average of $15.89 per fill, versus $12.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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. 125.3 30-Day Fills standardized to 30-day supplies 3,760 Days of Medication total across all patients in 2024 | |||
| Spironolactone | 41 | $9.21▼ below MI avg | ≈ Typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a "water pill" (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2024, this provider wrote 41 Medicare prescriptions for Spironolactone, about the same volume as the typical Michigan prescriber of this medication (42.4). Medicare paid an average of $9.21 per fill, versus $11.27 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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 MI average for this medication. 111 30-Day Fills standardized to 30-day supplies 3,316 Days of Medication total across all patients in 2024 | |||
| Metoprolol Tartrate | 40 | $8.08 | ▼ Less than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2024, this provider wrote 40 Medicare prescriptions for Metoprolol Tartrate, about half the volume of the typical Michigan prescriber of this medication (69.5). Medicare paid an average of $8.08 per fill, versus $8.08 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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. 108 30-Day Fills standardized to 30-day supplies 3,240 Days of Medication total across all patients in 2024 | |||
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 32 | $75.58 | ≈ Typical |
About Diltiazem 24hr Er (Cd): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 32 Medicare prescriptions for Diltiazem 24hr Er (Cd), about the same volume as the typical Michigan prescriber of this medication (32.5). Medicare paid an average of $75.58 per fill, versus $34.21 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MI 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. 92 30-Day Fills standardized to 30-day supplies 2,760 Days of Medication total across all patients in 2024 | |||
| Amlodipine Besylate | 29 | $6.75▼ below MI avg | ▼ Less than typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2024, this provider wrote 29 Medicare prescriptions for Amlodipine Besylate, about a quarter of the volume of the typical Michigan prescriber of this medication (135). Medicare paid an average of $6.75 per fill, versus $7.48 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 87 30-Day Fills standardized to 30-day supplies 2,610 Days of Medication total across all patients in 2024 | |||
| Hydrochlorothiazide | 27 | $5.24 | ▼ Less than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills." It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2024, this provider wrote 27 Medicare prescriptions for Hydrochlorothiazide, about a third of the volume of the typical Michigan prescriber of this medication (66.8). Medicare paid an average of $5.24 per fill, versus $5.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 2,340 Days of Medication total across all patients in 2024 | |||
| Repatha SureclickEvolocumab | 26 | $731.87▼ below MI avg | ▼ Less than typical |
About Repatha Sureclick: Evolocumab is used along with a proper diet to help lower "bad" cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as "statin" drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. Targets PCSK9. In 2024, this provider wrote 26 Medicare prescriptions for Repatha Sureclick, about half the volume of the typical Michigan prescriber of this medication (45.7). Medicare paid an average of $731.87 per fill, versus $863.22 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 35 30-Day Fills standardized to 30-day supplies 1,008 Days of Medication total across all patients in 2024 | |||
| XareltoRivaroxaban | 26 | $1,116.73 | ▼ Less than typical |
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2024, this provider wrote 26 Medicare prescriptions for Xarelto, about 63% of the volume of the typical Michigan prescriber of this medication (41.3). Medicare paid an average of $1,116.73 per fill, versus $1,006.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2024 | |||
| ClopidogrelClopidogrel Bisulfate | 18 | $17.76 | ▼ Less than typical |
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2024, this provider wrote 18 Medicare prescriptions for Clopidogrel, about a third of the volume of the typical Michigan prescriber of this medication (55.9). Medicare paid an average of $17.76 per fill, versus $17.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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. 48.4 30-Day Fills standardized to 30-day supplies 1,453 Days of Medication total across all patients in 2024 | |||
| Warfarin Sodium | 18 | $33.66 | ▼ Less than typical |
About Warfarin Sodium: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾ Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a "blood thinner," but the more correct term is "anticoagulant." It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide. In 2024, this provider wrote 18 Medicare prescriptions for Warfarin Sodium, about half the volume of the typical Michigan prescriber of this medication (33.8). Medicare paid an average of $33.66 per fill, versus $14.13 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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. 53.8 30-Day Fills standardized to 30-day supplies 1,614 Days of Medication total across all patients in 2024 | |||
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 16 | $15.87▼ below MI avg | ▼ Less than typical |
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. For prevention of angina pectoris; a Russian drug. In 2024, this provider wrote 16 Medicare prescriptions for Isosorbide Mononitrate Er, about a third of the volume of the typical Michigan prescriber of this medication (43.8). Medicare paid an average of $15.87 per fill, versus $17.04 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 46 30-Day Fills standardized to 30-day supplies 1,364 Days of Medication total across all patients in 2024 | |||
| Potassium Chloride | 16 | $25.87 | ▼ Less than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2024, this provider wrote 16 Medicare prescriptions for Potassium Chloride, about a quarter of the volume of the typical Michigan prescriber of this medication (58.5). Medicare paid an average of $25.87 per fill, versus $23.31 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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. 41.3 30-Day Fills standardized to 30-day supplies 1,219 Days of Medication total across all patients in 2024 | |||
| Praluent PenAlirocumab | 16 | $474.16▼ below MI avg | ▼ Less than typical |
About Praluent Pen: Alirocumab is used by people who have blockage in the heart blood vessels to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. Show more ▾ It is also used by people who have an inherited condition that causes high levels of LDL. Treatment with alirocumab, a proper diet, and cholesterol-lowering drugs can help lower "bad" cholesterol (LDL) in the blood. Alirocumab belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. Antibody to PCSK9 to manage LDL cholesterol. In 2024, this provider wrote 16 Medicare prescriptions for Praluent Pen, about 64% of the volume of the typical Michigan prescriber of this medication (24.8). Medicare paid an average of $474.16 per fill, versus $734.48 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 16 30-Day Fills standardized to 30-day supplies 448 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl | 14 | $22.10 | ▼ Less than 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 14 Medicare prescriptions for Propranolol Hcl, about 62% of the volume of the typical Michigan prescriber of this medication (22.7). Medicare paid an average of $22.10 per fill, versus $21.31 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 705 Days of Medication total across all patients in 2024 | |||
| Amoxicillin | 12 | $0.89▼ below MI avg | ▼ Less than typical |
About Amoxicillin: Amoxicillin is used to treat a wide variety of bacterial infections. Show more ▾ This medication is a penicillin-type 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. Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. A broad-spectrum semisynthetic antibiotic similar to AMPICILLIN except that its resistance to gastric acid permits higher serum levels with oral administration. In 2024, this provider wrote 12 Medicare prescriptions for Amoxicillin, about a third of the volume of the typical Michigan prescriber of this medication (41.3). Medicare paid an average of $0.89 per fill, versus $2.77 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MI 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 MI average for this medication. 12 30-Day Fills standardized to 30-day supplies 18 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for SARAH KOHNSTAMM M.D. 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 Cardiovascular Disease prescribing approach at this Ann Arbor, MI 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 MI 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.
