LISA L BULTHUIS NP
Prescription History 1689636607
Nurse Practitioner - Family in South Portland, ME
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for LISA L BULTHUIS NP, an active Family specialist practicing in South Portland, ME. Our medical registry currently tracks 37 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,180 documented patient claims. Among these therapy options, the most frequently utilized medication is Lamotrigine, which accounts for 413 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 ME PrescribersVs. ME Avg |
|---|---|---|---|
| Lamotrigine | 413 | $27.75 | ▲ More than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 413 Medicare prescriptions for Lamotrigine, about 9.2 times the volume of the typical Maine prescriber of this medication (45). Medicare paid an average of $27.75 per fill, versus $18.17 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 865.5 30-Day Fills standardized to 30-day supplies 25,702 Days of Medication total across all patients in 2023 | |||
| Levetiracetam | 293 | $89.70 | ▲ More than typical |
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 293 Medicare prescriptions for Levetiracetam, about 7.7 times the volume of the typical Maine prescriber of this medication (38). Medicare paid an average of $89.70 per fill, versus $57.99 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 718.6 30-Day Fills standardized to 30-day supplies 21,489 Days of Medication total across all patients in 2023 | |||
| BriviactBrivaracetam | 188 | $2,407.50 | ▲ More than typical |
About Briviact: Brivaracetam is used to treat seizures (epilepsy). In 2023, this provider wrote 188 Medicare prescriptions for Briviact, about 2.5 times the volume of the typical Maine prescriber of this medication (76). Medicare paid an average of $2,407.50 per fill, versus $1,937.67 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 258 30-Day Fills standardized to 30-day supplies 7,728 Days of Medication total across all patients in 2023 | |||
| Lacosamide | 148 | $298.14▼ below ME avg | ▲ More than typical |
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2023, this provider wrote 148 Medicare prescriptions for Lacosamide, about 4.5 times the volume of the typical Maine prescriber of this medication (33). Medicare paid an average of $298.14 per fill, versus $363.14 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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 ME average for this medication. 257.9 30-Day Fills standardized to 30-day supplies 7,646 Days of Medication total across all patients in 2023 | |||
| XcopriCenobamate | 112 | $1,655.10 | ▲ More than typical |
About Xcopri: This medication is used to treat a certain type of seizure disorder (partial onset). Show more ▾ It is not known exactly how it works, but it may affect the action of some nerves that cause seizures. In 2023, this provider wrote 112 Medicare prescriptions for Xcopri, about 2.5 times the volume of the typical Maine prescriber of this medication (44). Medicare paid an average of $1,655.10 per fill, versus $1,595.27 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 160 30-Day Fills standardized to 30-day supplies 4,556 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium ErDivalproex Sodium | 92 | $184.56 | ▲ More than typical |
About Divalproex Sodium Er: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 92 Medicare prescriptions for Divalproex Sodium Er, about 2.8 times the volume of the typical Maine prescriber of this medication (33). Medicare paid an average of $184.56 per fill, versus $127.92 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 182 30-Day Fills standardized to 30-day supplies 5,386 Days of Medication total across all patients in 2023 | |||
| Topiramate | 88 | $161.11 | ▲ More than typical |
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 88 Medicare prescriptions for Topiramate, about 3.1 times the volume of the typical Maine prescriber of this medication (28). Medicare paid an average of $161.11 per fill, versus $23.00 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 184.5 30-Day Fills standardized to 30-day supplies 5,499 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 86 | $50.40 | ▲ More than typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 86 Medicare prescriptions for Gabapentin, about 1.3 times the volume of the typical Maine prescriber of this medication (67). Medicare paid an average of $50.40 per fill, versus $30.35 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 116 30-Day Fills standardized to 30-day supplies 3,439 Days of Medication total across all patients in 2023 | |||
| Levetiracetam ErLevetiracetam | 81 | $199.20▼ below ME avg | ▲ More than typical |
About Levetiracetam Er: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 81 Medicare prescriptions for Levetiracetam Er, about 2.8 times the volume of the typical Maine prescriber of this medication (29). Medicare paid an average of $199.20 per fill, versus $259.55 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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 ME average for this medication. 195.8 30-Day Fills standardized to 30-day supplies 5,870 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 72 | $151.63 | ▲ More than typical |
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 72 Medicare prescriptions for Divalproex Sodium, about 2.5 times the volume of the typical Maine prescriber of this medication (29). Medicare paid an average of $151.63 per fill, versus $74.39 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 128 30-Day Fills standardized to 30-day supplies 3,802 Days of Medication total across all patients in 2023 | |||
| Clobazam | 59 | $282.74▼ below ME avg | ▲ More than typical |
About Clobazam: This medication is used with other medications to help control seizures. Show more ▾ It belongs to a class of medications called benzodiazepines, which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). A benzodiazepine derivative that is a long-acting GABA-A RECEPTOR agonist. It is used as an antiepileptic in the treatment of SEIZURES, including seizures associated with LENNOX-GASTAUT SYNDROME. It is also used as an anxiolytic, for the short-term treatment of acute ANXIETY. In 2023, this provider wrote 59 Medicare prescriptions for Clobazam, about 2.3 times the volume of the typical Maine prescriber of this medication (26). Medicare paid an average of $282.74 per fill, versus $342.49 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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 ME average for this medication. 79.3 30-Day Fills standardized to 30-day supplies 2,346 Days of Medication total across all patients in 2023 | |||
| Oxcarbazepine | 59 | $163.53 | ▲ More than typical |
About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2023, this provider wrote 59 Medicare prescriptions for Oxcarbazepine, about 2.4 times the volume of the typical Maine prescriber of this medication (25). Medicare paid an average of $163.53 per fill, versus $84.83 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 131.6 30-Day Fills standardized to 30-day supplies 3,912 Days of Medication total across all patients in 2023 | |||
| Lamotrigine ErLamotrigine | 58 | $868.60 | ▲ More than typical |
About Lamotrigine Er: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 58 Medicare prescriptions for Lamotrigine Er, about 1.7 times the volume of the typical Maine prescriber of this medication (34). Medicare paid an average of $868.60 per fill, versus $738.49 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME 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. 138 30-Day Fills standardized to 30-day supplies 4,108 Days of Medication total across all patients in 2023 | |||
| Zonisamide | 31 | $103.16 | ≈ Typical |
About Zonisamide: Zonisamide is used with other medications to prevent and control seizures (epilepsy). Show more ▾ Zonisamide is a sulfonamide anticonvulsant and a carbonic anhydrase inhibitor. It is unknown how zonisamide works to prevent seizures. A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization. In 2023, this provider wrote 31 Medicare prescriptions for Zonisamide, about the same volume as the typical Maine prescriber of this medication (28). Medicare paid an average of $103.16 per fill, versus $66.12 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 76.7 30-Day Fills standardized to 30-day supplies 2,300 Days of Medication total across all patients in 2023 | |||
| Trokendi XrTopiramate | 29 | $1,849.71▼ below ME avg | ≈ Typical |
About Trokendi Xr: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 29 Medicare prescriptions for Trokendi Xr, about the same volume as the typical Maine prescriber of this medication (26). Medicare paid an average of $1,849.71 per fill, versus $2,073.62 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME 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 ME average for this medication. 29 30-Day Fills standardized to 30-day supplies 850 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 27 | $16.89 | ▼ Less than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 27 Medicare prescriptions for Clonazepam, about 63% of the volume of the typical Maine prescriber of this medication (43). Medicare paid an average of $16.89 per fill, versus $10.05 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2023 | |||
| DilantinPhenytoin Sodium Extended | 25 | $190.22 | ▲ More than typical |
About Dilantin: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. An anticonvulsant that is used to treat a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs. In 2023, this provider wrote 25 Medicare prescriptions for Dilantin, about 1.8 times the volume of the typical Maine prescriber of this medication (14). Medicare paid an average of $190.22 per fill, versus $146.26 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2023 | |||
| Emgality PenGalcanezumab-Gnlm | 24 | $1,257.70 | ≈ Typical |
About Emgality Pen: This medication is used to help prevent migraine. Show more ▾ It is also used to treat a certain type of headache (episodic cluster headache). Galcanezumab belongs to a class of drugs known as monoclonal antibodies. This medication may work by changing the amounts of certain natural substances in the brain. Using this medication can help improve your ability to concentrate and do your usual tasks. In 2023, this provider wrote 24 Medicare prescriptions for Emgality Pen, about 75% of the volume of the typical Maine prescriber of this medication (32). Medicare paid an average of $1,257.70 per fill, versus $1,000.54 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME 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. 40 30-Day Fills standardized to 30-day supplies 1,200 Days of Medication total across all patients in 2023 | |||
| Primidone | 23 | $40.20▼ below ME avg | ≈ Typical |
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2023, this provider wrote 23 Medicare prescriptions for Primidone, about 88% of the volume of the typical Maine prescriber of this medication (26). Medicare paid an average of $40.20 per fill, versus $41.62 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME 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 ME average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023 | |||
| Aimovig AutoinjectorErenumab-Aooe | 19 | $2,058.57 | ▼ Less than typical |
About Aimovig Autoinjector: This medication is used to help prevent migraine. Show more ▾ This medication may work by changing the amounts of certain natural substances in the brain. Erenumab belongs to a class of drugs known as monoclonal antibodies. Preventing frequent migraine attacks can help improve your ability to concentrate and do your usual tasks. In 2023, this provider wrote 19 Medicare prescriptions for Aimovig Autoinjector, about half the volume of the typical Maine prescriber of this medication (32). Medicare paid an average of $2,058.57 per fill, versus $998.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 52 30-Day Fills standardized to 30-day supplies 1,560 Days of Medication total across all patients in 2023 | |||
| AptiomEslicarbazepine Acetate | 19 | $4,629.24 | ▼ Less than typical |
About Aptiom: Eslicarbazepine is used alone or with other medications to treat a certain type of seizure disorder (focal seizures). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Eslicarbazepine may reduce the number of seizures you have. In 2023, this provider wrote 19 Medicare prescriptions for Aptiom, about 66% of the volume of the typical Maine prescriber of this medication (29). Medicare paid an average of $4,629.24 per fill, versus $2,681.25 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023 | |||
| Carbamazepine ErCarbamazepine | 18 | $287.38 | ≈ Typical |
About Carbamazepine Er: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 18 Medicare prescriptions for Carbamazepine Er, about 86% of the volume of the typical Maine prescriber of this medication (21). Medicare paid an average of $287.38 per fill, versus $171.11 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME 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 2023 | |||
| Keppra XrLevetiracetam | 18 | $3,655.52 | ≈ Typical |
About Keppra Xr: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 18 Medicare prescriptions for Keppra Xr, about the same volume as the typical Maine prescriber of this medication (18). Medicare paid an average of $3,655.52 per fill, versus $2,510.86 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 26 30-Day Fills standardized to 30-day supplies 780 Days of Medication total across all patients in 2023 | |||
| EpidiolexCannabidiol (Cbd) | 18 | $6,259.95 | ▼ Less than typical |
About Epidiolex: This medication is used to treat seizures due to certain medical conditions (such as Lennox-Gastaut syndrome, Dravet syndrome, tuberous sclerosis complex - TSC). Show more ▾ It is not known how this medication works for these seizures. Cannabidiol belongs to a class of drugs known as cannabinoids. Compound isolated from Cannabis sativa extract. In 2023, this provider wrote 18 Medicare prescriptions for Epidiolex, about half the volume of the typical Maine prescriber of this medication (39). Medicare paid an average of $6,259.95 per fill, versus $4,291.94 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME 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 514 Days of Medication total across all patients in 2023 | |||
| Diazepam | 17 | $59.42 | ▼ Less than typical |
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 17 Medicare prescriptions for Diazepam, about 68% of the volume of the typical Maine prescriber of this medication (25). Medicare paid an average of $59.42 per fill, versus $10.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 17.2 30-Day Fills standardized to 30-day supplies 234 Days of Medication total across all patients in 2023 | |||
| NayzilamMidazolam | 17 | $705.02▼ below ME avg | ≈ Typical |
About Nayzilam: This medication is used by people with epilepsy to treat a certain type of serious seizure that doesn't stop (seizure clusters). Show more ▾ Midazolam belongs to a class of drugs known as benzodiazepines. It may work by increasing the effect of a certain substance in your body (GABA), which helps calm the brain and nerves. A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH. In 2023, this provider wrote 17 Medicare prescriptions for Nayzilam, about the same volume as the typical Maine prescriber of this medication (18). Medicare paid an average of $705.02 per fill, versus $717.12 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME 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 ME average for this medication. 17 30-Day Fills standardized to 30-day supplies 63 Days of Medication total across all patients in 2023 | |||
| Topiramate ErTopiramate | 17 | $1,772.19 | ≈ Typical |
About Topiramate Er: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 17 Medicare prescriptions for Topiramate Er, about the same volume as the typical Maine prescriber of this medication (15). Medicare paid an average of $1,772.19 per fill, versus $1,016.06 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023 | |||
| Oxtellar XrOxcarbazepine | 15 | $2,547.59 | ≈ Typical |
About Oxtellar Xr: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2023, this provider wrote 15 Medicare prescriptions for Oxtellar Xr, about the same volume as the typical Maine prescriber of this medication (16). Medicare paid an average of $2,547.59 per fill, versus $1,427.00 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023 | |||
| Phenytoin Sodium Extended | 15 | $58.93 | ≈ Typical |
About Phenytoin Sodium Extended: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. In 2023, this provider wrote 15 Medicare prescriptions for Phenytoin Sodium Extended, about 83% of the volume of the typical Maine prescriber of this medication (18). Medicare paid an average of $58.93 per fill, versus $46.50 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 546 Days of Medication total across all patients in 2023 | |||
| VimpatLacosamide | 15 | $2,541.15 | ▼ Less than typical |
About Vimpat: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2023, this provider wrote 15 Medicare prescriptions for Vimpat, about half the volume of the typical Maine prescriber of this medication (32). Medicare paid an average of $2,541.15 per fill, versus $1,168.28 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023 | |||
| FycompaPerampanel | 13 | $1,843.23 | ▼ Less than typical |
About Fycompa: Perampanel is used to treat certain types of seizures (including focal and generalized tonic-clonic seizures). Show more ▾ Perampanel belongs to a class of drugs known as anticonvulsants. In 2023, this provider wrote 13 Medicare prescriptions for Fycompa, about half the volume of the typical Maine prescriber of this medication (30). Medicare paid an average of $1,843.23 per fill, versus $1,662.14 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME 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. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 13 | $2.73▼ below ME avg | ▼ Less than typical |
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2023, this provider wrote 13 Medicare prescriptions for Meloxicam, about half the volume of the typical Maine prescriber of this medication (28). Medicare paid an average of $2.73 per fill, versus $9.06 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME 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 ME average for this medication. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023 | |||
| Valproic AcidValproic Acid (As Sodium Salt) | 13 | $153.14 | ▼ Less than typical |
About Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. In 2023, this provider wrote 13 Medicare prescriptions for Valproic Acid, about 65% of the volume of the typical Maine prescriber of this medication (20). Medicare paid an average of $153.14 per fill, versus $37.72 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023 | |||
| Phenytoin | 12 | $21.98▼ below ME avg | ≈ Typical |
About Phenytoin: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. An anticonvulsant that is used to treat a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs. In 2023, this provider wrote 12 Medicare prescriptions for Phenytoin, about 80% of the volume of the typical Maine prescriber of this medication (15). Medicare paid an average of $21.98 per fill, versus $37.60 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME 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 ME average for this medication. 12 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2023 | |||
| Nurtec OdtRimegepant Sulfate | 11 | $1,194.17▼ below ME avg | ▼ Less than typical |
About Nurtec Odt: This medication is used to prevent or treat migraine. Show more ▾ Rimegepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (such as nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. In 2023, this provider wrote 11 Medicare prescriptions for Nurtec Odt, about a third of the volume of the typical Maine prescriber of this medication (34). Medicare paid an average of $1,194.17 per fill, versus $1,352.44 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME 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 ME average for this medication. 11 30-Day Fills standardized to 30-day supplies 242 Days of Medication total across all patients in 2023 | |||
| Qudexy XrTopiramate | 11 | $3,403.37 | – No State Data |
About Qudexy Xr: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 11 Medicare prescriptions for Qudexy Xr. Medicare paid an average of $3,403.37 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $3,403.37 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023 | |||
| Sumatriptan Succinate | 11 | $16.02▼ below ME avg | ▼ Less than typical |
About Sumatriptan Succinate: Sumatriptan is used to treat migraines and cluster headaches. Show more ▾ It helps to relieve pain and other symptoms of migraines/headaches including sensitivity to light or sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. It does not prevent future migraines/headaches or reduce how often you may get a headache. Sumatriptan belongs to a group of drugs called triptans. It affects a certain natural chemical (serotonin) that constricts blood vessels in the brain. It may also block other pain pathways in the brain. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2023, this provider wrote 11 Medicare prescriptions for Sumatriptan Succinate, about half the volume of the typical Maine prescriber of this medication (20). Medicare paid an average of $16.02 per fill, versus $39.89 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME 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 ME average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for LISA L BULTHUIS NP 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 Family prescribing approach at this South Portland, ME 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 ME prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
