MR. JOSEPH A JAMES MD
Prescription History 1699761221
Internal Medicine in Richmond, VA

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
6900 MIDLOTHIAN TPKE, RICHMOND, VA 23225(804) 635-0590(877) 471-2998 Get Directions

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2026, Jan 25, 2022 (2 updates tracked since 2022).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MR. JOSEPH A JAMES MD, an active Internal Medicine specialist practicing in Richmond, VA. Our medical registry currently tracks 117 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 7,208 documented patient claims. Among these therapy options, the most frequently utilized medication is Amlodipine Besylate, which accounts for 574 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.

117
Medications
7,208
Total Claims
16,843
30-Day Fills
Amlodipine Besylate
Most Prescribed · 574 claims
View details
117 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by MR. JOSEPH A JAMES MD in 2023, with prescription volumes, average cost per fill, and VA state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other VA PrescribersVs. VA Avg

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 2023, this provider wrote 574 Medicare prescriptions for Amlodipine Besylate, about 4.4 times the volume of the typical Virginia prescriber of this medication (130). Medicare paid an average of $7.01 per fill, versus $7.73 statewide.

How often this provider prescribes it

This provider
574
VA average
130.0

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
$7.01
VA average
$7.73

This provider's average cost per fill is below the VA average for this medication.

1,386.2
30-Day Fills
standardized to 30-day supplies
41,587
Days of Medication
total across all patients in 2023

About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. 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. This product contains two medications: losartan and hydrochlorothiazide. Losartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water.

In 2023, this provider wrote 365 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 10 times the volume of the typical Virginia prescriber of this medication (35). Medicare paid an average of $13.98 per fill, versus $18.67 statewide.

How often this provider prescribes it

This provider
365
VA average
35.0

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
$13.98
VA average
$18.67

This provider's average cost per fill is below the VA average for this medication.

934.3
30-Day Fills
standardized to 30-day supplies
28,030
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 337 Medicare prescriptions for Atorvastatin Calcium, about 2.1 times the volume of the typical Virginia prescriber of this medication (160). Medicare paid an average of $12.08 per fill, versus $13.13 statewide.

How often this provider prescribes it

This provider
337
VA average
160.0

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
$12.08
VA average
$13.13

This provider's average cost per fill is below the VA average for this medication.

917.4
30-Day Fills
standardized to 30-day supplies
27,520
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 242 Medicare prescriptions for Losartan Potassium, about 2.5 times the volume of the typical Virginia prescriber of this medication (96). Medicare paid an average of $10.05 per fill, versus $11.72 statewide.

How often this provider prescribes it

This provider
242
VA average
96.0

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
$10.05
VA average
$11.72

This provider's average cost per fill is below the VA average for this medication.

610.4
30-Day Fills
standardized to 30-day supplies
18,313
Days of Medication
total across all patients in 2023

About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)

In 2023, this provider wrote 233 Medicare prescriptions for Metformin Hcl, about 2.7 times the volume of the typical Virginia prescriber of this medication (86). Medicare paid an average of $7.73 per fill, versus $8.11 statewide.

How often this provider prescribes it

This provider
233
VA average
86.0

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
$7.73
VA average
$8.11

This provider's average cost per fill is below the VA average for this medication.

646.2
30-Day Fills
standardized to 30-day supplies
19,375
Days of Medication
total across all patients in 2023

About Simvastatin: Simvastatin 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 derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL.

In 2023, this provider wrote 208 Medicare prescriptions for Simvastatin, about 2.8 times the volume of the typical Virginia prescriber of this medication (73). Medicare paid an average of $7.70 per fill, versus $8.63 statewide.

How often this provider prescribes it

This provider
208
VA average
73.0

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
$7.70
VA average
$8.63

This provider's average cost per fill is below the VA average for this medication.

555
30-Day Fills
standardized to 30-day supplies
16,650
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 207 Medicare prescriptions for Metoprolol Succinate, about 2.4 times the volume of the typical Virginia prescriber of this medication (85). Medicare paid an average of $15.89 per fill, versus $19.03 statewide.

How often this provider prescribes it

This provider
207
VA average
85.0

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
$15.89
VA average
$19.03

This provider's average cost per fill is below the VA average for this medication.

548.2
30-Day Fills
standardized to 30-day supplies
16,445
Days of Medication
total across all patients in 2023

About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾

It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism.

In 2023, this provider wrote 201 Medicare prescriptions for Levothyroxine Sodium, about 1.7 times the volume of the typical Virginia prescriber of this medication (121). Medicare paid an average of $12.17 per fill, versus $16.48 statewide.

How often this provider prescribes it

This provider
201
VA average
121.0

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
$12.17
VA average
$16.48

This provider's average cost per fill is below the VA average for this medication.

509
30-Day Fills
standardized to 30-day supplies
15,270
Days of Medication
total across all patients in 2023

About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication.

In 2023, this provider wrote 199 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about 5 times the volume of the typical Virginia prescriber of this medication (40). Medicare paid an average of $7.29 per fill, versus $8.93 statewide.

How often this provider prescribes it

This provider
199
VA average
40.0

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
$7.29
VA average
$8.93

This provider's average cost per fill is below the VA average for this medication.

513.6
30-Day Fills
standardized to 30-day supplies
15,400
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 183 Medicare prescriptions for Hydrochlorothiazide, about 2.5 times the volume of the typical Virginia prescriber of this medication (74). Medicare paid an average of $3.57 per fill, versus $4.89 statewide.

How often this provider prescribes it

This provider
183
VA average
74.0

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
$3.57
VA average
$4.89

This provider's average cost per fill is below the VA average for this medication.

451
30-Day Fills
standardized to 30-day supplies
13,530
Days of Medication
total across all patients in 2023

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 160 Medicare prescriptions for Tamsulosin Hcl, about 2.2 times the volume of the typical Virginia prescriber of this medication (72). Medicare paid an average of $13.85 per fill, versus $19.15 statewide.

How often this provider prescribes it

This provider
160
VA average
72.0

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
$13.85
VA average
$19.15

This provider's average cost per fill is below the VA average for this medication.

381.2
30-Day Fills
standardized to 30-day supplies
11,346
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 159 Medicare prescriptions for Potassium Chloride, about 2.8 times the volume of the typical Virginia prescriber of this medication (56). Medicare paid an average of $22.28 per fill, versus $29.93 statewide.

How often this provider prescribes it

This provider
159
VA average
56.0

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
$22.28
VA average
$29.93

This provider's average cost per fill is below the VA average for this medication.

361.6
30-Day Fills
standardized to 30-day supplies
10,849
Days of Medication
total across all patients in 2023

About Pravastatin Sodium: Pravastatin 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. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES).

In 2023, this provider wrote 158 Medicare prescriptions for Pravastatin Sodium, about 2.9 times the volume of the typical Virginia prescriber of this medication (55). Medicare paid an average of $13.20 per fill, versus $17.18 statewide.

How often this provider prescribes it

This provider
158
VA average
55.0

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
$13.20
VA average
$17.18

This provider's average cost per fill is below the VA average for this medication.

451.7
30-Day Fills
standardized to 30-day supplies
13,550
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 157 Medicare prescriptions for Rosuvastatin Calcium, about 1.9 times the volume of the typical Virginia prescriber of this medication (83). Medicare paid an average of $17.66 per fill, versus $29.05 statewide.

How often this provider prescribes it

This provider
157
VA average
83.0

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
$17.66
VA average
$29.05

This provider's average cost per fill is below the VA average for this medication.

424
30-Day Fills
standardized to 30-day supplies
12,720
Days of Medication
total across all patients in 2023

About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾

It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms.

In 2023, this provider wrote 153 Medicare prescriptions for Allopurinol, about 3.3 times the volume of the typical Virginia prescriber of this medication (46). Medicare paid an average of $9.68 per fill, versus $14.76 statewide.

How often this provider prescribes it

This provider
153
VA average
46.0

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
$9.68
VA average
$14.76

This provider's average cost per fill is below the VA average for this medication.

355
30-Day Fills
standardized to 30-day supplies
10,635
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 143 Medicare prescriptions for Lisinopril, about 1.4 times the volume of the typical Virginia prescriber of this medication (104). Medicare paid an average of $10.17 per fill, versus $7.24 statewide.

How often this provider prescribes it

This provider
143
VA average
104.0

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
$10.17
VA average
$7.24

Gross Part D cost per fill; not the patient's out-of-pocket price.

380.1
30-Day Fills
standardized to 30-day supplies
11,405
Days of Medication
total across all patients in 2023

About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾

It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER.

In 2023, this provider wrote 121 Medicare prescriptions for Pantoprazole Sodium, about 1.8 times the volume of the typical Virginia prescriber of this medication (67). Medicare paid an average of $7.47 per fill, versus $16.80 statewide.

How often this provider prescribes it

This provider
121
VA average
67.0

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
$7.47
VA average
$16.80

This provider's average cost per fill is below the VA average for this medication.

233
30-Day Fills
standardized to 30-day supplies
6,795
Days of Medication
total across all patients in 2023

About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾

It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders.

In 2023, this provider wrote 107 Medicare prescriptions for Mirtazapine, about 2.6 times the volume of the typical Virginia prescriber of this medication (41). Medicare paid an average of $21.40 per fill, versus $24.49 statewide.

How often this provider prescribes it

This provider
107
VA average
41.0

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
$21.40
VA average
$24.49

This provider's average cost per fill is below the VA average for this medication.

197
30-Day Fills
standardized to 30-day supplies
5,910
Days of Medication
total across all patients in 2023

About Olmesartan-Hydrochlorothiazide: This drug is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: olmesartan and hydrochlorothiazide. Olmesartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water.

In 2023, this provider wrote 104 Medicare prescriptions for Olmesartan-Hydrochlorothiazide, about 5 times the volume of the typical Virginia prescriber of this medication (21). Medicare paid an average of $62.23 per fill, versus $67.02 statewide.

How often this provider prescribes it

This provider
104
VA average
21.0

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
$62.23
VA average
$67.02

This provider's average cost per fill is below the VA average for this medication.

264.3
30-Day Fills
standardized to 30-day supplies
7,930
Days of Medication
total across all patients in 2023

About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)

In 2023, this provider wrote 102 Medicare prescriptions for Metformin Hcl Er, about 1.9 times the volume of the typical Virginia prescriber of this medication (53). Medicare paid an average of $5.93 per fill, versus $11.02 statewide.

How often this provider prescribes it

This provider
102
VA average
53.0

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
$5.93
VA average
$11.02

This provider's average cost per fill is below the VA average for this medication.

229
30-Day Fills
standardized to 30-day supplies
6,844
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 97 Medicare prescriptions for Metoprolol Tartrate, about 1.5 times the volume of the typical Virginia prescriber of this medication (64). Medicare paid an average of $6.80 per fill, versus $7.96 statewide.

How often this provider prescribes it

This provider
97
VA average
64.0

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
$6.80
VA average
$7.96

This provider's average cost per fill is below the VA average for this medication.

243.7
30-Day Fills
standardized to 30-day supplies
7,250
Days of Medication
total across all patients in 2023

About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾

It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS.

In 2023, this provider wrote 93 Medicare prescriptions for Omeprazole, about the same volume as the typical Virginia prescriber of this medication (89). Medicare paid an average of $11.18 per fill, versus $14.57 statewide.

How often this provider prescribes it

This provider
93
VA average
89.0

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
$11.18
VA average
$14.57

This provider's average cost per fill is below the VA average for this medication.

257.7
30-Day Fills
standardized to 30-day supplies
7,670
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 87 Medicare prescriptions for Carvedilol, about 1.4 times the volume of the typical Virginia prescriber of this medication (62). Medicare paid an average of $9.69 per fill, versus $11.62 statewide.

How often this provider prescribes it

This provider
87
VA average
62.0

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
$9.69
VA average
$11.62

This provider's average cost per fill is below the VA average for this medication.

213
30-Day Fills
standardized to 30-day supplies
6,375
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 87 Medicare prescriptions for Spironolactone, about 2.2 times the volume of the typical Virginia prescriber of this medication (39). Medicare paid an average of $7.31 per fill, versus $13.44 statewide.

How often this provider prescribes it

This provider
87
VA average
39.0

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
$7.31
VA average
$13.44

This provider's average cost per fill is below the VA average for this medication.

205
30-Day Fills
standardized to 30-day supplies
6,150
Days of Medication
total across all patients in 2023

About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾

This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain.

In 2023, this provider wrote 83 Medicare prescriptions for Sertraline Hcl, about 1.5 times the volume of the typical Virginia prescriber of this medication (56). Medicare paid an average of $5.56 per fill, versus $11.85 statewide.

How often this provider prescribes it

This provider
83
VA average
56.0

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
$5.56
VA average
$11.85

This provider's average cost per fill is below the VA average for this medication.

165
30-Day Fills
standardized to 30-day supplies
4,950
Days of Medication
total across all patients in 2023

About Trazodone Hcl: This medication is used to treat depression. Show more ▾

It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain.

In 2023, this provider wrote 83 Medicare prescriptions for Trazodone Hcl, about 1.4 times the volume of the typical Virginia prescriber of this medication (60). Medicare paid an average of $10.41 per fill, versus $12.68 statewide.

How often this provider prescribes it

This provider
83
VA average
60.0

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
$10.41
VA average
$12.68

This provider's average cost per fill is below the VA average for this medication.

178.7
30-Day Fills
standardized to 30-day supplies
5,360
Days of Medication
total across all patients in 2023

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 82 Medicare prescriptions for Gabapentin, about the same volume as the typical Virginia prescriber of this medication (89). Medicare paid an average of $7.12 per fill, versus $19.87 statewide.

How often this provider prescribes it

This provider
82
VA average
89.0

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
$7.12
VA average
$19.87

This provider's average cost per fill is below the VA average for this medication.

138.3
30-Day Fills
standardized to 30-day supplies
4,150
Days of Medication
total across all patients in 2023

About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾

It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol.

In 2023, this provider wrote 76 Medicare prescriptions for Albuterol Sulfate Hfa, about 1.3 times the volume of the typical Virginia prescriber of this medication (57). Medicare paid an average of $50.67 per fill, versus $46.67 statewide.

How often this provider prescribes it

This provider
76
VA average
57.0

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
$50.67
VA average
$46.67

Gross Part D cost per fill; not the patient's out-of-pocket price.

107.1
30-Day Fills
standardized to 30-day supplies
2,949
Days of Medication
total across all patients in 2023

About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾

Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2023, this provider wrote 76 Medicare prescriptions for Fluticasone Propionate, about 1.7 times the volume of the typical Virginia prescriber of this medication (45). Medicare paid an average of $9.96 per fill, versus $17.38 statewide.

How often this provider prescribes it

This provider
76
VA average
45.0

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
$9.96
VA average
$17.38

This provider's average cost per fill is below the VA average for this medication.

159
30-Day Fills
standardized to 30-day supplies
4,770
Days of Medication
total across all patients in 2023

About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾

It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways.

In 2023, this provider wrote 69 Medicare prescriptions for Montelukast Sodium, about the same volume as the typical Virginia prescriber of this medication (60). Medicare paid an average of $10.18 per fill, versus $19.90 statewide.

How often this provider prescribes it

This provider
69
VA average
60.0

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
$10.18
VA average
$19.90

This provider's average cost per fill is below the VA average for this medication.

159
30-Day Fills
standardized to 30-day supplies
4,770
Days of Medication
total across all patients in 2023

About Januvia: Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES.

In 2023, this provider wrote 66 Medicare prescriptions for Januvia, about 2 times the volume of the typical Virginia prescriber of this medication (33). Medicare paid an average of $984.21 per fill, versus $975.70 statewide.

How often this provider prescribes it

This provider
66
VA average
33.0

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
$984.21
VA average
$975.70

Gross Part D cost per fill; not the patient's out-of-pocket price.

112
30-Day Fills
standardized to 30-day supplies
3,360
Days of Medication
total across all patients in 2023

About Bumetanide: Bumetanide 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. Bumetanide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic.

In 2023, this provider wrote 66 Medicare prescriptions for Bumetanide, about 2.1 times the volume of the typical Virginia prescriber of this medication (31). Medicare paid an average of $17.63 per fill, versus $57.15 statewide.

How often this provider prescribes it

This provider
66
VA average
31.0

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
$17.63
VA average
$57.15

This provider's average cost per fill is below the VA average for this medication.

136.8
30-Day Fills
standardized to 30-day supplies
4,103
Days of Medication
total across all patients in 2023

About Pioglitazone Hcl: Pioglitazone is a diabetes drug (thiazolidinedione-type, also called glitazones) used along with a proper diet and exercise program to control high blood sugar in patients with type 2 diabetes. Show more ▾

It works by helping to restore your body's proper response to insulin, thereby lowering your blood sugar. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Pioglitazone is used either alone or in combination with other diabetes medications (such as metformin or a sulfonylurea such as glyburide). Talk to your doctor about the risks and benefits of pioglitazone.

In 2023, this provider wrote 64 Medicare prescriptions for Pioglitazone Hcl, about 1.9 times the volume of the typical Virginia prescriber of this medication (33). Medicare paid an average of $22.18 per fill, versus $19.41 statewide.

How often this provider prescribes it

This provider
64
VA average
33.0

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
$22.18
VA average
$19.41

Gross Part D cost per fill; not the patient's out-of-pocket price.

159
30-Day Fills
standardized to 30-day supplies
4,770
Days of Medication
total across all patients in 2023

About Fenofibrate: Fenofibrate 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 works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. 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. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood.

In 2023, this provider wrote 59 Medicare prescriptions for Fenofibrate, about 2.6 times the volume of the typical Virginia prescriber of this medication (23). Medicare paid an average of $29.64 per fill, versus $52.89 statewide.

How often this provider prescribes it

This provider
59
VA average
23.0

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
$29.64
VA average
$52.89

This provider's average cost per fill is below the VA average for this medication.

172.9
30-Day Fills
standardized to 30-day supplies
5,186
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 58 Medicare prescriptions for Furosemide, about 75% of the volume of the typical Virginia prescriber of this medication (77). Medicare paid an average of $5.01 per fill, versus $6.04 statewide.

How often this provider prescribes it

This provider
58
VA average
77.0

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
$5.01
VA average
$6.04

This provider's average cost per fill is below the VA average for this medication.

140
30-Day Fills
standardized to 30-day supplies
4,200
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 55 Medicare prescriptions for Clopidogrel, about the same volume as the typical Virginia prescriber of this medication (48). Medicare paid an average of $12.75 per fill, versus $16.56 statewide.

How often this provider prescribes it

This provider
55
VA average
48.0

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
$12.75
VA average
$16.56

This provider's average cost per fill is below the VA average for this medication.

110.8
30-Day Fills
standardized to 30-day supplies
3,324
Days of Medication
total across all patients in 2023

About Glimepiride: Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾

It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glimepiride belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. Alkaloids derived from TYRAMINE combined with 3,4-dihydroxybenzaldehyde via a norbelladine pathway, including GALANTAMINE, lycorine and crinine. They are found in the AMARYLLIDACEAE plant family.

In 2023, this provider wrote 55 Medicare prescriptions for Glimepiride, about 1.2 times the volume of the typical Virginia prescriber of this medication (45). Medicare paid an average of $7.44 per fill, versus $11.23 statewide.

How often this provider prescribes it

This provider
55
VA average
45.0

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
$7.44
VA average
$11.23

This provider's average cost per fill is below the VA average for this medication.

138.7
30-Day Fills
standardized to 30-day supplies
4,160
Days of Medication
total across all patients in 2023

About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS.

In 2023, this provider wrote 49 Medicare prescriptions for Lantus Solostar, about 1.3 times the volume of the typical Virginia prescriber of this medication (38). Medicare paid an average of $916.02 per fill, versus $669.30 statewide.

How often this provider prescribes it

This provider
49
VA average
38.0

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
$916.02
VA average
$669.30

Gross Part D cost per fill; not the patient's out-of-pocket price.

110.6
30-Day Fills
standardized to 30-day supplies
3,265
Days of Medication
total across all patients in 2023

About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily.

In 2023, this provider wrote 47 Medicare prescriptions for Clonidine Hcl, about 1.7 times the volume of the typical Virginia prescriber of this medication (27). Medicare paid an average of $3.59 per fill, versus $9.97 statewide.

How often this provider prescribes it

This provider
47
VA average
27.0

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
$3.59
VA average
$9.97

This provider's average cost per fill is below the VA average for this medication.

80.5
30-Day Fills
standardized to 30-day supplies
2,400
Days of Medication
total across all patients in 2023

About Triamterene-Hydrochlorothiazid: This drug is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two water pills (diuretics): triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which 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.

In 2023, this provider wrote 44 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about 1.6 times the volume of the typical Virginia prescriber of this medication (27). Medicare paid an average of $5.34 per fill, versus $11.71 statewide.

How often this provider prescribes it

This provider
44
VA average
27.0

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
$5.34
VA average
$11.71

This provider's average cost per fill is below the VA average for this medication.

94
30-Day Fills
standardized to 30-day supplies
2,820
Days of Medication
total across all patients in 2023

About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾

Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis.

In 2023, this provider wrote 44 Medicare prescriptions for Alendronate Sodium, about 1.2 times the volume of the typical Virginia prescriber of this medication (37). Medicare paid an average of $5.85 per fill, versus $11.04 statewide.

How often this provider prescribes it

This provider
44
VA average
37.0

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
$5.85
VA average
$11.04

This provider's average cost per fill is below the VA average for this medication.

108.9
30-Day Fills
standardized to 30-day supplies
3,256
Days of Medication
total across all patients in 2023

About Atenolol: Atenolol 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. Atenolol 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 cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect.

In 2023, this provider wrote 42 Medicare prescriptions for Atenolol, about the same volume as the typical Virginia prescriber of this medication (39). Medicare paid an average of $6.19 per fill, versus $8.91 statewide.

How often this provider prescribes it

This provider
42
VA average
39.0

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
$6.19
VA average
$8.91

This provider's average cost per fill is below the VA average for this medication.

106
30-Day Fills
standardized to 30-day supplies
3,180
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 40 Medicare prescriptions for Ezetimibe, about the same volume as the typical Virginia prescriber of this medication (37). Medicare paid an average of $51.07 per fill, versus $68.16 statewide.

How often this provider prescribes it

This provider
40
VA average
37.0

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
$51.07
VA average
$68.16

This provider's average cost per fill is below the VA average for this medication.

87
30-Day Fills
standardized to 30-day supplies
2,610
Days of Medication
total across all patients in 2023

About Synthroid: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾

It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism.

In 2023, this provider wrote 40 Medicare prescriptions for Synthroid, about the same volume as the typical Virginia prescriber of this medication (35). Medicare paid an average of $29.98 per fill, versus $72.26 statewide.

How often this provider prescribes it

This provider
40
VA average
35.0

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
$29.98
VA average
$72.26

This provider's average cost per fill is below the VA average for this medication.

95
30-Day Fills
standardized to 30-day supplies
2,850
Days of Medication
total across all patients in 2023

About Valsartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: valsartan and hydrochlorothiazide. Valsartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water.

In 2023, this provider wrote 39 Medicare prescriptions for Valsartan-Hydrochlorothiazide, about 1.6 times the volume of the typical Virginia prescriber of this medication (24). Medicare paid an average of $58.64 per fill, versus $48.68 statewide.

How often this provider prescribes it

This provider
39
VA average
24.0

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
$58.64
VA average
$48.68

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 2023

About Nebivolol Hcl: Nebivolol is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers heart rate, blood pressure, and strain on the heart. A cardioselective ADRENERGIC BETA-1 RECEPTOR ANTAGONIST (beta-blocker) that functions as a VASODILATOR through the endothelial L-arginine/ NITRIC OXIDE system. It is used to manage HYPERTENSION and chronic HEART FAILURE in elderly patients.

In 2023, this provider wrote 38 Medicare prescriptions for Nebivolol Hcl, about 1.7 times the volume of the typical Virginia prescriber of this medication (22). Medicare paid an average of $76.25 per fill, versus $101.60 statewide.

How often this provider prescribes it

This provider
38
VA average
22.0

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
$76.25
VA average
$101.60

This provider's average cost per fill is below the VA average for this medication.

75.3
30-Day Fills
standardized to 30-day supplies
2,260
Days of Medication
total across all patients in 2023

About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾

It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters).

In 2023, this provider wrote 38 Medicare prescriptions for Buspirone Hcl, about 88% of the volume of the typical Virginia prescriber of this medication (43). Medicare paid an average of $10.99 per fill, versus $19.47 statewide.

How often this provider prescribes it

This provider
38
VA average
43.0

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
$10.99
VA average
$19.47

This provider's average cost per fill is below the VA average for this medication.

50
30-Day Fills
standardized to 30-day supplies
1,500
Days of Medication
total across all patients in 2023

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.

In 2023, this provider wrote 38 Medicare prescriptions for Eliquis, about half the volume of the typical Virginia prescriber of this medication (73). Medicare paid an average of $1,022.10 per fill, versus $843.98 statewide.

How often this provider prescribes it

This provider
38
VA average
73.0

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
$1,022.10
VA average
$843.98

Gross Part D cost per fill; not the patient's out-of-pocket price.

70
30-Day Fills
standardized to 30-day supplies
2,038
Days of Medication
total across all patients in 2023

About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾

In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA.

In 2023, this provider wrote 35 Medicare prescriptions for Duloxetine Hcl, about 74% of the volume of the typical Virginia prescriber of this medication (47). Medicare paid an average of $21.78 per fill, versus $43.90 statewide.

How often this provider prescribes it

This provider
35
VA average
47.0

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
$21.78
VA average
$43.90

This provider's average cost per fill is below the VA average for this medication.

59
30-Day Fills
standardized to 30-day supplies
1,770
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 34 Medicare prescriptions for Xarelto, about the same volume as the typical Virginia prescriber of this medication (36). Medicare paid an average of $1,346.89 per fill, versus $925.34 statewide.

How often this provider prescribes it

This provider
34
VA average
36.0

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
$1,346.89
VA average
$925.34

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 2023

About Ozempic: Semaglutide 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. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment.

In 2023, this provider wrote 34 Medicare prescriptions for Ozempic, about the same volume as the typical Virginia prescriber of this medication (35). Medicare paid an average of $1,234.35 per fill, versus $1,427.13 statewide.

How often this provider prescribes it

This provider
34
VA average
35.0

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
$1,234.35
VA average
$1,427.13

This provider's average cost per fill is below the VA average for this medication.

44.7
30-Day Fills
standardized to 30-day supplies
1,294
Days of Medication
total across all patients in 2023

About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾

This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA.

In 2023, this provider wrote 33 Medicare prescriptions for Pregabalin, about 80% of the volume of the typical Virginia prescriber of this medication (41). Medicare paid an average of $36.88 per fill, versus $47.28 statewide.

How often this provider prescribes it

This provider
33
VA average
41.0

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
$36.88
VA average
$47.28

This provider's average cost per fill is below the VA average for this medication.

47
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2023

About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a water pill (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic.

In 2023, this provider wrote 32 Medicare prescriptions for Chlorthalidone, about the same volume as the typical Virginia prescriber of this medication (28). Medicare paid an average of $31.99 per fill, versus $26.45 statewide.

How often this provider prescribes it

This provider
32
VA average
28.0

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
$31.99
VA average
$26.45

Gross Part D cost per fill; not the patient's out-of-pocket price.

88.3
30-Day Fills
standardized to 30-day supplies
2,650
Days of Medication
total across all patients in 2023

About Symbicort: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: budesonide and formoterol. Budesonide belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Formoterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as formoterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. Before using this medication, it is important to learn how to use it properly. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. See also How to Use section. A pharmaceutical preparation of budesonide and formoterol fumarate that is used as an ANTI-ASTHMATIC AGENT and for the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

In 2023, this provider wrote 32 Medicare prescriptions for Symbicort, about the same volume as the typical Virginia prescriber of this medication (32). Medicare paid an average of $527.29 per fill, versus $568.11 statewide.

How often this provider prescribes it

This provider
32
VA average
32.0

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
$527.29
VA average
$568.11

This provider's average cost per fill is below the VA average for this medication.

41
30-Day Fills
standardized to 30-day supplies
1,230
Days of Medication
total across all patients in 2023

About Azithromycin: This medication is used to treat certain eye infections. Show more ▾

It is a macrolide antibiotic that 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 misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis.

In 2023, this provider wrote 31 Medicare prescriptions for Azithromycin, about the same volume as the typical Virginia prescriber of this medication (34). Medicare paid an average of $5.25 per fill, versus $10.12 statewide.

How often this provider prescribes it

This provider
31
VA average
34.0

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
$5.25
VA average
$10.12

This provider's average cost per fill is below the VA average for this medication.

31
30-Day Fills
standardized to 30-day supplies
155
Days of Medication
total across all patients in 2023

About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾

It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder.

In 2023, this provider wrote 30 Medicare prescriptions for Escitalopram Oxalate, about 63% of the volume of the typical Virginia prescriber of this medication (48). Medicare paid an average of $15.44 per fill, versus $16.41 statewide.

How often this provider prescribes it

This provider
30
VA average
48.0

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
$15.44
VA average
$16.41

This provider's average cost per fill is below the VA average for this medication.

77
30-Day Fills
standardized to 30-day supplies
2,310
Days of Medication
total across all patients in 2023

About Esomeprazole Magnesium: Esomeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾

It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Esomeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter esomeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. The S-isomer of omeprazole.

In 2023, this provider wrote 30 Medicare prescriptions for Esomeprazole Magnesium, about 1.2 times the volume of the typical Virginia prescriber of this medication (25). Medicare paid an average of $69.35 per fill, versus $97.76 statewide.

How often this provider prescribes it

This provider
30
VA average
25.0

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
$69.35
VA average
$97.76

This provider's average cost per fill is below the VA average for this medication.

62
30-Day Fills
standardized to 30-day supplies
1,860
Days of Medication
total across all patients in 2023

About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾

It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia.

In 2023, this provider wrote 29 Medicare prescriptions for Citalopram Hbr, about 78% of the volume of the typical Virginia prescriber of this medication (37). Medicare paid an average of $4.27 per fill, versus $8.27 statewide.

How often this provider prescribes it

This provider
29
VA average
37.0

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
$4.27
VA average
$8.27

This provider's average cost per fill is below the VA average for this medication.

77
30-Day Fills
standardized to 30-day supplies
2,310
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 29 Medicare prescriptions for Nano 2nd Gen Pen Needle, about the same volume as the typical Virginia prescriber of this medication (27). Medicare paid an average of $62.21 per fill, versus $92.29 statewide.

How often this provider prescribes it

This provider
29
VA average
27.0

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
$62.21
VA average
$92.29

This provider's average cost per fill is below the VA average for this medication.

86.3
30-Day Fills
standardized to 30-day supplies
2,590
Days of Medication
total across all patients in 2023

About Hydralazine Hcl: Hydralazine 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. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily.

In 2023, this provider wrote 29 Medicare prescriptions for Hydralazine Hcl, about 78% of the volume of the typical Virginia prescriber of this medication (37). Medicare paid an average of $25.53 per fill, versus $19.91 statewide.

How often this provider prescribes it

This provider
29
VA average
37.0

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
$25.53
VA average
$19.91

Gross Part D cost per fill; not the patient's out-of-pocket price.

67
30-Day Fills
standardized to 30-day supplies
2,010
Days of Medication
total across all patients in 2023

About Tresiba Flextouch U-100: Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin degludec is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs.

In 2023, this provider wrote 28 Medicare prescriptions for Tresiba Flextouch U-100, about 1.2 times the volume of the typical Virginia prescriber of this medication (24). Medicare paid an average of $564.56 per fill, versus $775.23 statewide.

How often this provider prescribes it

This provider
28
VA average
24.0

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
$564.56
VA average
$775.23

This provider's average cost per fill is below the VA average for this medication.

51.3
30-Day Fills
standardized to 30-day supplies
1,464
Days of Medication
total across all patients in 2023

About Fenofibrate: Fenofibrate 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 works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. 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. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood.

In 2023, this provider wrote 28 Medicare prescriptions for Fenofibrate, about 1.2 times the volume of the typical Virginia prescriber of this medication (23). Medicare paid an average of $32.93 per fill, versus $52.89 statewide.

How often this provider prescribes it

This provider
28
VA average
23.0

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
$32.93
VA average
$52.89

This provider's average cost per fill is below the VA average for this medication.

44
30-Day Fills
standardized to 30-day supplies
1,320
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 27 Medicare prescriptions for Dropsafe Prep Pads, about 1.8 times the volume of the typical Virginia prescriber of this medication (15). Medicare paid an average of $2.64 per fill, versus $3.46 statewide.

How often this provider prescribes it

This provider
27
VA average
15.0

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
$2.64
VA average
$3.46

This provider's average cost per fill is below the VA average for this medication.

81
30-Day Fills
standardized to 30-day supplies
2,430
Days of Medication
total across all patients in 2023

About Olmesartan Medoxomil: Olmesartan is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Olmesartan 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 ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to manage HYPERTENSION.

In 2023, this provider wrote 27 Medicare prescriptions for Olmesartan Medoxomil, about the same volume as the typical Virginia prescriber of this medication (29). Medicare paid an average of $25.14 per fill, versus $38.30 statewide.

How often this provider prescribes it

This provider
27
VA average
29.0

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
$25.14
VA average
$38.30

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

About Meclizine Hcl: Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Show more ▾

It may also be used to reduce dizziness and loss of balance (vertigo) caused by inner ear problems.

In 2023, this provider wrote 26 Medicare prescriptions for Meclizine Hcl, about the same volume as the typical Virginia prescriber of this medication (24). Medicare paid an average of $8.86 per fill, versus $10.79 statewide.

How often this provider prescribes it

This provider
26
VA average
24.0

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
$8.86
VA average
$10.79

This provider's average cost per fill is below the VA average for this medication.

44
30-Day Fills
standardized to 30-day supplies
970
Days of Medication
total across all patients in 2023

About Colchicine: This medication is used to prevent or treat gout attacks (flares). Show more ▾

Usually gout symptoms develop suddenly and involve only one or a few joints. The big toe, knee, or ankle joints are most often affected. Gout is caused by too much uric acid in the blood. When uric acid levels in the blood are too high, the uric acid may form hard crystals in your joints. Colchicine works by decreasing swelling and lessening the build up of uric acid crystals that cause pain in the affected joint(s). This medication is also used to prevent attacks of pain in the abdomen, chest, or joints caused by a certain inherited disease (familial Mediterranean fever). It is thought to work by decreasing your body's production of a certain protein (amyloid A) that builds up in people with familial Mediterranean fever. Colchicine is not a pain medication and should not be used to relieve other causes of pain. A major alkaloid from Colchicum autumnale L. and found also in other Colchicum species. Its primary therapeutic use is in the treatment of gout, but it has been used also in the therapy of familial Mediterranean fever (PERIODIC DISEASE).

In 2023, this provider wrote 25 Medicare prescriptions for Colchicine, about 1.3 times the volume of the typical Virginia prescriber of this medication (19). Medicare paid an average of $107.53 per fill, versus $127.32 statewide.

How often this provider prescribes it

This provider
25
VA average
19.0

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
$107.53
VA average
$127.32

This provider's average cost per fill is below the VA average for this medication.

31
30-Day Fills
standardized to 30-day supplies
680
Days of Medication
total across all patients in 2023

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 24 Medicare prescriptions for Oxybutynin Chloride, about the same volume as the typical Virginia prescriber of this medication (23). Medicare paid an average of $18.50 per fill, versus $23.14 statewide.

How often this provider prescribes it

This provider
24
VA average
23.0

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
$18.50
VA average
$23.14

This provider's average cost per fill is below the VA average for this medication.

59
30-Day Fills
standardized to 30-day supplies
1,770
Days of Medication
total across all patients in 2023

About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾

It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain.

In 2023, this provider wrote 24 Medicare prescriptions for Donepezil Hcl, about half the volume of the typical Virginia prescriber of this medication (50). Medicare paid an average of $14.95 per fill, versus $18.03 statewide.

How often this provider prescribes it

This provider
24
VA average
50.0

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
$14.95
VA average
$18.03

This provider's average cost per fill is below the VA average for this medication.

42
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2023

About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾

It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION.

In 2023, this provider wrote 23 Medicare prescriptions for Valsartan, about 77% of the volume of the typical Virginia prescriber of this medication (30). Medicare paid an average of $46.32 per fill, versus $40.67 statewide.

How often this provider prescribes it

This provider
23
VA average
30.0

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
$46.32
VA average
$40.67

Gross Part D cost per fill; not the patient's out-of-pocket price.

69.7
30-Day Fills
standardized to 30-day supplies
2,090
Days of Medication
total across all patients in 2023

About Niacin Er: Niacin (nicotinic acid) is used to prevent and treat niacin deficiency (pellagra). Show more ▾

Niacin deficiency may result from certain medical conditions (such as alcohol abuse, malabsorption syndrome, Hartnup disease), poor diet, or long-term use of certain medications (such as isoniazid). Niacin deficiency can cause diarrhea, confusion (dementia), tongue redness/swelling, and peeling red skin. Niacin is also known as vitamin B3, one of the B-complex vitamins. Vitamins help to support the body's ability to make and break down natural compounds (metabolism) needed for good health. Niacinamide (nicotinamide) is a different form of vitamin B3 and does not work the same as niacin. Do not substitute unless directed by your doctor. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A water-soluble vitamin of the B complex occurring in various animal and plant tissues. It is required by the body for the formation of coenzymes NAD and NADP. It has PELLAGRA-curative, vasodilating, and antilipemic properties.

In 2023, this provider wrote 23 Medicare prescriptions for Niacin Er, about 1.4 times the volume of the typical Virginia prescriber of this medication (17). Medicare paid an average of $48.75 per fill, versus $127.39 statewide.

How often this provider prescribes it

This provider
23
VA average
17.0

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
$48.75
VA average
$127.39

This provider's average cost per fill is below the VA average for this medication.

37
30-Day Fills
standardized to 30-day supplies
1,110
Days of Medication
total across all patients in 2023

About Diclofenac Sodium: See also Warning section. Show more ▾

This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.

In 2023, this provider wrote 23 Medicare prescriptions for Diclofenac Sodium, about half the volume of the typical Virginia prescriber of this medication (46). Medicare paid an average of $29.21 per fill, versus $39.18 statewide.

How often this provider prescribes it

This provider
23
VA average
46.0

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
$29.21
VA average
$39.18

This provider's average cost per fill is below the VA average for this medication.

31.8
30-Day Fills
standardized to 30-day supplies
720
Days of Medication
total across all patients in 2023

About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants.

In 2023, this provider wrote 22 Medicare prescriptions for Fluoxetine Hcl, about 61% of the volume of the typical Virginia prescriber of this medication (36). Medicare paid an average of $4.30 per fill, versus $14.99 statewide.

How often this provider prescribes it

This provider
22
VA average
36.0

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
$4.30
VA average
$14.99

This provider's average cost per fill is below the VA average for this medication.

40
30-Day Fills
standardized to 30-day supplies
1,200
Days of Medication
total across all patients in 2023

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 21 Medicare prescriptions for Clonazepam, about half the volume of the typical Virginia prescriber of this medication (46). Medicare paid an average of $7.12 per fill, versus $8.83 statewide.

How often this provider prescribes it

This provider
21
VA average
46.0

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
$7.12
VA average
$8.83

This provider's average cost per fill is below the VA average for this medication.

23
30-Day Fills
standardized to 30-day supplies
675
Days of Medication
total across all patients in 2023

About Farxiga: Dapagliflozin 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. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys.

In 2023, this provider wrote 21 Medicare prescriptions for Farxiga, about 66% of the volume of the typical Virginia prescriber of this medication (32). Medicare paid an average of $1,067.22 per fill, versus $960.99 statewide.

How often this provider prescribes it

This provider
21
VA average
32.0

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
$1,067.22
VA average
$960.99

Gross Part D cost per fill; not the patient's out-of-pocket price.

37
30-Day Fills
standardized to 30-day supplies
1,110
Days of Medication
total across all patients in 2023

About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾

It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission.

In 2023, this provider wrote 21 Medicare prescriptions for Baclofen, about 60% of the volume of the typical Virginia prescriber of this medication (35). Medicare paid an average of $7.88 per fill, versus $31.92 statewide.

How often this provider prescribes it

This provider
21
VA average
35.0

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
$7.88
VA average
$31.92

This provider's average cost per fill is below the VA average for this medication.

42
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2023

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 20 Medicare prescriptions for Levetiracetam, about half the volume of the typical Virginia prescriber of this medication (43). Medicare paid an average of $9.35 per fill, versus $44.42 statewide.

How often this provider prescribes it

This provider
20
VA average
43.0

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
$9.35
VA average
$44.42

This provider's average cost per fill is below the VA average for this medication.

34
30-Day Fills
standardized to 30-day supplies
1,020
Days of Medication
total across all patients in 2023

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 20 Medicare prescriptions for Cefuroxime, about 74% of the volume of the typical Virginia prescriber of this medication (27). Medicare paid an average of $11.42 per fill, versus $24.29 statewide.

How often this provider prescribes it

This provider
20
VA average
27.0

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
$11.42
VA average
$24.29

This provider's average cost per fill is below the VA average for this medication.

20
30-Day Fills
standardized to 30-day supplies
136
Days of Medication
total across all patients in 2023

About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾

This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion.

In 2023, this provider wrote 20 Medicare prescriptions for Famotidine, about the same volume as the typical Virginia prescriber of this medication (21). Medicare paid an average of $10.68 per fill, versus $11.13 statewide.

How often this provider prescribes it

This provider
20
VA average
21.0

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
$10.68
VA average
$11.13

This provider's average cost per fill is below the VA average for this medication.

44
30-Day Fills
standardized to 30-day supplies
1,320
Days of Medication
total across all patients in 2023

About Amlodipine Besylate-Benazepril: This product is a combination of two drugs: a calcium channel blocker (amlodipine) and an ACE inhibitor (benazepril). Show more ▾

It is used to treat high blood pressure. It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks and kidney problems.

In 2023, this provider wrote 19 Medicare prescriptions for Amlodipine Besylate-Benazepril, about 79% of the volume of the typical Virginia prescriber of this medication (24). Medicare paid an average of $30.40 per fill, versus $24.47 statewide.

How often this provider prescribes it

This provider
19
VA average
24.0

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
$30.40
VA average
$24.47

Gross Part D cost per fill; not the patient's out-of-pocket price.

57
30-Day Fills
standardized to 30-day supplies
1,710
Days of Medication
total across all patients in 2023

About Glipizide: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾

It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized.

In 2023, this provider wrote 19 Medicare prescriptions for Glipizide, about half the volume of the typical Virginia prescriber of this medication (37). Medicare paid an average of $6.57 per fill, versus $8.91 statewide.

How often this provider prescribes it

This provider
19
VA average
37.0

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
$6.57
VA average
$8.91

This provider's average cost per fill is below the VA average for this medication.

48
30-Day Fills
standardized to 30-day supplies
1,440
Days of Medication
total across all patients in 2023

About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾

If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA.

In 2023, this provider wrote 19 Medicare prescriptions for Zolpidem Tartrate, about half the volume of the typical Virginia prescriber of this medication (38). Medicare paid an average of $6.11 per fill, versus $8.63 statewide.

How often this provider prescribes it

This provider
19
VA average
38.0

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
$6.11
VA average
$8.63

This provider's average cost per fill is below the VA average for this medication.

19
30-Day Fills
standardized to 30-day supplies
550
Days of Medication
total across all patients in 2023

About Atenolol-Chlorthalidone: This medication is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains 2 medications: atenolol and chlorthalidone. Atenolol 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. Chlorthalidone is a water pill (diuretic) and causes your body to get rid of extra salt and water. This effect may increase the amount of urine you make when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. These medications are used together when 1 drug alone is not controlling your blood pressure. Your doctor may direct you to start taking the individual medications first, and then switch you over to this combination product if this is the best dose combination for you.

In 2023, this provider wrote 18 Medicare prescriptions for Atenolol-Chlorthalidone, about the same volume as the typical Virginia prescriber of this medication (17). Medicare paid an average of $59.79 per fill, versus $34.71 statewide.

How often this provider prescribes it

This provider
18
VA average
17.0

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
$59.79
VA average
$34.71

Gross Part D cost per fill; not the patient's out-of-pocket price.

32
30-Day Fills
standardized to 30-day supplies
939
Days of Medication
total across all patients in 2023

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 18 Medicare prescriptions for Doxazosin Mesylate, about 72% of the volume of the typical Virginia prescriber of this medication (25). Medicare paid an average of $6.32 per fill, versus $20.39 statewide.

How often this provider prescribes it

This provider
18
VA average
25.0

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
$6.32
VA average
$20.39

This provider's average cost per fill is below the VA average for this medication.

48
30-Day Fills
standardized to 30-day supplies
1,440
Days of Medication
total across all patients in 2023

About Ramipril: Ramipril is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Ramipril is also used to improve survival after a heart attack. It may also be used in high risk patients (such as patients with heart disease/diabetes) to help prevent heart attacks and strokes. This medication may also be used to treat heart failure in patients who have had a recent heart attack. Ramipril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. A long-acting angiotensin-converting enzyme inhibitor. It is a prodrug that is transformed in the liver to its active metabolite ramiprilat.

In 2023, this provider wrote 18 Medicare prescriptions for Ramipril, about 82% of the volume of the typical Virginia prescriber of this medication (22). Medicare paid an average of $12.75 per fill, versus $13.55 statewide.

How often this provider prescribes it

This provider
18
VA average
22.0

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
$12.75
VA average
$13.55

This provider's average cost per fill is below the VA average for this medication.

43
30-Day Fills
standardized to 30-day supplies
1,290
Days of Medication
total across all patients in 2023

About Tradjenta: Linagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used by people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Linagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A purine and quinazoline derivative that functions as an INCRETIN and DIPEPTIDYL-PEPTIDASE IV INHIBTOR. It is used as a HYPOGLYCEMIC AGENT in the treatment of TYPE II DIABETES MELLITUS.

In 2023, this provider wrote 18 Medicare prescriptions for Tradjenta, about 72% of the volume of the typical Virginia prescriber of this medication (25). Medicare paid an average of $877.72 per fill, versus $782.11 statewide.

How often this provider prescribes it

This provider
18
VA average
25.0

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
$877.72
VA average
$782.11

Gross Part D cost per fill; not the patient's out-of-pocket price.

30
30-Day Fills
standardized to 30-day supplies
900
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 17 Medicare prescriptions for Ultra-Fine Short Pen Needle, about 89% of the volume of the typical Virginia prescriber of this medication (19). Medicare paid an average of $45.62 per fill, versus $77.82 statewide.

How often this provider prescribes it

This provider
17
VA average
19.0

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
$45.62
VA average
$77.82

This provider's average cost per fill is below the VA average for this medication.

32
30-Day Fills
standardized to 30-day supplies
919
Days of Medication
total across all patients in 2023

About Anoro Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

Controlling symptoms of breathing problems helps you stay active. This inhaler contains 2 medications: umeclidinium and vilanterol. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Umeclidinium belongs to a class of drugs known as anticholinergics. Vilanterol belongs to the class of drugs known as long-acting beta agonists (LABAs). Both drugs are also known as bronchodilators. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden shortness of breath. If sudden breathing problems occur, use your quick-relief inhaler as prescribed. Umeclidinium/vilanterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as vilanterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems.

In 2023, this provider wrote 17 Medicare prescriptions for Anoro Ellipta, about half the volume of the typical Virginia prescriber of this medication (32). Medicare paid an average of $497.38 per fill, versus $587.66 statewide.

How often this provider prescribes it

This provider
17
VA average
32.0

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
$497.38
VA average
$587.66

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

About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾

It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details.

In 2023, this provider wrote 17 Medicare prescriptions for Cyclobenzaprine Hcl, about half the volume of the typical Virginia prescriber of this medication (36). Medicare paid an average of $2.67 per fill, versus $13.72 statewide.

How often this provider prescribes it

This provider
17
VA average
36.0

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
$2.67
VA average
$13.72

This provider's average cost per fill is below the VA average for this medication.

17
30-Day Fills
standardized to 30-day supplies
350
Days of Medication
total across all patients in 2023

About Benazepril Hcl: Benazepril is used to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Benazepril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily.

In 2023, this provider wrote 17 Medicare prescriptions for Benazepril Hcl, about 74% of the volume of the typical Virginia prescriber of this medication (23). Medicare paid an average of $11.53 per fill, versus $10.96 statewide.

How often this provider prescribes it

This provider
17
VA average
23.0

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
$11.53
VA average
$10.96

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

About Glipizide-Metformin: This diabetes medication is a combination of 2 drugs (glipizide and metformin). Show more ▾

It is used along with a diet and exercise program to control high blood sugar in patients with type 2 diabetes. Glipizide is a sulfonylurea and works by stimulating the release of your body's natural insulin and by decreasing the amount of sugar that your liver makes. Metformin is a biguanide and works by decreasing the amount of sugar that your liver makes and that your stomach/intestines absorb. Both of these medications work by helping to restore your body's proper response to the insulin you naturally produce. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke.

In 2023, this provider wrote 17 Medicare prescriptions for Glipizide-Metformin, about 85% of the volume of the typical Virginia prescriber of this medication (20). Medicare paid an average of $13.86 per fill, versus $58.67 statewide.

How often this provider prescribes it

This provider
17
VA average
20.0

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
$13.86
VA average
$58.67

This provider's average cost per fill is below the VA average for this medication.

49
30-Day Fills
standardized to 30-day supplies
1,470
Days of Medication
total across all patients in 2023

About Venlafaxine Hcl: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾

It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain.

In 2023, this provider wrote 17 Medicare prescriptions for Venlafaxine Hcl, about the same volume as the typical Virginia prescriber of this medication (18). Medicare paid an average of $10.43 per fill, versus $29.57 statewide.

How often this provider prescribes it

This provider
17
VA average
18.0

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
$10.43
VA average
$29.57

This provider's average cost per fill is below the VA average for this medication.

17.5
30-Day Fills
standardized to 30-day supplies
518
Days of Medication
total across all patients in 2023

About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾

Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER.

In 2023, this provider wrote 17 Medicare prescriptions for Quetiapine Fumarate, about a third of the volume of the typical Virginia prescriber of this medication (53). Medicare paid an average of $13.26 per fill, versus $30.22 statewide.

How often this provider prescribes it

This provider
17
VA average
53.0

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
$13.26
VA average
$30.22

This provider's average cost per fill is below the VA average for this medication.

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2023

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 16 Medicare prescriptions for Topiramate, about half the volume of the typical Virginia prescriber of this medication (31). Medicare paid an average of $9.20 per fill, versus $20.83 statewide.

How often this provider prescribes it

This provider
16
VA average
31.0

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
$9.20
VA average
$20.83

This provider's average cost per fill is below the VA average for this medication.

30
30-Day Fills
standardized to 30-day supplies
890
Days of Medication
total across all patients in 2023

About Fenofibrate: Fenofibrate 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 works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. 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. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood.

In 2023, this provider wrote 16 Medicare prescriptions for Fenofibrate, about 70% of the volume of the typical Virginia prescriber of this medication (23). Medicare paid an average of $25.50 per fill, versus $52.89 statewide.

How often this provider prescribes it

This provider
16
VA average
23.0

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
$25.50
VA average
$52.89

This provider's average cost per fill is below the VA average for this medication.

28
30-Day Fills
standardized to 30-day supplies
840
Days of Medication
total across all patients in 2023

About Methylprednisolone: Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. Show more ▾

It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone. Methylprednisolone may also be used with other medications in hormone disorders. A PREDNISOLONE derivative with similar anti-inflammatory action.

In 2023, this provider wrote 16 Medicare prescriptions for Methylprednisolone, about half the volume of the typical Virginia prescriber of this medication (34). Medicare paid an average of $7.36 per fill, versus $9.67 statewide.

How often this provider prescribes it

This provider
16
VA average
34.0

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
$7.36
VA average
$9.67

This provider's average cost per fill is below the VA average for this medication.

16
30-Day Fills
standardized to 30-day supplies
97
Days of Medication
total across all patients in 2023

About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾

It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. 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. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure.

In 2023, this provider wrote 16 Medicare prescriptions for Nifedipine Er, about 62% of the volume of the typical Virginia prescriber of this medication (26). Medicare paid an average of $28.53 per fill, versus $51.48 statewide.

How often this provider prescribes it

This provider
16
VA average
26.0

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
$28.53
VA average
$51.48

This provider's average cost per fill is below the VA average for this medication.

50
30-Day Fills
standardized to 30-day supplies
1,500
Days of Medication
total across all patients in 2023

About Lovastatin: Lovastatin 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 fungal metabolite isolated from cultures of Aspergillus terreus. The compound is a potent anticholesteremic agent. It inhibits 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It also stimulates the production of low-density lipoprotein receptors in the liver.

In 2023, this provider wrote 16 Medicare prescriptions for Lovastatin, about half the volume of the typical Virginia prescriber of this medication (28). Medicare paid an average of $0.12 per fill, versus $11.05 statewide.

How often this provider prescribes it

This provider
16
VA average
28.0

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
$0.12
VA average
$11.05

This provider's average cost per fill is below the VA average for this medication.

48
30-Day Fills
standardized to 30-day supplies
1,440
Days of Medication
total across all patients in 2023

About Tresiba Flextouch U-200: Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin degludec is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs.

In 2023, this provider wrote 15 Medicare prescriptions for Tresiba Flextouch U-200, about 63% of the volume of the typical Virginia prescriber of this medication (24). Medicare paid an average of $837.54 per fill, versus $1,302.41 statewide.

How often this provider prescribes it

This provider
15
VA average
24.0

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
$837.54
VA average
$1,302.41

This provider's average cost per fill is below the VA average for this medication.

26.4
30-Day Fills
standardized to 30-day supplies
781
Days of Medication
total across all patients in 2023

About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾

Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions.

In 2023, this provider wrote 14 Medicare prescriptions for Triamcinolone Acetonide, about a third of the volume of the typical Virginia prescriber of this medication (34). Medicare paid an average of $15.45 per fill, versus $10.82 statewide.

How often this provider prescribes it

This provider
14
VA average
34.0

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
$15.45
VA average
$10.82

Gross Part D cost per fill; not the patient's out-of-pocket price.

21
30-Day Fills
standardized to 30-day supplies
623
Days of Medication
total across all patients in 2023

About Levemir Flexpen: Insulin detemir is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin detemir is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin detemir may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs (such as metformin, exenatide). A recombinant long-acting insulin and hypoglycemic agent in which a MYRISTIC ACID is conjugated to a LYSINE at position B29. It is used to manage BLOOD GLUCOSE levels in patients with DIABETES MELLITUS.

In 2023, this provider wrote 14 Medicare prescriptions for Levemir Flexpen. Medicare paid an average of $497.83 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

$497.83
Cost per fill

Gross Part D cost per fill; not the patient's out-of-pocket price.

17.9
30-Day Fills
standardized to 30-day supplies
536
Days of Medication
total across all patients in 2023

About Fluticasone-Salmeterol: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed.

In 2023, this provider wrote 14 Medicare prescriptions for Fluticasone-Salmeterol, about half the volume of the typical Virginia prescriber of this medication (26). Medicare paid an average of $149.07 per fill, versus $223.38 statewide.

How often this provider prescribes it

This provider
14
VA average
26.0

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
$149.07
VA average
$223.38

This provider's average cost per fill is below the VA average for this medication.

14
30-Day Fills
standardized to 30-day supplies
420
Days of Medication
total across all patients in 2023

About Trulicity: Dulaglutide 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. This medication is also used to lessen the risk of a major cardiovascular event (such as heart attack or stroke) in people who already have, or are at high risk for heart/blood vessel disease. Dulaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and by decreasing the amount of sugar your liver makes. Dulaglutide is not a substitute for insulin if you need insulin treatment.

In 2023, this provider wrote 13 Medicare prescriptions for Trulicity, about a third of the volume of the typical Virginia prescriber of this medication (43). Medicare paid an average of $1,941.73 per fill, versus $1,271.61 statewide.

How often this provider prescribes it

This provider
13
VA average
43.0

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
$1,941.73
VA average
$1,271.61

Gross Part D cost per fill; not the patient's out-of-pocket price.

24
30-Day Fills
standardized to 30-day supplies
706
Days of Medication
total across all patients in 2023

About Klor-Con M20: 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 2023, this provider wrote 13 Medicare prescriptions for Klor-Con M20, about 65% of the volume of the typical Virginia prescriber of this medication (20). Medicare paid an average of $34.35 per fill, versus $34.05 statewide.

How often this provider prescribes it

This provider
13
VA average
20.0

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
$34.35
VA average
$34.05

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

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 13 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical Virginia prescriber of this medication (28). Medicare paid an average of $42.22 per fill, versus $21.40 statewide.

How often this provider prescribes it

This provider
13
VA average
28.0

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
$42.22
VA average
$21.40

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

About Wixela Inhub: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed.

In 2023, this provider wrote 13 Medicare prescriptions for Wixela Inhub, about 62% of the volume of the typical Virginia prescriber of this medication (21). Medicare paid an average of $210.95 per fill, versus $271.57 statewide.

How often this provider prescribes it

This provider
13
VA average
21.0

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
$210.95
VA average
$271.57

This provider's average cost per fill is below the VA average for this medication.

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2023

About Janumet: This combination medication is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾

It is used in patients with type 2 diabetes. This product contains 2 medications. Sitagliptin works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke.

In 2023, this provider wrote 13 Medicare prescriptions for Janumet, about 65% of the volume of the typical Virginia prescriber of this medication (20). Medicare paid an average of $1,032.57 per fill, versus $952.32 statewide.

How often this provider prescribes it

This provider
13
VA average
20.0

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
$1,032.57
VA average
$952.32

Gross Part D cost per fill; not the patient's out-of-pocket price.

25
30-Day Fills
standardized to 30-day supplies
750
Days of Medication
total across all patients in 2023

About Clonidine: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.

In 2023, this provider wrote 12 Medicare prescriptions for Clonidine, about 71% of the volume of the typical Virginia prescriber of this medication (17). Medicare paid an average of $250.99 per fill, versus $151.76 statewide.

How often this provider prescribes it

This provider
12
VA average
17.0

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
$250.99
VA average
$151.76

Gross Part D cost per fill; not the patient's out-of-pocket price.

31.3
30-Day Fills
standardized to 30-day supplies
938
Days of Medication
total across all patients in 2023

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 12 Medicare prescriptions for Finasteride, about a quarter of the volume of the typical Virginia prescriber of this medication (47). Medicare paid an average of $16.08 per fill, versus $18.49 statewide.

How often this provider prescribes it

This provider
12
VA average
47.0

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
$16.08
VA average
$18.49

This provider's average cost per fill is below the VA average for this medication.

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2023

In 2023, this provider wrote 12 Medicare prescriptions for Droplet Pen Needle, about 63% of the volume of the typical Virginia prescriber of this medication (19). Medicare paid an average of $81.82 per fill, versus $75.32 statewide.

How often this provider prescribes it

This provider
12
VA average
19.0

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
$81.82
VA average
$75.32

Gross Part D cost per fill; not the patient's out-of-pocket price.

36.3
30-Day Fills
standardized to 30-day supplies
1,090
Days of Medication
total across all patients in 2023

About Bupropion Xl: Bupropion is used to treat depression. Show more ▾

It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain.

In 2023, this provider wrote 12 Medicare prescriptions for Bupropion Xl, about a third of the volume of the typical Virginia prescriber of this medication (35). Medicare paid an average of $29.51 per fill, versus $40.03 statewide.

How often this provider prescribes it

This provider
12
VA average
35.0

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
$29.51
VA average
$40.03

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

About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾

It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238)

In 2023, this provider wrote 12 Medicare prescriptions for Alprazolam, about a quarter of the volume of the typical Virginia prescriber of this medication (57). Medicare paid an average of $1.02 per fill, versus $8.30 statewide.

How often this provider prescribes it

This provider
12
VA average
57.0

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
$1.02
VA average
$8.30

This provider's average cost per fill is below the VA average for this medication.

12
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2023

About Torsemide: Torsemide 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. Torsemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION.

In 2023, this provider wrote 12 Medicare prescriptions for Torsemide, about a third of the volume of the typical Virginia prescriber of this medication (31). Medicare paid an average of $10.18 per fill, versus $26.07 statewide.

How often this provider prescribes it

This provider
12
VA average
31.0

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
$10.18
VA average
$26.07

This provider's average cost per fill is below the VA average for this medication.

26
30-Day Fills
standardized to 30-day supplies
780
Days of Medication
total across all patients in 2023

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 12 Medicare prescriptions for Oxybutynin Chloride Er, about half the volume of the typical Virginia prescriber of this medication (26). Medicare paid an average of $56.70 per fill, versus $45.13 statewide.

How often this provider prescribes it

This provider
12
VA average
26.0

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
$56.70
VA average
$45.13

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

About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾

It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression.

In 2023, this provider wrote 12 Medicare prescriptions for Paroxetine Hcl, about half the volume of the typical Virginia prescriber of this medication (26). Medicare paid an average of $2.42 per fill, versus $15.64 statewide.

How often this provider prescribes it

This provider
12
VA average
26.0

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
$2.42
VA average
$15.64

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

In 2023, this provider wrote 11 Medicare prescriptions for Ultra-Fine Original Pen Needle, about 65% of the volume of the typical Virginia prescriber of this medication (17). Medicare paid an average of $88.76 per fill, versus $90.65 statewide.

How often this provider prescribes it

This provider
11
VA average
17.0

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
$88.76
VA average
$90.65

This provider's average cost per fill is below the VA average for this medication.

27
30-Day Fills
standardized to 30-day supplies
810
Days of Medication
total across all patients in 2023

About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾

It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN.

In 2023, this provider wrote 11 Medicare prescriptions for Celecoxib, about a third of the volume of the typical Virginia prescriber of this medication (33). Medicare paid an average of $21.85 per fill, versus $52.70 statewide.

How often this provider prescribes it

This provider
11
VA average
33.0

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
$21.85
VA average
$52.70

This provider's average cost per fill is below the VA average for this medication.

13
30-Day Fills
standardized to 30-day supplies
264
Days of Medication
total across all patients in 2023

About Ammonium Lactate: This medication is used to treat dry, scaly skin conditions (such as xerosis, ichthyosis vulgaris) and can also help relieve itching from these conditions. Show more ▾

This medication works by increasing the moisture in the skin. A normal intermediate in the fermentation (oxidation, metabolism) of sugar. The concentrated form is used internally to prevent gastrointestinal fermentation. (From Stedman, 26th ed)

In 2023, this provider wrote 11 Medicare prescriptions for Ammonium Lactate, about a third of the volume of the typical Virginia prescriber of this medication (34). Medicare paid an average of $4.29 per fill, versus $23.59 statewide.

How often this provider prescribes it

This provider
11
VA average
34.0

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
$4.29
VA average
$23.59

This provider's average cost per fill is below the VA average for this medication.

29
30-Day Fills
standardized to 30-day supplies
870
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average VA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the VA average cost per fill.

About this data. The prescription history for MR. JOSEPH A JAMES MD 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 Internal Medicine 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.