DR. DAVID BIRKEN MD
Prescription History 1700801321
Internal Medicine in Santa Barbara, CA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
5333 HOLLISTER AVE, #201, SANTA BARBARA, CA 93111(805) 964-9858 Get Directions

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. DAVID BIRKEN MD, an active Internal Medicine specialist practicing in Santa Barbara, CA. Our medical registry currently tracks 61 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,032 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 341 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.

61
Medications
3,032
Total Claims
7,372
30-Day Fills
Atorvastatin Calcium
Most Prescribed · 341 claims
View details
61 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. DAVID BIRKEN MD in 2024, with prescription volumes, average cost per fill, and CA state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other CA PrescribersVs. CA Avg

About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors.

In 2024, this provider wrote 341 Medicare prescriptions for Atorvastatin Calcium, about 1.7 times the volume of the typical California prescriber of this medication (202.5). Medicare paid an average of $10.12 per fill, versus $10.47 statewide.

How often this provider prescribes it

This provider
341
CA average
202.5

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.12
CA average
$10.47

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

1,013.1
30-Day Fills
standardized to 30-day supplies
30,392
Days of Medication
total across all patients in 2024

About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾

It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II.

In 2024, this provider wrote 297 Medicare prescriptions for Losartan Potassium, about 2.5 times the volume of the typical California prescriber of this medication (121.1). Medicare paid an average of $10.68 per fill, versus $10.35 statewide.

How often this provider prescribes it

This provider
297
CA average
121.1

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.68
CA average
$10.35

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

859.8
30-Day Fills
standardized to 30-day supplies
25,768
Days of Medication
total across all patients in 2024

About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION.

In 2024, this provider wrote 217 Medicare prescriptions for Amlodipine Besylate, about 1.5 times the volume of the typical California prescriber of this medication (141.4). Medicare paid an average of $7.83 per fill, versus $7.08 statewide.

How often this provider prescribes it

This provider
217
CA average
141.4

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.83
CA average
$7.08

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

606.8
30-Day Fills
standardized to 30-day supplies
18,195
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 133 Medicare prescriptions for Olmesartan Medoxomil, about 2.8 times the volume of the typical California prescriber of this medication (47.6). Medicare paid an average of $17.32 per fill, versus $18.88 statewide.

How often this provider prescribes it

This provider
133
CA average
47.6

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$17.32
CA average
$18.88

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

346.6
30-Day Fills
standardized to 30-day supplies
10,399
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 130 Medicare prescriptions for Levothyroxine Sodium, about the same volume as the typical California prescriber of this medication (125). Medicare paid an average of $11.39 per fill, versus $13.30 statewide.

How often this provider prescribes it

This provider
130
CA average
125.0

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.39
CA average
$13.30

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

327.4
30-Day Fills
standardized to 30-day supplies
9,787
Days of Medication
total across all patients in 2024

About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES.

In 2024, this provider wrote 118 Medicare prescriptions for Rosuvastatin Calcium, about 1.2 times the volume of the typical California prescriber of this medication (101.3). Medicare paid an average of $13.69 per fill, versus $15.64 statewide.

How often this provider prescribes it

This provider
118
CA average
101.3

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$13.69
CA average
$15.64

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

320.1
30-Day Fills
standardized to 30-day supplies
9,602
Days of Medication
total across all patients in 2024

About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾

It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME.

In 2024, this provider wrote 106 Medicare prescriptions for Gabapentin, about 1.3 times the volume of the typical California prescriber of this medication (80.2). Medicare paid an average of $14.68 per fill, versus $15.63 statewide.

How often this provider prescribes it

This provider
106
CA average
80.2

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$14.68
CA average
$15.63

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

142.7
30-Day Fills
standardized to 30-day supplies
4,281
Days of Medication
total across all patients in 2024

About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾

Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder.

In 2024, this provider wrote 103 Medicare prescriptions for Escitalopram Oxalate, about 2.1 times the volume of the typical California prescriber of this medication (47.9). Medicare paid an average of $14.73 per fill, versus $11.14 statewide.

How often this provider prescribes it

This provider
103
CA average
47.9

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$14.73
CA average
$11.14

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

231.8
30-Day Fills
standardized to 30-day supplies
6,939
Days of Medication
total across all patients in 2024

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

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills." It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism.

In 2024, this provider wrote 91 Medicare prescriptions for Hydrochlorothiazide, about 1.5 times the volume of the typical California prescriber of this medication (61.8). Medicare paid an average of $3.69 per fill, versus $5.71 statewide.

How often this provider prescribes it

This provider
91
CA average
61.8

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.69
CA average
$5.71

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

245
30-Day Fills
standardized to 30-day supplies
7,350
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 73 Medicare prescriptions for Omeprazole, about the same volume as the typical California prescriber of this medication (78.1). Medicare paid an average of $9.85 per fill, versus $11.26 statewide.

How often this provider prescribes it

This provider
73
CA average
78.1

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$9.85
CA average
$11.26

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

193
30-Day Fills
standardized to 30-day supplies
5,790
Days of Medication
total across all patients in 2024

About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.

In 2024, this provider wrote 70 Medicare prescriptions for Metoprolol Succinate, about 81% of the volume of the typical California prescriber of this medication (86.3). Medicare paid an average of $22.07 per fill, versus $14.23 statewide.

How often this provider prescribes it

This provider
70
CA average
86.3

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$22.07
CA average
$14.23

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

204.1
30-Day Fills
standardized to 30-day supplies
6,124
Days of Medication
total across all patients in 2024

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. A glucagon-like peptide and GLP-1 agonist used to enhance glycemic control of TYPE 2 DIABETES MELLITUS, and for OBESITY MANAGEMENT.

In 2024, this provider wrote 70 Medicare prescriptions for Ozempic, about 1.2 times the volume of the typical California prescriber of this medication (56.4). Medicare paid an average of $910.73 per fill, versus $1,102.15 statewide.

How often this provider prescribes it

This provider
70
CA average
56.4

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$910.73
CA average
$1,102.15

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

73
30-Day Fills
standardized to 30-day supplies
2,058
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 64 Medicare prescriptions for Zolpidem Tartrate, about 1.4 times the volume of the typical California prescriber of this medication (44.7). Medicare paid an average of $6.74 per fill, versus $6.02 statewide.

How often this provider prescribes it

This provider
64
CA average
44.7

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.74
CA average
$6.02

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

69
30-Day Fills
standardized to 30-day supplies
1,972
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 62 Medicare prescriptions for Metformin Hcl, about 62% of the volume of the typical California prescriber of this medication (100.4). Medicare paid an average of $11.98 per fill, versus $9.26 statewide.

How often this provider prescribes it

This provider
62
CA average
100.4

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.98
CA average
$9.26

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

180
30-Day Fills
standardized to 30-day supplies
5,400
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 60 Medicare prescriptions for Benazepril Hcl, about 1.7 times the volume of the typical California prescriber of this medication (34.6). Medicare paid an average of $10.27 per fill, versus $11.17 statewide.

How often this provider prescribes it

This provider
60
CA average
34.6

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.27
CA average
$11.17

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

154
30-Day Fills
standardized to 30-day supplies
4,620
Days of Medication
total across all patients in 2024

About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾

This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY.

In 2024, this provider wrote 59 Medicare prescriptions for Furosemide, about the same volume as the typical California prescriber of this medication (64.3). Medicare paid an average of $8.07 per fill, versus $6.39 statewide.

How often this provider prescribes it

This provider
59
CA average
64.3

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.07
CA average
$6.39

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

162.6
30-Day Fills
standardized to 30-day supplies
4,878
Days of Medication
total across all patients in 2024

About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾

With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. An antithrombotic agent.

In 2024, this provider wrote 50 Medicare prescriptions for Eliquis, about 69% of the volume of the typical California prescriber of this medication (72.9). Medicare paid an average of $795.24 per fill, versus $923.33 statewide.

How often this provider prescribes it

This provider
50
CA average
72.9

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$795.24
CA average
$923.33

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

72
30-Day Fills
standardized to 30-day supplies
2,103
Days of Medication
total across all patients in 2024

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. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA.

In 2024, this provider wrote 49 Medicare prescriptions for Tamsulosin Hcl, about half the volume of the typical California prescriber of this medication (84.5). Medicare paid an average of $16.58 per fill, versus $15.02 statewide.

How often this provider prescribes it

This provider
49
CA average
84.5

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$16.58
CA average
$15.02

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

117
30-Day Fills
standardized to 30-day supplies
3,510
Days of Medication
total across all patients in 2024

About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾

It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression.

In 2024, this provider wrote 49 Medicare prescriptions for Sertraline Hcl, about the same volume as the typical California prescriber of this medication (45.9). Medicare paid an average of $9.02 per fill, versus $9.59 statewide.

How often this provider prescribes it

This provider
49
CA average
45.9

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$9.02
CA average
$9.59

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

117.2
30-Day Fills
standardized to 30-day supplies
3,503
Days of Medication
total across all patients in 2024

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

It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION.

In 2024, this provider wrote 47 Medicare prescriptions for Carvedilol, about 83% of the volume of the typical California prescriber of this medication (56.5). Medicare paid an average of $12.33 per fill, versus $8.98 statewide.

How often this provider prescribes it

This provider
47
CA average
56.5

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$12.33
CA average
$8.98

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

103
30-Day Fills
standardized to 30-day supplies
3,090
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 46 Medicare prescriptions for Pantoprazole Sodium, about 71% of the volume of the typical California prescriber of this medication (64.8). Medicare paid an average of $15.06 per fill, versus $13.87 statewide.

How often this provider prescribes it

This provider
46
CA average
64.8

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$15.06
CA average
$13.87

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

120
30-Day Fills
standardized to 30-day supplies
3,600
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 45 Medicare prescriptions for Allopurinol, about the same volume as the typical California prescriber of this medication (44.4). Medicare paid an average of $15.95 per fill, versus $10.39 statewide.

How often this provider prescribes it

This provider
45
CA average
44.4

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$15.95
CA average
$10.39

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

129
30-Day Fills
standardized to 30-day supplies
3,870
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 45 Medicare prescriptions for Synthroid, about 1.2 times the volume of the typical California prescriber of this medication (38.4). Medicare paid an average of $68.57 per fill, versus $74.43 statewide.

How often this provider prescribes it

This provider
45
CA average
38.4

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$68.57
CA average
$74.43

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

129
30-Day Fills
standardized to 30-day supplies
3,870
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 43 Medicare prescriptions for Simvastatin, about 68% of the volume of the typical California prescriber of this medication (63.3). Medicare paid an average of $15.09 per fill, versus $9.03 statewide.

How often this provider prescribes it

This provider
43
CA average
63.3

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$15.09
CA average
$9.03

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

121
30-Day Fills
standardized to 30-day supplies
3,630
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 34 Medicare prescriptions for Celecoxib, about 74% of the volume of the typical California prescriber of this medication (45.9). Medicare paid an average of $51.23 per fill, versus $32.27 statewide.

How often this provider prescribes it

This provider
34
CA average
45.9

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$51.23
CA average
$32.27

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

41
30-Day Fills
standardized to 30-day supplies
1,230
Days of Medication
total across all patients in 2024

About Valacyclovir: Valacyclovir is used to treat infections caused by certain types of viruses. Show more ▾

In children, it is used to treat cold sores around the mouth (caused by herpes simplex) and chickenpox (caused by varicella zoster). In adults, it is used to treat shingles (caused by herpes zoster) and cold sores around the mouth. Valacyclovir is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, this medication is used to reduce the number of future episodes. Valacyclovir is an antiviral drug. It stops the growth of certain viruses. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Valacyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. A prodrug of acyclovir that is used in the treatment of HERPES ZOSTER and HERPES SIMPLEX VIRUS INFECTION of the skin and mucous membranes, including GENITAL HERPES.

In 2024, this provider wrote 32 Medicare prescriptions for Valacyclovir, about 1.4 times the volume of the typical California prescriber of this medication (22.3). Medicare paid an average of $16.07 per fill, versus $35.75 statewide.

How often this provider prescribes it

This provider
32
CA average
22.3

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$16.07
CA average
$35.75

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

48
30-Day Fills
standardized to 30-day supplies
835
Days of Medication
total across all patients in 2024

About Paxlovid: This combination of nirmatrelvir and ritonavir is used to treat coronavirus disease (COVID-19) in people who have mild to moderate symptoms and have a high risk for COVID-19 complications. Show more ▾

It helps people who have COVID-19 to stay out of the hospital. It is not for use by people who are hospitalized due to COVID-19. Nirmatrelvir is a SARS-CoV-2 main protease inhibitor. It works by preventing the growth of the virus that causes COVID-19. Ritonavir increases ("boosts") the levels of nirmatrelvir. This helps nirmatrelvir work better. This medication works by stopping the coronavirus from growing. It cannot be used to prevent COVID-19.

In 2024, this provider wrote 31 Medicare prescriptions for Paxlovid, about 1.3 times the volume of the typical California prescriber of this medication (24.2). Medicare paid an average of $182.44 per fill, versus $42.82 statewide.

How often this provider prescribes it

This provider
31
CA average
24.2

This provider prescribes this medication more often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$182.44
CA average
$42.82

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

31
30-Day Fills
standardized to 30-day supplies
155
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 30 Medicare prescriptions for Valsartan, about 77% of the volume of the typical California prescriber of this medication (38.8). Medicare paid an average of $30.78 per fill, versus $28.57 statewide.

How often this provider prescribes it

This provider
30
CA average
38.8

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$30.78
CA average
$28.57

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

78.1
30-Day Fills
standardized to 30-day supplies
2,343
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 28 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 72% of the volume of the typical California prescriber of this medication (39). Medicare paid an average of $26.26 per fill, versus $13.09 statewide.

How often this provider prescribes it

This provider
28
CA average
39.0

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$26.26
CA average
$13.09

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

82
30-Day Fills
standardized to 30-day supplies
2,460
Days of Medication
total across all patients in 2024

About Ipratropium Bromide: Ipratropium is used to treat a runny nose caused by the common cold or seasonal allergies. Show more ▾

It works by reducing the amount of fluid/mucus released from inside your nose. This medication does not relieve symptoms of stuffy nose or sneezing. A muscarinic antagonist structurally related to ATROPINE but often considered safer and more effective for inhalation use. It is used for various bronchial disorders, in rhinitis, and as an antiarrhythmic.

In 2024, this provider wrote 28 Medicare prescriptions for Ipratropium Bromide, about 80% of the volume of the typical California prescriber of this medication (34.9). Medicare paid an average of $28.59 per fill, versus $31.19 statewide.

How often this provider prescribes it

This provider
28
CA average
34.9

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$28.59
CA average
$31.19

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

34.1
30-Day Fills
standardized to 30-day supplies
799
Days of Medication
total across all patients in 2024

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 helps to lower the risk of death from heart disease and reduces the need of going to a doctor or hospital to treat heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys.

In 2024, this provider wrote 27 Medicare prescriptions for Farxiga, about half the volume of the typical California prescriber of this medication (52.1). Medicare paid an average of $1,179.80 per fill, versus $914.82 statewide.

How often this provider prescribes it

This provider
27
CA average
52.1

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1,179.80
CA average
$914.82

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 2024

About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾

It is also used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA.

In 2024, this provider wrote 26 Medicare prescriptions for Duloxetine Hcl, about 65% of the volume of the typical California prescriber of this medication (40.3). Medicare paid an average of $23.32 per fill, versus $24.72 statewide.

How often this provider prescribes it

This provider
26
CA average
40.3

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$23.32
CA average
$24.72

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

48
30-Day Fills
standardized to 30-day supplies
1,440
Days of Medication
total across all patients in 2024

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

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure.

In 2024, this provider wrote 25 Medicare prescriptions for Lisinopril, about a quarter of the volume of the typical California prescriber of this medication (97.6). Medicare paid an average of $10.25 per fill, versus $8.30 statewide.

How often this provider prescribes it

This provider
25
CA average
97.6

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.25
CA average
$8.30

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

75
30-Day Fills
standardized to 30-day supplies
2,250
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 23 Medicare prescriptions for Chlorthalidone, about 88% of the volume of the typical California prescriber of this medication (26). Medicare paid an average of $11.09 per fill, versus $15.58 statewide.

How often this provider prescribes it

This provider
23
CA average
26.0

This provider's prescribing volume for this medication is in line with the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.09
CA average
$15.58

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

67
30-Day Fills
standardized to 30-day supplies
2,010
Days of Medication
total across all patients in 2024

About Irbesartan: Irbesartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Irbesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. A spiro compound, biphenyl and tetrazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION, and in the treatment of kidney disease.

In 2024, this provider wrote 19 Medicare prescriptions for Irbesartan, about half the volume of the typical California prescriber of this medication (34.3). Medicare paid an average of $23.31 per fill, versus $19.83 statewide.

How often this provider prescribes it

This provider
19
CA average
34.3

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$23.31
CA average
$19.83

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 2024

About Fluticasone Propionate: Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. Show more ▾

It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2024, this provider wrote 18 Medicare prescriptions for Fluticasone Propionate, about a third of the volume of the typical California prescriber of this medication (50.3). Medicare paid an average of $25.00 per fill, versus $15.10 statewide.

How often this provider prescribes it

This provider
18
CA average
50.3

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$25.00
CA average
$15.10

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

54
30-Day Fills
standardized to 30-day supplies
1,620
Days of Medication
total across all patients in 2024

About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾

A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA.

In 2024, this provider wrote 18 Medicare prescriptions for Potassium Chloride, about a third of the volume of the typical California prescriber of this medication (47.6). Medicare paid an average of $36.24 per fill, versus $24.00 statewide.

How often this provider prescribes it

This provider
18
CA average
47.6

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$36.24
CA average
$24.00

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

36
30-Day Fills
standardized to 30-day supplies
1,050
Days of Medication
total across all patients in 2024

About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾

It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants.

In 2024, this provider wrote 17 Medicare prescriptions for Fluoxetine Hcl, about half the volume of the typical California prescriber of this medication (33.2). Medicare paid an average of $0.74 per fill, versus $11.85 statewide.

How often this provider prescribes it

This provider
17
CA average
33.2

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$0.74
CA average
$11.85

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

49
30-Day Fills
standardized to 30-day supplies
1,470
Days of Medication
total across all patients in 2024

About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾

It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 16 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 63% of the volume of the typical California prescriber of this medication (25.4). Medicare paid an average of $4.35 per fill, versus $4.62 statewide.

How often this provider prescribes it

This provider
16
CA average
25.4

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$4.35
CA average
$4.62

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

16
30-Day Fills
standardized to 30-day supplies
245
Days of Medication
total across all patients in 2024

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. A leukotriene D4 receptor antagonist.

In 2024, this provider wrote 16 Medicare prescriptions for Montelukast Sodium, about a third of the volume of the typical California prescriber of this medication (48.6). Medicare paid an average of $10.36 per fill, versus $10.71 statewide.

How often this provider prescribes it

This provider
16
CA average
48.6

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.36
CA average
$10.71

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

42
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2024

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

It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE.

In 2024, this provider wrote 16 Medicare prescriptions for Bupropion Xl, about half the volume of the typical California prescriber of this medication (35.1). Medicare paid an average of $22.64 per fill, versus $25.68 statewide.

How often this provider prescribes it

This provider
16
CA average
35.1

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$22.64
CA average
$25.68

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

32
30-Day Fills
standardized to 30-day supplies
960
Days of Medication
total across all patients in 2024

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

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

In 2024, this provider wrote 15 Medicare prescriptions for Pregabalin, about a third of the volume of the typical California prescriber of this medication (39.1). Medicare paid an average of $9.63 per fill, versus $24.98 statewide.

How often this provider prescribes it

This provider
15
CA average
39.1

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$9.63
CA average
$24.98

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

33
30-Day Fills
standardized to 30-day supplies
990
Days of Medication
total across all patients in 2024

About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾

Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms. Azeptin is azelastine hydrochloride; structure; eye drop formulation effective in relieving symptoms of allergic conjunctivitis; do not confuse with 5-loxin which is an extract of Boswellia.

In 2024, this provider wrote 15 Medicare prescriptions for Azelastine Hcl, about a third of the volume of the typical California prescriber of this medication (47.3). Medicare paid an average of $46.66 per fill, versus $22.82 statewide.

How often this provider prescribes it

This provider
15
CA average
47.3

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$46.66
CA average
$22.82

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

22.3
30-Day Fills
standardized to 30-day supplies
635
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 15 Medicare prescriptions for Finasteride, about a quarter of the volume of the typical California prescriber of this medication (55.9). Medicare paid an average of $17.55 per fill, versus $13.71 statewide.

How often this provider prescribes it

This provider
15
CA average
55.9

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$17.55
CA average
$13.71

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

44.1
30-Day Fills
standardized to 30-day supplies
1,324
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 14 Medicare prescriptions for Metformin Hcl Er, about a quarter of the volume of the typical California prescriber of this medication (54.7). Medicare paid an average of $22.19 per fill, versus $9.99 statewide.

How often this provider prescribes it

This provider
14
CA average
54.7

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$22.19
CA average
$9.99

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

38
30-Day Fills
standardized to 30-day supplies
1,140
Days of Medication
total across all patients in 2024

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

It is also used to prevent asthma brought on by exercise. It is a quick-relief drug. 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 2024, this provider wrote 14 Medicare prescriptions for Albuterol Sulfate Hfa, about a quarter of the volume of the typical California prescriber of this medication (57.9). Medicare paid an average of $17.38 per fill, versus $28.70 statewide.

How often this provider prescribes it

This provider
14
CA average
57.9

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$17.38
CA average
$28.70

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

14.2
30-Day Fills
standardized to 30-day supplies
371
Days of Medication
total across all patients in 2024

About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾

It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses).

In 2024, this provider wrote 14 Medicare prescriptions for Nitrofurantoin Mono-Macro, about half the volume of the typical California prescriber of this medication (25.8). Medicare paid an average of $8.86 per fill, versus $13.21 statewide.

How often this provider prescribes it

This provider
14
CA average
25.8

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.86
CA average
$13.21

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

14
30-Day Fills
standardized to 30-day supplies
70
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 14 Medicare prescriptions for Famotidine, about a quarter of the volume of the typical California prescriber of this medication (53.9). Medicare paid an average of $17.73 per fill, versus $12.66 statewide.

How often this provider prescribes it

This provider
14
CA average
53.9

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$17.73
CA average
$12.66

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

38
30-Day Fills
standardized to 30-day supplies
1,140
Days of Medication
total across all patients in 2024

About Enalapril Maleate: Enalapril 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 help prevent people with a certain heart problem (left ventricular dysfunction) from developing heart failure. Enalapril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. An angiotensin-converting enzyme inhibitor that is used to treat HYPERTENSION and HEART FAILURE.

In 2024, this provider wrote 13 Medicare prescriptions for Enalapril Maleate, about half the volume of the typical California prescriber of this medication (24.7). Medicare paid an average of $18.23 per fill, versus $16.17 statewide.

How often this provider prescribes it

This provider
13
CA average
24.7

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$18.23
CA average
$16.17

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 2024

About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2024, this provider wrote 13 Medicare prescriptions for Cephalexin, about half the volume of the typical California prescriber of this medication (29.7). Medicare paid an average of $6.67 per fill, versus $7.62 statewide.

How often this provider prescribes it

This provider
13
CA average
29.7

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.67
CA average
$7.62

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

13
30-Day Fills
standardized to 30-day supplies
93
Days of Medication
total across all patients in 2024

About Azithromycin: Azithromycin is used to treat a wide variety of bacterial infections. Show more ▾

It is a macrolide-type antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis.

In 2024, this provider wrote 13 Medicare prescriptions for Azithromycin, about a third of the volume of the typical California prescriber of this medication (38.3). Medicare paid an average of $4.01 per fill, versus $4.49 statewide.

How often this provider prescribes it

This provider
13
CA average
38.3

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$4.01
CA average
$4.49

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

13
30-Day Fills
standardized to 30-day supplies
65
Days of Medication
total across all patients in 2024

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

Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309)

In 2024, this provider wrote 13 Medicare prescriptions for Trazodone Hcl, about a quarter of the volume of the typical California prescriber of this medication (56.8). Medicare paid an average of $5.06 per fill, versus $9.93 statewide.

How often this provider prescribes it

This provider
13
CA average
56.8

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.06
CA average
$9.93

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

27
30-Day Fills
standardized to 30-day supplies
798
Days of Medication
total across all patients in 2024

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. A glucagon-like peptide-1 receptor agonist; GLP-1 immunoglobulin G (IgG4) Fc fusion protein with extended activity.

In 2024, this provider wrote 13 Medicare prescriptions for Trulicity, about a third of the volume of the typical California prescriber of this medication (37.5). Medicare paid an average of $1,552.88 per fill, versus $1,230.75 statewide.

How often this provider prescribes it

This provider
13
CA average
37.5

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1,552.88
CA average
$1,230.75

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

19.9
30-Day Fills
standardized to 30-day supplies
588
Days of Medication
total across all patients in 2024

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

Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines.

In 2024, this provider wrote 13 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical California prescriber of this medication (24.8). Medicare paid an average of $8.56 per fill, versus $14.34 statewide.

How often this provider prescribes it

This provider
13
CA average
24.8

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.56
CA average
$14.34

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

13
30-Day Fills
standardized to 30-day supplies
383
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 12 Medicare prescriptions for Pravastatin Sodium, about a third of the volume of the typical California prescriber of this medication (37.8). Medicare paid an average of $15.18 per fill, versus $13.25 statewide.

How often this provider prescribes it

This provider
12
CA average
37.8

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$15.18
CA average
$13.25

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

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2024

About Diltiazem 24hr Er (Cd): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions.

In 2024, this provider wrote 12 Medicare prescriptions for Diltiazem 24hr Er (Cd), about half the volume of the typical California prescriber of this medication (28). Medicare paid an average of $57.69 per fill, versus $32.58 statewide.

How often this provider prescribes it

This provider
12
CA average
28.0

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$57.69
CA average
$32.58

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

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2024

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. A drug combination of fluticasone and salmeterol that is used as an inhaler formulation to manage the symptoms of ASTHMA and CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

In 2024, this provider wrote 12 Medicare prescriptions for Fluticasone-Salmeterol, about half the volume of the typical California prescriber of this medication (23.8). Medicare paid an average of $101.22 per fill, versus $155.85 statewide.

How often this provider prescribes it

This provider
12
CA average
23.8

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$101.22
CA average
$155.85

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

16
30-Day Fills
standardized to 30-day supplies
480
Days of Medication
total across all patients in 2024

About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾

It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.

In 2024, this provider wrote 12 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical California prescriber of this medication (25.6). Medicare paid an average of $9.72 per fill, versus $9.18 statewide.

How often this provider prescribes it

This provider
12
CA average
25.6

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$9.72
CA average
$9.18

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

12
30-Day Fills
standardized to 30-day supplies
120
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 11 Medicare prescriptions for Ramipril, about half the volume of the typical California prescriber of this medication (23.9). Medicare paid an average of $1.50 per fill, versus $10.33 statewide.

How often this provider prescribes it

This provider
11
CA average
23.9

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1.50
CA average
$10.33

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

33
30-Day Fills
standardized to 30-day supplies
990
Days of Medication
total across all patients in 2024

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

Mirtazapine works by helping to restore the balance of certain natural substances in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders.

In 2024, this provider wrote 11 Medicare prescriptions for Mirtazapine, about a quarter of the volume of the typical California prescriber of this medication (40.3). Medicare paid an average of $13.19 per fill, versus $19.05 statewide.

How often this provider prescribes it

This provider
11
CA average
40.3

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$13.19
CA average
$19.05

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2024

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

It works 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. Controlling symptoms of breathing problems can decrease time lost from work or school. 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 wheezing or sudden shortness of breath occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. Muscarinic Antagonist.

In 2024, this provider wrote 11 Medicare prescriptions for Incruse Ellipta, about half the volume of the typical California prescriber of this medication (22.2). Medicare paid an average of $411.79 per fill, versus $410.31 statewide.

How often this provider prescribes it

This provider
11
CA average
22.2

This provider prescribes this medication less often than the average CA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$411.79
CA average
$410.31

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2024
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 CA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the CA average cost per fill.

About this data. The prescription history for DR. DAVID BIRKEN MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Internal Medicine prescribing approach at this Santa Barbara, CA practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among CA prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.