DR. THOMAS NYLK M.D.
Prescription History 1700869708
Internal Medicine - Cardiovascular Disease in Reno, NV
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. THOMAS NYLK M.D., an active Cardiovascular Disease specialist practicing in Reno, NV. Our medical registry currently tracks 50 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 8,830 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 1,143 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other NV PrescribersVs. NV Avg |
|---|---|---|---|
| Atorvastatin Calcium | 1,143 | $21.20 | ▲ More than typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 1,143 Medicare prescriptions for Atorvastatin Calcium, about 6.4 times the volume of the typical Nevada prescriber of this medication (179). Medicare paid an average of $21.20 per fill, versus $11.71 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 3,207.6 30-Day Fills standardized to 30-day supplies 96,200 Days of Medication total across all patients in 2023 | |||
| Metoprolol Succinate | 1,057 | $16.84▼ below NV avg | ▲ More than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 1,057 Medicare prescriptions for Metoprolol Succinate, about 14 times the volume of the typical Nevada prescriber of this medication (77). Medicare paid an average of $16.84 per fill, versus $18.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 3,036.6 30-Day Fills standardized to 30-day supplies 91,055 Days of Medication total across all patients in 2023 | |||
| Losartan Potassium | 913 | $14.99 | ▲ More than typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 913 Medicare prescriptions for Losartan Potassium, about 8.4 times the volume of the typical Nevada prescriber of this medication (109). Medicare paid an average of $14.99 per fill, versus $10.20 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 2,705.6 30-Day Fills standardized to 30-day supplies 81,129 Days of Medication total across all patients in 2023 | |||
| EliquisApixaban | 849 | $1,188.96 | ▲ More than typical |
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 849 Medicare prescriptions for Eliquis, about 13 times the volume of the typical Nevada prescriber of this medication (65). Medicare paid an average of $1,188.96 per fill, versus $881.70 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 1,772.4 30-Day Fills standardized to 30-day supplies 53,057 Days of Medication total across all patients in 2023 | |||
| Rosuvastatin Calcium | 422 | $22.97 | ▲ More than typical |
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 422 Medicare prescriptions for Rosuvastatin Calcium, about 4.4 times the volume of the typical Nevada prescriber of this medication (96). Medicare paid an average of $22.97 per fill, versus $19.11 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 1,161.4 30-Day Fills standardized to 30-day supplies 34,844 Days of Medication total across all patients in 2023 | |||
| Hydrochlorothiazide | 421 | $3.86▼ below NV avg | ▲ More than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 421 Medicare prescriptions for Hydrochlorothiazide, about 6.7 times the volume of the typical Nevada prescriber of this medication (63). Medicare paid an average of $3.86 per fill, versus $5.70 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 1,234.3 30-Day Fills standardized to 30-day supplies 37,005 Days of Medication total across all patients in 2023 | |||
| Flecainide Acetate | 386 | $77.10 | ▲ More than typical |
About Flecainide Acetate: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as sustained ventricular tachycardia and paroxysmal supraventricular tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. It is also used to prevent certain types of irregular heartbeat from returning (such as atrial fibrillation). Flecainide is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other effective and possibly safer treatments. A potent anti-arrhythmia agent, effective in a wide range of ventricular and atrial ARRHYTHMIAS and TACHYCARDIAS. In 2023, this provider wrote 386 Medicare prescriptions for Flecainide Acetate, about 8.4 times the volume of the typical Nevada prescriber of this medication (46). Medicare paid an average of $77.10 per fill, versus $72.25 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 1,085.5 30-Day Fills standardized to 30-day supplies 32,540 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 370 | $10.19 | ▲ More than typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 370 Medicare prescriptions for Amlodipine Besylate, about 3 times the volume of the typical Nevada prescriber of this medication (124). Medicare paid an average of $10.19 per fill, versus $7.17 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 1,059.3 30-Day Fills standardized to 30-day supplies 31,739 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 361 | $9.86 | ▲ More than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 361 Medicare prescriptions for Lisinopril, about 3.3 times the volume of the typical Nevada prescriber of this medication (110). Medicare paid an average of $9.86 per fill, versus $6.65 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 1,062.5 30-Day Fills standardized to 30-day supplies 31,882 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 322 | $11.61▼ below NV avg | ▲ More than typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 322 Medicare prescriptions for Spironolactone, about 8.9 times the volume of the typical Nevada prescriber of this medication (36). Medicare paid an average of $11.61 per fill, versus $14.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 882.4 30-Day Fills standardized to 30-day supplies 26,472 Days of Medication total across all patients in 2023 | |||
| Furosemide | 302 | $7.36 | ▲ More than typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 302 Medicare prescriptions for Furosemide, about 5.4 times the volume of the typical Nevada prescriber of this medication (56). Medicare paid an average of $7.36 per fill, versus $6.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 872.1 30-Day Fills standardized to 30-day supplies 26,128 Days of Medication total across all patients in 2023 | |||
| XareltoRivaroxaban | 231 | $1,413.21 | ▲ More than typical |
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2023, this provider wrote 231 Medicare prescriptions for Xarelto, about 5.8 times the volume of the typical Nevada prescriber of this medication (40). Medicare paid an average of $1,413.21 per fill, versus $1,015.17 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 592.1 30-Day Fills standardized to 30-day supplies 17,740 Days of Medication total across all patients in 2023 | |||
| Ezetimibe | 212 | $41.01▼ below NV avg | ▲ More than typical |
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 212 Medicare prescriptions for Ezetimibe, about 5.3 times the volume of the typical Nevada prescriber of this medication (40). Medicare paid an average of $41.01 per fill, versus $50.05 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 626.3 30-Day Fills standardized to 30-day supplies 18,790 Days of Medication total across all patients in 2023 | |||
| Carvedilol | 209 | $11.08▼ below NV avg | ▲ More than typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 209 Medicare prescriptions for Carvedilol, about 3.7 times the volume of the typical Nevada prescriber of this medication (56). Medicare paid an average of $11.08 per fill, versus $11.66 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 600.3 30-Day Fills standardized to 30-day supplies 17,980 Days of Medication total across all patients in 2023 | |||
| Amiodarone Hcl | 171 | $24.34▼ below NV avg | ▲ More than typical |
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. In 2023, this provider wrote 171 Medicare prescriptions for Amiodarone Hcl, about 5.2 times the volume of the typical Nevada prescriber of this medication (33). Medicare paid an average of $24.34 per fill, versus $31.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 477.8 30-Day Fills standardized to 30-day supplies 14,211 Days of Medication total across all patients in 2023 | |||
| Metoprolol Tartrate | 169 | $14.05 | ▲ More than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 169 Medicare prescriptions for Metoprolol Tartrate, about 2.9 times the volume of the typical Nevada prescriber of this medication (58). Medicare paid an average of $14.05 per fill, versus $8.17 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 466.7 30-Day Fills standardized to 30-day supplies 13,995 Days of Medication total across all patients in 2023 | |||
| Potassium Chloride | 153 | $28.67 | ▲ More than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 153 Medicare prescriptions for Potassium Chloride, about 3.3 times the volume of the typical Nevada prescriber of this medication (46). Medicare paid an average of $28.67 per fill, versus $27.87 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 380.4 30-Day Fills standardized to 30-day supplies 11,396 Days of Medication total across all patients in 2023 | |||
| Repatha SureclickEvolocumab | 136 | $761.45▼ below NV avg | ▲ More than typical |
About Repatha Sureclick: Evolocumab is used along with a proper diet to help lower bad cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as statin drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to help prevent heart attacks and strokes. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 136 Medicare prescriptions for Repatha Sureclick, about 3.8 times the volume of the typical Nevada prescriber of this medication (36). Medicare paid an average of $761.45 per fill, versus $859.83 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 184.6 30-Day Fills standardized to 30-day supplies 5,358 Days of Medication total across all patients in 2023 | |||
| ClopidogrelClopidogrel Bisulfate | 132 | $20.38 | ▲ More than typical |
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 132 Medicare prescriptions for Clopidogrel, about 2.9 times the volume of the typical Nevada prescriber of this medication (45). Medicare paid an average of $20.38 per fill, versus $16.37 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 396 30-Day Fills standardized to 30-day supplies 11,880 Days of Medication total across all patients in 2023 | |||
| Pravastatin Sodium | 82 | $33.58 | ▲ More than typical |
About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 82 Medicare prescriptions for Pravastatin Sodium, about 1.8 times the volume of the typical Nevada prescriber of this medication (45). Medicare paid an average of $33.58 per fill, versus $16.66 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 242.3 30-Day Fills standardized to 30-day supplies 7,270 Days of Medication total across all patients in 2023 | |||
| Simvastatin | 81 | $8.23 | ▲ More than typical |
About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 81 Medicare prescriptions for Simvastatin, about 1.3 times the volume of the typical Nevada prescriber of this medication (63). Medicare paid an average of $8.23 per fill, versus $7.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 244.6 30-Day Fills standardized to 30-day supplies 7,340 Days of Medication total across all patients in 2023 | |||
| Praluent PenAlirocumab | 55 | $675.11▼ below NV avg | ▲ More than typical |
About Praluent Pen: Alirocumab is used by people who have blockage in the heart blood vessels to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. Show more ▾ It is also used by people who have an inherited condition that causes high levels of LDL. Treatment with alirocumab, a proper diet, and cholesterol-lowering drugs can help lower bad cholesterol (LDL) in the blood. Alirocumab belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 55 Medicare prescriptions for Praluent Pen, about 1.9 times the volume of the typical Nevada prescriber of this medication (29). Medicare paid an average of $675.11 per fill, versus $767.61 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 74 30-Day Fills standardized to 30-day supplies 2,139 Days of Medication total across all patients in 2023 | |||
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 51 | $63.87 | ▲ More than typical |
About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 51 Medicare prescriptions for Diltiazem 24hr Er (Cd), about 2 times the volume of the typical Nevada prescriber of this medication (25). Medicare paid an average of $63.87 per fill, versus $41.37 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 152.7 30-Day Fills standardized to 30-day supplies 4,582 Days of Medication total across all patients in 2023 | |||
| Levothyroxine Sodium | 47 | $16.52 | ▼ Less than typical |
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 47 Medicare prescriptions for Levothyroxine Sodium, about a third of the volume of the typical Nevada prescriber of this medication (128). Medicare paid an average of $16.52 per fill, versus $16.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 115.3 30-Day Fills standardized to 30-day supplies 3,461 Days of Medication total across all patients in 2023 | |||
| Hydralazine Hcl | 39 | $37.62 | ≈ Typical |
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. In 2023, this provider wrote 39 Medicare prescriptions for Hydralazine Hcl, about the same volume as the typical Nevada prescriber of this medication (34). Medicare paid an average of $37.62 per fill, versus $23.29 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 113 30-Day Fills standardized to 30-day supplies 3,386 Days of Medication total across all patients in 2023 | |||
| Atenolol | 37 | $13.50 | ≈ Typical |
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 37 Medicare prescriptions for Atenolol, about the same volume as the typical Nevada prescriber of this medication (36). Medicare paid an average of $13.50 per fill, versus $9.14 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 111 30-Day Fills standardized to 30-day supplies 3,330 Days of Medication total across all patients in 2023 | |||
| Warfarin Sodium | 36 | $13.57▼ below NV avg | ≈ Typical |
About Warfarin Sodium: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾ Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a blood thinner, but the more correct term is anticoagulant. It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide. In 2023, this provider wrote 36 Medicare prescriptions for Warfarin Sodium, about the same volume as the typical Nevada prescriber of this medication (33). Medicare paid an average of $13.57 per fill, versus $15.17 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 101.9 30-Day Fills standardized to 30-day supplies 3,056 Days of Medication total across all patients in 2023 | |||
| Enalapril Maleate | 34 | $12.14▼ below NV avg | ▲ More than typical |
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 2023, this provider wrote 34 Medicare prescriptions for Enalapril Maleate, about 1.6 times the volume of the typical Nevada prescriber of this medication (21). Medicare paid an average of $12.14 per fill, versus $21.85 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 91.5 30-Day Fills standardized to 30-day supplies 2,720 Days of Medication total across all patients in 2023 | |||
| SotalolSotalol Hcl | 34 | $19.75▼ below NV avg | ≈ Typical |
About Sotalol: This medication is used to treat a serious (possibly life-threatening) type of fast heartbeat called sustained ventricular tachycardia. Show more ▾ It is also used to treat certain fast/irregular heartbeats (atrial fibrillation/flutter) in patients with severe symptoms such as weakness and shortness of breath. Sotalol helps to lessen these symptoms. It slows the heart rate and helps the heart to beat more normally and regularly. This medication is both a beta blocker and an anti-arrhythmic. In 2023, this provider wrote 34 Medicare prescriptions for Sotalol, about the same volume as the typical Nevada prescriber of this medication (36). Medicare paid an average of $19.75 per fill, versus $24.19 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 84 30-Day Fills standardized to 30-day supplies 2,520 Days of Medication total across all patients in 2023 | |||
| EntrestoSacubitril/Valsartan | 32 | $849.98▼ below NV avg | ▼ Less than typical |
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. In 2023, this provider wrote 32 Medicare prescriptions for Entresto, about 65% of the volume of the typical Nevada prescriber of this medication (49). Medicare paid an average of $849.98 per fill, versus $1,100.40 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 40 30-Day Fills standardized to 30-day supplies 1,200 Days of Medication total across all patients in 2023 | |||
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 28 | $11.34▼ below NV avg | ≈ Typical |
About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. In 2023, this provider wrote 28 Medicare prescriptions for Isosorbide Mononitrate Er, about the same volume as the typical Nevada prescriber of this medication (29). Medicare paid an average of $11.34 per fill, versus $20.48 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 50.1 30-Day Fills standardized to 30-day supplies 1,503 Days of Medication total across all patients in 2023 | |||
| Nebivolol Hcl | 26 | $75.97▼ below NV avg | ≈ Typical |
About Nebivolol Hcl: Nebivolol is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers heart rate, blood pressure, and strain on the heart. A cardioselective ADRENERGIC BETA-1 RECEPTOR ANTAGONIST (beta-blocker) that functions as a VASODILATOR through the endothelial L-arginine/ NITRIC OXIDE system. It is used to manage HYPERTENSION and chronic HEART FAILURE in elderly patients. In 2023, this provider wrote 26 Medicare prescriptions for Nebivolol Hcl, about 1.2 times the volume of the typical Nevada prescriber of this medication (22). Medicare paid an average of $75.97 per fill, versus $103.53 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 76 30-Day Fills standardized to 30-day supplies 2,280 Days of Medication total across all patients in 2023 | |||
| Omeprazole | 25 | $14.20▼ below NV avg | ▼ Less than typical |
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 25 Medicare prescriptions for Omeprazole, about a third of the volume of the typical Nevada prescriber of this medication (81). Medicare paid an average of $14.20 per fill, versus $14.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 71.3 30-Day Fills standardized to 30-day supplies 2,140 Days of Medication total across all patients in 2023 | |||
| Chlorthalidone | 22 | $15.30▼ below NV avg | ≈ Typical |
About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a water pill (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic. In 2023, this provider wrote 22 Medicare prescriptions for Chlorthalidone, about 88% of the volume of the typical Nevada prescriber of this medication (25). Medicare paid an average of $15.30 per fill, versus $24.27 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 50 30-Day Fills standardized to 30-day supplies 1,500 Days of Medication total across all patients in 2023 | |||
| Repatha SyringeEvolocumab | 21 | $793.57 | ≈ Typical |
About Repatha Syringe: Evolocumab is used along with a proper diet to help lower bad cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as statin drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to help prevent heart attacks and strokes. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. In 2023, this provider wrote 21 Medicare prescriptions for Repatha Syringe, about the same volume as the typical Nevada prescriber of this medication (19). Medicare paid an average of $793.57 per fill, versus $709.35 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 33.6 30-Day Fills standardized to 30-day supplies 924 Days of Medication total across all patients in 2023 | |||
| Nitroglycerin | 21 | $23.25▼ below NV avg | ≈ Typical |
About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2023, this provider wrote 21 Medicare prescriptions for Nitroglycerin, about 81% of the volume of the typical Nevada prescriber of this medication (26). Medicare paid an average of $23.25 per fill, versus $23.59 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 31 30-Day Fills standardized to 30-day supplies 773 Days of Medication total across all patients in 2023 | |||
| Valsartan | 20 | $30.28▼ below NV avg | ▼ Less than typical |
About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾ It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION. In 2023, this provider wrote 20 Medicare prescriptions for Valsartan, about 71% of the volume of the typical Nevada prescriber of this medication (28). Medicare paid an average of $30.28 per fill, versus $33.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 42.3 30-Day Fills standardized to 30-day supplies 1,270 Days of Medication total across all patients in 2023 | |||
| Irbesartan | 17 | $27.93 | ▼ Less than typical |
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 2023, this provider wrote 17 Medicare prescriptions for Irbesartan, about half the volume of the typical Nevada prescriber of this medication (29). Medicare paid an average of $27.93 per fill, versus $27.56 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 53 30-Day Fills standardized to 30-day supplies 1,590 Days of Medication total across all patients in 2023 | |||
| Benazepril Hcl | 17 | $11.76 | ▼ Less than typical |
About Benazepril Hcl: Benazepril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Benazepril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. In 2023, this provider wrote 17 Medicare prescriptions for Benazepril Hcl, about 68% of the volume of the typical Nevada prescriber of this medication (25). Medicare paid an average of $11.76 per fill, versus $11.45 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 54.3 30-Day Fills standardized to 30-day supplies 1,630 Days of Medication total across all patients in 2023 | |||
| Pantoprazole Sodium | 17 | $22.30 | ▼ Less than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 17 Medicare prescriptions for Pantoprazole Sodium, about a third of the volume of the typical Nevada prescriber of this medication (57). Medicare paid an average of $22.30 per fill, versus $15.72 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 25 30-Day Fills standardized to 30-day supplies 734 Days of Medication total across all patients in 2023 | |||
| Allopurinol | 16 | $13.92▼ below NV avg | ▼ Less than typical |
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 16 Medicare prescriptions for Allopurinol, about a third of the volume of the typical Nevada prescriber of this medication (44). Medicare paid an average of $13.92 per fill, versus $15.72 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2023 | |||
| BrilintaTicagrelor | 15 | $1,291.60 | ▼ Less than typical |
About Brilinta: Ticagrelor is used along with low-dose aspirin to help prevent heart attack and stroke in people with a history of heart disease, stroke, or at increased risk for heart disease or stroke (for example, due to diabetes, history of transient ischemic attack-TIA). Show more ▾ It may also prevent blood clots after certain heart surgeries (such as stent placement). Ticagrelor works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It keeps blood flowing smoothly in your body. An adenosine triphosphate analogue and reversible P2Y12 PURINORECEPTOR antagonist that inhibits ADP-mediated PLATELET AGGREGATION. It is used for the prevention of THROMBOEMBOLISM by patients with ACUTE CORONARY SYNDROME or a history of MYOCARDIAL INFARCTION. In 2023, this provider wrote 15 Medicare prescriptions for Brilinta, about 65% of the volume of the typical Nevada prescriber of this medication (23). Medicare paid an average of $1,291.60 per fill, versus $771.19 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023 | |||
| Digoxin | 14 | $41.18 | ▼ Less than typical |
About Digoxin: Digoxin is used to treat heart failure, usually along with other medications. Show more ▾ It is also used to treat certain types of irregular heartbeat (such as chronic atrial fibrillation). Treating heart failure may help maintain your ability to walk and exercise and may improve the strength of your heart. Treating an irregular heartbeat can also improve your ability to exercise. Digoxin belongs to a class of medications called cardiac glycosides. It works by affecting certain minerals (sodium and potassium) inside heart cells. This reduces strain on the heart and helps it maintain a normal, steady, and strong heartbeat. A cardiotonic glycoside obtained mainly from Digitalis lanata; it consists of three sugars and the aglycone DIGOXIGENIN. Digoxin has positive inotropic and negative chronotropic activity. It is used to control ventricular rate in ATRIAL FIBRILLATION and in the management of congestive heart failure with atrial fibrillation. Its use in congestive heart failure and sinus rhythm is less certain. The margin between toxic and therapeutic doses is small. (From Martindale, The Extra Pharmacopoeia, 30th ed, p666) In 2023, this provider wrote 14 Medicare prescriptions for Digoxin, about half the volume of the typical Nevada prescriber of this medication (31). Medicare paid an average of $41.18 per fill, versus $31.83 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023 | |||
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 13 | $19.10 | ▼ Less than typical |
About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: losartan and hydrochlorothiazide. Losartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2023, this provider wrote 13 Medicare prescriptions for Losartan-Hydrochlorothiazide, about a third of the volume of the typical Nevada prescriber of this medication (35). Medicare paid an average of $19.10 per fill, versus $17.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 40.5 30-Day Fills standardized to 30-day supplies 1,216 Days of Medication total across all patients in 2023 | |||
| Telmisartan | 13 | $79.84 | ▼ Less than typical |
About Telmisartan: This medication is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Telmisartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. A biphenyl compound and benzimidazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION. In 2023, this provider wrote 13 Medicare prescriptions for Telmisartan, about half the volume of the typical Nevada prescriber of this medication (26). Medicare paid an average of $79.84 per fill, versus $50.08 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023 | |||
| LivaloPitavastatin Calcium | 12 | $930.53 | ▼ Less than typical |
About Livalo: Pitavastatin 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. In 2023, this provider wrote 12 Medicare prescriptions for Livalo, about 63% of the volume of the typical Nevada prescriber of this medication (19). Medicare paid an average of $930.53 per fill, versus $611.27 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023 | |||
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 12 | $20.09 | ▼ Less than typical |
About Triamterene-Hydrochlorothiazid: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two water pills (diuretics): triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. In 2023, this provider wrote 12 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about half the volume of the typical Nevada prescriber of this medication (25). Medicare paid an average of $20.09 per fill, versus $13.19 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023 | |||
| Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide | 12 | $5.35▼ below NV avg | ▼ Less than typical |
About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication. In 2023, this provider wrote 12 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about a third of the volume of the typical Nevada prescriber of this medication (35). Medicare paid an average of $5.35 per fill, versus $8.06 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the NV average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2023 | |||
| Metformin Hcl | 11 | $9.69 | ▼ Less than typical |
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 11 Medicare prescriptions for Metformin Hcl, about 11% of the volume of the typical Nevada prescriber of this medication (96). Medicare paid an average of $9.69 per fill, versus $7.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2023 | |||
| Diltiazem 24hr ErDiltiazem Hcl | 11 | $48.11 | ▼ Less than typical |
About Diltiazem 24hr Er: Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 11 Medicare prescriptions for Diltiazem 24hr Er, about 65% of the volume of the typical Nevada prescriber of this medication (17). Medicare paid an average of $48.11 per fill, versus $44.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average NV prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for DR. THOMAS NYLK M.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Cardiovascular Disease prescribing approach at this Reno, NV practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among NV prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
