RAYMOND S. LANCE M.D.
Prescription History 1710930607
Urology in Spokane, WA

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1401 E TRENT AVE STE 200, SPOKANE, WA 99202(509) 747-3147(509) 747-0020 Get Directions

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2020, Feb 11, 2020 (2 updates tracked since 2020).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for RAYMOND S. LANCE M.D., an active Urology specialist practicing in Spokane, WA. Our medical registry currently tracks 24 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,506 documented patient claims. Among these therapy options, the most frequently utilized medication is Finasteride, which accounts for 338 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.

24
Medications
1,506
Total Claims
2,275
30-Day Fills
Finasteride
Most Prescribed · 338 claims
View details
24 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by RAYMOND S. LANCE M.D. in 2023, with prescription volumes, average cost per fill, and WA state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other WA PrescribersVs. WA Avg

About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾

It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA.

In 2023, this provider wrote 338 Medicare prescriptions for Finasteride, about 8.2 times the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $10.64 per fill, versus $17.70 statewide.

How often this provider prescribes it

This provider
338
WA average
41.0

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

What Medicare paid per fill

This provider
$10.64
WA average
$17.70

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

647.7
30-Day Fills
standardized to 30-day supplies
19,418
Days of Medication
total across all patients in 2023

About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾

It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure.

In 2023, this provider wrote 284 Medicare prescriptions for Tamsulosin Hcl, about 4.4 times the volume of the typical Washington prescriber of this medication (65). Medicare paid an average of $20.30 per fill, versus $21.65 statewide.

How often this provider prescribes it

This provider
284
WA average
65.0

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

What Medicare paid per fill

This provider
$20.30
WA average
$21.65

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

548.8
30-Day Fills
standardized to 30-day supplies
16,440
Days of Medication
total across all patients in 2023

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. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS.

In 2023, this provider wrote 115 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 5.5 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $7.39 per fill, versus $6.79 statewide.

How often this provider prescribes it

This provider
115
WA average
21.0

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

What Medicare paid per fill

This provider
$7.39
WA average
$6.79

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

119.5
30-Day Fills
standardized to 30-day supplies
1,341
Days of Medication
total across all patients in 2023

About Tramadol Hcl: See also Warning section. Show more ▾

This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating.

In 2023, this provider wrote 111 Medicare prescriptions for Tramadol Hcl, about 2.8 times the volume of the typical Washington prescriber of this medication (39). Medicare paid an average of $2.15 per fill, versus $8.73 statewide.

How often this provider prescribes it

This provider
111
WA average
39.0

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

What Medicare paid per fill

This provider
$2.15
WA average
$8.73

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

111
30-Day Fills
standardized to 30-day supplies
356
Days of Medication
total across all patients in 2023

About Orgovyx: Relugolix is used to treat prostate cancer in men. Show more ▾

It is not a cure. Most types of prostate cancer need the male hormone testosterone to grow and spread. Relugolix works by reducing the amount of testosterone that the body makes. This helps slow or stop the growth of cancer cells.

In 2023, this provider wrote 92 Medicare prescriptions for Orgovyx, about 2.7 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $2,664.22 per fill, versus $2,691.44 statewide.

How often this provider prescribes it

This provider
92
WA average
34.0

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

What Medicare paid per fill

This provider
$2,664.22
WA average
$2,691.44

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

92
30-Day Fills
standardized to 30-day supplies
2,760
Days of Medication
total across all patients in 2023

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

Levofloxacin belongs to a class of drugs known as quinolone antibiotics. It works by stopping the growth of bacteria. Levofloxacin injection is used if you cannot take the medication by mouth. 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. The L-isomer of Ofloxacin.

In 2023, this provider wrote 82 Medicare prescriptions for Levofloxacin, about 3.7 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $3.13 per fill, versus $11.41 statewide.

How often this provider prescribes it

This provider
82
WA average
22.0

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

What Medicare paid per fill

This provider
$3.13
WA average
$11.41

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

82
30-Day Fills
standardized to 30-day supplies
476
Days of Medication
total across all patients in 2023

About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

In 2023, this provider wrote 57 Medicare prescriptions for Oxycodone-Acetaminophen, about 1.4 times the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $6.00 per fill, versus $27.67 statewide.

How often this provider prescribes it

This provider
57
WA average
40.0

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

What Medicare paid per fill

This provider
$6.00
WA average
$27.67

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

57
30-Day Fills
standardized to 30-day supplies
336
Days of Medication
total across all patients in 2023

About Alfuzosin Hcl Er: Alfuzosin 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). Alfuzosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure.

In 2023, this provider wrote 56 Medicare prescriptions for Alfuzosin Hcl Er, about 1.8 times the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $20.77 per fill, versus $29.02 statewide.

How often this provider prescribes it

This provider
56
WA average
31.0

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

What Medicare paid per fill

This provider
$20.77
WA average
$29.02

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

99
30-Day Fills
standardized to 30-day supplies
2,970
Days of Medication
total across all patients in 2023

About Oxybutynin Chloride: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾

It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida).

In 2023, this provider wrote 46 Medicare prescriptions for Oxybutynin Chloride, about 2 times the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $17.59 per fill, versus $25.64 statewide.

How often this provider prescribes it

This provider
46
WA average
23.0

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

What Medicare paid per fill

This provider
$17.59
WA average
$25.64

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

62
30-Day Fills
standardized to 30-day supplies
1,796
Days of Medication
total across all patients in 2023

About Nubeqa: Darolutamide is used to treat a certain type of prostate cancer. Show more ▾

This medication belongs to a class of drugs known as anti-androgens (anti-testosterone). It works by blocking the effects of testosterone to slow the growth and spread of prostate cancer.

In 2023, this provider wrote 43 Medicare prescriptions for Nubeqa, about 2 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $13,201.03 per fill, versus $11,705.00 statewide.

How often this provider prescribes it

This provider
43
WA average
22.0

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

What Medicare paid per fill

This provider
$13,201.03
WA average
$11,705.00

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

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

About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾

Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.

In 2023, this provider wrote 32 Medicare prescriptions for Prednisone, about 86% of the volume of the typical Washington prescriber of this medication (37). Medicare paid an average of $5.03 per fill, versus $8.30 statewide.

How often this provider prescribes it

This provider
32
WA average
37.0

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

What Medicare paid per fill

This provider
$5.03
WA average
$8.30

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

38
30-Day Fills
standardized to 30-day supplies
1,023
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 29 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 1.5 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $43.64 per fill, versus $25.38 statewide.

How often this provider prescribes it

This provider
29
WA average
20.0

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

What Medicare paid per fill

This provider
$43.64
WA average
$25.38

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

36.2
30-Day Fills
standardized to 30-day supplies
955
Days of Medication
total across all patients in 2023

About Bicalutamide: Bicalutamide is used to treat prostate cancer. Show more ▾

This medication works by blocking the action of male hormones in the prostate, slowing the growth of cancer cells. This medication should not be used in women and children.

In 2023, this provider wrote 29 Medicare prescriptions for Bicalutamide, about 1.3 times the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $33.74 per fill, versus $31.43 statewide.

How often this provider prescribes it

This provider
29
WA average
23.0

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

What Medicare paid per fill

This provider
$33.74
WA average
$31.43

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

61
30-Day Fills
standardized to 30-day supplies
1,830
Days of Medication
total across all patients in 2023

About Gemtesa: This medication is used to treat overactive bladder. Show more ▾

Overactive bladder is a problem with how your bladder stores urine that causes a sudden urge to urinate. The urge may be hard to control, and overactive bladder symptoms may include frequent urination, strong sudden urges to urinate, or involuntary loss of urine (incontinence). Vibegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder.

In 2023, this provider wrote 28 Medicare prescriptions for Gemtesa, about 1.2 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $654.49 per fill, versus $655.07 statewide.

How often this provider prescribes it

This provider
28
WA average
24.0

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

What Medicare paid per fill

This provider
$654.49
WA average
$655.07

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

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

About Silodosin: Silodosin 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). Silodosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure.

In 2023, this provider wrote 25 Medicare prescriptions for Silodosin, about 1.4 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $71.89 per fill, versus $95.16 statewide.

How often this provider prescribes it

This provider
25
WA average
18.0

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

What Medicare paid per fill

This provider
$71.89
WA average
$95.16

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

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

About Xtandi: Enzalutamide is used to treat prostate cancer. Show more ▾

This medication belongs to a class of drugs known as anti-androgens (anti-testosterone). It works by blocking the effects of testosterone to slow the growth and spread of prostate cancer.

In 2023, this provider wrote 23 Medicare prescriptions for Xtandi, about the same volume as the typical Washington prescriber of this medication (24). Medicare paid an average of $11,900.90 per fill, versus $13,003.85 statewide.

How often this provider prescribes it

This provider
23
WA average
24.0

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

What Medicare paid per fill

This provider
$11,900.90
WA average
$13,003.85

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

23
30-Day Fills
standardized to 30-day supplies
690
Days of Medication
total across all patients in 2023

About Potassium Citrate Er: This medication is used to make the urine less acidic. Show more ▾

This effect helps the kidneys get rid of uric acid, thereby helping to prevent gout and kidney stones. This medication can also prevent and treat certain metabolic problems (acidosis) caused by kidney disease. Citric acid and citrate salts (which contain potassium and sodium) belong to a class of drugs known as urinary alkalinizers. If you have a condition that requires you to limit your intake of potassium and sodium, your doctor may direct you to take a product that is lower in potassium and sodium. A powder that dissolves in water, which is administered orally, and is used as a diuretic, expectorant, systemic alkalizer, and electrolyte replenisher.

In 2023, this provider wrote 21 Medicare prescriptions for Potassium Citrate Er, about 88% of the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $103.02 per fill, versus $142.18 statewide.

How often this provider prescribes it

This provider
21
WA average
24.0

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

What Medicare paid per fill

This provider
$103.02
WA average
$142.18

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

31.3
30-Day Fills
standardized to 30-day supplies
940
Days of Medication
total across all patients in 2023

About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾

Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity.

In 2023, this provider wrote 15 Medicare prescriptions for Myrbetriq, about a third of the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $674.17 per fill, versus $668.63 statewide.

How often this provider prescribes it

This provider
15
WA average
36.0

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

What Medicare paid per fill

This provider
$674.17
WA average
$668.63

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

23
30-Day Fills
standardized to 30-day supplies
690
Days of Medication
total across all patients in 2023

About Medroxyprogesterone Acetate: This medication is used to prevent pregnancy. Show more ▾

Medroxyprogesterone is like a natural hormone made by the body. Using this medication does not protect you or your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia). A synthetic progestin that is derived from 17-hydroxyprogesterone. It is a long-acting contraceptive that is effective both orally or by intramuscular injection and has also been used to treat breast and endometrial neoplasms.

In 2023, this provider wrote 14 Medicare prescriptions for Medroxyprogesterone Acetate, about the same volume as the typical Washington prescriber of this medication (15). Medicare paid an average of $91.57 per fill, versus $14.64 statewide.

How often this provider prescribes it

This provider
14
WA average
15.0

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

What Medicare paid per fill

This provider
$91.57
WA average
$14.64

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

33.8
30-Day Fills
standardized to 30-day supplies
928
Days of Medication
total across all patients in 2023

About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

In 2023, this provider wrote 14 Medicare prescriptions for Hydrocodone-Acetaminophen, about a quarter of the volume of the typical Washington prescriber of this medication (59). Medicare paid an average of $4.48 per fill, versus $20.88 statewide.

How often this provider prescribes it

This provider
14
WA average
59.0

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

What Medicare paid per fill

This provider
$4.48
WA average
$20.88

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

14
30-Day Fills
standardized to 30-day supplies
45
Days of Medication
total across all patients in 2023

About Desmopressin Acetate: Desmopressin is used to control the amount of urine your kidneys make. Show more ▾

Normally, the amount of urine you make is controlled by a certain substance in the body called vasopressin. In people who have water diabetes (diabetes insipidus) or certain kinds of head injury or brain surgery, the body does not make enough vasopressin. Desmopressin is a man-made form of vasopressin and is used to replace a low level of vasopressin. This medication helps to control increased thirst and too much urination due to these conditions, and helps prevent dehydration. Desmopressin is also used to control bleeding caused by surgery or injuries in people with certain bleeding problems (hemophilia A, type 1 von Willebrand's disease). It works by helping the body with normal blood clotting. A synthetic analog of the pituitary hormone, ARGININE VASOPRESSIN. Its action is mediated by the VASOPRESSIN receptor V2. It has prolonged antidiuretic activity, but little pressor effects. It also modulates levels of circulating FACTOR VIII and VON WILLEBRAND FACTOR.

In 2023, this provider wrote 14 Medicare prescriptions for Desmopressin Acetate, about 82% of the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $68.85 per fill, versus $161.05 statewide.

How often this provider prescribes it

This provider
14
WA average
17.0

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

What Medicare paid per fill

This provider
$68.85
WA average
$161.05

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

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

About Erleada: Apalutamide is used to treat men with prostate cancer. Show more ▾

This medication belongs to a class of drugs known as anti-androgens (anti-testosterone). It works by blocking the effects of testosterone to slow the growth and spread of prostate cancer.

In 2023, this provider wrote 13 Medicare prescriptions for Erleada, about 62% of the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $13,880.33 per fill, versus $14,253.81 statewide.

How often this provider prescribes it

This provider
13
WA average
21.0

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

What Medicare paid per fill

This provider
$13,880.33
WA average
$14,253.81

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

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

About Tolterodine Tartrate Er: This medication is used to treat an overactive bladder. Show more ▾

By relaxing the muscles in the bladder, tolterodine improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. An ANTIMUSCARINIC AGENT selective for the MUSCARINIC RECEPTORS of the BLADDER that is used in the treatment of URINARY INCONTINENCE and URINARY URGE INCONTINENCE.

In 2023, this provider wrote 13 Medicare prescriptions for Tolterodine Tartrate Er, about 65% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $122.64 per fill, versus $156.57 statewide.

How often this provider prescribes it

This provider
13
WA average
20.0

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

What Medicare paid per fill

This provider
$122.64
WA average
$156.57

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

23
30-Day Fills
standardized to 30-day supplies
684
Days of Medication
total across all patients in 2023

About Dutasteride: This medication is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾

It works by reducing the size of the enlarged prostate. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). It may also reduce the need for surgery to treat BPH. Dutasteride 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. This medication should not be used by women or children. A 5-ALPHA-REDUCTASE INHIBITOR that is reported to inhibit both type-1 and type2 isoforms of the enzyme and is used to treat BENIGN PROSTATIC HYPERPLASIA.

In 2023, this provider wrote 12 Medicare prescriptions for Dutasteride, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $10.60 per fill, versus $47.50 statewide.

How often this provider prescribes it

This provider
12
WA average
25.0

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

What Medicare paid per fill

This provider
$10.60
WA average
$47.50

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

14
30-Day Fills
standardized to 30-day supplies
420
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average WA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the WA average cost per fill.

About this data. The prescription history for RAYMOND S. LANCE 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 Urology prescribing approach at this Spokane, WA 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 WA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.