RAYMOND S. LANCE M.D.
Prescription History 1710930607
Urology in Spokane, WA
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 27 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,334 documented patient claims. Among these therapy options, the most frequently utilized medication is Finasteride, which accounts for 517 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 (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other WA PrescribersVs. WA Avg |
|---|---|---|---|
| Finasteride | 517 | $8.37▼ below WA avg | ▲ More than typical |
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2024, this provider wrote 517 Medicare prescriptions for Finasteride, about 12 times the volume of the typical Washington prescriber of this medication (42.7). Medicare paid an average of $8.37 per fill, versus $13.77 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 937.3 30-Day Fills standardized to 30-day supplies 28,084 Days of Medication total across all patients in 2024 | |||
| Tamsulosin Hcl | 374 | $9.54▼ below WA avg | ▲ More than typical |
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA. In 2024, this provider wrote 374 Medicare prescriptions for Tamsulosin Hcl, about 5.4 times the volume of the typical Washington prescriber of this medication (69.8). Medicare paid an average of $9.54 per fill, versus $16.56 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 638.2 30-Day Fills standardized to 30-day supplies 19,145 Days of Medication total across all patients in 2024 | |||
| OrgovyxRelugolix | 242 | $2,612.57▼ below WA avg | ▲ More than typical |
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 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 2024, this provider wrote 242 Medicare prescriptions for Orgovyx, about 6.4 times the volume of the typical Washington prescriber of this medication (37.7). Medicare paid an average of $2,612.57 per fill, versus $2,663.00 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 242 30-Day Fills standardized to 30-day supplies 7,256 Days of Medication total across all patients in 2024 | |||
| Tramadol Hcl | 146 | $1.65▼ below WA avg | ▲ More than typical |
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 2024, this provider wrote 146 Medicare prescriptions for Tramadol Hcl, about 3.7 times the volume of the typical Washington prescriber of this medication (39.9). Medicare paid an average of $1.65 per fill, versus $8.40 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 146 30-Day Fills standardized to 30-day supplies 452 Days of Medication total across all patients in 2024 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 146 | $5.71▼ below WA avg | ▲ More than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. In 2024, this provider wrote 146 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 6.6 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $5.71 per fill, versus $6.49 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 152.4 30-Day Fills standardized to 30-day supplies 2,364 Days of Medication total across all patients in 2024 | |||
| NubeqaDarolutamide | 120 | $13,925.24 | ▲ More than typical |
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. An androgen receptor inhibitor. In 2024, this provider wrote 120 Medicare prescriptions for Nubeqa, about 4.3 times the volume of the typical Washington prescriber of this medication (27.7). Medicare paid an average of $13,925.24 per fill, versus $13,055.08 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 126 30-Day Fills standardized to 30-day supplies 3,780 Days of Medication total across all patients in 2024 | |||
| Levofloxacin | 111 | $3.48▼ below WA avg | ▲ More than typical |
About Levofloxacin: Levofloxacin is used to treat a variety of bacterial infections. Show more ▾ This medication belongs to a class of drugs known as quinolone antibiotics. 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. The L-isomer of Ofloxacin. In 2024, this provider wrote 111 Medicare prescriptions for Levofloxacin, about 5.3 times the volume of the typical Washington prescriber of this medication (20.9). Medicare paid an average of $3.48 per fill, versus $7.60 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 111 30-Day Fills standardized to 30-day supplies 633 Days of Medication total across all patients in 2024 | |||
| Silodosin | 105 | $67.06 | ▲ More than typical |
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. An alpha(1a)-adrenoceptor-selective antagonist. In 2024, this provider wrote 105 Medicare prescriptions for Silodosin, about 3.7 times the volume of the typical Washington prescriber of this medication (28.1). Medicare paid an average of $67.06 per fill, versus $65.78 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 137 30-Day Fills standardized to 30-day supplies 4,110 Days of Medication total across all patients in 2024 | |||
| ErleadaApalutamide | 58 | $14,522.52▼ below WA avg | ▲ More than typical |
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. An androgen receptor antagonist. In 2024, this provider wrote 58 Medicare prescriptions for Erleada, about 2.1 times the volume of the typical Washington prescriber of this medication (27.9). Medicare paid an average of $14,522.52 per fill, versus $15,155.23 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 58 30-Day Fills standardized to 30-day supplies 1,740 Days of Medication total across all patients in 2024 | |||
| Bicalutamide | 56 | $29.95 | ▲ More than typical |
About Bicalutamide: Bicalutamide is used to treat prostate cancer. Show more ▾ This medication works by blocking the action of hormones in the prostate, slowing the growth of cancer cells. This medication should not be used in women and children. Approved for treatment of advanced prostate cancer. In 2024, this provider wrote 56 Medicare prescriptions for Bicalutamide, about 2.6 times the volume of the typical Washington prescriber of this medication (21.5). Medicare paid an average of $29.95 per fill, versus $27.18 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 112 30-Day Fills standardized to 30-day supplies 3,360 Days of Medication total across all patients in 2024 | |||
| Imipramine Hcl | 53 | $15.44▼ below WA avg | ▲ More than typical |
About Imipramine Hcl: This medication is used to treat depression. Show more ▾ It is also used to treat nighttime bed-wetting (enuresis) in children. Imipramine belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. For bed-wetting, this medication may work by blocking the effect of a certain natural substance (acetylcholine) on the bladder. The prototypical tricyclic antidepressant. It has been used in major depression, dysthymia, bipolar depression, attention-deficit disorders, agoraphobia, and panic disorders. It has less sedative effect than some other members of this therapeutic group. In 2024, this provider wrote 53 Medicare prescriptions for Imipramine Hcl, about 3.3 times the volume of the typical Washington prescriber of this medication (16.3). Medicare paid an average of $15.44 per fill, versus $19.67 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 59 30-Day Fills standardized to 30-day supplies 1,770 Days of Medication total across all patients in 2024 | |||
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 51 | $6.13▼ below WA avg | ▲ More than typical |
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 2024, this provider wrote 51 Medicare prescriptions for Oxycodone-Acetaminophen, about 1.3 times the volume of the typical Washington prescriber of this medication (40.8). Medicare paid an average of $6.13 per fill, versus $25.07 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 51 30-Day Fills standardized to 30-day supplies 191 Days of Medication total across all patients in 2024 | |||
| Alfuzosin Hcl ErAlfuzosin Hcl | 42 | $14.20▼ below WA avg | ▲ More than typical |
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 2024, this provider wrote 42 Medicare prescriptions for Alfuzosin Hcl Er, about 1.3 times the volume of the typical Washington prescriber of this medication (33.1). Medicare paid an average of $14.20 per fill, versus $22.02 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 68.7 30-Day Fills standardized to 30-day supplies 2,061 Days of Medication total across all patients in 2024 | |||
| Abiraterone Acetate | 39 | $1,031.13▼ below WA avg | ▼ Less than typical |
About Abiraterone Acetate: This medication is used to treat prostate cancer. Show more ▾ Abiraterone belongs to a class of drugs known as anti-androgens (anti-testosterone). Testosterone, a natural hormone, helps prostate cancer to grow and spread. Abiraterone works by blocking the production of testosterone, thereby slowing the growth and spread of prostate cancer. This medication should not be given to women or children. An androstene derivative that inhibits STEROID 17-ALPHA-HYDROXYLASE and is used as an ANTINEOPLASTIC AGENT in the treatment of metastatic castration-resistant PROSTATE CANCER. In 2024, this provider wrote 39 Medicare prescriptions for Abiraterone Acetate, about 72% of the volume of the typical Washington prescriber of this medication (54.2). Medicare paid an average of $1,031.13 per fill, versus $1,225.22 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2024 | |||
| Potassium Citrate ErPotassium Citrate | 38 | $90.00▼ below WA avg | ▲ More than typical |
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 2024, this provider wrote 38 Medicare prescriptions for Potassium Citrate Er, about 1.6 times the volume of the typical Washington prescriber of this medication (23.4). Medicare paid an average of $90.00 per fill, versus $96.77 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,410 Days of Medication total across all patients in 2024 | |||
| Oxybutynin Chloride | 28 | $10.53▼ below WA avg | ≈ Typical |
About Oxybutynin Chloride: Oxybutynin is used to treat certain bladder and urinary conditions (such as overactive bladder). 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. In 2024, this provider wrote 28 Medicare prescriptions for Oxybutynin Chloride, about 1.2 times the volume of the typical Washington prescriber of this medication (22.7). Medicare paid an average of $10.53 per fill, versus $18.75 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 36 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2024 | |||
| Prednisone | 27 | $4.39▼ below WA avg | ▼ Less than typical |
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 2024, this provider wrote 27 Medicare prescriptions for Prednisone, about 71% of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $4.39 per fill, versus $5.30 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2024 | |||
| XtandiEnzalutamide | 25 | $13,414.11▼ below WA avg | ≈ Typical |
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. An antineoplastic agent. In 2024, this provider wrote 25 Medicare prescriptions for Xtandi, about 88% of the volume of the typical Washington prescriber of this medication (28.4). Medicare paid an average of $13,414.11 per fill, versus $13,675.05 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2024 | |||
| GemtesaVibegron | 25 | $563.35▼ below WA avg | ▼ Less than typical |
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. A beta3 adrenergic receptor agonist. In 2024, this provider wrote 25 Medicare prescriptions for Gemtesa, about 65% of the volume of the typical Washington prescriber of this medication (38.4). Medicare paid an average of $563.35 per fill, versus $704.97 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 29 30-Day Fills standardized to 30-day supplies 870 Days of Medication total across all patients in 2024 | |||
| Tolterodine Tartrate ErTolterodine Tartrate | 23 | $37.36▼ below WA avg | ≈ Typical |
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 2024, this provider wrote 23 Medicare prescriptions for Tolterodine Tartrate Er, about 1.2 times the volume of the typical Washington prescriber of this medication (19.6). Medicare paid an average of $37.36 per fill, versus $75.28 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 39.1 30-Day Fills standardized to 30-day supplies 1,172 Days of Medication total across all patients in 2024 | |||
| Medroxyprogesterone Acetate | 22 | $78.67 | ▲ More than typical |
About Medroxyprogesterone Acetate: Medroxyprogesterone is a type of hormone (progestin). Show more ▾ This medication is similar to the progesterone that your body naturally makes and is given to replace the hormone when your body is not making enough of it. This medication has several uses. In women who are not pregnant and not going through menopause, this medication is used to treat abnormal bleeding from the uterus and to restore normal menstrual periods in women who have stopped having them for several months (amenorrhea). Medroxyprogesterone is also used as part of combination hormone replacement therapy with estrogens to reduce menopause symptoms (such as hot flashes). Medroxyprogesterone is added to estrogen replacement therapy to reduce the risk of cancer of the uterus. Some brands of this medication may also be used to treat certain types of cancers (breast cancer, endometrial cancer). This medication must not be used to test for pregnancy. 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 2024, this provider wrote 22 Medicare prescriptions for Medroxyprogesterone Acetate, about 1.5 times the volume of the typical Washington prescriber of this medication (14.9). Medicare paid an average of $78.67 per fill, versus $14.71 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 44 30-Day Fills standardized to 30-day supplies 1,185 Days of Medication total across all patients in 2024 | |||
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 17 | $49.52 | ≈ Typical |
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2024, this provider wrote 17 Medicare prescriptions for Nitrofurantoin Mono-Macro, about 78% of the volume of the typical Washington prescriber of this medication (21.7). Medicare paid an average of $49.52 per fill, versus $17.76 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 836 Days of Medication total across all patients in 2024 | |||
| MyrbetriqMirabegron | 16 | $626.02▼ below WA avg | ▼ Less than typical |
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. A beta3-adrenergic receptor agonist. In 2024, this provider wrote 16 Medicare prescriptions for Myrbetriq, about half the volume of the typical Washington prescriber of this medication (34.7). Medicare paid an average of $626.02 per fill, versus $679.26 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 23.8 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2024 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $5.18▼ below WA avg | ▼ Less than typical |
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 2024, this provider wrote 15 Medicare prescriptions for Hydrocodone-Acetaminophen, about a quarter of the volume of the typical Washington prescriber of this medication (60.4). Medicare paid an average of $5.18 per fill, versus $20.62 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 15 30-Day Fills standardized to 30-day supplies 43 Days of Medication total across all patients in 2024 | |||
| Dutasteride | 14 | $12.84▼ below WA avg | ▼ Less than typical |
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 often 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 2024, this provider wrote 14 Medicare prescriptions for Dutasteride, about half the volume of the typical Washington prescriber of this medication (28.2). Medicare paid an average of $12.84 per fill, versus $33.16 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 24.9 30-Day Fills standardized to 30-day supplies 728 Days of Medication total across all patients in 2024 | |||
| Desmopressin Acetate | 12 | $65.58▼ below WA avg | ▼ Less than typical |
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 nighttime bedwetting in children. It reduces how often your child urinates and decreases the number of bedwetting episodes. 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 2024, this provider wrote 12 Medicare prescriptions for Desmopressin Acetate, about 70% of the volume of the typical Washington prescriber of this medication (17.3). Medicare paid an average of $65.58 per fill, versus $107.40 statewide. How often this provider prescribes it 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's average cost per fill is below the WA average for this medication. 27.8 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2024 | |||
| Celecoxib | 12 | $10.01▼ below WA avg | ▼ Less than typical |
About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾ It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN. In 2024, this provider wrote 12 Medicare prescriptions for Celecoxib, about half the volume of the typical Washington prescriber of this medication (28.1). Medicare paid an average of $10.01 per fill, versus $27.42 statewide. How often this provider prescribes it 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'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 2024 | |||
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 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall 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 among WA prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
