EDGARDO HERNANDEZ-MENDEZ M.D.
Prescription History 1740246453
General Practice in Caguas, PR

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

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

In 2023, this provider wrote 520 Medicare prescriptions for Gabapentin, about 2 times the volume of the typical Puerto Rico prescriber of this medication (262). Medicare paid an average of $8.68 per fill, versus $9.48 statewide.

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 484 Medicare prescriptions for Atorvastatin Calcium, about 1.5 times the volume of the typical Puerto Rico prescriber of this medication (321). Medicare paid an average of $8.44 per fill, versus $11.89 statewide.

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 396 Medicare prescriptions for Metformin Hcl, about 1.8 times the volume of the typical Puerto Rico prescriber of this medication (220). Medicare paid an average of $4.79 per fill, versus $6.12 statewide.

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 358 Medicare prescriptions for Lisinopril, about 2.3 times the volume of the typical Puerto Rico prescriber of this medication (158). Medicare paid an average of $4.10 per fill, versus $5.59 statewide.

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

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

In 2023, this provider wrote 354 Medicare prescriptions for Diclofenac Sodium, about 3.9 times the volume of the typical Puerto Rico prescriber of this medication (91). Medicare paid an average of $12.13 per fill, versus $22.54 statewide.

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 341 Medicare prescriptions for Amlodipine Besylate, about 1.7 times the volume of the typical Puerto Rico prescriber of this medication (205). Medicare paid an average of $3.64 per fill, versus $5.02 statewide.

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 337 Medicare prescriptions for Rosuvastatin Calcium, about 2.4 times the volume of the typical Puerto Rico prescriber of this medication (143). Medicare paid an average of $9.83 per fill, versus $15.28 statewide.

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

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

In 2023, this provider wrote 290 Medicare prescriptions for Famotidine, about 17 times the volume of the typical Puerto Rico prescriber of this medication (17). Medicare paid an average of $9.31 per fill, versus $4.18 statewide.

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 288 Medicare prescriptions for Omeprazole, about 1.7 times the volume of the typical Puerto Rico prescriber of this medication (174). Medicare paid an average of $5.13 per fill, versus $6.83 statewide.

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 250 Medicare prescriptions for Pantoprazole Sodium, about 1.7 times the volume of the typical Puerto Rico prescriber of this medication (144). Medicare paid an average of $6.13 per fill, versus $8.05 statewide.

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

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

In 2023, this provider wrote 239 Medicare prescriptions for Synthroid, about the same volume as the typical Puerto Rico prescriber of this medication (214). Medicare paid an average of $77.14 per fill, versus $70.11 statewide.

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 235 Medicare prescriptions for Levothyroxine Sodium, about 1.3 times the volume of the typical Puerto Rico prescriber of this medication (187). Medicare paid an average of $16.41 per fill, versus $17.59 statewide.

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 224 Medicare prescriptions for Simvastatin, about the same volume as the typical Puerto Rico prescriber of this medication (214). Medicare paid an average of $4.05 per fill, versus $6.36 statewide.

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 220 Medicare prescriptions for Losartan Potassium, about the same volume as the typical Puerto Rico prescriber of this medication (241). Medicare paid an average of $15.19 per fill, versus $17.23 statewide.

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

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

In 2023, this provider wrote 204 Medicare prescriptions for Alendronate Sodium, about 1.7 times the volume of the typical Puerto Rico prescriber of this medication (118). Medicare paid an average of $5.68 per fill, versus $6.86 statewide.

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 191 Medicare prescriptions for Furosemide, about 2.2 times the volume of the typical Puerto Rico prescriber of this medication (88). Medicare paid an average of $4.12 per fill, versus $5.32 statewide.

About Clotrimazole-Betamethasone: This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Show more ▾

This product contains 2 medications. Clotrimazole is an azole antifungal that works by preventing the growth of fungus. Betamethasone is a strong corticosteroid that works by reducing the swelling, redness, and itching that occurs in the skin infection. This medication is not recommended for children younger than 17 years or for diaper rash.

In 2023, this provider wrote 158 Medicare prescriptions for Clotrimazole-Betamethasone, about 2.5 times the volume of the typical Puerto Rico prescriber of this medication (63). Medicare paid an average of $21.62 per fill, versus $24.59 statewide.

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 142 Medicare prescriptions for Metoprolol Succinate, about 86% of the volume of the typical Puerto Rico prescriber of this medication (165). Medicare paid an average of $12.47 per fill, versus $19.18 statewide.

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

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

In 2023, this provider wrote 137 Medicare prescriptions for Montelukast Sodium, about the same volume as the typical Puerto Rico prescriber of this medication (126). Medicare paid an average of $5.43 per fill, versus $9.68 statewide.

About Pentoxifylline: This medication is used to improve the symptoms of a certain blood flow problem in the legs/arms (intermittent claudication due to occlusive artery disease). Show more ▾

Pentoxifylline can decrease the muscle aching/pain/cramps during exercise, including walking, that occur with intermittent claudication. Pentoxifylline belongs to a class of drugs known as hemorrheologic agents. It works by helping blood flow more easily through narrowed arteries. This increases the amount of oxygen that can be delivered by the blood when the muscles need more (such as during exercise) thereby increasing walking distance and duration. A METHYLXANTHINE derivative that inhibits phosphodiesterase and affects blood rheology. It improves blood flow by increasing erythrocyte and leukocyte flexibility. It also inhibits platelet aggregation. Pentoxifylline modulates immunologic activity by stimulating cytokine production.

In 2023, this provider wrote 122 Medicare prescriptions for Pentoxifylline, about 2.2 times the volume of the typical Puerto Rico prescriber of this medication (55). Medicare paid an average of $16.42 per fill, versus $27.21 statewide.

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

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

In 2023, this provider wrote 122 Medicare prescriptions for Glipizide, about 1.5 times the volume of the typical Puerto Rico prescriber of this medication (82). Medicare paid an average of $8.80 per fill, versus $8.57 statewide.

About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾

It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent.

In 2023, this provider wrote 112 Medicare prescriptions for Temazepam, about 63% of the volume of the typical Puerto Rico prescriber of this medication (179). Medicare paid an average of $13.20 per fill, versus $7.10 statewide.

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 112 Medicare prescriptions for Tramadol Hcl, about 2.1 times the volume of the typical Puerto Rico prescriber of this medication (53). Medicare paid an average of $3.78 per fill, versus $4.49 statewide.

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

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

In 2023, this provider wrote 105 Medicare prescriptions for Glimepiride, about the same volume as the typical Puerto Rico prescriber of this medication (104). Medicare paid an average of $9.18 per fill, versus $11.59 statewide.

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

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

In 2023, this provider wrote 103 Medicare prescriptions for Fluticasone Propionate, about the same volume as the typical Puerto Rico prescriber of this medication (93). Medicare paid an average of $8.90 per fill, versus $12.88 statewide.

About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾

It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA.

In 2023, this provider wrote 103 Medicare prescriptions for Latanoprost, about 71% of the volume of the typical Puerto Rico prescriber of this medication (145). Medicare paid an average of $11.93 per fill, versus $13.41 statewide.

About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾

This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses.

In 2023, this provider wrote 100 Medicare prescriptions for Clonazepam, about a third of the volume of the typical Puerto Rico prescriber of this medication (255). Medicare paid an average of $4.17 per fill, versus $4.93 statewide.

About Naproxen: Naproxen is used to relieve mild to moderate pain from various conditions. Show more ▾

It also reduces pain, swelling, and joint stiffness from arthritis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. 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 form of naproxen is absorbed slowly and should not be used for pain that needs quick relief (such as during a gout attack). Ask your doctor or pharmacist about using a different form of this drug or other medications for quick relief of pain. An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout.

In 2023, this provider wrote 94 Medicare prescriptions for Naproxen, about 2.1 times the volume of the typical Puerto Rico prescriber of this medication (45). Medicare paid an average of $5.33 per fill, versus $6.80 statewide.

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 93 Medicare prescriptions for Clopidogrel, about 86% of the volume of the typical Puerto Rico prescriber of this medication (108). Medicare paid an average of $6.78 per fill, versus $10.08 statewide.

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

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: irbesartan and hydrochlorothiazide. Irbesartan 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 91 Medicare prescriptions for Irbesartan-Hydrochlorothiazide, about 1.6 times the volume of the typical Puerto Rico prescriber of this medication (56). Medicare paid an average of $27.43 per fill, versus $32.36 statewide.

About Cilostazol: Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs (intermittent claudication). Show more ▾

Cilostazol can decrease the muscle pain/cramps that occur during exercise/walking. Claudication pain is caused by too little oxygen getting to the muscles. Cilostazol can increase blood flow and the amount of oxygen that gets to the muscles. Cilostazol is an antiplatelet drug and a vasodilator. It works by stopping blood cells called platelets from sticking together and prevents them from forming harmful clots. It also widens blood vessels in the legs. Cilostazol helps the blood to move more easily and keeps blood flowing smoothly in your body. A quinoline and tetrazole derivative that acts as a phosphodiesterase type 3 inhibitor, with anti-platelet and vasodilating activity. It is used in the treatment of PERIPHERAL VASCULAR DISEASES; ISCHEMIC HEART DISEASE; and in the prevention of stroke.

In 2023, this provider wrote 88 Medicare prescriptions for Cilostazol, about 1.6 times the volume of the typical Puerto Rico prescriber of this medication (56). Medicare paid an average of $14.29 per fill, versus $17.95 statewide.

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

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

In 2023, this provider wrote 80 Medicare prescriptions for Albuterol Sulfate Hfa, about the same volume as the typical Puerto Rico prescriber of this medication (81). Medicare paid an average of $47.81 per fill, versus $46.50 statewide.

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 78 Medicare prescriptions for Metoprolol Tartrate, about the same volume as the typical Puerto Rico prescriber of this medication (70). Medicare paid an average of $6.29 per fill, versus $5.67 statewide.

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 69 Medicare prescriptions for Hydrochlorothiazide, about half the volume of the typical Puerto Rico prescriber of this medication (125). Medicare paid an average of $4.38 per fill, versus $4.94 statewide.

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 69 Medicare prescriptions for Irbesartan, about the same volume as the typical Puerto Rico prescriber of this medication (75). Medicare paid an average of $22.16 per fill, versus $30.07 statewide.

About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker.

In 2023, this provider wrote 66 Medicare prescriptions for Doxazosin Mesylate, about the same volume as the typical Puerto Rico prescriber of this medication (66). Medicare paid an average of $15.29 per fill, versus $20.85 statewide.

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

It is a macrolide antibiotic that works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis.

In 2023, this provider wrote 62 Medicare prescriptions for Azithromycin, about 1.3 times the volume of the typical Puerto Rico prescriber of this medication (49). Medicare paid an average of $6.59 per fill, versus $8.99 statewide.

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 61 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 90% of the volume of the typical Puerto Rico prescriber of this medication (68). Medicare paid an average of $17.56 per fill, versus $23.64 statewide.

About Nabumetone: Nabumetone is used to reduce pain, swelling, and joint stiffness from arthritis. Show more ▾

This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). 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. A butanone non-steroidal anti-inflammatory drug and cyclooxygenase-2 (COX2) inhibitor that is used in the management of pain associated with OSTEOARTHRITIS and RHEUMATOID ARTHRITIS.

In 2023, this provider wrote 60 Medicare prescriptions for Nabumetone, about the same volume as the typical Puerto Rico prescriber of this medication (63). Medicare paid an average of $8.90 per fill, versus $14.73 statewide.

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 57 Medicare prescriptions for Isosorbide Mononitrate Er, about the same volume as the typical Puerto Rico prescriber of this medication (62). Medicare paid an average of $11.92 per fill, versus $13.71 statewide.

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

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Candesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. This medication is also used to treat heart failure. This medication is not recommended for use in children younger than 1 year due to increased risk of side effects.

In 2023, this provider wrote 57 Medicare prescriptions for Candesartan Cilexetil, about the same volume as the typical Puerto Rico prescriber of this medication (58). Medicare paid an average of $120.43 per fill, versus $122.65 statewide.

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

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

In 2023, this provider wrote 54 Medicare prescriptions for Meclizine Hcl, about 1.4 times the volume of the typical Puerto Rico prescriber of this medication (39). Medicare paid an average of $5.81 per fill, versus $7.83 statewide.

In 2023, this provider wrote 53 Medicare prescriptions for Humulin N, about 1.3 times the volume of the typical Puerto Rico prescriber of this medication (42). Medicare paid an average of $373.86 per fill, versus $310.68 statewide.

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

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

In 2023, this provider wrote 53 Medicare prescriptions for Januvia, about 1.2 times the volume of the typical Puerto Rico prescriber of this medication (46). Medicare paid an average of $794.83 per fill, versus $845.84 statewide.

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 53 Medicare prescriptions for Atenolol, about the same volume as the typical Puerto Rico prescriber of this medication (50). Medicare paid an average of $9.85 per fill, versus $8.61 statewide.

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

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

In 2023, this provider wrote 53 Medicare prescriptions for Donepezil Hcl, about half the volume of the typical Puerto Rico prescriber of this medication (97). Medicare paid an average of $5.88 per fill, versus $9.85 statewide.

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

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

In 2023, this provider wrote 53 Medicare prescriptions for Lantus, about half the volume of the typical Puerto Rico prescriber of this medication (90). Medicare paid an average of $423.90 per fill, versus $470.35 statewide.

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

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

In 2023, this provider wrote 52 Medicare prescriptions for Glipizide Er, about the same volume as the typical Puerto Rico prescriber of this medication (47). Medicare paid an average of $19.78 per fill, versus $21.85 statewide.

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 51 Medicare prescriptions for Enalapril Maleate, about 70% of the volume of the typical Puerto Rico prescriber of this medication (73). Medicare paid an average of $10.95 per fill, versus $26.02 statewide.

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 48 Medicare prescriptions for Tamsulosin Hcl, about a third of the volume of the typical Puerto Rico prescriber of this medication (118). Medicare paid an average of $7.80 per fill, versus $11.80 statewide.

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

It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure.

In 2023, this provider wrote 47 Medicare prescriptions for Nifedipine Er, about the same volume as the typical Puerto Rico prescriber of this medication (47). Medicare paid an average of $27.91 per fill, versus $28.00 statewide.

In 2023, this provider wrote 46 Medicare prescriptions for Sure Comfort, about 1.3 times the volume of the typical Puerto Rico prescriber of this medication (36). Medicare paid an average of $21.46 per fill, versus $27.05 statewide.

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 44 Medicare prescriptions for Pravastatin Sodium, about 86% of the volume of the typical Puerto Rico prescriber of this medication (51). Medicare paid an average of $6.55 per fill, versus $14.71 statewide.

About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾

Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS.

In 2023, this provider wrote 44 Medicare prescriptions for Meloxicam, about half the volume of the typical Puerto Rico prescriber of this medication (78). Medicare paid an average of $3.26 per fill, versus $4.07 statewide.

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

It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood.

In 2023, this provider wrote 42 Medicare prescriptions for Fenofibrate, about the same volume as the typical Puerto Rico prescriber of this medication (42). Medicare paid an average of $19.91 per fill, versus $28.37 statewide.

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 39 Medicare prescriptions for Allopurinol, about 71% of the volume of the typical Puerto Rico prescriber of this medication (55). Medicare paid an average of $7.60 per fill, versus $10.37 statewide.

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

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

In 2023, this provider wrote 37 Medicare prescriptions for Mirtazapine, about a third of the volume of the typical Puerto Rico prescriber of this medication (110). Medicare paid an average of $7.55 per fill, versus $12.60 statewide.

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

Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases after menopause, as you age, or if you take corticosteroid medications (such as prednisone) for long periods. This medication works by slowing bone loss to help maintain strong bones and reduce the risk of broken bones (fractures). Ibandronate belongs to a class of medications called bisphosphonates. Aminobisphosphonate that is a potent inhibitor of BONE RESORPTION. It is used in the treatment of HYPERCALCEMIA associated with malignancy, for the prevention of fracture and bone complications in patients with breast cancer and bone metastases, and for the treatment and prevention of POSTMENOPAUSAL OSTEOPOROSIS.

In 2023, this provider wrote 35 Medicare prescriptions for Ibandronate Sodium, about 76% of the volume of the typical Puerto Rico prescriber of this medication (46). Medicare paid an average of $14.11 per fill, versus $28.18 statewide.

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 35 Medicare prescriptions for Hydralazine Hcl, about 64% of the volume of the typical Puerto Rico prescriber of this medication (55). Medicare paid an average of $7.17 per fill, versus $11.92 statewide.

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

It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease.

In 2023, this provider wrote 34 Medicare prescriptions for Memantine Hcl, about a third of the volume of the typical Puerto Rico prescriber of this medication (82). Medicare paid an average of $8.50 per fill, versus $19.69 statewide.

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 33 Medicare prescriptions for Diltiazem 24hr Er (Cd), about 87% of the volume of the typical Puerto Rico prescriber of this medication (38). Medicare paid an average of $21.65 per fill, versus $30.95 statewide.

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

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

In 2023, this provider wrote 32 Medicare prescriptions for Baclofen, about half the volume of the typical Puerto Rico prescriber of this medication (73). Medicare paid an average of $14.39 per fill, versus $9.82 statewide.

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

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Verapamil belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Verapamil may also lower your heart rate.

In 2023, this provider wrote 31 Medicare prescriptions for Verapamil Er, about the same volume as the typical Puerto Rico prescriber of this medication (33). Medicare paid an average of $23.10 per fill, versus $26.09 statewide.

In 2023, this provider wrote 31 Medicare prescriptions for Humulin 70-30, about half the volume of the typical Puerto Rico prescriber of this medication (55). Medicare paid an average of $462.41 per fill, versus $361.34 statewide.

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

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

In 2023, this provider wrote 31 Medicare prescriptions for Sertraline Hcl, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (134). Medicare paid an average of $4.02 per fill, versus $6.40 statewide.

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

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Verapamil belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Verapamil may also lower your heart rate.

In 2023, this provider wrote 29 Medicare prescriptions for Verapamil Sr, about 1.7 times the volume of the typical Puerto Rico prescriber of this medication (17). Medicare paid an average of $62.20 per fill, versus $81.98 statewide.

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

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

In 2023, this provider wrote 29 Medicare prescriptions for Clonidine Hcl, about 85% of the volume of the typical Puerto Rico prescriber of this medication (34). Medicare paid an average of $9.82 per fill, versus $7.66 statewide.

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

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

In 2023, this provider wrote 27 Medicare prescriptions for Ramipril, about 69% of the volume of the typical Puerto Rico prescriber of this medication (39). Medicare paid an average of $5.66 per fill, versus $10.32 statewide.

About Isosorbide Dinitrate: Isosorbide dinitrate 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. It is also not intended to be taken 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 vasodilator used in the treatment of ANGINA PECTORIS. Its actions are similar to NITROGLYCERIN but with a slower onset of action.

In 2023, this provider wrote 27 Medicare prescriptions for Isosorbide Dinitrate, about 1.2 times the volume of the typical Puerto Rico prescriber of this medication (23). Medicare paid an average of $28.62 per fill, versus $47.34 statewide.

About Betamethasone Dipropionate: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾

Betamethasone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong corticosteroid.

In 2023, this provider wrote 26 Medicare prescriptions for Betamethasone Dipropionate, about 74% of the volume of the typical Puerto Rico prescriber of this medication (35). Medicare paid an average of $51.40 per fill, versus $52.54 statewide.

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

It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate.

In 2023, this provider wrote 26 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about 90% of the volume of the typical Puerto Rico prescriber of this medication (29). Medicare paid an average of $8.59 per fill, versus $12.20 statewide.

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 25 Medicare prescriptions for Finasteride, about a third of the volume of the typical Puerto Rico prescriber of this medication (69). Medicare paid an average of $9.04 per fill, versus $11.60 statewide.

About Lansoprazole: Lansoprazole 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. Lansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter lansoprazole 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. Lansoprazole is not recommended for use in children younger than 1 year due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. A 2,2,2-trifluoroethoxypyridyl derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. Lansoprazole is a racemic mixture of (R)- and (S)-isomers.

In 2023, this provider wrote 25 Medicare prescriptions for Lansoprazole, about half the volume of the typical Puerto Rico prescriber of this medication (44). Medicare paid an average of $9.23 per fill, versus $15.16 statewide.

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 25 Medicare prescriptions for Eliquis, about half the volume of the typical Puerto Rico prescriber of this medication (56). Medicare paid an average of $706.11 per fill, versus $691.22 statewide.

About Sucralfate: This medication is used to treat ulcers in the intestines. Show more ▾

Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly. A basic aluminum complex of sulfated sucrose.

In 2023, this provider wrote 24 Medicare prescriptions for Sucralfate, about half the volume of the typical Puerto Rico prescriber of this medication (46). Medicare paid an average of $20.64 per fill, versus $71.88 statewide.

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 24 Medicare prescriptions for Oxycodone-Acetaminophen, about half the volume of the typical Puerto Rico prescriber of this medication (52). Medicare paid an average of $5.50 per fill, versus $13.57 statewide.

About Sildenafil Citrate: Sildenafil is used to treat high blood pressure in the lungs (pulmonary hypertension). Show more ▾

It works by relaxing and widening the blood vessels in your lungs which allows the blood to flow more easily. Decreasing high blood pressure in the lungs allows your heart and lungs to work better and improves your ability to exercise. This medication is not recommended for use in children. Discuss the risks and benefits of this medication with the doctor. A PHOSPHODIESTERASE TYPE-5 INHIBITOR; VASODILATOR AGENT and UROLOGICAL AGENT that is used in the treatment of ERECTILE DYSFUNCTION and PRIMARY PULMONARY HYPERTENSION.

In 2023, this provider wrote 24 Medicare prescriptions for Sildenafil Citrate, about 77% of the volume of the typical Puerto Rico prescriber of this medication (31). Medicare paid an average of $11.45 per fill, versus $36.05 statewide.

About Clobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Show more ▾

Clobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high-potency) corticosteroid. A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression.

In 2023, this provider wrote 22 Medicare prescriptions for Clobetasol Propionate, about 65% of the volume of the typical Puerto Rico prescriber of this medication (34). Medicare paid an average of $52.97 per fill, versus $84.34 statewide.

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 22 Medicare prescriptions for Carvedilol, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (86). Medicare paid an average of $7.74 per fill, versus $7.18 statewide.

About Propafenone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as paroxysmal supraventricular tachycardia and atrial fibrillation). Show more ▾

It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Propafenone is known as an anti-arrhythmic drug. It works by blocking the activity of 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.

In 2023, this provider wrote 21 Medicare prescriptions for Propafenone Hcl, about half the volume of the typical Puerto Rico prescriber of this medication (37). Medicare paid an average of $10.27 per fill, versus $36.03 statewide.

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 20 Medicare prescriptions for Oxybutynin Chloride, about 69% of the volume of the typical Puerto Rico prescriber of this medication (29). Medicare paid an average of $14.44 per fill, versus $16.09 statewide.

About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾

It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing.

In 2023, this provider wrote 20 Medicare prescriptions for Mupirocin, about half the volume of the typical Puerto Rico prescriber of this medication (41). Medicare paid an average of $7.31 per fill, versus $9.54 statewide.

In 2023, this provider wrote 19 Medicare prescriptions for Dicyclomine Hcl, about 63% of the volume of the typical Puerto Rico prescriber of this medication (30). Medicare paid an average of $8.52 per fill, versus $10.27 statewide.

In 2023, this provider wrote 19 Medicare prescriptions for Sure Comfort, about half the volume of the typical Puerto Rico prescriber of this medication (36). Medicare paid an average of $26.53 per fill, versus $27.05 statewide.

About Brimonidine Tartrate: This medication is used to treat open-angle glaucoma or high fluid pressure in the eye. Show more ▾

Lowering high fluid pressure in the eye reduces the risk of vision loss, nerve damage, or blindness. This medication lowers pressure by allowing better fluid drainage from within the eye and also by reducing the amount of fluid formed in the eye. It is known as an alpha agonist. This drug is not recommended for use in children less than 2 years of age due to an increased risk of serious side effects such as very slowed breathing. Ask the doctor or pharmacist for details. A quinoxaline derivative and ADRENERGIC ALHPA-2 RECEPTOR AGONIST that is used to manage INTRAOCULAR PRESSURE associated with OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

In 2023, this provider wrote 18 Medicare prescriptions for Brimonidine Tartrate, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (76). Medicare paid an average of $7.87 per fill, versus $42.72 statewide.

In 2023, this provider wrote 17 Medicare prescriptions for Trueplus Insulin Syringe, about 68% of the volume of the typical Puerto Rico prescriber of this medication (25). Medicare paid an average of $14.35 per fill, versus $17.56 statewide.

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 17 Medicare prescriptions for Xarelto, about a third of the volume of the typical Puerto Rico prescriber of this medication (47). Medicare paid an average of $798.47 per fill, versus $752.80 statewide.

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

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

In 2023, this provider wrote 17 Medicare prescriptions for Colchicine, about 77% of the volume of the typical Puerto Rico prescriber of this medication (22). Medicare paid an average of $217.79 per fill, versus $126.91 statewide.

About Ciprofloxacin Hcl: This medication is used to treat eye infections. Show more ▾

Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. A broad-spectrum antimicrobial carboxyfluoroquinoline.

In 2023, this provider wrote 17 Medicare prescriptions for Ciprofloxacin Hcl, about half the volume of the typical Puerto Rico prescriber of this medication (39). Medicare paid an average of $9.97 per fill, versus $6.51 statewide.

About Ketoconazole: This medication is used to control dandruff. Show more ▾

Use of this medication may help to relieve the flaking, scaling and itching associated with dandruff. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Ketoconazole 2% shampoo is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients.

In 2023, this provider wrote 17 Medicare prescriptions for Ketoconazole, about a third of the volume of the typical Puerto Rico prescriber of this medication (50). Medicare paid an average of $20.51 per fill, versus $24.82 statewide.

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 16 Medicare prescriptions for Prednisone, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (60). Medicare paid an average of $5.08 per fill, versus $5.44 statewide.

About Theophylline Er: Theophylline is used to treat lung diseases such as asthma and COPD (bronchitis, emphysema). Show more ▾

It must be used regularly to prevent wheezing and shortness of breath. This medication belongs to a class of drugs known as xanthines. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. It also decreases the lungs' response to irritants. Controlling symptoms of breathing problems can decrease time lost from work or school. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden breathing problems. If sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. A drug combination that contains THEOPHYLLINE and ethylenediamine. It is more soluble in water than theophylline but has similar pharmacologic actions. It's most common use is in bronchial asthma, but it has been investigated for several other applications.

In 2023, this provider wrote 16 Medicare prescriptions for Theophylline Er, about 64% of the volume of the typical Puerto Rico prescriber of this medication (25). Medicare paid an average of $81.82 per fill, versus $135.97 statewide.

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

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

In 2023, this provider wrote 16 Medicare prescriptions for Stiolto Respimat, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (70). Medicare paid an average of $477.12 per fill, versus $478.14 statewide.

About Neomycin-Polymyxin-Hydrocort: This ear drop is used to treat outer ear infections caused by bacteria (also known as swimmer's ear). Show more ▾

This medication contains neomycin and polymyxin, which are antibiotics that work by stopping the growth of bacteria. It also contains hydrocortisone, which is an anti-inflammatory corticosteroid that works by reducing ear swelling and discomfort. This medication treats only bacterial ear infections. It will not work for other types of ear infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

In 2023, this provider wrote 15 Medicare prescriptions for Neomycin-Polymyxin-Hydrocort, about 63% of the volume of the typical Puerto Rico prescriber of this medication (24). Medicare paid an average of $71.48 per fill, versus $75.15 statewide.

In 2023, this provider wrote 15 Medicare prescriptions for Insulin Syringe, about 71% of the volume of the typical Puerto Rico prescriber of this medication (21). Medicare paid an average of $30.15 per fill, versus $8.95 statewide.

In 2023, this provider wrote 15 Medicare prescriptions for Easy Touch, about 68% of the volume of the typical Puerto Rico prescriber of this medication (22). Medicare paid an average of $22.98 per fill, versus $22.04 statewide.

About Propranolol Hcl Er: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾

It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers.

In 2023, this provider wrote 15 Medicare prescriptions for Propranolol Hcl Er, about 71% of the volume of the typical Puerto Rico prescriber of this medication (21). Medicare paid an average of $45.29 per fill, versus $67.28 statewide.

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 15 Medicare prescriptions for Levofloxacin, about a third of the volume of the typical Puerto Rico prescriber of this medication (38). Medicare paid an average of $3.72 per fill, versus $5.53 statewide.

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

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

In 2023, this provider wrote 14 Medicare prescriptions for Janumet, about a third of the volume of the typical Puerto Rico prescriber of this medication (46). Medicare paid an average of $718.25 per fill, versus $775.22 statewide.

In 2023, this provider wrote 14 Medicare prescriptions for Trueplus Insulin Syringe, about half the volume of the typical Puerto Rico prescriber of this medication (25). Medicare paid an average of $10.05 per fill, versus $17.56 statewide.

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

Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys.

In 2023, this provider wrote 14 Medicare prescriptions for Farxiga, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (60). Medicare paid an average of $742.85 per fill, versus $734.94 statewide.

About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾

When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties

In 2023, this provider wrote 14 Medicare prescriptions for Ibuprofen, about a third of the volume of the typical Puerto Rico prescriber of this medication (39). Medicare paid an average of $4.29 per fill, versus $5.34 statewide.

About Sulindac: See also Warning section. Show more ▾

Sulindac is used to reduce pain, swelling, and joint stiffness from arthritis. It is also used to treat arthritis of the spine, gouty arthritis, and shoulder bursitis/tendonitis. Sulindac is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A sulfinylindene derivative prodrug whose sulfinyl moiety is converted in vivo to an active NSAID analgesic. Specifically, the prodrug is converted by liver enzymes to a sulfide which is excreted in the bile and then reabsorbed from the intestine. This helps to maintain constant blood levels with reduced gastrointestinal side effects.

In 2023, this provider wrote 14 Medicare prescriptions for Sulindac, about a third of the volume of the typical Puerto Rico prescriber of this medication (47). Medicare paid an average of $9.21 per fill, versus $14.27 statewide.

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

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

In 2023, this provider wrote 13 Medicare prescriptions for Advair Diskus, about half the volume of the typical Puerto Rico prescriber of this medication (25). Medicare paid an average of $401.40 per fill, versus $435.20 statewide.

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

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

In 2023, this provider wrote 13 Medicare prescriptions for Amlodipine Besylate-Benazepril, about a third of the volume of the typical Puerto Rico prescriber of this medication (38). Medicare paid an average of $11.91 per fill, versus $21.88 statewide.

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

It is also used with other therapies for the treatment of nighttime bed-wetting (enuresis) in children. Using this medication to treat depression may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. Imipramine can help your child control nighttime bed-wetting. Imipramine belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain natural substances (neurotransmitters such as norepinephrine) in the brain. For bed-wetting, this medication may work by blocking the effect of a certain natural substance (acetylcholine) on the bladder.

In 2023, this provider wrote 13 Medicare prescriptions for Imipramine Hcl, about half the volume of the typical Puerto Rico prescriber of this medication (27). Medicare paid an average of $11.61 per fill, versus $14.76 statewide.

In 2023, this provider wrote 13 Medicare prescriptions for Insulin Syringe, about 62% of the volume of the typical Puerto Rico prescriber of this medication (21). Medicare paid an average of $25.59 per fill, versus $8.95 statewide.

About Nortriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾

It may help improve mood and feelings of well-being, relieve anxiety and tension, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain.

In 2023, this provider wrote 13 Medicare prescriptions for Nortriptyline Hcl, about a third of the volume of the typical Puerto Rico prescriber of this medication (37). Medicare paid an average of $11.69 per fill, versus $7.61 statewide.

About Lidocaine: This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). Show more ▾

It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a temporary loss of feeling in the area where you apply the patch. A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.

In 2023, this provider wrote 13 Medicare prescriptions for Lidocaine, about half the volume of the typical Puerto Rico prescriber of this medication (25). Medicare paid an average of $85.95 per fill, versus $133.52 statewide.

About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾

It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent.

In 2023, this provider wrote 13 Medicare prescriptions for Lorazepam, about 12% of the volume of the typical Puerto Rico prescriber of this medication (109). Medicare paid an average of $4.47 per fill, versus $6.50 statewide.

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

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

In 2023, this provider wrote 13 Medicare prescriptions for Paroxetine Hcl, about 18% of the volume of the typical Puerto Rico prescriber of this medication (71). Medicare paid an average of $7.19 per fill, versus $8.11 statewide.

About Rasagiline Mesylate: Rasagiline is used alone or with other medications (such as levodopa/carbidopa) to treat symptoms of Parkinson's disease. Show more ▾

It can help improve symptoms such as shakiness, stiffness, and difficulty moving. It can also help reduce the amount of off time (periods of slow movement or stiffness). Rasagiline belongs to a class of drugs known as MAO inhibitors. It works by increasing the levels of certain natural substances in the brain (such as dopamine, norepinephrine, serotonin). Parkinson's disease is thought to be caused by too little dopamine in the brain.

In 2023, this provider wrote 12 Medicare prescriptions for Rasagiline Mesylate, about a third of the volume of the typical Puerto Rico prescriber of this medication (39). Medicare paid an average of $431.17 per fill, versus $286.87 statewide.

About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾

It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers.

In 2023, this provider wrote 12 Medicare prescriptions for Propranolol Hcl, about half the volume of the typical Puerto Rico prescriber of this medication (25). Medicare paid an average of $12.06 per fill, versus $17.49 statewide.

About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾

It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.

In 2023, this provider wrote 12 Medicare prescriptions for Divalproex Sodium, about 16% of the volume of the typical Puerto Rico prescriber of this medication (75). Medicare paid an average of $16.59 per fill, versus $18.00 statewide.

About Pramipexole Dihydrochloride: Pramipexole is used alone or with other medications to treat Parkinson's disease. Show more ▾

It can improve your ability to move and can decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain.

In 2023, this provider wrote 12 Medicare prescriptions for Pramipexole Dihydrochloride, about a third of the volume of the typical Puerto Rico prescriber of this medication (39). Medicare paid an average of $9.04 per fill, versus $11.01 statewide.

About Mesalamine: This medication is used to treat a certain bowel disease (ulcerative colitis). Show more ▾

It helps to reduce symptoms of ulcerative colitis such as diarrhea, rectal bleeding, and stomach pain. Mesalamine belongs to a class of drugs known as aminosalicylates. It works by decreasing swelling in the colon. An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed)

In 2023, this provider wrote 12 Medicare prescriptions for Mesalamine, about half the volume of the typical Puerto Rico prescriber of this medication (21). Medicare paid an average of $558.30 per fill, versus $554.20 statewide.

In 2023, this provider wrote 12 Medicare prescriptions for Ultra Comfort, about half the volume of the typical Puerto Rico prescriber of this medication (24). Medicare paid an average of $8.22 per fill, versus $13.30 statewide.

About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾

It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy.

In 2023, this provider wrote 12 Medicare prescriptions for Olanzapine, about 16% of the volume of the typical Puerto Rico prescriber of this medication (77). Medicare paid an average of $6.22 per fill, versus $9.37 statewide.

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

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

In 2023, this provider wrote 11 Medicare prescriptions for Symbicort, about 18% of the volume of the typical Puerto Rico prescriber of this medication (61). Medicare paid an average of $402.63 per fill, versus $389.16 statewide.

About Dorzolamide Hcl: Dorzolamide is used to treat high pressure inside the eye due to glaucoma (open angle-type) or other eye diseases (such as ocular hypertension). Show more ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. It belongs to a class of drugs known as carbonic anhydrase inhibitors.

In 2023, this provider wrote 11 Medicare prescriptions for Dorzolamide Hcl, about 13% of the volume of the typical Puerto Rico prescriber of this medication (83). Medicare paid an average of $22.40 per fill, versus $31.91 statewide.

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

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

In 2023, this provider wrote 11 Medicare prescriptions for Pioglitazone Hcl, about 18% of the volume of the typical Puerto Rico prescriber of this medication (62). Medicare paid an average of $5.51 per fill, versus $15.70 statewide.

About Carbidopa-Levodopa Er: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾

Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting.

In 2023, this provider wrote 11 Medicare prescriptions for Carbidopa-Levodopa Er, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (44). Medicare paid an average of $69.64 per fill, versus $53.30 statewide.

About Methotrexate: Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma) or to control severe psoriasis or rheumatoid arthritis that has not responded to other treatments. Show more ▾

It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA.

In 2023, this provider wrote 11 Medicare prescriptions for Methotrexate, about 15% of the volume of the typical Puerto Rico prescriber of this medication (74). Medicare paid an average of $10.18 per fill, versus $21.97 statewide.