DR. ROBERT JOSEPH LACHKY M.D.
Prescription History 1740419829
Emergency Medicine in Tripler Army Medical Center, HI
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. ROBERT JOSEPH LACHKY M.D., an active Emergency Medicine specialist practicing in Tripler Army Medical Center, HI. Our medical registry currently tracks 7 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 197 documented patient claims. Among these therapy options, the most frequently utilized medication is Ondansetron Odt, which accounts for 69 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other HI PrescribersVs. HI Avg |
|---|---|---|---|
| Ondansetron OdtOndansetron | 69 | $7.77▼ below HI avg | ▲ More than typical |
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2023, this provider wrote 69 Medicare prescriptions for Ondansetron Odt, about 3.6 times the volume of the typical Hawaii prescriber of this medication (19). Medicare paid an average of $7.77 per fill, versus $24.86 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the HI average for this medication. 69 30-Day Fills standardized to 30-day supplies 295 Days of Medication total across all patients in 2023 | |||
| Acetaminophen-CodeineAcetaminophen With Codeine | 61 | $4.46▼ below HI avg | ▲ More than typical |
About Acetaminophen-Codeine: See also Warning section. Show more ▾ This combination medication is used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine 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 61 Medicare prescriptions for Acetaminophen-Codeine, about 2.2 times the volume of the typical Hawaii prescriber of this medication (28). Medicare paid an average of $4.46 per fill, versus $12.46 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the HI average for this medication. 61 30-Day Fills standardized to 30-day supplies 164 Days of Medication total across all patients in 2023 | |||
| Cefdinir | 17 | $25.65 | ▼ Less than typical |
About Cefdinir: Cefdinir is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This 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 third-generation oral cephalosporin antibacterial agent that is used to treat bacterial infections of the respiratory tract and skin. In 2023, this provider wrote 17 Medicare prescriptions for Cefdinir, about 71% of the volume of the typical Hawaii prescriber of this medication (24). Medicare paid an average of $25.65 per fill, versus $20.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average HI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 138 Days of Medication total across all patients in 2023 | |||
| Famotidine | 16 | $10.22▼ below HI avg | ▼ Less than typical |
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 16 Medicare prescriptions for Famotidine, about a third of the volume of the typical Hawaii prescriber of this medication (42). Medicare paid an average of $10.22 per fill, versus $15.00 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average HI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the HI average for this medication. 16 30-Day Fills standardized to 30-day supplies 425 Days of Medication total across all patients in 2023 | |||
| Prednisone | 12 | $1.61▼ below HI avg | ▼ Less than typical |
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2023, this provider wrote 12 Medicare prescriptions for Prednisone, about a third of the volume of the typical Hawaii prescriber of this medication (41). Medicare paid an average of $1.61 per fill, versus $6.53 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average HI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the HI average for this medication. 12 30-Day Fills standardized to 30-day supplies 50 Days of Medication total across all patients in 2023 | |||
| Cephalexin | 11 | $9.43▼ below HI avg | ▼ Less than typical |
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2023, this provider wrote 11 Medicare prescriptions for Cephalexin, about half the volume of the typical Hawaii prescriber of this medication (26). Medicare paid an average of $9.43 per fill, versus $10.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average HI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the HI average for this medication. 11 30-Day Fills standardized to 30-day supplies 77 Days of Medication total across all patients in 2023 | |||
| Dicyclomine Hcl | 11 | $9.78▼ below HI avg | ▼ Less than typical |
In 2023, this provider wrote 11 Medicare prescriptions for Dicyclomine Hcl, about 61% of the volume of the typical Hawaii prescriber of this medication (18). Medicare paid an average of $9.78 per fill, versus $18.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average HI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the HI average for this medication. 11 30-Day Fills standardized to 30-day supplies 83 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for DR. ROBERT JOSEPH LACHKY M.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Emergency Medicine prescribing approach at this Tripler Army Medical Center, HI practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among HI prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
