MANIJEH GHASEMI-VARNAMKHASTI MD
Prescription History 1740449727
Family Medicine in San Diego, CA

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102(619) 515-2300 Get Directions

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MANIJEH GHASEMI-VARNAMKHASTI MD, an active Family Medicine specialist practicing in San Diego, CA. Our medical registry currently tracks 24 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,076 documented patient claims. Among these therapy options, the most frequently utilized medication is Albuterol Sulfate Hfa, which accounts for 130 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

24
Medications
1,076
Total Claims
1,099
30-Day Fills
Albuterol Sulfate Hfa
Most Prescribed · 130 claims
View details
24 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by MANIJEH GHASEMI-VARNAMKHASTI MD in 2023, with prescription volumes, average cost per fill, and CA state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other CA PrescribersVs. CA Avg

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 130 Medicare prescriptions for Albuterol Sulfate Hfa, about 2.5 times the volume of the typical California prescriber of this medication (53). Medicare paid an average of $27.66 per fill, versus $42.16 statewide.

How often this provider prescribes it

This provider
130
CA average
53.0

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

What Medicare paid per fill

This provider
$27.66
CA average
$42.16

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

130.6
30-Day Fills
standardized to 30-day supplies
2,642
Days of Medication
total across all patients in 2023

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 90 Medicare prescriptions for Cephalexin, about 3.2 times the volume of the typical California prescriber of this medication (28). Medicare paid an average of $8.21 per fill, versus $9.52 statewide.

How often this provider prescribes it

This provider
90
CA average
28.0

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

What Medicare paid per fill

This provider
$8.21
CA average
$9.52

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

90
30-Day Fills
standardized to 30-day supplies
674
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 83 Medicare prescriptions for Prednisone, about 2.1 times the volume of the typical California prescriber of this medication (40). Medicare paid an average of $2.64 per fill, versus $8.18 statewide.

How often this provider prescribes it

This provider
83
CA average
40.0

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

What Medicare paid per fill

This provider
$2.64
CA average
$8.18

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

83
30-Day Fills
standardized to 30-day supplies
575
Days of Medication
total across all patients in 2023

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 79 Medicare prescriptions for Fluticasone Propionate, about 1.6 times the volume of the typical California prescriber of this medication (50). Medicare paid an average of $13.63 per fill, versus $16.79 statewide.

How often this provider prescribes it

This provider
79
CA average
50.0

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

What Medicare paid per fill

This provider
$13.63
CA average
$16.79

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

96.3
30-Day Fills
standardized to 30-day supplies
2,890
Days of Medication
total across all patients in 2023

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 66 Medicare prescriptions for Naproxen, about 2.3 times the volume of the typical California prescriber of this medication (29). Medicare paid an average of $9.06 per fill, versus $11.99 statewide.

How often this provider prescribes it

This provider
66
CA average
29.0

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

What Medicare paid per fill

This provider
$9.06
CA average
$11.99

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

69
30-Day Fills
standardized to 30-day supplies
1,646
Days of Medication
total across all patients in 2023

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 64 Medicare prescriptions for Ibuprofen, about 1.6 times the volume of the typical California prescriber of this medication (41). Medicare paid an average of $5.97 per fill, versus $9.06 statewide.

How often this provider prescribes it

This provider
64
CA average
41.0

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

What Medicare paid per fill

This provider
$5.97
CA average
$9.06

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

64
30-Day Fills
standardized to 30-day supplies
663
Days of Medication
total across all patients in 2023

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 60 Medicare prescriptions for Diclofenac Sodium, about the same volume as the typical California prescriber of this medication (55). Medicare paid an average of $24.73 per fill, versus $41.99 statewide.

How often this provider prescribes it

This provider
60
CA average
55.0

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

What Medicare paid per fill

This provider
$24.73
CA average
$41.99

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

60
30-Day Fills
standardized to 30-day supplies
827
Days of Medication
total across all patients in 2023

About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾

It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS.

In 2023, this provider wrote 57 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 2.3 times the volume of the typical California prescriber of this medication (25). Medicare paid an average of $4.92 per fill, versus $5.87 statewide.

How often this provider prescribes it

This provider
57
CA average
25.0

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

What Medicare paid per fill

This provider
$4.92
CA average
$5.87

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

57
30-Day Fills
standardized to 30-day supplies
513
Days of Medication
total across all patients in 2023

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 54 Medicare prescriptions for Mupirocin, about 1.7 times the volume of the typical California prescriber of this medication (31). Medicare paid an average of $6.90 per fill, versus $10.85 statewide.

How often this provider prescribes it

This provider
54
CA average
31.0

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

What Medicare paid per fill

This provider
$6.90
CA average
$10.85

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

56
30-Day Fills
standardized to 30-day supplies
583
Days of Medication
total across all patients in 2023

About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾

This medication is also used to prevent malaria. This medication is known as a tetracycline 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 synthetic tetracycline derivative with similar antimicrobial activity.

In 2023, this provider wrote 50 Medicare prescriptions for Doxycycline Hyclate, about 1.9 times the volume of the typical California prescriber of this medication (27). Medicare paid an average of $10.48 per fill, versus $30.50 statewide.

How often this provider prescribes it

This provider
50
CA average
27.0

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

What Medicare paid per fill

This provider
$10.48
CA average
$30.50

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

50
30-Day Fills
standardized to 30-day supplies
371
Days of Medication
total across all patients in 2023

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 47 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about 2 times the volume of the typical California prescriber of this medication (23). Medicare paid an average of $10.19 per fill, versus $13.20 statewide.

How often this provider prescribes it

This provider
47
CA average
23.0

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

What Medicare paid per fill

This provider
$10.19
CA average
$13.20

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

47
30-Day Fills
standardized to 30-day supplies
347
Days of Medication
total across all patients in 2023

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 46 Medicare prescriptions for Azithromycin, about 1.2 times the volume of the typical California prescriber of this medication (38). Medicare paid an average of $4.64 per fill, versus $7.94 statewide.

How often this provider prescribes it

This provider
46
CA average
38.0

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

What Medicare paid per fill

This provider
$4.64
CA average
$7.94

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

46
30-Day Fills
standardized to 30-day supplies
230
Days of Medication
total across all patients in 2023

About Paxlovid (Eua): The combination of nirmatrelvir tablets and ritonavir tablets is a product that the FDA is allowing to be given for emergency use to treat COVID-19. Show more ▾

The product is also approved to be used in Canada to treat COVID-19. It is used by people who have recently tested positive for coronavirus, have had mild to moderate symptoms for no more than 5 days and are not hospitalized. To receive this product you must also be at high risk for COVID-19 complications due to older age, obesity, or ongoing medical conditions (such as lung or heart disease or diabetes, among others). Talk to your doctor about the risks and benefits of treatment with nirmatrelvir and ritonavir. Nirmatrelvir is a SARS-CoV-2 main protease inhibitor. It works by preventing the growth of the virus that causes COVID-19. Ritonavir increases (boosts) the levels of nirmatrelvir. This helps nirmatrelvir work better. More information about nirmatrelvir and ritonavir is available from the FDA Fact Sheet for Patients, Parents, and Caregivers for Emergency Use and from the Health Canada Patient Medication Information sheet. There is limited information about how safe and effective the combination of nirmatrelvir and ritonavir is for treating COVID-19. Study results show that nirmatrelvir and ritonavir may help people who have recently tested positive for coronavirus stay out of the hospital. This product is not for use by people who are hospitalized due to COVID-19. The information in this document reflects emerging data, which is evolving and subject to reassessment. Users should be aware of these considerations in their review of nirmatrelvir and ritonavir, and it is always the responsibility of treating practitioners to exercise independent judgement in making care decisions.

In 2023, this provider wrote 30 Medicare prescriptions for Paxlovid (Eua), about 1.3 times the volume of the typical California prescriber of this medication (24). Medicare paid an average of $9.89 per fill, versus $11.70 statewide.

How often this provider prescribes it

This provider
30
CA average
24.0

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

What Medicare paid per fill

This provider
$9.89
CA average
$11.70

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

30
30-Day Fills
standardized to 30-day supplies
150
Days of Medication
total across all patients in 2023

About Methylprednisolone: Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. Show more ▾

It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone. Methylprednisolone may also be used with other medications in hormone disorders. A PREDNISOLONE derivative with similar anti-inflammatory action.

In 2023, this provider wrote 30 Medicare prescriptions for Methylprednisolone, about the same volume as the typical California prescriber of this medication (30). Medicare paid an average of $6.82 per fill, versus $10.69 statewide.

How often this provider prescribes it

This provider
30
CA average
30.0

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

What Medicare paid per fill

This provider
$6.82
CA average
$10.69

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

30
30-Day Fills
standardized to 30-day supplies
179
Days of Medication
total across all patients in 2023

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 30 Medicare prescriptions for Ciprofloxacin Hcl, about the same volume as the typical California prescriber of this medication (29). Medicare paid an average of $10.07 per fill, versus $7.51 statewide.

How often this provider prescribes it

This provider
30
CA average
29.0

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

What Medicare paid per fill

This provider
$10.07
CA average
$7.51

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

30
30-Day Fills
standardized to 30-day supplies
293
Days of Medication
total across all patients in 2023

About Erythromycin: Erythromycin is used to treat a wide variety of bacterial infections. Show more ▾

It may also be used to prevent certain bacterial infections. Erythromycin is known as a macrolide antibiotic. It works by stopping the growth of bacteria. This antibiotic treats or prevents 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.

In 2023, this provider wrote 27 Medicare prescriptions for Erythromycin, about half the volume of the typical California prescriber of this medication (50). Medicare paid an average of $11.31 per fill, versus $15.82 statewide.

How often this provider prescribes it

This provider
27
CA average
50.0

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

What Medicare paid per fill

This provider
$11.31
CA average
$15.82

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

27
30-Day Fills
standardized to 30-day supplies
216
Days of Medication
total across all patients in 2023

About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾

Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions.

In 2023, this provider wrote 26 Medicare prescriptions for Triamcinolone Acetonide, about 62% of the volume of the typical California prescriber of this medication (42). Medicare paid an average of $5.33 per fill, versus $12.88 statewide.

How often this provider prescribes it

This provider
26
CA average
42.0

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

What Medicare paid per fill

This provider
$5.33
CA average
$12.88

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

26
30-Day Fills
standardized to 30-day supplies
659
Days of Medication
total across all patients in 2023

About Clindamycin Hcl: Clindamycin is used to treat a wide variety of bacterial infections. Show more ▾

It is an antibiotic that works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. An antibacterial agent that is a semisynthetic analog of LINCOMYCIN.

In 2023, this provider wrote 25 Medicare prescriptions for Clindamycin Hcl, about 1.3 times the volume of the typical California prescriber of this medication (20). Medicare paid an average of $8.90 per fill, versus $10.89 statewide.

How often this provider prescribes it

This provider
25
CA average
20.0

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

What Medicare paid per fill

This provider
$8.90
CA average
$10.89

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

25
30-Day Fills
standardized to 30-day supplies
196
Days of Medication
total across all patients in 2023

About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾

It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery.

In 2023, this provider wrote 16 Medicare prescriptions for Hydroxyzine Hcl, about 62% of the volume of the typical California prescriber of this medication (26). Medicare paid an average of $10.33 per fill, versus $17.88 statewide.

How often this provider prescribes it

This provider
16
CA average
26.0

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

What Medicare paid per fill

This provider
$10.33
CA average
$17.88

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

16
30-Day Fills
standardized to 30-day supplies
128
Days of Medication
total across all patients in 2023

About Acyclovir: Acyclovir is used to treat infections caused by certain types of viruses. Show more ▾

It treats cold sores around the mouth (caused by herpes simplex), shingles (caused by herpes zoster), and chickenpox. This medication is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, acyclovir is used to help reduce the number of future episodes. Acyclovir is an antiviral drug. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Acyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. In addition, in people with a weakened immune system, acyclovir can decrease the risk of the virus spreading to other parts of the body and causing serious infections. A GUANOSINE analog that acts as an antimetabolite. Viruses are especially susceptible. Used especially against herpes.

In 2023, this provider wrote 15 Medicare prescriptions for Acyclovir, about 63% of the volume of the typical California prescriber of this medication (24). Medicare paid an average of $11.01 per fill, versus $26.52 statewide.

How often this provider prescribes it

This provider
15
CA average
24.0

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

What Medicare paid per fill

This provider
$11.01
CA average
$26.52

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

15
30-Day Fills
standardized to 30-day supplies
105
Days of Medication
total across all patients in 2023

About Ventolin 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 15 Medicare prescriptions for Ventolin Hfa, about half the volume of the typical California prescriber of this medication (30). Medicare paid an average of $61.88 per fill, versus $73.20 statewide.

How often this provider prescribes it

This provider
15
CA average
30.0

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

What Medicare paid per fill

This provider
$61.88
CA average
$73.20

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

15.1
30-Day Fills
standardized to 30-day supplies
353
Days of Medication
total across all patients in 2023

About Methocarbamol: Methocarbamol is used to treat muscle spasms/pain. Show more ▾

It is usually used along with rest, physical therapy, and other treatment. It works by helping to relax the muscles. A centrally acting muscle relaxant whose mode of action has not been established. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1206)

In 2023, this provider wrote 13 Medicare prescriptions for Methocarbamol, about half the volume of the typical California prescriber of this medication (26). Medicare paid an average of $4.66 per fill, versus $15.00 statewide.

How often this provider prescribes it

This provider
13
CA average
26.0

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

What Medicare paid per fill

This provider
$4.66
CA average
$15.00

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

13
30-Day Fills
standardized to 30-day supplies
127
Days of Medication
total across all patients in 2023

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 12 Medicare prescriptions for Gabapentin, about 15% of the volume of the typical California prescriber of this medication (81). Medicare paid an average of $4.74 per fill, versus $21.28 statewide.

How often this provider prescribes it

This provider
12
CA average
81.0

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

What Medicare paid per fill

This provider
$4.74
CA average
$21.28

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

12
30-Day Fills
standardized to 30-day supplies
260
Days of Medication
total across all patients in 2023

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 11 Medicare prescriptions for Famotidine, about a quarter of the volume of the typical California prescriber of this medication (51). Medicare paid an average of $5.66 per fill, versus $6.17 statewide.

How often this provider prescribes it

This provider
11
CA average
51.0

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

What Medicare paid per fill

This provider
$5.66
CA average
$6.17

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

11
30-Day Fills
standardized to 30-day supplies
255
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average CA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the CA average cost per fill.

About this data. The prescription history for MANIJEH GHASEMI-VARNAMKHASTI MD 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 Family Medicine prescribing approach at this San Diego, CA 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 CA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.