STEPHEN SKIANO PA-C
Prescription History 1750864310
Physician Assistant in Tucson, AZ
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for STEPHEN SKIANO PA-C, an active Physician Assistant specialist practicing in Tucson, AZ. Our medical registry currently tracks 29 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 817 documented patient claims. Among these therapy options, the most frequently utilized medication is Spravato, which accounts for 76 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 AZ PrescribersVs. AZ Avg |
|---|---|---|---|
| SpravatoEsketamine Hcl | 76 | $1,161.96 | ▲ More than typical |
About Spravato: This medication is used along with an antidepressant taken by mouth to treat depression in adults. Show more ▾ It may improve your mood and restore your interest in daily living. In 2023, this provider wrote 76 Medicare prescriptions for Spravato, about 1.3 times the volume of the typical Arizona prescriber of this medication (60). Medicare paid an average of $1,161.96 per fill, versus $1,103.09 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AZ 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. 76 30-Day Fills standardized to 30-day supplies 464 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 64 | $11.66 | ▲ More than typical |
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 64 Medicare prescriptions for Clonazepam, about 1.6 times the volume of the typical Arizona prescriber of this medication (41). Medicare paid an average of $11.66 per fill, versus $9.53 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AZ 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. 64.5 30-Day Fills standardized to 30-day supplies 1,720 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 53 | $11.69▼ below AZ avg | ≈ Typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 53 Medicare prescriptions for Quetiapine Fumarate, about the same volume as the typical Arizona prescriber of this medication (56). Medicare paid an average of $11.69 per fill, versus $26.40 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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 AZ average for this medication. 61 30-Day Fills standardized to 30-day supplies 1,697 Days of Medication total across all patients in 2023 | |||
| Alprazolam | 51 | $2.49▼ below AZ avg | ≈ Typical |
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 51 Medicare prescriptions for Alprazolam, about 1.2 times the volume of the typical Arizona prescriber of this medication (43). Medicare paid an average of $2.49 per fill, versus $6.86 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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 AZ average for this medication. 51 30-Day Fills standardized to 30-day supplies 741 Days of Medication total across all patients in 2023 | |||
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 51 | $139.65▼ below AZ avg | ≈ Typical |
About Buprenorphine-Naloxone: This medication contains 2 medicines: buprenorphine and naloxone. Show more ▾ It is used to treat opioid dependence/addiction. Buprenorphine belongs to a class of drugs called mixed opioid agonist-antagonists. Buprenorphine helps prevent withdrawal symptoms caused by stopping other opioids. Naloxone is an opioid antagonist that blocks the effect of opioids and can cause severe opioid withdrawal when injected. It has little effect when taken by mouth or dissolved under the tongue. It is combined with buprenorphine to prevent abuse and misuse (injection) of this medication. This combination medication is used as part of a complete treatment program for drug abuse (such as compliance monitoring, counseling, behavioral contract, lifestyle changes). Ask your doctor or pharmacist if you should have other forms of naloxone available to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it. In 2023, this provider wrote 51 Medicare prescriptions for Buprenorphine-Naloxone, about the same volume as the typical Arizona prescriber of this medication (52). Medicare paid an average of $139.65 per fill, versus $174.16 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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 AZ average for this medication. 51.7 30-Day Fills standardized to 30-day supplies 1,150 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 43 | $46.84 | ≈ Typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 43 Medicare prescriptions for Duloxetine Hcl, about the same volume as the typical Arizona prescriber of this medication (45). Medicare paid an average of $46.84 per fill, versus $42.00 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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. 76 30-Day Fills standardized to 30-day supplies 2,233 Days of Medication total across all patients in 2023 | |||
| Buspirone Hcl | 42 | $18.01▼ below AZ avg | ≈ Typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 42 Medicare prescriptions for Buspirone Hcl, about the same volume as the typical Arizona prescriber of this medication (37). Medicare paid an average of $18.01 per fill, versus $22.71 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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 AZ average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2023 | |||
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 37 | $32.72▼ below AZ avg | ▲ More than typical |
About Dextroamphetamine-Amphetamine: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2023, this provider wrote 37 Medicare prescriptions for Dextroamphetamine-Amphetamine, about 1.4 times the volume of the typical Arizona prescriber of this medication (26). Medicare paid an average of $32.72 per fill, versus $37.81 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AZ 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 AZ average for this medication. 37 30-Day Fills standardized to 30-day supplies 1,012 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl | 37 | $21.97▼ below AZ avg | ▲ More than typical |
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 37 Medicare prescriptions for Propranolol Hcl, about 1.5 times the volume of the typical Arizona prescriber of this medication (25). Medicare paid an average of $21.97 per fill, versus $29.07 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average AZ 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 AZ average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023 | |||
| Prazosin Hcl | 33 | $19.13▼ below AZ avg | ≈ Typical |
About Prazosin Hcl: Prazosin 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. Prazosin belongs to a class of medications called alpha blockers. It works by relaxing and widening blood vessels so blood can flow more easily. A selective adrenergic alpha-1 antagonist used in the treatment of HEART FAILURE; HYPERTENSION; PHEOCHROMOCYTOMA; RAYNAUD DISEASE; PROSTATIC HYPERTROPHY; and URINARY RETENTION. In 2023, this provider wrote 33 Medicare prescriptions for Prazosin Hcl, about 87% of the volume of the typical Arizona prescriber of this medication (38). Medicare paid an average of $19.13 per fill, versus $33.89 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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 AZ average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,057 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 31 | $7.86▼ below AZ avg | ▼ Less than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 31 Medicare prescriptions for Trazodone Hcl, about half the volume of the typical Arizona prescriber of this medication (66). Medicare paid an average of $7.86 per fill, versus $14.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023 | |||
| Escitalopram Oxalate | 29 | $14.45▼ below AZ avg | ▼ Less than typical |
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 29 Medicare prescriptions for Escitalopram Oxalate, about 64% of the volume of the typical Arizona prescriber of this medication (45). Medicare paid an average of $14.45 per fill, versus $14.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,064 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 25 | $14.99▼ below AZ avg | ▼ Less than typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 25 Medicare prescriptions for Bupropion Xl, about 74% of the volume of the typical Arizona prescriber of this medication (34). Medicare paid an average of $14.99 per fill, versus $37.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,132 Days of Medication total across all patients in 2023 | |||
| Citalopram HbrCitalopram Hydrobromide | 20 | $6.77▼ below AZ avg | ▼ Less than typical |
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2023, this provider wrote 20 Medicare prescriptions for Citalopram Hbr, about half the volume of the typical Arizona prescriber of this medication (36). Medicare paid an average of $6.77 per fill, versus $9.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023 | |||
| Lorazepam | 20 | $15.30 | ▼ Less than typical |
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 20 Medicare prescriptions for Lorazepam, about half the volume of the typical Arizona prescriber of this medication (37). Medicare paid an average of $15.30 per fill, versus $7.49 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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. 20 30-Day Fills standardized to 30-day supplies 522 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 20 | $15.69▼ below AZ avg | ▼ Less than typical |
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 20 Medicare prescriptions for Mirtazapine, about half the volume of the typical Arizona prescriber of this medication (39). Medicare paid an average of $15.69 per fill, versus $27.39 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 28.5 30-Day Fills standardized to 30-day supplies 832 Days of Medication total across all patients in 2023 | |||
| Ondansetron OdtOndansetron | 19 | $16.86▼ below AZ avg | ≈ 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 19 Medicare prescriptions for Ondansetron Odt, about 83% of the volume of the typical Arizona prescriber of this medication (23). Medicare paid an average of $16.86 per fill, versus $28.28 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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 AZ average for this medication. 19 30-Day Fills standardized to 30-day supplies 550 Days of Medication total across all patients in 2023 | |||
| VyvanseLisdexamfetamine Dimesylate | 18 | $398.83 | ≈ Typical |
About Vyvanse: Lisdexamfetamine is used to treat attention deficit hyperactivity disorder (ADHD) as part of a total treatment plan, including psychological, social, and other treatments. Show more ▾ It may help to increase the ability to pay attention, stay focused, and stop fidgeting. Lisdexamfetamine may also be used to treat binge eating disorder (BED). It may help to reduce the number of binge eating days. This medication is a stimulant. It is thought to work by restoring the balance of certain natural chemicals (neurotransmitters) in the brain. This medication is not recommended for use for weight loss due to the risk of serious side effects. A dextroamphetamine drug precursor that also functions as a CENTRAL NERVOUS SYSTEM STIMULANT and DOPAMINE UPTAKE INHIBITOR and is used in the treatment of ATTENTION DEFICIT HYPERACTIVITY DISORDER. In 2023, this provider wrote 18 Medicare prescriptions for Vyvanse, about the same volume as the typical Arizona prescriber of this medication (19). Medicare paid an average of $398.83 per fill, versus $391.36 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average AZ 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. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| Bupropion Hcl SrBupropion Hcl | 17 | $9.03▼ below AZ avg | ▼ Less than typical |
About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 17 Medicare prescriptions for Bupropion Hcl Sr, about 68% of the volume of the typical Arizona prescriber of this medication (25). Medicare paid an average of $9.03 per fill, versus $32.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023 | |||
| Aripiprazole | 16 | $32.71▼ below AZ avg | ▼ Less than typical |
About Aripiprazole: Aripiprazole is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole is known as an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters). This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2023, this provider wrote 16 Medicare prescriptions for Aripiprazole, about a third of the volume of the typical Arizona prescriber of this medication (50). Medicare paid an average of $32.71 per fill, versus $98.59 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 22 30-Day Fills standardized to 30-day supplies 622 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 16 | $10.52▼ below AZ avg | ▼ Less than typical |
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 16 Medicare prescriptions for Divalproex Sodium, about a third of the volume of the typical Arizona prescriber of this medication (43). Medicare paid an average of $10.52 per fill, versus $45.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 16 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023 | |||
| Nortriptyline Hcl | 14 | $15.94▼ below AZ avg | ▼ Less than typical |
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 14 Medicare prescriptions for Nortriptyline Hcl, about 64% of the volume of the typical Arizona prescriber of this medication (22). Medicare paid an average of $15.94 per fill, versus $19.07 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 14 | $36.11▼ below AZ avg | ▼ Less than typical |
About Dextroamphetamine-Amphet Er: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2023, this provider wrote 14 Medicare prescriptions for Dextroamphetamine-Amphet Er, about 70% of the volume of the typical Arizona prescriber of this medication (20). Medicare paid an average of $36.11 per fill, versus $60.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 14 30-Day Fills standardized to 30-day supplies 404 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 13 | $12.07▼ below AZ avg | ▼ Less than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 13 Medicare prescriptions for Lamotrigine, about a quarter of the volume of the typical Arizona prescriber of this medication (54). Medicare paid an average of $12.07 per fill, versus $17.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 22 30-Day Fills standardized to 30-day supplies 612 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate ErQuetiapine Fumarate | 13 | $30.41▼ below AZ avg | ▼ Less than typical |
About Quetiapine Fumarate Er: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 13 Medicare prescriptions for Quetiapine Fumarate Er, about 65% of the volume of the typical Arizona prescriber of this medication (20). Medicare paid an average of $30.41 per fill, versus $122.59 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 13 30-Day Fills standardized to 30-day supplies 367 Days of Medication total across all patients in 2023 | |||
| Buprenorphine Hcl | 12 | $44.99▼ below AZ avg | ▼ Less than typical |
About Buprenorphine Hcl: Buprenorphine is used to help relieve severe ongoing pain. Show more ▾ Buprenorphine 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. Do not use this medication to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use. In 2023, this provider wrote 12 Medicare prescriptions for Buprenorphine Hcl, about a third of the volume of the typical Arizona prescriber of this medication (35). Medicare paid an average of $44.99 per fill, versus $79.97 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 12 30-Day Fills standardized to 30-day supplies 334 Days of Medication total across all patients in 2023 | |||
| Levothyroxine Sodium | 11 | $13.66▼ below AZ avg | ▼ Less than typical |
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 11 Medicare prescriptions for Levothyroxine Sodium, about 7% of the volume of the typical Arizona prescriber of this medication (150). Medicare paid an average of $13.66 per fill, versus $16.89 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 11 | $12.03 | ▼ Less than typical |
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 11 Medicare prescriptions for Sertraline Hcl, about a quarter of the volume of the typical Arizona prescriber of this medication (51). Medicare paid an average of $12.03 per fill, versus $11.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 479 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 11 | $16.99▼ below AZ avg | ▼ Less than typical |
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 11 Medicare prescriptions for Hydroxyzine Hcl, about a third of the volume of the typical Arizona prescriber of this medication (30). Medicare paid an average of $16.99 per fill, versus $21.61 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average AZ 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 AZ average for this medication. 15 30-Day Fills standardized to 30-day supplies 434 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for STEPHEN SKIANO PA-C 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 Physician Assistant prescribing approach at this Tucson, AZ 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 AZ prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
