DR. ROBERT A ENGEL MD
Prescription History 1760460521
Internal Medicine - Cardiovascular Disease in Juana Diaz, PR

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
43 DEGETAU STREET, JUANA DIAZ, PR 00795(787) 260-8254(787) 260-8254 Get Directions

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. ROBERT A ENGEL MD, an active Cardiovascular Disease specialist practicing in Juana Diaz, PR. Our medical registry currently tracks 55 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,025 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 319 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.

55
Medications
3,025
Total Claims
8,262
30-Day Fills
Atorvastatin Calcium
Most Prescribed · 319 claims
View details
55 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. ROBERT A ENGEL MD in 2024, with prescription volumes, average cost per fill, and PR state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other PR PrescribersVs. PR Avg

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 2024, this provider wrote 319 Medicare prescriptions for Atorvastatin Calcium, about the same volume as the typical Puerto Rico prescriber of this medication (336.7). Medicare paid an average of $13.76 per fill, versus $10.05 statewide.

How often this provider prescribes it

This provider
319
PR average
336.7

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

What Medicare paid per fill

This provider
$13.76
PR average
$10.05

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

931
30-Day Fills
standardized to 30-day supplies
27,930
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 248 Medicare prescriptions for Losartan Potassium, about the same volume as the typical Puerto Rico prescriber of this medication (247.1). Medicare paid an average of $13.18 per fill, versus $10.77 statewide.

How often this provider prescribes it

This provider
248
PR average
247.1

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

What Medicare paid per fill

This provider
$13.18
PR average
$10.77

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

733
30-Day Fills
standardized to 30-day supplies
21,990
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 227 Medicare prescriptions for Metoprolol Succinate, about 1.3 times the volume of the typical Puerto Rico prescriber of this medication (175.9). Medicare paid an average of $20.53 per fill, versus $15.32 statewide.

How often this provider prescribes it

This provider
227
PR average
175.9

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

What Medicare paid per fill

This provider
$20.53
PR average
$15.32

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

676
30-Day Fills
standardized to 30-day supplies
20,280
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 187 Medicare prescriptions for Amlodipine Besylate, about 89% of the volume of the typical Puerto Rico prescriber of this medication (210.4). Medicare paid an average of $5.09 per fill, versus $5.10 statewide.

How often this provider prescribes it

This provider
187
PR average
210.4

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

What Medicare paid per fill

This provider
$5.09
PR average
$5.10

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

543
30-Day Fills
standardized to 30-day supplies
16,290
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 146 Medicare prescriptions for Simvastatin, about 76% of the volume of the typical Puerto Rico prescriber of this medication (192.9). Medicare paid an average of $8.66 per fill, versus $7.24 statewide.

How often this provider prescribes it

This provider
146
PR average
192.9

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

What Medicare paid per fill

This provider
$8.66
PR average
$7.24

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

428
30-Day Fills
standardized to 30-day supplies
12,835
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 141 Medicare prescriptions for Lisinopril, about 87% of the volume of the typical Puerto Rico prescriber of this medication (162.6). Medicare paid an average of $8.05 per fill, versus $5.61 statewide.

How often this provider prescribes it

This provider
141
PR average
162.6

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

What Medicare paid per fill

This provider
$8.05
PR average
$5.61

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

419
30-Day Fills
standardized to 30-day supplies
12,570
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 120 Medicare prescriptions for Rosuvastatin Calcium, about 65% of the volume of the typical Puerto Rico prescriber of this medication (184.6). Medicare paid an average of $16.80 per fill, versus $12.35 statewide.

How often this provider prescribes it

This provider
120
PR average
184.6

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

What Medicare paid per fill

This provider
$16.80
PR average
$12.35

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

355
30-Day Fills
standardized to 30-day supplies
10,650
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 101 Medicare prescriptions for Hydrochlorothiazide, about 88% of the volume of the typical Puerto Rico prescriber of this medication (115.1). Medicare paid an average of $5.90 per fill, versus $5.83 statewide.

How often this provider prescribes it

This provider
101
PR average
115.1

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

What Medicare paid per fill

This provider
$5.90
PR average
$5.83

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

303
30-Day Fills
standardized to 30-day supplies
9,090
Days of Medication
total across all patients in 2024

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

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a "water pill" (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic.

In 2024, this provider wrote 96 Medicare prescriptions for Chlorthalidone, about 2.5 times the volume of the typical Puerto Rico prescriber of this medication (38.7). Medicare paid an average of $19.97 per fill, versus $15.11 statewide.

How often this provider prescribes it

This provider
96
PR average
38.7

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

What Medicare paid per fill

This provider
$19.97
PR average
$15.11

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

276
30-Day Fills
standardized to 30-day supplies
8,280
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 86 Medicare prescriptions for Carvedilol, about the same volume as the typical Puerto Rico prescriber of this medication (85.9). Medicare paid an average of $11.76 per fill, versus $8.48 statewide.

How often this provider prescribes it

This provider
86
PR average
85.9

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

What Medicare paid per fill

This provider
$11.76
PR average
$8.48

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

248
30-Day Fills
standardized to 30-day supplies
7,440
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 68 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 89% of the volume of the typical Puerto Rico prescriber of this medication (76.8). Medicare paid an average of $21.06 per fill, versus $17.55 statewide.

How often this provider prescribes it

This provider
68
PR average
76.8

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

What Medicare paid per fill

This provider
$21.06
PR average
$17.55

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

194
30-Day Fills
standardized to 30-day supplies
5,820
Days of Medication
total across all patients in 2024

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. An antithrombotic agent.

In 2024, this provider wrote 67 Medicare prescriptions for Eliquis, about the same volume as the typical Puerto Rico prescriber of this medication (67.6). Medicare paid an average of $1,152.94 per fill, versus $747.42 statewide.

How often this provider prescribes it

This provider
67
PR average
67.6

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

What Medicare paid per fill

This provider
$1,152.94
PR average
$747.42

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

131
30-Day Fills
standardized to 30-day supplies
3,930
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 66 Medicare prescriptions for Metformin Hcl, about a third of the volume of the typical Puerto Rico prescriber of this medication (204.3). Medicare paid an average of $6.34 per fill, versus $6.34 statewide.

How often this provider prescribes it

This provider
66
PR average
204.3

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

What Medicare paid per fill

This provider
$6.34
PR average
$6.34

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

194
30-Day Fills
standardized to 30-day supplies
5,820
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 66 Medicare prescriptions for Amlodipine Besylate-Benazepril, about 1.8 times the volume of the typical Puerto Rico prescriber of this medication (36). Medicare paid an average of $28.59 per fill, versus $21.00 statewide.

How often this provider prescribes it

This provider
66
PR average
36.0

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

What Medicare paid per fill

This provider
$28.59
PR average
$21.00

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

180
30-Day Fills
standardized to 30-day supplies
5,400
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 61 Medicare prescriptions for Clopidogrel, about half the volume of the typical Puerto Rico prescriber of this medication (108.5). Medicare paid an average of $14.78 per fill, versus $10.63 statewide.

How often this provider prescribes it

This provider
61
PR average
108.5

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

What Medicare paid per fill

This provider
$14.78
PR average
$10.63

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

177
30-Day Fills
standardized to 30-day supplies
5,310
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 57 Medicare prescriptions for Synthroid, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (232.7). Medicare paid an average of $82.21 per fill, versus $76.31 statewide.

How often this provider prescribes it

This provider
57
PR average
232.7

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

What Medicare paid per fill

This provider
$82.21
PR average
$76.31

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

103
30-Day Fills
standardized to 30-day supplies
3,090
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 56 Medicare prescriptions for Furosemide, about 68% of the volume of the typical Puerto Rico prescriber of this medication (81.8). Medicare paid an average of $6.69 per fill, versus $5.52 statewide.

How often this provider prescribes it

This provider
56
PR average
81.8

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

What Medicare paid per fill

This provider
$6.69
PR average
$5.52

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

158
30-Day Fills
standardized to 30-day supplies
4,730
Days of Medication
total across all patients in 2024

About Brilinta: Ticagrelor is used along with low-dose aspirin to help prevent heart attack and stroke in people with a history of heart disease, stroke, or at increased risk for heart disease or stroke (for example, due to diabetes, history of transient ischemic attack-TIA). Show more ▾

It may also prevent blood clots after certain heart surgeries (such as stent placement). Ticagrelor works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It keeps blood flowing smoothly in your body. An adenosine triphosphate analogue and reversible P2Y12 PURINORECEPTOR antagonist that inhibits ADP-mediated PLATELET AGGREGATION. It is used for the prevention of THROMBOEMBOLISM by patients with ACUTE CORONARY SYNDROME or a history of MYOCARDIAL INFARCTION.

In 2024, this provider wrote 53 Medicare prescriptions for Brilinta, about 1.7 times the volume of the typical Puerto Rico prescriber of this medication (30.7). Medicare paid an average of $669.84 per fill, versus $565.98 statewide.

How often this provider prescribes it

This provider
53
PR average
30.7

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

What Medicare paid per fill

This provider
$669.84
PR average
$565.98

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

79
30-Day Fills
standardized to 30-day supplies
2,370
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 49 Medicare prescriptions for Enalapril Maleate, about 78% of the volume of the typical Puerto Rico prescriber of this medication (63.1). Medicare paid an average of $37.03 per fill, versus $20.83 statewide.

How often this provider prescribes it

This provider
49
PR average
63.1

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

What Medicare paid per fill

This provider
$37.03
PR average
$20.83

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

147
30-Day Fills
standardized to 30-day supplies
4,410
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 46 Medicare prescriptions for Levothyroxine Sodium, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (183.5). Medicare paid an average of $18.04 per fill, versus $11.95 statewide.

How often this provider prescribes it

This provider
46
PR average
183.5

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

What Medicare paid per fill

This provider
$18.04
PR average
$11.95

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

126
30-Day Fills
standardized to 30-day supplies
3,780
Days of Medication
total across all patients in 2024

About Fenofibric Acid: Fenofibric acid 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. Fenofibric acid 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, fenofibric acid might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibric acid. 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.

In 2024, this provider wrote 44 Medicare prescriptions for Fenofibric Acid, about the same volume as the typical Puerto Rico prescriber of this medication (39). Medicare paid an average of $91.08 per fill, versus $49.92 statewide.

How often this provider prescribes it

This provider
44
PR average
39.0

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

What Medicare paid per fill

This provider
$91.08
PR average
$49.92

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

132
30-Day Fills
standardized to 30-day supplies
3,960
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 43 Medicare prescriptions for Metoprolol Tartrate, about 67% of the volume of the typical Puerto Rico prescriber of this medication (63.8). Medicare paid an average of $10.65 per fill, versus $6.28 statewide.

How often this provider prescribes it

This provider
43
PR average
63.8

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

What Medicare paid per fill

This provider
$10.65
PR average
$6.28

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

129
30-Day Fills
standardized to 30-day supplies
3,870
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 40 Medicare prescriptions for Irbesartan, about half the volume of the typical Puerto Rico prescriber of this medication (81.1). Medicare paid an average of $41.37 per fill, versus $26.55 statewide.

How often this provider prescribes it

This provider
40
PR average
81.1

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

What Medicare paid per fill

This provider
$41.37
PR average
$26.55

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

120
30-Day Fills
standardized to 30-day supplies
3,600
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 33 Medicare prescriptions for Gabapentin, about 13% of the volume of the typical Puerto Rico prescriber of this medication (261.8). Medicare paid an average of $14.48 per fill, versus $9.88 statewide.

How often this provider prescribes it

This provider
33
PR average
261.8

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

What Medicare paid per fill

This provider
$14.48
PR average
$9.88

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

85
30-Day Fills
standardized to 30-day supplies
2,550
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 31 Medicare prescriptions for Omeprazole, about 20% of the volume of the typical Puerto Rico prescriber of this medication (158.3). Medicare paid an average of $8.07 per fill, versus $6.77 statewide.

How often this provider prescribes it

This provider
31
PR average
158.3

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

What Medicare paid per fill

This provider
$8.07
PR average
$6.77

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

55
30-Day Fills
standardized to 30-day supplies
1,650
Days of Medication
total across all patients in 2024

About Nifedipine Er: Nifedipine is used alone or in combination 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 is also used for certain types of chest pain (angina). It may help increase your ability to exercise and decrease the frequency of chest pain attacks. It should not be used to treat chest pain when it occurs. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for more details. This medication is known as a calcium channel blocker. It works by relaxing and widening blood vessels so blood can flow more easily. A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure.

In 2024, this provider wrote 29 Medicare prescriptions for Nifedipine Er, about half the volume of the typical Puerto Rico prescriber of this medication (49.4). Medicare paid an average of $40.94 per fill, versus $23.90 statewide.

How often this provider prescribes it

This provider
29
PR average
49.4

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

What Medicare paid per fill

This provider
$40.94
PR average
$23.90

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

85
30-Day Fills
standardized to 30-day supplies
2,550
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 28 Medicare prescriptions for Famotidine, about 14% of the volume of the typical Puerto Rico prescriber of this medication (204). Medicare paid an average of $11.42 per fill, versus $7.25 statewide.

How often this provider prescribes it

This provider
28
PR average
204.0

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

What Medicare paid per fill

This provider
$11.42
PR average
$7.25

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

70
30-Day Fills
standardized to 30-day supplies
2,100
Days of Medication
total across all patients in 2024

About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor 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. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not keep taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication.

In 2024, this provider wrote 28 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about 85% of the volume of the typical Puerto Rico prescriber of this medication (33). Medicare paid an average of $8.44 per fill, versus $7.88 statewide.

How often this provider prescribes it

This provider
28
PR average
33.1

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

What Medicare paid per fill

This provider
$8.44
PR average
$7.88

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

72
30-Day Fills
standardized to 30-day supplies
2,160
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 26 Medicare prescriptions for Alprazolam, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (100.6). Medicare paid an average of $4.32 per fill, versus $7.48 statewide.

How often this provider prescribes it

This provider
26
PR average
100.6

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

What Medicare paid per fill

This provider
$4.32
PR average
$7.48

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

26
30-Day Fills
standardized to 30-day supplies
750
Days of Medication
total across all patients in 2024

About Omega-3 Acid Ethyl Esters: Omega-3 acid ethyl esters, a type of fat found in fish oil, is used along with diet and exercise to help lower levels of a certain blood fat (triglyceride). Show more ▾

It may also raise "good" cholesterol (HDL). In general, this drug is used after your blood fat levels have not been fully controlled by non-drug treatments (such as diet changes, exercise, decreasing alcohol intake, weight loss if overweight, controlling blood sugar if diabetic, and regulating your thyroid hormone levels). Lowering triglycerides and increasing "good" cholesterol may help decrease the risk for strokes and heart attacks. Omega-3 acid ethyl esters are thought to work by decreasing the amount of triglyceride the body makes.

In 2024, this provider wrote 26 Medicare prescriptions for Omega-3 Acid Ethyl Esters, about a third of the volume of the typical Puerto Rico prescriber of this medication (72.7). Medicare paid an average of $100.40 per fill, versus $53.83 statewide.

How often this provider prescribes it

This provider
26
PR average
72.7

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

What Medicare paid per fill

This provider
$100.40
PR average
$53.83

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

74
30-Day Fills
standardized to 30-day supplies
2,176
Days of Medication
total across all patients in 2024

About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾

It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA.

In 2024, this provider wrote 25 Medicare prescriptions for Tamsulosin Hcl, about 20% of the volume of the typical Puerto Rico prescriber of this medication (126.7). Medicare paid an average of $13.92 per fill, versus $10.59 statewide.

How often this provider prescribes it

This provider
25
PR average
126.7

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

What Medicare paid per fill

This provider
$13.92
PR average
$10.59

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

73
30-Day Fills
standardized to 30-day supplies
2,190
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 25 Medicare prescriptions for Fenofibrate, about half the volume of the typical Puerto Rico prescriber of this medication (56.5). Medicare paid an average of $43.33 per fill, versus $24.52 statewide.

How often this provider prescribes it

This provider
25
PR average
56.5

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

What Medicare paid per fill

This provider
$43.33
PR average
$24.52

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

75
30-Day Fills
standardized to 30-day supplies
2,250
Days of Medication
total across all patients in 2024

About Jardiance: Empagliflozin 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. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure and kidney disease. It helps to lower the risk of death from heart disease and reduces the need of going to a hospital to treat heart failure or kidney disease. It also helps to lower the risk of dialysis in people with kidney disease. Empagliflozin works by increasing the removal of sodium by your kidneys.

In 2024, this provider wrote 25 Medicare prescriptions for Jardiance, about a third of the volume of the typical Puerto Rico prescriber of this medication (63). Medicare paid an average of $863.43 per fill, versus $847.15 statewide.

How often this provider prescribes it

This provider
25
PR average
63.0

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

What Medicare paid per fill

This provider
$863.43
PR average
$847.15

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

35
30-Day Fills
standardized to 30-day supplies
1,050
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 23 Medicare prescriptions for Pantoprazole Sodium, about 16% of the volume of the typical Puerto Rico prescriber of this medication (142.1). Medicare paid an average of $8.82 per fill, versus $8.42 statewide.

How often this provider prescribes it

This provider
23
PR average
142.1

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

What Medicare paid per fill

This provider
$8.82
PR average
$8.42

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

43
30-Day Fills
standardized to 30-day supplies
1,290
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 23 Medicare prescriptions for Clotrimazole-Betamethasone, about a third of the volume of the typical Puerto Rico prescriber of this medication (63.9). Medicare paid an average of $29.63 per fill, versus $30.10 statewide.

How often this provider prescribes it

This provider
23
PR average
63.9

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

What Medicare paid per fill

This provider
$29.63
PR average
$30.10

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

23
30-Day Fills
standardized to 30-day supplies
428
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 22 Medicare prescriptions for Irbesartan-Hydrochlorothiazide, about a third of the volume of the typical Puerto Rico prescriber of this medication (52.7). Medicare paid an average of $49.19 per fill, versus $35.08 statewide.

How often this provider prescribes it

This provider
22
PR average
52.7

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

What Medicare paid per fill

This provider
$49.19
PR average
$35.08

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

66
30-Day Fills
standardized to 30-day supplies
1,980
Days of Medication
total across all patients in 2024

About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾

Ezetimibe may be used alone or with other drugs (such as "statins" or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS.

In 2024, this provider wrote 22 Medicare prescriptions for Ezetimibe, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (83.7). Medicare paid an average of $22.87 per fill, versus $17.57 statewide.

How often this provider prescribes it

This provider
22
PR average
83.7

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

What Medicare paid per fill

This provider
$22.87
PR average
$17.57

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

66
30-Day Fills
standardized to 30-day supplies
1,980
Days of Medication
total across all patients in 2024

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. A direct-acting vasodilator that is used as an antihypertensive agent.

In 2024, this provider wrote 22 Medicare prescriptions for Hydralazine Hcl, about a third of the volume of the typical Puerto Rico prescriber of this medication (57.5). Medicare paid an average of $16.52 per fill, versus $13.06 statewide.

How often this provider prescribes it

This provider
22
PR average
57.5

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

What Medicare paid per fill

This provider
$16.52
PR average
$13.06

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

64
30-Day Fills
standardized to 30-day supplies
1,920
Days of Medication
total across all patients in 2024

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. A leukotriene D4 receptor antagonist.

In 2024, this provider wrote 20 Medicare prescriptions for Montelukast Sodium, about 15% of the volume of the typical Puerto Rico prescriber of this medication (130.3). Medicare paid an average of $14.52 per fill, versus $10.15 statewide.

How often this provider prescribes it

This provider
20
PR average
130.3

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

What Medicare paid per fill

This provider
$14.52
PR average
$10.15

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

60
30-Day Fills
standardized to 30-day supplies
1,800
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 19 Medicare prescriptions for Allopurinol, about a third of the volume of the typical Puerto Rico prescriber of this medication (59.8). Medicare paid an average of $9.82 per fill, versus $8.75 statewide.

How often this provider prescribes it

This provider
19
PR average
59.8

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

What Medicare paid per fill

This provider
$9.82
PR average
$8.75

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

45
30-Day Fills
standardized to 30-day supplies
1,350
Days of Medication
total across all patients in 2024

About Verapamil Hcl: 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 is also used to prevent chest pain (angina). It may help to increase your ability to exercise and decrease how often you may get angina attacks. Verapamil is also used to control your heart rate if you have a fast/irregular heartbeat (such as atrial fibrillation). It helps to lower the heart rate, helping you to feel more comfortable and increase your ability to exercise. A calcium channel blocker that is a class IV anti-arrhythmia agent.

In 2024, this provider wrote 18 Medicare prescriptions for Verapamil Hcl, about 85% of the volume of the typical Puerto Rico prescriber of this medication (21.3). Medicare paid an average of $24.83 per fill, versus $10.61 statewide.

How often this provider prescribes it

This provider
18
PR average
21.3

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

What Medicare paid per fill

This provider
$24.83
PR average
$10.61

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

54
30-Day Fills
standardized to 30-day supplies
1,620
Days of Medication
total across all patients in 2024

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. For prevention of angina pectoris; a Russian drug.

In 2024, this provider wrote 17 Medicare prescriptions for Isosorbide Mononitrate Er, about a third of the volume of the typical Puerto Rico prescriber of this medication (58.4). Medicare paid an average of $21.84 per fill, versus $12.90 statewide.

How often this provider prescribes it

This provider
17
PR average
58.4

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

What Medicare paid per fill

This provider
$21.84
PR average
$12.90

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

51
30-Day Fills
standardized to 30-day supplies
1,530
Days of Medication
total across all patients in 2024

About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a "water pill" (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)

In 2024, this provider wrote 17 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Puerto Rico prescriber of this medication (47.5). Medicare paid an average of $16.83 per fill, versus $11.44 statewide.

How often this provider prescribes it

This provider
17
PR average
47.5

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

What Medicare paid per fill

This provider
$16.83
PR average
$11.44

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

51
30-Day Fills
standardized to 30-day supplies
1,530
Days of Medication
total across all patients in 2024

About Nitroglycerin: This medication is used to relieve chest pain (angina) in people that have a certain heart condition (coronary artery disease). Show more ▾

It may also be used before physical activities (such as exercise, sexual activity) to help prevent chest pain. Nitroglycerin belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.

In 2024, this provider wrote 16 Medicare prescriptions for Nitroglycerin, about half the volume of the typical Puerto Rico prescriber of this medication (33.7). Medicare paid an average of $11.96 per fill, versus $13.49 statewide.

How often this provider prescribes it

This provider
16
PR average
33.7

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

What Medicare paid per fill

This provider
$11.96
PR average
$13.49

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

16
30-Day Fills
standardized to 30-day supplies
147
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 16 Medicare prescriptions for Ramipril, about half the volume of the typical Puerto Rico prescriber of this medication (36.7). Medicare paid an average of $16.88 per fill, versus $11.20 statewide.

How often this provider prescribes it

This provider
16
PR average
36.7

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

What Medicare paid per fill

This provider
$16.88
PR average
$11.20

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

38
30-Day Fills
standardized to 30-day supplies
1,140
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 15 Medicare prescriptions for Atenolol, about a third of the volume of the typical Puerto Rico prescriber of this medication (46.3). Medicare paid an average of $12.38 per fill, versus $6.89 statewide.

How often this provider prescribes it

This provider
15
PR average
46.3

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

What Medicare paid per fill

This provider
$12.38
PR average
$6.89

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

43
30-Day Fills
standardized to 30-day supplies
1,290
Days of Medication
total across all patients in 2024

About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾

It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). 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. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION.

In 2024, this provider wrote 14 Medicare prescriptions for Valsartan, about a third of the volume of the typical Puerto Rico prescriber of this medication (43.8). Medicare paid an average of $41.06 per fill, versus $30.51 statewide.

How often this provider prescribes it

This provider
14
PR average
43.8

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

What Medicare paid per fill

This provider
$41.06
PR average
$30.51

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

42
30-Day Fills
standardized to 30-day supplies
1,260
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 14 Medicare prescriptions for Alendronate Sodium, about 12% of the volume of the typical Puerto Rico prescriber of this medication (117.8). Medicare paid an average of $8.38 per fill, versus $7.83 statewide.

How often this provider prescribes it

This provider
14
PR average
117.8

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

What Medicare paid per fill

This provider
$8.38
PR average
$7.83

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

32
30-Day Fills
standardized to 30-day supplies
952
Days of Medication
total across all patients in 2024

About Warfarin Sodium: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾

Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a "blood thinner," but the more correct term is "anticoagulant." It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide.

In 2024, this provider wrote 14 Medicare prescriptions for Warfarin Sodium, about a third of the volume of the typical Puerto Rico prescriber of this medication (34.3). Medicare paid an average of $17.20 per fill, versus $9.06 statewide.

How often this provider prescribes it

This provider
14
PR average
34.3

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

What Medicare paid per fill

This provider
$17.20
PR average
$9.06

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

34
30-Day Fills
standardized to 30-day supplies
1,020
Days of Medication
total across all patients in 2024

About Risedronate Sodium: Risedronate 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 take corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss to help maintain strong bones and reduces the risk of broken bones (fractures). Risedronate belongs to a class of medications called bisphosphonates. A pyridine and diphosphonic acid derivative that acts as a CALCIUM CHANNEL BLOCKER and inhibits BONE RESORPTION.

In 2024, this provider wrote 14 Medicare prescriptions for Risedronate Sodium, about a third of the volume of the typical Puerto Rico prescriber of this medication (33.5). Medicare paid an average of $48.18 per fill, versus $60.79 statewide.

How often this provider prescribes it

This provider
14
PR average
33.5

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

What Medicare paid per fill

This provider
$48.18
PR average
$60.79

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

17.6
30-Day Fills
standardized to 30-day supplies
528
Days of Medication
total across all patients in 2024

About Propranolol Hcl: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. Show more ▾

It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. 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 effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs.

In 2024, this provider wrote 12 Medicare prescriptions for Propranolol Hcl, about half the volume of the typical Puerto Rico prescriber of this medication (26.4). Medicare paid an average of $29.91 per fill, versus $15.62 statewide.

How often this provider prescribes it

This provider
12
PR average
26.4

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

What Medicare paid per fill

This provider
$29.91
PR average
$15.62

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

30
30-Day Fills
standardized to 30-day supplies
900
Days of Medication
total across all patients in 2024

About Sildenafil Citrate: Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). Show more ▾

In combination with sexual stimulation, sildenafil works by increasing blood flow to the penis to help a person get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). To decrease your risk of infection, always use an effective barrier method (latex or polyurethane condom/dental dams) during all sexual activity. Consult your doctor or pharmacist for more details. A PHOSPHODIESTERASE TYPE-5 INHIBITOR; VASODILATOR AGENT and UROLOGICAL AGENT that is used in the treatment of ERECTILE DYSFUNCTION and PRIMARY PULMONARY HYPERTENSION.

In 2024, this provider wrote 11 Medicare prescriptions for Sildenafil Citrate, about a third of the volume of the typical Puerto Rico prescriber of this medication (29.9). Medicare paid an average of $8.46 per fill, versus $20.30 statewide.

How often this provider prescribes it

This provider
11
PR average
29.9

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

What Medicare paid per fill

This provider
$8.46
PR average
$20.30

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

11
30-Day Fills
standardized to 30-day supplies
192
Days of Medication
total across all patients in 2024

About Mesalamine Dr: 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 2024, this provider wrote 11 Medicare prescriptions for Mesalamine Dr, about 64% of the volume of the typical Puerto Rico prescriber of this medication (17.2). Medicare paid an average of $168.38 per fill, versus $294.41 statewide.

How often this provider prescribes it

This provider
11
PR average
17.2

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

What Medicare paid per fill

This provider
$168.38
PR average
$294.41

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2024

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. AMANTADINE derivative that has some dopaminergic effects. It has been proposed as an antiparkinson agent.

In 2024, this provider wrote 11 Medicare prescriptions for Memantine Hcl, about 12% of the volume of the typical Puerto Rico prescriber of this medication (90.2). Medicare paid an average of $17.78 per fill, versus $17.21 statewide.

How often this provider prescribes it

This provider
11
PR average
90.2

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

What Medicare paid per fill

This provider
$17.78
PR average
$17.21

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

19
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2024

About Diovan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾

It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). 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. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION.

In 2024, this provider wrote 11 Medicare prescriptions for Diovan, about 82% of the volume of the typical Puerto Rico prescriber of this medication (13.5). Medicare paid an average of $281.40 per fill, versus $359.80 statewide.

How often this provider prescribes it

This provider
11
PR average
13.5

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

What Medicare paid per fill

This provider
$281.40
PR average
$359.80

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

11
30-Day Fills
standardized to 30-day supplies
330
Days of Medication
total across all patients in 2024
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 PR prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the PR average cost per fill.

About this data. The prescription history for DR. ROBERT A ENGEL MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Cardiovascular Disease prescribing approach at this Juana Diaz, PR practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among PR prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.