DR. IDA SIM MD
Prescription History 1770547721
Internal Medicine in San Francisco, CA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. IDA SIM MD, an active Internal Medicine specialist practicing in San Francisco, CA. Our medical registry currently tracks 40 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 919 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 96 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 | Claims | 30-Day Fills | Days Supply | Cost / Claim | Utilization vs CA Avg |
|---|---|---|---|---|---|
| Atorvastatin Calcium | 96 | 278.0 | 8,340 | $18.77 | ▼ Below Avg. Top Prescribed |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 278.0 30-Day Fills 8,340 Days Supply 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. | |||||
| Levothyroxine Sodium | 53 | 121.2 | 3,589 | $9.67▼ below CA avg | ▼ Below Avg. Top Prescribed |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 121.2 30-Day Fills 3,589 Days Supply 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. | |||||
| Metoprolol Succinate | 48 | 144.0 | 4,320 | $32.22 | ▼ Below Avg. Top Prescribed |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 144.0 30-Day Fills 4,320 Days Supply 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. | |||||
| Metformin Hcl | 48 | 144.0 | 4,320 | $23.46 | ▼ Below Avg. Top Prescribed |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 144.0 30-Day Fills 4,320 Days Supply 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) | |||||
| Benazepril Hcl | 39 | 115.0 | 3,450 | $29.66 | ≈ Typical |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 115.0 30-Day Fills 3,450 Days Supply About Benazepril Hcl: Benazepril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Benazepril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. | |||||
| Amlodipine Besylate | 39 | 114.0 | 3,420 | $20.01 | ▼ Below Avg. Top Prescribed |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 114.0 30-Day Fills 3,420 Days Supply 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. | |||||
| Tamsulosin Hcl | 35 | 73.0 | 2,162 | $23.12 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 73.0 30-Day Fills 2,162 Days Supply 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. | |||||
| Finasteride | 34 | 74.0 | 2,192 | $22.58 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 74.0 30-Day Fills 2,192 Days Supply About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. | |||||
| Alendronate Sodium | 30 | 73.2 | 2,174 | $15.05 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 73.2 30-Day Fills 2,174 Days Supply 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. | |||||
| Simvastatin | 29 | 77.0 | 2,310 | $15.65 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 77.0 30-Day Fills 2,310 Days Supply 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. | |||||
| Pravastatin Sodium | 25 | 57.0 | 1,710 | $28.17 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 57.0 30-Day Fills 1,710 Days Supply About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). | |||||
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 23 | 49.0 | 1,450 | $36.84▼ below CA avg | ≈ Typical |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 49.0 30-Day Fills 1,450 Days Supply About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. | |||||
| Pantoprazole Sodium | 22 | 64.0 | 1,920 | $24.13 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 64.0 30-Day Fills 1,920 Days Supply 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. | |||||
| EliquisApixaban | 21 | 35.0 | 1,022 | $972.12 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 35.0 30-Day Fills 1,022 Days Supply 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. | |||||
| Losartan Potassium | 20 | 60.0 | 1,800 | $32.70 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 60.0 30-Day Fills 1,800 Days Supply 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. | |||||
| Furosemide | 20 | 56.3 | 1,674 | $8.65 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 56.3 30-Day Fills 1,674 Days Supply 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. | |||||
| Famotidine | 19 | 38.0 | 1,130 | $130.62 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 38.0 30-Day Fills 1,130 Days Supply 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. | |||||
| Montelukast Sodium | 18 | 26.0 | 752 | $10.77▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 26.0 30-Day Fills 752 Days Supply 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. | |||||
| Gabapentin | 18 | 42.0 | 1,260 | $22.60 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 42.0 30-Day Fills 1,260 Days Supply 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. | |||||
| Metoprolol Tartrate | 18 | 54.0 | 1,620 | $12.14 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 54.0 30-Day Fills 1,620 Days Supply 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. | |||||
| Omeprazole | 17 | 51.0 | 1,530 | $25.53 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 51.0 30-Day Fills 1,530 Days Supply 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. | |||||
| Lisinopril | 16 | 46.0 | 1,380 | $12.92 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 46.0 30-Day Fills 1,380 Days Supply 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. | |||||
| Fluticasone Propionate | 16 | 40.0 | 1,200 | $30.64 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 40.0 30-Day Fills 1,200 Days Supply About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾ Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. | |||||
| Diclofenac Sodium | 16 | 17.2 | 356 | $29.20▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 17.2 30-Day Fills 356 Days Supply About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. | |||||
| Carvedilol | 15 | 28.0 | 840 | $13.18 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 28.0 30-Day Fills 840 Days Supply 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. | |||||
| Terazosin Hcl | 15 | 45.0 | 1,350 | $42.42 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 45.0 30-Day Fills 1,350 Days Supply About Terazosin Hcl: Terazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Terazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Terazosin belongs to a class of drugs known as alpha blockers. | |||||
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 14 | 14.0 | 420 | $689.85▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 14.0 30-Day Fills 420 Days Supply About Trelegy Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾ Controlling symptoms of breathing problems helps you stay active. This inhaler contains 3 medications: fluticasone, umeclidinium, and vilanterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling of the airways in the lungs to make breathing easier. Umeclidinium belongs to a class of drugs known as anticholinergics and vilanterol is a LABA medication. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Both drugs are also known as bronchodilators. When used alone, long-acting beta agonists (such as vilanterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination products containing both an inhaled corticosteroid and long-acting beta agonist, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with two asthma-control medications (such as inhaled corticosteroid and long-acting beta agonist) or if your symptoms need combination treatment. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden shortness of breath. If sudden breathing problems occur, use your quick-relief inhaler as prescribed. | |||||
| Metoclopramide Hcl | 13 | 15.0 | 378 | $26.25 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 15.0 30-Day Fills 378 Days Supply About Metoclopramide Hcl: Metoclopramide is used by diabetic patients who have poor emptying of their stomachs (gastroparesis). Show more ▾ Treating gastroparesis can decrease symptoms of nausea, vomiting, and stomach/abdominal fullness. Metoclopramide works by blocking a natural substance (dopamine). It speeds up stomach emptying and movement of the upper intestines. This drug is not recommended for use in children due to an increased risk of serious side effects (such as muscle spasms/uncontrolled muscle movements). Ask the doctor or pharmacist for details. A dopamine D2 antagonist that is used as an antiemetic. | |||||
| JardianceEmpagliflozin | 13 | 35.0 | 1,050 | $1,725.83 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 35.0 30-Day Fills 1,050 Days Supply 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. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. | |||||
| Tramadol Hcl | 13 | 13.0 | 261 | $17.35 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 13.0 30-Day Fills 261 Days Supply About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. | |||||
| Cabergoline | 12 | 12.0 | 337 | $20.40▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 12.0 30-Day Fills 337 Days Supply About Cabergoline: This medication is used to treat high levels of prolactin hormone in your body. Show more ▾ High levels of prolactin in women can cause symptoms such as unwanted breast milk and missed periods and can cause difficulty becoming pregnant. High levels of prolactin in men can cause symptoms such as enlarged breasts and decreased sexual ability/desire. Cabergoline is an ergot medication and works by blocking the release of prolactin from the pituitary gland. An ergoline derivative and dopamine D2-agonist that inhibits PROLACTIN secretion. It is used in the management of HYPERPROLACTINEMIA, and to suppress lactation following childbirth for medical reasons. Cabergoline is also used in the management of PARKINSON DISEASE. | |||||
| Nitroglycerin | 12 | 14.2 | 390 | $36.78 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 14.2 30-Day Fills 390 Days Supply About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication 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. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. | |||||
| Clonidine | 12 | 19.2 | 560 | $245.38 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 19.2 30-Day Fills 560 Days Supply About Clonidine: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION. | |||||
| Hydrochlorothiazide | 12 | 36.0 | 1,080 | $3.55▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 36.0 30-Day Fills 1,080 Days Supply 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. | |||||
| ClopidogrelClopidogrel Bisulfate | 12 | 36.0 | 1,080 | $16.79▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 36.0 30-Day Fills 1,080 Days Supply 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. | |||||
| Metformin Hcl ErMetformin Hcl | 12 | 26.0 | 780 | $12.58 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 26.0 30-Day Fills 780 Days Supply About Metformin Hcl Er: 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) | |||||
| Propranolol Hcl | 11 | 11.0 | 330 | $31.20 | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average Gross Part D cost per claim; not the patient's out-of-pocket price. 11.0 30-Day Fills 330 Days Supply 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. | |||||
| Synjardy XrEmpagliflozin/Metformin Hcl | 11 | 11.0 | 330 | $634.64▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 11.0 30-Day Fills 330 Days Supply About Synjardy Xr: This medication is a combination of 2 drugs: empagliflozin and metformin. Show more ▾ It is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication works by helping to restore your body's proper response to the insulin you naturally produce. It also increases the removal of sugar by your kidneys, decreases how much sugar is made in your liver, and decreases how much sugar your body takes in through your stomach and intestines. | |||||
| Azelastine Hcl | 11 | 19.0 | 559 | $34.85▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 19.0 30-Day Fills 559 Days Supply About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾ Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms. | |||||
| Felodipine ErFelodipine | 11 | 13.0 | 390 | $18.43▼ below CA avg | ▼ Below Avg. |
Utilization: claims vs the average CA prescriber Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the CA average This provider's average cost per claim is below the CA average for this medication. 13.0 30-Day Fills 390 Days Supply About Felodipine Er: Felodipine is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Felodipine is known as a calcium channel blocker. By blocking calcium, this medication relaxes and widens blood vessels so blood can flow more easily. A dihydropyridine calcium antagonist with positive inotropic effects. It lowers blood pressure by reducing peripheral vascular resistance through a highly selective action on smooth muscle in arteriolar resistance vessels. | |||||
About this data. The prescription history for DR. IDA SIM MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Internal Medicine prescribing approach at this San Francisco, CA practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among CA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.