DR. SELOMIE MEQUANINT KEBEDE M.D
Prescription History 1801024708
Internal Medicine - Cardiovascular Disease in Fredericksburg, VA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. SELOMIE MEQUANINT KEBEDE M.D, an active Cardiovascular Disease specialist practicing in Fredericksburg, VA. Our medical registry currently tracks 44 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,337 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 369 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other VA PrescribersVs. VA Avg |
|---|---|---|---|
| Atorvastatin Calcium | 369 | $6.82▼ below VA avg | ▲ More than typical |
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 369 Medicare prescriptions for Atorvastatin Calcium, about 2.1 times the volume of the typical Virginia prescriber of this medication (175.4). Medicare paid an average of $6.82 per fill, versus $9.39 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 859.2 30-Day Fills standardized to 30-day supplies 25,610 Days of Medication total across all patients in 2024 | |||
| Metoprolol Succinate | 356 | $13.63 | ▲ More than typical |
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 356 Medicare prescriptions for Metoprolol Succinate, about 3.7 times the volume of the typical Virginia prescriber of this medication (95.1). Medicare paid an average of $13.63 per fill, versus $13.15 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 786.4 30-Day Fills standardized to 30-day supplies 23,403 Days of Medication total across all patients in 2024 | |||
| Carvedilol | 214 | $5.75▼ below VA avg | ▲ More than typical |
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 214 Medicare prescriptions for Carvedilol, about 3.4 times the volume of the typical Virginia prescriber of this medication (63.7). Medicare paid an average of $5.75 per fill, versus $8.08 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 470.8 30-Day Fills standardized to 30-day supplies 14,036 Days of Medication total across all patients in 2024 | |||
| XareltoRivaroxaban | 183 | $799.26▼ below VA avg | ▲ More than typical |
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2024, this provider wrote 183 Medicare prescriptions for Xarelto, about 5 times the volume of the typical Virginia prescriber of this medication (36.9). Medicare paid an average of $799.26 per fill, versus $955.42 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 265 30-Day Fills standardized to 30-day supplies 7,881 Days of Medication total across all patients in 2024 | |||
| EliquisApixaban | 172 | $1,107.05 | ▲ More than typical |
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 172 Medicare prescriptions for Eliquis, about 2 times the volume of the typical Virginia prescriber of this medication (84.8). Medicare paid an average of $1,107.05 per fill, versus $886.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 331.9 30-Day Fills standardized to 30-day supplies 9,892 Days of Medication total across all patients in 2024 | |||
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 168 | $8.84▼ below VA avg | ▲ More than typical |
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 168 Medicare prescriptions for Isosorbide Mononitrate Er, about 4.3 times the volume of the typical Virginia prescriber of this medication (39.3). Medicare paid an average of $8.84 per fill, versus $11.63 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 348.1 30-Day Fills standardized to 30-day supplies 10,385 Days of Medication total across all patients in 2024 | |||
| Furosemide | 168 | $2.90▼ below VA avg | ▲ More than typical |
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 168 Medicare prescriptions for Furosemide, about 2.2 times the volume of the typical Virginia prescriber of this medication (77.9). Medicare paid an average of $2.90 per fill, versus $4.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 332.3 30-Day Fills standardized to 30-day supplies 9,894 Days of Medication total across all patients in 2024 | |||
| Losartan Potassium | 159 | $7.13▼ below VA avg | ▲ More than typical |
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 159 Medicare prescriptions for Losartan Potassium, about 1.5 times the volume of the typical Virginia prescriber of this medication (106.3). Medicare paid an average of $7.13 per fill, versus $8.85 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 377.3 30-Day Fills standardized to 30-day supplies 11,248 Days of Medication total across all patients in 2024 | |||
| Lisinopril | 133 | $6.12▼ below VA avg | ▲ More than typical |
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 133 Medicare prescriptions for Lisinopril, about 1.3 times the volume of the typical Virginia prescriber of this medication (103.1). Medicare paid an average of $6.12 per fill, versus $6.16 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 320 30-Day Fills standardized to 30-day supplies 9,563 Days of Medication total across all patients in 2024 | |||
| Amlodipine Besylate | 133 | $4.33▼ below VA avg | ≈ Typical |
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 133 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Virginia prescriber of this medication (140.7). Medicare paid an average of $4.33 per fill, versus $5.81 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 287.4 30-Day Fills standardized to 30-day supplies 8,589 Days of Medication total across all patients in 2024 | |||
| Rosuvastatin Calcium | 127 | $12.82▼ below VA avg | ≈ Typical |
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 127 Medicare prescriptions for Rosuvastatin Calcium, about 1.2 times the volume of the typical Virginia prescriber of this medication (107.5). Medicare paid an average of $12.82 per fill, versus $12.97 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 302 30-Day Fills standardized to 30-day supplies 9,044 Days of Medication total across all patients in 2024 | |||
| ClopidogrelClopidogrel Bisulfate | 120 | $8.11▼ below VA avg | ▲ More than typical |
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 120 Medicare prescriptions for Clopidogrel, about 2.4 times the volume of the typical Virginia prescriber of this medication (49.5). Medicare paid an average of $8.11 per fill, versus $11.21 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 259 30-Day Fills standardized to 30-day supplies 7,754 Days of Medication total across all patients in 2024 | |||
| Metoprolol Tartrate | 107 | $6.26▼ below VA avg | ▲ More than typical |
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 107 Medicare prescriptions for Metoprolol Tartrate, about 1.8 times the volume of the typical Virginia prescriber of this medication (61.1). Medicare paid an average of $6.26 per fill, versus $6.35 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 271.4 30-Day Fills standardized to 30-day supplies 8,133 Days of Medication total across all patients in 2024 | |||
| Repatha SureclickEvolocumab | 72 | $1,035.80 | ▲ More than typical |
About Repatha Sureclick: Evolocumab is used along with a proper diet to help lower "bad" cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as "statin" drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. 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. Targets PCSK9. In 2024, this provider wrote 72 Medicare prescriptions for Repatha Sureclick, about 2.3 times the volume of the typical Virginia prescriber of this medication (31.5). Medicare paid an average of $1,035.80 per fill, versus $931.49 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 136.6 30-Day Fills standardized to 30-day supplies 4,031 Days of Medication total across all patients in 2024 | |||
| Spironolactone | 72 | $7.21▼ below VA avg | ▲ More than typical |
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 72 Medicare prescriptions for Spironolactone, about 1.6 times the volume of the typical Virginia prescriber of this medication (44.8). Medicare paid an average of $7.21 per fill, versus $8.44 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 148 30-Day Fills standardized to 30-day supplies 4,421 Days of Medication total across all patients in 2024 | |||
| Ezetimibe | 71 | $24.59 | ▲ More than typical |
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 71 Medicare prescriptions for Ezetimibe, about 1.6 times the volume of the typical Virginia prescriber of this medication (45.7). Medicare paid an average of $24.59 per fill, versus $23.80 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 147 30-Day Fills standardized to 30-day supplies 4,388 Days of Medication total across all patients in 2024 | |||
| Warfarin Sodium | 64 | $12.30 | ▲ More than typical |
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 64 Medicare prescriptions for Warfarin Sodium, about 1.8 times the volume of the typical Virginia prescriber of this medication (35.4). Medicare paid an average of $12.30 per fill, versus $8.61 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 176.8 30-Day Fills standardized to 30-day supplies 5,294 Days of Medication total across all patients in 2024 | |||
| Ranolazine ErRanolazine | 55 | $83.97▼ below VA avg | ▲ More than typical |
About Ranolazine Er: Ranolazine is used to treat a certain type of chest pain (chronic angina). Show more ▾ It decreases how often you may get chest pain and may help to increase your ability to exercise. Ranolazine works differently than other drugs for angina, so it can be used with your other angina medications (including nitrates, calcium channel blockers such as amlodipine, beta blockers such as metoprolol). It is thought to work by improving how well the heart uses oxygen so that it can do more work with less oxygen. An acetanilide and piperazine derivative that functions as a SODIUM CHANNEL BLOCKER and prevents the release of enzymes during MYOCARDIAL ISCHEMIA. It is used in the treatment of ANGINA PECTORIS. In 2024, this provider wrote 55 Medicare prescriptions for Ranolazine Er, about 2.2 times the volume of the typical Virginia prescriber of this medication (24.9). Medicare paid an average of $83.97 per fill, versus $95.67 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 99.1 30-Day Fills standardized to 30-day supplies 2,919 Days of Medication total across all patients in 2024 | |||
| Nitroglycerin | 55 | $10.62▼ below VA avg | ▲ More than typical |
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 55 Medicare prescriptions for Nitroglycerin, about 1.9 times the volume of the typical Virginia prescriber of this medication (28.8). Medicare paid an average of $10.62 per fill, versus $12.44 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 55.1 30-Day Fills standardized to 30-day supplies 637 Days of Medication total across all patients in 2024 | |||
| Hydrochlorothiazide | 46 | $4.20 | ▼ Less than typical |
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 46 Medicare prescriptions for Hydrochlorothiazide, about 61% of the volume of the typical Virginia prescriber of this medication (75). Medicare paid an average of $4.20 per fill, versus $3.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 118 30-Day Fills standardized to 30-day supplies 3,539 Days of Medication total across all patients in 2024 | |||
| EntrestoSacubitril/Valsartan | 46 | $1,206.29 | ≈ Typical |
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. An angiotensin II receptor antagonist. In 2024, this provider wrote 46 Medicare prescriptions for Entresto, about 86% of the volume of the typical Virginia prescriber of this medication (53.2). Medicare paid an average of $1,206.29 per fill, versus $1,062.46 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 86 30-Day Fills standardized to 30-day supplies 2,542 Days of Medication total across all patients in 2024 | |||
| Amiodarone Hcl | 44 | $4.60▼ below VA avg | ▲ More than typical |
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. An antianginal and class III antiarrhythmic drug. It increases the duration of ventricular and atrial muscle action by inhibiting POTASSIUM CHANNELS and VOLTAGE-GATED SODIUM CHANNELS. There is a resulting decrease in heart rate and in vascular resistance. In 2024, this provider wrote 44 Medicare prescriptions for Amiodarone Hcl, about 1.3 times the volume of the typical Virginia prescriber of this medication (35.1). Medicare paid an average of $4.60 per fill, versus $24.93 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 85 30-Day Fills standardized to 30-day supplies 2,466 Days of Medication total across all patients in 2024 | |||
| Pravastatin Sodium | 40 | $11.61 | ≈ Typical |
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). In 2024, this provider wrote 40 Medicare prescriptions for Pravastatin Sodium, about 76% of the volume of the typical Virginia prescriber of this medication (53). Medicare paid an average of $11.61 per fill, versus $11.34 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 116.9 30-Day Fills standardized to 30-day supplies 3,506 Days of Medication total across all patients in 2024 | |||
| JardianceEmpagliflozin | 33 | $866.49▼ below VA avg | ▼ Less than typical |
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 33 Medicare prescriptions for Jardiance, about 69% of the volume of the typical Virginia prescriber of this medication (47.9). Medicare paid an average of $866.49 per fill, versus $1,032.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 48.2 30-Day Fills standardized to 30-day supplies 1,445 Days of Medication total across all patients in 2024 | |||
| Torsemide | 27 | $22.54 | ≈ Typical |
About Torsemide: Torsemide 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. Torsemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION. In 2024, this provider wrote 27 Medicare prescriptions for Torsemide, about 81% of the volume of the typical Virginia prescriber of this medication (33.3). Medicare paid an average of $22.54 per fill, versus $18.31 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 43.7 30-Day Fills standardized to 30-day supplies 1,310 Days of Medication total across all patients in 2024 | |||
| Simvastatin | 27 | $6.34▼ below VA avg | ▼ Less than typical |
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 27 Medicare prescriptions for Simvastatin, about a third of the volume of the typical Virginia prescriber of this medication (67.8). Medicare paid an average of $6.34 per fill, versus $7.74 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 62.9 30-Day Fills standardized to 30-day supplies 1,878 Days of Medication total across all patients in 2024 | |||
| FenofibrateFenofibrate Nanocrystallized | 23 | $22.42▼ below VA avg | ≈ Typical |
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 23 Medicare prescriptions for Fenofibrate, about the same volume as the typical Virginia prescriber of this medication (23.9). Medicare paid an average of $22.42 per fill, versus $26.48 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 31 30-Day Fills standardized to 30-day supplies 902 Days of Medication total across all patients in 2024 | |||
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 21 | $34.83 | ▼ Less than typical |
About Diltiazem 24hr Er (Cd): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 21 Medicare prescriptions for Diltiazem 24hr Er (Cd), about 71% of the volume of the typical Virginia prescriber of this medication (29.5). Medicare paid an average of $34.83 per fill, versus $29.40 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 52 30-Day Fills standardized to 30-day supplies 1,559 Days of Medication total across all patients in 2024 | |||
| MultaqDronedarone Hcl | 21 | $1,491.52 | ≈ Typical |
About Multaq: This medication is used if you have had certain types of irregular heartbeat (paroxysmal or persistent atrial fibrillation) in the past but now have a normal heart rhythm. Show more ▾ It helps you keep a normal heart rhythm and lowers your chance of having to go to the hospital for atrial fibrillation. Dronedarone is known as an antiarrhythmic drug. This medication should not be used if you have permanent atrial fibrillation because of the increased risk of very serious side effects. See also Warning section. A non-iodinated derivative of amiodarone that is used for the treatment of ARRHYTHMIA. In 2024, this provider wrote 21 Medicare prescriptions for Multaq, about 84% of the volume of the typical Virginia prescriber of this medication (25). Medicare paid an average of $1,491.52 per fill, versus $1,382.78 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2024 | |||
| FarxigaDapagliflozin Propanediol | 20 | $742.06▼ below VA avg | ▼ Less than typical |
About Farxiga: Dapagliflozin 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. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It helps to lower the risk of death from heart disease and reduces the need of going to a doctor or hospital to treat heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 20 Medicare prescriptions for Farxiga, about half the volume of the typical Virginia prescriber of this medication (40). Medicare paid an average of $742.06 per fill, versus $945.95 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2024 | |||
| Praluent PenAlirocumab | 19 | $695.32▼ below VA avg | ≈ Typical |
About Praluent Pen: Alirocumab is used by people who have blockage in the heart blood vessels to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. Show more ▾ It is also used by people who have an inherited condition that causes high levels of LDL. Treatment with alirocumab, a proper diet, and cholesterol-lowering drugs can help lower "bad" cholesterol (LDL) in the blood. Alirocumab belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. 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. Antibody to PCSK9 to manage LDL cholesterol. In 2024, this provider wrote 19 Medicare prescriptions for Praluent Pen, about the same volume as the typical Virginia prescriber of this medication (18.3). Medicare paid an average of $695.32 per fill, versus $738.12 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 26.2 30-Day Fills standardized to 30-day supplies 756 Days of Medication total across all patients in 2024 | |||
| Potassium Chloride | 19 | $10.51▼ below VA avg | ▼ Less than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2024, this provider wrote 19 Medicare prescriptions for Potassium Chloride, about a third of the volume of the typical Virginia prescriber of this medication (55.7). Medicare paid an average of $10.51 per fill, versus $20.16 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,424 Days of Medication total across all patients in 2024 | |||
| Hydralazine Hcl | 19 | $7.86▼ below VA avg | ▼ Less than typical |
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 19 Medicare prescriptions for Hydralazine Hcl, about half the volume of the typical Virginia prescriber of this medication (37.7). Medicare paid an average of $7.86 per fill, versus $13.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 40.6 30-Day Fills standardized to 30-day supplies 1,218 Days of Medication total across all patients in 2024 | |||
| Atenolol | 16 | $4.16▼ below VA avg | ▼ Less than typical |
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 16 Medicare prescriptions for Atenolol, about half the volume of the typical Virginia prescriber of this medication (37.3). Medicare paid an average of $4.16 per fill, versus $6.73 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 43.4 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2024 | |||
| SotalolSotalol Hcl | 14 | $22.28 | ▼ Less than typical |
About Sotalol: This medication is used to treat a serious (possibly life-threatening) type of fast heartbeat called sustained ventricular tachycardia. Show more ▾ It is also used to treat certain fast/irregular heartbeats (atrial fibrillation/flutter) in patients with severe symptoms such as weakness and shortness of breath. Sotalol helps to lessen these symptoms. It slows the heart rate and helps the heart to beat more normally and regularly. This medication is both a beta blocker and an anti-arrhythmic. An adrenergic beta-antagonist that is used in the treatment of life-threatening arrhythmias. In 2024, this provider wrote 14 Medicare prescriptions for Sotalol, about half the volume of the typical Virginia prescriber of this medication (32). Medicare paid an average of $22.28 per fill, versus $17.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2024 | |||
| Repatha PushtronexEvolocumab | 12 | $590.78▼ below VA avg | ▼ Less than typical |
About Repatha Pushtronex: Evolocumab is used along with a proper diet to help lower "bad" cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as "statin" drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. 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. Targets PCSK9. In 2024, this provider wrote 12 Medicare prescriptions for Repatha Pushtronex, about half the volume of the typical Virginia prescriber of this medication (21.9). Medicare paid an average of $590.78 per fill, versus $814.61 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Repatha SyringeEvolocumab | 12 | $531.20▼ below VA avg | ▼ Less than typical |
About Repatha Syringe: Evolocumab is used along with a proper diet to help lower "bad" cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as "statin" drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to reduce the risk of heart attack, stroke, and certain types of chest pain that require treatment in a hospital. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. 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. Targets PCSK9. In 2024, this provider wrote 12 Medicare prescriptions for Repatha Syringe, about 74% of the volume of the typical Virginia prescriber of this medication (16.3). Medicare paid an average of $531.20 per fill, versus $700.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 12 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2024 | |||
| Midodrine Hcl | 12 | $61.23▼ below VA avg | ▼ Less than typical |
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. An ethanolamine derivative that is an adrenergic alpha-1 agonist. It is used as a vasoconstrictor agent in the treatment of HYPOTENSION. In 2024, this provider wrote 12 Medicare prescriptions for Midodrine Hcl, about half the volume of the typical Virginia prescriber of this medication (25.3). Medicare paid an average of $61.23 per fill, versus $80.82 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2024 | |||
| Fludrocortisone Acetate | 12 | $28.79 | ▼ Less than typical |
About Fludrocortisone Acetate: Fludrocortisone is a man-made form of a natural substance (glucocorticoid) made by the body. Show more ▾ It is used along with other medications (such as hydrocortisone) to treat low glucocorticoid levels caused by disease of the adrenal gland (such as Addison's disease, adrenocortical insufficiency, salt-losing adrenogenital syndrome). Glucocorticoids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. They are also needed to break down carbohydrates in your diet. A synthetic mineralocorticoid with anti-inflammatory activity. In 2024, this provider wrote 12 Medicare prescriptions for Fludrocortisone Acetate, about 69% of the volume of the typical Virginia prescriber of this medication (17.3). Medicare paid an average of $28.79 per fill, versus $22.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2024 | |||
| Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide | 12 | $6.04▼ below VA avg | ▼ Less than typical |
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 12 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about a third of the volume of the typical Virginia prescriber of this medication (39.3). Medicare paid an average of $6.04 per fill, versus $6.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2024 | |||
| Prasugrel Hcl | 11 | $51.63▼ below VA avg | ▼ Less than typical |
About Prasugrel Hcl: Prasugrel is used with aspirin by patients with heart disease (recent heart attack, unstable angina) who undergo a certain heart procedure (angioplasty). Show more ▾ This medication helps to prevent other serious heart/blood vessel problems (such as heart attacks, strokes, blood clots in stents). It works by blocking platelets from sticking together and prevents them from forming harmful blood clots. This "anti-platelet" effect helps to keep blood flowing smoothly in your body. A piperazine derivative and PLATELET AGGREGATION INHIBITOR that is used to prevent THROMBOSIS in patients with ACUTE CORONARY SYNDROME; UNSTABLE ANGINA and MYOCARDIAL INFARCTION, as well as in those undergoing PERCUTANEOUS CORONARY INTERVENTIONS. In 2024, this provider wrote 11 Medicare prescriptions for Prasugrel Hcl, about half the volume of the typical Virginia prescriber of this medication (22.7). Medicare paid an average of $51.63 per fill, versus $90.76 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| JantovenWarfarin Sodium | 11 | $5.78▼ below VA avg | ▼ Less than typical |
About Jantoven: 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 11 Medicare prescriptions for Jantoven, about 64% of the volume of the typical Virginia prescriber of this medication (17.3). Medicare paid an average of $5.78 per fill, versus $7.67 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2024 | |||
| Diltiazem 24hr Er (Xr)Diltiazem Hcl | 11 | $48.58 | ≈ Typical |
About Diltiazem 24hr Er (Xr): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 11 Medicare prescriptions for Diltiazem 24hr Er (Xr), about 83% of the volume of the typical Virginia prescriber of this medication (13.3). Medicare paid an average of $48.58 per fill, versus $26.01 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2024 | |||
| Dilt-XrDiltiazem Hcl | 11 | $27.63▼ below VA avg | ▼ Less than typical |
About Dilt-Xr: Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 11 Medicare prescriptions for Dilt-Xr, about 64% of the volume of the typical Virginia prescriber of this medication (17.2). Medicare paid an average of $27.63 per fill, versus $28.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the VA average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. SELOMIE MEQUANINT KEBEDE M.D 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 Fredericksburg, VA 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 VA 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.