MRS. DANIELLE NICOLE COSTABILE PA
Prescription History 1801567821
Physician Assistant in Annapolis, MD

Active since September 21, 2021PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
116 DEFENSE HWY STE 102, ANNAPOLIS, MD 21401(888) 820-3376 Get Directions

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Sep 21, 2021 (2 updates tracked since 2021).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MRS. DANIELLE NICOLE COSTABILE PA, an active Physician Assistant specialist practicing in Annapolis, MD. Our medical registry currently tracks 25 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 773 documented patient claims. Among these therapy options, the most frequently utilized medication is Mometasone Furoate, which accounts for 100 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.

25
Medications
773
Total Claims
861
30-Day Fills
Mometasone Furoate
Most Prescribed · 100 claims
View details
25 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by MRS. DANIELLE NICOLE COSTABILE PA in 2023, with prescription volumes, average cost per fill, and MD state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other MD PrescribersVs. MD Avg

About Mometasone Furoate: Mometasone is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. Show more ▾

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. Mometasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Controlling symptoms of breathing problems can decrease time lost from work or school. A pregnadienediol derivative ANTI-ALLERGIC AGENT and ANTI-INFLAMMATORY AGENT that is used in the management of ASTHMA and ALLERGIC RHINITIS. It is also used as a topical treatment for skin disorders.

In 2023, this provider wrote 100 Medicare prescriptions for Mometasone Furoate, about 4.3 times the volume of the typical Maryland prescriber of this medication (23). Medicare paid an average of $22.61 per fill, versus $64.53 statewide.

How often this provider prescribes it

This provider
100
MD average
23.0

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

What Medicare paid per fill

This provider
$22.61
MD average
$64.53

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

101
30-Day Fills
standardized to 30-day supplies
2,464
Days of Medication
total across all patients in 2023

About Levocetirizine Dihydrochloride: Levocetirizine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, and sneezing. Show more ▾

It is also used to relieve itching and hives. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Levocetirizine does not prevent hives or prevent/treat a serious allergic reaction (such as anaphylaxis). If your doctor has prescribed epinephrine to treat allergic reactions, always carry your epinephrine injector with you. Do not use levocetirizine in place of your epinephrine.

In 2023, this provider wrote 83 Medicare prescriptions for Levocetirizine Dihydrochloride, about 2.9 times the volume of the typical Maryland prescriber of this medication (29). Medicare paid an average of $21.45 per fill, versus $23.65 statewide.

How often this provider prescribes it

This provider
83
MD average
29.0

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

What Medicare paid per fill

This provider
$21.45
MD average
$23.65

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

121
30-Day Fills
standardized to 30-day supplies
3,551
Days of Medication
total across all patients in 2023

About Ketoconazole: This medication is used to control dandruff. Show more ▾

Use of this medication may help to relieve the flaking, scaling and itching associated with dandruff. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Ketoconazole 2% shampoo is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients.

In 2023, this provider wrote 77 Medicare prescriptions for Ketoconazole, about 2 times the volume of the typical Maryland prescriber of this medication (38). Medicare paid an average of $23.95 per fill, versus $27.28 statewide.

How often this provider prescribes it

This provider
77
MD average
38.0

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

What Medicare paid per fill

This provider
$23.95
MD average
$27.28

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

79
30-Day Fills
standardized to 30-day supplies
1,827
Days of Medication
total across all patients in 2023

About Clobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Show more ▾

Clobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high-potency) corticosteroid. A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression.

In 2023, this provider wrote 50 Medicare prescriptions for Clobetasol Propionate, about 1.4 times the volume of the typical Maryland prescriber of this medication (35). Medicare paid an average of $90.84 per fill, versus $70.77 statewide.

How often this provider prescribes it

This provider
50
MD average
35.0

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

What Medicare paid per fill

This provider
$90.84
MD average
$70.77

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

50
30-Day Fills
standardized to 30-day supplies
1,104
Days of Medication
total across all patients in 2023

About Ammonium Lactate: This medication is used to treat dry, scaly skin conditions (such as xerosis, ichthyosis vulgaris) and can also help relieve itching from these conditions. Show more ▾

This medication works by increasing the moisture in the skin. A normal intermediate in the fermentation (oxidation, metabolism) of sugar. The concentrated form is used internally to prevent gastrointestinal fermentation. (From Stedman, 26th ed)

In 2023, this provider wrote 49 Medicare prescriptions for Ammonium Lactate, about 1.6 times the volume of the typical Maryland prescriber of this medication (30). Medicare paid an average of $25.47 per fill, versus $24.67 statewide.

How often this provider prescribes it

This provider
49
MD average
30.0

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

What Medicare paid per fill

This provider
$25.47
MD average
$24.67

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

59.8
30-Day Fills
standardized to 30-day supplies
1,739
Days of Medication
total across all patients in 2023

About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾

It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing.

In 2023, this provider wrote 47 Medicare prescriptions for Mupirocin, about 1.6 times the volume of the typical Maryland prescriber of this medication (29). Medicare paid an average of $8.28 per fill, versus $9.77 statewide.

How often this provider prescribes it

This provider
47
MD average
29.0

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

What Medicare paid per fill

This provider
$8.28
MD average
$9.77

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

47
30-Day Fills
standardized to 30-day supplies
680
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 45 Medicare prescriptions for Triamcinolone Acetonide, about 1.3 times the volume of the typical Maryland prescriber of this medication (34). Medicare paid an average of $17.97 per fill, versus $13.51 statewide.

How often this provider prescribes it

This provider
45
MD average
34.0

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

What Medicare paid per fill

This provider
$17.97
MD average
$13.51

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

47.4
30-Day Fills
standardized to 30-day supplies
1,215
Days of Medication
total across all patients in 2023

About Hydrocortisone: Hydrocortisone is a man-made version of a natural substance (cortisol) made by the adrenal gland. Show more ▾

This drug is used to treat low cortisol levels caused by diseases of the adrenal gland (such as Addison's disease, adrenocortical insufficiency). Hydrocortisone belongs to a class of drugs known as corticosteroids. Corticosteroids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions.

In 2023, this provider wrote 34 Medicare prescriptions for Hydrocortisone, about 1.4 times the volume of the typical Maryland prescriber of this medication (25). Medicare paid an average of $6.46 per fill, versus $20.38 statewide.

How often this provider prescribes it

This provider
34
MD average
25.0

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

What Medicare paid per fill

This provider
$6.46
MD average
$20.38

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

36
30-Day Fills
standardized to 30-day supplies
756
Days of Medication
total across all patients in 2023

About Imiquimod: This medication is used to treat certain types of growths on the skin. Show more ▾

These are precancerous growths (actinic keratoses), a certain type of skin cancer (superficial basal cell carcinoma), and warts on the outside of the genitals/anus. Treating these conditions can decrease complications from them. Imiquimod belongs to a group of drugs called immune response modifiers. It is believed to work by helping to activate your immune system to fight these abnormal skin growths. This product is not recommended for use on children under 12 years of age unless specifically directed by your doctor. A topically-applied aminoquinoline immune modulator that induces interferon production. It is used in the treatment of external genital and perianal warts, superficial CARCINOMA, BASAL CELL; and ACTINIC KERATOSIS.

In 2023, this provider wrote 30 Medicare prescriptions for Imiquimod, about the same volume as the typical Maryland prescriber of this medication (30). Medicare paid an average of $55.09 per fill, versus $45.33 statewide.

How often this provider prescribes it

This provider
30
MD average
30.0

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

What Medicare paid per fill

This provider
$55.09
MD average
$45.33

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

30
30-Day Fills
standardized to 30-day supplies
665
Days of Medication
total across all patients in 2023

About Nystatin: Nystatin is used to treat fungal skin infections. Show more ▾

Nystatin is an antifungal that works by stopping the growth of fungus. Macrolide antifungal antibiotic complex produced by Streptomyces noursei, S. aureus, and other Streptomyces species. The biologically active components of the complex are nystatin A1, A2, and A3.

In 2023, this provider wrote 29 Medicare prescriptions for Nystatin, about 1.3 times the volume of the typical Maryland prescriber of this medication (22). Medicare paid an average of $17.37 per fill, versus $24.13 statewide.

How often this provider prescribes it

This provider
29
MD average
22.0

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

What Medicare paid per fill

This provider
$17.37
MD average
$24.13

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

29
30-Day Fills
standardized to 30-day supplies
497
Days of Medication
total across all patients in 2023

About Tretinoin: This medication is used to treat acne. Show more ▾

It may decrease the number and severity of acne pimples and promote quick healing of pimples that do develop. Tretinoin belongs to a class of medications called retinoids. It works by affecting the growth of skin cells. An important regulator of GENE EXPRESSION during growth and development, and in NEOPLASMS. Tretinoin, also known as retinoic acid and derived from maternal VITAMIN A, is essential for normal GROWTH; and EMBRYONIC DEVELOPMENT. An excess of tretinoin can be teratogenic. It is used in the treatment of PSORIASIS; ACNE VULGARIS; and several other SKIN DISEASES. It has also been approved for use in promyelocytic leukemia (LEUKEMIA, PROMYELOCYTIC, ACUTE).

In 2023, this provider wrote 25 Medicare prescriptions for Tretinoin, about 1.3 times the volume of the typical Maryland prescriber of this medication (19). Medicare paid an average of $104.69 per fill, versus $102.06 statewide.

How often this provider prescribes it

This provider
25
MD average
19.0

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

What Medicare paid per fill

This provider
$104.69
MD average
$102.06

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

27
30-Day Fills
standardized to 30-day supplies
787
Days of Medication
total across all patients in 2023

About Clindamycin Phosphate: This medication is used to treat a certain type of vaginal infection (bacterial vaginosis) in women who are not pregnant. Show more ▾

Clindamycin is an antibiotic which works by stopping the growth of bacteria.

In 2023, this provider wrote 22 Medicare prescriptions for Clindamycin Phosphate, about the same volume as the typical Maryland prescriber of this medication (23). Medicare paid an average of $36.70 per fill, versus $57.69 statewide.

How often this provider prescribes it

This provider
22
MD average
23.0

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

What Medicare paid per fill

This provider
$36.70
MD average
$57.69

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

22
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2023

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

This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity.

In 2023, this provider wrote 20 Medicare prescriptions for Doxycycline Hyclate, about 77% of the volume of the typical Maryland prescriber of this medication (26). Medicare paid an average of $35.63 per fill, versus $26.41 statewide.

How often this provider prescribes it

This provider
20
MD average
26.0

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

What Medicare paid per fill

This provider
$35.63
MD average
$26.41

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

28.3
30-Day Fills
standardized to 30-day supplies
811
Days of Medication
total across all patients in 2023

About Econazole Nitrate: Econazole is used to treat a variety of fungal skin infections such as athlete's foot, jock itch, and ringworm. Show more ▾

This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Econazole is an azole antifungal that works by preventing the growth of fungus. An imidazole derivative that is commonly used as a topical antifungal agent.

In 2023, this provider wrote 18 Medicare prescriptions for Econazole Nitrate, about the same volume as the typical Maryland prescriber of this medication (20). Medicare paid an average of $35.15 per fill, versus $39.43 statewide.

How often this provider prescribes it

This provider
18
MD average
20.0

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

What Medicare paid per fill

This provider
$35.15
MD average
$39.43

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

18
30-Day Fills
standardized to 30-day supplies
487
Days of Medication
total across all patients in 2023

About Minocycline Hcl: This medication is used to treat acne or rosacea. Show more ▾

Minocycline belongs to a class of drugs known as tetracycline antibiotics. However, it is not used to treat skin infections. It helps decrease pimples and red bumps that happen with acne or rosacea. A TETRACYCLINE analog, having a 7-dimethylamino and lacking the 5 methyl and hydroxyl groups, which is effective against tetracycline-resistant STAPHYLOCOCCUS infections.

In 2023, this provider wrote 18 Medicare prescriptions for Minocycline Hcl, about 75% of the volume of the typical Maryland prescriber of this medication (24). Medicare paid an average of $36.82 per fill, versus $36.16 statewide.

How often this provider prescribes it

This provider
18
MD average
24.0

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

What Medicare paid per fill

This provider
$36.82
MD average
$36.16

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

20.9
30-Day Fills
standardized to 30-day supplies
594
Days of Medication
total across all patients in 2023

About Doxycycline Monohydrate: This medication is used to treat a certain type of skin condition called rosacea. Show more ▾

It helps to reduce the number of pimples and bumps on the face, but it may not decrease redness. It works by reducing skin inflammation caused by rosacea. Although doxycycline belongs to the class of antibiotics known as tetracyclines, this product does not work as an antibiotic because it does not stop the growth of bacteria. Do not use this product to treat any infection, including viral infections (such as the common cold, flu). Use this medication only as prescribed by your doctor. A plant family of the order Dipsacales, subclass Asteridae, class Magnoliopsida. Members of this family are sometimes classified in CAPRIFOLIACEAE.

In 2023, this provider wrote 16 Medicare prescriptions for Doxycycline Monohydrate, about 67% of the volume of the typical Maryland prescriber of this medication (24). Medicare paid an average of $16.72 per fill, versus $22.23 statewide.

How often this provider prescribes it

This provider
16
MD average
24.0

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

What Medicare paid per fill

This provider
$16.72
MD average
$22.23

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

16
30-Day Fills
standardized to 30-day supplies
174
Days of Medication
total across all patients in 2023

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

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

In 2023, this provider wrote 14 Medicare prescriptions for Prednisone, about a third of the volume of the typical Maryland prescriber of this medication (39). Medicare paid an average of $11.84 per fill, versus $7.04 statewide.

How often this provider prescribes it

This provider
14
MD average
39.0

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

What Medicare paid per fill

This provider
$11.84
MD average
$7.04

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

16.8
30-Day Fills
standardized to 30-day supplies
478
Days of Medication
total across all patients in 2023

About Azelaic Acid: This medication is used to treat a certain skin condition called rosacea. Show more ▾

It helps to reduce the number of inflamed skin lesions.

In 2023, this provider wrote 13 Medicare prescriptions for Azelaic Acid, about 65% of the volume of the typical Maryland prescriber of this medication (20). Medicare paid an average of $230.37 per fill, versus $150.26 statewide.

How often this provider prescribes it

This provider
13
MD average
20.0

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

What Medicare paid per fill

This provider
$230.37
MD average
$150.26

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

13
30-Day Fills
standardized to 30-day supplies
350
Days of Medication
total across all patients in 2023

About Doxepin Hcl: This medication is used to treat mental/mood problems such as depression and anxiety. Show more ▾

It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters) in the brain.

In 2023, this provider wrote 13 Medicare prescriptions for Doxepin Hcl, about half the volume of the typical Maryland prescriber of this medication (22). Medicare paid an average of $10.16 per fill, versus $60.67 statewide.

How often this provider prescribes it

This provider
13
MD average
22.0

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

What Medicare paid per fill

This provider
$10.16
MD average
$60.67

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

14
30-Day Fills
standardized to 30-day supplies
420
Days of Medication
total across all patients in 2023

About Halobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, psoriasis, rash). Show more ▾

Halobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high potency) corticosteroid.

In 2023, this provider wrote 13 Medicare prescriptions for Halobetasol Propionate, about 62% of the volume of the typical Maryland prescriber of this medication (21). Medicare paid an average of $74.60 per fill, versus $96.95 statewide.

How often this provider prescribes it

This provider
13
MD average
21.0

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

What Medicare paid per fill

This provider
$74.60
MD average
$96.95

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

13
30-Day Fills
standardized to 30-day supplies
262
Days of Medication
total across all patients in 2023

About Clotrimazole-Betamethasone: This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Show more ▾

This product contains 2 medications. Clotrimazole is an azole antifungal that works by preventing the growth of fungus. Betamethasone is a strong corticosteroid that works by reducing the swelling, redness, and itching that occurs in the skin infection. This medication is not recommended for children younger than 17 years or for diaper rash.

In 2023, this provider wrote 12 Medicare prescriptions for Clotrimazole-Betamethasone, about 63% of the volume of the typical Maryland prescriber of this medication (19). Medicare paid an average of $37.42 per fill, versus $33.52 statewide.

How often this provider prescribes it

This provider
12
MD average
19.0

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

What Medicare paid per fill

This provider
$37.42
MD average
$33.52

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

12
30-Day Fills
standardized to 30-day supplies
325
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 12 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Maryland prescriber of this medication (31). Medicare paid an average of $17.40 per fill, versus $13.78 statewide.

How often this provider prescribes it

This provider
12
MD average
31.0

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

What Medicare paid per fill

This provider
$17.40
MD average
$13.78

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

26
30-Day Fills
standardized to 30-day supplies
780
Days of Medication
total across all patients in 2023

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

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2023, this provider wrote 11 Medicare prescriptions for Cephalexin, about half the volume of the typical Maryland prescriber of this medication (24). Medicare paid an average of $34.67 per fill, versus $9.65 statewide.

How often this provider prescribes it

This provider
11
MD average
24.0

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

What Medicare paid per fill

This provider
$34.67
MD average
$9.65

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

11
30-Day Fills
standardized to 30-day supplies
129
Days of Medication
total across all patients in 2023

About Fluorouracil: Fluorouracil is used to treat various types of cancer. Show more ▾

It is a chemotherapy drug that is used to slow or stop cancer cell growth. A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid.

In 2023, this provider wrote 11 Medicare prescriptions for Fluorouracil, about a third of the volume of the typical Maryland prescriber of this medication (29). Medicare paid an average of $86.66 per fill, versus $96.53 statewide.

How often this provider prescribes it

This provider
11
MD average
29.0

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

What Medicare paid per fill

This provider
$86.66
MD average
$96.53

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

11.9
30-Day Fills
standardized to 30-day supplies
334
Days of Medication
total across all patients in 2023

About Tazarotene: This medication is used to treat certain skin conditions, including psoriasis and acne. Show more ▾

Different brands, dosage forms, and strengths are approved for different uses, so be sure to check the uses for your brand, dosage form, and strength of this medication. Tazarotene is a retinoid product related to Vitamin A. It is thought to work by affecting skin cell growth. For the best effect, this medication should be used with a total skin care program.

In 2023, this provider wrote 11 Medicare prescriptions for Tazarotene, about 85% of the volume of the typical Maryland prescriber of this medication (13). Medicare paid an average of $362.66 per fill, versus $159.87 statewide.

How often this provider prescribes it

This provider
11
MD average
13.0

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

What Medicare paid per fill

This provider
$362.66
MD average
$159.87

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

11
30-Day Fills
standardized to 30-day supplies
315
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average MD prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MD average cost per fill.

About this data. The prescription history for MRS. DANIELLE NICOLE COSTABILE PA is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Physician Assistant prescribing approach at this Annapolis, MD 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 MD prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.