JORGE DAVID MELENDEZ HERNANDEZ M.D.
Prescription History 1841491321
Internal Medicine - Gastroenterology in Manati, PR
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JORGE DAVID MELENDEZ HERNANDEZ M.D., an active Gastroenterology specialist practicing in Manati, PR. Our medical registry currently tracks 27 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,189 documented patient claims. Among these therapy options, the most frequently utilized medication is Omeprazole, which accounts for 443 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 PR PrescribersVs. PR Avg |
|---|---|---|---|
| Omeprazole | 443 | $6.59▼ below PR avg | ▲ More than typical |
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2024, this provider wrote 443 Medicare prescriptions for Omeprazole, about 2.8 times the volume of the typical Puerto Rico prescriber of this medication (158.3). Medicare paid an average of $6.59 per fill, versus $6.77 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the PR average for this medication. 662.2 30-Day Fills standardized to 30-day supplies 19,353 Days of Medication total across all patients in 2024 | |||
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 242 | $81.86 | ▲ More than typical |
About Sod Sulf-Potass Sulf-Mag Sulf: Sodium/potassium/magnesium sulfate solution is used to clean out the intestines before a certain bowel exam procedure (colonoscopy). Show more ▾ It is a laxative that works by drawing large amounts of water into the colon. This causes watery bowel movements. Clearing stool from the intestines helps your doctor to better examine the intestines during your procedure. In 2024, this provider wrote 242 Medicare prescriptions for Sod Sulf-Potass Sulf-Mag Sulf, about 2.3 times the volume of the typical Puerto Rico prescriber of this medication (105.1). Medicare paid an average of $81.86 per fill, versus $81.51 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 242 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| SuprepSodium, Potassium,mag Sulfates | 236 | $118.28 | ▲ More than typical |
About Suprep: Sodium/potassium/magnesium sulfate solution is used to clean out the intestines before a certain bowel exam procedure (colonoscopy). Show more ▾ It is a laxative that works by drawing large amounts of water into the colon. This causes watery bowel movements. Clearing stool from the intestines helps your doctor to better examine the intestines during your procedure. In 2024, this provider wrote 236 Medicare prescriptions for Suprep, about 1.7 times the volume of the typical Puerto Rico prescriber of this medication (135.7). Medicare paid an average of $118.28 per fill, versus $117.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 236.7 30-Day Fills standardized to 30-day supplies 421 Days of Medication total across all patients in 2024 | |||
| Famotidine | 161 | $7.43 | ≈ Typical |
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2024, this provider wrote 161 Medicare prescriptions for Famotidine, about 79% of the volume of the typical Puerto Rico prescriber of this medication (204). Medicare paid an average of $7.43 per fill, versus $7.25 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 247 30-Day Fills standardized to 30-day supplies 7,394 Days of Medication total across all patients in 2024 | |||
| Dicyclomine Hcl | 146 | $21.86 | ▲ More than typical |
About Dicyclomine Hcl: Dicyclomine is used to treat a certain type of intestinal problem called irritable bowel syndrome. Show more ▾ It helps to reduce the symptoms of stomach and intestinal cramping. This medication works by slowing the natural movements of the gut and by relaxing the muscles in the stomach and intestines. Dicyclomine belongs to a class of drugs known as anticholinergics/antispasmodics. This medication must not be used by children younger than 6 months because of the risk of serious side effects. A muscarinic antagonist used as an antispasmodic and in urinary incontinence. It has little effect on glandular secretion or the cardiovascular system. It does have some local anesthetic properties and is used in gastrointestinal, biliary, and urinary tract spasms. In 2024, this provider wrote 146 Medicare prescriptions for Dicyclomine Hcl, about 4.1 times the volume of the typical Puerto Rico prescriber of this medication (35.6). Medicare paid an average of $21.86 per fill, versus $10.44 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 146 30-Day Fills standardized to 30-day supplies 3,860 Days of Medication total across all patients in 2024 | |||
| LinzessLinaclotide | 139 | $722.56 | ▲ More than typical |
About Linzess: See also Warning section. Show more ▾ Linaclotide is used to treat certain types of bowel problems (irritable bowel syndrome with constipation, chronic idiopathic constipation, functional constipation). It works by increasing fluid in your intestines and helping speed up movement of food through the gut. Linaclotide may improve stool texture and lessen symptoms such as bloating, abdominal pain/discomfort, straining, and feelings of incomplete bowel movements. An oral guanylate cyclase C agonist linaclotide; 14 amino acid peptide. In 2024, this provider wrote 139 Medicare prescriptions for Linzess, about 3.7 times the volume of the typical Puerto Rico prescriber of this medication (37.7). Medicare paid an average of $722.56 per fill, versus $603.98 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 185 30-Day Fills standardized to 30-day supplies 5,550 Days of Medication total across all patients in 2024 | |||
| Midazolam Hcl | 109 | $2.94 | ≈ Typical |
About Midazolam Hcl: Midazolam is used before surgery or a procedure. Show more ▾ It helps to cause drowsiness, decrease anxiety, and to decrease your memory of the surgery or procedure. This medication may also be used to help with anesthesia or to sedate people who need a tube or machine to help with breathing. Midazolam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH. In 2024, this provider wrote 109 Medicare prescriptions for Midazolam Hcl, about 82% of the volume of the typical Puerto Rico prescriber of this medication (132.3). Medicare paid an average of $2.94 per fill, versus $2.81 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 109 30-Day Fills standardized to 30-day supplies 110 Days of Medication total across all patients in 2024 | |||
| Midazolam HclMidazolam Hcl/Pf | 108 | $2.83▼ below PR avg | ▼ Less than typical |
About Midazolam Hcl: Midazolam is used before surgery or a procedure. Show more ▾ It helps to cause drowsiness, decrease anxiety, and to decrease your memory of the surgery or procedure. This medication may also be used to help with anesthesia or to sedate people who need a tube or machine to help with breathing. Midazolam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. In 2024, this provider wrote 108 Medicare prescriptions for Midazolam Hcl, about 68% of the volume of the typical Puerto Rico prescriber of this medication (159.3). Medicare paid an average of $2.83 per fill, versus $2.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the PR average for this medication. 108 30-Day Fills standardized to 30-day supplies 108 Days of Medication total across all patients in 2024 | |||
| Metoclopramide Hcl | 99 | $11.16 | ▲ More than typical |
About Metoclopramide Hcl: This medication is used to treat certain conditions of the stomach and intestines. Show more ▾ Metoclopramide is used as a short-term treatment (4 to 12 weeks) for ongoing heartburn when the usual medicines do not work well enough. It is used mostly for heartburn that occurs after a meal or during the daytime. Treating ongoing heartburn can decrease the damage done by stomach acid to the swallowing tube (esophagus) and help healing. Metoclopramide is also used in diabetic patients who have poor emptying of their stomachs (gastroparesis). Treating gastroparesis can decrease symptoms of nausea, vomiting, and stomach/abdominal fullness. Metoclopramide works by blocking a natural substance (dopamine). It speeds up stomach emptying and movement of the upper intestines. This drug is not recommended for use in children due to an increased risk of serious side effects (such as muscle spasms/uncontrolled muscle movements). Ask the doctor or pharmacist for details. A dopamine D2 antagonist that is used as an antiemetic. In 2024, this provider wrote 99 Medicare prescriptions for Metoclopramide Hcl, about 2.8 times the volume of the typical Puerto Rico prescriber of this medication (35.6). Medicare paid an average of $11.16 per fill, versus $7.61 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 99.5 30-Day Fills standardized to 30-day supplies 2,983 Days of Medication total across all patients in 2024 | |||
| Pantoprazole Sodium | 80 | $9.87 | ▼ Less than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2024, this provider wrote 80 Medicare prescriptions for Pantoprazole Sodium, about half the volume of the typical Puerto Rico prescriber of this medication (142.1). Medicare paid an average of $9.87 per fill, versus $8.42 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 118.5 30-Day Fills standardized to 30-day supplies 3,555 Days of Medication total across all patients in 2024 | |||
| Sucralfate | 53 | $102.95 | ≈ Typical |
About Sucralfate: This medication is used to treat and prevent ulcers in the intestines. Show more ▾ Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly. A basic aluminum complex of sulfated sucrose. In 2024, this provider wrote 53 Medicare prescriptions for Sucralfate, about the same volume as the typical Puerto Rico prescriber of this medication (47.2). Medicare paid an average of $102.95 per fill, versus $77.98 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 53 30-Day Fills standardized to 30-day supplies 1,539 Days of Medication total across all patients in 2024 | |||
| Lansoprazole | 46 | $17.22 | ≈ Typical |
About Lansoprazole: Lansoprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Lansoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter lansoprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. Lansoprazole is not recommended for use in children younger than 1 year due to an increased risk of serious side effects. Ask the doctor or pharmacist for details. A 2,2,2-trifluoroethoxypyridyl derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. Lansoprazole is a racemic mixture of (R)- and (S)-isomers. In 2024, this provider wrote 46 Medicare prescriptions for Lansoprazole, about the same volume as the typical Puerto Rico prescriber of this medication (44.5). Medicare paid an average of $17.22 per fill, versus $14.47 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 72 30-Day Fills standardized to 30-day supplies 2,160 Days of Medication total across all patients in 2024 | |||
| Esomeprazole Magnesium | 37 | $25.88 | ≈ Typical |
About Esomeprazole Magnesium: Esomeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Esomeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter esomeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. The S-isomer of omeprazole. In 2024, this provider wrote 37 Medicare prescriptions for Esomeprazole Magnesium, about the same volume as the typical Puerto Rico prescriber of this medication (33.9). Medicare paid an average of $25.88 per fill, versus $22.61 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 51 30-Day Fills standardized to 30-day supplies 1,530 Days of Medication total across all patients in 2024 | |||
| Mesalamine | 36 | $448.24▼ below PR avg | ▲ More than typical |
About Mesalamine: This medication is used to treat a certain bowel disease (ulcerative colitis). Show more ▾ It helps to reduce symptoms of ulcerative colitis such as diarrhea, rectal bleeding, and stomach pain. Mesalamine belongs to a class of drugs known as aminosalicylates. It works by decreasing swelling in the colon. An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed) In 2024, this provider wrote 36 Medicare prescriptions for Mesalamine, about 1.8 times the volume of the typical Puerto Rico prescriber of this medication (20.4). Medicare paid an average of $448.24 per fill, versus $490.94 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the PR average for this medication. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2024 | |||
| Clarithromycin | 30 | $38.82 | ≈ Typical |
About Clarithromycin: Clarithromycin is used to treat a wide variety of bacterial infections. Show more ▾ This medication can also be used in combination with anti-ulcer medications to treat certain types of stomach ulcers. It may also be used to prevent certain bacterial infections. Clarithromycin is known as a macrolide 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 semisynthetic macrolide antibiotic derived from ERYTHROMYCIN that is active against a variety of microorganisms. It can inhibit PROTEIN SYNTHESIS in BACTERIA by reversibly binding to the 50S ribosomal subunits. This inhibits the translocation of aminoacyl transfer-RNA and prevents peptide chain elongation. In 2024, this provider wrote 30 Medicare prescriptions for Clarithromycin, about the same volume as the typical Puerto Rico prescriber of this medication (28.9). Medicare paid an average of $38.82 per fill, versus $28.31 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2024 | |||
| Amoxicillin | 28 | $13.86 | ▼ Less than typical |
About Amoxicillin: Amoxicillin is used to treat a wide variety of bacterial infections. Show more ▾ This medication is a penicillin-type 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. Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. A broad-spectrum semisynthetic antibiotic similar to AMPICILLIN except that its resistance to gastric acid permits higher serum levels with oral administration. In 2024, this provider wrote 28 Medicare prescriptions for Amoxicillin, about half the volume of the typical Puerto Rico prescriber of this medication (53.4). Medicare paid an average of $13.86 per fill, versus $6.21 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 392 Days of Medication total across all patients in 2024 | |||
| Azathioprine | 26 | $50.87 | ≈ Typical |
About Azathioprine: Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. Show more ▾ It is usually taken along with other medications to allow your new kidney to function normally. Azathioprine is also used to treat rheumatoid arthritis. In this condition, the body's defense system (immune system) attacks healthy joints. Azathioprine belongs to a class of drugs known as immunosuppressants. It works by weakening the immune system to help your body accept the new kidney as if it were your own (in the case of an organ transplant) or to prevent further damage to your joints (in the case of rheumatoid arthritis). Talk to your doctor about the risks and benefits of azathioprine, especially when used by children and young adults. An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed) In 2024, this provider wrote 26 Medicare prescriptions for Azathioprine, about 75% of the volume of the typical Puerto Rico prescriber of this medication (34.5). Medicare paid an average of $50.87 per fill, versus $24.18 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36 30-Day Fills standardized to 30-day supplies 1,080 Days of Medication total across all patients in 2024 | |||
| Lactulose | 25 | $36.68 | ≈ Typical |
About Lactulose: This medication is a laxative used to treat constipation. Show more ▾ It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887) In 2024, this provider wrote 25 Medicare prescriptions for Lactulose, about the same volume as the typical Puerto Rico prescriber of this medication (25.5). Medicare paid an average of $36.68 per fill, versus $20.14 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 25 30-Day Fills standardized to 30-day supplies 705 Days of Medication total across all patients in 2024 | |||
| Furosemide | 23 | $7.78 | ▼ Less 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 23 Medicare prescriptions for Furosemide, about a third of the volume of the typical Puerto Rico prescriber of this medication (81.8). Medicare paid an average of $7.78 per fill, versus $5.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill 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 | |||
| Spironolactone | 20 | $31.41 | ▼ Less 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 20 Medicare prescriptions for Spironolactone, about half the volume of the typical Puerto Rico prescriber of this medication (47.5). Medicare paid an average of $31.41 per fill, versus $11.44 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 1,020 Days of Medication total across all patients in 2024 | |||
| Ursodiol | 19 | $140.78 | ▼ Less than typical |
About Ursodiol: Ursodiol is used to dissolve certain types of gallstones, to prevent gallstones from forming in obese patients who are losing weight rapidly, and to treat a certain type of liver disease (primary biliary cholangitis). Show more ▾ Ursodiol is a bile acid. An epimer of chenodeoxycholic acid. It is a mammalian bile acid found first in the bear and is apparently either a precursor or a product of chenodeoxycholate. Its administration changes the composition of bile and may dissolve gallstones. It is used as a cholagogue and choleretic. In 2024, this provider wrote 19 Medicare prescriptions for Ursodiol, about 75% of the volume of the typical Puerto Rico prescriber of this medication (25.5). Medicare paid an average of $140.78 per fill, versus $90.00 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2024 | |||
| CholestyramineCholestyramine (With Sugar) | 16 | $206.51 | ▼ Less than typical |
About Cholestyramine: Cholestyramine is used along with a proper diet to lower cholesterol in the blood. Show more ▾ Lowering cholesterol helps decrease the risk for strokes and heart attacks. In addition to 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. Cholestyramine may also be used to treat itching in people with too much bile acid caused by a certain type of liver/bile duct disease (partial biliary obstruction). This medication is known as a bile acid-binding resin. It works by removing bile acid from the body. In people with high cholesterol, this causes the liver to make more bile acid by using cholesterol in the blood. This helps to lower the cholesterol levels. A strongly basic anion exchange resin whose main constituent is polystyrene trimethylbenzylammonium Cl(-) anion. In 2024, this provider wrote 16 Medicare prescriptions for Cholestyramine, about 71% of the volume of the typical Puerto Rico prescriber of this medication (22.4). Medicare paid an average of $206.51 per fill, versus $82.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 650 Days of Medication total across all patients in 2024 | |||
| Lubiprostone | 15 | $101.96▼ below PR avg | ▼ Less than typical |
About Lubiprostone: This medication is used to treat certain types of constipation (chronic idiopathic constipation, irritable bowel syndrome with constipation). Show more ▾ Chronic idiopathic constipation has an unknown cause and is not due to diet, other diseases, or drugs. Lubiprostone is also used to treat constipation caused by opioid medications in people with ongoing pain due to medical conditions other than cancer. This medication may improve symptoms such as bloating and abdominal discomfort, improve stool texture, lessen the need to strain, and decrease the feeling of not completely relieving oneself. Lubiprostone belongs to a class of drugs known as chloride channel activators. It works by increasing the amount of fluid within your intestines, making the passage of stool easier. Member of a bicyclic fatty acid class of compounds derived from PROSTAGLANDIN E1 involved in chloride channel gating. In 2024, this provider wrote 15 Medicare prescriptions for Lubiprostone, about half the volume of the typical Puerto Rico prescriber of this medication (30.5). Medicare paid an average of $101.96 per fill, versus $117.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the PR average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2024 | |||
| SutabSod Sulf/Pot Chloride/Mag Sulf | 15 | $167.63 | ▼ Less than typical |
About Sutab: This product is used to clean out the intestines before a certain bowel exam procedure (colonoscopy). Show more ▾ It is a laxative that works by drawing large amounts of water into the colon. This causes watery bowel movements. Clearing stool from the intestines helps your doctor to better examine the intestines during your procedure. In 2024, this provider wrote 15 Medicare prescriptions for Sutab, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (63.2). Medicare paid an average of $167.63 per fill, versus $165.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 25 Days of Medication total across all patients in 2024 | |||
| Prednisone | 13 | $9.74 | ▼ Less than typical |
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 2024, this provider wrote 13 Medicare prescriptions for Prednisone, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (62.1). Medicare paid an average of $9.74 per fill, versus $5.11 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024 | |||
| Mesalamine DrMesalamine | 12 | $418.68 | ▼ Less than typical |
About Mesalamine Dr: This medication is used to treat a certain bowel disease (ulcerative colitis). Show more ▾ It helps to reduce symptoms of ulcerative colitis such as diarrhea, rectal bleeding, and stomach pain. Mesalamine belongs to a class of drugs known as aminosalicylates. It works by decreasing swelling in the colon. An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed) In 2024, this provider wrote 12 Medicare prescriptions for Mesalamine Dr, about 70% of the volume of the typical Puerto Rico prescriber of this medication (17.2). Medicare paid an average of $418.68 per fill, versus $294.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Latanoprost | 12 | $13.10 | ▼ Less than typical |
About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾ It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA. In 2024, this provider wrote 12 Medicare prescriptions for Latanoprost, about 8% of the volume of the typical Puerto Rico prescriber of this medication (157.2). Medicare paid an average of $13.10 per fill, versus $12.94 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 13.5 30-Day Fills standardized to 30-day supplies 350 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for JORGE DAVID MELENDEZ HERNANDEZ 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 Gastroenterology prescribing approach at this Manati, PR practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among PR prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
