ALEXANDER GRAND MD
Prescription History 1861694077
Ophthalmology in Sacramento, CA

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
1700 ALHAMBRA BLVD, SUITE 202, SACRAMENTO, CA 95816(916) 731-8040(916) 454-4152 Get Directions

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ALEXANDER GRAND MD, an active Ophthalmology specialist practicing in Sacramento, CA. Our medical registry currently tracks 27 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,544 documented patient claims. Among these therapy options, the most frequently utilized medication is Latanoprost, which accounts for 759 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.

27
Medications
3,544
Total Claims
5,846
30-Day Fills
Latanoprost
Most Prescribed · 759 claims
View details
27 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by ALEXANDER GRAND MD in 2023, with prescription volumes, average cost per fill, and CA state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other CA PrescribersVs. CA Avg

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 2023, this provider wrote 759 Medicare prescriptions for Latanoprost, about 4.8 times the volume of the typical California prescriber of this medication (159). Medicare paid an average of $27.36 per fill, versus $21.01 statewide.

How often this provider prescribes it

This provider
759
CA average
159.0

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

What Medicare paid per fill

This provider
$27.36
CA average
$21.01

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

1,244.1
30-Day Fills
standardized to 30-day supplies
34,746
Days of Medication
total across all patients in 2023

About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾

Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms.

In 2023, this provider wrote 485 Medicare prescriptions for Azelastine Hcl, about 11 times the volume of the typical California prescriber of this medication (46). Medicare paid an average of $43.54 per fill, versus $42.74 statewide.

How often this provider prescribes it

This provider
485
CA average
46.0

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

What Medicare paid per fill

This provider
$43.54
CA average
$42.74

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

648
30-Day Fills
standardized to 30-day supplies
17,821
Days of Medication
total across all patients in 2023

About Neomycin-Polymyxin-Dexameth: This medication is used to treat conditions involving swelling (inflammation) of the eyes and to treat or prevent bacterial eye infections. Show more ▾

This product contains neomycin and polymyxin, antibiotics that work by stopping the growth of bacteria. It also contains dexamethasone, an anti-inflammatory corticosteroid that works by reducing swelling. This medication treats/prevents only bacterial eye infections. It will not work for other types of eye infections and may worsen them (such as infections caused by viruses, fungi, mycobacteria). Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

In 2023, this provider wrote 352 Medicare prescriptions for Neomycin-Polymyxin-Dexameth, about 8.6 times the volume of the typical California prescriber of this medication (41). Medicare paid an average of $23.20 per fill, versus $14.80 statewide.

How often this provider prescribes it

This provider
352
CA average
41.0

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

What Medicare paid per fill

This provider
$23.20
CA average
$14.80

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

353
30-Day Fills
standardized to 30-day supplies
5,569
Days of Medication
total across all patients in 2023

About Timolol Maleate: This medication 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 ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. Timolol belongs to a class of drugs known as beta-blockers. A beta-adrenergic antagonist that is similar in action to PROPRANOLOL; the levo-isomer is more active. Timolol has been proposed as an anti-hypertensive, anti-arrhythmic, anti-angina, and anti-glaucoma agent. It is also used in the treatment of MIGRAINE DISORDERS and tremor.

In 2023, this provider wrote 266 Medicare prescriptions for Timolol Maleate, about 12 times the volume of the typical California prescriber of this medication (23). Medicare paid an average of $18.28 per fill, versus $450.88 statewide.

How often this provider prescribes it

This provider
266
CA average
23.0

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

What Medicare paid per fill

This provider
$18.28
CA average
$450.88

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

706.4
30-Day Fills
standardized to 30-day supplies
21,157
Days of Medication
total across all patients in 2023

About Fluorometholone: This medication is used to treat certain eye conditions due to inflammation or injury. Show more ▾

Fluorometholone works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids. A glucocorticoid employed, usually as eye drops, in the treatment of allergic and inflammatory conditions of the eye. It has also been used topically in the treatment of various skin disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p732)

In 2023, this provider wrote 201 Medicare prescriptions for Fluorometholone, about 5.6 times the volume of the typical California prescriber of this medication (36). Medicare paid an average of $81.85 per fill, versus $102.55 statewide.

How often this provider prescribes it

This provider
201
CA average
36.0

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

What Medicare paid per fill

This provider
$81.85
CA average
$102.55

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

399.5
30-Day Fills
standardized to 30-day supplies
11,876
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 181 Medicare prescriptions for Cephalexin, about 6.5 times the volume of the typical California prescriber of this medication (28). Medicare paid an average of $3.02 per fill, versus $9.52 statewide.

How often this provider prescribes it

This provider
181
CA average
28.0

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

What Medicare paid per fill

This provider
$3.02
CA average
$9.52

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

181
30-Day Fills
standardized to 30-day supplies
691
Days of Medication
total across all patients in 2023

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

It may also be used to prevent certain bacterial infections. Erythromycin is known as a macrolide antibiotic. It works by stopping the growth of bacteria. This antibiotic treats or prevents 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.

In 2023, this provider wrote 174 Medicare prescriptions for Erythromycin, about 3.5 times the volume of the typical California prescriber of this medication (50). Medicare paid an average of $20.19 per fill, versus $15.82 statewide.

How often this provider prescribes it

This provider
174
CA average
50.0

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

What Medicare paid per fill

This provider
$20.19
CA average
$15.82

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

189.1
30-Day Fills
standardized to 30-day supplies
3,646
Days of Medication
total across all patients in 2023

About Dorzolamide-Timolol: This product contains two drugs used to treat high pressure inside the eye due to glaucoma (open angle-type) or other eye diseases (such as ocular hypertension). Show more ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. Timolol belongs to a class of drugs known as beta-blockers, and dorzolamide belongs to a class of drugs known as carbonic anhydrase inhibitors.

In 2023, this provider wrote 146 Medicare prescriptions for Dorzolamide-Timolol, about 1.3 times the volume of the typical California prescriber of this medication (115). Medicare paid an average of $51.28 per fill, versus $34.52 statewide.

How often this provider prescribes it

This provider
146
CA average
115.0

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

What Medicare paid per fill

This provider
$51.28
CA average
$34.52

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

320.7
30-Day Fills
standardized to 30-day supplies
9,544
Days of Medication
total across all patients in 2023

About Ofloxacin: This medication is used to treat eye infections. Show more ▾

Ofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. A synthetic fluoroquinolone antibacterial agent that inhibits the supercoiling activity of bacterial DNA GYRASE, halting DNA REPLICATION.

In 2023, this provider wrote 135 Medicare prescriptions for Ofloxacin, about 2 times the volume of the typical California prescriber of this medication (67). Medicare paid an average of $21.89 per fill, versus $20.16 statewide.

How often this provider prescribes it

This provider
135
CA average
67.0

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

What Medicare paid per fill

This provider
$21.89
CA average
$20.16

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

227.8
30-Day Fills
standardized to 30-day supplies
6,071
Days of Medication
total across all patients in 2023

About Prednisolone Acetate: This medication is used to treat certain eye conditions due to inflammation or injury. Show more ▾

Prednisolone works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids.

In 2023, this provider wrote 127 Medicare prescriptions for Prednisolone Acetate, about 89% of the volume of the typical California prescriber of this medication (142). Medicare paid an average of $65.40 per fill, versus $51.41 statewide.

How often this provider prescribes it

This provider
127
CA average
142.0

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

What Medicare paid per fill

This provider
$65.40
CA average
$51.41

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

200.5
30-Day Fills
standardized to 30-day supplies
5,632
Days of Medication
total across all patients in 2023

About Restasis: Cyclosporine eye drops are used to treat a certain type of dry eyes. Show more ▾

They work by increasing the amount of tears you make. A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection.

In 2023, this provider wrote 119 Medicare prescriptions for Restasis, about 1.4 times the volume of the typical California prescriber of this medication (85). Medicare paid an average of $1,545.68 per fill, versus $947.95 statewide.

How often this provider prescribes it

This provider
119
CA average
85.0

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

What Medicare paid per fill

This provider
$1,545.68
CA average
$947.95

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

278
30-Day Fills
standardized to 30-day supplies
8,340
Days of Medication
total across all patients in 2023

About Brimonidine Tartrate: This medication is used to treat open-angle glaucoma or high fluid pressure in the eye. Show more ▾

Lowering high fluid pressure in the eye reduces the risk of vision loss, nerve damage, or blindness. This medication lowers pressure by allowing better fluid drainage from within the eye and also by reducing the amount of fluid formed in the eye. It is known as an alpha agonist. This drug is not recommended for use in children less than 2 years of age due to an increased risk of serious side effects such as very slowed breathing. Ask the doctor or pharmacist for details. A quinoxaline derivative and ADRENERGIC ALHPA-2 RECEPTOR AGONIST that is used to manage INTRAOCULAR PRESSURE associated with OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

In 2023, this provider wrote 99 Medicare prescriptions for Brimonidine Tartrate, about 1.3 times the volume of the typical California prescriber of this medication (78). Medicare paid an average of $20.74 per fill, versus $43.38 statewide.

How often this provider prescribes it

This provider
99
CA average
78.0

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

What Medicare paid per fill

This provider
$20.74
CA average
$43.38

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

185.3
30-Day Fills
standardized to 30-day supplies
5,285
Days of Medication
total across all patients in 2023

About Lumigan: Bimatoprost 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 ▾

Lowering high pressure inside the eye can help prevent blindness. This medication works by regulating the flow of fluid within the eye to maintain a normal pressure. A cloprostenol-derived amide that is used as an ANTIHYPERTENSIVE AGENT in the treatment of OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

In 2023, this provider wrote 92 Medicare prescriptions for Lumigan, about the same volume as the typical California prescriber of this medication (82). Medicare paid an average of $589.96 per fill, versus $432.66 statewide.

How often this provider prescribes it

This provider
92
CA average
82.0

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

What Medicare paid per fill

This provider
$589.96
CA average
$432.66

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

190.6
30-Day Fills
standardized to 30-day supplies
5,611
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 72 Medicare prescriptions for Prednisone, about 1.8 times the volume of the typical California prescriber of this medication (40). Medicare paid an average of $6.48 per fill, versus $8.18 statewide.

How often this provider prescribes it

This provider
72
CA average
40.0

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

What Medicare paid per fill

This provider
$6.48
CA average
$8.18

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

96.2
30-Day Fills
standardized to 30-day supplies
2,504
Days of Medication
total across all patients in 2023

About Xiidra: This medication is used to treat dry eye disease.

In 2023, this provider wrote 64 Medicare prescriptions for Xiidra, about 1.4 times the volume of the typical California prescriber of this medication (46). Medicare paid an average of $1,414.21 per fill, versus $938.50 statewide.

How often this provider prescribes it

This provider
64
CA average
46.0

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

What Medicare paid per fill

This provider
$1,414.21
CA average
$938.50

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

137.5
30-Day Fills
standardized to 30-day supplies
4,125
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 52 Medicare prescriptions for Minocycline Hcl, about 2 times the volume of the typical California prescriber of this medication (26). Medicare paid an average of $40.13 per fill, versus $33.84 statewide.

How often this provider prescribes it

This provider
52
CA average
26.0

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

What Medicare paid per fill

This provider
$40.13
CA average
$33.84

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

100
30-Day Fills
standardized to 30-day supplies
2,638
Days of Medication
total across all patients in 2023

About Dorzolamide Hcl: Dorzolamide 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 ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. It belongs to a class of drugs known as carbonic anhydrase inhibitors.

In 2023, this provider wrote 34 Medicare prescriptions for Dorzolamide Hcl, about 62% of the volume of the typical California prescriber of this medication (55). Medicare paid an average of $47.85 per fill, versus $32.79 statewide.

How often this provider prescribes it

This provider
34
CA average
55.0

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

What Medicare paid per fill

This provider
$47.85
CA average
$32.79

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

61.3
30-Day Fills
standardized to 30-day supplies
1,775
Days of Medication
total across all patients in 2023

About Vyzulta: Latanoprostene bunod 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 ▾

Lowering high pressure inside the eye can help prevent blindness. This medication works by controlling the flow of fluid within the eye to maintain a normal pressure.

In 2023, this provider wrote 26 Medicare prescriptions for Vyzulta, about a third of the volume of the typical California prescriber of this medication (63). Medicare paid an average of $505.49 per fill, versus $398.80 statewide.

How often this provider prescribes it

This provider
26
CA average
63.0

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

What Medicare paid per fill

This provider
$505.49
CA average
$398.80

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

44
30-Day Fills
standardized to 30-day supplies
1,245
Days of Medication
total across all patients in 2023

About Cequa: Cyclosporine eye drops are used to treat a certain type of dry eyes. Show more ▾

They work by increasing the amount of tears you make. A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection.

In 2023, this provider wrote 22 Medicare prescriptions for Cequa, about half the volume of the typical California prescriber of this medication (46). Medicare paid an average of $1,292.37 per fill, versus $669.02 statewide.

How often this provider prescribes it

This provider
22
CA average
46.0

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

What Medicare paid per fill

This provider
$1,292.37
CA average
$669.02

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

50
30-Day Fills
standardized to 30-day supplies
1,500
Days of Medication
total across all patients in 2023

About Cyclosporine: Cyclosporine eye drops are used to treat a certain type of dry eyes. Show more ▾

They work by increasing the amount of tears you make. A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection.

In 2023, this provider wrote 21 Medicare prescriptions for Cyclosporine, about 66% of the volume of the typical California prescriber of this medication (32). Medicare paid an average of $1,181.95 per fill, versus $516.93 statewide.

How often this provider prescribes it

This provider
21
CA average
32.0

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

What Medicare paid per fill

This provider
$1,181.95
CA average
$516.93

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

55
30-Day Fills
standardized to 30-day supplies
1,650
Days of Medication
total across all patients in 2023

About Tobramycin: This medication is used to treat people with a certain inherited condition (cystic fibrosis) who have an ongoing lung infection with a certain bacteria (Pseudomonas aeruginosa). Show more ▾

People with cystic fibrosis produce thick, sticky mucus that can plug up the tubes, ducts and passageways in the lungs. This can result in serious breathing problems and infections in the lungs. Tobramycin belongs to a class of drugs known as aminoglycoside antibiotics. Tobramycin inhalation solution works by stopping the growth of a certain bacteria (Pseudomonas aeruginosa) that commonly infects the lungs of people with cystic fibrosis. This effect decreases lung infections and damage, and helps to improve breathing. An aminoglycoside, broad-spectrum antibiotic produced by Streptomyces tenebrarius. It is effective against gram-negative bacteria, especially the PSEUDOMONAS species. It is a 10% component of the antibiotic complex, NEBRAMYCIN, produced by the same species.

In 2023, this provider wrote 21 Medicare prescriptions for Tobramycin, about the same volume as the typical California prescriber of this medication (23). Medicare paid an average of $5.85 per fill, versus $1,143.51 statewide.

How often this provider prescribes it

This provider
21
CA average
23.0

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

What Medicare paid per fill

This provider
$5.85
CA average
$1,143.51

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

25.9
30-Day Fills
standardized to 30-day supplies
534
Days of Medication
total across all patients in 2023

About Acyclovir: Acyclovir is used to treat infections caused by certain types of viruses. Show more ▾

It treats cold sores around the mouth (caused by herpes simplex), shingles (caused by herpes zoster), and chickenpox. This medication is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, acyclovir is used to help reduce the number of future episodes. Acyclovir is an antiviral drug. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Acyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. In addition, in people with a weakened immune system, acyclovir can decrease the risk of the virus spreading to other parts of the body and causing serious infections. A GUANOSINE analog that acts as an antimetabolite. Viruses are especially susceptible. Used especially against herpes.

In 2023, this provider wrote 18 Medicare prescriptions for Acyclovir, about 75% of the volume of the typical California prescriber of this medication (24). Medicare paid an average of $25.35 per fill, versus $26.52 statewide.

How often this provider prescribes it

This provider
18
CA average
24.0

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

What Medicare paid per fill

This provider
$25.35
CA average
$26.52

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

34
30-Day Fills
standardized to 30-day supplies
1,020
Days of Medication
total across all patients in 2023

About Methylprednisolone: Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. Show more ▾

It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone. Methylprednisolone may also be used with other medications in hormone disorders. A PREDNISOLONE derivative with similar anti-inflammatory action.

In 2023, this provider wrote 17 Medicare prescriptions for Methylprednisolone, about half the volume of the typical California prescriber of this medication (30). Medicare paid an average of $9.52 per fill, versus $10.69 statewide.

How often this provider prescribes it

This provider
17
CA average
30.0

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

What Medicare paid per fill

This provider
$9.52
CA average
$10.69

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

17
30-Day Fills
standardized to 30-day supplies
102
Days of Medication
total across all patients in 2023

About Combigan: This combination medication 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 ▾

Lowering high pressure inside the eye helps to prevent blindness. This product contains brimonidine and timolol. These medications are used together when 1 drug is not controlling the pressure inside the eye. Brimonidine works by allowing better fluid drainage from within the eye and also by decreasing the amount of fluid formed in the eye. It belongs to a class of drugs known as alpha agonists. Timolol is thought to work by decreasing the amount of fluid formed in the eye. Timolol belongs to a class of drugs known as beta blockers. This medication is not recommended for use in children less than 2 years old due to an increased risk of serious side effects. Ask the doctor or pharmacist for more details. A pharmaceutical preparation of brimonidine tartrate and timolol maleate. The combined ADRENERGIC ALPHA2 RECEPTOR AGONIST and ADRENERGIC BETA-ANTAGONIST activity of these drugs reduce INTRAOCULAR PRESSURE in GLAUCOMA patients.

In 2023, this provider wrote 17 Medicare prescriptions for Combigan, about a third of the volume of the typical California prescriber of this medication (49). Medicare paid an average of $690.62 per fill, versus $362.16 statewide.

How often this provider prescribes it

This provider
17
CA average
49.0

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

What Medicare paid per fill

This provider
$690.62
CA average
$362.16

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

40.5
30-Day Fills
standardized to 30-day supplies
1,213
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 16 Medicare prescriptions for Doxycycline Hyclate, about half the volume of the typical California prescriber of this medication (27). Medicare paid an average of $43.44 per fill, versus $30.50 statewide.

How often this provider prescribes it

This provider
16
CA average
27.0

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

What Medicare paid per fill

This provider
$43.44
CA average
$30.50

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

22.5
30-Day Fills
standardized to 30-day supplies
644
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 15 Medicare prescriptions for Clindamycin Phosphate, about 65% of the volume of the typical California prescriber of this medication (23). Medicare paid an average of $15.13 per fill, versus $51.57 statewide.

How often this provider prescribes it

This provider
15
CA average
23.0

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

What Medicare paid per fill

This provider
$15.13
CA average
$51.57

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

15
30-Day Fills
standardized to 30-day supplies
450
Days of Medication
total across all patients in 2023

About Travoprost: Travoprost 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 ▾

Lowering high pressure inside the eye can help prevent blindness. This medication works by regulating the flow of fluid within the eye to maintain a normal pressure. A cloprostenol derivative that is used as an ANTIHYPERTENSIVE AGENT in the treatment of OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

In 2023, this provider wrote 13 Medicare prescriptions for Travoprost, about a third of the volume of the typical California prescriber of this medication (35). Medicare paid an average of $243.15 per fill, versus $232.53 statewide.

How often this provider prescribes it

This provider
13
CA average
35.0

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

What Medicare paid per fill

This provider
$243.15
CA average
$232.53

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

23.1
30-Day Fills
standardized to 30-day supplies
650
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 CA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the CA average cost per fill.

About this data. The prescription history for ALEXANDER GRAND MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Ophthalmology prescribing approach at this Sacramento, CA practice.

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