MATTHEW J MANICO PA
Prescription History 1871649921
Physician Assistant - Medical in Roanoke, VA

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
2013 JEFFERSON ST SW FL 2, ROANOKE, VA 24014(540) 982-0237(540) 982-2719 Get Directions

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 17, 2018, Dec 1, 2017 (2 updates tracked since 2017).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MATTHEW J MANICO PA, an active Medical specialist practicing in Roanoke, VA. Our medical registry currently tracks 24 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,151 documented patient claims. Among these therapy options, the most frequently utilized medication is Anastrozole, which accounts for 372 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.

24
Medications
1,151
Total Claims
2,253
30-Day Fills
Anastrozole
Most Prescribed · 372 claims
View details
24 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by MATTHEW J MANICO PA in 2023, with prescription volumes, average cost per fill, and VA state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other VA PrescribersVs. VA Avg

About Anastrozole: Anastrozole is used to treat breast cancer in women after menopause. Show more ▾

Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. A nitrile and triazole derivative that acts as a selective nonsteroidal aromatase inhibitor. It is used in the treatment of ESTROGEN NUCLEAR RECEPTOR-positive breast cancer in postmenopausal women.

In 2023, this provider wrote 372 Medicare prescriptions for Anastrozole, about 6.1 times the volume of the typical Virginia prescriber of this medication (61). Medicare paid an average of $31.13 per fill, versus $28.64 statewide.

How often this provider prescribes it

This provider
372
VA average
61.0

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

What Medicare paid per fill

This provider
$31.13
VA average
$28.64

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

1,050.9
30-Day Fills
standardized to 30-day supplies
31,518
Days of Medication
total across all patients in 2023

About Ondansetron Hcl: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾

It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting.

In 2023, this provider wrote 100 Medicare prescriptions for Ondansetron Hcl, about 4.5 times the volume of the typical Virginia prescriber of this medication (22). Medicare paid an average of $16.20 per fill, versus $22.07 statewide.

How often this provider prescribes it

This provider
100
VA average
22.0

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

What Medicare paid per fill

This provider
$16.20
VA average
$22.07

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

102.3
30-Day Fills
standardized to 30-day supplies
1,004
Days of Medication
total across all patients in 2023

About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾

It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME.

In 2023, this provider wrote 96 Medicare prescriptions for Gabapentin, about the same volume as the typical Virginia prescriber of this medication (89). Medicare paid an average of $11.07 per fill, versus $19.87 statewide.

How often this provider prescribes it

This provider
96
VA average
89.0

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

What Medicare paid per fill

This provider
$11.07
VA average
$19.87

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

181.5
30-Day Fills
standardized to 30-day supplies
5,400
Days of Medication
total across all patients in 2023

About Letrozole: This medication is used to treat certain types of breast cancer (such as hormone-receptor-positive breast cancer) in women after menopause. Show more ▾

Letrozole is also used to help prevent the cancer from returning. Some breast cancers are made to grow faster by a natural hormone called estrogen. Letrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. A triazole and benzonitrile derivative that is a selective non-steroidal aromatase inhibitor, similar to ANASTROZOLE. It is used in the treatment of metastatic or locally advanced breast cancer in postmenopausal women.

In 2023, this provider wrote 71 Medicare prescriptions for Letrozole, about 1.2 times the volume of the typical Virginia prescriber of this medication (59). Medicare paid an average of $43.16 per fill, versus $37.41 statewide.

How often this provider prescribes it

This provider
71
VA average
59.0

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

What Medicare paid per fill

This provider
$43.16
VA average
$37.41

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

205.5
30-Day Fills
standardized to 30-day supplies
6,140
Days of Medication
total across all patients in 2023

About Prochlorperazine Maleate: This medication is used to treat severe nausea and vomiting from certain causes (for example, after surgery or cancer treatment). Show more ▾

Prochlorperazine belongs to a class of drugs known as phenothiazines. This medication is not recommended for use in children younger than 2 years or in children going through surgery. A phenothiazine antipsychotic used principally in the treatment of NAUSEA; VOMITING; and VERTIGO. It is more likely than CHLORPROMAZINE to cause EXTRAPYRAMIDAL DISORDERS. (From Martindale, The Extra Pharmacopoeia, 30th ed, p612)

In 2023, this provider wrote 50 Medicare prescriptions for Prochlorperazine Maleate, about 1.9 times the volume of the typical Virginia prescriber of this medication (27). Medicare paid an average of $7.45 per fill, versus $17.66 statewide.

How often this provider prescribes it

This provider
50
VA average
27.0

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

What Medicare paid per fill

This provider
$7.45
VA average
$17.66

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

50
30-Day Fills
standardized to 30-day supplies
276
Days of Medication
total across all patients in 2023

About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾

A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA.

In 2023, this provider wrote 48 Medicare prescriptions for Potassium Chloride, about 86% of the volume of the typical Virginia prescriber of this medication (56). Medicare paid an average of $26.22 per fill, versus $29.93 statewide.

How often this provider prescribes it

This provider
48
VA average
56.0

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

What Medicare paid per fill

This provider
$26.22
VA average
$29.93

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

76
30-Day Fills
standardized to 30-day supplies
2,264
Days of Medication
total across all patients in 2023

About Lidocaine-Prilocaine: This medication contains 2 amide-type local anesthetics, lidocaine and prilocaine. Show more ▾

It is used on normal, unbroken skin or on the outer genital area to prevent pain before certain procedures such as inserting a needle, skin grafts, or skin laser surgery. It works by temporarily numbing the skin and surrounding area. Do not use this product in the ears. If this product alone cannot completely numb the area being treated, it may be used to numb the area before a lidocaine injection is given to provide enough pain relief for certain procedures (such as removal of genital warts). A topical local anesthetic preparation that is composed of a mixture of lidocaine and prilocaine. It is used to provide anesthesia during minor surgery and for the treatment of PREMATURE EJACULATION.

In 2023, this provider wrote 46 Medicare prescriptions for Lidocaine-Prilocaine, about 2.3 times the volume of the typical Virginia prescriber of this medication (20). Medicare paid an average of $17.54 per fill, versus $25.59 statewide.

How often this provider prescribes it

This provider
46
VA average
20.0

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

What Medicare paid per fill

This provider
$17.54
VA average
$25.59

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

48.3
30-Day Fills
standardized to 30-day supplies
1,314
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 37 Medicare prescriptions for Prednisone, about 79% of the volume of the typical Virginia prescriber of this medication (47). Medicare paid an average of $8.44 per fill, versus $6.74 statewide.

How often this provider prescribes it

This provider
37
VA average
47.0

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

What Medicare paid per fill

This provider
$8.44
VA average
$6.74

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

47.3
30-Day Fills
standardized to 30-day supplies
1,353
Days of Medication
total across all patients in 2023

About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

In 2023, this provider wrote 37 Medicare prescriptions for Hydrocodone-Acetaminophen, about half the volume of the typical Virginia prescriber of this medication (65). Medicare paid an average of $33.44 per fill, versus $20.01 statewide.

How often this provider prescribes it

This provider
37
VA average
65.0

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

What Medicare paid per fill

This provider
$33.44
VA average
$20.01

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

37
30-Day Fills
standardized to 30-day supplies
610
Days of Medication
total across all patients in 2023

About Hydroxyurea: This medication is used by people with sickle cell anemia to reduce the number of painful crises caused by the disease and to reduce the need for blood transfusions. Show more ▾

Some brands are also used to treat certain types of cancer (such as chronic myelogenous leukemia, squamous cell carcinomas). An antineoplastic agent that inhibits DNA synthesis through the inhibition of ribonucleoside diphosphate reductase.

In 2023, this provider wrote 35 Medicare prescriptions for Hydroxyurea, about 1.2 times the volume of the typical Virginia prescriber of this medication (30). Medicare paid an average of $29.95 per fill, versus $38.24 statewide.

How often this provider prescribes it

This provider
35
VA average
30.0

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

What Medicare paid per fill

This provider
$29.95
VA average
$38.24

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

74.3
30-Day Fills
standardized to 30-day supplies
2,218
Days of Medication
total across all patients in 2023

About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾

It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism.

In 2023, this provider wrote 30 Medicare prescriptions for Levothyroxine Sodium, about a quarter of the volume of the typical Virginia prescriber of this medication (121). Medicare paid an average of $14.66 per fill, versus $16.48 statewide.

How often this provider prescribes it

This provider
30
VA average
121.0

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

What Medicare paid per fill

This provider
$14.66
VA average
$16.48

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

58
30-Day Fills
standardized to 30-day supplies
1,740
Days of Medication
total across all patients in 2023

About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾

It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy.

In 2023, this provider wrote 29 Medicare prescriptions for Olanzapine, about 66% of the volume of the typical Virginia prescriber of this medication (44). Medicare paid an average of $18.34 per fill, versus $38.66 statewide.

How often this provider prescribes it

This provider
29
VA average
44.0

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

What Medicare paid per fill

This provider
$18.34
VA average
$38.66

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

29
30-Day Fills
standardized to 30-day supplies
830
Days of Medication
total across all patients in 2023

About Dexamethasone: Dexamethasone is used to treat conditions such as arthritis, blood/hormone disorders, allergic reactions, skin diseases, eye problems, breathing problems, bowel disorders, cancer, and immune system disorders. Show more ▾

It is also used as a test for an adrenal gland disorder (Cushing's syndrome). Dexamethasone 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. An anti-inflammatory 9-fluoro-glucocorticoid.

In 2023, this provider wrote 27 Medicare prescriptions for Dexamethasone, about the same volume as the typical Virginia prescriber of this medication (30). Medicare paid an average of $17.93 per fill, versus $18.26 statewide.

How often this provider prescribes it

This provider
27
VA average
30.0

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

What Medicare paid per fill

This provider
$17.93
VA average
$18.26

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

27
30-Day Fills
standardized to 30-day supplies
302
Days of Medication
total across all patients in 2023

About Tamoxifen Citrate: Tamoxifen is used to treat breast cancer. Show more ▾

It is also used to reduce the chances of breast cancer in high-risk patients. This medication can block the growth of breast cancer. It works by interfering with the effects of estrogen in the breast tissue. One of the SELECTIVE ESTROGEN RECEPTOR MODULATORS with tissue-specific activities. Tamoxifen acts as an anti-estrogen (inhibiting agent) in the mammary tissue, but as an estrogen (stimulating agent) in cholesterol metabolism, bone density, and cell proliferation in the ENDOMETRIUM.

In 2023, this provider wrote 23 Medicare prescriptions for Tamoxifen Citrate, about 72% of the volume of the typical Virginia prescriber of this medication (32). Medicare paid an average of $50.62 per fill, versus $35.03 statewide.

How often this provider prescribes it

This provider
23
VA average
32.0

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

What Medicare paid per fill

This provider
$50.62
VA average
$35.03

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

67
30-Day Fills
standardized to 30-day supplies
2,010
Days of Medication
total across all patients in 2023

About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾

Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis.

In 2023, this provider wrote 20 Medicare prescriptions for Alendronate Sodium, about half the volume of the typical Virginia prescriber of this medication (37). Medicare paid an average of $17.98 per fill, versus $11.04 statewide.

How often this provider prescribes it

This provider
20
VA average
37.0

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

What Medicare paid per fill

This provider
$17.98
VA average
$11.04

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

40.6
30-Day Fills
standardized to 30-day supplies
1,200
Days of Medication
total across all patients in 2023

About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾

With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood.

In 2023, this provider wrote 19 Medicare prescriptions for Eliquis, about a quarter of the volume of the typical Virginia prescriber of this medication (73). Medicare paid an average of $707.16 per fill, versus $843.98 statewide.

How often this provider prescribes it

This provider
19
VA average
73.0

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

What Medicare paid per fill

This provider
$707.16
VA average
$843.98

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

21
30-Day Fills
standardized to 30-day supplies
630
Days of Medication
total across all patients in 2023

About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾

Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE.

In 2023, this provider wrote 19 Medicare prescriptions for Oxycodone Hcl, about a third of the volume of the typical Virginia prescriber of this medication (56). Medicare paid an average of $24.50 per fill, versus $25.37 statewide.

How often this provider prescribes it

This provider
19
VA average
56.0

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

What Medicare paid per fill

This provider
$24.50
VA average
$25.37

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

19
30-Day Fills
standardized to 30-day supplies
429
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 15 Medicare prescriptions for Acyclovir, about 68% of the volume of the typical Virginia prescriber of this medication (22). Medicare paid an average of $17.36 per fill, versus $26.00 statewide.

How often this provider prescribes it

This provider
15
VA average
22.0

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

What Medicare paid per fill

This provider
$17.36
VA average
$26.00

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

15
30-Day Fills
standardized to 30-day supplies
432
Days of Medication
total across all patients in 2023

About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾

In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA.

In 2023, this provider wrote 15 Medicare prescriptions for Duloxetine Hcl, about a third of the volume of the typical Virginia prescriber of this medication (47). Medicare paid an average of $29.73 per fill, versus $43.90 statewide.

How often this provider prescribes it

This provider
15
VA average
47.0

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

What Medicare paid per fill

This provider
$29.73
VA average
$43.90

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

27
30-Day Fills
standardized to 30-day supplies
810
Days of Medication
total across all patients in 2023

About Tramadol Hcl: See also Warning section. Show more ▾

This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating.

In 2023, this provider wrote 14 Medicare prescriptions for Tramadol Hcl, about a third of the volume of the typical Virginia prescriber of this medication (49). Medicare paid an average of $6.25 per fill, versus $7.70 statewide.

How often this provider prescribes it

This provider
14
VA average
49.0

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

What Medicare paid per fill

This provider
$6.25
VA average
$7.70

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

14
30-Day Fills
standardized to 30-day supplies
236
Days of Medication
total across all patients in 2023

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 2023, this provider wrote 13 Medicare prescriptions for Omeprazole, about 15% of the volume of the typical Virginia prescriber of this medication (89). Medicare paid an average of $5.20 per fill, versus $14.57 statewide.

How often this provider prescribes it

This provider
13
VA average
89.0

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

What Medicare paid per fill

This provider
$5.20
VA average
$14.57

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

18.6
30-Day Fills
standardized to 30-day supplies
558
Days of Medication
total across all patients in 2023

About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾

It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms.

In 2023, this provider wrote 13 Medicare prescriptions for Allopurinol, about a third of the volume of the typical Virginia prescriber of this medication (46). Medicare paid an average of $3.60 per fill, versus $14.76 statewide.

How often this provider prescribes it

This provider
13
VA average
46.0

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

What Medicare paid per fill

This provider
$3.60
VA average
$14.76

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

21
30-Day Fills
standardized to 30-day supplies
630
Days of Medication
total across all patients in 2023

About Oxycontin: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾

Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (more than 40 milligrams per tablet) should be used only if you have been regularly taking moderate to large amounts of an opioid pain medication. These strengths may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A semisynthetic derivative of CODEINE.

In 2023, this provider wrote 11 Medicare prescriptions for Oxycontin, about a third of the volume of the typical Virginia prescriber of this medication (28). Medicare paid an average of $351.93 per fill, versus $798.84 statewide.

How often this provider prescribes it

This provider
11
VA average
28.0

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

What Medicare paid per fill

This provider
$351.93
VA average
$798.84

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

11
30-Day Fills
standardized to 30-day supplies
330
Days of Medication
total across all patients in 2023

About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

In 2023, this provider wrote 11 Medicare prescriptions for Oxycodone-Acetaminophen, about a quarter of the volume of the typical Virginia prescriber of this medication (54). Medicare paid an average of $18.68 per fill, versus $26.16 statewide.

How often this provider prescribes it

This provider
11
VA average
54.0

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

What Medicare paid per fill

This provider
$18.68
VA average
$26.16

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

11.3
30-Day Fills
standardized to 30-day supplies
290
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 VA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the VA average cost per fill.

About this data. The prescription history for MATTHEW J MANICO 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 Medical prescribing approach at this Roanoke, VA practice.

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