DR. TROY P UNDERBRINK D.O.
Prescription History 1871906339
Family Medicine in Tacoma, WA

Name: Medicare Part D prescriptions by Dr. Troy Underbrink (NPI 1871906339), 2024
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment

2209 N PEARL ST, TACOMA, WA 98406(253) 792-6900(253) 459-7106 Get Directions

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Apr 10, 2026, Jul 7, 2021 (2 updates tracked since 2021).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. TROY P UNDERBRINK D.O., an active Family Medicine specialist practicing in Tacoma, WA. Our medical registry currently tracks 96 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,627 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 212 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.

Medications

3,627

Total Claims

8,280

30-Day Fills

Atorvastatin Calcium

Most Prescribed · 212 claims

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Prescription Volume vs WA Average

96 medications · 2024 Medicare Part D

Medicare Part D medications prescribed by DR. TROY P UNDERBRINK D.O. in 2024, with prescription volumes, average cost per fill, and WA state comparisons
Medication	Prescriptions (2024)Rx (2024)	Avg Cost per FillCost / Fill	Vs. Other WA PrescribersVs. WA Avg
Atorvastatin Calcium	212	$11.78	▲ More than typical
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2024, this provider wrote 212 Medicare prescriptions for Atorvastatin Calcium, about 1.3 times the volume of the typical Washington prescriber of this medication (166.1). Medicare paid an average of $11.78 per fill, versus $11.43 statewide. How often this provider prescribes it This provider 212 WA average 166.1 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.78 WA average $11.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 565 30-Day Fills standardized to 30-day supplies 16,922 Days of Medication total across all patients in 2024
Levothyroxine Sodium	152	$10.19▼ below WA avg	▲ More than typical
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 2024, this provider wrote 152 Medicare prescriptions for Levothyroxine Sodium, about 1.3 times the volume of the typical Washington prescriber of this medication (115.6). Medicare paid an average of $10.19 per fill, versus $11.18 statewide. How often this provider prescribes it This provider 152 WA average 115.6 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.19 WA average $11.18 This provider's average cost per fill is below the WA average for this medication. 377.5 30-Day Fills standardized to 30-day supplies 11,272 Days of Medication total across all patients in 2024
Lisinopril	152	$7.97▼ below WA avg	▲ More than typical
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2024, this provider wrote 152 Medicare prescriptions for Lisinopril, about 1.5 times the volume of the typical Washington prescriber of this medication (104.5). Medicare paid an average of $7.97 per fill, versus $8.60 statewide. How often this provider prescribes it This provider 152 WA average 104.5 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.97 WA average $8.60 This provider's average cost per fill is below the WA average for this medication. 445.6 30-Day Fills standardized to 30-day supplies 13,369 Days of Medication total across all patients in 2024
Losartan Potassium	122	$10.98	≈ Typical
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2024, this provider wrote 122 Medicare prescriptions for Losartan Potassium, about 1.2 times the volume of the typical Washington prescriber of this medication (102.4). Medicare paid an average of $10.98 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 122 WA average 102.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.98 WA average $10.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 328 30-Day Fills standardized to 30-day supplies 9,840 Days of Medication total across all patients in 2024
Amlodipine Besylate	115	$7.01▼ below WA avg	≈ Typical
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2024, this provider wrote 115 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Washington prescriber of this medication (106). Medicare paid an average of $7.01 per fill, versus $7.92 statewide. How often this provider prescribes it This provider 115 WA average 106.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.01 WA average $7.92 This provider's average cost per fill is below the WA average for this medication. 339.3 30-Day Fills standardized to 30-day supplies 10,156 Days of Medication total across all patients in 2024
Omeprazole	114	$11.21▼ below WA 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 114 Medicare prescriptions for Omeprazole, about 1.5 times the volume of the typical Washington prescriber of this medication (78.2). Medicare paid an average of $11.21 per fill, versus $15.28 statewide. How often this provider prescribes it This provider 114 WA average 78.2 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.21 WA average $15.28 This provider's average cost per fill is below the WA average for this medication. 245 30-Day Fills standardized to 30-day supplies 7,299 Days of Medication total across all patients in 2024
Gabapentin	109	$35.45	▲ More than typical
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 2024, this provider wrote 109 Medicare prescriptions for Gabapentin, about 1.5 times the volume of the typical Washington prescriber of this medication (72.3). Medicare paid an average of $35.45 per fill, versus $19.65 statewide. How often this provider prescribes it This provider 109 WA average 72.3 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.45 WA average $19.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 259 30-Day Fills standardized to 30-day supplies 7,743 Days of Medication total across all patients in 2024
Trazodone Hcl	103	$7.72▼ below WA avg	▲ More than typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309) In 2024, this provider wrote 103 Medicare prescriptions for Trazodone Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (60.6). Medicare paid an average of $7.72 per fill, versus $10.78 statewide. How often this provider prescribes it This provider 103 WA average 60.6 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.72 WA average $10.78 This provider's average cost per fill is below the WA average for this medication. 220.7 30-Day Fills standardized to 30-day supplies 6,536 Days of Medication total across all patients in 2024
Metformin Hcl	88	$7.90▼ below WA avg	▲ More than typical
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2024, this provider wrote 88 Medicare prescriptions for Metformin Hcl, about 1.4 times the volume of the typical Washington prescriber of this medication (62.9). Medicare paid an average of $7.90 per fill, versus $9.63 statewide. How often this provider prescribes it This provider 88 WA average 62.9 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.90 WA average $9.63 This provider's average cost per fill is below the WA average for this medication. 253.3 30-Day Fills standardized to 30-day supplies 7,600 Days of Medication total across all patients in 2024
Hydrochlorothiazide	87	$6.48	▲ More than typical
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/"water pills." It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2024, this provider wrote 87 Medicare prescriptions for Hydrochlorothiazide, about 1.5 times the volume of the typical Washington prescriber of this medication (57). Medicare paid an average of $6.48 per fill, versus $5.34 statewide. How often this provider prescribes it This provider 87 WA average 57.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.48 WA average $5.34 Gross Part D cost per fill; not the patient's out-of-pocket price. 230.9 30-Day Fills standardized to 30-day supplies 6,878 Days of Medication total across all patients in 2024
Tamsulosin Hcl	78	$15.40▼ below WA avg	≈ Typical
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. A sulfonamide derivative and adrenergic alpha-1 receptor antagonist that is used to relieve symptoms of urinary obstruction caused by BENIGN PROSTATIC HYPERPLASIA. In 2024, this provider wrote 78 Medicare prescriptions for Tamsulosin Hcl, about the same volume as the typical Washington prescriber of this medication (69.8). Medicare paid an average of $15.40 per fill, versus $16.56 statewide. How often this provider prescribes it This provider 78 WA average 69.8 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.40 WA average $16.56 This provider's average cost per fill is below the WA average for this medication. 224.5 30-Day Fills standardized to 30-day supplies 6,725 Days of Medication total across all patients in 2024
Metformin Hcl ErMetformin Hcl	70	$6.44▼ below WA avg	▲ More than typical
About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2024, this provider wrote 70 Medicare prescriptions for Metformin Hcl Er, about 1.4 times the volume of the typical Washington prescriber of this medication (51.2). Medicare paid an average of $6.44 per fill, versus $10.77 statewide. How often this provider prescribes it This provider 70 WA average 51.2 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.44 WA average $10.77 This provider's average cost per fill is below the WA average for this medication. 175 30-Day Fills standardized to 30-day supplies 5,222 Days of Medication total across all patients in 2024
Metoprolol Succinate	69	$9.89▼ below WA avg	≈ Typical
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2024, this provider wrote 69 Medicare prescriptions for Metoprolol Succinate, about 76% of the volume of the typical Washington prescriber of this medication (90.9). Medicare paid an average of $9.89 per fill, versus $14.75 statewide. How often this provider prescribes it This provider 69 WA average 90.9 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.89 WA average $14.75 This provider's average cost per fill is below the WA average for this medication. 192.7 30-Day Fills standardized to 30-day supplies 5,734 Days of Medication total across all patients in 2024
Rosuvastatin Calcium	64	$8.58▼ below WA avg	≈ Typical
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2024, this provider wrote 64 Medicare prescriptions for Rosuvastatin Calcium, about 79% of the volume of the typical Washington prescriber of this medication (81). Medicare paid an average of $8.58 per fill, versus $14.43 statewide. How often this provider prescribes it This provider 64 WA average 81.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.58 WA average $14.43 This provider's average cost per fill is below the WA average for this medication. 188.4 30-Day Fills standardized to 30-day supplies 5,653 Days of Medication total across all patients in 2024
Pantoprazole Sodium	62	$8.47▼ below WA avg	▲ More 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 62 Medicare prescriptions for Pantoprazole Sodium, about 1.3 times the volume of the typical Washington prescriber of this medication (48.8). Medicare paid an average of $8.47 per fill, versus $14.19 statewide. How often this provider prescribes it This provider 62 WA average 48.8 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.47 WA average $14.19 This provider's average cost per fill is below the WA average for this medication. 159.3 30-Day Fills standardized to 30-day supplies 4,756 Days of Medication total across all patients in 2024
Tizanidine Hcl	59	$9.86▼ below WA avg	▲ More than typical
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2024, this provider wrote 59 Medicare prescriptions for Tizanidine Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (33.9). Medicare paid an average of $9.86 per fill, versus $12.55 statewide. How often this provider prescribes it This provider 59 WA average 33.9 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.86 WA average $12.55 This provider's average cost per fill is below the WA average for this medication. 59 30-Day Fills standardized to 30-day supplies 1,415 Days of Medication total across all patients in 2024
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	59	$32.54	≈ Typical
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 2024, this provider wrote 59 Medicare prescriptions for Hydrocodone-Acetaminophen, about the same volume as the typical Washington prescriber of this medication (60.4). Medicare paid an average of $32.54 per fill, versus $20.62 statewide. How often this provider prescribes it This provider 59 WA average 60.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.54 WA average $20.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 59 30-Day Fills standardized to 30-day supplies 1,634 Days of Medication total across all patients in 2024
Buspirone Hcl	56	$17.79	▲ More than typical
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 56 Medicare prescriptions for Buspirone Hcl, about 1.7 times the volume of the typical Washington prescriber of this medication (33.6). Medicare paid an average of $17.79 per fill, versus $17.37 statewide. How often this provider prescribes it This provider 56 WA average 33.6 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.79 WA average $17.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 127.5 30-Day Fills standardized to 30-day supplies 3,655 Days of Medication total across all patients in 2024
Simvastatin	55	$11.89	≈ Typical
About Simvastatin: Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2024, this provider wrote 55 Medicare prescriptions for Simvastatin, about the same volume as the typical Washington prescriber of this medication (52.1). Medicare paid an average of $11.89 per fill, versus $9.61 statewide. How often this provider prescribes it This provider 55 WA average 52.1 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.89 WA average $9.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 134.3 30-Day Fills standardized to 30-day supplies 4,006 Days of Medication total across all patients in 2024
Fluoxetine Hcl	53	$6.36▼ below WA avg	▲ More than typical
About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾ It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2024, this provider wrote 53 Medicare prescriptions for Fluoxetine Hcl, about 1.6 times the volume of the typical Washington prescriber of this medication (34.2). Medicare paid an average of $6.36 per fill, versus $12.85 statewide. How often this provider prescribes it This provider 53 WA average 34.2 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.36 WA average $12.85 This provider's average cost per fill is below the WA average for this medication. 137.7 30-Day Fills standardized to 30-day supplies 4,130 Days of Medication total across all patients in 2024
Albuterol Sulfate HfaAlbuterol Sulfate	52	$33.55	≈ Typical
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Show more ▾ It is also used to prevent asthma brought on by exercise. It is a quick-relief drug. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2024, this provider wrote 52 Medicare prescriptions for Albuterol Sulfate Hfa, about the same volume as the typical Washington prescriber of this medication (50.9). Medicare paid an average of $33.55 per fill, versus $29.37 statewide. How often this provider prescribes it This provider 52 WA average 50.9 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.55 WA average $29.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 88.3 30-Day Fills standardized to 30-day supplies 2,459 Days of Medication total across all patients in 2024
Oxycodone Hcl	50	$16.67	≈ Typical
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 2024, this provider wrote 50 Medicare prescriptions for Oxycodone Hcl, about the same volume as the typical Washington prescriber of this medication (50.3). Medicare paid an average of $16.67 per fill, versus $14.22 statewide. How often this provider prescribes it This provider 50 WA average 50.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.67 WA average $14.22 Gross Part D cost per fill; not the patient's out-of-pocket price. 50 30-Day Fills standardized to 30-day supplies 1,036 Days of Medication total across all patients in 2024
Duloxetine Hcl	49	$46.11	≈ Typical
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also 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 belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It 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 2024, this provider wrote 49 Medicare prescriptions for Duloxetine Hcl, about the same volume as the typical Washington prescriber of this medication (44.1). Medicare paid an average of $46.11 per fill, versus $26.10 statewide. How often this provider prescribes it This provider 49 WA average 44.1 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $46.11 WA average $26.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 94.4 30-Day Fills standardized to 30-day supplies 2,809 Days of Medication total across all patients in 2024
Potassium Chloride	48	$15.67▼ below WA avg	≈ Typical
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2024, this provider wrote 48 Medicare prescriptions for Potassium Chloride, about the same volume as the typical Washington prescriber of this medication (50.4). Medicare paid an average of $15.67 per fill, versus $21.39 statewide. How often this provider prescribes it This provider 48 WA average 50.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.67 WA average $21.39 This provider's average cost per fill is below the WA average for this medication. 139 30-Day Fills standardized to 30-day supplies 4,170 Days of Medication total across all patients in 2024
OzempicSemaglutide	47	$1,655.43	≈ Typical
About Ozempic: Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment. A glucagon-like peptide and GLP-1 agonist used to enhance glycemic control of TYPE 2 DIABETES MELLITUS, and for OBESITY MANAGEMENT. In 2024, this provider wrote 47 Medicare prescriptions for Ozempic, about the same volume as the typical Washington prescriber of this medication (42.3). Medicare paid an average of $1,655.43 per fill, versus $1,270.49 statewide. How often this provider prescribes it This provider 47 WA average 42.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,655.43 WA average $1,270.49 Gross Part D cost per fill; not the patient's out-of-pocket price. 77.9 30-Day Fills standardized to 30-day supplies 2,282 Days of Medication total across all patients in 2024

Sertraline Hcl	44	$9.41▼ below WA avg	≈ Typical
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 44 Medicare prescriptions for Sertraline Hcl, about 87% of the volume of the typical Washington prescriber of this medication (50.3). Medicare paid an average of $9.41 per fill, versus $11.19 statewide. How often this provider prescribes it This provider 44 WA average 50.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.41 WA average $11.19 This provider's average cost per fill is below the WA average for this medication. 97.1 30-Day Fills standardized to 30-day supplies 2,914 Days of Medication total across all patients in 2024
Furosemide	42	$5.47▼ below WA avg	▼ 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 42 Medicare prescriptions for Furosemide, about 72% of the volume of the typical Washington prescriber of this medication (58.6). Medicare paid an average of $5.47 per fill, versus $6.29 statewide. How often this provider prescribes it This provider 42 WA average 58.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.47 WA average $6.29 This provider's average cost per fill is below the WA average for this medication. 100.5 30-Day Fills standardized to 30-day supplies 2,958 Days of Medication total across all patients in 2024
Pravastatin Sodium	41	$24.43	≈ Typical
About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2024, this provider wrote 41 Medicare prescriptions for Pravastatin Sodium, about the same volume as the typical Washington prescriber of this medication (37.7). Medicare paid an average of $24.43 per fill, versus $14.07 statewide. How often this provider prescribes it This provider 41 WA average 37.7 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.43 WA average $14.07 Gross Part D cost per fill; not the patient's out-of-pocket price. 115.7 30-Day Fills standardized to 30-day supplies 3,450 Days of Medication total across all patients in 2024
Metoprolol Tartrate	41	$6.73▼ below WA avg	≈ Typical
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2024, this provider wrote 41 Medicare prescriptions for Metoprolol Tartrate, about the same volume as the typical Washington prescriber of this medication (43.4). Medicare paid an average of $6.73 per fill, versus $8.03 statewide. How often this provider prescribes it This provider 41 WA average 43.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.73 WA average $8.03 This provider's average cost per fill is below the WA average for this medication. 98.7 30-Day Fills standardized to 30-day supplies 2,960 Days of Medication total across all patients in 2024
Montelukast Sodium	39	$6.03▼ below WA avg	≈ Typical
About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾ It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways. A leukotriene D4 receptor antagonist. In 2024, this provider wrote 39 Medicare prescriptions for Montelukast Sodium, about the same volume as the typical Washington prescriber of this medication (37.9). Medicare paid an average of $6.03 per fill, versus $12.60 statewide. How often this provider prescribes it This provider 39 WA average 37.9 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.03 WA average $12.60 This provider's average cost per fill is below the WA average for this medication. 113.7 30-Day Fills standardized to 30-day supplies 3,410 Days of Medication total across all patients in 2024
ClopidogrelClopidogrel Bisulfate	38	$4.87▼ below WA avg	≈ Typical
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2024, this provider wrote 38 Medicare prescriptions for Clopidogrel, about the same volume as the typical Washington prescriber of this medication (39.2). Medicare paid an average of $4.87 per fill, versus $13.50 statewide. How often this provider prescribes it This provider 38 WA average 39.2 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.87 WA average $13.50 This provider's average cost per fill is below the WA average for this medication. 88.7 30-Day Fills standardized to 30-day supplies 2,634 Days of Medication total across all patients in 2024
Triamcinolone Acetonide	35	$4.10▼ below WA avg	≈ Typical
About Triamcinolone Acetonide: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Triamcinolone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a medium- to strong-potency corticosteroid. The potency depends on the strength and the form that you use. For details on the potency of your product, ask your pharmacist. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions. In 2024, this provider wrote 35 Medicare prescriptions for Triamcinolone Acetonide, about the same volume as the typical Washington prescriber of this medication (31.4). Medicare paid an average of $4.10 per fill, versus $9.90 statewide. How often this provider prescribes it This provider 35 WA average 31.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.10 WA average $9.90 This provider's average cost per fill is below the WA average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,077 Days of Medication total across all patients in 2024
Cyclobenzaprine Hcl	35	$6.16▼ below WA avg	≈ Typical
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. Lisseril is synonymous for HCl; structure. In 2024, this provider wrote 35 Medicare prescriptions for Cyclobenzaprine Hcl, about the same volume as the typical Washington prescriber of this medication (30.5). Medicare paid an average of $6.16 per fill, versus $10.11 statewide. How often this provider prescribes it This provider 35 WA average 30.5 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.16 WA average $10.11 This provider's average cost per fill is below the WA average for this medication. 39.3 30-Day Fills standardized to 30-day supplies 805 Days of Medication total across all patients in 2024
Oxybutynin Chloride ErOxybutynin Chloride	34	$11.93▼ below WA avg	≈ Typical
About Oxybutynin Chloride Er: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾ It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida). In 2024, this provider wrote 34 Medicare prescriptions for Oxybutynin Chloride Er, about 1.2 times the volume of the typical Washington prescriber of this medication (27.4). Medicare paid an average of $11.93 per fill, versus $21.53 statewide. How often this provider prescribes it This provider 34 WA average 27.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.93 WA average $21.53 This provider's average cost per fill is below the WA average for this medication. 80.7 30-Day Fills standardized to 30-day supplies 2,420 Days of Medication total across all patients in 2024
FarxigaDapagliflozin Propanediol	33	$920.92▼ below WA avg	≈ Typical
About Farxiga: Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It helps to lower the risk of death from heart disease and reduces the need of going to a doctor or hospital to treat heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 33 Medicare prescriptions for Farxiga, about the same volume as the typical Washington prescriber of this medication (32). Medicare paid an average of $920.92 per fill, versus $981.58 statewide. How often this provider prescribes it This provider 33 WA average 32.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $920.92 WA average $981.58 This provider's average cost per fill is below the WA average for this medication. 51.7 30-Day Fills standardized to 30-day supplies 1,550 Days of Medication total across all patients in 2024
Alendronate Sodium	33	$15.00	≈ Typical
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 2024, this provider wrote 33 Medicare prescriptions for Alendronate Sodium, about 79% of the volume of the typical Washington prescriber of this medication (41.8). Medicare paid an average of $15.00 per fill, versus $10.30 statewide. How often this provider prescribes it This provider 33 WA average 41.8 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.00 WA average $10.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 92 30-Day Fills standardized to 30-day supplies 2,758 Days of Medication total across all patients in 2024
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	31	$22.30▼ below WA avg	≈ Typical
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 2024, this provider wrote 31 Medicare prescriptions for Oxycodone-Acetaminophen, about 76% of the volume of the typical Washington prescriber of this medication (40.8). Medicare paid an average of $22.30 per fill, versus $25.07 statewide. How often this provider prescribes it This provider 31 WA average 40.8 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.30 WA average $25.07 This provider's average cost per fill is below the WA average for this medication. 31 30-Day Fills standardized to 30-day supplies 388 Days of Medication total across all patients in 2024
Pregabalin	30	$24.64▼ below WA avg	≈ Typical
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2024, this provider wrote 30 Medicare prescriptions for Pregabalin, about 85% of the volume of the typical Washington prescriber of this medication (35.3). Medicare paid an average of $24.64 per fill, versus $26.03 statewide. How often this provider prescribes it This provider 30 WA average 35.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.64 WA average $26.03 This provider's average cost per fill is below the WA average for this medication. 52 30-Day Fills standardized to 30-day supplies 1,560 Days of Medication total across all patients in 2024
JardianceEmpagliflozin	30	$1,203.30	▼ Less than typical
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure and kidney disease. It helps to lower the risk of death from heart disease and reduces the need of going to a hospital to treat heart failure or kidney disease. It also helps to lower the risk of dialysis in people with kidney disease. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2024, this provider wrote 30 Medicare prescriptions for Jardiance, about 68% of the volume of the typical Washington prescriber of this medication (44.1). Medicare paid an average of $1,203.30 per fill, versus $1,041.39 statewide. How often this provider prescribes it This provider 30 WA average 44.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,203.30 WA average $1,041.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 59 30-Day Fills standardized to 30-day supplies 1,744 Days of Medication total across all patients in 2024
Bupropion XlBupropion Hcl	29	$28.27	≈ Typical
About Bupropion Xl: This medication is used to treat depression. Show more ▾ It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 29 Medicare prescriptions for Bupropion Xl, about 86% of the volume of the typical Washington prescriber of this medication (33.8). Medicare paid an average of $28.27 per fill, versus $27.11 statewide. How often this provider prescribes it This provider 29 WA average 33.8 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.27 WA average $27.11 Gross Part D cost per fill; not the patient's out-of-pocket price. 76 30-Day Fills standardized to 30-day supplies 2,280 Days of Medication total across all patients in 2024
Fluticasone-SalmeterolFluticasone Propion/Salmeterol	29	$195.52	≈ Typical
About Fluticasone-Salmeterol: This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾ It contains 2 medications: fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as this product, do not increase the risk of serious asthma-related breathing problems. For asthma treatment, this product should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using this medication, it is important to learn how to use it properly. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. A drug combination of fluticasone and salmeterol that is used as an inhaler formulation to manage the symptoms of ASTHMA and CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In 2024, this provider wrote 29 Medicare prescriptions for Fluticasone-Salmeterol, about the same volume as the typical Washington prescriber of this medication (27). Medicare paid an average of $195.52 per fill, versus $156.77 statewide. How often this provider prescribes it This provider 29 WA average 27.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $195.52 WA average $156.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 79 30-Day Fills standardized to 30-day supplies 2,370 Days of Medication total across all patients in 2024
Meloxicam	27	$6.32	≈ Typical
About Meloxicam: Meloxicam is used to treat arthritis. Show more ▾ It reduces pain, swelling, and stiffness of the joints. Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2024, this provider wrote 27 Medicare prescriptions for Meloxicam, about 77% of the volume of the typical Washington prescriber of this medication (35). Medicare paid an average of $6.32 per fill, versus $5.45 statewide. How often this provider prescribes it This provider 27 WA average 35.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.32 WA average $5.45 Gross Part D cost per fill; not the patient's out-of-pocket price. 66 30-Day Fills standardized to 30-day supplies 1,980 Days of Medication total across all patients in 2024
Glipizide ErGlipizide	27	$9.82▼ below WA avg	≈ Typical
About Glipizide Er: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2024, this provider wrote 27 Medicare prescriptions for Glipizide Er, about the same volume as the typical Washington prescriber of this medication (28.8). Medicare paid an average of $9.82 per fill, versus $14.57 statewide. How often this provider prescribes it This provider 27 WA average 28.8 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.82 WA average $14.57 This provider's average cost per fill is below the WA average for this medication. 73.3 30-Day Fills standardized to 30-day supplies 2,193 Days of Medication total across all patients in 2024
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide	26	$22.32	≈ Typical
About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a "water pill" (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not keep taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication. In 2024, this provider wrote 26 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about the same volume as the typical Washington prescriber of this medication (27.3). Medicare paid an average of $22.32 per fill, versus $10.03 statewide. How often this provider prescribes it This provider 26 WA average 27.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.32 WA average $10.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 78.3 30-Day Fills standardized to 30-day supplies 2,350 Days of Medication total across all patients in 2024
Fluticasone Propionate	25	$26.08	▼ Less than typical
About Fluticasone Propionate: Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. Show more ▾ It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2024, this provider wrote 25 Medicare prescriptions for Fluticasone Propionate, about 71% of the volume of the typical Washington prescriber of this medication (35.1). Medicare paid an average of $26.08 per fill, versus $18.06 statewide. How often this provider prescribes it This provider 25 WA average 35.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.08 WA average $18.06 Gross Part D cost per fill; not the patient's out-of-pocket price. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2024
Methocarbamol	24	$49.46	≈ Typical
About Methocarbamol: Methocarbamol is used to treat muscle spasms/pain. Show more ▾ It is usually used along with rest, physical therapy, and other treatment. It works by helping to relax the muscles. A centrally acting muscle relaxant whose mode of action has not been established. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1206) In 2024, this provider wrote 24 Medicare prescriptions for Methocarbamol, about the same volume as the typical Washington prescriber of this medication (26.6). Medicare paid an average of $49.46 per fill, versus $14.08 statewide. How often this provider prescribes it This provider 24 WA average 26.6 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $49.46 WA average $14.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 31.7 30-Day Fills standardized to 30-day supplies 826 Days of Medication total across all patients in 2024
Clonazepam	24	$8.98▼ below WA avg	▼ Less than typical
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2024, this provider wrote 24 Medicare prescriptions for Clonazepam, about 69% of the volume of the typical Washington prescriber of this medication (34.7). Medicare paid an average of $8.98 per fill, versus $9.50 statewide. How often this provider prescribes it This provider 24 WA average 34.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.98 WA average $9.50 This provider's average cost per fill is below the WA average for this medication. 24 30-Day Fills standardized to 30-day supplies 585 Days of Medication total across all patients in 2024
Citalopram HbrCitalopram Hydrobromide	23	$6.01▼ below WA avg	▼ Less than typical
About Citalopram Hbr: This medication is used to treat depression. Show more ▾ Citalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2024, this provider wrote 23 Medicare prescriptions for Citalopram Hbr, about 66% of the volume of the typical Washington prescriber of this medication (34.7). Medicare paid an average of $6.01 per fill, versus $9.43 statewide. How often this provider prescribes it This provider 23 WA average 34.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.01 WA average $9.43 This provider's average cost per fill is below the WA average for this medication. 67 30-Day Fills standardized to 30-day supplies 2,010 Days of Medication total across all patients in 2024
Venlafaxine Hcl ErVenlafaxine Hcl	23	$1.83▼ below WA avg	≈ Typical
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 23 Medicare prescriptions for Venlafaxine Hcl Er, about 78% of the volume of the typical Washington prescriber of this medication (29.4). Medicare paid an average of $1.83 per fill, versus $24.61 statewide. How often this provider prescribes it This provider 23 WA average 29.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1.83 WA average $24.61 This provider's average cost per fill is below the WA average for this medication. 69 30-Day Fills standardized to 30-day supplies 2,070 Days of Medication total across all patients in 2024
Chlorthalidone	22	$12.07▼ below WA avg	≈ Typical
About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a "water pill" (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic. In 2024, this provider wrote 22 Medicare prescriptions for Chlorthalidone, about 87% of the volume of the typical Washington prescriber of this medication (25.4). Medicare paid an average of $12.07 per fill, versus $17.83 statewide. How often this provider prescribes it This provider 22 WA average 25.4 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.07 WA average $17.83 This provider's average cost per fill is below the WA average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,800 Days of Medication total across all patients in 2024
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	22	$65.34▼ below WA avg	▼ Less than typical
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-aglr, and insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2024, this provider wrote 22 Medicare prescriptions for Lantus Solostar, about 65% of the volume of the typical Washington prescriber of this medication (33.7). Medicare paid an average of $65.34 per fill, versus $136.88 statewide. How often this provider prescribes it This provider 22 WA average 33.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $65.34 WA average $136.88 This provider's average cost per fill is below the WA average for this medication. 28 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2024
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst	21	$51.67	≈ Typical
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ 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. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2024, this provider wrote 21 Medicare prescriptions for Nitrofurantoin Mono-Macro, about the same volume as the typical Washington prescriber of this medication (21.7). Medicare paid an average of $51.67 per fill, versus $17.76 statewide. How often this provider prescribes it This provider 21 WA average 21.7 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $51.67 WA average $17.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 414 Days of Medication total across all patients in 2024
Zolpidem Tartrate	21	$12.62	▼ Less than typical
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2024, this provider wrote 21 Medicare prescriptions for Zolpidem Tartrate, about 62% of the volume of the typical Washington prescriber of this medication (34.1). Medicare paid an average of $12.62 per fill, versus $7.22 statewide. How often this provider prescribes it This provider 21 WA average 34.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.62 WA average $7.22 Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 830 Days of Medication total across all patients in 2024
Alprazolam	21	$1.08▼ below WA avg	▼ Less than typical
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2024, this provider wrote 21 Medicare prescriptions for Alprazolam, about 62% of the volume of the typical Washington prescriber of this medication (34.1). Medicare paid an average of $1.08 per fill, versus $4.76 statewide. How often this provider prescribes it This provider 21 WA average 34.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1.08 WA average $4.76 This provider's average cost per fill is below the WA average for this medication. 21 30-Day Fills standardized to 30-day supplies 469 Days of Medication total across all patients in 2024
TrulicityDulaglutide	21	$1,593.95	▼ Less than typical
About Trulicity: Dulaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. This medication is also used to lessen the risk of a major cardiovascular event (such as heart attack or stroke) in people who already have, or are at high risk for heart/blood vessel disease. Dulaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and by decreasing the amount of sugar your liver makes. Dulaglutide is not a substitute for insulin if you need insulin treatment. A glucagon-like peptide-1 receptor agonist; GLP-1 immunoglobulin G (IgG4) Fc fusion protein with extended activity. In 2024, this provider wrote 21 Medicare prescriptions for Trulicity, about 72% of the volume of the typical Washington prescriber of this medication (29.3). Medicare paid an average of $1,593.95 per fill, versus $1,264.12 statewide. How often this provider prescribes it This provider 21 WA average 29.3 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,593.95 WA average $1,264.12 Gross Part D cost per fill; not the patient's out-of-pocket price. 32.7 30-Day Fills standardized to 30-day supplies 952 Days of Medication total across all patients in 2024
Allopurinol	21	$15.60	▼ Less than typical
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 2024, this provider wrote 21 Medicare prescriptions for Allopurinol, about half the volume of the typical Washington prescriber of this medication (39.4). Medicare paid an average of $15.60 per fill, versus $11.44 statewide. How often this provider prescribes it This provider 21 WA average 39.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.60 WA average $11.44 Gross Part D cost per fill; not the patient's out-of-pocket price. 64 30-Day Fills standardized to 30-day supplies 1,920 Days of Medication total across all patients in 2024
Lamotrigine	21	$29.10	▼ Less than typical
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2024, this provider wrote 21 Medicare prescriptions for Lamotrigine, about half the volume of the typical Washington prescriber of this medication (41.2). Medicare paid an average of $29.10 per fill, versus $17.54 statewide. How often this provider prescribes it This provider 21 WA average 41.2 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.10 WA average $17.54 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
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide	20	$6.97▼ below WA avg	▼ Less than typical
About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: losartan and hydrochlorothiazide. Losartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a "water pill" (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2024, this provider wrote 20 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 72% of the volume of the typical Washington prescriber of this medication (27.8). Medicare paid an average of $6.97 per fill, versus $13.73 statewide. How often this provider prescribes it This provider 20 WA average 27.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.97 WA average $13.73 This provider's average cost per fill is below the WA average for this medication. 61.3 30-Day Fills standardized to 30-day supplies 1,840 Days of Medication total across all patients in 2024
Levetiracetam	20	$23.12▼ below WA avg	▼ Less than typical
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2024, this provider wrote 20 Medicare prescriptions for Levetiracetam, about half the volume of the typical Washington prescriber of this medication (44). Medicare paid an average of $23.12 per fill, versus $33.32 statewide. How often this provider prescribes it This provider 20 WA average 44.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.12 WA average $33.32 This provider's average cost per fill is below the WA average for this medication. 26 30-Day Fills standardized to 30-day supplies 778 Days of Medication total across all patients in 2024
Pramipexole DihydrochloridePramipexole Di-Hcl	19	$12.24▼ below WA avg	≈ Typical
About Pramipexole Dihydrochloride: Pramipexole is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move ("on-off syndrome"). This medication is also used to treat a certain medical condition (restless legs syndrome - RLS) that causes an unusual urge to move the legs. Symptoms usually occur at night along with uncomfortable/unpleasant feelings in the legs. This medication can decrease these symptoms and thereby improve sleep. Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. A benzothiazole derivative and dopamine agonist with antioxidant properties that is used in the treatment of PARKINSON DISEASE and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 19 Medicare prescriptions for Pramipexole Dihydrochloride, about 82% of the volume of the typical Washington prescriber of this medication (23.3). Medicare paid an average of $12.24 per fill, versus $17.93 statewide. How often this provider prescribes it This provider 19 WA average 23.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.24 WA average $17.93 This provider's average cost per fill is below the WA average for this medication. 28.9 30-Day Fills standardized to 30-day supplies 838 Days of Medication total across all patients in 2024
Quetiapine Fumarate ErQuetiapine Fumarate	19	$45.68▼ below WA avg	≈ Typical
About Quetiapine Fumarate Er: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ It is also used with other medications to treat depression. Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 19 Medicare prescriptions for Quetiapine Fumarate Er, about the same volume as the typical Washington prescriber of this medication (20.9). Medicare paid an average of $45.68 per fill, versus $56.52 statewide. How often this provider prescribes it This provider 19 WA average 20.9 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $45.68 WA average $56.52 This provider's average cost per fill is below the WA average for this medication. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2024
Finasteride	19	$19.52	▼ Less than typical
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2024, this provider wrote 19 Medicare prescriptions for Finasteride, about half the volume of the typical Washington prescriber of this medication (42.7). Medicare paid an average of $19.52 per fill, versus $13.77 statewide. How often this provider prescribes it This provider 19 WA average 42.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.52 WA average $13.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 57 30-Day Fills standardized to 30-day supplies 1,710 Days of Medication total across all patients in 2024
Estradiol	19	$14.65▼ below WA avg	▼ Less than typical
About Estradiol: This medication is a hormone. Show more ▾ It is used by women to help reduce vaginal symptoms of menopause (such as vaginal dryness/burning/itching). These symptoms are caused by the body making less estrogen. When treating only vaginal symptoms of menopause, products applied directly inside the vagina (such as this medication) should be used first. Estrogens that are taken by mouth, absorbed through the skin, or injected may have greater risks of side effects due to more estrogen being absorbed. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In 2024, this provider wrote 19 Medicare prescriptions for Estradiol, about 61% of the volume of the typical Washington prescriber of this medication (31.3). Medicare paid an average of $14.65 per fill, versus $64.71 statewide. How often this provider prescribes it This provider 19 WA average 31.3 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.65 WA average $64.71 This provider's average cost per fill is below the WA average for this medication. 41 30-Day Fills standardized to 30-day supplies 1,230 Days of Medication total across all patients in 2024
XareltoRivaroxaban	18	$1,657.35	▼ Less than typical
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2024, this provider wrote 18 Medicare prescriptions for Xarelto, about half the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $1,657.35 per fill, versus $1,017.77 statewide. How often this provider prescribes it This provider 18 WA average 38.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,657.35 WA average $1,017.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 53.7 30-Day Fills standardized to 30-day supplies 1,610 Days of Medication total across all patients in 2024
FenofibrateFenofibrate Nanocrystallized	17	$42.46	≈ Typical
About Fenofibrate: Fenofibrate is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as "fibrates." Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2024, this provider wrote 17 Medicare prescriptions for Fenofibrate, about 90% of the volume of the typical Washington prescriber of this medication (18.9). Medicare paid an average of $42.46 per fill, versus $27.71 statewide. How often this provider prescribes it This provider 17 WA average 18.9 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $42.46 WA average $27.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2024
Topiramate	17	$2.68▼ below WA avg	▼ Less than typical
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2024, this provider wrote 17 Medicare prescriptions for Topiramate, about 62% of the volume of the typical Washington prescriber of this medication (27.6). Medicare paid an average of $2.68 per fill, versus $13.97 statewide. How often this provider prescribes it This provider 17 WA average 27.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2.68 WA average $13.97 This provider's average cost per fill is below the WA average for this medication. 50.6 30-Day Fills standardized to 30-day supplies 1,519 Days of Medication total across all patients in 2024
Amitriptyline Hcl	16	$17.64▼ below WA avg	▼ Less than typical
About Amitriptyline Hcl: This medication is used to treat depression. Show more ▾ Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines. In 2024, this provider wrote 16 Medicare prescriptions for Amitriptyline Hcl, about 72% of the volume of the typical Washington prescriber of this medication (22.1). Medicare paid an average of $17.64 per fill, versus $17.72 statewide. How often this provider prescribes it This provider 16 WA average 22.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.64 WA average $17.72 This provider's average cost per fill is below the WA average for this medication. 43.5 30-Day Fills standardized to 30-day supplies 1,304 Days of Medication total across all patients in 2024
Sumatriptan Succinate	16	$16.90▼ below WA avg	≈ Typical
About Sumatriptan Succinate: Sumatriptan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Sumatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Sumatriptan does not prevent future migraines or lessen how often you get migraine attacks. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2024, this provider wrote 16 Medicare prescriptions for Sumatriptan Succinate, about 77% of the volume of the typical Washington prescriber of this medication (20.9). Medicare paid an average of $16.90 per fill, versus $21.66 statewide. How often this provider prescribes it This provider 16 WA average 20.9 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.90 WA average $21.66 This provider's average cost per fill is below the WA average for this medication. 23 30-Day Fills standardized to 30-day supplies 683 Days of Medication total across all patients in 2024
Fenofibrate	16	$23.72	▼ Less than typical
About Fenofibrate: Fenofibrate is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as "fibrates." Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2024, this provider wrote 16 Medicare prescriptions for Fenofibrate, about 75% of the volume of the typical Washington prescriber of this medication (21.4). Medicare paid an average of $23.72 per fill, versus $22.74 statewide. How often this provider prescribes it This provider 16 WA average 21.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.72 WA average $22.74 Gross Part D cost per fill; not the patient's out-of-pocket price. 48.3 30-Day Fills standardized to 30-day supplies 1,450 Days of Medication total across all patients in 2024
Varenicline Tartrate	16	$300.83	≈ Typical
About Varenicline Tartrate: Varenicline is used by adults to help stop smoking. Show more ▾ To increase your chance of success, use this medication with a stop-smoking program that includes education, support, and counseling. Quitting smoking lowers your risk of heart and lung disease, as well as cancer. Varenicline works by blocking nicotine's effects in the brain that make you want to smoke. Discuss the risks and benefits of this medication, as well as other ways to quit smoking (such as nicotine replacement treatment), with your doctor. A benzazepine derivative that functions as an ALPHA4-BETA2 NICOTINIC RECEPTOR partial agonist. It is used for SMOKING CESSATION. In 2024, this provider wrote 16 Medicare prescriptions for Varenicline Tartrate, about the same volume as the typical Washington prescriber of this medication (17.3). Medicare paid an average of $300.83 per fill, versus $223.85 statewide. How often this provider prescribes it This provider 16 WA average 17.3 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $300.83 WA average $223.85 Gross Part D cost per fill; not the patient's out-of-pocket price. 18.5 30-Day Fills standardized to 30-day supplies 491 Days of Medication total across all patients in 2024
Tramadol Hcl	16	$1.86▼ below WA avg	▼ Less than typical
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 2024, this provider wrote 16 Medicare prescriptions for Tramadol Hcl, about a third of the volume of the typical Washington prescriber of this medication (39.9). Medicare paid an average of $1.86 per fill, versus $8.40 statewide. How often this provider prescribes it This provider 16 WA average 39.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1.86 WA average $8.40 This provider's average cost per fill is below the WA average for this medication. 16 30-Day Fills standardized to 30-day supplies 197 Days of Medication total across all patients in 2024
Diltiazem 24hr Er (Cd)Diltiazem Hcl	16	$32.76	▼ Less than typical
About Diltiazem 24hr Er (Cd): Diltiazem is used to treat high blood pressure (hypertension) and prevent chest pain (angina). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. When used regularly, diltiazem can decrease the number and severity of episodes of chest pain from angina. It may help increase your ability to exercise. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. Diltiazem also lowers your heart rate. These effects help the heart work less hard and lower blood pressure. A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions. In 2024, this provider wrote 16 Medicare prescriptions for Diltiazem 24hr Er (Cd), about half the volume of the typical Washington prescriber of this medication (27). Medicare paid an average of $32.76 per fill, versus $29.42 statewide. How often this provider prescribes it This provider 16 WA average 27.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.76 WA average $29.42 Gross Part D cost per fill; not the patient's out-of-pocket price. 49.3 30-Day Fills standardized to 30-day supplies 1,480 Days of Medication total across all patients in 2024
Atenolol	15	$8.86	▼ Less than typical
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2024, this provider wrote 15 Medicare prescriptions for Atenolol, about half the volume of the typical Washington prescriber of this medication (32.4). Medicare paid an average of $8.86 per fill, versus $8.83 statewide. How often this provider prescribes it This provider 15 WA average 32.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.86 WA average $8.83 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2024
ValacyclovirValacyclovir Hcl	15	$24.72▼ below WA avg	▼ Less than typical
About Valacyclovir: Valacyclovir is used to treat infections caused by certain types of viruses. Show more ▾ In children, it is used to treat cold sores around the mouth (caused by herpes simplex) and chickenpox (caused by varicella zoster). In adults, it is used to treat shingles (caused by herpes zoster) and cold sores around the mouth. Valacyclovir is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, this medication is used to reduce the number of future episodes. Valacyclovir is an antiviral drug. It stops the growth of certain viruses. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Valacyclovir 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. A prodrug of acyclovir that is used in the treatment of HERPES ZOSTER and HERPES SIMPLEX VIRUS INFECTION of the skin and mucous membranes, including GENITAL HERPES. In 2024, this provider wrote 15 Medicare prescriptions for Valacyclovir, about 75% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $24.72 per fill, versus $37.88 statewide. How often this provider prescribes it This provider 15 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.72 WA average $37.88 This provider's average cost per fill is below the WA average for this medication. 25 30-Day Fills standardized to 30-day supplies 524 Days of Medication total across all patients in 2024
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide	15	$12.58▼ below WA avg	▼ Less than typical
About Valsartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: valsartan and hydrochlorothiazide. Valsartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a "water pill" (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2024, this provider wrote 15 Medicare prescriptions for Valsartan-Hydrochlorothiazide, about 71% of the volume of the typical Washington prescriber of this medication (21.1). Medicare paid an average of $12.58 per fill, versus $29.04 statewide. How often this provider prescribes it This provider 15 WA average 21.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.58 WA average $29.04 This provider's average cost per fill is below the WA average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2024
Quetiapine Fumarate	14	$15.98▼ below WA avg	▼ Less than typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 14 Medicare prescriptions for Quetiapine Fumarate, about a third of the volume of the typical Washington prescriber of this medication (49.5). Medicare paid an average of $15.98 per fill, versus $19.76 statewide. How often this provider prescribes it This provider 14 WA average 49.5 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.98 WA average $19.76 This provider's average cost per fill is below the WA average for this medication. 18 30-Day Fills standardized to 30-day supplies 524 Days of Medication total across all patients in 2024
EliquisApixaban	14	$1,245.29	▼ Less than typical
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. An antithrombotic agent. In 2024, this provider wrote 14 Medicare prescriptions for Eliquis, about a quarter of the volume of the typical Washington prescriber of this medication (67). Medicare paid an average of $1,245.29 per fill, versus $994.95 statewide. How often this provider prescribes it This provider 14 WA average 67.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,245.29 WA average $994.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2024
Famotidine	14	$28.30	▼ Less than 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 14 Medicare prescriptions for Famotidine, about a third of the volume of the typical Washington prescriber of this medication (38.8). Medicare paid an average of $28.30 per fill, versus $16.42 statewide. How often this provider prescribes it This provider 14 WA average 38.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.30 WA average $16.42 Gross Part D cost per fill; not the patient's out-of-pocket price. 40.7 30-Day Fills standardized to 30-day supplies 1,205 Days of Medication total across all patients in 2024
Ondansetron OdtOndansetron	14	$8.07▼ below WA avg	▼ Less than typical
About Ondansetron Odt: 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. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2024, this provider wrote 14 Medicare prescriptions for Ondansetron Odt, about half the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $8.07 per fill, versus $15.16 statewide. How often this provider prescribes it This provider 14 WA average 26.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.07 WA average $15.16 This provider's average cost per fill is below the WA average for this medication. 14 30-Day Fills standardized to 30-day supplies 268 Days of Medication total across all patients in 2024
Telmisartan	14	$31.26	▼ Less than typical
About Telmisartan: This medication is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Telmisartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. A biphenyl compound and benzimidazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION. In 2024, this provider wrote 14 Medicare prescriptions for Telmisartan, about half the volume of the typical Washington prescriber of this medication (27.9). Medicare paid an average of $31.26 per fill, versus $27.84 statewide. How often this provider prescribes it This provider 14 WA average 27.9 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.26 WA average $27.84 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 456 Days of Medication total across all patients in 2024
Escitalopram Oxalate	13	$23.18	▼ Less than typical
About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2024, this provider wrote 13 Medicare prescriptions for Escitalopram Oxalate, about a third of the volume of the typical Washington prescriber of this medication (37). Medicare paid an average of $23.18 per fill, versus $13.03 statewide. How often this provider prescribes it This provider 13 WA average 37.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.18 WA average $13.03 Gross Part D cost per fill; not the patient's out-of-pocket price. 40.3 30-Day Fills standardized to 30-day supplies 1,210 Days of Medication total across all patients in 2024
Spironolactone	13	$17.91	▼ 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 13 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Washington prescriber of this medication (41.2). Medicare paid an average of $17.91 per fill, versus $9.91 statewide. How often this provider prescribes it This provider 13 WA average 41.2 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.91 WA average $9.91 Gross Part D cost per fill; not the patient's out-of-pocket price. 38.3 30-Day Fills standardized to 30-day supplies 1,150 Days of Medication total across all patients in 2024
Lacosamide	13	$37.05▼ below WA avg	▼ Less than typical
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2024, this provider wrote 13 Medicare prescriptions for Lacosamide, about a quarter of the volume of the typical Washington prescriber of this medication (47.2). Medicare paid an average of $37.05 per fill, versus $110.21 statewide. How often this provider prescribes it This provider 13 WA average 47.2 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.05 WA average $110.21 This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024
Acyclovir	12	$7.26▼ below WA avg	▼ Less than typical
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 2024, this provider wrote 12 Medicare prescriptions for Acyclovir, about half the volume of the typical Washington prescriber of this medication (22.4). Medicare paid an average of $7.26 per fill, versus $15.07 statewide. How often this provider prescribes it This provider 12 WA average 22.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.26 WA average $15.07 This provider's average cost per fill is below the WA average for this medication. 20 30-Day Fills standardized to 30-day supplies 460 Days of Medication total across all patients in 2024
Prednisone	12	$2.55▼ below WA avg	▼ 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 12 Medicare prescriptions for Prednisone, about a third of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $2.55 per fill, versus $5.30 statewide. How often this provider prescribes it This provider 12 WA average 38.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2.55 WA average $5.30 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 72 Days of Medication total across all patients in 2024
Paroxetine Hcl	12	$14.87▼ below WA avg	▼ Less than typical
About Paroxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, anxiety disorders, post-traumatic stress disorder). Show more ▾ Paroxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is effective in the treatment of depression. In 2024, this provider wrote 12 Medicare prescriptions for Paroxetine Hcl, about half the volume of the typical Washington prescriber of this medication (21.3). Medicare paid an average of $14.87 per fill, versus $16.84 statewide. How often this provider prescribes it This provider 12 WA average 21.3 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.87 WA average $16.84 This provider's average cost per fill is below the WA average for this medication. 31.3 30-Day Fills standardized to 30-day supplies 935 Days of Medication total across all patients in 2024
Naproxen	12	$13.47▼ below WA avg	▼ Less than typical
About Naproxen: See also Warning section. Show more ▾ Naproxen is used to relieve pain from various conditions such as headache, muscle aches, tendonitis, dental pain, and menstrual cramps. It also reduces pain, swelling, and joint stiffness caused by arthritis, bursitis, and gout attacks. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. 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 names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout. In 2024, this provider wrote 12 Medicare prescriptions for Naproxen, about half the volume of the typical Washington prescriber of this medication (20.6). Medicare paid an average of $13.47 per fill, versus $14.05 statewide. How often this provider prescribes it This provider 12 WA average 20.6 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.47 WA average $14.05 This provider's average cost per fill is below the WA average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2024
Hydrocortisone	12	$19.95	▼ Less than typical
About Hydrocortisone: This medication is used to treat a variety of skin conditions (such as insect bites, poison oak/ivy, eczema, dermatitis, allergies, rash, itching of the outer female genitals, anal itching). Show more ▾ Hydrocortisone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a mild corticosteroid. The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. In 2024, this provider wrote 12 Medicare prescriptions for Hydrocortisone, about half the volume of the typical Washington prescriber of this medication (28.4). Medicare paid an average of $19.95 per fill, versus $19.05 statewide. How often this provider prescribes it This provider 12 WA average 28.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.95 WA average $19.05 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 504 Days of Medication total across all patients in 2024
Diclofenac Sodium	12	$42.48	▼ Less than typical
About Diclofenac Sodium: See also Warning section. Show more ▾ This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. In 2024, this provider wrote 12 Medicare prescriptions for Diclofenac Sodium, about a third of the volume of the typical Washington prescriber of this medication (30.4). Medicare paid an average of $42.48 per fill, versus $27.14 statewide. How often this provider prescribes it This provider 12 WA average 30.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $42.48 WA average $27.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 544 Days of Medication total across all patients in 2024
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine	12	$10.64▼ below WA avg	▼ Less than typical
About Dextroamphetamine-Amphetamine: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2024, this provider wrote 12 Medicare prescriptions for Dextroamphetamine-Amphetamine, about half the volume of the typical Washington prescriber of this medication (24.1). Medicare paid an average of $10.64 per fill, versus $31.40 statewide. How often this provider prescribes it This provider 12 WA average 24.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.64 WA average $31.40 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024
Zolpidem Tartrate ErZolpidem Tartrate	12	$26.35▼ below WA avg	≈ Typical
About Zolpidem Tartrate Er: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ It helps you fall asleep faster and stay asleep longer, so you can get a better night's sleep. It may also reduce the number of times you wake up during the night. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2024, this provider wrote 12 Medicare prescriptions for Zolpidem Tartrate Er, about 81% of the volume of the typical Washington prescriber of this medication (14.8). Medicare paid an average of $26.35 per fill, versus $30.55 statewide. How often this provider prescribes it This provider 12 WA average 14.8 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.35 WA average $30.55 This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024
Olanzapine	11	$31.01	▼ Less than typical
About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as 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 2024, this provider wrote 11 Medicare prescriptions for Olanzapine, about a quarter of the volume of the typical Washington prescriber of this medication (46.8). Medicare paid an average of $31.01 per fill, versus $23.35 statewide. How often this provider prescribes it This provider 11 WA average 46.8 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.01 WA average $23.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024
Nitroglycerin	11	$21.85	▼ Less than typical
About Nitroglycerin: This medication is used to relieve chest pain (angina) in people that have a certain heart condition (coronary artery disease). Show more ▾ It may also be used before physical activities (such as exercise, sexual activity) to help prevent chest pain. Nitroglycerin belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2024, this provider wrote 11 Medicare prescriptions for Nitroglycerin, about a third of the volume of the typical Washington prescriber of this medication (29.7). Medicare paid an average of $21.85 per fill, versus $13.75 statewide. How often this provider prescribes it This provider 11 WA average 29.7 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.85 WA average $13.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 20.8 30-Day Fills standardized to 30-day supplies 546 Days of Medication total across all patients in 2024
Meclizine Hcl	11	$3.88▼ below WA avg	▼ Less than typical
About Meclizine Hcl: Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Show more ▾ It may also be used to reduce dizziness and loss of balance (vertigo) caused by inner ear problems. A histamine H1 antagonist used in the treatment of motion sickness, vertigo, and nausea during pregnancy and radiation sickness. In 2024, this provider wrote 11 Medicare prescriptions for Meclizine Hcl, about half the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $3.88 per fill, versus $11.25 statewide. How often this provider prescribes it This provider 11 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3.88 WA average $11.25 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 240 Days of Medication total across all patients in 2024
Ezetimibe	11	$7.38▼ below WA avg	▼ Less than typical
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as "statins" or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2024, this provider wrote 11 Medicare prescriptions for Ezetimibe, about a quarter of the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $7.38 per fill, versus $22.63 statewide. How often this provider prescribes it This provider 11 WA average 40.1 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.38 WA average $22.63 This provider's average cost per fill is below the WA average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2024
Baclofen	11	$24.49	▼ Less than typical
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2024, this provider wrote 11 Medicare prescriptions for Baclofen, about a third of the volume of the typical Washington prescriber of this medication (32.4). Medicare paid an average of $24.49 per fill, versus $21.15 statewide. How often this provider prescribes it This provider 11 WA average 32.4 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.49 WA average $21.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 20.1 30-Day Fills standardized to 30-day supplies 602 Days of Medication total across all patients in 2024

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 WA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the WA average cost per fill.

About this data. The prescription history for DR. TROY P UNDERBRINK D.O. 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 Family Medicine prescribing approach at this Tacoma, WA 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 WA 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.