JULITTA J. SHIRLEY FNP
Prescription History 1881784635
Nurse Practitioner - Family in Golden City, MO

Active since October 13, 2006
PO BOX 84, GOLDEN CITY, MO 64748(417) 342-0071 Get Directions

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2026, Feb 25, 2019 (2 updates tracked since 2019).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JULITTA J. SHIRLEY FNP, an active Family specialist practicing in Golden City, MO. Our medical registry currently tracks 89 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 3,750 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 262 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.

89
Medications
3,750
Total Claims
7,721
30-Day Fills
Atorvastatin Calcium
Most Prescribed · 262 claims
View details
89 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by JULITTA J. SHIRLEY FNP in 2024, with prescription volumes, average cost per fill, and MO state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other MO PrescribersVs. MO Avg

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 262 Medicare prescriptions for Atorvastatin Calcium, about 1.2 times the volume of the typical Missouri prescriber of this medication (225.3). Medicare paid an average of $6.43 per fill, versus $8.36 statewide.

How often this provider prescribes it

This provider
262
MO average
225.3

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

What Medicare paid per fill

This provider
$6.43
MO average
$8.36

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

598.8
30-Day Fills
standardized to 30-day supplies
17,924
Days of Medication
total across all patients in 2024

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 236 Medicare prescriptions for Lisinopril, about 1.6 times the volume of the typical Missouri prescriber of this medication (150.8). Medicare paid an average of $5.75 per fill, versus $5.80 statewide.

How often this provider prescribes it

This provider
236
MO average
150.8

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

What Medicare paid per fill

This provider
$5.75
MO average
$5.80

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

594.2
30-Day Fills
standardized to 30-day supplies
17,826
Days of Medication
total across all patients in 2024

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 213 Medicare prescriptions for Levothyroxine Sodium, about the same volume as the typical Missouri prescriber of this medication (193.8). Medicare paid an average of $8.00 per fill, versus $8.86 statewide.

How often this provider prescribes it

This provider
213
MO average
193.8

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

What Medicare paid per fill

This provider
$8.00
MO average
$8.86

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

514.8
30-Day Fills
standardized to 30-day supplies
15,420
Days of Medication
total across all patients in 2024

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 165 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Missouri prescriber of this medication (164.3). Medicare paid an average of $4.18 per fill, versus $5.31 statewide.

How often this provider prescribes it

This provider
165
MO average
164.3

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

What Medicare paid per fill

This provider
$4.18
MO average
$5.31

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

427
30-Day Fills
standardized to 30-day supplies
12,782
Days of Medication
total across all patients in 2024

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 134 Medicare prescriptions for Metoprolol Succinate, about the same volume as the typical Missouri prescriber of this medication (123.9). Medicare paid an average of $8.86 per fill, versus $11.38 statewide.

How often this provider prescribes it

This provider
134
MO average
123.9

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

What Medicare paid per fill

This provider
$8.86
MO average
$11.38

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

263
30-Day Fills
standardized to 30-day supplies
7,837
Days of Medication
total across all patients in 2024

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 118 Medicare prescriptions for Rosuvastatin Calcium, about the same volume as the typical Missouri prescriber of this medication (127.1). Medicare paid an average of $7.91 per fill, versus $10.73 statewide.

How often this provider prescribes it

This provider
118
MO average
127.1

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

What Medicare paid per fill

This provider
$7.91
MO average
$10.73

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

310
30-Day Fills
standardized to 30-day supplies
9,264
Days of Medication
total across all patients in 2024

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 115 Medicare prescriptions for Metformin Hcl, about the same volume as the typical Missouri prescriber of this medication (105.5). Medicare paid an average of $5.30 per fill, versus $6.52 statewide.

How often this provider prescribes it

This provider
115
MO average
105.5

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

What Medicare paid per fill

This provider
$5.30
MO average
$6.52

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

229.4
30-Day Fills
standardized to 30-day supplies
6,846
Days of Medication
total across all patients in 2024

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 112 Medicare prescriptions for Gabapentin, about the same volume as the typical Missouri prescriber of this medication (115.3). Medicare paid an average of $10.58 per fill, versus $15.91 statewide.

How often this provider prescribes it

This provider
112
MO average
115.3

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

What Medicare paid per fill

This provider
$10.58
MO average
$15.91

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

184.3
30-Day Fills
standardized to 30-day supplies
5,452
Days of Medication
total across all patients in 2024

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 105 Medicare prescriptions for Omeprazole, about 86% of the volume of the typical Missouri prescriber of this medication (121.8). Medicare paid an average of $11.35 per fill, versus $12.55 statewide.

How often this provider prescribes it

This provider
105
MO average
121.8

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

What Medicare paid per fill

This provider
$11.35
MO average
$12.55

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

223
30-Day Fills
standardized to 30-day supplies
6,641
Days of Medication
total across all patients in 2024

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 96 Medicare prescriptions for Losartan Potassium, about 75% of the volume of the typical Missouri prescriber of this medication (127.6). Medicare paid an average of $9.15 per fill, versus $7.83 statewide.

How often this provider prescribes it

This provider
96
MO average
127.6

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

What Medicare paid per fill

This provider
$9.15
MO average
$7.83

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

251.8
30-Day Fills
standardized to 30-day supplies
7,553
Days of Medication
total across all patients in 2024

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 76 Medicare prescriptions for Metformin Hcl Er, about the same volume as the typical Missouri prescriber of this medication (67.4). Medicare paid an average of $4.46 per fill, versus $8.28 statewide.

How often this provider prescribes it

This provider
76
MO average
67.4

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

What Medicare paid per fill

This provider
$4.46
MO average
$8.28

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

168
30-Day Fills
standardized to 30-day supplies
5,032
Days of Medication
total across all patients in 2024

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 72 Medicare prescriptions for Citalopram Hbr, about 1.3 times the volume of the typical Missouri prescriber of this medication (55). Medicare paid an average of $2.78 per fill, versus $5.80 statewide.

How often this provider prescribes it

This provider
72
MO average
55.0

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

What Medicare paid per fill

This provider
$2.78
MO average
$5.80

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

170
30-Day Fills
standardized to 30-day supplies
5,100
Days of Medication
total across all patients in 2024

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 69 Medicare prescriptions for Hydrochlorothiazide, about 81% of the volume of the typical Missouri prescriber of this medication (85.1). Medicare paid an average of $3.63 per fill, versus $3.84 statewide.

How often this provider prescribes it

This provider
69
MO average
85.1

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

What Medicare paid per fill

This provider
$3.63
MO average
$3.84

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

174
30-Day Fills
standardized to 30-day supplies
5,220
Days of Medication
total across all patients in 2024

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 64 Medicare prescriptions for Albuterol Sulfate Hfa, about 79% of the volume of the typical Missouri prescriber of this medication (80.6). Medicare paid an average of $32.11 per fill, versus $25.65 statewide.

How often this provider prescribes it

This provider
64
MO average
80.6

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

What Medicare paid per fill

This provider
$32.11
MO average
$25.65

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

94.4
30-Day Fills
standardized to 30-day supplies
2,621
Days of Medication
total across all patients in 2024

About Glipizide: 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 60 Medicare prescriptions for Glipizide, about 1.6 times the volume of the typical Missouri prescriber of this medication (38.6). Medicare paid an average of $7.26 per fill, versus $7.91 statewide.

How often this provider prescribes it

This provider
60
MO average
38.6

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

What Medicare paid per fill

This provider
$7.26
MO average
$7.91

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

146
30-Day Fills
standardized to 30-day supplies
4,380
Days of Medication
total across all patients in 2024

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 59 Medicare prescriptions for Potassium Chloride, about 66% of the volume of the typical Missouri prescriber of this medication (89.7). Medicare paid an average of $11.85 per fill, versus $17.91 statewide.

How often this provider prescribes it

This provider
59
MO average
89.7

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

What Medicare paid per fill

This provider
$11.85
MO average
$17.91

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

107
30-Day Fills
standardized to 30-day supplies
3,169
Days of Medication
total across all patients in 2024

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 58 Medicare prescriptions for Fluticasone Propionate, about the same volume as the typical Missouri prescriber of this medication (60.6). Medicare paid an average of $12.49 per fill, versus $15.66 statewide.

How often this provider prescribes it

This provider
58
MO average
60.6

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

What Medicare paid per fill

This provider
$12.49
MO average
$15.66

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

83
30-Day Fills
standardized to 30-day supplies
2,340
Days of Medication
total across all patients in 2024

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 52 Medicare prescriptions for Eliquis, about half the volume of the typical Missouri prescriber of this medication (110.4). Medicare paid an average of $773.44 per fill, versus $777.14 statewide.

How often this provider prescribes it

This provider
52
MO average
110.4

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

What Medicare paid per fill

This provider
$773.44
MO average
$777.14

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

69
30-Day Fills
standardized to 30-day supplies
2,070
Days of Medication
total across all patients in 2024

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 51 Medicare prescriptions for Metoprolol Tartrate, about half the volume of the typical Missouri prescriber of this medication (85.9). Medicare paid an average of $4.34 per fill, versus $5.80 statewide.

How often this provider prescribes it

This provider
51
MO average
85.9

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

What Medicare paid per fill

This provider
$4.34
MO average
$5.80

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

133
30-Day Fills
standardized to 30-day supplies
3,990
Days of Medication
total across all patients in 2024

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 50 Medicare prescriptions for Simvastatin, about 64% of the volume of the typical Missouri prescriber of this medication (78.3). Medicare paid an average of $6.41 per fill, versus $6.73 statewide.

How often this provider prescribes it

This provider
50
MO average
78.3

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

What Medicare paid per fill

This provider
$6.41
MO average
$6.73

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

114
30-Day Fills
standardized to 30-day supplies
3,420
Days of Medication
total across all patients in 2024

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 50 Medicare prescriptions for Furosemide, about half the volume of the typical Missouri prescriber of this medication (105.9). Medicare paid an average of $2.82 per fill, versus $4.64 statewide.

How often this provider prescribes it

This provider
50
MO average
105.9

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

What Medicare paid per fill

This provider
$2.82
MO average
$4.64

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

116
30-Day Fills
standardized to 30-day supplies
3,480
Days of Medication
total across all patients in 2024

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 49 Medicare prescriptions for Allopurinol, about 80% of the volume of the typical Missouri prescriber of this medication (61.1). Medicare paid an average of $6.07 per fill, versus $8.49 statewide.

How often this provider prescribes it

This provider
49
MO average
61.1

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

What Medicare paid per fill

This provider
$6.07
MO average
$8.49

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

107
30-Day Fills
standardized to 30-day supplies
3,210
Days of Medication
total across all patients in 2024

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 48 Medicare prescriptions for Clopidogrel, about 65% of the volume of the typical Missouri prescriber of this medication (73.9). Medicare paid an average of $3.56 per fill, versus $9.48 statewide.

How often this provider prescribes it

This provider
48
MO average
73.9

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

What Medicare paid per fill

This provider
$3.56
MO average
$9.48

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

72
30-Day Fills
standardized to 30-day supplies
2,152
Days of Medication
total across all patients in 2024

About Torsemide: Torsemide 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. Torsemide is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A pyridine and sulfonamide derivative that acts as a sodium-potassium chloride symporter inhibitor (loop diuretic). It is used for the treatment of EDEMA associated with CONGESTIVE HEART FAILURE; CHRONIC RENAL INSUFFICIENCY; and LIVER DISEASES. It is also used for the management of HYPERTENSION.

In 2024, this provider wrote 47 Medicare prescriptions for Torsemide, about the same volume as the typical Missouri prescriber of this medication (45.1). Medicare paid an average of $10.27 per fill, versus $16.49 statewide.

How often this provider prescribes it

This provider
47
MO average
45.1

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

What Medicare paid per fill

This provider
$10.27
MO average
$16.49

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

59
30-Day Fills
standardized to 30-day supplies
1,738
Days of Medication
total across all patients in 2024

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 46 Medicare prescriptions for Pantoprazole Sodium, about half the volume of the typical Missouri prescriber of this medication (104.6). Medicare paid an average of $7.58 per fill, versus $10.99 statewide.

How often this provider prescribes it

This provider
46
MO average
104.6

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

What Medicare paid per fill

This provider
$7.58
MO average
$10.99

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

94
30-Day Fills
standardized to 30-day supplies
2,794
Days of Medication
total across all patients in 2024

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 46 Medicare prescriptions for Lantus Solostar, about the same volume as the typical Missouri prescriber of this medication (46.9). Medicare paid an average of $74.81 per fill, versus $128.86 statewide.

How often this provider prescribes it

This provider
46
MO average
46.9

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

What Medicare paid per fill

This provider
$74.81
MO average
$128.86

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

71.9
30-Day Fills
standardized to 30-day supplies
2,111
Days of Medication
total across all patients in 2024

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 46 Medicare prescriptions for Cyclobenzaprine Hcl, about the same volume as the typical Missouri prescriber of this medication (45.1). Medicare paid an average of $9.92 per fill, versus $9.75 statewide.

How often this provider prescribes it

This provider
46
MO average
45.1

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

What Medicare paid per fill

This provider
$9.92
MO average
$9.75

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

71.1
30-Day Fills
standardized to 30-day supplies
1,779
Days of Medication
total across all patients in 2024

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 half the volume of the typical Missouri prescriber of this medication (82.4). Medicare paid an average of $6.82 per fill, versus $7.86 statewide.

How often this provider prescribes it

This provider
44
MO average
82.4

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

What Medicare paid per fill

This provider
$6.82
MO average
$7.86

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

103.6
30-Day Fills
standardized to 30-day supplies
3,108
Days of Medication
total across all patients in 2024

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 44 Medicare prescriptions for Tamsulosin Hcl, about a third of the volume of the typical Missouri prescriber of this medication (106.2). Medicare paid an average of $5.20 per fill, versus $12.31 statewide.

How often this provider prescribes it

This provider
44
MO average
106.2

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

What Medicare paid per fill

This provider
$5.20
MO average
$12.31

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

97
30-Day Fills
standardized to 30-day supplies
2,910
Days of Medication
total across all patients in 2024

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 43 Medicare prescriptions for Jardiance, about 71% of the volume of the typical Missouri prescriber of this medication (60.9). Medicare paid an average of $726.01 per fill, versus $925.72 statewide.

How often this provider prescribes it

This provider
43
MO average
60.9

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

What Medicare paid per fill

This provider
$726.01
MO average
$925.72

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

53.3
30-Day Fills
standardized to 30-day supplies
1,556
Days of Medication
total across all patients in 2024

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 37 Medicare prescriptions for Fluoxetine Hcl, about 71% of the volume of the typical Missouri prescriber of this medication (52). Medicare paid an average of $6.91 per fill, versus $9.54 statewide.

How often this provider prescribes it

This provider
37
MO average
52.1

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

What Medicare paid per fill

This provider
$6.91
MO average
$9.54

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

91
30-Day Fills
standardized to 30-day supplies
2,710
Days of Medication
total across all patients in 2024

About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾

It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative.

In 2024, this provider wrote 35 Medicare prescriptions for Hydroxyzine Hcl, about 87% of the volume of the typical Missouri prescriber of this medication (40.2). Medicare paid an average of $12.93 per fill, versus $17.74 statewide.

How often this provider prescribes it

This provider
35
MO average
40.2

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

What Medicare paid per fill

This provider
$12.93
MO average
$17.74

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

47
30-Day Fills
standardized to 30-day supplies
1,346
Days of Medication
total across all patients in 2024

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

It is a macrolide-type antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis.

In 2024, this provider wrote 33 Medicare prescriptions for Azithromycin, about the same volume as the typical Missouri prescriber of this medication (36.2). Medicare paid an average of $3.75 per fill, versus $4.78 statewide.

How often this provider prescribes it

This provider
33
MO average
36.2

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

What Medicare paid per fill

This provider
$3.75
MO average
$4.78

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

33
30-Day Fills
standardized to 30-day supplies
171
Days of Medication
total across all patients in 2024

About Basaglar Kwikpen U-100: 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.

In 2024, this provider wrote 32 Medicare prescriptions for Basaglar Kwikpen U-100, about the same volume as the typical Missouri prescriber of this medication (28.5). Medicare paid an average of $234.61 per fill, versus $373.79 statewide.

How often this provider prescribes it

This provider
32
MO average
28.5

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

What Medicare paid per fill

This provider
$234.61
MO average
$373.79

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

50.4
30-Day Fills
standardized to 30-day supplies
1,496
Days of Medication
total across all patients in 2024

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 31 Medicare prescriptions for Atenolol, about 77% of the volume of the typical Missouri prescriber of this medication (40.3). Medicare paid an average of $5.51 per fill, versus $6.04 statewide.

How often this provider prescribes it

This provider
31
MO average
40.3

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

What Medicare paid per fill

This provider
$5.51
MO average
$6.04

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

87.3
30-Day Fills
standardized to 30-day supplies
2,620
Days of Medication
total across all patients in 2024

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 30 Medicare prescriptions for Spironolactone, about half the volume of the typical Missouri prescriber of this medication (60.8). Medicare paid an average of $4.44 per fill, versus $7.43 statewide.

How often this provider prescribes it

This provider
30
MO average
60.8

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

What Medicare paid per fill

This provider
$4.44
MO average
$7.43

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

63.6
30-Day Fills
standardized to 30-day supplies
1,908
Days of Medication
total across all patients in 2024

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 29 Medicare prescriptions for Montelukast Sodium, about a third of the volume of the typical Missouri prescriber of this medication (75.1). Medicare paid an average of $5.56 per fill, versus $8.77 statewide.

How often this provider prescribes it

This provider
29
MO average
75.1

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

What Medicare paid per fill

This provider
$5.56
MO average
$8.77

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

77
30-Day Fills
standardized to 30-day supplies
2,310
Days of Medication
total across all patients in 2024

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 28 Medicare prescriptions for Buspirone Hcl, about half the volume of the typical Missouri prescriber of this medication (63.4). Medicare paid an average of $7.39 per fill, versus $13.90 statewide.

How often this provider prescribes it

This provider
28
MO average
63.4

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

What Medicare paid per fill

This provider
$7.39
MO average
$13.90

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

40
30-Day Fills
standardized to 30-day supplies
1,186
Days of Medication
total across all patients in 2024

About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾

It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION.

In 2024, this provider wrote 26 Medicare prescriptions for Carvedilol, about a third of the volume of the typical Missouri prescriber of this medication (90.6). Medicare paid an average of $6.97 per fill, versus $7.11 statewide.

How often this provider prescribes it

This provider
26
MO average
90.6

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

What Medicare paid per fill

This provider
$6.97
MO average
$7.11

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

65.6
30-Day Fills
standardized to 30-day supplies
1,936
Days of Medication
total across all patients in 2024

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 25 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about half the volume of the typical Missouri prescriber of this medication (45.3). Medicare paid an average of $4.83 per fill, versus $6.58 statewide.

How often this provider prescribes it

This provider
25
MO average
45.3

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

What Medicare paid per fill

This provider
$4.83
MO average
$6.58

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

73
30-Day Fills
standardized to 30-day supplies
2,190
Days of Medication
total across all patients in 2024

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 25 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical Missouri prescriber of this medication (46.7). Medicare paid an average of $12.42 per fill, versus $21.58 statewide.

How often this provider prescribes it

This provider
25
MO average
46.7

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

What Medicare paid per fill

This provider
$12.42
MO average
$21.58

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

65
30-Day Fills
standardized to 30-day supplies
1,950
Days of Medication
total across all patients in 2024

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

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

In 2024, this provider wrote 25 Medicare prescriptions for Doxycycline Hyclate, about 70% of the volume of the typical Missouri prescriber of this medication (35.7). Medicare paid an average of $6.35 per fill, versus $13.16 statewide.

How often this provider prescribes it

This provider
25
MO average
35.7

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

What Medicare paid per fill

This provider
$6.35
MO average
$13.16

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

25
30-Day Fills
standardized to 30-day supplies
260
Days of Medication
total across all patients in 2024

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 25 Medicare prescriptions for Glipizide Er, about 75% of the volume of the typical Missouri prescriber of this medication (33.2). Medicare paid an average of $9.47 per fill, versus $12.06 statewide.

How often this provider prescribes it

This provider
25
MO average
33.2

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

What Medicare paid per fill

This provider
$9.47
MO average
$12.06

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

60.5
30-Day Fills
standardized to 30-day supplies
1,815
Days of Medication
total across all patients in 2024

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 23 Medicare prescriptions for Trazodone Hcl, about a quarter of the volume of the typical Missouri prescriber of this medication (92.7). Medicare paid an average of $2.43 per fill, versus $7.90 statewide.

How often this provider prescribes it

This provider
23
MO average
92.7

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

What Medicare paid per fill

This provider
$2.43
MO average
$7.90

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

31
30-Day Fills
standardized to 30-day supplies
930
Days of Medication
total across all patients in 2024

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 23 Medicare prescriptions for Fluticasone-Salmeterol, about 78% of the volume of the typical Missouri prescriber of this medication (29.3). Medicare paid an average of $163.03 per fill, versus $141.72 statewide.

How often this provider prescribes it

This provider
23
MO average
29.3

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

What Medicare paid per fill

This provider
$163.03
MO average
$141.72

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

33
30-Day Fills
standardized to 30-day supplies
990
Days of Medication
total across all patients in 2024

About Symbicort: 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: budesonide and formoterol. Budesonide belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Formoterol 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 formoterol) 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. Before using this medication, it is important to learn how to use it properly. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. See also How to Use section. A pharmaceutical preparation of budesonide and formoterol fumarate that is used as an ANTI-ASTHMATIC AGENT and for the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE.

In 2024, this provider wrote 22 Medicare prescriptions for Symbicort, about 74% of the volume of the typical Missouri prescriber of this medication (29.8). Medicare paid an average of $212.30 per fill, versus $301.88 statewide.

How often this provider prescribes it

This provider
22
MO average
29.8

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

What Medicare paid per fill

This provider
$212.30
MO average
$301.88

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

23
30-Day Fills
standardized to 30-day supplies
690
Days of Medication
total across all patients in 2024

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 22 Medicare prescriptions for Pravastatin Sodium, about a third of the volume of the typical Missouri prescriber of this medication (58.6). Medicare paid an average of $8.26 per fill, versus $10.59 statewide.

How often this provider prescribes it

This provider
22
MO average
58.6

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

What Medicare paid per fill

This provider
$8.26
MO average
$10.59

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

44
30-Day Fills
standardized to 30-day supplies
1,320
Days of Medication
total across all patients in 2024

About Januvia: Sitagliptin 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 people 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. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES.

In 2024, this provider wrote 21 Medicare prescriptions for Januvia, about half the volume of the typical Missouri prescriber of this medication (36.8). Medicare paid an average of $1,150.56 per fill, versus $774.33 statewide.

How often this provider prescribes it

This provider
21
MO average
36.8

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

What Medicare paid per fill

This provider
$1,150.56
MO average
$774.33

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

43.5
30-Day Fills
standardized to 30-day supplies
1,289
Days of Medication
total across all patients in 2024

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 21 Medicare prescriptions for Famotidine, about a third of the volume of the typical Missouri prescriber of this medication (63.2). Medicare paid an average of $14.11 per fill, versus $12.79 statewide.

How often this provider prescribes it

This provider
21
MO average
63.2

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

What Medicare paid per fill

This provider
$14.11
MO average
$12.79

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

44
30-Day Fills
standardized to 30-day supplies
1,320
Days of Medication
total across all patients in 2024

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

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

In 2024, this provider wrote 20 Medicare prescriptions for Nystatin, about 74% of the volume of the typical Missouri prescriber of this medication (27.1). Medicare paid an average of $11.63 per fill, versus $18.72 statewide.

How often this provider prescribes it

This provider
20
MO average
27.1

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

What Medicare paid per fill

This provider
$11.63
MO average
$18.72

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

21
30-Day Fills
standardized to 30-day supplies
465
Days of Medication
total across all patients in 2024

About Synthroid: 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 20 Medicare prescriptions for Synthroid, about half the volume of the typical Missouri prescriber of this medication (35.9). Medicare paid an average of $29.96 per fill, versus $66.05 statewide.

How often this provider prescribes it

This provider
20
MO average
35.9

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

What Medicare paid per fill

This provider
$29.96
MO average
$66.05

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

57
30-Day Fills
standardized to 30-day supplies
1,710
Days of Medication
total across all patients in 2024

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 20 Medicare prescriptions for Xarelto, about a third of the volume of the typical Missouri prescriber of this medication (52.3). Medicare paid an average of $539.83 per fill, versus $827.79 statewide.

How often this provider prescribes it

This provider
20
MO average
52.3

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

What Medicare paid per fill

This provider
$539.83
MO average
$827.79

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

20
30-Day Fills
standardized to 30-day supplies
600
Days of Medication
total across all patients in 2024

About Propranolol Hcl: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. Show more ▾

It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. 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 effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs.

In 2024, this provider wrote 19 Medicare prescriptions for Propranolol Hcl, about 60% of the volume of the typical Missouri prescriber of this medication (31.6). Medicare paid an average of $30.87 per fill, versus $15.33 statewide.

How often this provider prescribes it

This provider
19
MO average
31.6

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

What Medicare paid per fill

This provider
$30.87
MO average
$15.33

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

34.5
30-Day Fills
standardized to 30-day supplies
1,020
Days of Medication
total across all patients in 2024

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 19 Medicare prescriptions for Prednisone, about a third of the volume of the typical Missouri prescriber of this medication (53). Medicare paid an average of $4.35 per fill, versus $3.63 statewide.

How often this provider prescribes it

This provider
19
MO average
53.0

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

What Medicare paid per fill

This provider
$4.35
MO average
$3.63

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

23.5
30-Day Fills
standardized to 30-day supplies
423
Days of Medication
total across all patients in 2024

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 19 Medicare prescriptions for Duloxetine Hcl, about a quarter of the volume of the typical Missouri prescriber of this medication (73.4). Medicare paid an average of $25.77 per fill, versus $21.77 statewide.

How often this provider prescribes it

This provider
19
MO average
73.4

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

What Medicare paid per fill

This provider
$25.77
MO average
$21.77

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

37
30-Day Fills
standardized to 30-day supplies
1,110
Days of Medication
total across all patients in 2024

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 19 Medicare prescriptions for Triamcinolone Acetonide, about half the volume of the typical Missouri prescriber of this medication (37). Medicare paid an average of $3.94 per fill, versus $8.93 statewide.

How often this provider prescribes it

This provider
19
MO average
37.0

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

What Medicare paid per fill

This provider
$3.94
MO average
$8.93

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

21
30-Day Fills
standardized to 30-day supplies
421
Days of Medication
total across all patients in 2024

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

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

In 2024, this provider wrote 18 Medicare prescriptions for Methylprednisolone, about half the volume of the typical Missouri prescriber of this medication (37.7). Medicare paid an average of $6.83 per fill, versus $7.02 statewide.

How often this provider prescribes it

This provider
18
MO average
37.7

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

What Medicare paid per fill

This provider
$6.83
MO average
$7.02

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

18
30-Day Fills
standardized to 30-day supplies
108
Days of Medication
total across all patients in 2024

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 18 Medicare prescriptions for Chlorthalidone, about half the volume of the typical Missouri prescriber of this medication (30.8). Medicare paid an average of $14.09 per fill, versus $15.17 statewide.

How often this provider prescribes it

This provider
18
MO average
30.8

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

What Medicare paid per fill

This provider
$14.09
MO average
$15.17

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

34
30-Day Fills
standardized to 30-day supplies
1,020
Days of Medication
total across all patients in 2024

About Fluconazole: Fluconazole is used to treat vaginal yeast infections. Show more ▾

It works by stopping the growth of common types of vaginal yeast (fungus). This medication belongs to a class of drugs called azole antifungals. Triazole antifungal agent that is used to treat oropharyngeal CANDIDIASIS and cryptococcal MENINGITIS in AIDS.

In 2024, this provider wrote 18 Medicare prescriptions for Fluconazole, about 79% of the volume of the typical Missouri prescriber of this medication (22.9). Medicare paid an average of $5.14 per fill, versus $11.12 statewide.

How often this provider prescribes it

This provider
18
MO average
22.9

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

What Medicare paid per fill

This provider
$5.14
MO average
$11.12

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

18.2
30-Day Fills
standardized to 30-day supplies
324
Days of Medication
total across all patients in 2024

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 18 Medicare prescriptions for Ozempic, about a third of the volume of the typical Missouri prescriber of this medication (63.2). Medicare paid an average of $1,125.27 per fill, versus $1,244.31 statewide.

How often this provider prescribes it

This provider
18
MO average
63.2

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

What Medicare paid per fill

This provider
$1,125.27
MO average
$1,244.31

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

22.5
30-Day Fills
standardized to 30-day supplies
644
Days of Medication
total across all patients in 2024

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 18 Medicare prescriptions for Meloxicam, about a quarter of the volume of the typical Missouri prescriber of this medication (74). Medicare paid an average of $2.28 per fill, versus $3.88 statewide.

How often this provider prescribes it

This provider
18
MO average
74.0

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

What Medicare paid per fill

This provider
$2.28
MO average
$3.88

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

30
30-Day Fills
standardized to 30-day supplies
900
Days of Medication
total across all patients in 2024

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 18 Medicare prescriptions for Topiramate, about half the volume of the typical Missouri prescriber of this medication (42.3). Medicare paid an average of $27.87 per fill, versus $10.57 statewide.

How often this provider prescribes it

This provider
18
MO average
42.3

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

What Medicare paid per fill

This provider
$27.87
MO average
$10.57

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

32
30-Day Fills
standardized to 30-day supplies
940
Days of Medication
total across all patients in 2024

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 18 Medicare prescriptions for Losartan-Hydrochlorothiazide, about half the volume of the typical Missouri prescriber of this medication (35.9). Medicare paid an average of $5.15 per fill, versus $11.40 statewide.

How often this provider prescribes it

This provider
18
MO average
35.9

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

What Medicare paid per fill

This provider
$5.15
MO average
$11.40

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

20
30-Day Fills
standardized to 30-day supplies
600
Days of Medication
total across all patients in 2024

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 18 Medicare prescriptions for Alendronate Sodium, about a third of the volume of the typical Missouri prescriber of this medication (53.7). Medicare paid an average of $10.17 per fill, versus $7.33 statewide.

How often this provider prescribes it

This provider
18
MO average
53.7

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

What Medicare paid per fill

This provider
$10.17
MO average
$7.33

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

50.4
30-Day Fills
standardized to 30-day supplies
1,512
Days of Medication
total across all patients in 2024

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

It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. 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 16 Medicare prescriptions for Ondansetron Hcl, about half the volume of the typical Missouri prescriber of this medication (33.7). Medicare paid an average of $12.87 per fill, versus $18.93 statewide.

How often this provider prescribes it

This provider
16
MO average
33.7

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

What Medicare paid per fill

This provider
$12.87
MO average
$18.93

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

22
30-Day Fills
standardized to 30-day supplies
339
Days of Medication
total across all patients in 2024

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 16 Medicare prescriptions for Escitalopram Oxalate, about a quarter of the volume of the typical Missouri prescriber of this medication (68). Medicare paid an average of $12.59 per fill, versus $9.52 statewide.

How often this provider prescribes it

This provider
16
MO average
68.0

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

What Medicare paid per fill

This provider
$12.59
MO average
$9.52

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

36
30-Day Fills
standardized to 30-day supplies
1,076
Days of Medication
total across all patients in 2024

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 16 Medicare prescriptions for Oxybutynin Chloride Er, about half the volume of the typical Missouri prescriber of this medication (37.3). Medicare paid an average of $40.99 per fill, versus $19.96 statewide.

How often this provider prescribes it

This provider
16
MO average
37.3

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

What Medicare paid per fill

This provider
$40.99
MO average
$19.96

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

48
30-Day Fills
standardized to 30-day supplies
1,440
Days of Medication
total across all patients in 2024

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 15 Medicare prescriptions for Tizanidine Hcl, about a quarter of the volume of the typical Missouri prescriber of this medication (56.7). Medicare paid an average of $6.29 per fill, versus $11.54 statewide.

How often this provider prescribes it

This provider
15
MO average
56.7

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

What Medicare paid per fill

This provider
$6.29
MO average
$11.54

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

19
30-Day Fills
standardized to 30-day supplies
547
Days of Medication
total across all patients in 2024

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 15 Medicare prescriptions for Varenicline Tartrate, about 80% of the volume of the typical Missouri prescriber of this medication (18.7). Medicare paid an average of $51.35 per fill, versus $219.17 statewide.

How often this provider prescribes it

This provider
15
MO average
18.7

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

What Medicare paid per fill

This provider
$51.35
MO average
$219.17

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

16
30-Day Fills
standardized to 30-day supplies
460
Days of Medication
total across all patients in 2024

About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of 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). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker.

In 2024, this provider wrote 15 Medicare prescriptions for Doxazosin Mesylate, about half the volume of the typical Missouri prescriber of this medication (30.7). Medicare paid an average of $12.49 per fill, versus $13.46 statewide.

How often this provider prescribes it

This provider
15
MO average
30.7

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

What Medicare paid per fill

This provider
$12.49
MO average
$13.46

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

41
30-Day Fills
standardized to 30-day supplies
1,230
Days of Medication
total across all patients in 2024

About Rizatriptan: Rizatriptan 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. Rizatriptan 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. Rizatriptan does not prevent future migraines or lessen how often you get migraine attacks.

In 2024, this provider wrote 15 Medicare prescriptions for Rizatriptan, about 64% of the volume of the typical Missouri prescriber of this medication (23.5). Medicare paid an average of $11.06 per fill, versus $21.02 statewide.

How often this provider prescribes it

This provider
15
MO average
23.5

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

What Medicare paid per fill

This provider
$11.06
MO average
$21.02

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

15
30-Day Fills
standardized to 30-day supplies
190
Days of Medication
total across all patients in 2024

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 13 Medicare prescriptions for Pramipexole Dihydrochloride, about half the volume of the typical Missouri prescriber of this medication (27.7). Medicare paid an average of $12.04 per fill, versus $14.95 statewide.

How often this provider prescribes it

This provider
13
MO average
27.7

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

What Medicare paid per fill

This provider
$12.04
MO average
$14.95

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

28.5
30-Day Fills
standardized to 30-day supplies
855
Days of Medication
total across all patients in 2024

About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾

Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.

In 2024, this provider wrote 13 Medicare prescriptions for Clonidine Hcl, about half the volume of the typical Missouri prescriber of this medication (29.2). Medicare paid an average of $4.58 per fill, versus $5.81 statewide.

How often this provider prescribes it

This provider
13
MO average
29.2

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

What Medicare paid per fill

This provider
$4.58
MO average
$5.81

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

36.3
30-Day Fills
standardized to 30-day supplies
1,090
Days of Medication
total across all patients in 2024

About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾

It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 13 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about half the volume of the typical Missouri prescriber of this medication (28.1). Medicare paid an average of $4.72 per fill, versus $5.37 statewide.

How often this provider prescribes it

This provider
13
MO average
28.1

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

What Medicare paid per fill

This provider
$4.72
MO average
$5.37

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

15.9
30-Day Fills
standardized to 30-day supplies
247
Days of Medication
total across all patients in 2024

About Cilostazol: Cilostazol is used to improve the symptoms of a certain blood flow problem in the legs (intermittent claudication). Show more ▾

Cilostazol can decrease the muscle pain/cramps that occur during exercise/walking. Claudication pain is caused by too little oxygen getting to the muscles. Cilostazol can increase blood flow and the amount of oxygen that gets to the muscles. Cilostazol is an antiplatelet drug and a vasodilator. It works by stopping blood cells called platelets from sticking together and prevents them from forming harmful clots. It also widens blood vessels in the legs. Cilostazol helps the blood to move more easily and keeps blood flowing smoothly in your body. A quinoline and tetrazole derivative that acts as a phosphodiesterase type 3 inhibitor, with anti-platelet and vasodilating activity. It is used in the treatment of PERIPHERAL VASCULAR DISEASES; ISCHEMIC HEART DISEASE; and in the prevention of stroke.

In 2024, this provider wrote 13 Medicare prescriptions for Cilostazol, about half the volume of the typical Missouri prescriber of this medication (26.4). Medicare paid an average of $18.57 per fill, versus $19.79 statewide.

How often this provider prescribes it

This provider
13
MO average
26.4

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

What Medicare paid per fill

This provider
$18.57
MO average
$19.79

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

21
30-Day Fills
standardized to 30-day supplies
630
Days of Medication
total across all patients in 2024

About Klor-Con M20: 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 13 Medicare prescriptions for Klor-Con M20, about 69% of the volume of the typical Missouri prescriber of this medication (18.9). Medicare paid an average of $8.46 per fill, versus $20.45 statewide.

How often this provider prescribes it

This provider
13
MO average
18.9

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

What Medicare paid per fill

This provider
$8.46
MO average
$20.45

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

19
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2024

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 13 Medicare prescriptions for Naproxen, about half the volume of the typical Missouri prescriber of this medication (26.5). Medicare paid an average of $11.42 per fill, versus $12.07 statewide.

How often this provider prescribes it

This provider
13
MO average
26.5

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

What Medicare paid per fill

This provider
$11.42
MO average
$12.07

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

15
30-Day Fills
standardized to 30-day supplies
307
Days of Medication
total across all patients in 2024

About Hydralazine Hcl: Hydralazine 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. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. A direct-acting vasodilator that is used as an antihypertensive agent.

In 2024, this provider wrote 13 Medicare prescriptions for Hydralazine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (45.1). Medicare paid an average of $9.61 per fill, versus $11.92 statewide.

How often this provider prescribes it

This provider
13
MO average
45.1

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

What Medicare paid per fill

This provider
$9.61
MO average
$11.92

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

31
30-Day Fills
standardized to 30-day supplies
930
Days of Medication
total across all patients in 2024

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 13 Medicare prescriptions for Fenofibrate, about half the volume of the typical Missouri prescriber of this medication (29.3). Medicare paid an average of $9.40 per fill, versus $20.71 statewide.

How often this provider prescribes it

This provider
13
MO average
29.3

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

What Medicare paid per fill

This provider
$9.40
MO average
$20.71

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2024

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 12 Medicare prescriptions for Amitriptyline Hcl, about a third of the volume of the typical Missouri prescriber of this medication (34). Medicare paid an average of $15.33 per fill, versus $14.80 statewide.

How often this provider prescribes it

This provider
12
MO average
34.0

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

What Medicare paid per fill

This provider
$15.33
MO average
$14.80

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

36
30-Day Fills
standardized to 30-day supplies
1,080
Days of Medication
total across all patients in 2024

About Warfarin Sodium: This medication is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body. Show more ▾

Preventing harmful blood clots helps to reduce the risk of a stroke or heart attack. Conditions that increase your risk of developing blood clots include a certain type of irregular heart rhythm (atrial fibrillation), heart valve replacement, recent heart attack, and certain surgeries (such as hip/knee replacement). Warfarin is commonly called a "blood thinner," but the more correct term is "anticoagulant." It helps to keep blood flowing smoothly in your body by decreasing the amount of certain substances (clotting proteins) in your blood. An anticoagulant that acts by inhibiting the synthesis of vitamin K-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide.

In 2024, this provider wrote 12 Medicare prescriptions for Warfarin Sodium, about a quarter of the volume of the typical Missouri prescriber of this medication (50.2). Medicare paid an average of $13.97 per fill, versus $7.48 statewide.

How often this provider prescribes it

This provider
12
MO average
50.2

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

What Medicare paid per fill

This provider
$13.97
MO average
$7.48

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

35.6
30-Day Fills
standardized to 30-day supplies
1,068
Days of Medication
total across all patients in 2024

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 Missouri prescriber of this medication (27). Medicare paid an average of $9.13 per fill, versus $14.74 statewide.

How often this provider prescribes it

This provider
12
MO average
27.0

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

What Medicare paid per fill

This provider
$9.13
MO average
$14.74

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

12
30-Day Fills
standardized to 30-day supplies
280
Days of Medication
total across all patients in 2024

About Anoro Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). Show more ▾

Controlling symptoms of breathing problems helps you stay active. This inhaler contains 2 medications: umeclidinium and vilanterol. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Umeclidinium belongs to a class of drugs known as anticholinergics. Vilanterol belongs to the class of drugs known as long-acting beta agonists (LABAs). Both drugs are also known as bronchodilators. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden shortness of breath. If sudden breathing problems occur, use your quick-relief inhaler as prescribed. Umeclidinium/vilanterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as vilanterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems.

In 2024, this provider wrote 12 Medicare prescriptions for Anoro Ellipta, about a third of the volume of the typical Missouri prescriber of this medication (33.3). Medicare paid an average of $476.59 per fill, versus $565.48 statewide.

How often this provider prescribes it

This provider
12
MO average
33.3

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

What Medicare paid per fill

This provider
$476.59
MO average
$565.48

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

12
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2024

About Phenytoin Sodium Extended: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾

It works by reducing the spread of seizure activity in the brain.

In 2024, this provider wrote 12 Medicare prescriptions for Phenytoin Sodium Extended, about half the volume of the typical Missouri prescriber of this medication (23.6). Medicare paid an average of $50.22 per fill, versus $26.73 statewide.

How often this provider prescribes it

This provider
12
MO average
23.6

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

What Medicare paid per fill

This provider
$50.22
MO average
$26.73

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

12
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2024

About Butalbital-Acetaminophen-Caffe: This combination medication is used to treat tension headaches. Show more ▾

Acetaminophen helps to decrease the pain from the headache. Caffeine helps increase the effects of acetaminophen. Butalbital is a sedative that helps to decrease anxiety and cause sleepiness and relaxation.

In 2024, this provider wrote 11 Medicare prescriptions for Butalbital-Acetaminophen-Caffe, about half the volume of the typical Missouri prescriber of this medication (25.7). Medicare paid an average of $24.80 per fill, versus $31.21 statewide.

How often this provider prescribes it

This provider
11
MO average
25.7

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

What Medicare paid per fill

This provider
$24.80
MO average
$31.21

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

11
30-Day Fills
standardized to 30-day supplies
330
Days of Medication
total across all patients in 2024

About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾

It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION.

In 2024, this provider wrote 11 Medicare prescriptions for Valsartan, about a third of the volume of the typical Missouri prescriber of this medication (33.1). Medicare paid an average of $5.05 per fill, versus $22.31 statewide.

How often this provider prescribes it

This provider
11
MO average
33.1

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

What Medicare paid per fill

This provider
$5.05
MO average
$22.31

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

33
30-Day Fills
standardized to 30-day supplies
990
Days of Medication
total across all patients in 2024

About Lovastatin: Lovastatin 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 fungal metabolite isolated from cultures of Aspergillus terreus. The compound is a potent anticholesteremic agent. It inhibits 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It also stimulates the production of low-density lipoprotein receptors in the liver.

In 2024, this provider wrote 11 Medicare prescriptions for Lovastatin, about a third of the volume of the typical Missouri prescriber of this medication (38.4). Medicare paid an average of $2.14 per fill, versus $7.89 statewide.

How often this provider prescribes it

This provider
11
MO average
38.4

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

What Medicare paid per fill

This provider
$2.14
MO average
$7.89

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

19
30-Day Fills
standardized to 30-day supplies
570
Days of Medication
total across all patients in 2024

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

Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A broad-spectrum antimicrobial carboxyfluoroquinoline.

In 2024, this provider wrote 11 Medicare prescriptions for Ciprofloxacin Hcl, about a third of the volume of the typical Missouri prescriber of this medication (27.9). Medicare paid an average of $4.87 per fill, versus $7.06 statewide.

How often this provider prescribes it

This provider
11
MO average
27.9

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

What Medicare paid per fill

This provider
$4.87
MO average
$7.06

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

11
30-Day Fills
standardized to 30-day supplies
98
Days of Medication
total across all patients in 2024

About Isosorbide Mononitrate Er: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Show more ▾

This medication belongs to a class of drugs known as nitrates. It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details. For prevention of angina pectoris; a Russian drug.

In 2024, this provider wrote 11 Medicare prescriptions for Isosorbide Mononitrate Er, about a quarter of the volume of the typical Missouri prescriber of this medication (54.3). Medicare paid an average of $6.07 per fill, versus $10.65 statewide.

How often this provider prescribes it

This provider
11
MO average
54.3

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

What Medicare paid per fill

This provider
$6.07
MO average
$10.65

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

27
30-Day Fills
standardized to 30-day supplies
810
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 MO prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MO average cost per fill.

About this data. The prescription history for JULITTA J. SHIRLEY FNP 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 prescribing approach at this Golden City, MO 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 MO 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.