ZELMIRA CURILLOVA-CHAVKO MD
Prescription History 1891700621
Internal Medicine - Cardiovascular Disease in Bangor, ME
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for ZELMIRA CURILLOVA-CHAVKO MD, an active Cardiovascular Disease specialist practicing in Bangor, ME. Our medical registry currently tracks 15 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 365 documented patient claims. Among these therapy options, the most frequently utilized medication is Metoprolol Succinate, which accounts for 48 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other ME PrescribersVs. ME Avg |
|---|---|---|---|
| Metoprolol Succinate | 48 | $38.94 | ▼ Less than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 48 Medicare prescriptions for Metoprolol Succinate, about 60% of the volume of the typical Maine prescriber of this medication (80). Medicare paid an average of $38.94 per fill, versus $24.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 123.5 30-Day Fills standardized to 30-day supplies 3,706 Days of Medication total across all patients in 2023 | |||
| Losartan Potassium | 34 | $17.65 | ▼ Less than typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 34 Medicare prescriptions for Losartan Potassium, about a third of the volume of the typical Maine prescriber of this medication (83). Medicare paid an average of $17.65 per fill, versus $13.78 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 95.6 30-Day Fills standardized to 30-day supplies 2,842 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 33 | $8.89▼ below ME avg | ≈ Typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 33 Medicare prescriptions for Spironolactone, about the same volume as the typical Maine prescriber of this medication (29). Medicare paid an average of $8.89 per fill, versus $15.51 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 79 30-Day Fills standardized to 30-day supplies 2,370 Days of Medication total across all patients in 2023 | |||
| Carvedilol | 28 | $11.26▼ below ME avg | ≈ Typical |
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 2023, this provider wrote 28 Medicare prescriptions for Carvedilol, about 82% of the volume of the typical Maine prescriber of this medication (34). Medicare paid an average of $11.26 per fill, versus $14.08 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 84 30-Day Fills standardized to 30-day supplies 2,520 Days of Medication total across all patients in 2023 | |||
| Atorvastatin Calcium | 26 | $21.52 | ▼ Less than typical |
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 26 Medicare prescriptions for Atorvastatin Calcium, about 17% of the volume of the typical Maine prescriber of this medication (155). Medicare paid an average of $21.52 per fill, versus $20.68 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 1,770 Days of Medication total across all patients in 2023 | |||
| Rosuvastatin Calcium | 24 | $47.80▼ below ME avg | ▼ Less than typical |
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 24 Medicare prescriptions for Rosuvastatin Calcium, about a third of the volume of the typical Maine prescriber of this medication (63). Medicare paid an average of $47.80 per fill, versus $52.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 64 30-Day Fills standardized to 30-day supplies 1,920 Days of Medication total across all patients in 2023 | |||
| Ezetimibe | 23 | $68.40▼ below ME avg | ≈ Typical |
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 23 Medicare prescriptions for Ezetimibe, about 79% of the volume of the typical Maine prescriber of this medication (29). Medicare paid an average of $68.40 per fill, versus $96.89 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 67 30-Day Fills standardized to 30-day supplies 2,010 Days of Medication total across all patients in 2023 | |||
| Furosemide | 23 | $5.37▼ below ME avg | ▼ Less than typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 23 Medicare prescriptions for Furosemide, about a third of the volume of the typical Maine prescriber of this medication (64). Medicare paid an average of $5.37 per fill, versus $7.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 65 30-Day Fills standardized to 30-day supplies 1,950 Days of Medication total across all patients in 2023 | |||
| Nitroglycerin | 21 | $12.62▼ below ME avg | ≈ Typical |
About Nitroglycerin: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). Show more ▾ This medication belongs to a class of drugs known as nitrates. Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details. A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives. In 2023, this provider wrote 21 Medicare prescriptions for Nitroglycerin, about the same volume as the typical Maine prescriber of this medication (22). Medicare paid an average of $12.62 per fill, versus $20.15 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 21 30-Day Fills standardized to 30-day supplies 380 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 20 | $6.33▼ below ME avg | ▼ Less than typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 20 Medicare prescriptions for Amlodipine Besylate, about a quarter of the volume of the typical Maine prescriber of this medication (97). Medicare paid an average of $6.33 per fill, versus $9.11 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 40.1 30-Day Fills standardized to 30-day supplies 1,184 Days of Medication total across all patients in 2023 | |||
| Metoprolol Tartrate | 20 | $8.38▼ below ME avg | ▼ Less than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 20 Medicare prescriptions for Metoprolol Tartrate, about a third of the volume of the typical Maine prescriber of this medication (60). Medicare paid an average of $8.38 per fill, versus $9.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 26 30-Day Fills standardized to 30-day supplies 738 Days of Medication total across all patients in 2023 | |||
| Potassium Chloride | 19 | $34.12▼ below ME avg | ▼ Less than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 19 Medicare prescriptions for Potassium Chloride, about half the volume of the typical Maine prescriber of this medication (40). Medicare paid an average of $34.12 per fill, versus $40.70 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the ME average for this medication. 33 30-Day Fills standardized to 30-day supplies 978 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 18 | $8.21 | ▼ Less than typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 18 Medicare prescriptions for Lisinopril, about 16% of the volume of the typical Maine prescriber of this medication (116). Medicare paid an average of $8.21 per fill, versus $7.74 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 40 30-Day Fills standardized to 30-day supplies 1,186 Days of Medication total across all patients in 2023 | |||
| EntrestoSacubitril/Valsartan | 16 | $1,613.23 | ▼ Less than typical |
About Entresto: This product is used to treat certain types of heart failure. Show more ▾ It may help you live longer and lower your chance of having to go to the hospital for heart failure. This product contains 2 medications: sacubitril and valsartan. Sacubitril belongs to a class of drugs called neprilysin inhibitors and valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). They work by relaxing blood vessels so that blood can flow more easily, which makes it easier for your heart to pump blood to your body. In 2023, this provider wrote 16 Medicare prescriptions for Entresto, about half the volume of the typical Maine prescriber of this medication (32). Medicare paid an average of $1,613.23 per fill, versus $1,200.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 38 30-Day Fills standardized to 30-day supplies 1,140 Days of Medication total across all patients in 2023 | |||
| EliquisApixaban | 12 | $1,344.42 | ▼ Less than typical |
About Eliquis: Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery. Show more ▾ With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming, which can travel to other parts of your body (such as the lungs or legs) or increase your risk for stroke. In the United States, apixaban is also approved to treat certain types of blood clots (deep vein thrombosis-DVT, pulmonary embolus-PE) and to prevent them from forming again. Apixaban is an anticoagulant that works by blocking certain clotting proteins in your blood. In 2023, this provider wrote 12 Medicare prescriptions for Eliquis, about a quarter of the volume of the typical Maine prescriber of this medication (60). Medicare paid an average of $1,344.42 per fill, versus $987.24 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average ME prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 26 30-Day Fills standardized to 30-day supplies 780 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for ZELMIRA CURILLOVA-CHAVKO MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Cardiovascular Disease prescribing approach at this Bangor, ME practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among ME prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
