DR. ROBERT L ROSCHEL M.D.
Prescription History 1891763421
Dermatology in Lancaster, PA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. ROBERT L ROSCHEL M.D., an active Dermatology specialist practicing in Lancaster, PA. Our medical registry currently tracks 11 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 499 documented patient claims. Among these therapy options, the most frequently utilized medication is Triamcinolone Acetonide, which accounts for 230 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 PA PrescribersVs. PA Avg |
|---|---|---|---|
| Triamcinolone Acetonide | 230 | $6.84▼ below PA avg | ▲ More than typical |
About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾ Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. 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 2023, this provider wrote 230 Medicare prescriptions for Triamcinolone Acetonide, about 6.4 times the volume of the typical Pennsylvania prescriber of this medication (36). Medicare paid an average of $6.84 per fill, versus $11.97 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 240.8 30-Day Fills standardized to 30-day supplies 5,807 Days of Medication total across all patients in 2023 | |||
| Cephalexin | 79 | $10.72 | ▲ More than typical |
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2023, this provider wrote 79 Medicare prescriptions for Cephalexin, about 2.9 times the volume of the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $10.72 per fill, versus $8.71 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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. 84 30-Day Fills standardized to 30-day supplies 2,004 Days of Medication total across all patients in 2023 | |||
| Doxycycline Hyclate | 38 | $13.15▼ below PA avg | ▲ More than typical |
About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾ This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity. In 2023, this provider wrote 38 Medicare prescriptions for Doxycycline Hyclate, about 1.4 times the volume of the typical Pennsylvania prescriber of this medication (28). Medicare paid an average of $13.15 per fill, versus $26.72 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PA 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 PA average for this medication. 40 30-Day Fills standardized to 30-day supplies 1,111 Days of Medication total across all patients in 2023 | |||
| Fluorouracil | 35 | $119.25 | ≈ Typical |
About Fluorouracil: Fluorouracil is used to treat various types of cancer. Show more ▾ It is a chemotherapy drug that is used to slow or stop cancer cell growth. A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid. In 2023, this provider wrote 35 Medicare prescriptions for Fluorouracil, about the same volume as the typical Pennsylvania prescriber of this medication (33). Medicare paid an average of $119.25 per fill, versus $101.71 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 39.4 30-Day Fills standardized to 30-day supplies 1,037 Days of Medication total across all patients in 2023 | |||
| Betamethasone Valerate | 28 | $41.48 | ≈ Typical |
About Betamethasone Valerate: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Betamethasone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a medium-strength corticosteroid. The 17-valerate derivative of BETAMETHASONE. It has substantial topical anti-inflammatory activity and relatively low systemic anti-inflammatory activity. In 2023, this provider wrote 28 Medicare prescriptions for Betamethasone Valerate, about the same volume as the typical Pennsylvania prescriber of this medication (27). Medicare paid an average of $41.48 per fill, versus $38.14 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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. 31 30-Day Fills standardized to 30-day supplies 875 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 19 | $19.51 | ▼ Less than typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 19 Medicare prescriptions for Spironolactone, about half the volume of the typical Pennsylvania prescriber of this medication (41). Medicare paid an average of $19.51 per fill, versus $11.39 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 33 30-Day Fills standardized to 30-day supplies 970 Days of Medication total across all patients in 2023 | |||
| ValacyclovirValacyclovir Hcl | 19 | $5.77▼ below PA avg | ≈ Typical |
About Valacyclovir: Valacyclovir is used to treat infections caused by certain types of viruses. Show more ▾ In children, it is used to treat cold sores around the mouth (caused by herpes simplex) and chickenpox (caused by varicella zoster). In adults, it is used to treat shingles (caused by herpes zoster) and cold sores around the mouth. Valacyclovir is also used to treat outbreaks of genital herpes. In people with frequent outbreaks, this medication is used to reduce the number of future episodes. Valacyclovir is an antiviral drug. It stops the growth of certain viruses. However, it is not a cure for these infections. The viruses that cause these infections continue to live in the body even between outbreaks. Valacyclovir decreases the severity and length of these outbreaks. It helps the sores heal faster, keeps new sores from forming, and decreases pain/itching. This medication may also help reduce how long pain remains after the sores heal. A prodrug of acyclovir that is used in the treatment of HERPES ZOSTER and HERPES SIMPLEX VIRUS INFECTION of the skin and mucous membranes, including GENITAL HERPES. In 2023, this provider wrote 19 Medicare prescriptions for Valacyclovir, about the same volume as the typical Pennsylvania prescriber of this medication (21). Medicare paid an average of $5.77 per fill, versus $43.73 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PA 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 PA average for this medication. 19 30-Day Fills standardized to 30-day supplies 45 Days of Medication total across all patients in 2023 | |||
| MethotrexateMethotrexate Sodium | 17 | $55.26 | ▼ Less than typical |
About Methotrexate: Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma) or to control severe psoriasis or rheumatoid arthritis that has not responded to other treatments. Show more ▾ It may also be used to control juvenile rheumatoid arthritis. Methotrexate belongs to a class of drugs known as antimetabolites. It works by slowing or stopping the growth of cancer cells and suppressing the immune system. Early treatment of rheumatoid arthritis with more aggressive therapy such as methotrexate helps to reduce further joint damage and to preserve joint function. An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA. In 2023, this provider wrote 17 Medicare prescriptions for Methotrexate, about 18% of the volume of the typical Pennsylvania prescriber of this medication (97). Medicare paid an average of $55.26 per fill, versus $38.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 26.8 30-Day Fills standardized to 30-day supplies 782 Days of Medication total across all patients in 2023 | |||
| Terbinafine Hcl | 12 | $21.37 | ▼ Less than typical |
About Terbinafine Hcl: Terbinafine is used to treat certain types of fungal infections (for example, of the fingernail or toenail). Show more ▾ It works by stopping the growth of fungus. This medication belongs to a class of drugs known as antifungals. In 2023, this provider wrote 12 Medicare prescriptions for Terbinafine Hcl, about half the volume of the typical Pennsylvania prescriber of this medication (23). Medicare paid an average of $21.37 per fill, versus $16.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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. 18 30-Day Fills standardized to 30-day supplies 476 Days of Medication total across all patients in 2023 | |||
| Fluocinonide | 11 | $39.93▼ below PA avg | ▼ Less than typical |
About Fluocinonide: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, psoriasis, allergies, rash). Show more ▾ Fluocinonide reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong corticosteroid. A topical glucocorticoid used in the treatment of ECZEMA. In 2023, this provider wrote 11 Medicare prescriptions for Fluocinonide, about a third of the volume of the typical Pennsylvania prescriber of this medication (30). Medicare paid an average of $39.93 per fill, versus $92.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 11 30-Day Fills standardized to 30-day supplies 250 Days of Medication total across all patients in 2023 | |||
| Ketoconazole | 11 | $9.83▼ below PA avg | ▼ Less than typical |
About Ketoconazole: This medication is used to control dandruff. Show more ▾ Use of this medication may help to relieve the flaking, scaling and itching associated with dandruff. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Ketoconazole 2% shampoo is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients. In 2023, this provider wrote 11 Medicare prescriptions for Ketoconazole, about a quarter of the volume of the typical Pennsylvania prescriber of this medication (41). Medicare paid an average of $9.83 per fill, versus $29.69 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PA 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 PA average for this medication. 11 30-Day Fills standardized to 30-day supplies 300 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for DR. ROBERT L ROSCHEL M.D. 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 Dermatology prescribing approach at this Lancaster, PA 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 PA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
