LACEY S JANE SNYDER APRN
Prescription History 1912417841
Nurse Practitioner in Omaha, NE

Name: Medicare Part D prescriptions by Lacey Snyder (NPI 1912417841), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since October 05, 2017PECOS EnrolledAccepts Medicare Assignment

20.72/100

CMS Quality Rating

2727 S 144TH ST STE 280, OMAHA, NE 68144(402) 778-5490(402) 614-1404 Get Directions

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for LACEY S JANE SNYDER APRN, an active Nurse Practitioner specialist practicing in Omaha, NE. Our medical registry currently tracks 163 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 8,838 documented patient claims. Among these therapy options, the most frequently utilized medication is Levothyroxine Sodium, which accounts for 459 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.

163

Medications

8,838

Total Claims

9,074

30-Day Fills

Levothyroxine Sodium

Most Prescribed · 459 claims

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Prescription Volume vs NE Average

163 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by LACEY S JANE SNYDER APRN in 2023, with prescription volumes, average cost per fill, and NE state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other NE PrescribersVs. NE Avg
Levothyroxine Sodium	459	$13.76▼ below NE avg	▲ More than typical
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 459 Medicare prescriptions for Levothyroxine Sodium, about 2.7 times the volume of the typical Nebraska prescriber of this medication (170). Medicare paid an average of $13.76 per fill, versus $14.60 statewide. How often this provider prescribes it This provider 459 NE average 170.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.76 NE average $14.60 This provider's average cost per fill is below the NE average for this medication. 470.2 30-Day Fills standardized to 30-day supplies 11,047 Days of Medication total across all patients in 2023
Atorvastatin Calcium	362	$16.45	▲ More than typical
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 362 Medicare prescriptions for Atorvastatin Calcium, about 2 times the volume of the typical Nebraska prescriber of this medication (179). Medicare paid an average of $16.45 per fill, versus $11.63 statewide. How often this provider prescribes it This provider 362 NE average 179.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.45 NE average $11.63 Gross Part D cost per fill; not the patient's out-of-pocket price. 388.1 30-Day Fills standardized to 30-day supplies 11,089 Days of Medication total across all patients in 2023
Tramadol Hcl	314	$10.35	▲ More than typical
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 314 Medicare prescriptions for Tramadol Hcl, about 5 times the volume of the typical Nebraska prescriber of this medication (63). Medicare paid an average of $10.35 per fill, versus $8.52 statewide. How often this provider prescribes it This provider 314 NE average 63.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.35 NE average $8.52 Gross Part D cost per fill; not the patient's out-of-pocket price. 315.3 30-Day Fills standardized to 30-day supplies 7,740 Days of Medication total across all patients in 2023
Sertraline Hcl	296	$12.89	▲ More than typical
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 296 Medicare prescriptions for Sertraline Hcl, about 4.4 times the volume of the typical Nebraska prescriber of this medication (68). Medicare paid an average of $12.89 per fill, versus $10.39 statewide. How often this provider prescribes it This provider 296 NE average 68.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.89 NE average $10.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 302.3 30-Day Fills standardized to 30-day supplies 8,624 Days of Medication total across all patients in 2023
Gabapentin	269	$13.96▼ below NE avg	▲ More than typical
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 269 Medicare prescriptions for Gabapentin, about 3.1 times the volume of the typical Nebraska prescriber of this medication (87). Medicare paid an average of $13.96 per fill, versus $22.62 statewide. How often this provider prescribes it This provider 269 NE average 87.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.96 NE average $22.62 This provider's average cost per fill is below the NE average for this medication. 282.8 30-Day Fills standardized to 30-day supplies 7,994 Days of Medication total across all patients in 2023
Lisinopril	257	$9.61	▲ More than typical
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 257 Medicare prescriptions for Lisinopril, about 2.4 times the volume of the typical Nebraska prescriber of this medication (109). Medicare paid an average of $9.61 per fill, versus $6.62 statewide. How often this provider prescribes it This provider 257 NE average 109.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.61 NE average $6.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 276.8 30-Day Fills standardized to 30-day supplies 7,768 Days of Medication total across all patients in 2023
Pantoprazole Sodium	245	$16.71	▲ More than typical
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 245 Medicare prescriptions for Pantoprazole Sodium, about 2.9 times the volume of the typical Nebraska prescriber of this medication (84). Medicare paid an average of $16.71 per fill, versus $16.45 statewide. How often this provider prescribes it This provider 245 NE average 84.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.71 NE average $16.45 Gross Part D cost per fill; not the patient's out-of-pocket price. 251 30-Day Fills standardized to 30-day supplies 7,307 Days of Medication total across all patients in 2023
Furosemide	233	$6.44	▲ More 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 233 Medicare prescriptions for Furosemide, about 2.4 times the volume of the typical Nebraska prescriber of this medication (96). Medicare paid an average of $6.44 per fill, versus $5.64 statewide. How often this provider prescribes it This provider 233 NE average 96.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.44 NE average $5.64 Gross Part D cost per fill; not the patient's out-of-pocket price. 236 30-Day Fills standardized to 30-day supplies 6,284 Days of Medication total across all patients in 2023
Potassium Chloride	228	$63.58	▲ More 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 228 Medicare prescriptions for Potassium Chloride, about 2.6 times the volume of the typical Nebraska prescriber of this medication (88). Medicare paid an average of $63.58 per fill, versus $28.13 statewide. How often this provider prescribes it This provider 228 NE average 88.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $63.58 NE average $28.13 Gross Part D cost per fill; not the patient's out-of-pocket price. 240.2 30-Day Fills standardized to 30-day supplies 6,774 Days of Medication total across all patients in 2023
Amlodipine Besylate	216	$11.33	▲ More 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 216 Medicare prescriptions for Amlodipine Besylate, about 1.6 times the volume of the typical Nebraska prescriber of this medication (132). Medicare paid an average of $11.33 per fill, versus $6.67 statewide. How often this provider prescribes it This provider 216 NE average 132.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.33 NE average $6.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 216.4 30-Day Fills standardized to 30-day supplies 6,213 Days of Medication total across all patients in 2023
EliquisApixaban	198	$366.65▼ below NE avg	▲ More 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 198 Medicare prescriptions for Eliquis, about 2.5 times the volume of the typical Nebraska prescriber of this medication (80). Medicare paid an average of $366.65 per fill, versus $690.04 statewide. How often this provider prescribes it This provider 198 NE average 80.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $366.65 NE average $690.04 This provider's average cost per fill is below the NE average for this medication. 199.5 30-Day Fills standardized to 30-day supplies 3,673 Days of Medication total across all patients in 2023
Metoprolol Succinate	188	$17.78	▲ More 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 188 Medicare prescriptions for Metoprolol Succinate, about 1.7 times the volume of the typical Nebraska prescriber of this medication (112). Medicare paid an average of $17.78 per fill, versus $17.50 statewide. How often this provider prescribes it This provider 188 NE average 112.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.78 NE average $17.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 193.6 30-Day Fills standardized to 30-day supplies 5,599 Days of Medication total across all patients in 2023
Pregabalin	163	$59.92	▲ More than typical
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2023, this provider wrote 163 Medicare prescriptions for Pregabalin, about 4.2 times the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $59.92 per fill, versus $44.92 statewide. How often this provider prescribes it This provider 163 NE average 39.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $59.92 NE average $44.92 Gross Part D cost per fill; not the patient's out-of-pocket price. 163.4 30-Day Fills standardized to 30-day supplies 4,134 Days of Medication total across all patients in 2023
Lorazepam	156	$8.51	▲ More than typical
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 156 Medicare prescriptions for Lorazepam, about 3.1 times the volume of the typical Nebraska prescriber of this medication (50). Medicare paid an average of $8.51 per fill, versus $8.31 statewide. How often this provider prescribes it This provider 156 NE average 50.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.51 NE average $8.31 Gross Part D cost per fill; not the patient's out-of-pocket price. 156.4 30-Day Fills standardized to 30-day supplies 3,740 Days of Medication total across all patients in 2023
Metoprolol Tartrate	147	$8.28	▲ More 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 147 Medicare prescriptions for Metoprolol Tartrate, about 2.2 times the volume of the typical Nebraska prescriber of this medication (68). Medicare paid an average of $8.28 per fill, versus $7.27 statewide. How often this provider prescribes it This provider 147 NE average 68.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.28 NE average $7.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 147.4 30-Day Fills standardized to 30-day supplies 4,034 Days of Medication total across all patients in 2023
Mirtazapine	125	$23.95	▲ More than typical
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 125 Medicare prescriptions for Mirtazapine, about 2.8 times the volume of the typical Nebraska prescriber of this medication (44). Medicare paid an average of $23.95 per fill, versus $19.77 statewide. How often this provider prescribes it This provider 125 NE average 44.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.95 NE average $19.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 125.1 30-Day Fills standardized to 30-day supplies 3,618 Days of Medication total across all patients in 2023
Tamsulosin Hcl	122	$20.37	▲ More than typical
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 122 Medicare prescriptions for Tamsulosin Hcl, about 1.5 times the volume of the typical Nebraska prescriber of this medication (83). Medicare paid an average of $20.37 per fill, versus $19.14 statewide. How often this provider prescribes it This provider 122 NE average 83.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.37 NE average $19.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 131.7 30-Day Fills standardized to 30-day supplies 3,739 Days of Medication total across all patients in 2023
Famotidine	121	$10.34▼ below NE avg	▲ More than typical
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2023, this provider wrote 121 Medicare prescriptions for Famotidine, about 5.3 times the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $10.34 per fill, versus $17.17 statewide. How often this provider prescribes it This provider 121 NE average 23.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.34 NE average $17.17 This provider's average cost per fill is below the NE average for this medication. 121.3 30-Day Fills standardized to 30-day supplies 3,361 Days of Medication total across all patients in 2023
Alprazolam	118	$10.16	▲ More than typical
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 118 Medicare prescriptions for Alprazolam, about 2.1 times the volume of the typical Nebraska prescriber of this medication (55). Medicare paid an average of $10.16 per fill, versus $9.57 statewide. How often this provider prescribes it This provider 118 NE average 55.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.16 NE average $9.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 118.2 30-Day Fills standardized to 30-day supplies 2,599 Days of Medication total across all patients in 2023
Donepezil Hcl	103	$16.76	▲ More than typical
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 103 Medicare prescriptions for Donepezil Hcl, about 2 times the volume of the typical Nebraska prescriber of this medication (52). Medicare paid an average of $16.76 per fill, versus $14.66 statewide. How often this provider prescribes it This provider 103 NE average 52.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.76 NE average $14.66 Gross Part D cost per fill; not the patient's out-of-pocket price. 105 30-Day Fills standardized to 30-day supplies 3,007 Days of Medication total across all patients in 2023
Trazodone Hcl	99	$12.62	▲ More than typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 99 Medicare prescriptions for Trazodone Hcl, about 1.7 times the volume of the typical Nebraska prescriber of this medication (59). Medicare paid an average of $12.62 per fill, versus $12.33 statewide. How often this provider prescribes it This provider 99 NE average 59.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.62 NE average $12.33 Gross Part D cost per fill; not the patient's out-of-pocket price. 101.4 30-Day Fills standardized to 30-day supplies 2,743 Days of Medication total across all patients in 2023
XareltoRivaroxaban	94	$319.02▼ below NE avg	▲ More than typical
About Xarelto: Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery. Show more ▾ It is also used to prevent blood clots from forming in high-risk patients with limited mobility during their hospital stay and after discharge. In addition, rivaroxaban is used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and to prevent the blood clots from forming again. Rivaroxaban may be used in children to prevent blood clots from forming after a certain heart surgery (Fontan procedure). Rivaroxaban is an anticoagulant that works by blocking certain clotting proteins in your blood. A morpholine and thiophene derivative that functions as a FACTOR XA INHIBITOR and is used in the treatment and prevention of DEEP-VEIN THROMBOSIS and PULMONARY EMBOLISM. It is also used for the prevention of STROKE and systemic embolization in patients with non-valvular ATRIAL FIBRILLATION, and for the prevention of atherothrombotic events in patients after an ACUTE CORONARY SYNDROME. In 2023, this provider wrote 94 Medicare prescriptions for Xarelto, about 1.9 times the volume of the typical Nebraska prescriber of this medication (49). Medicare paid an average of $319.02 per fill, versus $735.32 statewide. How often this provider prescribes it This provider 94 NE average 49.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $319.02 NE average $735.32 This provider's average cost per fill is below the NE average for this medication. 94 30-Day Fills standardized to 30-day supplies 1,559 Days of Medication total across all patients in 2023
Levetiracetam	90	$29.61▼ below NE avg	▲ More than typical
About Levetiracetam: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2023, this provider wrote 90 Medicare prescriptions for Levetiracetam, about 2.3 times the volume of the typical Nebraska prescriber of this medication (40). Medicare paid an average of $29.61 per fill, versus $37.63 statewide. How often this provider prescribes it This provider 90 NE average 40.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.61 NE average $37.63 This provider's average cost per fill is below the NE average for this medication. 92.1 30-Day Fills standardized to 30-day supplies 2,684 Days of Medication total across all patients in 2023
LoperamideLoperamide Hcl	89	$15.62▼ below NE avg	▲ More than typical
About Loperamide: See also Warning section. Show more ▾ This medication is used to treat sudden diarrhea (including traveler's diarrhea). It works by slowing down the movement of the gut. This decreases the number of bowel movements and makes the stool less watery. Loperamide is also used to reduce the amount of discharge in patients who have undergone an ileostomy. It is also used to treat on-going diarrhea in people with inflammatory bowel disease. Loperamide treats only the symptoms, not the cause of the diarrhea (such as infection). Treatment of other symptoms and the cause of the diarrhea should be determined by your doctor. One of the long-acting synthetic ANTIDIARRHEALS; it is not significantly absorbed from the gut, and has no effect on the adrenergic system or central nervous system, but may antagonize histamine and interfere with acetylcholine release locally. In 2023, this provider wrote 89 Medicare prescriptions for Loperamide, about 4.2 times the volume of the typical Nebraska prescriber of this medication (21). Medicare paid an average of $15.62 per fill, versus $26.21 statewide. How often this provider prescribes it This provider 89 NE average 21.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.62 NE average $26.21 This provider's average cost per fill is below the NE average for this medication. 89 30-Day Fills standardized to 30-day supplies 845 Days of Medication total across all patients in 2023
Ipratropium-AlbuterolIpratropium/Albuterol Sulfate	89	$26.02	▲ More than typical
About Ipratropium-Albuterol: This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes bronchitis and emphysema). Show more ▾ This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both drugs work by relaxing the muscles around the airways so that the airways open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. In 2023, this provider wrote 89 Medicare prescriptions for Ipratropium-Albuterol, about 3.2 times the volume of the typical Nebraska prescriber of this medication (28). Medicare paid an average of $26.02 per fill, versus $23.46 statewide. How often this provider prescribes it This provider 89 NE average 28.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.02 NE average $23.46 Gross Part D cost per fill; not the patient's out-of-pocket price. 89.8 30-Day Fills standardized to 30-day supplies 1,773 Days of Medication total across all patients in 2023
Omeprazole	86	$17.99	≈ Typical
About Omeprazole: Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). Show more ▾ It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter omeprazole products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A 4-methoxy-3,5-dimethylpyridyl, 5-methoxybenzimidazole derivative of timoprazole that is used in the therapy of STOMACH ULCERS and ZOLLINGER-ELLISON SYNDROME. The drug inhibits an H(+)-K(+)-EXCHANGING ATPASE which is found in GASTRIC PARIETAL CELLS. In 2023, this provider wrote 86 Medicare prescriptions for Omeprazole, about 79% of the volume of the typical Nebraska prescriber of this medication (109). Medicare paid an average of $17.99 per fill, versus $13.84 statewide. How often this provider prescribes it This provider 86 NE average 109.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.99 NE average $13.84 Gross Part D cost per fill; not the patient's out-of-pocket price. 97.7 30-Day Fills standardized to 30-day supplies 2,892 Days of Medication total across all patients in 2023
Escitalopram Oxalate	83	$12.90▼ below NE avg	▲ More than typical
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. 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 2023, this provider wrote 83 Medicare prescriptions for Escitalopram Oxalate, about 1.5 times the volume of the typical Nebraska prescriber of this medication (56). Medicare paid an average of $12.90 per fill, versus $14.41 statewide. How often this provider prescribes it This provider 83 NE average 56.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.90 NE average $14.41 This provider's average cost per fill is below the NE average for this medication. 83.1 30-Day Fills standardized to 30-day supplies 2,275 Days of Medication total across all patients in 2023
Losartan Potassium	82	$13.12	≈ 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 82 Medicare prescriptions for Losartan Potassium, about 75% of the volume of the typical Nebraska prescriber of this medication (109). Medicare paid an average of $13.12 per fill, versus $10.30 statewide. How often this provider prescribes it This provider 82 NE average 109.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.12 NE average $10.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 84 30-Day Fills standardized to 30-day supplies 2,447 Days of Medication total across all patients in 2023
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	82	$18.44▼ below NE avg	▲ More than typical
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 82 Medicare prescriptions for Hydrocodone-Acetaminophen, about 1.4 times the volume of the typical Nebraska prescriber of this medication (58). Medicare paid an average of $18.44 per fill, versus $22.05 statewide. How often this provider prescribes it This provider 82 NE average 58.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.44 NE average $22.05 This provider's average cost per fill is below the NE average for this medication. 82.2 30-Day Fills standardized to 30-day supplies 1,509 Days of Medication total across all patients in 2023
Clonazepam	80	$10.59	▲ More than typical
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 80 Medicare prescriptions for Clonazepam, about 1.7 times the volume of the typical Nebraska prescriber of this medication (47). Medicare paid an average of $10.59 per fill, versus $9.62 statewide. How often this provider prescribes it This provider 80 NE average 47.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.59 NE average $9.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 80.3 30-Day Fills standardized to 30-day supplies 1,682 Days of Medication total across all patients in 2023
Carvedilol	78	$11.32	≈ 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 78 Medicare prescriptions for Carvedilol, about the same volume as the typical Nebraska prescriber of this medication (70). Medicare paid an average of $11.32 per fill, versus $10.14 statewide. How often this provider prescribes it This provider 78 NE average 70.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.32 NE average $10.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 78.1 30-Day Fills standardized to 30-day supplies 2,261 Days of Medication total across all patients in 2023
Memantine Hcl	71	$33.96▼ below NE avg	▲ More than typical
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 71 Medicare prescriptions for Memantine Hcl, about 1.7 times the volume of the typical Nebraska prescriber of this medication (43). Medicare paid an average of $33.96 per fill, versus $51.72 statewide. How often this provider prescribes it This provider 71 NE average 43.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.96 NE average $51.72 This provider's average cost per fill is below the NE average for this medication. 71.2 30-Day Fills standardized to 30-day supplies 2,095 Days of Medication total across all patients in 2023
Quetiapine Fumarate	70	$24.82▼ below NE avg	▲ More than typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 70 Medicare prescriptions for Quetiapine Fumarate, about 1.3 times the volume of the typical Nebraska prescriber of this medication (55). Medicare paid an average of $24.82 per fill, versus $29.38 statewide. How often this provider prescribes it This provider 70 NE average 55.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.82 NE average $29.38 This provider's average cost per fill is below the NE average for this medication. 70 30-Day Fills standardized to 30-day supplies 1,687 Days of Medication total across all patients in 2023
Duloxetine Hcl	70	$33.15▼ below NE avg	≈ Typical
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 70 Medicare prescriptions for Duloxetine Hcl, about 1.2 times the volume of the typical Nebraska prescriber of this medication (57). Medicare paid an average of $33.15 per fill, versus $38.86 statewide. How often this provider prescribes it This provider 70 NE average 57.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.15 NE average $38.86 This provider's average cost per fill is below the NE average for this medication. 76.5 30-Day Fills standardized to 30-day supplies 2,099 Days of Medication total across all patients in 2023
Ibuprofen	64	$8.27▼ below NE avg	▲ More than typical
About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾ When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties In 2023, this provider wrote 64 Medicare prescriptions for Ibuprofen, about 2.7 times the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $8.27 per fill, versus $11.68 statewide. How often this provider prescribes it This provider 64 NE average 24.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.27 NE average $11.68 This provider's average cost per fill is below the NE average for this medication. 64.7 30-Day Fills standardized to 30-day supplies 1,356 Days of Medication total across all patients in 2023
Metformin Hcl	64	$14.52	▼ Less than typical
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 64 Medicare prescriptions for Metformin Hcl, about 74% of the volume of the typical Nebraska prescriber of this medication (86). Medicare paid an average of $14.52 per fill, versus $6.94 statewide. How often this provider prescribes it This provider 64 NE average 86.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.52 NE average $6.94 Gross Part D cost per fill; not the patient's out-of-pocket price. 64.1 30-Day Fills standardized to 30-day supplies 1,860 Days of Medication total across all patients in 2023
Novolog FlexpenInsulin Aspart	64	$729.84▼ below NE avg	▲ More than typical
About Novolog Flexpen: Insulin aspart 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 aspart is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin aspart starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin that has been modified to contain an ASPARTIC ACID instead of a PROLINE at position 38 of the B-chain. In 2023, this provider wrote 64 Medicare prescriptions for Novolog Flexpen, about 2 times the volume of the typical Nebraska prescriber of this medication (32). Medicare paid an average of $729.84 per fill, versus $791.33 statewide. How often this provider prescribes it This provider 64 NE average 32.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $729.84 NE average $791.33 This provider's average cost per fill is below the NE average for this medication. 81.4 30-Day Fills standardized to 30-day supplies 2,116 Days of Medication total across all patients in 2023
Rosuvastatin Calcium	61	$26.61	≈ 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 61 Medicare prescriptions for Rosuvastatin Calcium, about 80% of the volume of the typical Nebraska prescriber of this medication (76). Medicare paid an average of $26.61 per fill, versus $25.64 statewide. How often this provider prescribes it This provider 61 NE average 76.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.61 NE average $25.64 Gross Part D cost per fill; not the patient's out-of-pocket price. 65 30-Day Fills standardized to 30-day supplies 1,830 Days of Medication total across all patients in 2023
Chlorhexidine Gluconate	60	$9.06	▲ More than typical
About Chlorhexidine Gluconate: This medication is used along with regular tooth brushing/flossing to treat gingivitis, a gum disease that causes red, swollen, and easily bleeding gums. Show more ▾ Chlorhexidine belongs to a class of drugs known as antimicrobials. It works by decreasing the amount of bacteria in the mouth, helping to reduce swelling and redness of the gums and bleeding when you brush. In 2023, this provider wrote 60 Medicare prescriptions for Chlorhexidine Gluconate, about 1.8 times the volume of the typical Nebraska prescriber of this medication (33). Medicare paid an average of $9.06 per fill, versus $6.43 statewide. How often this provider prescribes it This provider 60 NE average 33.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.06 NE average $6.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 60.1 30-Day Fills standardized to 30-day supplies 1,093 Days of Medication total across all patients in 2023
Olanzapine	56	$37.07	≈ Typical
About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2023, this provider wrote 56 Medicare prescriptions for Olanzapine, about the same volume as the typical Nebraska prescriber of this medication (49). Medicare paid an average of $37.07 per fill, versus $28.72 statewide. How often this provider prescribes it This provider 56 NE average 49.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.07 NE average $28.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 56.2 30-Day Fills standardized to 30-day supplies 1,395 Days of Medication total across all patients in 2023
Warfarin Sodium	56	$9.07▼ below NE avg	≈ Typical
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 2023, this provider wrote 56 Medicare prescriptions for Warfarin Sodium, about the same volume as the typical Nebraska prescriber of this medication (58). Medicare paid an average of $9.07 per fill, versus $10.04 statewide. How often this provider prescribes it This provider 56 NE average 58.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.07 NE average $10.04 This provider's average cost per fill is below the NE average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,413 Days of Medication total across all patients in 2023
Nystatin	55	$22.16▼ below NE avg	▲ More than typical
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 2023, this provider wrote 55 Medicare prescriptions for Nystatin, about 2.6 times the volume of the typical Nebraska prescriber of this medication (21). Medicare paid an average of $22.16 per fill, versus $25.79 statewide. How often this provider prescribes it This provider 55 NE average 21.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.16 NE average $25.79 This provider's average cost per fill is below the NE average for this medication. 56 30-Day Fills standardized to 30-day supplies 880 Days of Medication total across all patients in 2023
Levemir FlexpenInsulin Detemir	51	$503.79	– No State Data
About Levemir Flexpen: Insulin detemir 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 detemir 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 detemir may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs (such as metformin, exenatide). A recombinant long-acting insulin and hypoglycemic agent in which a MYRISTIC ACID is conjugated to a LYSINE at position B29. It is used to manage BLOOD GLUCOSE levels in patients with DIABETES MELLITUS. In 2023, this provider wrote 51 Medicare prescriptions for Levemir Flexpen. Medicare paid an average of $503.79 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $503.79 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 64.4 30-Day Fills standardized to 30-day supplies 1,406 Days of Medication total across all patients in 2023
Autoshield Duo Pen NeedlePen Needle,dual Safety,diabetc	51	$96.79	▲ More than typical
In 2023, this provider wrote 51 Medicare prescriptions for Autoshield Duo Pen Needle, about 2.2 times the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $96.79 per fill, versus $93.18 statewide. How often this provider prescribes it This provider 51 NE average 23.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $96.79 NE average $93.18 Gross Part D cost per fill; not the patient's out-of-pocket price. 53.3 30-Day Fills standardized to 30-day supplies 1,465 Days of Medication total across all patients in 2023
Hydrochlorothiazide	50	$7.92	▼ Less than typical
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 50 Medicare prescriptions for Hydrochlorothiazide, about 74% of the volume of the typical Nebraska prescriber of this medication (68). Medicare paid an average of $7.92 per fill, versus $4.49 statewide. How often this provider prescribes it This provider 50 NE average 68.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.92 NE average $4.49 Gross Part D cost per fill; not the patient's out-of-pocket price. 50.3 30-Day Fills standardized to 30-day supplies 1,468 Days of Medication total across all patients in 2023
Simvastatin	50	$8.39	▼ Less than typical
About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 50 Medicare prescriptions for Simvastatin, about 61% of the volume of the typical Nebraska prescriber of this medication (82). Medicare paid an average of $8.39 per fill, versus $7.04 statewide. How often this provider prescribes it This provider 50 NE average 82.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.39 NE average $7.04 Gross Part D cost per fill; not the patient's out-of-pocket price. 50 30-Day Fills standardized to 30-day supplies 1,400 Days of Medication total across all patients in 2023
Allopurinol	49	$19.78	≈ Typical
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 49 Medicare prescriptions for Allopurinol, about the same volume as the typical Nebraska prescriber of this medication (52). Medicare paid an average of $19.78 per fill, versus $14.31 statewide. How often this provider prescribes it This provider 49 NE average 52.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.78 NE average $14.31 Gross Part D cost per fill; not the patient's out-of-pocket price. 49.2 30-Day Fills standardized to 30-day supplies 1,459 Days of Medication total across all patients in 2023
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	49	$333.37▼ below NE avg	▲ More than typical
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 49 Medicare prescriptions for Lantus Solostar, about 1.7 times the volume of the typical Nebraska prescriber of this medication (29). Medicare paid an average of $333.37 per fill, versus $604.31 statewide. How often this provider prescribes it This provider 49 NE average 29.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $333.37 NE average $604.31 This provider's average cost per fill is below the NE average for this medication. 65.6 30-Day Fills standardized to 30-day supplies 1,294 Days of Medication total across all patients in 2023
Pravastatin Sodium	47	$23.19	≈ Typical
About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 47 Medicare prescriptions for Pravastatin Sodium, about the same volume as the typical Nebraska prescriber of this medication (51). Medicare paid an average of $23.19 per fill, versus $15.59 statewide. How often this provider prescribes it This provider 47 NE average 51.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.19 NE average $15.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 47.4 30-Day Fills standardized to 30-day supplies 1,419 Days of Medication total across all patients in 2023
Oxybutynin Chloride	45	$13.77▼ below NE avg	▲ More than typical
About Oxybutynin Chloride: 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 2023, this provider wrote 45 Medicare prescriptions for Oxybutynin Chloride, about 1.7 times the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $13.77 per fill, versus $23.38 statewide. How often this provider prescribes it This provider 45 NE average 26.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.77 NE average $23.38 This provider's average cost per fill is below the NE average for this medication. 45.6 30-Day Fills standardized to 30-day supplies 1,217 Days of Medication total across all patients in 2023
NyamycNystatin	43	$23.48▼ below NE avg	▲ More than typical
About Nyamyc: 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 2023, this provider wrote 43 Medicare prescriptions for Nyamyc, about 2 times the volume of the typical Nebraska prescriber of this medication (22). Medicare paid an average of $23.48 per fill, versus $28.67 statewide. How often this provider prescribes it This provider 43 NE average 22.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.48 NE average $28.67 This provider's average cost per fill is below the NE average for this medication. 43 30-Day Fills standardized to 30-day supplies 675 Days of Medication total across all patients in 2023
Atenolol	42	$12.59	≈ Typical
About Atenolol: Atenolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Atenolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 42 Medicare prescriptions for Atenolol, about 1.2 times the volume of the typical Nebraska prescriber of this medication (34). Medicare paid an average of $12.59 per fill, versus $7.93 statewide. How often this provider prescribes it This provider 42 NE average 34.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.59 NE average $7.93 Gross Part D cost per fill; not the patient's out-of-pocket price. 42.1 30-Day Fills standardized to 30-day supplies 1,133 Days of Medication total across all patients in 2023
Amoxicillin	42	$8.55	≈ Typical
About Amoxicillin: Amoxicillin is used to treat a wide variety of bacterial infections. Show more ▾ This medication is a penicillin-type 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. Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. A broad-spectrum semisynthetic antibiotic similar to AMPICILLIN except that its resistance to gastric acid permits higher serum levels with oral administration. In 2023, this provider wrote 42 Medicare prescriptions for Amoxicillin, about the same volume as the typical Nebraska prescriber of this medication (38). Medicare paid an average of $8.55 per fill, versus $3.53 statewide. How often this provider prescribes it This provider 42 NE average 38.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.55 NE average $3.53 Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 210 Days of Medication total across all patients in 2023
Lamotrigine	41	$15.27▼ below NE avg	≈ Typical
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 41 Medicare prescriptions for Lamotrigine, about 77% of the volume of the typical Nebraska prescriber of this medication (53). Medicare paid an average of $15.27 per fill, versus $15.31 statewide. How often this provider prescribes it This provider 41 NE average 53.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.27 NE average $15.31 This provider's average cost per fill is below the NE average for this medication. 41 30-Day Fills standardized to 30-day supplies 1,207 Days of Medication total across all patients in 2023
Oxybutynin Chloride ErOxybutynin Chloride	41	$39.45	≈ Typical
About Oxybutynin Chloride Er: This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions. Show more ▾ It relaxes the muscles in the bladder to help decrease problems of urgency and frequent urination. Oxybutynin belongs to a class of drugs known as antispasmodics. This medication is also used to treat children 6 years of age and older who have an overactive bladder due to certain nerve disorders (such as spina bifida). In 2023, this provider wrote 41 Medicare prescriptions for Oxybutynin Chloride Er, about 1.2 times the volume of the typical Nebraska prescriber of this medication (33). Medicare paid an average of $39.45 per fill, versus $37.24 statewide. How often this provider prescribes it This provider 41 NE average 33.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.45 NE average $37.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 41 30-Day Fills standardized to 30-day supplies 1,078 Days of Medication total across all patients in 2023
Methenamine Hippurate	39	$70.53▼ below NE avg	▲ More than typical
About Methenamine Hippurate: Methenamine is used to prevent or control returning urinary tract infections caused by certain bacteria. Show more ▾ It is not used to treat an active infection. Antibiotics must be used first to treat and cure the infection. Methenamine is a drug that stops the growth of bacteria in urine. This medication also contains an ingredient that helps to make the urine acidic. When the urine is acidic, methenamine turns into formaldehyde to kill the bacteria. This drug is effective only against bacterial infections in the urinary tract. It will not work for other types of bacterial infections (such as in the blood) or for viral infections (such as the common cold or flu). Unnecessary use or misuse of any antibacterial drug can lead to its decreased effectiveness. In 2023, this provider wrote 39 Medicare prescriptions for Methenamine Hippurate, about 1.3 times the volume of the typical Nebraska prescriber of this medication (30). Medicare paid an average of $70.53 per fill, versus $81.90 statewide. How often this provider prescribes it This provider 39 NE average 30.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $70.53 NE average $81.90 This provider's average cost per fill is below the NE average for this medication. 39.4 30-Day Fills standardized to 30-day supplies 1,068 Days of Medication total across all patients in 2023
Esomeprazole Magnesium	38	$180.36	▲ More than typical
About Esomeprazole Magnesium: Esomeprazole 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. Esomeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter esomeprazole 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. The S-isomer of omeprazole. In 2023, this provider wrote 38 Medicare prescriptions for Esomeprazole Magnesium, about 1.8 times the volume of the typical Nebraska prescriber of this medication (21). Medicare paid an average of $180.36 per fill, versus $85.66 statewide. How often this provider prescribes it This provider 38 NE average 21.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $180.36 NE average $85.66 Gross Part D cost per fill; not the patient's out-of-pocket price. 38.3 30-Day Fills standardized to 30-day supplies 1,126 Days of Medication total across all patients in 2023
Oxycodone Hcl	38	$11.88▼ below NE avg	≈ Typical
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2023, this provider wrote 38 Medicare prescriptions for Oxycodone Hcl, about the same volume as the typical Nebraska prescriber of this medication (36). Medicare paid an average of $11.88 per fill, versus $19.02 statewide. How often this provider prescribes it This provider 38 NE average 36.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.88 NE average $19.02 This provider's average cost per fill is below the NE average for this medication. 38 30-Day Fills standardized to 30-day supplies 384 Days of Medication total across all patients in 2023
ClopidogrelClopidogrel Bisulfate	37	$16.75	▼ Less than typical
About Clopidogrel: Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease). Show more ▾ It is also used with aspirin to treat new/worsening chest pain (new heart attack, unstable angina) and to keep blood vessels open and prevent blood clots after certain procedures (such as cardiac stent). Clopidogrel works by blocking platelets from sticking together and prevents them from forming harmful clots. It is an antiplatelet drug. It helps keep blood flowing smoothly in your body. A ticlopidine analog and platelet purinergic P2Y receptor antagonist that inhibits adenosine diphosphate-mediated PLATELET AGGREGATION. It is used to prevent THROMBOEMBOLISM in patients with ARTERIAL OCCLUSIVE DISEASES; MYOCARDIAL INFARCTION; STROKE; or ATRIAL FIBRILLATION. In 2023, this provider wrote 37 Medicare prescriptions for Clopidogrel, about 66% of the volume of the typical Nebraska prescriber of this medication (56). Medicare paid an average of $16.75 per fill, versus $15.43 statewide. How often this provider prescribes it This provider 37 NE average 56.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.75 NE average $15.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 37.2 30-Day Fills standardized to 30-day supplies 1,040 Days of Medication total across all patients in 2023
Ropinirole Hcl	37	$13.86▼ below NE avg	≈ Typical
About Ropinirole Hcl: This medication 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). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 37 Medicare prescriptions for Ropinirole Hcl, about 1.2 times the volume of the typical Nebraska prescriber of this medication (32). Medicare paid an average of $13.86 per fill, versus $21.45 statewide. How often this provider prescribes it This provider 37 NE average 32.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.86 NE average $21.45 This provider's average cost per fill is below the NE average for this medication. 37.2 30-Day Fills standardized to 30-day supplies 1,115 Days of Medication total across all patients in 2023
Ezetimibe	37	$27.81▼ below NE 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 37 Medicare prescriptions for Ezetimibe, about the same volume as the typical Nebraska prescriber of this medication (38). Medicare paid an average of $27.81 per fill, versus $51.46 statewide. How often this provider prescribes it This provider 37 NE average 38.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.81 NE average $51.46 This provider's average cost per fill is below the NE average for this medication. 37 30-Day Fills standardized to 30-day supplies 918 Days of Medication total across all patients in 2023
Buspirone Hcl	37	$26.41	≈ Typical
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 37 Medicare prescriptions for Buspirone Hcl, about the same volume as the typical Nebraska prescriber of this medication (41). Medicare paid an average of $26.41 per fill, versus $19.10 statewide. How often this provider prescribes it This provider 37 NE average 41.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.41 NE average $19.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 998 Days of Medication total across all patients in 2023
Ondansetron Hcl	37	$22.98	▲ More than typical
About Ondansetron Hcl: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. In 2023, this provider wrote 37 Medicare prescriptions for Ondansetron Hcl, about 3.1 times the volume of the typical Nebraska prescriber of this medication (12). Medicare paid an average of $22.98 per fill, versus $4.95 statewide. How often this provider prescribes it This provider 37 NE average 12.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.98 NE average $4.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 306 Days of Medication total across all patients in 2023
NystopNystatin	37	$23.21▼ below NE avg	▲ More than typical
About Nystop: 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 2023, this provider wrote 37 Medicare prescriptions for Nystop, about 1.8 times the volume of the typical Nebraska prescriber of this medication (21). Medicare paid an average of $23.21 per fill, versus $27.90 statewide. How often this provider prescribes it This provider 37 NE average 21.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.21 NE average $27.90 This provider's average cost per fill is below the NE average for this medication. 38 30-Day Fills standardized to 30-day supplies 738 Days of Medication total across all patients in 2023
Torsemide	36	$22.72▼ below NE avg	≈ Typical
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 2023, this provider wrote 36 Medicare prescriptions for Torsemide, about 88% of the volume of the typical Nebraska prescriber of this medication (41). Medicare paid an average of $22.72 per fill, versus $24.82 statewide. How often this provider prescribes it This provider 36 NE average 41.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.72 NE average $24.82 This provider's average cost per fill is below the NE average for this medication. 36.2 30-Day Fills standardized to 30-day supplies 977 Days of Medication total across all patients in 2023
LevemirInsulin Detemir	35	$681.72	▲ More than typical
About Levemir: Insulin detemir 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 detemir 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 detemir may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs (such as metformin, exenatide). A recombinant long-acting insulin and hypoglycemic agent in which a MYRISTIC ACID is conjugated to a LYSINE at position B29. It is used to manage BLOOD GLUCOSE levels in patients with DIABETES MELLITUS. In 2023, this provider wrote 35 Medicare prescriptions for Levemir, about 1.8 times the volume of the typical Nebraska prescriber of this medication (19). Medicare paid an average of $681.72 per fill, versus $576.94 statewide. How often this provider prescribes it This provider 35 NE average 19.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $681.72 NE average $576.94 Gross Part D cost per fill; not the patient's out-of-pocket price. 37.8 30-Day Fills standardized to 30-day supplies 868 Days of Medication total across all patients in 2023
Baclofen	34	$29.17▼ below NE avg	≈ Typical
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2023, this provider wrote 34 Medicare prescriptions for Baclofen, about the same volume as the typical Nebraska prescriber of this medication (34). Medicare paid an average of $29.17 per fill, versus $36.50 statewide. How often this provider prescribes it This provider 34 NE average 34.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.17 NE average $36.50 This provider's average cost per fill is below the NE average for this medication. 34.1 30-Day Fills standardized to 30-day supplies 933 Days of Medication total across all patients in 2023
Spironolactone	34	$13.57	▼ 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 34 Medicare prescriptions for Spironolactone, about 74% of the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $13.57 per fill, versus $11.09 statewide. How often this provider prescribes it This provider 34 NE average 46.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.57 NE average $11.09 Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 1,004 Days of Medication total across all patients in 2023
EnuloseLactulose	33	$22.44▼ below NE avg	▲ More than typical
About Enulose: This medication is a laxative used to treat constipation. Show more ▾ It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887) In 2023, this provider wrote 33 Medicare prescriptions for Enulose, about 1.9 times the volume of the typical Nebraska prescriber of this medication (17). Medicare paid an average of $22.44 per fill, versus $26.44 statewide. How often this provider prescribes it This provider 33 NE average 17.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.44 NE average $26.44 This provider's average cost per fill is below the NE average for this medication. 33.3 30-Day Fills standardized to 30-day supplies 977 Days of Medication total across all patients in 2023
Cephalexin	33	$11.43	≈ 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 33 Medicare prescriptions for Cephalexin, about 1.2 times the volume of the typical Nebraska prescriber of this medication (27). Medicare paid an average of $11.43 per fill, versus $9.05 statewide. How often this provider prescribes it This provider 33 NE average 27.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.43 NE average $9.05 Gross Part D cost per fill; not the patient's out-of-pocket price. 33.2 30-Day Fills standardized to 30-day supplies 474 Days of Medication total across all patients in 2023
Lacosamide	33	$168.23▼ below NE avg	≈ Typical
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2023, this provider wrote 33 Medicare prescriptions for Lacosamide, about the same volume as the typical Nebraska prescriber of this medication (36). Medicare paid an average of $168.23 per fill, versus $323.22 statewide. How often this provider prescribes it This provider 33 NE average 36.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $168.23 NE average $323.22 This provider's average cost per fill is below the NE average for this medication. 33.2 30-Day Fills standardized to 30-day supplies 538 Days of Medication total across all patients in 2023
Propranolol Hcl	33	$15.98▼ below NE avg	▲ More than typical
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 33 Medicare prescriptions for Propranolol Hcl, about 1.3 times the volume of the typical Nebraska prescriber of this medication (25). Medicare paid an average of $15.98 per fill, versus $24.56 statewide. How often this provider prescribes it This provider 33 NE average 25.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.98 NE average $24.56 This provider's average cost per fill is below the NE average for this medication. 33.2 30-Day Fills standardized to 30-day supplies 915 Days of Medication total across all patients in 2023
Risperidone	32	$15.72	▼ Less than typical
About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 32 Medicare prescriptions for Risperidone, about 70% of the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $15.72 per fill, versus $14.35 statewide. How often this provider prescribes it This provider 32 NE average 46.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.72 NE average $14.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 32.1 30-Day Fills standardized to 30-day supplies 873 Days of Medication total across all patients in 2023
Alendronate Sodium	32	$13.77	▼ Less than typical
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2023, this provider wrote 32 Medicare prescriptions for Alendronate Sodium, about 73% of the volume of the typical Nebraska prescriber of this medication (44). Medicare paid an average of $13.77 per fill, versus $9.82 statewide. How often this provider prescribes it This provider 32 NE average 44.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.77 NE average $9.82 Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 896 Days of Medication total across all patients in 2023
Fluoxetine Hcl	30	$16.08	≈ Typical
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. 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 2023, this provider wrote 30 Medicare prescriptions for Fluoxetine Hcl, about 83% of the volume of the typical Nebraska prescriber of this medication (36). Medicare paid an average of $16.08 per fill, versus $12.99 statewide. How often this provider prescribes it This provider 30 NE average 36.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.08 NE average $12.99 Gross Part D cost per fill; not the patient's out-of-pocket price. 30.2 30-Day Fills standardized to 30-day supplies 876 Days of Medication total across all patients in 2023
Levemir FlextouchInsulin Detemir	30	$514.15▼ below NE avg	≈ Typical
About Levemir Flextouch: Insulin detemir 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 detemir 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 detemir may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs (such as metformin, exenatide). A recombinant long-acting insulin and hypoglycemic agent in which a MYRISTIC ACID is conjugated to a LYSINE at position B29. It is used to manage BLOOD GLUCOSE levels in patients with DIABETES MELLITUS. In 2023, this provider wrote 30 Medicare prescriptions for Levemir Flextouch, about the same volume as the typical Nebraska prescriber of this medication (27). Medicare paid an average of $514.15 per fill, versus $663.59 statewide. How often this provider prescribes it This provider 30 NE average 27.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $514.15 NE average $663.59 This provider's average cost per fill is below the NE average for this medication. 35.7 30-Day Fills standardized to 30-day supplies 788 Days of Medication total across all patients in 2023
Meloxicam	30	$12.83	▼ Less than typical
About Meloxicam: Meloxicam is used to help relieve moderate to severe pain. Show more ▾ Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling or pain. 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 2023, this provider wrote 30 Medicare prescriptions for Meloxicam, about half the volume of the typical Nebraska prescriber of this medication (59). Medicare paid an average of $12.83 per fill, versus $7.19 statewide. How often this provider prescribes it This provider 30 NE average 59.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.83 NE average $7.19 Gross Part D cost per fill; not the patient's out-of-pocket price. 30.2 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2023
JardianceEmpagliflozin	30	$321.99▼ below NE avg	≈ Typical
About Jardiance: Empagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 30 Medicare prescriptions for Jardiance, about 81% of the volume of the typical Nebraska prescriber of this medication (37). Medicare paid an average of $321.99 per fill, versus $867.22 statewide. How often this provider prescribes it This provider 30 NE average 37.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $321.99 NE average $867.22 This provider's average cost per fill is below the NE average for this medication. 30 30-Day Fills standardized to 30-day supplies 459 Days of Medication total across all patients in 2023
Victoza 2-PakLiraglutide	29	$637.31▼ below NE avg	▲ More than typical
About Victoza 2-Pak: This medication is used with a doctor-approved exercise, behavior change, and reduced-calorie diet program to help you lose weight. Show more ▾ It is used by certain overweight people, such as those who are obese or have weight-related medical problems. Losing weight and keeping it off can lessen the many health risks that come with obesity, including heart disease, diabetes, high blood pressure, and a shorter life. Liraglutide is similar to a natural hormone in your body (incretin). It works by controlling your appetite. An analog of GLUCAGON-LIKE PEPTIDE 1 and agonist of the GLUCAGON-LIKE PEPTIDE 1 RECEPTOR that is used as a HYPOGLYCEMIC AGENT and supplemental therapy in the treatment of DIABETES MELLITUS by patients who do not respond to METFORMIN. In 2023, this provider wrote 29 Medicare prescriptions for Victoza 2-Pak, about 1.8 times the volume of the typical Nebraska prescriber of this medication (16). Medicare paid an average of $637.31 per fill, versus $820.91 statewide. How often this provider prescribes it This provider 29 NE average 16.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $637.31 NE average $820.91 This provider's average cost per fill is below the NE average for this medication. 29 30-Day Fills standardized to 30-day supplies 470 Days of Medication total across all patients in 2023
Citalopram HbrCitalopram Hydrobromide	28	$8.58	▼ Less than typical
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication 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 2023, this provider wrote 28 Medicare prescriptions for Citalopram Hbr, about 72% of the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $8.58 per fill, versus $7.62 statewide. How often this provider prescribes it This provider 28 NE average 39.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.58 NE average $7.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 28.1 30-Day Fills standardized to 30-day supplies 809 Days of Medication total across all patients in 2023
Celecoxib	28	$79.93	≈ Typical
About Celecoxib: This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation). Show more ▾ It is used to treat arthritis, acute pain, and menstrual pain and discomfort. The pain and swelling relief provided by this medication helps you perform more of your normal daily activities. 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. This drug works by blocking the enzyme in your body that makes prostaglandins. Decreasing prostaglandins helps to reduce pain and swelling. A pyrazole derivative and selective CYCLOOXYGENASE 2 INHIBITOR that is used to treat symptoms associated with RHEUMATOID ARTHRITIS; OSTEOARTHRITIS and JUVENILE ARTHRITIS, as well as the management of ACUTE PAIN. In 2023, this provider wrote 28 Medicare prescriptions for Celecoxib, about 80% of the volume of the typical Nebraska prescriber of this medication (35). Medicare paid an average of $79.93 per fill, versus $48.51 statewide. How often this provider prescribes it This provider 28 NE average 35.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $79.93 NE average $48.51 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023
Fluticasone Propionate	28	$21.48	▼ Less than typical
About Fluticasone Propionate: Fluticasone is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma. Show more ▾ Controlling symptoms of asthma helps you maintain your normal activities and decreases time lost from work or school. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) of the airways in the lungs to make breathing easier. 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 STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS. In 2023, this provider wrote 28 Medicare prescriptions for Fluticasone Propionate, about 61% of the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $21.48 per fill, versus $17.90 statewide. How often this provider prescribes it This provider 28 NE average 46.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.48 NE average $17.90 Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
Budesonide	28	$315.59	▲ More than typical
About Budesonide: Budesonide is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. Show more ▾ This medication belongs to a class of drugs known as corticosteroids. It works directly in the lungs to make breathing easier by reducing the irritation and swelling of the airways. 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 as prescribed. A glucocorticoid used in the management of ASTHMA, the treatment of various skin disorders, and allergic RHINITIS. In 2023, this provider wrote 28 Medicare prescriptions for Budesonide, about 1.3 times the volume of the typical Nebraska prescriber of this medication (21). Medicare paid an average of $315.59 per fill, versus $189.86 statewide. How often this provider prescribes it This provider 28 NE average 21.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $315.59 NE average $189.86 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 537 Days of Medication total across all patients in 2023
Prednisone	27	$14.11	▼ Less than typical
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2023, this provider wrote 27 Medicare prescriptions for Prednisone, about half the volume of the typical Nebraska prescriber of this medication (48). Medicare paid an average of $14.11 per fill, versus $6.72 statewide. How often this provider prescribes it This provider 27 NE average 48.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.11 NE average $6.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 786 Days of Medication total across all patients in 2023
Midodrine Hcl	27	$136.37	≈ Typical
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. In 2023, this provider wrote 27 Medicare prescriptions for Midodrine Hcl, about the same volume as the typical Nebraska prescriber of this medication (25). Medicare paid an average of $136.37 per fill, versus $78.76 statewide. How often this provider prescribes it This provider 27 NE average 25.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $136.37 NE average $78.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 633 Days of Medication total across all patients in 2023
Amiodarone Hcl	27	$13.29▼ below NE avg	▼ Less than typical
About Amiodarone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as recurrent ventricular fibrillation/tachycardia). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Amiodarone is known as an anti-arrhythmic drug. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. In 2023, this provider wrote 27 Medicare prescriptions for Amiodarone Hcl, about 64% of the volume of the typical Nebraska prescriber of this medication (42). Medicare paid an average of $13.29 per fill, versus $25.13 statewide. How often this provider prescribes it This provider 27 NE average 42.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.29 NE average $25.13 This provider's average cost per fill is below the NE average for this medication. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2023
Glimepiride	26	$21.88	▼ Less than typical
About Glimepiride: Glimepiride 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. Glimepiride belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. Alkaloids derived from TYRAMINE combined with 3,4-dihydroxybenzaldehyde via a norbelladine pathway, including GALANTAMINE, lycorine and crinine. They are found in the AMARYLLIDACEAE plant family. In 2023, this provider wrote 26 Medicare prescriptions for Glimepiride, about half the volume of the typical Nebraska prescriber of this medication (44). Medicare paid an average of $21.88 per fill, versus $10.97 statewide. How often this provider prescribes it This provider 26 NE average 44.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.88 NE average $10.97 Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 957 Days of Medication total across all patients in 2023
Buprenorphine	26	$285.74▼ below NE avg	▼ Less than typical
About Buprenorphine: This medication is used to help relieve severe ongoing pain (such as due to arthritis, chronic back pain). Show more ▾ Buprenorphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (7.5, 10, 15, or 20 micrograms per hour patches) should be used only if you have been regularly taking moderate amounts of opioid pain medication. These strengths may cause overdose (even death) if used by a person who has not been regularly taking opioids. Do not use this medication to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use. In 2023, this provider wrote 26 Medicare prescriptions for Buprenorphine, about 60% of the volume of the typical Nebraska prescriber of this medication (43). Medicare paid an average of $285.74 per fill, versus $329.05 statewide. How often this provider prescribes it This provider 26 NE average 43.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $285.74 NE average $329.05 This provider's average cost per fill is below the NE average for this medication. 26 30-Day Fills standardized to 30-day supplies 574 Days of Medication total across all patients in 2023
Humalog Kwikpen U-100Insulin Lispro	26	$307.81▼ below NE avg	≈ Typical
About Humalog Kwikpen U-100: Insulin lispro 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 lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 26 Medicare prescriptions for Humalog Kwikpen U-100, about the same volume as the typical Nebraska prescriber of this medication (24). Medicare paid an average of $307.81 per fill, versus $859.75 statewide. How often this provider prescribes it This provider 26 NE average 24.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $307.81 NE average $859.75 This provider's average cost per fill is below the NE average for this medication. 26 30-Day Fills standardized to 30-day supplies 297 Days of Medication total across all patients in 2023
Latanoprost	26	$26.46	▼ Less than typical
About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾ It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA. In 2023, this provider wrote 26 Medicare prescriptions for Latanoprost, about a quarter of the volume of the typical Nebraska prescriber of this medication (121). Medicare paid an average of $26.46 per fill, versus $19.95 statewide. How often this provider prescribes it This provider 26 NE average 121.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.46 NE average $19.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 26.2 30-Day Fills standardized to 30-day supplies 566 Days of Medication total across all patients in 2023
Finasteride	25	$12.77▼ below NE avg	▼ Less than typical
About Finasteride: Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men. Show more ▾ It may be used alone or taken in combination with other medications to reduce symptoms of BPH and may also reduce the need for surgery. Finasteride may improve symptoms of BPH and provide benefits such as decreased urge to urinate, better urine flow with less straining, less of a feeling that the bladder is not completely emptied, and decreased nighttime urination. This medication works by decreasing the amount of a natural body hormone (DHT) that causes growth of the prostate. Finasteride is not approved for prevention of prostate cancer. It may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks. Women and children should not use this medication. An orally active 3-OXO-5-ALPHA-STEROID 4-DEHYDROGENASE inhibitor. It is used as a surgical alternative for treatment of benign PROSTATIC HYPERPLASIA. In 2023, this provider wrote 25 Medicare prescriptions for Finasteride, about half the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $12.77 per fill, versus $16.64 statewide. How often this provider prescribes it This provider 25 NE average 46.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.77 NE average $16.64 This provider's average cost per fill is below the NE average for this medication. 25 30-Day Fills standardized to 30-day supplies 671 Days of Medication total across all patients in 2023
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide	25	$21.86	▼ Less than typical
About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication. In 2023, this provider wrote 25 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about 68% of the volume of the typical Nebraska prescriber of this medication (37). Medicare paid an average of $21.86 per fill, versus $7.57 statewide. How often this provider prescribes it This provider 25 NE average 37.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.86 NE average $7.57 Gross Part D cost per fill; not the patient's out-of-pocket price. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2023
Carbidopa-LevodopaCarbidopa/Levodopa	24	$26.65▼ below NE avg	▼ Less than typical
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 24 Medicare prescriptions for Carbidopa-Levodopa, about half the volume of the typical Nebraska prescriber of this medication (51). Medicare paid an average of $26.65 per fill, versus $38.27 statewide. How often this provider prescribes it This provider 24 NE average 51.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.65 NE average $38.27 This provider's average cost per fill is below the NE average for this medication. 24 30-Day Fills standardized to 30-day supplies 675 Days of Medication total across all patients in 2023
CeftriaxoneCeftriaxone Sodium	24	$13.13▼ below NE avg	≈ Typical
About Ceftriaxone: Ceftriaxone is used to treat a wide variety of bacterial infections. Show more ▾ This medication belongs to a class of drugs known as cephalosporin antibiotics. It works by stopping the growth of bacteria. This drug is not recommended for use in newborns with high blood bilirubin levels and premature infants due to increased risk of side effects. Ask the doctor or pharmacist for details. A broad-spectrum cephalosporin antibiotic and cefotaxime derivative with a very long half-life and high penetrability to meninges, eyes and inner ears. In 2023, this provider wrote 24 Medicare prescriptions for Ceftriaxone, about the same volume as the typical Nebraska prescriber of this medication (25). Medicare paid an average of $13.13 per fill, versus $107.11 statewide. How often this provider prescribes it This provider 24 NE average 25.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.13 NE average $107.11 This provider's average cost per fill is below the NE average for this medication. 24 30-Day Fills standardized to 30-day supplies 72 Days of Medication total across all patients in 2023
Hydroxychloroquine Sulfate	24	$54.16▼ below NE avg	▼ Less than typical
About Hydroxychloroquine Sulfate: Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites. Show more ▾ The United States Center for Disease Control provides updated guidelines and travel recommendations for the prevention and treatment of malaria in different parts of the world. Discuss the most recent information with your doctor before traveling to areas where malaria occurs. This medication is also used to treat certain auto-immune diseases (lupus, rheumatoid arthritis). It belongs to a class of medications known as disease-modifying antirheumatic drugs (DMARDs). It can reduce skin problems in lupus and prevent swelling/pain in arthritis. Hydroxychloroquine is not recommended for coronavirus infection, also known as COVID-19, unless you are enrolled in a study. Talk to your doctor about the risks and benefits. A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970) In 2023, this provider wrote 24 Medicare prescriptions for Hydroxychloroquine Sulfate, about a third of the volume of the typical Nebraska prescriber of this medication (71). Medicare paid an average of $54.16 per fill, versus $71.62 statewide. How often this provider prescribes it This provider 24 NE average 71.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $54.16 NE average $71.62 This provider's average cost per fill is below the NE average for this medication. 24.2 30-Day Fills standardized to 30-day supplies 725 Days of Medication total across all patients in 2023
Hydralazine Hcl	24	$22.69	≈ Typical
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. In 2023, this provider wrote 24 Medicare prescriptions for Hydralazine Hcl, about 80% of the volume of the typical Nebraska prescriber of this medication (30). Medicare paid an average of $22.69 per fill, versus $18.95 statewide. How often this provider prescribes it This provider 24 NE average 30.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.69 NE average $18.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 646 Days of Medication total across all patients in 2023
Lactulose	23	$28.41▼ below NE avg	≈ Typical
About Lactulose: This medication is a laxative used to treat constipation. Show more ▾ It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887) In 2023, this provider wrote 23 Medicare prescriptions for Lactulose, about the same volume as the typical Nebraska prescriber of this medication (21). Medicare paid an average of $28.41 per fill, versus $30.59 statewide. How often this provider prescribes it This provider 23 NE average 21.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.41 NE average $30.59 This provider's average cost per fill is below the NE average for this medication. 23 30-Day Fills standardized to 30-day supplies 174 Days of Medication total across all patients in 2023
Venlafaxine Hcl ErVenlafaxine Hcl	23	$25.90	▼ Less than typical
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 23 Medicare prescriptions for Venlafaxine Hcl Er, about half the volume of the typical Nebraska prescriber of this medication (40). Medicare paid an average of $25.90 per fill, versus $24.61 statewide. How often this provider prescribes it This provider 23 NE average 40.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.90 NE average $24.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 590 Days of Medication total across all patients in 2023
Clonidine Hcl	23	$6.29▼ below NE avg	≈ Typical
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. In 2023, this provider wrote 23 Medicare prescriptions for Clonidine Hcl, about 85% of the volume of the typical Nebraska prescriber of this medication (27). Medicare paid an average of $6.29 per fill, versus $9.73 statewide. How often this provider prescribes it This provider 23 NE average 27.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.29 NE average $9.73 This provider's average cost per fill is below the NE average for this medication. 23 30-Day Fills standardized to 30-day supplies 544 Days of Medication total across all patients in 2023
ByettaExenatide	22	$875.20▼ below NE avg	▲ More than typical
About Byetta: Exenatide is used with a proper diet and exercise program to control high blood sugar. Show more ▾ It is used by 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. Exenatide is a diabetes drug that is similar to a natural hormone in your body (incretin). It works by increasing insulin release (especially after a meal) and decreasing the amount of sugar your liver makes. It also slows down food digestion in your stomach, decreases the amount of sugar absorbed from food, and may help decrease your appetite. A synthetic form of exendin-4, a 39-amino acid peptide isolated from the venom of the GILA MONSTER lizard (Heloderma suspectum). Exenatide increases CYCLIC AMP levels in pancreatic acinar cells and acts as a GLUCAGON-LIKE PEPTIDE-1 RECEPTOR (GLP-1) agonist and incretin mimetic, enhancing insulin secretion in response to increased glucose levels; it also suppresses inappropriate glucagon secretion and slows gastric emptying. It is used as an anti-diabetic and anti-obesity agent. In 2023, this provider wrote 22 Medicare prescriptions for Byetta, about 1.8 times the volume of the typical Nebraska prescriber of this medication (12). Medicare paid an average of $875.20 per fill, versus $958.49 statewide. How often this provider prescribes it This provider 22 NE average 12.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $875.20 NE average $958.49 This provider's average cost per fill is below the NE average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023
SynthroidLevothyroxine Sodium	22	$28.05▼ below NE avg	▼ Less than typical
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 2023, this provider wrote 22 Medicare prescriptions for Synthroid, about 71% of the volume of the typical Nebraska prescriber of this medication (31). Medicare paid an average of $28.05 per fill, versus $80.40 statewide. How often this provider prescribes it This provider 22 NE average 31.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.05 NE average $80.40 This provider's average cost per fill is below the NE average for this medication. 22 30-Day Fills standardized to 30-day supplies 372 Days of Medication total across all patients in 2023
Insulin Lispro Kwikpen U-100Insulin Lispro	22	$107.21▼ below NE avg	≈ Typical
About Insulin Lispro Kwikpen U-100: Insulin lispro 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 lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 22 Medicare prescriptions for Insulin Lispro Kwikpen U-100, about the same volume as the typical Nebraska prescriber of this medication (20). Medicare paid an average of $107.21 per fill, versus $202.20 statewide. How often this provider prescribes it This provider 22 NE average 20.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $107.21 NE average $202.20 This provider's average cost per fill is below the NE average for this medication. 25.7 30-Day Fills standardized to 30-day supplies 512 Days of Medication total across all patients in 2023
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst	21	$23.77▼ below NE avg	≈ Typical
About Nitrofurantoin Mono-Macro: This medication is an antibiotic used to treat bladder infections (acute cystitis). Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. This medication should not be used in infants younger than 1 month old (see also Precautions section). This drug should not be used to treat infections outside the bladder (including kidney infections such as pyelonephritis or perinephric abscesses). In 2023, this provider wrote 21 Medicare prescriptions for Nitrofurantoin Mono-Macro, about the same volume as the typical Nebraska prescriber of this medication (23). Medicare paid an average of $23.77 per fill, versus $27.75 statewide. How often this provider prescribes it This provider 21 NE average 23.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.77 NE average $27.75 This provider's average cost per fill is below the NE average for this medication. 21 30-Day Fills standardized to 30-day supplies 124 Days of Medication total across all patients in 2023
Triamcinolone Acetonide	21	$13.45	▼ Less 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 21 Medicare prescriptions for Triamcinolone Acetonide, about 66% of the volume of the typical Nebraska prescriber of this medication (32). Medicare paid an average of $13.45 per fill, versus $10.35 statewide. How often this provider prescribes it This provider 21 NE average 32.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.45 NE average $10.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 339 Days of Medication total across all patients in 2023
Hydroxyzine Hcl	21	$34.17	≈ Typical
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. In 2023, this provider wrote 21 Medicare prescriptions for Hydroxyzine Hcl, about 75% of the volume of the typical Nebraska prescriber of this medication (28). Medicare paid an average of $34.17 per fill, versus $21.59 statewide. How often this provider prescribes it This provider 21 NE average 28.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.17 NE average $21.59 Gross Part D cost per fill; not the patient's out-of-pocket price. 21.1 30-Day Fills standardized to 30-day supplies 631 Days of Medication total across all patients in 2023
Azithromycin	20	$11.69	▼ Less than typical
About Azithromycin: This medication is used to treat certain eye infections. Show more ▾ It is a macrolide antibiotic that works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. 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 2023, this provider wrote 20 Medicare prescriptions for Azithromycin, about 65% of the volume of the typical Nebraska prescriber of this medication (31). Medicare paid an average of $11.69 per fill, versus $10.99 statewide. How often this provider prescribes it This provider 20 NE average 31.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.69 NE average $10.99 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 162 Days of Medication total across all patients in 2023
Trelegy ElliptaFluticasone/Umeclidin/Vilanter	19	$546.17▼ below NE avg	▼ Less than typical
About Trelegy Ellipta: This product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and 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 3 medications: fluticasone, umeclidinium, and vilanterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling of the airways in the lungs to make breathing easier. Umeclidinium belongs to a class of drugs known as anticholinergics and vilanterol is a LABA medication. Both drugs work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Both drugs are also known as bronchodilators. When used alone, long-acting beta agonists (such as vilanterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination products containing both an inhaled corticosteroid and long-acting beta agonist, 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 two asthma-control medications (such as inhaled corticosteroid and long-acting beta agonist) or if your symptoms need combination treatment. 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. In 2023, this provider wrote 19 Medicare prescriptions for Trelegy Ellipta, about half the volume of the typical Nebraska prescriber of this medication (45). Medicare paid an average of $546.17 per fill, versus $769.10 statewide. How often this provider prescribes it This provider 19 NE average 45.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $546.17 NE average $769.10 This provider's average cost per fill is below the NE average for this medication. 19 30-Day Fills standardized to 30-day supplies 458 Days of Medication total across all patients in 2023
Albuterol Sulfate HfaAlbuterol Sulfate	19	$38.64▼ below NE avg	▼ Less than typical
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. 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 2023, this provider wrote 19 Medicare prescriptions for Albuterol Sulfate Hfa, about half the volume of the typical Nebraska prescriber of this medication (37). Medicare paid an average of $38.64 per fill, versus $47.24 statewide. How often this provider prescribes it This provider 19 NE average 37.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.64 NE average $47.24 This provider's average cost per fill is below the NE average for this medication. 19 30-Day Fills standardized to 30-day supplies 437 Days of Medication total across all patients in 2023
Mupirocin	18	$16.51	▼ Less than typical
About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾ It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing. In 2023, this provider wrote 18 Medicare prescriptions for Mupirocin, about 69% of the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $16.51 per fill, versus $11.31 statewide. How often this provider prescribes it This provider 18 NE average 26.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.51 NE average $11.31 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 351 Days of Medication total across all patients in 2023
Metformin Hcl ErMetformin Hcl	18	$13.30	▼ Less than typical
About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 18 Medicare prescriptions for Metformin Hcl Er, about a third of the volume of the typical Nebraska prescriber of this medication (48). Medicare paid an average of $13.30 per fill, versus $9.71 statewide. How often this provider prescribes it This provider 18 NE average 48.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.30 NE average $9.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 451 Days of Medication total across all patients in 2023
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog	18	$386.92▼ below NE avg	≈ Typical
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-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 18 Medicare prescriptions for Basaglar Kwikpen U-100, about 75% of the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $386.92 per fill, versus $422.10 statewide. How often this provider prescribes it This provider 18 NE average 24.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $386.92 NE average $422.10 This provider's average cost per fill is below the NE average for this medication. 20.3 30-Day Fills standardized to 30-day supplies 372 Days of Medication total across all patients in 2023
AmantadineAmantadine Hcl	17	$43.20▼ below NE avg	▼ Less than typical
About Amantadine: Amantadine is used to treat Parkinson's disease, as well as side effects caused by drugs (such as drug-induced extrapyramidal symptoms), chemicals, and other medical conditions. Show more ▾ In these cases, this medication may help to improve your range of motion and ability to exercise. For the treatment of these conditions, amantadine is believed to work by restoring the balance of natural chemicals (neurotransmitters) in the brain. Amantadine is used to prevent or treat a certain type of flu (influenza A). If you have been infected with the flu, this medication may help make your symptoms less severe and shorten the time it will take you to get better. Taking amantadine if you have been or will be exposed to the flu may help to prevent you from getting the flu. This medication is an antiviral that is believed to work by stopping growth of the flu virus. This medication is not a vaccine. To increase the chance that you will not get the flu, it is important to get a flu shot once a year at the beginning of every flu season, if possible. Based on the recommendation from the Centers for Disease Control (CDC) in the US, amantadine should not be used to treat or prevent influenza A because the current influenza A virus in the United States and Canada is resistant to this medication. For more details, talk to your doctor or pharmacist. An antiviral that is used in the prophylactic or symptomatic treatment of influenza A. It is also used as an antiparkinsonian agent, to treat extrapyramidal reactions, and for postherpetic neuralgia. The mechanisms of its effects in movement disorders are not well understood but probably reflect an increase in synthesis and release of dopamine, with perhaps some inhibition of dopamine uptake. In 2023, this provider wrote 17 Medicare prescriptions for Amantadine, about 61% of the volume of the typical Nebraska prescriber of this medication (28). Medicare paid an average of $43.20 per fill, versus $58.91 statewide. How often this provider prescribes it This provider 17 NE average 28.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $43.20 NE average $58.91 This provider's average cost per fill is below the NE average for this medication. 17 30-Day Fills standardized to 30-day supplies 489 Days of Medication total across all patients in 2023
Diltiazem 24hr Er (Cd)Diltiazem Hcl	17	$50.66	▼ Less than typical
About Diltiazem 24hr Er (Cd): Diltiazem is used to prevent chest pain (angina). Show more ▾ It may help to increase your ability to exercise and decrease how often you may get angina attacks. Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood. In 2023, this provider wrote 17 Medicare prescriptions for Diltiazem 24hr Er (Cd), about half the volume of the typical Nebraska prescriber of this medication (32). Medicare paid an average of $50.66 per fill, versus $33.18 statewide. How often this provider prescribes it This provider 17 NE average 32.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.66 NE average $33.18 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 466 Days of Medication total across all patients in 2023
Divalproex Sodium	17	$164.02	▼ Less than typical
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 17 Medicare prescriptions for Divalproex Sodium, about half the volume of the typical Nebraska prescriber of this medication (33). Medicare paid an average of $164.02 per fill, versus $53.69 statewide. How often this provider prescribes it This provider 17 NE average 33.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $164.02 NE average $53.69 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 456 Days of Medication total across all patients in 2023
Cyclobenzaprine Hcl	17	$17.24	▼ Less than typical
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 17 Medicare prescriptions for Cyclobenzaprine Hcl, about half the volume of the typical Nebraska prescriber of this medication (32). Medicare paid an average of $17.24 per fill, versus $16.07 statewide. How often this provider prescribes it This provider 17 NE average 32.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.24 NE average $16.07 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 455 Days of Medication total across all patients in 2023
Primidone	17	$20.20▼ below NE avg	▼ Less than typical
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2023, this provider wrote 17 Medicare prescriptions for Primidone, about 61% of the volume of the typical Nebraska prescriber of this medication (28). Medicare paid an average of $20.20 per fill, versus $23.97 statewide. How often this provider prescribes it This provider 17 NE average 28.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.20 NE average $23.97 This provider's average cost per fill is below the NE average for this medication. 17 30-Day Fills standardized to 30-day supplies 492 Days of Medication total across all patients in 2023
Invega SustennaPaliperidone Palmitate	17	$3,530.15	▼ Less than typical
About Invega Sustenna: Paliperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Paliperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This long-acting form of paliperidone is used only after you have received treatment with either the monthly injectable form of this drug for at least 4 months, or the every-3-month injectable form for at least 3 months. A benzisoxazole derivative and active metabolite of RISPERIDONE that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST and SEROTONIN 5-HT2 RECEPTOR ANTAGONIST. It is an ANTIPSYCHOTIC AGENT used in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 17 Medicare prescriptions for Invega Sustenna, about half the volume of the typical Nebraska prescriber of this medication (36). Medicare paid an average of $3,530.15 per fill, versus $2,986.20 statewide. How often this provider prescribes it This provider 17 NE average 36.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3,530.15 NE average $2,986.20 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 357 Days of Medication total across all patients in 2023
MyrbetriqMirabegron	17	$313.67▼ below NE avg	▼ Less than typical
About Myrbetriq: This medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity). Show more ▾ Overactive bladder is a problem with how your bladder stores urine. Neurogenic detrusor overactivity is a bladder control condition caused by brain, spinal cord, or nerve problems. Symptoms of these conditions may include frequent urination, strong sudden urges to urinate that are hard to control, or involuntary loss of urine (incontinence). Mirabegron works by relaxing a certain bladder muscle (detrusor), which helps the bladder hold more urine and lessens symptoms of overactive bladder and neurogenic detrusor overactivity. In 2023, this provider wrote 17 Medicare prescriptions for Myrbetriq, about a third of the volume of the typical Nebraska prescriber of this medication (42). Medicare paid an average of $313.67 per fill, versus $492.58 statewide. How often this provider prescribes it This provider 17 NE average 42.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $313.67 NE average $492.58 This provider's average cost per fill is below the NE average for this medication. 17.1 30-Day Fills standardized to 30-day supplies 346 Days of Medication total across all patients in 2023
Aripiprazole	16	$25.91▼ below NE avg	▼ Less than typical
About Aripiprazole: Aripiprazole is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole is known as an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters). This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2023, this provider wrote 16 Medicare prescriptions for Aripiprazole, about a third of the volume of the typical Nebraska prescriber of this medication (43). Medicare paid an average of $25.91 per fill, versus $112.70 statewide. How often this provider prescribes it This provider 16 NE average 43.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.91 NE average $112.70 This provider's average cost per fill is below the NE average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023
MovantikNaloxegol Oxalate	16	$318.11▼ below NE avg	≈ Typical
About Movantik: This medication is used to treat constipation caused by opioid medications in people with ongoing pain that is not caused by cancer. Show more ▾ It blocks the effect of opioids on the gut without blocking the effect on pain. Naloxegol belongs to a class of drugs known as opioid antagonists. In 2023, this provider wrote 16 Medicare prescriptions for Movantik, about the same volume as the typical Nebraska prescriber of this medication (17). Medicare paid an average of $318.11 per fill, versus $397.94 statewide. How often this provider prescribes it This provider 16 NE average 17.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $318.11 NE average $397.94 This provider's average cost per fill is below the NE average for this medication. 16 30-Day Fills standardized to 30-day supplies 357 Days of Medication total across all patients in 2023
Scopolamine	16	$109.92▼ below NE avg	≈ Typical
About Scopolamine: This skin patch is used to prevent nausea and vomiting caused by motion sickness or recovery from anesthesia and surgery. Show more ▾ This medication works by correcting the imbalance of natural substances (acetylcholine and norepinephrine) that can occur in motion sickness. It also blocks certain signals to the brain that can cause nausea and vomiting. This medication is not recommended for use in children. An alkaloid from SOLANACEAE, especially DATURA and SCOPOLIA. Scopolamine and its quaternary derivatives act as antimuscarinics like ATROPINE, but may have more central nervous system effects. Its many uses include an anesthetic premedication, the treatment of URINARY INCONTINENCE and MOTION SICKNESS, an antispasmodic, and a mydriatic and cycloplegic. In 2023, this provider wrote 16 Medicare prescriptions for Scopolamine, about the same volume as the typical Nebraska prescriber of this medication (15). Medicare paid an average of $109.92 per fill, versus $118.94 statewide. How often this provider prescribes it This provider 16 NE average 15.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $109.92 NE average $118.94 This provider's average cost per fill is below the NE average for this medication. 16 30-Day Fills standardized to 30-day supplies 439 Days of Medication total across all patients in 2023
Glipizide ErGlipizide	16	$10.44▼ below NE avg	▼ Less than typical
About Glipizide Er: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2023, this provider wrote 16 Medicare prescriptions for Glipizide Er, about half the volume of the typical Nebraska prescriber of this medication (30). Medicare paid an average of $10.44 per fill, versus $17.00 statewide. How often this provider prescribes it This provider 16 NE average 30.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.44 NE average $17.00 This provider's average cost per fill is below the NE average for this medication. 16.2 30-Day Fills standardized to 30-day supplies 436 Days of Medication total across all patients in 2023
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	15	$22.16▼ below NE avg	▼ Less than typical
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 15 Medicare prescriptions for Oxycodone-Acetaminophen, about a third of the volume of the typical Nebraska prescriber of this medication (45). Medicare paid an average of $22.16 per fill, versus $30.42 statewide. How often this provider prescribes it This provider 15 NE average 45.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.16 NE average $30.42 This provider's average cost per fill is below the NE average for this medication. 15.1 30-Day Fills standardized to 30-day supplies 306 Days of Medication total across all patients in 2023
Ipratropium Bromide	15	$30.78▼ below NE avg	▼ Less than typical
About Ipratropium Bromide: Ipratropium is used to control and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). Show more ▾ 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. For preventing symptoms of lung disease, this medication must be used regularly to be effective. Use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) for wheezing or sudden shortness of breath unless otherwise directed by your doctor. Ipratropium does not work as fast as your quick-relief inhaler, but may sometimes be used to relieve symptoms of wheezing or sudden shortness of breath if so prescribed by your doctor. A muscarinic antagonist structurally related to ATROPINE but often considered safer and more effective for inhalation use. It is used for various bronchial disorders, in rhinitis, and as an antiarrhythmic. In 2023, this provider wrote 15 Medicare prescriptions for Ipratropium Bromide, about half the volume of the typical Nebraska prescriber of this medication (27). Medicare paid an average of $30.78 per fill, versus $48.76 statewide. How often this provider prescribes it This provider 15 NE average 27.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.78 NE average $48.76 This provider's average cost per fill is below the NE average for this medication. 16 30-Day Fills standardized to 30-day supplies 435 Days of Medication total across all patients in 2023
Levofloxacin	15	$10.24	▼ Less than typical
About Levofloxacin: This medication is used to treat a variety of bacterial infections. Show more ▾ Levofloxacin belongs to a class of drugs known as quinolone antibiotics. It works by stopping the growth of bacteria. Levofloxacin injection is used if you cannot take the medication by mouth. 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. The L-isomer of Ofloxacin. In 2023, this provider wrote 15 Medicare prescriptions for Levofloxacin, about 68% of the volume of the typical Nebraska prescriber of this medication (22). Medicare paid an average of $10.24 per fill, versus $9.67 statewide. How often this provider prescribes it This provider 15 NE average 22.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.24 NE average $9.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 93 Days of Medication total across all patients in 2023
Lidocaine Hcl	15	$4.91▼ below NE avg	▼ Less than typical
About Lidocaine Hcl: This medication is used on the skin to stop itching and pain from certain skin conditions (such as scrapes, minor burns, eczema, insect bites) and to treat minor discomfort and itching caused by hemorrhoids and certain other problems of the genital/anal area Show more ▾ (such as anal fissures, itching around the vagina/rectum). Some forms of this medication are also used to decrease discomfort or pain during certain medical procedures/exams (such as sigmoidoscopy, cystoscopy). Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. In 2023, this provider wrote 15 Medicare prescriptions for Lidocaine Hcl, about 65% of the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $4.91 per fill, versus $23.72 statewide. How often this provider prescribes it This provider 15 NE average 23.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.91 NE average $23.72 This provider's average cost per fill is below the NE average for this medication. 15 30-Day Fills standardized to 30-day supplies 39 Days of Medication total across all patients in 2023
Tresiba Flextouch U-100Insulin Degludec	15	$518.19▼ below NE avg	▼ Less than typical
About Tresiba Flextouch U-100: Insulin degludec 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 degludec 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 degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. In 2023, this provider wrote 15 Medicare prescriptions for Tresiba Flextouch U-100, about 60% of the volume of the typical Nebraska prescriber of this medication (25). Medicare paid an average of $518.19 per fill, versus $630.04 statewide. How often this provider prescribes it This provider 15 NE average 25.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $518.19 NE average $630.04 This provider's average cost per fill is below the NE average for this medication. 15.2 30-Day Fills standardized to 30-day supplies 438 Days of Medication total across all patients in 2023
Fluconazole	14	$22.42	▼ Less than typical
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 2023, this provider wrote 14 Medicare prescriptions for Fluconazole, about 70% of the volume of the typical Nebraska prescriber of this medication (20). Medicare paid an average of $22.42 per fill, versus $16.91 statewide. How often this provider prescribes it This provider 14 NE average 20.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.42 NE average $16.91 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 92 Days of Medication total across all patients in 2023
Risperdal ConstaRisperidone Microspheres	14	$2,506.66	▼ Less than typical
About Risperdal Consta: Risperidone is used to treat certain mental/mood disorders (schizophrenia, bipolar disorder). Show more ▾ This medication can help you to think clearly and take part in everyday life. Risperidone belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 14 Medicare prescriptions for Risperdal Consta, about half the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $2,506.66 per fill, versus $1,165.13 statewide. How often this provider prescribes it This provider 14 NE average 26.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,506.66 NE average $1,165.13 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 392 Days of Medication total across all patients in 2023
Roflumilast	14	$69.97	– No State Data
About Roflumilast: Roflumilast is used to control and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis). Show more ▾ It should be used along with other medications (bronchodilators such as salmeterol, ipratropium) to treat COPD. It works by reducing the irritation and swelling of the airways. Controlling symptoms of breathing problems can decrease time lost from work or school. 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 or wheezing. If sudden breathing problems occur, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed. In 2023, this provider wrote 14 Medicare prescriptions for Roflumilast. Medicare paid an average of $69.97 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $69.97 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 295 Days of Medication total across all patients in 2023
Amitriptyline Hcl	14	$21.86	▼ Less than typical
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 14 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $21.86 per fill, versus $21.46 statewide. How often this provider prescribes it This provider 14 NE average 26.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.86 NE average $21.46 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023
Fentanyl	14	$57.04▼ below NE avg	▼ Less than typical
About Fentanyl: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Fentanyl belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. Do not use the patch form of fentanyl to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078) In 2023, this provider wrote 14 Medicare prescriptions for Fentanyl, about half the volume of the typical Nebraska prescriber of this medication (31). Medicare paid an average of $57.04 per fill, versus $96.51 statewide. How often this provider prescribes it This provider 14 NE average 31.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $57.04 NE average $96.51 This provider's average cost per fill is below the NE average for this medication. 14 30-Day Fills standardized to 30-day supplies 322 Days of Medication total across all patients in 2023
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid	14	$12.59	▼ Less than typical
About Triamterene-Hydrochlorothiazid: This drug is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is a combination of two water pills (diuretics): triamterene and hydrochlorothiazide. This combination is used by people who have developed or are at risk for having low potassium levels on hydrochlorothiazide. It causes you to make more urine, which 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. In 2023, this provider wrote 14 Medicare prescriptions for Triamterene-Hydrochlorothiazid, about a third of the volume of the typical Nebraska prescriber of this medication (34). Medicare paid an average of $12.59 per fill, versus $11.09 statewide. How often this provider prescribes it This provider 14 NE average 34.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.59 NE average $11.09 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023
Lovastatin	14	$16.72	▼ Less than typical
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 2023, this provider wrote 14 Medicare prescriptions for Lovastatin, about half the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $16.72 per fill, versus $9.39 statewide. How often this provider prescribes it This provider 14 NE average 24.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.72 NE average $9.39 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023
Bupropion XlBupropion Hcl	13	$29.69▼ below NE avg	▼ Less than typical
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 13 Medicare prescriptions for Bupropion Xl, about a third of the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $29.69 per fill, versus $34.24 statewide. How often this provider prescribes it This provider 13 NE average 39.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $29.69 NE average $34.24 This provider's average cost per fill is below the NE average for this medication. 13 30-Day Fills standardized to 30-day supplies 370 Days of Medication total across all patients in 2023
Fluvoxamine Maleate	13	$17.51▼ below NE avg	▼ Less than typical
About Fluvoxamine Maleate: Fluvoxamine is used to treat obsessive-compulsive disorder (OCD). Show more ▾ It helps decrease thoughts that are unwanted or that don't go away (obsessions), and it helps to reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, checking) that interfere with daily living. Fluvoxamine is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin reuptake inhibitor that is used in the treatment of DEPRESSION and a variety of ANXIETY DISORDERS. In 2023, this provider wrote 13 Medicare prescriptions for Fluvoxamine Maleate, about half the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $17.51 per fill, versus $52.15 statewide. How often this provider prescribes it This provider 13 NE average 26.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.51 NE average $52.15 This provider's average cost per fill is below the NE average for this medication. 13 30-Day Fills standardized to 30-day supplies 198 Days of Medication total across all patients in 2023
Phenytoin Sodium Extended	13	$35.29	▼ Less than typical
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 2023, this provider wrote 13 Medicare prescriptions for Phenytoin Sodium Extended, about 65% of the volume of the typical Nebraska prescriber of this medication (20). Medicare paid an average of $35.29 per fill, versus $34.36 statewide. How often this provider prescribes it This provider 13 NE average 20.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.29 NE average $34.36 Gross Part D cost per fill; not the patient's out-of-pocket price. 13.1 30-Day Fills standardized to 30-day supplies 377 Days of Medication total across all patients in 2023
Solifenacin Succinate	13	$32.59▼ below NE avg	▼ Less than typical
About Solifenacin Succinate: Solifenacin is used to treat an overactive bladder. Show more ▾ By relaxing the muscles in the bladder, solifenacin improves your ability to control your urination. It helps to reduce leaking of urine, feelings of needing to urinate right away, and frequent trips to the bathroom. This medication belongs to the class of drugs known as antispasmodics. A quinuclidine and tetrahydroisoquinoline derivative and selective M3 MUSCARINIC ANTAGONIST. It is used as a UROLOGIC AGENT in the treatment of URINARY INCONTINENCE. In 2023, this provider wrote 13 Medicare prescriptions for Solifenacin Succinate, about half the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $32.59 per fill, versus $62.30 statewide. How often this provider prescribes it This provider 13 NE average 24.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.59 NE average $62.30 This provider's average cost per fill is below the NE average for this medication. 13.2 30-Day Fills standardized to 30-day supplies 363 Days of Medication total across all patients in 2023
Humulin R U-500 KwikpenInsulin Regular, Human	13	$399.85▼ below NE avg	▼ Less than typical
About Humulin R U-500 Kwikpen: Inhaled insulin powder 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. This man-made insulin product is the same as human insulin. It replaces the insulin that your body would normally make. It is a short-acting insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This product is absorbed into the blood through your lungs. It starts working faster and lasts for a shorter time than regular insulin injected under the skin. It is usually used in combination with a medium- or long-acting insulin product. This medication may also be used alone or with other oral diabetes drugs (such as metformin). In 2023, this provider wrote 13 Medicare prescriptions for Humulin R U-500 Kwikpen, about half the volume of the typical Nebraska prescriber of this medication (22). Medicare paid an average of $399.85 per fill, versus $1,749.57 statewide. How often this provider prescribes it This provider 13 NE average 22.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $399.85 NE average $1,749.57 This provider's average cost per fill is below the NE average for this medication. 13 30-Day Fills standardized to 30-day supplies 113 Days of Medication total across all patients in 2023
Glycopyrrolate	12	$50.90	≈ Typical
About Glycopyrrolate: Glycopyrrolate solution is used to reduce excessive drooling caused by medical conditions (such as cerebral palsy). Show more ▾ This medication works by decreasing the amount of saliva you make. Glycopyrrolate belongs to a class of drugs known as anticholinergics. A muscarinic antagonist used as an antispasmodic, in some disorders of the gastrointestinal tract, and to reduce salivation with some anesthetics. In 2023, this provider wrote 12 Medicare prescriptions for Glycopyrrolate, about 80% of the volume of the typical Nebraska prescriber of this medication (15). Medicare paid an average of $50.90 per fill, versus $31.88 statewide. How often this provider prescribes it This provider 12 NE average 15.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $50.90 NE average $31.88 Gross Part D cost per fill; not the patient's out-of-pocket price. 12.2 30-Day Fills standardized to 30-day supplies 358 Days of Medication total across all patients in 2023
LantusInsulin Glargine,hum.Rec.Anlog	12	$365.87▼ below NE avg	▼ Less than typical
About Lantus: 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-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 12 Medicare prescriptions for Lantus, about 67% of the volume of the typical Nebraska prescriber of this medication (18). Medicare paid an average of $365.87 per fill, versus $554.35 statewide. How often this provider prescribes it This provider 12 NE average 18.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $365.87 NE average $554.35 This provider's average cost per fill is below the NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 266 Days of Medication total across all patients in 2023
Irbesartan	12	$33.92	▼ Less than typical
About Irbesartan: Irbesartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Irbesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. A spiro compound, biphenyl and tetrazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION, and in the treatment of kidney disease. In 2023, this provider wrote 12 Medicare prescriptions for Irbesartan, about a third of the volume of the typical Nebraska prescriber of this medication (34). Medicare paid an average of $33.92 per fill, versus $22.31 statewide. How often this provider prescribes it This provider 12 NE average 34.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $33.92 NE average $22.31 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 2023
Valproic AcidValproic Acid (As Sodium Salt)	12	$94.80	≈ Typical
About Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. In 2023, this provider wrote 12 Medicare prescriptions for Valproic Acid, about 75% of the volume of the typical Nebraska prescriber of this medication (16). Medicare paid an average of $94.80 per fill, versus $46.35 statewide. How often this provider prescribes it This provider 12 NE average 16.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $94.80 NE average $46.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 12.1 30-Day Fills standardized to 30-day supplies 299 Days of Medication total across all patients in 2023
Galantamine Hbr	12	$148.30	≈ Typical
About Galantamine Hbr: Galantamine is used to treat mild to moderate confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by restoring the balance of certain natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 12 Medicare prescriptions for Galantamine Hbr, about the same volume as the typical Nebraska prescriber of this medication (13). Medicare paid an average of $148.30 per fill, versus $80.83 statewide. How often this provider prescribes it This provider 12 NE average 13.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $148.30 NE average $80.83 Gross Part D cost per fill; not the patient's out-of-pocket price. 12.2 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine	12	$42.57	▼ Less than typical
About Dextroamphetamine-Amphetamine: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2023, this provider wrote 12 Medicare prescriptions for Dextroamphetamine-Amphetamine, about half the volume of the typical Nebraska prescriber of this medication (28). Medicare paid an average of $42.57 per fill, versus $41.48 statewide. How often this provider prescribes it This provider 12 NE average 28.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $42.57 NE average $41.48 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 2023
Bethanechol Chloride	12	$65.20▼ below NE avg	▼ Less than typical
About Bethanechol Chloride: This medication is used to treat certain bladder problems such as the inability to urinate or empty the bladder completely due to certain causes (such as surgery, bladder muscle problems). Show more ▾ It works by helping the bladder muscle to squeeze better, thereby improving your ability to urinate. A slowly hydrolyzing muscarinic agonist with no nicotinic effects. Bethanechol is generally used to increase smooth muscle tone, as in the GI tract following abdominal surgery or in urinary retention in the absence of obstruction. It may cause hypotension, HEART RATE changes, and BRONCHIAL SPASM. In 2023, this provider wrote 12 Medicare prescriptions for Bethanechol Chloride, about 63% of the volume of the typical Nebraska prescriber of this medication (19). Medicare paid an average of $65.20 per fill, versus $66.24 statewide. How often this provider prescribes it This provider 12 NE average 19.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $65.20 NE average $66.24 This provider's average cost per fill is below the NE average for this medication. 12.1 30-Day Fills standardized to 30-day supplies 347 Days of Medication total across all patients in 2023
Metolazone	12	$53.78	▼ Less than typical
About Metolazone: Metolazone is a water pill (diuretic) that increases the amount of urine you make, which causes your body to get rid of excess water. Show more ▾ This drug is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication also reduces swelling/fluid retention (edema) which can result from conditions such as congestive heart failure or kidney disease. This can help to improve symptoms such as trouble breathing. A quinazoline-sulfonamide derived DIURETIC that functions by inhibiting SODIUM CHLORIDE SYMPORTERS. In 2023, this provider wrote 12 Medicare prescriptions for Metolazone, about half the volume of the typical Nebraska prescriber of this medication (25). Medicare paid an average of $53.78 per fill, versus $28.35 statewide. How often this provider prescribes it This provider 12 NE average 25.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $53.78 NE average $28.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 12.2 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2023
Bisoprolol Fumarate	12	$40.40	▼ Less than typical
About Bisoprolol Fumarate: Bisoprolol 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 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. It is effective in the management of HYPERTENSION and ANGINA PECTORIS. In 2023, this provider wrote 12 Medicare prescriptions for Bisoprolol Fumarate, about a third of the volume of the typical Nebraska prescriber of this medication (34). Medicare paid an average of $40.40 per fill, versus $34.88 statewide. How often this provider prescribes it This provider 12 NE average 34.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $40.40 NE average $34.88 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 2023
LinzessLinaclotide	12	$426.95▼ below NE avg	▼ Less than typical
About Linzess: See also Warning section. Show more ▾ Linaclotide is used to treat certain types of bowel problems (irritable bowel syndrome with constipation, chronic idiopathic constipation). It works by increasing fluid in your intestines and helping speed up movement of food through the gut. Linaclotide may improve stool texture and lessen symptoms such as bloating, abdominal pain/discomfort, straining, and feelings of incomplete bowel movements. In 2023, this provider wrote 12 Medicare prescriptions for Linzess, about half the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $426.95 per fill, versus $613.92 statewide. How often this provider prescribes it This provider 12 NE average 24.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $426.95 NE average $613.92 This provider's average cost per fill is below the NE average for this medication. 12.1 30-Day Fills standardized to 30-day supplies 280 Days of Medication total across all patients in 2023
Lorazepam IntensolLorazepam	12	$28.25▼ below NE avg	▼ Less than typical
About Lorazepam Intensol: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 12 Medicare prescriptions for Lorazepam Intensol, about 71% of the volume of the typical Nebraska prescriber of this medication (17). Medicare paid an average of $28.25 per fill, versus $29.98 statewide. How often this provider prescribes it This provider 12 NE average 17.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.25 NE average $29.98 This provider's average cost per fill is below the NE average for this medication. 14 30-Day Fills standardized to 30-day supplies 240 Days of Medication total across all patients in 2023
PerforomistFormoterol Fumarate	12	$482.03▼ below NE avg	▼ Less than typical
About Perforomist: Formoterol is used as a long-term (maintenance) treatment to prevent or decrease breathing problems caused by ongoing lung diseases (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Show more ▾ Formoterol belongs to the class of drugs known as long-acting inhaled beta-agonists (LABAs). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. This effect helps to reduce wheezing, coughing, and shortness of breath. This medication does not work right away and should not be used for sudden attacks of breathing trouble. Your doctor must prescribe a quick-relief inhaler (such as albuterol, also called salbutamol in some countries) for sudden shortness of breath while you are using formoterol. You should always have a quick-relief inhaler with you. This form of formoterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as formoterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems. An ADRENERGIC BETA-2 RECEPTOR AGONIST with a prolonged duration of action. It is used to manage ASTHMA and in the treatment of CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In 2023, this provider wrote 12 Medicare prescriptions for Perforomist, about half the volume of the typical Nebraska prescriber of this medication (21). Medicare paid an average of $482.03 per fill, versus $816.35 statewide. How often this provider prescribes it This provider 12 NE average 21.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $482.03 NE average $816.35 This provider's average cost per fill is below the NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 279 Days of Medication total across all patients in 2023
Paliperidone ErPaliperidone	12	$263.08▼ below NE avg	▼ Less than typical
About Paliperidone Er: This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorder). Show more ▾ This medication can decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Paliperidone belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A benzisoxazole derivative and active metabolite of RISPERIDONE that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST and SEROTONIN 5-HT2 RECEPTOR ANTAGONIST. It is an ANTIPSYCHOTIC AGENT used in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 12 Medicare prescriptions for Paliperidone Er, about a third of the volume of the typical Nebraska prescriber of this medication (32). Medicare paid an average of $263.08 per fill, versus $423.76 statewide. How often this provider prescribes it This provider 12 NE average 32.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $263.08 NE average $423.76 This provider's average cost per fill is below the NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Carbamazepine ErCarbamazepine	12	$48.20▼ below NE avg	▼ Less than typical
About Carbamazepine Er: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 12 Medicare prescriptions for Carbamazepine Er, about 60% of the volume of the typical Nebraska prescriber of this medication (20). Medicare paid an average of $48.20 per fill, versus $129.71 statewide. How often this provider prescribes it This provider 12 NE average 20.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $48.20 NE average $129.71 This provider's average cost per fill is below the NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Fenofibric AcidFenofibric Acid (Choline)	12	$13.25▼ below NE avg	≈ Typical
About Fenofibric Acid: Fenofibric acid 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. Fenofibric acid 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, fenofibric acid might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibric acid. 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. In 2023, this provider wrote 12 Medicare prescriptions for Fenofibric Acid, about 80% of the volume of the typical Nebraska prescriber of this medication (15). Medicare paid an average of $13.25 per fill, versus $81.97 statewide. How often this provider prescribes it This provider 12 NE average 15.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.25 NE average $81.97 This provider's average cost per fill is below the NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Alphagan PBrimonidine Tartrate	11	$209.89▼ below NE avg	▼ Less than typical
About Alphagan P: This medication is used to treat open-angle glaucoma or high fluid pressure in the eye. Show more ▾ Lowering high fluid pressure in the eye reduces the risk of vision loss, nerve damage, or blindness. This medication lowers pressure by allowing better fluid drainage from within the eye and also by reducing the amount of fluid formed in the eye. It is known as an alpha agonist. This drug is not recommended for use in children less than 2 years of age due to an increased risk of serious side effects such as very slowed breathing. Ask the doctor or pharmacist for details. A quinoxaline derivative and ADRENERGIC ALHPA-2 RECEPTOR AGONIST that is used to manage INTRAOCULAR PRESSURE associated with OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION. In 2023, this provider wrote 11 Medicare prescriptions for Alphagan P, about a third of the volume of the typical Nebraska prescriber of this medication (27). Medicare paid an average of $209.89 per fill, versus $340.72 statewide. How often this provider prescribes it This provider 11 NE average 27.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $209.89 NE average $340.72 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 265 Days of Medication total across all patients in 2023
Niacin ErNiacin	11	$77.27▼ below NE avg	▼ Less than typical
About Niacin Er: Niacin (nicotinic acid) is used to prevent and treat niacin deficiency (pellagra). Show more ▾ Niacin deficiency may result from certain medical conditions (such as alcohol abuse, malabsorption syndrome, Hartnup disease), poor diet, or long-term use of certain medications (such as isoniazid). Niacin deficiency can cause diarrhea, confusion (dementia), tongue redness/swelling, and peeling red skin. Niacin is also known as vitamin B3, one of the B-complex vitamins. Vitamins help to support the body's ability to make and break down natural compounds (metabolism) needed for good health. Niacinamide (nicotinamide) is a different form of vitamin B3 and does not work the same as niacin. Do not substitute unless directed by your doctor. 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. A water-soluble vitamin of the B complex occurring in various animal and plant tissues. It is required by the body for the formation of coenzymes NAD and NADP. It has PELLAGRA-curative, vasodilating, and antilipemic properties. In 2023, this provider wrote 11 Medicare prescriptions for Niacin Er, about 73% of the volume of the typical Nebraska prescriber of this medication (15). Medicare paid an average of $77.27 per fill, versus $95.83 statewide. How often this provider prescribes it This provider 11 NE average 15.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $77.27 NE average $95.83 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Nifedipine ErNifedipine	11	$42.59▼ below NE avg	▼ Less than typical
About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾ It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. 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. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2023, this provider wrote 11 Medicare prescriptions for Nifedipine Er, about half the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $42.59 per fill, versus $44.59 statewide. How often this provider prescribes it This provider 11 NE average 23.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $42.59 NE average $44.59 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Medroxyprogesterone Acetate	11	$15.31▼ below NE avg	▼ Less than typical
About Medroxyprogesterone Acetate: This medication is used to prevent pregnancy. Show more ▾ Medroxyprogesterone is like a natural hormone made by the body. Using this medication does not protect you or your partner against sexually transmitted diseases (such as HIV, gonorrhea, chlamydia). A synthetic progestin that is derived from 17-hydroxyprogesterone. It is a long-acting contraceptive that is effective both orally or by intramuscular injection and has also been used to treat breast and endometrial neoplasms. In 2023, this provider wrote 11 Medicare prescriptions for Medroxyprogesterone Acetate, about 61% of the volume of the typical Nebraska prescriber of this medication (18). Medicare paid an average of $15.31 per fill, versus $18.28 statewide. How often this provider prescribes it This provider 11 NE average 18.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.31 NE average $18.28 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
FenofibrateFenofibrate Nanocrystallized	11	$35.50▼ below NE avg	▼ Less than typical
About Fenofibrate: Fenofibrate is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 11 Medicare prescriptions for Fenofibrate, about half the volume of the typical Nebraska prescriber of this medication (25). Medicare paid an average of $35.50 per fill, versus $43.11 statewide. How often this provider prescribes it This provider 11 NE average 25.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.50 NE average $43.11 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 274 Days of Medication total across all patients in 2023
Ondansetron OdtOndansetron	11	$20.70▼ below NE avg	▼ Less than typical
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2023, this provider wrote 11 Medicare prescriptions for Ondansetron Odt, about half the volume of the typical Nebraska prescriber of this medication (20). Medicare paid an average of $20.70 per fill, versus $24.00 statewide. How often this provider prescribes it This provider 11 NE average 20.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $20.70 NE average $24.00 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 88 Days of Medication total across all patients in 2023
Repatha SyringeEvolocumab	11	$294.91▼ below NE avg	≈ Typical
About Repatha Syringe: Evolocumab is used along with a proper diet to help lower bad cholesterol (LDL) in the blood. Show more ▾ It may be used with other LDL-lowering treatments (such as statin drugs, ezetimibe, LDL apheresis). Evolocumab is also used by people who have heart disease to help prevent heart attacks and strokes. This medication belongs to a class of drugs known as monoclonal antibodies. It works by improving how well your body gets rid of LDL cholesterol. 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. In 2023, this provider wrote 11 Medicare prescriptions for Repatha Syringe, about 79% of the volume of the typical Nebraska prescriber of this medication (14). Medicare paid an average of $294.91 per fill, versus $622.19 statewide. How often this provider prescribes it This provider 11 NE average 14.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $294.91 NE average $622.19 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 154 Days of Medication total across all patients in 2023
Pioglitazone Hcl	11	$22.15	▼ Less than typical
About Pioglitazone Hcl: Pioglitazone is a diabetes drug (thiazolidinedione-type, also called glitazones) used along with a proper diet and exercise program to control high blood sugar in patients with type 2 diabetes. Show more ▾ It works by helping to restore your body's proper response to insulin, thereby lowering your blood sugar. 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. Pioglitazone is used either alone or in combination with other diabetes medications (such as metformin or a sulfonylurea such as glyburide). Talk to your doctor about the risks and benefits of pioglitazone. In 2023, this provider wrote 11 Medicare prescriptions for Pioglitazone Hcl, about a third of the volume of the typical Nebraska prescriber of this medication (36). Medicare paid an average of $22.15 per fill, versus $16.67 statewide. How often this provider prescribes it This provider 11 NE average 36.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.15 NE average $16.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Propafenone Hcl	11	$32.97▼ below NE avg	▼ Less than typical
About Propafenone Hcl: This medication is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as paroxysmal supraventricular tachycardia and atrial fibrillation). Show more ▾ It is used to restore normal heart rhythm and maintain a regular, steady heartbeat. Propafenone is known as an anti-arrhythmic drug. It works by blocking the activity of certain electrical signals in the heart that can cause an irregular heartbeat. Treating an irregular heartbeat can decrease the risk for blood clots, and this effect can reduce your risk of heart attack or stroke. In 2023, this provider wrote 11 Medicare prescriptions for Propafenone Hcl, about a third of the volume of the typical Nebraska prescriber of this medication (28). Medicare paid an average of $32.97 per fill, versus $76.49 statewide. How often this provider prescribes it This provider 11 NE average 28.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.97 NE average $76.49 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023

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= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average NE prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the NE average cost per fill.

About this data. The prescription history for LACEY S JANE SNYDER APRN 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 Nurse Practitioner prescribing approach at this Omaha, NE 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 NE prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.