DR. MAILEEN LUGO M.D.
Prescription History 1922016005
General Practice in San German, PR

Active since August 04, 2006PECOS Enrolled
CALLE IRMA, 133, SAN GERMAN, PR 00683(787) 538-7427 Get Directions

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. MAILEEN LUGO M.D., an active General Practice specialist practicing in San German, PR. Our medical registry currently tracks 20 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 649 documented patient claims. Among these therapy options, the most frequently utilized medication is Levocetirizine Dihydrochloride, which accounts for 106 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.

20
Medications
649
Total Claims
659
30-Day Fills
Levocetirizine Dihydrochloride
Most Prescribed · 106 claims
View details
20 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. MAILEEN LUGO M.D. in 2024, with prescription volumes, average cost per fill, and PR state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other PR PrescribersVs. PR Avg

About Levocetirizine Dihydrochloride: Levocetirizine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, and sneezing. Show more ▾

It is also used to relieve itching and hives. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Levocetirizine does not prevent hives or prevent/treat a serious allergic reaction (such as anaphylaxis). If your doctor has prescribed epinephrine to treat allergic reactions, always carry your epinephrine injector with you. Do not use levocetirizine in place of your epinephrine.

In 2024, this provider wrote 106 Medicare prescriptions for Levocetirizine Dihydrochloride, about 1.5 times the volume of the typical Puerto Rico prescriber of this medication (70.4). Medicare paid an average of $5.42 per fill, versus $9.47 statewide.

How often this provider prescribes it

This provider
106
PR average
70.4

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

What Medicare paid per fill

This provider
$5.42
PR average
$9.47

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

106
30-Day Fills
standardized to 30-day supplies
1,243
Days of Medication
total across all patients in 2024

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

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

In 2024, this provider wrote 104 Medicare prescriptions for Azithromycin, about 1.9 times the volume of the typical Puerto Rico prescriber of this medication (54.4). Medicare paid an average of $6.99 per fill, versus $8.38 statewide.

How often this provider prescribes it

This provider
104
PR average
54.4

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

What Medicare paid per fill

This provider
$6.99
PR average
$8.38

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

104
30-Day Fills
standardized to 30-day supplies
312
Days of Medication
total across all patients in 2024

About Dexamethasone: Dexamethasone is used to treat conditions such as arthritis, blood/hormone disorders, allergic reactions, skin diseases, eye problems, breathing problems, bowel disorders, cancer, and immune system disorders. Show more ▾

It is also used as a test for an adrenal gland disorder (Cushing's syndrome). Dexamethasone 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. An anti-inflammatory 9-fluoro-glucocorticoid.

In 2024, this provider wrote 69 Medicare prescriptions for Dexamethasone, about 1.2 times the volume of the typical Puerto Rico prescriber of this medication (57.7). Medicare paid an average of $14.35 per fill, versus $12.97 statewide.

How often this provider prescribes it

This provider
69
PR average
57.7

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

What Medicare paid per fill

This provider
$14.35
PR average
$12.97

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

69
30-Day Fills
standardized to 30-day supplies
255
Days of Medication
total across all patients in 2024

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

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

In 2024, this provider wrote 49 Medicare prescriptions for Methylprednisolone, about the same volume as the typical Puerto Rico prescriber of this medication (47.7). Medicare paid an average of $8.03 per fill, versus $10.03 statewide.

How often this provider prescribes it

This provider
49
PR average
47.7

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

What Medicare paid per fill

This provider
$8.03
PR average
$10.03

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

49
30-Day Fills
standardized to 30-day supplies
295
Days of Medication
total across all patients in 2024

About Diclofenac Sodium: See also Warning section. Show more ▾

This medication is used to relieve joint pain from arthritis. Diclofenac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.

In 2024, this provider wrote 30 Medicare prescriptions for Diclofenac Sodium, about half the volume of the typical Puerto Rico prescriber of this medication (69.3). Medicare paid an average of $30.99 per fill, versus $16.14 statewide.

How often this provider prescribes it

This provider
30
PR average
69.3

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

What Medicare paid per fill

This provider
$30.99
PR average
$16.14

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

38.5
30-Day Fills
standardized to 30-day supplies
925
Days of Medication
total across all patients in 2024

About Paxlovid: This combination of nirmatrelvir and ritonavir is used to treat coronavirus disease (COVID-19) in people who have mild to moderate symptoms and have a high risk for COVID-19 complications. Show more ▾

It helps people who have COVID-19 to stay out of the hospital. It is not for use by people who are hospitalized due to COVID-19. Nirmatrelvir is a SARS-CoV-2 main protease inhibitor. It works by preventing the growth of the virus that causes COVID-19. Ritonavir increases ("boosts") the levels of nirmatrelvir. This helps nirmatrelvir work better. This medication works by stopping the coronavirus from growing. It cannot be used to prevent COVID-19.

In 2024, this provider wrote 28 Medicare prescriptions for Paxlovid, about 1.4 times the volume of the typical Puerto Rico prescriber of this medication (20.6).

How often this provider prescribes it

This provider
28
PR average
20.6

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

What Medicare paid per fill

This provider
$0.00
PR average
$73.27

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

28
30-Day Fills
standardized to 30-day supplies
140
Days of Medication
total across all patients in 2024

About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾

This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion.

In 2024, this provider wrote 28 Medicare prescriptions for Famotidine, about 14% of the volume of the typical Puerto Rico prescriber of this medication (204). Medicare paid an average of $3.45 per fill, versus $7.25 statewide.

How often this provider prescribes it

This provider
28
PR average
204.0

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

What Medicare paid per fill

This provider
$3.45
PR average
$7.25

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

28
30-Day Fills
standardized to 30-day supplies
310
Days of Medication
total across all patients in 2024

About Orphenadrine Citrate Er: Orphenadrine is used to treat muscle spasms/pain. Show more ▾

It is usually used along with rest, physical therapy, and other treatment. A muscarinic antagonist used to treat drug-induced parkinsonism and to relieve pain from muscle spasm.

In 2024, this provider wrote 28 Medicare prescriptions for Orphenadrine Citrate Er, about 1.2 times the volume of the typical Puerto Rico prescriber of this medication (22.7). Medicare paid an average of $18.54 per fill, versus $23.64 statewide.

How often this provider prescribes it

This provider
28
PR average
22.7

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

What Medicare paid per fill

This provider
$18.54
PR average
$23.64

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

28
30-Day Fills
standardized to 30-day supplies
277
Days of Medication
total across all patients in 2024

About Montelukast Sodium: Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath). Show more ▾

It is also used before exercise to prevent breathing problems during exercise (bronchospasm). This medication can help decrease the number of times you need to use your quick relief inhaler. Montelukast is also used to relieve symptoms of hay fever and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose). Since there are other allergy medications that may be safer (see also Warning section), this medication should be used for this condition only when you cannot take other allergy medications or they do not work well. This medication must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks or breathing problems. If an asthma attack or sudden shortness of breath occurs, use your quick-relief inhaler as prescribed. This drug works by blocking certain natural substances (leukotrienes) that may cause or worsen asthma and allergies. It helps make breathing easier by reducing swelling (inflammation) in the airways. A leukotriene D4 receptor antagonist.

In 2024, this provider wrote 26 Medicare prescriptions for Montelukast Sodium, about 20% of the volume of the typical Puerto Rico prescriber of this medication (130.3). Medicare paid an average of $4.52 per fill, versus $10.15 statewide.

How often this provider prescribes it

This provider
26
PR average
130.3

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

What Medicare paid per fill

This provider
$4.52
PR average
$10.15

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

26
30-Day Fills
standardized to 30-day supplies
365
Days of Medication
total across all patients in 2024

About Nabumetone: Nabumetone is used to reduce pain, swelling, and joint stiffness from arthritis. Show more ▾

This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. A butanone non-steroidal anti-inflammatory drug and cyclooxygenase-2 (COX2) inhibitor that is used in the management of pain associated with OSTEOARTHRITIS and RHEUMATOID ARTHRITIS.

In 2024, this provider wrote 23 Medicare prescriptions for Nabumetone, about a third of the volume of the typical Puerto Rico prescriber of this medication (58.4). Medicare paid an average of $8.90 per fill, versus $15.60 statewide.

How often this provider prescribes it

This provider
23
PR average
58.4

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

What Medicare paid per fill

This provider
$8.90
PR average
$15.60

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

23
30-Day Fills
standardized to 30-day supplies
217
Days of Medication
total across all patients in 2024

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

This medication belongs to a class of drugs known as quinolone antibiotics. 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. The L-isomer of Ofloxacin.

In 2024, this provider wrote 22 Medicare prescriptions for Levofloxacin, about half the volume of the typical Puerto Rico prescriber of this medication (40.7). Medicare paid an average of $9.10 per fill, versus $7.40 statewide.

How often this provider prescribes it

This provider
22
PR average
40.7

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

What Medicare paid per fill

This provider
$9.10
PR average
$7.40

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

22
30-Day Fills
standardized to 30-day supplies
154
Days of Medication
total across all patients in 2024

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

It belongs to a class of drugs known as cephalosporin antibiotics. 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. Long-acting, broad-spectrum, water-soluble, CEPHALEXIN derivative.

In 2024, this provider wrote 20 Medicare prescriptions for Cefadroxil, about half the volume of the typical Puerto Rico prescriber of this medication (38). Medicare paid an average of $12.93 per fill, versus $11.28 statewide.

How often this provider prescribes it

This provider
20
PR average
38.0

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

What Medicare paid per fill

This provider
$12.93
PR average
$11.28

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

20
30-Day Fills
standardized to 30-day supplies
176
Days of Medication
total across all patients in 2024

About Ibuprofen: Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis. Show more ▾

It is also used to reduce fever and to relieve minor aches and pain due to the common cold or flu. Ibuprofen is 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. 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. 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 non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties

In 2024, this provider wrote 18 Medicare prescriptions for Ibuprofen, about half the volume of the typical Puerto Rico prescriber of this medication (41). Medicare paid an average of $3.35 per fill, versus $5.45 statewide.

How often this provider prescribes it

This provider
18
PR average
41.0

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

What Medicare paid per fill

This provider
$3.35
PR average
$5.45

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

18
30-Day Fills
standardized to 30-day supplies
109
Days of Medication
total across all patients in 2024

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

It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties.

In 2024, this provider wrote 17 Medicare prescriptions for Ondansetron Hcl, about 63% of the volume of the typical Puerto Rico prescriber of this medication (26.9). Medicare paid an average of $3.56 per fill, versus $10.29 statewide.

How often this provider prescribes it

This provider
17
PR average
26.9

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

What Medicare paid per fill

This provider
$3.56
PR average
$10.29

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

17
30-Day Fills
standardized to 30-day supplies
85
Days of Medication
total across all patients in 2024

About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾

It is usually used along with rest and physical therapy. It works by helping to relax the muscles. Lisseril is synonymous for HCl; structure.

In 2024, this provider wrote 17 Medicare prescriptions for Cyclobenzaprine Hcl, about half the volume of the typical Puerto Rico prescriber of this medication (29.9). Medicare paid an average of $3.58 per fill, versus $5.02 statewide.

How often this provider prescribes it

This provider
17
PR average
29.9

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

What Medicare paid per fill

This provider
$3.58
PR average
$5.02

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

17
30-Day Fills
standardized to 30-day supplies
175
Days of Medication
total across all patients in 2024

About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. 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.

In 2024, this provider wrote 16 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical Puerto Rico prescriber of this medication (32.5). Medicare paid an average of $16.29 per fill, versus $16.23 statewide.

How often this provider prescribes it

This provider
16
PR average
32.5

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

What Medicare paid per fill

This provider
$16.29
PR average
$16.23

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

16
30-Day Fills
standardized to 30-day supplies
127
Days of Medication
total across all patients in 2024

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

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

In 2024, this provider wrote 14 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about a third of the volume of the typical Puerto Rico prescriber of this medication (34). Medicare paid an average of $4.83 per fill, versus $4.37 statewide.

How often this provider prescribes it

This provider
14
PR average
34.0

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

What Medicare paid per fill

This provider
$4.83
PR average
$4.37

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

14
30-Day Fills
standardized to 30-day supplies
121
Days of Medication
total across all patients in 2024

About Neomycin-Polymyxin-Hydrocort: This ear drop is used to treat outer ear infections caused by bacteria (also known as swimmer's ear). Show more ▾

This medication contains neomycin and polymyxin, which are antibiotics that work by stopping the growth of bacteria. It also contains hydrocortisone, which is an anti-inflammatory corticosteroid that works by reducing ear swelling and discomfort. This medication treats only bacterial ear infections. It will not work for other types of ear infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 12 Medicare prescriptions for Neomycin-Polymyxin-Hydrocort, about half the volume of the typical Puerto Rico prescriber of this medication (23.9). Medicare paid an average of $65.76 per fill, versus $67.33 statewide.

How often this provider prescribes it

This provider
12
PR average
23.9

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

What Medicare paid per fill

This provider
$65.76
PR average
$67.33

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

12
30-Day Fills
standardized to 30-day supplies
150
Days of Medication
total across all patients in 2024

About Fluticasone Propionate: Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. Show more ▾

It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2024, this provider wrote 11 Medicare prescriptions for Fluticasone Propionate, about 11% of the volume of the typical Puerto Rico prescriber of this medication (97.2). Medicare paid an average of $14.36 per fill, versus $16.47 statewide.

How often this provider prescribes it

This provider
11
PR average
97.2

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

What Medicare paid per fill

This provider
$14.36
PR average
$16.47

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

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

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

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

In 2024, this provider wrote 11 Medicare prescriptions for Doxycycline Monohydrate, about a third of the volume of the typical Puerto Rico prescriber of this medication (27.9). Medicare paid an average of $13.44 per fill, versus $14.70 statewide.

How often this provider prescribes it

This provider
11
PR average
27.9

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

What Medicare paid per fill

This provider
$13.44
PR average
$14.70

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

11
30-Day Fills
standardized to 30-day supplies
107
Days of Medication
total across all patients in 2024
No medications match the current filters.
= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average PR prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the PR average cost per fill.

About this data. The prescription history for DR. MAILEEN LUGO M.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall General Practice prescribing approach at this San German, PR practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among PR prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.