MELISSA SMITH M.D.
Prescription History 1922198621
Ophthalmology in San Marcos, TX

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
2430 S IH 35 STE 106, SAN MARCOS, TX 78666(512) 353-1300(512) 353-5135 Get Directions

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MELISSA SMITH M.D., an active Ophthalmology specialist practicing in San Marcos, TX. Our medical registry currently tracks 23 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,786 documented patient claims. Among these therapy options, the most frequently utilized medication is Latanoprost, which accounts for 618 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.

23
Medications
1,786
Total Claims
2,524
30-Day Fills
Latanoprost
Most Prescribed · 618 claims
View details
23 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by MELISSA SMITH M.D. in 2023, with claim volumes, costs, and TX state comparisons
Medication Claims 30-Day Fills Days Supply Cost / Claim Utilization vs TX Avg

Utilization: claims vs the average TX prescriber

This provider
618
TX average
161.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$18.26
TX average
$25.16

This provider's average cost per claim is below the TX average for this medication.

912.2
30-Day Fills
24,900
Days Supply

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.

Utilization: claims vs the average TX prescriber

This provider
127
TX average
130.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$47.63
TX average
$51.46

This provider's average cost per claim is below the TX average for this medication.

158.3
30-Day Fills
4,109
Days Supply

About Prednisolone Acetate: This medication is used to treat certain eye conditions due to inflammation or injury. Show more ▾

Prednisolone works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids.

Utilization: claims vs the average TX prescriber

This provider
116
TX average
98.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$25.14
TX average
$34.56

This provider's average cost per claim is below the TX average for this medication.

219.8
30-Day Fills
6,566
Days Supply

About Dorzolamide-Timolol: This product contains two drugs used to treat high pressure inside the eye due to glaucoma (open angle-type) or other eye diseases (such as ocular hypertension). Show more ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. Timolol belongs to a class of drugs known as beta-blockers, and dorzolamide belongs to a class of drugs known as carbonic anhydrase inhibitors.

Utilization: claims vs the average TX prescriber

This provider
101
TX average
84.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$16.37
TX average
$28.28

This provider's average cost per claim is below the TX average for this medication.

103.7
30-Day Fills
2,528
Days Supply

About Ketorolac Tromethamine: This medication is used to temporarily relieve itching eyes caused by seasonal allergies. Show more ▾

It is also used to prevent and treat eye swelling due to a certain type of eye surgery (cataract removal). Ketorolac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). It works by blocking certain natural substances in your body to reduce pain and swelling. A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is a non-steroidal anti-inflammatory agent used for analgesia for postoperative pain and inhibits cyclooxygenase activity.

Utilization: claims vs the average TX prescriber

This provider
97
TX average
101.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$27.62
TX average
$36.88

This provider's average cost per claim is below the TX average for this medication.

98.0
30-Day Fills
1,264
Days Supply

About Moxifloxacin: This medication is a quinolone antibiotic used for eye infections. Show more ▾

A fluoroquinolone that acts as an inhibitor of DNA TOPOISOMERASE II and is used as a broad-spectrum antibacterial agent.

Utilization: claims vs the average TX prescriber

This provider
86
TX average
15.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$8.11
TX average
$484.74

This provider's average cost per claim is below the TX average for this medication.

135.8
30-Day Fills
3,900
Days Supply

About Timolol Maleate: This medication 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 ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. Timolol belongs to a class of drugs known as beta-blockers. A beta-adrenergic antagonist that is similar in action to PROPRANOLOL; the levo-isomer is more active. Timolol has been proposed as an anti-hypertensive, anti-arrhythmic, anti-angina, and anti-glaucoma agent. It is also used in the treatment of MIGRAINE DISORDERS and tremor.

Utilization: claims vs the average TX prescriber

This provider
77
TX average
71.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$324.98
TX average
$471.87

This provider's average cost per claim is below the TX average for this medication.

108.2
30-Day Fills
3,010
Days Supply

About Lumigan: Bimatoprost 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 ▾

Lowering high pressure inside the eye can help prevent blindness. This medication works by regulating the flow of fluid within the eye to maintain a normal pressure. A cloprostenol-derived amide that is used as an ANTIHYPERTENSIVE AGENT in the treatment of OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

Utilization: claims vs the average TX prescriber

This provider
75
TX average
51.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$732.91
TX average
$1,152.17

This provider's average cost per claim is below the TX average for this medication.

83.0
30-Day Fills
2,475
Days Supply

About Restasis: Cyclosporine eye drops are used to treat a certain type of dry eyes. Show more ▾

They work by increasing the amount of tears you make. A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection.

Utilization: claims vs the average TX prescriber

This provider
65
TX average
72.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$23.81
TX average
$46.78

This provider's average cost per claim is below the TX average for this medication.

120.2
30-Day Fills
3,466
Days Supply

About Brimonidine Tartrate: 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.

Utilization: claims vs the average TX prescriber

This provider
46
TX average
19.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$597.93
TX average
$703.73

This provider's average cost per claim is below the TX average for this medication.

69.0
30-Day Fills
2,070
Days Supply

About Cyclosporine: Cyclosporine eye drops are used to treat a certain type of dry eyes. Show more ▾

They work by increasing the amount of tears you make. A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection.

Utilization: claims vs the average TX prescriber

This provider
45
TX average
41.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$323.85
TX average
$420.78

This provider's average cost per claim is below the TX average for this medication.

55.7
30-Day Fills
1,395
Days Supply

About Vyzulta: Latanoprostene bunod 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 ▾

Lowering high pressure inside the eye can help prevent blindness. This medication works by controlling the flow of fluid within the eye to maintain a normal pressure.

Utilization: claims vs the average TX prescriber

This provider
42
TX average
31.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$694.48
TX average
$1,062.27

This provider's average cost per claim is below the TX average for this medication.

42.0
30-Day Fills
1,260
Days Supply

About Xiidra: This medication is used to treat dry eye disease.

Utilization: claims vs the average TX prescriber

This provider
39
TX average
43.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$14.94
TX average
$14.96

This provider's average cost per claim is below the TX average for this medication.

39.1
30-Day Fills
634
Days Supply

About Neomycin-Polymyxin-Dexameth: This medication is used to treat conditions involving swelling (inflammation) of the eyes and to treat or prevent bacterial eye infections. Show more ▾

This product contains neomycin and polymyxin, antibiotics that work by stopping the growth of bacteria. It also contains dexamethasone, an anti-inflammatory corticosteroid that works by reducing swelling. This medication treats/prevents only bacterial eye infections. It will not work for other types of eye infections and may worsen them (such as infections caused by viruses, fungi, mycobacteria). Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

Utilization: claims vs the average TX prescriber

This provider
36
TX average
30.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$243.70
TX average
$307.10

This provider's average cost per claim is below the TX average for this medication.

53.7
30-Day Fills
1,503
Days Supply

About Brimonidine Tartrate-Timolol: This combination medication 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 ▾

Lowering high pressure inside the eye helps to prevent blindness. This product contains brimonidine and timolol. These medications are used together when 1 drug is not controlling the pressure inside the eye. Brimonidine works by allowing better fluid drainage from within the eye and also by decreasing the amount of fluid formed in the eye. It belongs to a class of drugs known as alpha agonists. Timolol is thought to work by decreasing the amount of fluid formed in the eye. Timolol belongs to a class of drugs known as beta blockers. This medication is not recommended for use in children less than 2 years old due to an increased risk of serious side effects. Ask the doctor or pharmacist for more details. A pharmaceutical preparation of brimonidine tartrate and timolol maleate. The combined ADRENERGIC ALPHA2 RECEPTOR AGONIST and ADRENERGIC BETA-ANTAGONIST activity of these drugs reduce INTRAOCULAR PRESSURE in GLAUCOMA patients.

Utilization: claims vs the average TX prescriber

This provider
31
TX average
53.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$10.91
TX average
$17.09

This provider's average cost per claim is below the TX average for this medication.

31.0
30-Day Fills
420
Days Supply

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

It may also be used to prevent certain bacterial infections. Erythromycin is known as a macrolide antibiotic. It works by stopping the growth of bacteria. This antibiotic treats or prevents 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.

Utilization: claims vs the average TX prescriber

This provider
30
TX average
36.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$347.23
TX average
$381.69

This provider's average cost per claim is below the TX average for this medication.

43.1
30-Day Fills
1,181
Days Supply

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.

Utilization: claims vs the average TX prescriber

This provider
28
TX average
55.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$33.94
TX average
$32.44

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

61.0
30-Day Fills
1,823
Days Supply

About Dorzolamide Hcl: Dorzolamide 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 ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. It belongs to a class of drugs known as carbonic anhydrase inhibitors.

Utilization: claims vs the average TX prescriber

This provider
28
TX average
39.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$264.47
TX average
$245.49

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

51.3
30-Day Fills
1,479
Days Supply

About Travoprost: Travoprost 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 ▾

Lowering high pressure inside the eye can help prevent blindness. This medication works by regulating the flow of fluid within the eye to maintain a normal pressure. A cloprostenol derivative that is used as an ANTIHYPERTENSIVE AGENT in the treatment of OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

Utilization: claims vs the average TX prescriber

This provider
27
TX average
50.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$276.39
TX average
$396.74

This provider's average cost per claim is below the TX average for this medication.

32.4
30-Day Fills
756
Days Supply

About Combigan: This combination medication 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 ▾

Lowering high pressure inside the eye helps to prevent blindness. This product contains brimonidine and timolol. These medications are used together when 1 drug is not controlling the pressure inside the eye. Brimonidine works by allowing better fluid drainage from within the eye and also by decreasing the amount of fluid formed in the eye. It belongs to a class of drugs known as alpha agonists. Timolol is thought to work by decreasing the amount of fluid formed in the eye. Timolol belongs to a class of drugs known as beta blockers. This medication is not recommended for use in children less than 2 years old due to an increased risk of serious side effects. Ask the doctor or pharmacist for more details. A pharmaceutical preparation of brimonidine tartrate and timolol maleate. The combined ADRENERGIC ALPHA2 RECEPTOR AGONIST and ADRENERGIC BETA-ANTAGONIST activity of these drugs reduce INTRAOCULAR PRESSURE in GLAUCOMA patients.

Utilization: claims vs the average TX prescriber

This provider
24
TX average
35.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$30.98
TX average
$45.23

This provider's average cost per claim is below the TX average for this medication.

39.0
30-Day Fills
1,147
Days Supply

About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾

Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms.

Utilization: claims vs the average TX prescriber

This provider
20
TX average
54.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$350.43
TX average
$469.02

This provider's average cost per claim is below the TX average for this medication.

25.5
30-Day Fills
746
Days Supply

About Rhopressa: Netarsudil is used to treat high pressure inside the eye due to certain eye conditions (such as open-angle glaucoma, ocular hypertension). Show more ▾

This medication is thought to work by increasing the flow of fluid out of the eye. This helps lower pressure inside the eye. Lowering high pressure inside the eye can help prevent loss of vision or blindness.

Utilization: claims vs the average TX prescriber

This provider
15
TX average
26.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$37.84
TX average
$50.14

This provider's average cost per claim is below the TX average for this medication.

17.3
30-Day Fills
340
Days Supply

About Atropine Sulfate: This medication is used before eye examinations (such as refraction) and to treat certain eye conditions (such as uveitis). Show more ▾

It belongs to a class of drugs known as anticholinergics. Atropine works by widening (dilating) the pupil of the eye. An alkaloid, originally from Atropa belladonna, but found in other plants, mainly SOLANACEAE. Hyoscyamine is the 3(S)-endo isomer of atropine.

Utilization: claims vs the average TX prescriber

This provider
13
TX average
45.0

Averages are among TX prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the TX average

This provider
$61.43
TX average
$84.91

This provider's average cost per claim is below the TX average for this medication.

24.4
30-Day Fills
678
Days Supply

About Fluorometholone: This medication is used to treat certain eye conditions due to inflammation or injury. Show more ▾

Fluorometholone works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids. A glucocorticoid employed, usually as eye drops, in the treatment of allergic and inflammatory conditions of the eye. It has also been used topically in the treatment of various skin disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p732)

No medications match the current filters.
Top Prescribed= this provider's 5 highest-utilization medications. Above Avg. Typical Below Avg.= utilization vs the average TX prescriber of the same drug; volume reflects practice size as well as clinical preference.Green cost= below the TX average cost per claim.

About this data. The prescription history for MELISSA SMITH M.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Ophthalmology prescribing approach at this San Marcos, TX 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 TX prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.