ALEXANDER HARTWELL NOWLIN M.D.
Prescription History 1952716607
Anesthesiology in Bellingham, WA

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment

59.95/100

CMS Quality Rating

4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226(360) 752-0518(360) 676-2896 Get Directions

NPPES record last updated: April 29, 2019. 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 ALEXANDER HARTWELL NOWLIN M.D., an active Anesthesiology specialist practicing in Bellingham, WA. Our medical registry currently tracks 29 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,664 documented patient claims. Among these therapy options, the most frequently utilized medication is Hydrocodone-Acetaminophen, which accounts for 426 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.

Medications

2,664

Total Claims

2,768

30-Day Fills

Hydrocodone-Acetaminophen

Most Prescribed · 426 claims

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Utilization vs WA Average

29 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by ALEXANDER HARTWELL NOWLIN M.D. in 2023, with claim volumes, costs, and WA state comparisons
Medication	Claims	30-Day Fills	Days Supply	Cost / Claim	Utilization vs WA Avg
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	426	426.0	11,135	$27.83	▲ Above Avg. Top Prescribed
Utilization: claims vs the average WA prescriber This provider 426 WA average 59.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $27.83 WA average $20.88 Gross Part D cost per claim; not the patient's out-of-pocket price. 426.0 30-Day Fills 11,135 Days Supply 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.
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	374	374.0	9,888	$39.01	▲ Above Avg. Top Prescribed
Utilization: claims vs the average WA prescriber This provider 374 WA average 40.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $39.01 WA average $27.67 Gross Part D cost per claim; not the patient's out-of-pocket price. 374.0 30-Day Fills 9,888 Days Supply 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.
Oxycodone Hcl	354	370.0	9,740	$29.23	▲ Above Avg. Top Prescribed
Utilization: claims vs the average WA prescriber This provider 354 WA average 49.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $29.23 WA average $21.32 Gross Part D cost per claim; not the patient's out-of-pocket price. 370.0 30-Day Fills 9,740 Days Supply 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.
Morphine Sulfate ErMorphine Sulfate	235	235.0	6,292	$28.95▼ below WA avg	▲ Above Avg. Top Prescribed
Utilization: claims vs the average WA prescriber This provider 235 WA average 38.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $28.95 WA average $37.99 This provider's average cost per claim is below the WA average for this medication. 235.0 30-Day Fills 6,292 Days Supply About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾ Morphine 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 principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.
Hydromorphone Hcl	175	175.0	4,691	$17.02▼ below WA avg	▲ Above Avg. Top Prescribed
Utilization: claims vs the average WA prescriber This provider 175 WA average 30.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $17.02 WA average $25.49 This provider's average cost per claim is below the WA average for this medication. 175.0 30-Day Fills 4,691 Days Supply About Hydromorphone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Hydromorphone 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. An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine.
Gabapentin	168	182.1	5,401	$18.45▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 168 WA average 69.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $18.45 WA average $25.75 This provider's average cost per claim is below the WA average for this medication. 182.1 30-Day Fills 5,401 Days Supply 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.
Cyclobenzaprine Hcl	93	93.0	2,749	$12.23▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 93 WA average 29.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $12.23 WA average $15.24 This provider's average cost per claim is below the WA average for this medication. 93.0 30-Day Fills 2,749 Days Supply 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.
Tramadol Hcl	91	91.0	2,546	$7.47▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 91 WA average 39.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $7.47 WA average $8.73 This provider's average cost per claim is below the WA average for this medication. 91.0 30-Day Fills 2,546 Days Supply 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.
Tizanidine Hcl	81	99.5	2,782	$12.07▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 81 WA average 33.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $12.07 WA average $16.38 This provider's average cost per claim is below the WA average for this medication. 99.5 30-Day Fills 2,782 Days Supply About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles.
Fentanyl	68	68.0	1,950	$81.17▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 68 WA average 26.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $81.17 WA average $119.18 This provider's average cost per claim is below the WA average for this medication. 68.0 30-Day Fills 1,950 Days Supply 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)
Pregabalin	61	89.0	2,654	$25.26▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 61 WA average 32.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $25.26 WA average $43.37 This provider's average cost per claim is below the WA average for this medication. 89.0 30-Day Fills 2,654 Days Supply 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.
Methocarbamol	59	59.0	1,591	$8.51▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 59 WA average 25.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $8.51 WA average $15.29 This provider's average cost per claim is below the WA average for this medication. 59.0 30-Day Fills 1,591 Days Supply About Methocarbamol: Methocarbamol is used to treat muscle spasms/pain. Show more ▾ It is usually used along with rest, physical therapy, and other treatment. It works by helping to relax the muscles. A centrally acting muscle relaxant whose mode of action has not been established. It is used as an adjunct in the symptomatic treatment of musculoskeletal conditions associated with painful muscle spasm. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1206)
Methadone Hcl	55	55.0	1,518	$17.09▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 55 WA average 31.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $17.09 WA average $20.03 This provider's average cost per claim is below the WA average for this medication. 55.0 30-Day Fills 1,518 Days Supply About Methadone Hcl: This medication is used to treat addiction to opioids (such as heroin) as part of an approved treatment program. Show more ▾ Methadone belongs to a class of drugs known as opioid analgesics. It helps prevent withdrawal symptoms caused by stopping other opioids. A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3)
Xtampza ErOxycodone Myristate	52	52.0	1,437	$627.02▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 52 WA average 25.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $627.02 WA average $660.97 This provider's average cost per claim is below the WA average for this medication. 52.0 30-Day Fills 1,437 Days Supply About Xtampza Er: This medication is used to help relieve severe ongoing pain (such as due to cancer). 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. Higher doses of this drug (more than 36 milligrams per dose or 72 milligrams per day) should be used only if you have been regularly taking moderate to large amounts of an opioid medication. These doses may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use.
Topiramate	43	51.0	1,530	$14.26▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 43 WA average 28.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $14.26 WA average $21.47 This provider's average cost per claim is below the WA average for this medication. 51.0 30-Day Fills 1,530 Days Supply About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss.
OxycontinOxycodone Hcl	42	42.0	1,167	$602.92▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 42 WA average 23.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $602.92 WA average $652.52 This provider's average cost per claim is below the WA average for this medication. 42.0 30-Day Fills 1,167 Days Supply About Oxycontin: This medication is used to help relieve severe ongoing pain (such as due to cancer). 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. The higher strengths of this drug (more than 40 milligrams per tablet) should be used only if you have been regularly taking moderate to large amounts of an opioid pain medication. These strengths may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone 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 semisynthetic derivative of CODEINE.
Lidocaine	39	41.3	1,236	$155.48	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 39 WA average 21.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $155.48 WA average $135.49 Gross Part D cost per claim; not the patient's out-of-pocket price. 41.3 30-Day Fills 1,236 Days Supply About Lidocaine: This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). Show more ▾ It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics. It works by causing a temporary loss of feeling in the area where you apply the patch. A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
Meloxicam	29	29.0	840	$7.38▼ below WA avg	≈ Typical
Utilization: claims vs the average WA prescriber This provider 29 WA average 32.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $7.38 WA average $7.67 This provider's average cost per claim is below the WA average for this medication. 29.0 30-Day Fills 840 Days Supply 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.
BelbucaBuprenorphine Hcl	29	29.0	656	$545.15▼ below WA avg	≈ Typical
Utilization: claims vs the average WA prescriber This provider 29 WA average 38.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $545.15 WA average $724.43 This provider's average cost per claim is below the WA average for this medication. 29.0 30-Day Fills 656 Days Supply About Belbuca: Buprenorphine is used to help relieve severe ongoing 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. 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.
Duloxetine Hcl	28	32.0	960	$11.40▼ below WA avg	▼ Below Avg.
Utilization: claims vs the average WA prescriber This provider 28 WA average 41.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $11.40 WA average $43.16 This provider's average cost per claim is below the WA average for this medication. 32.0 30-Day Fills 960 Days Supply 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.
Baclofen	28	28.0	792	$38.12	≈ Typical
Utilization: claims vs the average WA prescriber This provider 28 WA average 31.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $38.12 WA average $33.36 Gross Part D cost per claim; not the patient's out-of-pocket price. 28.0 30-Day Fills 792 Days Supply 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.
Hydromorphone ErHydromorphone Hcl	26	26.0	728	$205.73▼ below WA avg	▲ Above Avg.
Utilization: claims vs the average WA prescriber This provider 26 WA average 18.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $205.73 WA average $387.54 This provider's average cost per claim is below the WA average for this medication. 26.0 30-Day Fills 728 Days Supply About Hydromorphone Er: See also Warning section. Show more ▾ This medication contains hydromorphone in a long-acting form. It is used to help relieve severe ongoing pain (such as due to cancer). Hydromorphone 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 extended-release form of hydromorphone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine.
Nortriptyline Hcl	24	32.0	960	$20.41	≈ Typical
Utilization: claims vs the average WA prescriber This provider 24 WA average 20.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $20.41 WA average $19.78 Gross Part D cost per claim; not the patient's out-of-pocket price. 32.0 30-Day Fills 960 Days Supply About Nortriptyline 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, 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) in the brain.
Acetaminophen-CodeineAcetaminophen With Codeine	22	22.0	595	$38.82	≈ Typical
Utilization: claims vs the average WA prescriber This provider 22 WA average 21.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $38.82 WA average $20.91 Gross Part D cost per claim; not the patient's out-of-pocket price. 22.0 30-Day Fills 595 Days Supply About Acetaminophen-Codeine: See also Warning section. Show more ▾ This combination medication is used to help relieve mild to moderate pain. It contains an opioid pain reliever (codeine) and a non-opioid pain reliever (acetaminophen). Codeine works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.
Ibuprofen	14	14.0	420	$13.70	▼ Below Avg.
Utilization: claims vs the average WA prescriber This provider 14 WA average 25.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $13.70 WA average $10.50 Gross Part D cost per claim; not the patient's out-of-pocket price. 14.0 30-Day Fills 420 Days Supply 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
Cephalexin	13	13.0	59	$5.29▼ below WA avg	▼ Below Avg.
Utilization: claims vs the average WA prescriber This provider 13 WA average 25.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $5.29 WA average $10.43 This provider's average cost per claim is below the WA average for this medication. 13.0 30-Day Fills 59 Days Supply 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.
Amitriptyline Hcl	12	17.0	510	$46.42	▼ Below Avg.
Utilization: claims vs the average WA prescriber This provider 12 WA average 22.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $46.42 WA average $26.64 Gross Part D cost per claim; not the patient's out-of-pocket price. 17.0 30-Day Fills 510 Days Supply 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.
Tramadol Hcl ErTramadol Hcl	12	12.0	336	$83.05▼ below WA avg	▼ Below Avg.
Utilization: claims vs the average WA prescriber This provider 12 WA average 18.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $83.05 WA average $101.62 This provider's average cost per claim is below the WA average for this medication. 12.0 30-Day Fills 336 Days Supply About Tramadol Hcl Er: See also Warning section. Show more ▾ This medication is used to help relieve severe ongoing 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.
Naproxen	11	11.0	330	$14.15▼ below WA avg	▼ Below Avg.
Utilization: claims vs the average WA prescriber This provider 11 WA average 21.0 Averages are among WA prescribers of this medication. Utilization reflects practice size as well as clinical preference. Cost per claim: this provider vs the WA average This provider $14.15 WA average $17.05 This provider's average cost per claim is below the WA average for this medication. 11.0 30-Day Fills 330 Days Supply About Naproxen: Naproxen is used to relieve mild to moderate pain from various conditions. Show more ▾ It also reduces pain, swelling, and joint stiffness from arthritis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. 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 form of naproxen is absorbed slowly and should not be used for pain that needs quick relief (such as during a gout attack). Ask your doctor or pharmacist about using a different form of this drug or other medications for quick relief of pain. An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout.

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Top Prescribed= this provider's 5 highest-utilization medications.▲ Above Avg.≈ Typical▼ Below Avg.= utilization vs the average WA prescriber of the same drug; volume reflects practice size as well as clinical preference.Green cost= below the WA average cost per claim.

About this data. The prescription history for ALEXANDER HARTWELL NOWLIN 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 Anesthesiology prescribing approach at this Bellingham, WA 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 WA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.