ALEXANDER HARTWELL NOWLIN M.D.
Prescription History 1952716607
Anesthesiology in Bellingham, WA
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.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other WA PrescribersVs. WA Avg |
|---|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 426 | $27.83 | ▲ 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 426 Medicare prescriptions for Hydrocodone-Acetaminophen, about 7.2 times the volume of the typical Washington prescriber of this medication (59). Medicare paid an average of $27.83 per fill, versus $20.88 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 426 30-Day Fills standardized to 30-day supplies 11,135 Days of Medication total across all patients in 2023 | |||
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 374 | $39.01 | ▲ More 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 374 Medicare prescriptions for Oxycodone-Acetaminophen, about 9.4 times the volume of the typical Washington prescriber of this medication (40). Medicare paid an average of $39.01 per fill, versus $27.67 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 374 30-Day Fills standardized to 30-day supplies 9,888 Days of Medication total across all patients in 2023 | |||
| Oxycodone Hcl | 354 | $29.23 | ▲ More than 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 354 Medicare prescriptions for Oxycodone Hcl, about 7.2 times the volume of the typical Washington prescriber of this medication (49). Medicare paid an average of $29.23 per fill, versus $21.32 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 370 30-Day Fills standardized to 30-day supplies 9,740 Days of Medication total across all patients in 2023 | |||
| Morphine Sulfate ErMorphine Sulfate | 235 | $28.95▼ below WA avg | ▲ More than typical |
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. In 2023, this provider wrote 235 Medicare prescriptions for Morphine Sulfate Er, about 6.2 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $28.95 per fill, versus $37.99 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 235 30-Day Fills standardized to 30-day supplies 6,292 Days of Medication total across all patients in 2023 | |||
| Hydromorphone Hcl | 175 | $17.02▼ below WA avg | ▲ More than typical |
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. In 2023, this provider wrote 175 Medicare prescriptions for Hydromorphone Hcl, about 5.8 times the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $17.02 per fill, versus $25.49 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 175 30-Day Fills standardized to 30-day supplies 4,691 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 168 | $18.45▼ below WA 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 168 Medicare prescriptions for Gabapentin, about 2.4 times the volume of the typical Washington prescriber of this medication (69). Medicare paid an average of $18.45 per fill, versus $25.75 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 182.1 30-Day Fills standardized to 30-day supplies 5,401 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 93 | $12.23▼ below WA avg | ▲ More 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 93 Medicare prescriptions for Cyclobenzaprine Hcl, about 3.2 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $12.23 per fill, versus $15.24 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 93 30-Day Fills standardized to 30-day supplies 2,749 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 91 | $7.47▼ below WA avg | ▲ 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 91 Medicare prescriptions for Tramadol Hcl, about 2.3 times the volume of the typical Washington prescriber of this medication (39). Medicare paid an average of $7.47 per fill, versus $8.73 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 91 30-Day Fills standardized to 30-day supplies 2,546 Days of Medication total across all patients in 2023 | |||
| Tizanidine Hcl | 81 | $12.07▼ below WA avg | ▲ More than typical |
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. In 2023, this provider wrote 81 Medicare prescriptions for Tizanidine Hcl, about 2.5 times the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $12.07 per fill, versus $16.38 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 99.5 30-Day Fills standardized to 30-day supplies 2,782 Days of Medication total across all patients in 2023 | |||
| Fentanyl | 68 | $81.17▼ below WA avg | ▲ More 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 68 Medicare prescriptions for Fentanyl, about 2.6 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $81.17 per fill, versus $119.18 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 68 30-Day Fills standardized to 30-day supplies 1,950 Days of Medication total across all patients in 2023 | |||
| Pregabalin | 61 | $25.26▼ below WA avg | ▲ 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 61 Medicare prescriptions for Pregabalin, about 1.9 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $25.26 per fill, versus $43.37 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 89 30-Day Fills standardized to 30-day supplies 2,654 Days of Medication total across all patients in 2023 | |||
| Methocarbamol | 59 | $8.51▼ below WA avg | ▲ More than typical |
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) In 2023, this provider wrote 59 Medicare prescriptions for Methocarbamol, about 2.4 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $8.51 per fill, versus $15.29 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 59 30-Day Fills standardized to 30-day supplies 1,591 Days of Medication total across all patients in 2023 | |||
| Methadone Hcl | 55 | $17.09▼ below WA avg | ▲ More than typical |
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) In 2023, this provider wrote 55 Medicare prescriptions for Methadone Hcl, about 1.8 times the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $17.09 per fill, versus $20.03 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 55 30-Day Fills standardized to 30-day supplies 1,518 Days of Medication total across all patients in 2023 | |||
| Xtampza ErOxycodone Myristate | 52 | $627.02▼ below WA avg | ▲ More than typical |
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. In 2023, this provider wrote 52 Medicare prescriptions for Xtampza Er, about 2.1 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $627.02 per fill, versus $660.97 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 52 30-Day Fills standardized to 30-day supplies 1,437 Days of Medication total across all patients in 2023 | |||
| Topiramate | 43 | $14.26▼ below WA avg | ▲ More than typical |
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. In 2023, this provider wrote 43 Medicare prescriptions for Topiramate, about 1.5 times the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $14.26 per fill, versus $21.47 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 51 30-Day Fills standardized to 30-day supplies 1,530 Days of Medication total across all patients in 2023 | |||
| OxycontinOxycodone Hcl | 42 | $602.92▼ below WA avg | ▲ More than typical |
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. In 2023, this provider wrote 42 Medicare prescriptions for Oxycontin, about 1.8 times the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $602.92 per fill, versus $652.52 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,167 Days of Medication total across all patients in 2023 | |||
| Lidocaine | 39 | $155.48 | ▲ More than typical |
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. In 2023, this provider wrote 39 Medicare prescriptions for Lidocaine, about 1.9 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $155.48 per fill, versus $135.49 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 41.3 30-Day Fills standardized to 30-day supplies 1,236 Days of Medication total across all patients in 2023 | |||
| Meloxicam | 29 | $7.38▼ below WA avg | ≈ 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 29 Medicare prescriptions for Meloxicam, about the same volume as the typical Washington prescriber of this medication (32). Medicare paid an average of $7.38 per fill, versus $7.67 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 29 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023 | |||
| BelbucaBuprenorphine Hcl | 29 | $545.15▼ below WA avg | ≈ Typical |
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. In 2023, this provider wrote 29 Medicare prescriptions for Belbuca, about 76% of the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $545.15 per fill, versus $724.43 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 29 30-Day Fills standardized to 30-day supplies 656 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 28 | $11.40▼ below WA avg | ▼ Less than 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 28 Medicare prescriptions for Duloxetine Hcl, about 68% of the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $11.40 per fill, versus $43.16 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2023 | |||
| Baclofen | 28 | $38.12 | ≈ 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 28 Medicare prescriptions for Baclofen, about the same volume as the typical Washington prescriber of this medication (31). Medicare paid an average of $38.12 per fill, versus $33.36 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 792 Days of Medication total across all patients in 2023 | |||
| Hydromorphone ErHydromorphone Hcl | 26 | $205.73▼ below WA avg | ▲ More than typical |
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. In 2023, this provider wrote 26 Medicare prescriptions for Hydromorphone Er, about 1.4 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $205.73 per fill, versus $387.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 26 30-Day Fills standardized to 30-day supplies 728 Days of Medication total across all patients in 2023 | |||
| Nortriptyline Hcl | 24 | $20.41 | ≈ Typical |
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. In 2023, this provider wrote 24 Medicare prescriptions for Nortriptyline Hcl, about 1.2 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $20.41 per fill, versus $19.78 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2023 | |||
| Acetaminophen-CodeineAcetaminophen With Codeine | 22 | $38.82 | ≈ Typical |
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. In 2023, this provider wrote 22 Medicare prescriptions for Acetaminophen-Codeine, about the same volume as the typical Washington prescriber of this medication (21). Medicare paid an average of $38.82 per fill, versus $20.91 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 595 Days of Medication total across all patients in 2023 | |||
| Ibuprofen | 14 | $13.70 | ▼ Less 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 14 Medicare prescriptions for Ibuprofen, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $13.70 per fill, versus $10.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Cephalexin | 13 | $5.29▼ below WA avg | ▼ Less than typical |
About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾ This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms. In 2023, this provider wrote 13 Medicare prescriptions for Cephalexin, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $5.29 per fill, versus $10.43 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 13 30-Day Fills standardized to 30-day supplies 59 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 12 | $46.42 | ▼ 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 12 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $46.42 per fill, versus $26.64 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl ErTramadol Hcl | 12 | $83.05▼ below WA avg | ▼ Less than typical |
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. In 2023, this provider wrote 12 Medicare prescriptions for Tramadol Hcl Er, about 67% of the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $83.05 per fill, versus $101.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 12 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2023 | |||
| Naproxen | 11 | $14.15▼ below WA avg | ▼ Less than typical |
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. In 2023, this provider wrote 11 Medicare prescriptions for Naproxen, about half the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $14.15 per fill, versus $17.05 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
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.
