DR. ALEXANDRA P IKEGUCHI M.D.
Prescription History 1962402321
Internal Medicine - Hematology in Houston, TX

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2023, Jul 10, 2023 (2 updates tracked since 2023).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. ALEXANDRA P IKEGUCHI M.D., an active Hematology specialist practicing in Houston, TX. Our medical registry currently tracks 12 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 236 documented patient claims. Among these therapy options, the most frequently utilized medication is Ondansetron Hcl, which accounts for 35 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.

12
Medications
236
Total Claims
287
30-Day Fills
Ondansetron Hcl
Most Prescribed · 35 claims
View details
12 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by DR. ALEXANDRA P IKEGUCHI M.D. in 2023, with prescription volumes, average cost per fill, and TX state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other TX PrescribersVs. TX Avg

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

It is also used to prevent and treat nausea and vomiting after surgery. It works by blocking one of the body's natural substances (serotonin) that causes vomiting.

In 2023, this provider wrote 35 Medicare prescriptions for Ondansetron Hcl, about 1.9 times the volume of the typical Texas prescriber of this medication (18). Medicare paid an average of $7.83 per fill, versus $7.06 statewide.

How often this provider prescribes it

This provider
35
TX average
18.0

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

What Medicare paid per fill

This provider
$7.83
TX average
$7.06

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

35
30-Day Fills
standardized to 30-day supplies
590
Days of Medication
total across all patients in 2023

About Anastrozole: Anastrozole is used to treat breast cancer in women after menopause. Show more ▾

Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. A nitrile and triazole derivative that acts as a selective nonsteroidal aromatase inhibitor. It is used in the treatment of ESTROGEN NUCLEAR RECEPTOR-positive breast cancer in postmenopausal women.

In 2023, this provider wrote 29 Medicare prescriptions for Anastrozole, about half the volume of the typical Texas prescriber of this medication (65). Medicare paid an average of $26.21 per fill, versus $24.06 statewide.

How often this provider prescribes it

This provider
29
TX average
65.0

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

What Medicare paid per fill

This provider
$26.21
TX average
$24.06

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

63
30-Day Fills
standardized to 30-day supplies
1,890
Days of Medication
total across all patients in 2023

About Imbruvica: This medication is used to treat certain cancers (such as mantle cell or marginal zone lymphoma, chronic lymphocytic leukemia/small lymphocytic lymphoma, Waldenstrom's macroglobulinemia). Show more ▾

Ibrutinib belongs to a class of drugs known as kinase inhibitors. It works by slowing or stopping the growth of cancer cells. Ibrutinib is also used to treat a certain problem that may occur after a stem cell transplant (chronic graft versus host disease). It works by weakening your body's defense system (immune system).

In 2023, this provider wrote 28 Medicare prescriptions for Imbruvica, about the same volume as the typical Texas prescriber of this medication (28). Medicare paid an average of $16,242.48 per fill, versus $14,715.59 statewide.

How often this provider prescribes it

This provider
28
TX average
28.0

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

What Medicare paid per fill

This provider
$16,242.48
TX average
$14,715.59

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

28
30-Day Fills
standardized to 30-day supplies
784
Days of Medication
total across all patients in 2023

About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾

Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.

In 2023, this provider wrote 27 Medicare prescriptions for Prednisone, about half the volume of the typical Texas prescriber of this medication (47). Medicare paid an average of $5.68 per fill, versus $5.74 statewide.

How often this provider prescribes it

This provider
27
TX average
47.0

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

What Medicare paid per fill

This provider
$5.68
TX average
$5.74

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

28
30-Day Fills
standardized to 30-day supplies
688
Days of Medication
total across all patients in 2023

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 23 Medicare prescriptions for Oxycodone Hcl, about a third of the volume of the typical Texas prescriber of this medication (57). Medicare paid an average of $29.94 per fill, versus $25.28 statewide.

How often this provider prescribes it

This provider
23
TX average
57.0

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

What Medicare paid per fill

This provider
$29.94
TX average
$25.28

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

23
30-Day Fills
standardized to 30-day supplies
628
Days of Medication
total across all patients in 2023

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 21 Medicare prescriptions for Hydrocodone-Acetaminophen, about 17% of the volume of the typical Texas prescriber of this medication (121). Medicare paid an average of $34.34 per fill, versus $24.84 statewide.

How often this provider prescribes it

This provider
21
TX average
121.0

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

What Medicare paid per fill

This provider
$34.34
TX average
$24.84

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

21
30-Day Fills
standardized to 30-day supplies
586
Days of Medication
total across all patients in 2023

About Ibrance: Palbociclib is used to treat a certain type of breast cancer. Show more ▾

It works by slowing or stopping the growth of cancer cells.

In 2023, this provider wrote 13 Medicare prescriptions for Ibrance, about half the volume of the typical Texas prescriber of this medication (25). Medicare paid an average of $14,676.08 per fill, versus $14,645.29 statewide.

How often this provider prescribes it

This provider
13
TX average
25.0

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

What Medicare paid per fill

This provider
$14,676.08
TX average
$14,645.29

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

13
30-Day Fills
standardized to 30-day supplies
364
Days of Medication
total across all patients in 2023

About Letrozole: This medication is used to treat certain types of breast cancer (such as hormone-receptor-positive breast cancer) in women after menopause. Show more ▾

Letrozole is also used to help prevent the cancer from returning. Some breast cancers are made to grow faster by a natural hormone called estrogen. Letrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. A triazole and benzonitrile derivative that is a selective non-steroidal aromatase inhibitor, similar to ANASTROZOLE. It is used in the treatment of metastatic or locally advanced breast cancer in postmenopausal women.

In 2023, this provider wrote 13 Medicare prescriptions for Letrozole, about a quarter of the volume of the typical Texas prescriber of this medication (57). Medicare paid an average of $24.61 per fill, versus $27.23 statewide.

How often this provider prescribes it

This provider
13
TX average
57.0

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

What Medicare paid per fill

This provider
$24.61
TX average
$27.23

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

29
30-Day Fills
standardized to 30-day supplies
860
Days of Medication
total across all patients in 2023

About Scemblix: Asciminib is used to treat a certain type of cancer (chronic myeloid leukemia-CML). Show more ▾

Asciminib belongs to a class of drugs known as kinase inhibitors. It works by slowing or stopping the growth of cancer cells.

In 2023, this provider wrote 13 Medicare prescriptions for Scemblix, about the same volume as the typical Texas prescriber of this medication (13). Medicare paid an average of $21,924.24 per fill, versus $19,226.72 statewide.

How often this provider prescribes it

This provider
13
TX average
13.0

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

What Medicare paid per fill

This provider
$21,924.24
TX average
$19,226.72

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

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2023

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 12 Medicare prescriptions for Hydromorphone Hcl, about half the volume of the typical Texas prescriber of this medication (28). Medicare paid an average of $17.74 per fill, versus $105.60 statewide.

How often this provider prescribes it

This provider
12
TX average
28.0

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

What Medicare paid per fill

This provider
$17.74
TX average
$105.60

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

12
30-Day Fills
standardized to 30-day supplies
335
Days of Medication
total across all patients in 2023

About Hydrocortisone: Hydrocortisone is a man-made version of a natural substance (cortisol) made by the adrenal gland. Show more ▾

This drug is used to treat low cortisol levels caused by diseases of the adrenal gland (such as Addison's disease, adrenocortical insufficiency). Hydrocortisone belongs to a class of drugs known as corticosteroids. Corticosteroids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions.

In 2023, this provider wrote 11 Medicare prescriptions for Hydrocortisone, about a third of the volume of the typical Texas prescriber of this medication (29). Medicare paid an average of $28.60 per fill, versus $22.30 statewide.

How often this provider prescribes it

This provider
11
TX average
29.0

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

What Medicare paid per fill

This provider
$28.60
TX average
$22.30

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

11
30-Day Fills
standardized to 30-day supplies
328
Days of Medication
total across all patients in 2023

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 11 Medicare prescriptions for Oxycodone-Acetaminophen, about 14% of the volume of the typical Texas prescriber of this medication (76). Medicare paid an average of $61.12 per fill, versus $30.40 statewide.

How often this provider prescribes it

This provider
11
TX average
76.0

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

What Medicare paid per fill

This provider
$61.12
TX average
$30.40

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

11
30-Day Fills
standardized to 30-day supplies
330
Days of Medication
total across all patients in 2023
No medications match the current filters.
= the 5 medications this provider prescribes most. More than typical Typical Less than typical= prescription volume vs the average TX prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the TX average cost per fill.

About this data. The prescription history for DR. ALEXANDRA P IKEGUCHI 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 Hematology prescribing approach at this Houston, 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.