DR. CARL EDWIN SMITH JR. MD
Prescription History 1972583607
Pediatrics in Harlan, KY
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. CARL EDWIN SMITH JR. MD, an active Pediatrics specialist practicing in Harlan, KY. Our medical registry currently tracks 8 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 97 documented patient claims. Among these therapy options, the most frequently utilized medication is Dextroamphetamine-Amphetamine, which accounts for 16 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 (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other KY PrescribersVs. KY Avg |
|---|---|---|---|
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 16 | $25.74▼ below KY avg | ▼ Less than typical |
About Dextroamphetamine-Amphetamine: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2024, this provider wrote 16 Medicare prescriptions for Dextroamphetamine-Amphetamine, about half the volume of the typical Kentucky prescriber of this medication (35). Medicare paid an average of $25.74 per fill, versus $26.39 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2024 | |||
| Topiramate | 14 | $14.02 | ▼ Less 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 2024, this provider wrote 14 Medicare prescriptions for Topiramate, about a third of the volume of the typical Kentucky prescriber of this medication (34.6). Medicare paid an average of $14.02 per fill, versus $10.42 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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. 24 30-Day Fills standardized to 30-day supplies 693 Days of Medication total across all patients in 2024 | |||
| Keppra XrLevetiracetam | 12 | $925.40▼ below KY avg | ▼ Less than typical |
About Keppra Xr: Levetiracetam is used to treat seizures (epilepsy). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Levetiracetam may decrease the number of seizures you have. A pyrrolidinone and acetamide derivative that is used primarily for the treatment of SEIZURES and some movement disorders, and as a nootropic agent. In 2024, this provider wrote 12 Medicare prescriptions for Keppra Xr, about 73% of the volume of the typical Kentucky prescriber of this medication (16.4). Medicare paid an average of $925.40 per fill, versus $1,535.36 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2024 | |||
| Alprazolam | 11 | $4.03▼ below KY avg | ▼ Less than typical |
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2024, this provider wrote 11 Medicare prescriptions for Alprazolam, about 15% of the volume of the typical Kentucky prescriber of this medication (75.6). Medicare paid an average of $4.03 per fill, versus $4.21 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Amitriptyline Hcl | 11 | $3.74▼ below KY avg | ▼ Less than typical |
About Amitriptyline Hcl: This medication is used to treat depression. Show more ▾ Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines. In 2024, this provider wrote 11 Medicare prescriptions for Amitriptyline Hcl, about a third of the volume of the typical Kentucky prescriber of this medication (37.7). Medicare paid an average of $3.74 per fill, versus $11.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Buspirone Hcl | 11 | $11.88▼ below KY avg | ▼ Less than typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 11 Medicare prescriptions for Buspirone Hcl, about 18% of the volume of the typical Kentucky prescriber of this medication (61.8). Medicare paid an average of $11.88 per fill, versus $12.98 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024 | |||
| Clonidine Hcl | 11 | $0.99▼ below KY avg | ▼ Less than typical |
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION. In 2024, this provider wrote 11 Medicare prescriptions for Clonidine Hcl, about a third of the volume of the typical Kentucky prescriber of this medication (31.8). Medicare paid an average of $0.99 per fill, versus $5.05 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 11 30-Day Fills standardized to 30-day supplies 180 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 11 | $0.65▼ below KY avg | ▼ Less than typical |
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 11 Medicare prescriptions for Sertraline Hcl, about 15% of the volume of the typical Kentucky prescriber of this medication (74.2). Medicare paid an average of $0.65 per fill, versus $7.62 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for DR. CARL EDWIN SMITH JR. MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Pediatrics prescribing approach at this Harlan, KY practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among KY prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
