DR. JANICE M KEATING MD
Prescription History 1982623708
Psychiatry & Neurology - Neurology in Fort Smith, AR

Name: Medicare Part D prescriptions by Dr. Janice Keating (NPI 1982623708), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

6801 ROGERS AVE, FORT SMITH, AR 72903(479) 274-3300(479) 274-3389 Get Directions

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. JANICE M KEATING MD, an active Neurology specialist practicing in Fort Smith, AR. Our medical registry currently tracks 96 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 7,064 documented patient claims. Among these therapy options, the most frequently utilized medication is Gabapentin, which accounts for 555 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

7,064

Total Claims

9,878

30-Day Fills

Gabapentin

Most Prescribed · 555 claims

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Prescription Volume vs AR Average

96 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by DR. JANICE M KEATING MD in 2023, with prescription volumes, average cost per fill, and AR state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other AR PrescribersVs. AR Avg
Gabapentin	555	$18.93▼ below AR 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 555 Medicare prescriptions for Gabapentin, about 4.3 times the volume of the typical Arkansas prescriber of this medication (129). Medicare paid an average of $18.93 per fill, versus $24.03 statewide. How often this provider prescribes it This provider 555 AR average 129.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.93 AR average $24.03 This provider's average cost per fill is below the AR average for this medication. 746.7 30-Day Fills standardized to 30-day supplies 22,320 Days of Medication total across all patients in 2023
Levetiracetam	508	$37.89▼ below AR avg	▲ More than typical
About Levetiracetam: 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 2023, this provider wrote 508 Medicare prescriptions for Levetiracetam, about 12 times the volume of the typical Arkansas prescriber of this medication (44). Medicare paid an average of $37.89 per fill, versus $42.04 statewide. How often this provider prescribes it This provider 508 AR average 44.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $37.89 AR average $42.04 This provider's average cost per fill is below the AR average for this medication. 764.8 30-Day Fills standardized to 30-day supplies 22,540 Days of Medication total across all patients in 2023
Memantine Hcl	481	$24.77▼ below AR avg	▲ More than typical
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 481 Medicare prescriptions for Memantine Hcl, about 10 times the volume of the typical Arkansas prescriber of this medication (46). Medicare paid an average of $24.77 per fill, versus $48.31 statewide. How often this provider prescribes it This provider 481 AR average 46.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.77 AR average $48.31 This provider's average cost per fill is below the AR average for this medication. 788.5 30-Day Fills standardized to 30-day supplies 23,522 Days of Medication total across all patients in 2023
Donepezil Hcl	364	$9.53▼ below AR avg	▲ More than typical
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 364 Medicare prescriptions for Donepezil Hcl, about 6.7 times the volume of the typical Arkansas prescriber of this medication (54). Medicare paid an average of $9.53 per fill, versus $15.20 statewide. How often this provider prescribes it This provider 364 AR average 54.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.53 AR average $15.20 This provider's average cost per fill is below the AR average for this medication. 574.9 30-Day Fills standardized to 30-day supplies 17,226 Days of Medication total across all patients in 2023
Carbidopa-LevodopaCarbidopa/Levodopa	355	$39.13	▲ More than typical
About Carbidopa-Levodopa: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 355 Medicare prescriptions for Carbidopa-Levodopa, about 7.1 times the volume of the typical Arkansas prescriber of this medication (50). Medicare paid an average of $39.13 per fill, versus $37.43 statewide. How often this provider prescribes it This provider 355 AR average 50.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.13 AR average $37.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 538.9 30-Day Fills standardized to 30-day supplies 16,135 Days of Medication total across all patients in 2023
Lamotrigine	326	$28.64	▲ More than typical
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 326 Medicare prescriptions for Lamotrigine, about 7.4 times the volume of the typical Arkansas prescriber of this medication (44). Medicare paid an average of $28.64 per fill, versus $16.67 statewide. How often this provider prescribes it This provider 326 AR average 44.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.64 AR average $16.67 Gross Part D cost per fill; not the patient's out-of-pocket price. 488.5 30-Day Fills standardized to 30-day supplies 14,620 Days of Medication total across all patients in 2023
Topiramate	240	$13.64▼ below AR 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 240 Medicare prescriptions for Topiramate, about 6.7 times the volume of the typical Arkansas prescriber of this medication (36). Medicare paid an average of $13.64 per fill, versus $19.34 statewide. How often this provider prescribes it This provider 240 AR average 36.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.64 AR average $19.34 This provider's average cost per fill is below the AR average for this medication. 342.3 30-Day Fills standardized to 30-day supplies 10,231 Days of Medication total across all patients in 2023
Ropinirole Hcl	229	$22.03	▲ More than typical
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 229 Medicare prescriptions for Ropinirole Hcl, about 6.2 times the volume of the typical Arkansas prescriber of this medication (37). Medicare paid an average of $22.03 per fill, versus $20.98 statewide. How often this provider prescribes it This provider 229 AR average 37.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.03 AR average $20.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 358.1 30-Day Fills standardized to 30-day supplies 10,717 Days of Medication total across all patients in 2023
Clonazepam	209	$6.40▼ below AR avg	▲ More than typical
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 209 Medicare prescriptions for Clonazepam, about 3.1 times the volume of the typical Arkansas prescriber of this medication (68). Medicare paid an average of $6.40 per fill, versus $10.09 statewide. How often this provider prescribes it This provider 209 AR average 68.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.40 AR average $10.09 This provider's average cost per fill is below the AR average for this medication. 211 30-Day Fills standardized to 30-day supplies 6,241 Days of Medication total across all patients in 2023
Zonisamide	206	$42.74	▲ More than typical
About Zonisamide: Zonisamide is used with other medications to prevent and control seizures (epilepsy). Show more ▾ Zonisamide is a sulfonamide anticonvulsant and a carbonic anhydrase inhibitor. It is unknown how zonisamide works to prevent seizures. A benzisoxazole and sulfonamide derivative that acts as a CALCIUM CHANNEL blocker. It is used primarily as an adjunctive antiepileptic agent for the treatment of PARTIAL SEIZURES, with or without secondary generalization. In 2023, this provider wrote 206 Medicare prescriptions for Zonisamide, about 5.7 times the volume of the typical Arkansas prescriber of this medication (36). Medicare paid an average of $42.74 per fill, versus $40.85 statewide. How often this provider prescribes it This provider 206 AR average 36.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $42.74 AR average $40.85 Gross Part D cost per fill; not the patient's out-of-pocket price. 289.2 30-Day Fills standardized to 30-day supplies 8,378 Days of Medication total across all patients in 2023
Duloxetine Hcl	177	$23.87▼ below AR avg	▲ More 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 177 Medicare prescriptions for Duloxetine Hcl, about 2.8 times the volume of the typical Arkansas prescriber of this medication (63). Medicare paid an average of $23.87 per fill, versus $39.24 statewide. How often this provider prescribes it This provider 177 AR average 63.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.87 AR average $39.24 This provider's average cost per fill is below the AR average for this medication. 309 30-Day Fills standardized to 30-day supplies 9,206 Days of Medication total across all patients in 2023
Divalproex Sodium	165	$53.77	▲ More than typical
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 165 Medicare prescriptions for Divalproex Sodium, about 3.5 times the volume of the typical Arkansas prescriber of this medication (47). Medicare paid an average of $53.77 per fill, versus $53.23 statewide. How often this provider prescribes it This provider 165 AR average 47.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $53.77 AR average $53.23 Gross Part D cost per fill; not the patient's out-of-pocket price. 214.2 30-Day Fills standardized to 30-day supplies 6,415 Days of Medication total across all patients in 2023
Lacosamide	142	$120.72▼ below AR avg	▲ More than typical
About Lacosamide: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2023, this provider wrote 142 Medicare prescriptions for Lacosamide, about 5.1 times the volume of the typical Arkansas prescriber of this medication (28). Medicare paid an average of $120.72 per fill, versus $286.03 statewide. How often this provider prescribes it This provider 142 AR average 28.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $120.72 AR average $286.03 This provider's average cost per fill is below the AR average for this medication. 150.7 30-Day Fills standardized to 30-day supplies 4,072 Days of Medication total across all patients in 2023
Primidone	132	$32.85	▲ More than typical
About Primidone: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Primidone belongs to a class of drugs known as barbiturate anticonvulsants. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. A barbiturate derivative that acts as a GABA modulator and anti-epileptic agent. It is partly metabolized to PHENOBARBITAL in the body and owes some of its actions to this metabolite. In 2023, this provider wrote 132 Medicare prescriptions for Primidone, about 3.8 times the volume of the typical Arkansas prescriber of this medication (35). Medicare paid an average of $32.85 per fill, versus $25.99 statewide. How often this provider prescribes it This provider 132 AR average 35.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.85 AR average $25.99 Gross Part D cost per fill; not the patient's out-of-pocket price. 232.4 30-Day Fills standardized to 30-day supplies 6,916 Days of Medication total across all patients in 2023
Aimovig AutoinjectorErenumab-Aooe	126	$877.38▼ below AR avg	▲ More than typical
About Aimovig Autoinjector: This medication is used to help prevent migraine. Show more ▾ This medication may work by changing the amounts of certain natural substances in the brain. Erenumab belongs to a class of drugs known as monoclonal antibodies. Preventing frequent migraine attacks can help improve your ability to concentrate and do your usual tasks. In 2023, this provider wrote 126 Medicare prescriptions for Aimovig Autoinjector, about 3.5 times the volume of the typical Arkansas prescriber of this medication (36). Medicare paid an average of $877.38 per fill, versus $911.64 statewide. How often this provider prescribes it This provider 126 AR average 36.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $877.38 AR average $911.64 This provider's average cost per fill is below the AR average for this medication. 138.8 30-Day Fills standardized to 30-day supplies 4,112 Days of Medication total across all patients in 2023
Oxcarbazepine	121	$44.67▼ below AR avg	▲ More than typical
About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2023, this provider wrote 121 Medicare prescriptions for Oxcarbazepine, about 4.2 times the volume of the typical Arkansas prescriber of this medication (29). Medicare paid an average of $44.67 per fill, versus $63.16 statewide. How often this provider prescribes it This provider 121 AR average 29.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $44.67 AR average $63.16 This provider's average cost per fill is below the AR average for this medication. 124.7 30-Day Fills standardized to 30-day supplies 3,740 Days of Medication total across all patients in 2023
Escitalopram Oxalate	120	$9.76▼ below AR avg	▲ More than typical
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 120 Medicare prescriptions for Escitalopram Oxalate, about 2 times the volume of the typical Arkansas prescriber of this medication (59). Medicare paid an average of $9.76 per fill, versus $13.51 statewide. How often this provider prescribes it This provider 120 AR average 59.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.76 AR average $13.51 This provider's average cost per fill is below the AR average for this medication. 180.4 30-Day Fills standardized to 30-day supplies 5,409 Days of Medication total across all patients in 2023
Carbamazepine ErCarbamazepine	103	$128.11▼ below AR avg	▲ More than typical
About Carbamazepine Er: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 103 Medicare prescriptions for Carbamazepine Er, about 4.9 times the volume of the typical Arkansas prescriber of this medication (21). Medicare paid an average of $128.11 per fill, versus $128.42 statewide. How often this provider prescribes it This provider 103 AR average 21.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $128.11 AR average $128.42 This provider's average cost per fill is below the AR average for this medication. 117.2 30-Day Fills standardized to 30-day supplies 3,514 Days of Medication total across all patients in 2023
Pregabalin	98	$44.24	▲ 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 98 Medicare prescriptions for Pregabalin, about 1.8 times the volume of the typical Arkansas prescriber of this medication (53). Medicare paid an average of $44.24 per fill, versus $40.65 statewide. How often this provider prescribes it This provider 98 AR average 53.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $44.24 AR average $40.65 Gross Part D cost per fill; not the patient's out-of-pocket price. 125 30-Day Fills standardized to 30-day supplies 3,750 Days of Medication total across all patients in 2023
Baclofen	95	$38.94	▲ More than 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 95 Medicare prescriptions for Baclofen, about 2.3 times the volume of the typical Arkansas prescriber of this medication (41). Medicare paid an average of $38.94 per fill, versus $31.90 statewide. How often this provider prescribes it This provider 95 AR average 41.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.94 AR average $31.90 Gross Part D cost per fill; not the patient's out-of-pocket price. 151.3 30-Day Fills standardized to 30-day supplies 4,540 Days of Medication total across all patients in 2023
Mirtazapine	89	$17.28▼ below AR avg	▲ More than typical
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 89 Medicare prescriptions for Mirtazapine, about 1.8 times the volume of the typical Arkansas prescriber of this medication (50). Medicare paid an average of $17.28 per fill, versus $20.59 statewide. How often this provider prescribes it This provider 89 AR average 50.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.28 AR average $20.59 This provider's average cost per fill is below the AR average for this medication. 124 30-Day Fills standardized to 30-day supplies 3,720 Days of Medication total across all patients in 2023
Quetiapine Fumarate	84	$7.22▼ below AR avg	▲ More than typical
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 84 Medicare prescriptions for Quetiapine Fumarate, about 1.6 times the volume of the typical Arkansas prescriber of this medication (52). Medicare paid an average of $7.22 per fill, versus $39.17 statewide. How often this provider prescribes it This provider 84 AR average 52.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.22 AR average $39.17 This provider's average cost per fill is below the AR average for this medication. 114.1 30-Day Fills standardized to 30-day supplies 3,413 Days of Medication total across all patients in 2023
Phenobarbital	74	$39.14▼ below AR avg	▲ More than typical
About Phenobarbital: This medication is used alone or with other medications to control seizures. Show more ▾ Controlling and reducing seizures lets you do more of your normal daily activities, reduces your risk of harm when you lose consciousness, and lessens your risk for a possibly life-threatening condition of frequent, repeated seizures. Phenobarbital belongs to a class of drugs known as barbiturate anticonvulsants/hypnotics. It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. This medication is also used for a short time (usually no more than 2 weeks) to help calm you or help you sleep during periods of anxiety. It works by affecting certain parts of the brain to cause calming. A barbituric acid derivative that acts as a nonselective central nervous system depressant. It potentiates GAMMA-AMINOBUTYRIC ACID action on GABA-A RECEPTORS, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations. In 2023, this provider wrote 74 Medicare prescriptions for Phenobarbital, about 4.4 times the volume of the typical Arkansas prescriber of this medication (17). Medicare paid an average of $39.14 per fill, versus $42.03 statewide. How often this provider prescribes it This provider 74 AR average 17.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $39.14 AR average $42.03 This provider's average cost per fill is below the AR average for this medication. 78.2 30-Day Fills standardized to 30-day supplies 2,310 Days of Medication total across all patients in 2023
Phenytoin Sodium Extended	73	$27.47▼ below AR avg	▲ More than typical
About Phenytoin Sodium Extended: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. In 2023, this provider wrote 73 Medicare prescriptions for Phenytoin Sodium Extended, about 3.2 times the volume of the typical Arkansas prescriber of this medication (23). Medicare paid an average of $27.47 per fill, versus $39.79 statewide. How often this provider prescribes it This provider 73 AR average 23.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.47 AR average $39.79 This provider's average cost per fill is below the AR average for this medication. 85 30-Day Fills standardized to 30-day supplies 2,209 Days of Medication total across all patients in 2023
Diazepam	72	$10.52	▲ More than typical
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 72 Medicare prescriptions for Diazepam, about 1.9 times the volume of the typical Arkansas prescriber of this medication (37). Medicare paid an average of $10.52 per fill, versus $9.14 statewide. How often this provider prescribes it This provider 72 AR average 37.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.52 AR average $9.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 72 30-Day Fills standardized to 30-day supplies 1,613 Days of Medication total across all patients in 2023
RytaryCarbidopa/Levodopa	65	$1,215.33	▲ More than typical
About Rytary: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 65 Medicare prescriptions for Rytary, about 1.8 times the volume of the typical Arkansas prescriber of this medication (36). Medicare paid an average of $1,215.33 per fill, versus $1,182.97 statewide. How often this provider prescribes it This provider 65 AR average 36.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,215.33 AR average $1,182.97 Gross Part D cost per fill; not the patient's out-of-pocket price. 71 30-Day Fills standardized to 30-day supplies 2,008 Days of Medication total across all patients in 2023
Sumatriptan Succinate	61	$84.43	▲ More than typical
About Sumatriptan Succinate: Sumatriptan is used to treat migraines and cluster headaches. Show more ▾ It helps to relieve pain and other symptoms of migraines/headaches including sensitivity to light or sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. It does not prevent future migraines/headaches or reduce how often you may get a headache. Sumatriptan belongs to a group of drugs called triptans. It affects a certain natural chemical (serotonin) that constricts blood vessels in the brain. It may also block other pain pathways in the brain. A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS. In 2023, this provider wrote 61 Medicare prescriptions for Sumatriptan Succinate, about 2.5 times the volume of the typical Arkansas prescriber of this medication (24). Medicare paid an average of $84.43 per fill, versus $30.72 statewide. How often this provider prescribes it This provider 61 AR average 24.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $84.43 AR average $30.72 Gross Part D cost per fill; not the patient's out-of-pocket price. 71 30-Day Fills standardized to 30-day supplies 1,454 Days of Medication total across all patients in 2023
BotoxOnabotulinumtoxina	58	$1,282.68▼ below AR avg	▲ More than typical
About Botox: There are different types of botulinum toxin products (toxin A and B) with different uses (eye problems, muscle stiffness/spasms, migraines, cosmetic, overactive bladder). Show more ▾ Different brands of this medication deliver different amounts of medication. Your doctor will choose the correct product for you. Botulinum toxin is used to treat certain eye disorders such as crossed eyes (strabismus) and uncontrolled blinking (blepharospasm), to treat muscle stiffness/spasms or movement disorders (such as cervical dystonia, torticollis), and to reduce the cosmetic appearance of wrinkles. It is also used to prevent headaches in people with very frequent migraines. Botulinum toxin relaxes muscle by blocking the release of a chemical called acetylcholine. Botulinum toxin is also used to treat overactive bladder by patients who do not respond to or who cannot tolerate the side effects of other medications. It helps to reduce leaking of urine, feeling of needing to urinate right away, and frequent trips to the bathroom. It is also used to treat severe underarm sweating and drooling/excess saliva. Botulinum toxin works by blocking the chemicals that turn on the sweat and salivary glands. Botulinum toxin is not a cure, and your symptoms will gradually return as the medication wears off. A serotype of botulinum toxins that has specificity for cleavage of SYNAPTOSOMAL-ASSOCIATED PROTEIN 25. In 2023, this provider wrote 58 Medicare prescriptions for Botox, about 2 times the volume of the typical Arkansas prescriber of this medication (29). Medicare paid an average of $1,282.68 per fill, versus $1,334.68 statewide. How often this provider prescribes it This provider 58 AR average 29.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,282.68 AR average $1,334.68 This provider's average cost per fill is below the AR average for this medication. 167.8 30-Day Fills standardized to 30-day supplies 5,034 Days of Medication total across all patients in 2023
RizatriptanRizatriptan Benzoate	56	$25.12▼ below AR avg	▲ More than typical
About Rizatriptan: Rizatriptan is used to treat migraines. Show more ▾ It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Rizatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Rizatriptan does not prevent future migraines or lessen how often you get migraine attacks. In 2023, this provider wrote 56 Medicare prescriptions for Rizatriptan, about 2.5 times the volume of the typical Arkansas prescriber of this medication (22). Medicare paid an average of $25.12 per fill, versus $34.20 statewide. How often this provider prescribes it This provider 56 AR average 22.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.12 AR average $34.20 This provider's average cost per fill is below the AR average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,376 Days of Medication total across all patients in 2023
Carbamazepine	56	$44.83▼ below AR avg	▲ More than typical
About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 56 Medicare prescriptions for Carbamazepine, about 2.4 times the volume of the typical Arkansas prescriber of this medication (23). Medicare paid an average of $44.83 per fill, versus $64.91 statewide. How often this provider prescribes it This provider 56 AR average 23.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $44.83 AR average $64.91 This provider's average cost per fill is below the AR average for this medication. 70 30-Day Fills standardized to 30-day supplies 2,100 Days of Medication total across all patients in 2023
Sertraline Hcl	56	$11.07	≈ Typical
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 56 Medicare prescriptions for Sertraline Hcl, about 81% of the volume of the typical Arkansas prescriber of this medication (69). Medicare paid an average of $11.07 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 56 AR average 69.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.07 AR average $10.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 94.1 30-Day Fills standardized to 30-day supplies 2,820 Days of Medication total across all patients in 2023
AmantadineAmantadine Hcl	53	$36.63▼ below AR avg	▲ More than typical
About Amantadine: Amantadine is used to treat Parkinson's disease, as well as side effects caused by drugs (such as drug-induced extrapyramidal symptoms), chemicals, and other medical conditions. Show more ▾ In these cases, this medication may help to improve your range of motion and ability to exercise. For the treatment of these conditions, amantadine is believed to work by restoring the balance of natural chemicals (neurotransmitters) in the brain. Amantadine is used to prevent or treat a certain type of flu (influenza A). If you have been infected with the flu, this medication may help make your symptoms less severe and shorten the time it will take you to get better. Taking amantadine if you have been or will be exposed to the flu may help to prevent you from getting the flu. This medication is an antiviral that is believed to work by stopping growth of the flu virus. This medication is not a vaccine. To increase the chance that you will not get the flu, it is important to get a flu shot once a year at the beginning of every flu season, if possible. Based on the recommendation from the Centers for Disease Control (CDC) in the US, amantadine should not be used to treat or prevent influenza A because the current influenza A virus in the United States and Canada is resistant to this medication. For more details, talk to your doctor or pharmacist. An antiviral that is used in the prophylactic or symptomatic treatment of influenza A. It is also used as an antiparkinsonian agent, to treat extrapyramidal reactions, and for postherpetic neuralgia. The mechanisms of its effects in movement disorders are not well understood but probably reflect an increase in synthesis and release of dopamine, with perhaps some inhibition of dopamine uptake. In 2023, this provider wrote 53 Medicare prescriptions for Amantadine, about 2 times the volume of the typical Arkansas prescriber of this medication (26). Medicare paid an average of $36.63 per fill, versus $62.72 statewide. How often this provider prescribes it This provider 53 AR average 26.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $36.63 AR average $62.72 This provider's average cost per fill is below the AR average for this medication. 79 30-Day Fills standardized to 30-day supplies 2,370 Days of Medication total across all patients in 2023
Kesimpta PenOfatumumab	49	$10,253.19▼ below AR avg	▲ More than typical
About Kesimpta Pen: Ofatumumab is used to treat a certain type of cancer (chronic lymphocytic leukemia - CLL). Show more ▾ Ofatumumab belongs to a class of drugs known as monoclonal antibodies. This medication works by stopping the growth of cancer cells. In 2023, this provider wrote 49 Medicare prescriptions for Kesimpta Pen, about 3.1 times the volume of the typical Arkansas prescriber of this medication (16). Medicare paid an average of $10,253.19 per fill, versus $10,453.43 statewide. How often this provider prescribes it This provider 49 AR average 16.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10,253.19 AR average $10,453.43 This provider's average cost per fill is below the AR average for this medication. 53 30-Day Fills standardized to 30-day supplies 1,532 Days of Medication total across all patients in 2023
FycompaPerampanel	49	$1,242.36▼ below AR avg	▲ More than typical
About Fycompa: Perampanel is used to treat certain types of seizures (including focal and generalized tonic-clonic seizures). Show more ▾ Perampanel belongs to a class of drugs known as anticonvulsants. In 2023, this provider wrote 49 Medicare prescriptions for Fycompa, about 1.5 times the volume of the typical Arkansas prescriber of this medication (32). Medicare paid an average of $1,242.36 per fill, versus $1,246.95 statewide. How often this provider prescribes it This provider 49 AR average 32.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,242.36 AR average $1,246.95 This provider's average cost per fill is below the AR average for this medication. 49 30-Day Fills standardized to 30-day supplies 1,452 Days of Medication total across all patients in 2023
Dimethyl Fumarate	48	$497.59▼ below AR avg	▲ More than typical
About Dimethyl Fumarate: Dimethyl fumarate is used to treat multiple sclerosis (MS). Show more ▾ It is not a cure for MS. It helps decrease the number of episodes of worsening MS. A fumarate derivative that is used as a DERMATOLOGIC AGENT in the treatment of PSORIASIS and SKIN DISEASES. It also may be used as an IMMUNOSUPPRESSIVE AGENT in the treatment of MULTIPLE SCLEROSIS. In 2023, this provider wrote 48 Medicare prescriptions for Dimethyl Fumarate, about 2.8 times the volume of the typical Arkansas prescriber of this medication (17). Medicare paid an average of $497.59 per fill, versus $706.22 statewide. How often this provider prescribes it This provider 48 AR average 17.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $497.59 AR average $706.22 This provider's average cost per fill is below the AR average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,394 Days of Medication total across all patients in 2023
Emgality PenGalcanezumab-Gnlm	46	$866.77▼ below AR avg	▲ More than typical
About Emgality Pen: This medication is used to help prevent migraine. Show more ▾ It is also used to treat a certain type of headache (episodic cluster headache). Galcanezumab belongs to a class of drugs known as monoclonal antibodies. This medication may work by changing the amounts of certain natural substances in the brain. Using this medication can help improve your ability to concentrate and do your usual tasks. In 2023, this provider wrote 46 Medicare prescriptions for Emgality Pen, about 1.4 times the volume of the typical Arkansas prescriber of this medication (33). Medicare paid an average of $866.77 per fill, versus $893.18 statewide. How often this provider prescribes it This provider 46 AR average 33.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $866.77 AR average $893.18 This provider's average cost per fill is below the AR average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,657 Days of Medication total across all patients in 2023
Amitriptyline Hcl	46	$25.56	▲ More 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 46 Medicare prescriptions for Amitriptyline Hcl, about 1.3 times the volume of the typical Arkansas prescriber of this medication (36). Medicare paid an average of $25.56 per fill, versus $23.27 statewide. How often this provider prescribes it This provider 46 AR average 36.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.56 AR average $23.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 78.4 30-Day Fills standardized to 30-day supplies 2,350 Days of Medication total across all patients in 2023
Tizanidine Hcl	46	$19.33	▼ Less 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 46 Medicare prescriptions for Tizanidine Hcl, about 70% of the volume of the typical Arkansas prescriber of this medication (66). Medicare paid an average of $19.33 per fill, versus $14.85 statewide. How often this provider prescribes it This provider 46 AR average 66.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.33 AR average $14.85 Gross Part D cost per fill; not the patient's out-of-pocket price. 60 30-Day Fills standardized to 30-day supplies 1,778 Days of Medication total across all patients in 2023
Prednisone	45	$5.92▼ below AR avg	≈ Typical
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 45 Medicare prescriptions for Prednisone, about the same volume as the typical Arkansas prescriber of this medication (50). Medicare paid an average of $5.92 per fill, versus $7.13 statewide. How often this provider prescribes it This provider 45 AR average 50.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.92 AR average $7.13 This provider's average cost per fill is below the AR average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,703 Days of Medication total across all patients in 2023
Rivastigmine	44	$228.96▼ below AR avg	▲ More than typical
About Rivastigmine: Rivastigmine is used to treat confusion (dementia) related to Alzheimer's disease and to Parkinson's disease. Show more ▾ Rivastigmine does not cure either of these diseases, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by restoring the balance of natural substances (neurotransmitters) in the brain. A carbamate-derived reversible CHOLINESTERASE INHIBITOR that is selective for the CENTRAL NERVOUS SYSTEM and is used for the treatment of DEMENTIA in ALZHEIMER DISEASE and PARKINSON DISEASE. In 2023, this provider wrote 44 Medicare prescriptions for Rivastigmine, about 2.4 times the volume of the typical Arkansas prescriber of this medication (18). Medicare paid an average of $228.96 per fill, versus $254.71 statewide. How often this provider prescribes it This provider 44 AR average 18.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $228.96 AR average $254.71 This provider's average cost per fill is below the AR average for this medication. 62 30-Day Fills standardized to 30-day supplies 1,860 Days of Medication total across all patients in 2023
Propranolol Hcl	41	$23.54▼ below AR avg	▲ More than typical
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 41 Medicare prescriptions for Propranolol Hcl, about 1.5 times the volume of the typical Arkansas prescriber of this medication (28). Medicare paid an average of $23.54 per fill, versus $24.83 statewide. How often this provider prescribes it This provider 41 AR average 28.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.54 AR average $24.83 This provider's average cost per fill is below the AR average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,431 Days of Medication total across all patients in 2023
Pyridostigmine Bromide	40	$88.59▼ below AR avg	▲ More than typical
About Pyridostigmine Bromide: Pyridostigmine is used to improve muscle strength in patients with a certain muscle disease (myasthenia gravis). Show more ▾ It works by preventing the breakdown of a certain natural substance (acetylcholine) in your body. Acetylcholine is needed for normal muscle function. A cholinesterase inhibitor with a slightly longer duration of action than NEOSTIGMINE. It is used in the treatment of myasthenia gravis and to reverse the actions of muscle relaxants. In 2023, this provider wrote 40 Medicare prescriptions for Pyridostigmine Bromide, about 1.5 times the volume of the typical Arkansas prescriber of this medication (26). Medicare paid an average of $88.59 per fill, versus $92.17 statewide. How often this provider prescribes it This provider 40 AR average 26.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $88.59 AR average $92.17 This provider's average cost per fill is below the AR average for this medication. 80 30-Day Fills standardized to 30-day supplies 2,400 Days of Medication total across all patients in 2023
Venlafaxine Hcl ErVenlafaxine Hcl	39	$22.74▼ below AR avg	≈ Typical
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 39 Medicare prescriptions for Venlafaxine Hcl Er, about the same volume as the typical Arkansas prescriber of this medication (39). Medicare paid an average of $22.74 per fill, versus $27.82 statewide. How often this provider prescribes it This provider 39 AR average 39.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.74 AR average $27.82 This provider's average cost per fill is below the AR average for this medication. 61 30-Day Fills standardized to 30-day supplies 1,830 Days of Medication total across all patients in 2023
Ropinirole ErRopinirole Hcl	38	$189.20	▲ More than typical
About Ropinirole Er: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Ropinirole works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 38 Medicare prescriptions for Ropinirole Er, about 2.2 times the volume of the typical Arkansas prescriber of this medication (17). Medicare paid an average of $189.20 per fill, versus $167.60 statewide. How often this provider prescribes it This provider 38 AR average 17.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $189.20 AR average $167.60 Gross Part D cost per fill; not the patient's out-of-pocket price. 54 30-Day Fills standardized to 30-day supplies 1,620 Days of Medication total across all patients in 2023
CopaxoneGlatiramer Acetate	37	$6,698.27	▲ More than typical
About Copaxone: This medication is used to treat multiple sclerosis (MS). Show more ▾ It is a protein that is thought to work by preventing your immune system from attacking the nerves in your brain and spinal cord. This effect can decrease the number of periods of disease worsening (relapses) and prevent or delay disability. It is not a cure for MS. A random polymer of L-ALANINE, L-GLUTAMIC ACID, L-LYSINE, and L-TYROSINE that structurally resembles MYELIN BASIC PROTEIN. It is used in the treatment of RELAPSING-REMITTING MULTIPLE SCLEROSIS. In 2023, this provider wrote 37 Medicare prescriptions for Copaxone, about 1.6 times the volume of the typical Arkansas prescriber of this medication (23). Medicare paid an average of $6,698.27 per fill, versus $6,585.71 statewide. How often this provider prescribes it This provider 37 AR average 23.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6,698.27 AR average $6,585.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 37.9 30-Day Fills standardized to 30-day supplies 1,082 Days of Medication total across all patients in 2023
Azathioprine	37	$23.06▼ below AR avg	≈ Typical
About Azathioprine: Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. Show more ▾ It is usually taken along with other medications to allow your new kidney to function normally. Azathioprine is also used to treat rheumatoid arthritis. In this condition, the body's defense system (immune system) attacks healthy joints. Azathioprine belongs to a class of drugs known as immunosuppressants. It works by weakening the immune system to help your body accept the new kidney as if it were your own (in the case of an organ transplant) or to prevent further damage to your joints (in the case of rheumatoid arthritis). Talk to your doctor about the risks and benefits of azathioprine, especially when used by children and young adults. An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed) In 2023, this provider wrote 37 Medicare prescriptions for Azathioprine, about the same volume as the typical Arkansas prescriber of this medication (33). Medicare paid an average of $23.06 per fill, versus $70.61 statewide. How often this provider prescribes it This provider 37 AR average 33.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.06 AR average $70.61 This provider's average cost per fill is below the AR average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023
Nurtec OdtRimegepant Sulfate	37	$1,398.10	▲ More than typical
About Nurtec Odt: This medication is used to prevent or treat migraine. Show more ▾ Rimegepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (such as nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. In 2023, this provider wrote 37 Medicare prescriptions for Nurtec Odt, about 1.3 times the volume of the typical Arkansas prescriber of this medication (28). Medicare paid an average of $1,398.10 per fill, versus $1,278.94 statewide. How often this provider prescribes it This provider 37 AR average 28.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,398.10 AR average $1,278.94 Gross Part D cost per fill; not the patient's out-of-pocket price. 39.9 30-Day Fills standardized to 30-day supplies 897 Days of Medication total across all patients in 2023
Entacapone	35	$96.30▼ below AR avg	▲ More than typical
About Entacapone: This medication is used with other medications (levodopa/carbidopa) to treat Parkinson's disease. Show more ▾ Entacapone belongs to a class of drugs known as COMT inhibitors. Many people taking levodopa for Parkinson's have problems with the effects of the levodopa wearing off between scheduled doses, causing symptoms to return or worsen. Entacapone blocks a certain natural substance (COMT enzyme) that breaks down the levodopa in the body. This effect allows the levodopa to last longer in the system so that it doesn't wear off before the next dose. In 2023, this provider wrote 35 Medicare prescriptions for Entacapone, about 1.8 times the volume of the typical Arkansas prescriber of this medication (20). Medicare paid an average of $96.30 per fill, versus $200.98 statewide. How often this provider prescribes it This provider 35 AR average 20.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $96.30 AR average $200.98 This provider's average cost per fill is below the AR average for this medication. 55 30-Day Fills standardized to 30-day supplies 1,627 Days of Medication total across all patients in 2023
Pramipexole DihydrochloridePramipexole Di-Hcl	34	$15.56▼ below AR avg	≈ Typical
About Pramipexole Dihydrochloride: Pramipexole is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and can decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (on-off syndrome). Pramipexole is a dopamine agonist that works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 34 Medicare prescriptions for Pramipexole Dihydrochloride, about the same volume as the typical Arkansas prescriber of this medication (30). Medicare paid an average of $15.56 per fill, versus $19.16 statewide. How often this provider prescribes it This provider 34 AR average 30.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.56 AR average $19.16 This provider's average cost per fill is below the AR average for this medication. 66 30-Day Fills standardized to 30-day supplies 1,980 Days of Medication total across all patients in 2023
Methylphenidate Hcl	32	$16.26▼ below AR avg	▲ More than typical
About Methylphenidate Hcl: This 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. Methylphenidate 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. In 2023, this provider wrote 32 Medicare prescriptions for Methylphenidate Hcl, about 1.5 times the volume of the typical Arkansas prescriber of this medication (22). Medicare paid an average of $16.26 per fill, versus $40.54 statewide. How often this provider prescribes it This provider 32 AR average 22.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.26 AR average $40.54 This provider's average cost per fill is below the AR average for this medication. 32 30-Day Fills standardized to 30-day supplies 940 Days of Medication total across all patients in 2023
ValtocoDiazepam	32	$706.93	▲ More than typical
About Valtoco: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 32 Medicare prescriptions for Valtoco, about 1.3 times the volume of the typical Arkansas prescriber of this medication (25). Medicare paid an average of $706.93 per fill, versus $677.46 statewide. How often this provider prescribes it This provider 32 AR average 25.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $706.93 AR average $677.46 Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 477 Days of Medication total across all patients in 2023
Lamotrigine ErLamotrigine	31	$388.29▼ below AR avg	▲ More than typical
About Lamotrigine Er: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2023, this provider wrote 31 Medicare prescriptions for Lamotrigine Er, about 2.2 times the volume of the typical Arkansas prescriber of this medication (14). Medicare paid an average of $388.29 per fill, versus $405.79 statewide. How often this provider prescribes it This provider 31 AR average 14.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $388.29 AR average $405.79 This provider's average cost per fill is below the AR average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023
Cyclobenzaprine Hcl	29	$11.50▼ below AR avg	▼ Less 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 29 Medicare prescriptions for Cyclobenzaprine Hcl, about half the volume of the typical Arkansas prescriber of this medication (49). Medicare paid an average of $11.50 per fill, versus $16.07 statewide. How often this provider prescribes it This provider 29 AR average 49.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.50 AR average $16.07 This provider's average cost per fill is below the AR average for this medication. 48 30-Day Fills standardized to 30-day supplies 1,397 Days of Medication total across all patients in 2023
Carbidopa-Levodopa ErCarbidopa/Levodopa	28	$19.50▼ below AR avg	≈ Typical
About Carbidopa-Levodopa Er: This combination medication is used to treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving). Show more ▾ Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Levodopa changes into dopamine in the brain, helping to control movement. Carbidopa prevents the breakdown of levodopa in the bloodstream so more levodopa can enter the brain. Carbidopa can also reduce some of levodopa's side effects such as nausea and vomiting. In 2023, this provider wrote 28 Medicare prescriptions for Carbidopa-Levodopa Er, about the same volume as the typical Arkansas prescriber of this medication (28). Medicare paid an average of $19.50 per fill, versus $86.75 statewide. How often this provider prescribes it This provider 28 AR average 28.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.50 AR average $86.75 This provider's average cost per fill is below the AR average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023
Tiagabine Hcl	26	$601.08▼ below AR avg	▲ More than typical
About Tiagabine Hcl: Tiagabine is used with other medications to treat certain types of seizures (focal seizures). Show more ▾ It works by reducing the spread of seizure activity in the brain. This medication is known as an anticonvulsant or anti-epileptic drug. When tiagabine has been used for conditions other than epilepsy, serious reactions (including seizures in people who have never had them) have occurred. Talk to your doctor for more details. A nipecotic acid derivative that acts as a GABA uptake inhibitor and anticonvulsant agent. It is used in the treatment of EPILEPSY, for refractory PARTIAL SEIZURES. In 2023, this provider wrote 26 Medicare prescriptions for Tiagabine Hcl, about 1.6 times the volume of the typical Arkansas prescriber of this medication (16). Medicare paid an average of $601.08 per fill, versus $685.42 statewide. How often this provider prescribes it This provider 26 AR average 16.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $601.08 AR average $685.42 This provider's average cost per fill is below the AR average for this medication. 32.3 30-Day Fills standardized to 30-day supplies 970 Days of Medication total across all patients in 2023
Bupropion Hcl SrBupropion Hcl	25	$12.30▼ below AR avg	≈ Typical
About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 25 Medicare prescriptions for Bupropion Hcl Sr, about the same volume as the typical Arkansas prescriber of this medication (25). Medicare paid an average of $12.30 per fill, versus $31.24 statewide. How often this provider prescribes it This provider 25 AR average 25.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.30 AR average $31.24 This provider's average cost per fill is below the AR average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023
Paroxetine Hcl	24	$7.04▼ below AR avg	≈ Typical
About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. In 2023, this provider wrote 24 Medicare prescriptions for Paroxetine Hcl, about 83% of the volume of the typical Arkansas prescriber of this medication (29). Medicare paid an average of $7.04 per fill, versus $14.57 statewide. How often this provider prescribes it This provider 24 AR average 29.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.04 AR average $14.57 This provider's average cost per fill is below the AR average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023
Trihexyphenidyl Hcl	24	$4.74▼ below AR avg	≈ Typical
About Trihexyphenidyl Hcl: Trihexyphenidyl is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). Show more ▾ Trihexyphenidyl belongs to a class of medication called anticholinergics that work by blocking a certain natural substance (acetylcholine). This helps decrease muscle stiffness, sweating, and the production of saliva, and helps improve walking ability in people with Parkinson's disease. Anticholinergics can stop severe muscle spasms of the back, neck, and eyes that are sometimes caused by psychiatric drugs. It can also decrease other side effects such as muscle stiffness/rigidity (extrapyramidal signs-EPS). It is not helpful in treating movement problems caused by tardive dyskinesia and may worsen them. In 2023, this provider wrote 24 Medicare prescriptions for Trihexyphenidyl Hcl, about 89% of the volume of the typical Arkansas prescriber of this medication (27). Medicare paid an average of $4.74 per fill, versus $15.18 statewide. How often this provider prescribes it This provider 24 AR average 27.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.74 AR average $15.18 This provider's average cost per fill is below the AR average for this medication. 42 30-Day Fills standardized to 30-day supplies 1,245 Days of Medication total across all patients in 2023
AptiomEslicarbazepine Acetate	22	$2,593.81	≈ Typical
About Aptiom: Eslicarbazepine is used alone or with other medications to treat a certain type of seizure disorder (focal seizures). Show more ▾ It belongs to a class of drugs known as anticonvulsants. Eslicarbazepine may reduce the number of seizures you have. In 2023, this provider wrote 22 Medicare prescriptions for Aptiom, about the same volume as the typical Arkansas prescriber of this medication (22). Medicare paid an average of $2,593.81 per fill, versus $1,551.98 statewide. How often this provider prescribes it This provider 22 AR average 22.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,593.81 AR average $1,551.98 Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023
Trazodone Hcl	22	$5.10▼ below AR avg	▼ Less than typical
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 22 Medicare prescriptions for Trazodone Hcl, about a third of the volume of the typical Arkansas prescriber of this medication (78). Medicare paid an average of $5.10 per fill, versus $12.56 statewide. How often this provider prescribes it This provider 22 AR average 78.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.10 AR average $12.56 This provider's average cost per fill is below the AR average for this medication. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
Mycophenolate Mofetil	20	$34.40▼ below AR avg	≈ Typical
About Mycophenolate Mofetil: Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart). Show more ▾ It belongs to a class of medications called immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own. Compound derived from Penicillium stoloniferum and related species. It blocks de novo biosynthesis of purine nucleotides by inhibition of the enzyme inosine monophosphate dehydrogenase (IMP DEHYDROGENASE). Mycophenolic acid exerts selective effects on the immune system in which it prevents the proliferation of T-CELLS, LYMPHOCYTES, and the formation of antibodies from B-CELLS. It may also inhibit recruitment of LEUKOCYTES to sites of INFLAMMATION. In 2023, this provider wrote 20 Medicare prescriptions for Mycophenolate Mofetil, about 80% of the volume of the typical Arkansas prescriber of this medication (25). Medicare paid an average of $34.40 per fill, versus $132.69 statewide. How often this provider prescribes it This provider 20 AR average 25.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $34.40 AR average $132.69 This provider's average cost per fill is below the AR average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023
Bupropion XlBupropion Hcl	19	$16.06▼ below AR avg	▼ Less than typical
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 19 Medicare prescriptions for Bupropion Xl, about half the volume of the typical Arkansas prescriber of this medication (42). Medicare paid an average of $16.06 per fill, versus $34.85 statewide. How often this provider prescribes it This provider 19 AR average 42.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.06 AR average $34.85 This provider's average cost per fill is below the AR average for this medication. 21 30-Day Fills standardized to 30-day supplies 614 Days of Medication total across all patients in 2023
Depakote ErDivalproex Sodium	19	$370.68▼ below AR avg	▲ More than typical
About Depakote Er: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 19 Medicare prescriptions for Depakote Er, about 1.6 times the volume of the typical Arkansas prescriber of this medication (12). Medicare paid an average of $370.68 per fill, versus $519.95 statewide. How often this provider prescribes it This provider 19 AR average 12.0 This provider prescribes this medication more often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $370.68 AR average $519.95 This provider's average cost per fill is below the AR average for this medication. 19 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
DilantinPhenytoin Sodium Extended	18	$140.93	▼ Less than typical
About Dilantin: Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug). Show more ▾ It works by reducing the spread of seizure activity in the brain. An anticonvulsant that is used to treat a wide variety of seizures. It is also an anti-arrhythmic and a muscle relaxant. The mechanism of therapeutic action is not clear, although several cellular actions have been described including effects on ion channels, active transport, and general membrane stabilization. The mechanism of its muscle relaxant effect appears to involve a reduction in the sensitivity of muscle spindles to stretch. Phenytoin has been proposed for several other therapeutic uses, but its use has been limited by its many adverse effects and interactions with other drugs. In 2023, this provider wrote 18 Medicare prescriptions for Dilantin, about half the volume of the typical Arkansas prescriber of this medication (34). Medicare paid an average of $140.93 per fill, versus $128.95 statewide. How often this provider prescribes it This provider 18 AR average 34.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $140.93 AR average $128.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 26.2 30-Day Fills standardized to 30-day supplies 786 Days of Medication total across all patients in 2023
Olanzapine	18	$10.03▼ below AR avg	▼ Less than typical
About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2023, this provider wrote 18 Medicare prescriptions for Olanzapine, about a third of the volume of the typical Arkansas prescriber of this medication (45). Medicare paid an average of $10.03 per fill, versus $33.78 statewide. How often this provider prescribes it This provider 18 AR average 45.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.03 AR average $33.78 This provider's average cost per fill is below the AR average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023
Modafinil	18	$32.95▼ below AR avg	≈ Typical
About Modafinil: Modafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea). Show more ▾ It is also used to help you stay awake during work hours if you have a work schedule that keeps you from having a normal sleep routine (shift work sleep disorder). This medication does not cure these sleep disorders and may not get rid of all your sleepiness. Modafinil does not take the place of getting enough sleep. It should not be used to treat tiredness or hold off sleep in people who do not have a sleep disorder. It is not known how modafinil works to keep you awake. It is thought to work by affecting certain substances in the brain that control the sleep/wake cycle. A benzhydryl acetamide compound, central nervous system stimulant, and CYP3A4 inducing agent that is used in the treatment of NARCOLEPSY and SLEEP WAKE DISORDERS. In 2023, this provider wrote 18 Medicare prescriptions for Modafinil, about the same volume as the typical Arkansas prescriber of this medication (18). Medicare paid an average of $32.95 per fill, versus $166.38 statewide. How often this provider prescribes it This provider 18 AR average 18.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $32.95 AR average $166.38 This provider's average cost per fill is below the AR average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023
Teriflunomide	17	$1,700.47	– No State Data
About Teriflunomide: This medication is used by adults to treat multiple sclerosis-MS. Show more ▾ It is not a cure for MS but is thought to work by decreasing certain immune system cells (lymphocytes) which can attack the nerves in your brain and spinal cord. This helps decrease the number of flare-ups (relapses) and may help slow down physical problems caused by MS. In 2023, this provider wrote 17 Medicare prescriptions for Teriflunomide. Medicare paid an average of $1,700.47 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $1,700.47 Cost 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
Glatiramer Acetate	17	$3,922.19	≈ Typical
About Glatiramer Acetate: This medication is used to treat multiple sclerosis (MS). Show more ▾ It is a protein that is thought to work by preventing your immune system from attacking the nerves in your brain and spinal cord. This effect can decrease the number of periods of disease worsening (relapses) and prevent or delay disability. It is not a cure for MS. A random polymer of L-ALANINE, L-GLUTAMIC ACID, L-LYSINE, and L-TYROSINE that structurally resembles MYELIN BASIC PROTEIN. It is used in the treatment of RELAPSING-REMITTING MULTIPLE SCLEROSIS. In 2023, this provider wrote 17 Medicare prescriptions for Glatiramer Acetate, about 77% of the volume of the typical Arkansas prescriber of this medication (22). Medicare paid an average of $3,922.19 per fill, versus $3,498.86 statewide. How often this provider prescribes it This provider 17 AR average 22.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3,922.19 AR average $3,498.86 Gross Part D cost per fill; not the patient's out-of-pocket price. 27.8 30-Day Fills standardized to 30-day supplies 812 Days of Medication total across all patients in 2023
UbrelvyUbrogepant	17	$1,096.17▼ below AR avg	▼ Less than typical
About Ubrelvy: This medication is used to treat migraine. Show more ▾ Ubrogepant may work by changing the amount of a certain natural substance in the brain. It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. This medication is not used to prevent future migraines or lessen how often you get migraines. In 2023, this provider wrote 17 Medicare prescriptions for Ubrelvy, about half the volume of the typical Arkansas prescriber of this medication (29). Medicare paid an average of $1,096.17 per fill, versus $1,189.81 statewide. How often this provider prescribes it This provider 17 AR average 29.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,096.17 AR average $1,189.81 This provider's average cost per fill is below the AR average for this medication. 17 30-Day Fills standardized to 30-day supplies 357 Days of Medication total across all patients in 2023
Felbamate	16	$696.78	≈ Typical
About Felbamate: Felbamate is used to treat severe seizures. Show more ▾ This medication should be used only when you cannot take other medications or when other medications have not been able to control your seizures. Felbamate is known as an anticonvulsant or anti-epileptic drug. A PEGylated phenylcarbamate derivative that acts as an antagonist of NMDA RECEPTORS. It is used as an anticonvulsant, primarily for the treatment of SEIZURES in severe refractory EPILEPSY. In 2023, this provider wrote 16 Medicare prescriptions for Felbamate, about 89% of the volume of the typical Arkansas prescriber of this medication (18). Medicare paid an average of $696.78 per fill, versus $393.75 statewide. How often this provider prescribes it This provider 16 AR average 18.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $696.78 AR average $393.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023
Tramadol Hcl	16	$15.53	▼ Less 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 16 Medicare prescriptions for Tramadol Hcl, about a quarter of the volume of the typical Arkansas prescriber of this medication (74). Medicare paid an average of $15.53 per fill, versus $8.71 statewide. How often this provider prescribes it This provider 16 AR average 74.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.53 AR average $8.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2023
Imipramine Hcl	15	$15.31▼ below AR avg	≈ Typical
About Imipramine Hcl: This medication is used to treat depression. Show more ▾ It is also used with other therapies for the treatment of nighttime bed-wetting (enuresis) in children. Using this medication to treat depression may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. Imipramine can help your child control nighttime bed-wetting. Imipramine belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain natural substances (neurotransmitters such as norepinephrine) in the brain. For bed-wetting, this medication may work by blocking the effect of a certain natural substance (acetylcholine) on the bladder. In 2023, this provider wrote 15 Medicare prescriptions for Imipramine Hcl, about 79% of the volume of the typical Arkansas prescriber of this medication (19). Medicare paid an average of $15.31 per fill, versus $21.55 statewide. How often this provider prescribes it This provider 15 AR average 19.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.31 AR average $21.55 This provider's average cost per fill is below the AR average for this medication. 21.4 30-Day Fills standardized to 30-day supplies 642 Days of Medication total across all patients in 2023
BetaseronInterferon Beta-1b	15	$9,844.86	≈ Typical
About Betaseron: This medication is used to treat multiple sclerosis (MS). Show more ▾ Interferon is not a cure for MS, but it may help to slow disease worsening and decrease flare-ups of symptoms (such as balance problems, numbness, or weakness). A non-glycosylated form of interferon beta-1 that has a serine at position 17. It is used in the treatment of both RELAPSING-REMITTING MULTIPLE SCLEROSIS and CHRONIC PROGRESSIVE MULTIPLE SCLEROSIS. In 2023, this provider wrote 15 Medicare prescriptions for Betaseron, about 83% of the volume of the typical Arkansas prescriber of this medication (18). Medicare paid an average of $9,844.86 per fill, versus $9,368.96 statewide. How often this provider prescribes it This provider 15 AR average 18.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9,844.86 AR average $9,368.96 Gross Part D cost per fill; not the patient's out-of-pocket price. 15 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023
Galantamine ErGalantamine Hbr	14	$166.56	▼ Less than typical
About Galantamine Er: Galantamine is used to treat mild to moderate confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by restoring the balance of certain natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 14 Medicare prescriptions for Galantamine Er, about 70% of the volume of the typical Arkansas prescriber of this medication (20). Medicare paid an average of $166.56 per fill, versus $112.37 statewide. How often this provider prescribes it This provider 14 AR average 20.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $166.56 AR average $112.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 42 30-Day Fills standardized to 30-day supplies 1,260 Days of Medication total across all patients in 2023
Alprazolam	14	$1.61▼ below AR 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 2023, this provider wrote 14 Medicare prescriptions for Alprazolam, about 16% of the volume of the typical Arkansas prescriber of this medication (86). Medicare paid an average of $1.61 per fill, versus $11.70 statewide. How often this provider prescribes it This provider 14 AR average 86.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1.61 AR average $11.70 This provider's average cost per fill is below the AR average for this medication. 14 30-Day Fills standardized to 30-day supplies 385 Days of Medication total across all patients in 2023
Doxepin Hcl	13	$18.13▼ below AR avg	▼ Less than typical
About Doxepin Hcl: This medication is used to treat mental/mood problems such as depression and anxiety. 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) in the brain. In 2023, this provider wrote 13 Medicare prescriptions for Doxepin Hcl, about half the volume of the typical Arkansas prescriber of this medication (25). Medicare paid an average of $18.13 per fill, versus $38.68 statewide. How often this provider prescribes it This provider 13 AR average 25.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.13 AR average $38.68 This provider's average cost per fill is below the AR average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023
NayzilamMidazolam	13	$750.94▼ below AR avg	▼ Less than typical
About Nayzilam: This medication is used by people with epilepsy to treat a certain type of serious seizure that doesn't stop (seizure clusters). Show more ▾ Midazolam belongs to a class of drugs known as benzodiazepines. It may work by increasing the effect of a certain substance in your body (GABA), which helps calm the brain and nerves. A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH. In 2023, this provider wrote 13 Medicare prescriptions for Nayzilam, about half the volume of the typical Arkansas prescriber of this medication (24). Medicare paid an average of $750.94 per fill, versus $765.53 statewide. How often this provider prescribes it This provider 13 AR average 24.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $750.94 AR average $765.53 This provider's average cost per fill is below the AR average for this medication. 13 30-Day Fills standardized to 30-day supplies 87 Days of Medication total across all patients in 2023
Divalproex Sodium ErDivalproex Sodium	13	$265.23	▼ Less than typical
About Divalproex Sodium Er: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2023, this provider wrote 13 Medicare prescriptions for Divalproex Sodium Er, about half the volume of the typical Arkansas prescriber of this medication (27). Medicare paid an average of $265.23 per fill, versus $111.34 statewide. How often this provider prescribes it This provider 13 AR average 27.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $265.23 AR average $111.34 Gross Part D cost per fill; not the patient's out-of-pocket price. 23 30-Day Fills standardized to 30-day supplies 667 Days of Medication total across all patients in 2023
Verapamil SrVerapamil Hcl	13	$148.01	≈ Typical
About Verapamil Sr: Verapamil is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Verapamil belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Verapamil may also lower your heart rate. In 2023, this provider wrote 13 Medicare prescriptions for Verapamil Sr, about 81% of the volume of the typical Arkansas prescriber of this medication (16). Medicare paid an average of $148.01 per fill, versus $120.71 statewide. How often this provider prescribes it This provider 13 AR average 16.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $148.01 AR average $120.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2023
Buspirone Hcl	13	$15.76▼ below AR 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). In 2023, this provider wrote 13 Medicare prescriptions for Buspirone Hcl, about a third of the volume of the typical Arkansas prescriber of this medication (46). Medicare paid an average of $15.76 per fill, versus $19.12 statewide. How often this provider prescribes it This provider 13 AR average 46.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.76 AR average $19.12 This provider's average cost per fill is below the AR average for this medication. 21 30-Day Fills standardized to 30-day supplies 610 Days of Medication total across all patients in 2023
Dalfampridine ErDalfampridine	13	$2,391.75	▼ Less than typical
About Dalfampridine Er: Dalfampridine is used to improve walking in people with multiple sclerosis (MS). Show more ▾ It is a potassium channel blocker. It is thought to work by improving nerve conduction. One of the POTASSIUM CHANNEL BLOCKERS with secondary effect on calcium currents which is used mainly as a research tool and to characterize channel subtypes. In 2023, this provider wrote 13 Medicare prescriptions for Dalfampridine Er, about half the volume of the typical Arkansas prescriber of this medication (30). Medicare paid an average of $2,391.75 per fill, versus $405.46 statewide. How often this provider prescribes it This provider 13 AR average 30.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,391.75 AR average $405.46 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023
Clobazam	13	$80.85▼ below AR avg	▼ Less than typical
About Clobazam: This medication is used with other medications to help control seizures. 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. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). A benzodiazepine derivative that is a long-acting GABA-A RECEPTOR agonist. It is used as an antiepileptic in the treatment of SEIZURES, including seizures associated with LENNOX-GASTAUT SYNDROME. It is also used as an anxiolytic, for the short-term treatment of acute ANXIETY. In 2023, this provider wrote 13 Medicare prescriptions for Clobazam, about a third of the volume of the typical Arkansas prescriber of this medication (38). Medicare paid an average of $80.85 per fill, versus $164.48 statewide. How often this provider prescribes it This provider 13 AR average 38.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $80.85 AR average $164.48 This provider's average cost per fill is below the AR average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2023
Zolpidem Tartrate	12	$8.25▼ below AR avg	▼ Less than typical
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2023, this provider wrote 12 Medicare prescriptions for Zolpidem Tartrate, about a quarter of the volume of the typical Arkansas prescriber of this medication (60). Medicare paid an average of $8.25 per fill, versus $11.45 statewide. How often this provider prescribes it This provider 12 AR average 60.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.25 AR average $11.45 This provider's average cost per fill is below the AR average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
VimpatLacosamide	12	$1,209.49	▼ Less than typical
About Vimpat: Lacosamide is used to prevent and control seizures. Show more ▾ It is an anticonvulsant or antiepileptic drug. It works by reducing the spread of seizure activity in the brain. An acetamide derivative that acts as a blocker of VOLTAGE-GATED SODIUM CHANNELS. It is used as an anticonvulsant, for adjunctive or monotherapy, in the treatment of PARTIAL SEIZURES. In 2023, this provider wrote 12 Medicare prescriptions for Vimpat, about half the volume of the typical Arkansas prescriber of this medication (26). Medicare paid an average of $1,209.49 per fill, versus $983.80 statewide. How often this provider prescribes it This provider 12 AR average 26.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,209.49 AR average $983.80 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
BriviactBrivaracetam	12	$1,980.31	▼ Less than typical
About Briviact: Brivaracetam is used to treat seizures (epilepsy). In 2023, this provider wrote 12 Medicare prescriptions for Briviact, about a third of the volume of the typical Arkansas prescriber of this medication (30). Medicare paid an average of $1,980.31 per fill, versus $1,479.86 statewide. How often this provider prescribes it This provider 12 AR average 30.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,980.31 AR average $1,479.86 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Valproic AcidValproic Acid (As Sodium Salt)	12	$11.95▼ below AR avg	▼ Less than typical
About Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. In 2023, this provider wrote 12 Medicare prescriptions for Valproic Acid, about 67% of the volume of the typical Arkansas prescriber of this medication (18). Medicare paid an average of $11.95 per fill, versus $44.47 statewide. How often this provider prescribes it This provider 12 AR average 18.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.95 AR average $44.47 This provider's average cost per fill is below the AR average for this medication. 12.2 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2023
Ethosuximide	12	$102.15▼ below AR avg	≈ Typical
About Ethosuximide: This medication is used alone or with other medications to prevent and control a certain type of seizure (absence or petit mal seizure). Show more ▾ It works by controlling the abnormal electrical activity in the brain that occurs during a seizure. An anticonvulsant especially useful in the treatment of absence seizures unaccompanied by other types of seizures. In 2023, this provider wrote 12 Medicare prescriptions for Ethosuximide, about 86% of the volume of the typical Arkansas prescriber of this medication (14). Medicare paid an average of $102.15 per fill, versus $158.63 statewide. How often this provider prescribes it This provider 12 AR average 14.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $102.15 AR average $158.63 This provider's average cost per fill is below the AR average for this medication. 12.2 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2023
Riluzole	12	$35.52▼ below AR avg	▼ Less than typical
About Riluzole: This medication is used to treat a certain type of nerve disease called amyotrophic lateral sclerosis (ALS, also commonly called Lou Gehrig's disease). Show more ▾ Riluzole helps to slow down the worsening of this disease and prolong survival. A glutamate antagonist (RECEPTORS, GLUTAMATE) used as an anticonvulsant (ANTICONVULSANTS) and to prolong the survival of patients with AMYOTROPHIC LATERAL SCLEROSIS. In 2023, this provider wrote 12 Medicare prescriptions for Riluzole, about half the volume of the typical Arkansas prescriber of this medication (24). Medicare paid an average of $35.52 per fill, versus $164.10 statewide. How often this provider prescribes it This provider 12 AR average 24.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.52 AR average $164.10 This provider's average cost per fill is below the AR average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Pimozide	12	$77.70	▼ Less than typical
About Pimozide: This medication is used to reduce uncontrolled movements (motor tics) or outbursts of words/sounds (vocal tics) caused by Tourette syndrome. Show more ▾ Pimozide is a medication that works by decreasing the activity of a natural substance (dopamine) in the brain. Pimozide should not be used for mild symptoms. It should only be used if symptoms cause severe problems in everyday life and other medicines or treatments have not been effective. A diphenylbutylpiperidine that is effective as an antipsychotic agent and as an alternative to HALOPERIDOL for the suppression of vocal and motor tics in patients with Tourette syndrome. Although the precise mechanism of action is unknown, blockade of postsynaptic dopamine receptors has been postulated. (From AMA Drug Evaluations Annual, 1994, p403) In 2023, this provider wrote 12 Medicare prescriptions for Pimozide, about 63% of the volume of the typical Arkansas prescriber of this medication (19). Medicare paid an average of $77.70 per fill, versus $71.04 statewide. How often this provider prescribes it This provider 12 AR average 19.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $77.70 AR average $71.04 Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Droxidopa	12	$125.00▼ below AR avg	▼ Less than typical
About Droxidopa: Droxidopa is used to treat symptoms of low blood pressure when standing, caused by a certain medical condition (neurogenic orthostatic hypotension-NOH). Show more ▾ This medication can lessen symptoms of low blood pressure when standing (orthostatic hypotension), such as dizziness, lightheadedness, or the feeling that you are about to black out. Droxidopa is used by people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings, water bolus). It is thought to work by making the blood vessels become more narrow, which increases blood pressure. A synthetic precursor of norepinephrine that is used in the treatment of PARKINSONIAN DISORDERS and ORTHOSTATIC HYPOTENSION. In 2023, this provider wrote 12 Medicare prescriptions for Droxidopa, about 67% of the volume of the typical Arkansas prescriber of this medication (18). Medicare paid an average of $125.00 per fill, versus $2,888.69 statewide. How often this provider prescribes it This provider 12 AR average 18.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $125.00 AR average $2,888.69 This provider's average cost per fill is below the AR average for this medication. 12 30-Day Fills standardized to 30-day supplies 255 Days of Medication total across all patients in 2023
Methylphenidate ErMethylphenidate Hcl	12	$69.57▼ below AR avg	≈ Typical
About Methylphenidate Er: This 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. Methylphenidate 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. In 2023, this provider wrote 12 Medicare prescriptions for Methylphenidate Er, about the same volume as the typical Arkansas prescriber of this medication (12). Medicare paid an average of $69.57 per fill, versus $121.27 statewide. How often this provider prescribes it This provider 12 AR average 12.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $69.57 AR average $121.27 This provider's average cost per fill is below the AR average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
Rufinamide	12	$325.45▼ below AR avg	▼ Less than typical
About Rufinamide: Rufinamide is used with other medications to prevent or control seizures (epilepsy) associated with Lennox-Gastaut syndrome (LGS). Show more ▾ This medication is an anticonvulsant. Rufinamide is thought to work by acting on the sodium channels in the brain that carry excessive electrical charges that may cause seizures. In 2023, this provider wrote 12 Medicare prescriptions for Rufinamide, about 71% of the volume of the typical Arkansas prescriber of this medication (17). Medicare paid an average of $325.45 per fill, versus $1,739.53 statewide. How often this provider prescribes it This provider 12 AR average 17.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $325.45 AR average $1,739.53 This provider's average cost per fill is below the AR average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
RivastigmineRivastigmine Tartrate	12	$61.69▼ below AR avg	▼ Less than typical
About Rivastigmine: Rivastigmine is used to treat confusion (dementia) related to Alzheimer's disease and to Parkinson's disease. Show more ▾ Rivastigmine does not cure either of these diseases, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by restoring the balance of natural substances (neurotransmitters) in the brain. A carbamate-derived reversible CHOLINESTERASE INHIBITOR that is selective for the CENTRAL NERVOUS SYSTEM and is used for the treatment of DEMENTIA in ALZHEIMER DISEASE and PARKINSON DISEASE. In 2023, this provider wrote 12 Medicare prescriptions for Rivastigmine, about 67% of the volume of the typical Arkansas prescriber of this medication (18). Medicare paid an average of $61.69 per fill, versus $254.71 statewide. How often this provider prescribes it This provider 12 AR average 18.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $61.69 AR average $254.71 This provider's average cost per fill is below the AR average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023
GlatopaGlatiramer Acetate	11	$2,688.00▼ below AR avg	≈ Typical
About Glatopa: This medication is used to treat multiple sclerosis (MS). Show more ▾ It is a protein that is thought to work by preventing your immune system from attacking the nerves in your brain and spinal cord. This effect can decrease the number of periods of disease worsening (relapses) and prevent or delay disability. It is not a cure for MS. A random polymer of L-ALANINE, L-GLUTAMIC ACID, L-LYSINE, and L-TYROSINE that structurally resembles MYELIN BASIC PROTEIN. It is used in the treatment of RELAPSING-REMITTING MULTIPLE SCLEROSIS. In 2023, this provider wrote 11 Medicare prescriptions for Glatopa, about 79% of the volume of the typical Arkansas prescriber of this medication (14). Medicare paid an average of $2,688.00 per fill, versus $3,384.64 statewide. How often this provider prescribes it This provider 11 AR average 14.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,688.00 AR average $3,384.64 This provider's average cost per fill is below the AR average for this medication. 11 30-Day Fills standardized to 30-day supplies 308 Days of Medication total across all patients in 2023
Vigabatrin	11	$19,521.97▼ below AR avg	≈ Typical
About Vigabatrin: Vigabatrin is used to treat babies, one month to 2 years old who have a condition known as infantile spasms. Show more ▾ Vigabatrin has also been used in combination with other medications to treat seizure disorders (epilepsy). Vigabatrin decreases the number of seizures in adults and children who have not been able to control their seizures with other treatment. Vigabatrin is an anticonvulsant. It is thought to work by stopping the breakdown of a natural calming substance (GABA) in the brain. An analogue of GAMMA-AMINOBUTYRIC ACID. It is an irreversible inhibitor of 4-AMINOBUTYRATE TRANSAMINASE, the enzyme responsible for the catabolism of GAMMA-AMINOBUTYRIC ACID and is used as an anticonvulsant. (From Martindale The Extra Pharmacopoeia, 31st ed) In 2023, this provider wrote 11 Medicare prescriptions for Vigabatrin, about 85% of the volume of the typical Arkansas prescriber of this medication (13). Medicare paid an average of $19,521.97 per fill, versus $19,699.19 statewide. How often this provider prescribes it This provider 11 AR average 13.0 This provider's prescribing volume for this medication is in line with the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19,521.97 AR average $19,699.19 This provider's average cost per fill is below the AR average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
TegretolCarbamazepine	11	$284.45▼ below AR avg	▼ Less than typical
About Tegretol: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 11 Medicare prescriptions for Tegretol, about 73% of the volume of the typical Arkansas prescriber of this medication (15). Medicare paid an average of $284.45 per fill, versus $324.62 statewide. How often this provider prescribes it This provider 11 AR average 15.0 This provider prescribes this medication less often than the average AR prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $284.45 AR average $324.62 This provider's average cost per fill is below the AR average for this medication. 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 AR prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the AR average cost per fill.

About this data. The prescription history for DR. JANICE M KEATING MD 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 Neurology prescribing approach at this Fort Smith, AR 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 AR prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.