VIVEK AGARWAL M.D.
Prescription History 1982918199
Internal Medicine - Nephrology in Lima, OH
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for VIVEK AGARWAL M.D., an active Nephrology specialist practicing in Lima, OH. Our medical registry currently tracks 36 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,584 documented patient claims. Among these therapy options, the most frequently utilized medication is Furosemide, which accounts for 254 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other OH PrescribersVs. OH Avg |
|---|---|---|---|
| Furosemide | 254 | $5.73 | ▲ More than typical |
About Furosemide: Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY. In 2023, this provider wrote 254 Medicare prescriptions for Furosemide, about 2.7 times the volume of the typical Ohio prescriber of this medication (95). Medicare paid an average of $5.73 per fill, versus $5.57 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 603.5 30-Day Fills standardized to 30-day supplies 18,013 Days of Medication total across all patients in 2023 | |||
| Hydralazine Hcl | 243 | $15.75▼ below OH avg | ▲ More than typical |
About Hydralazine Hcl: Hydralazine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydralazine is called a vasodilator. It works by relaxing blood vessels so blood can flow through the body more easily. In 2023, this provider wrote 243 Medicare prescriptions for Hydralazine Hcl, about 5.9 times the volume of the typical Ohio prescriber of this medication (41). Medicare paid an average of $15.75 per fill, versus $19.23 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 461 30-Day Fills standardized to 30-day supplies 13,775 Days of Medication total across all patients in 2023 | |||
| Losartan Potassium | 238 | $12.41 | ▲ More than typical |
About Losartan Potassium: Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes. Show more ▾ It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Losartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An antagonist of ANGIOTENSIN TYPE 1 RECEPTOR with antihypertensive activity due to the reduced pressor effect of ANGIOTENSIN II. In 2023, this provider wrote 238 Medicare prescriptions for Losartan Potassium, about 2.2 times the volume of the typical Ohio prescriber of this medication (108). Medicare paid an average of $12.41 per fill, versus $11.29 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 640.5 30-Day Fills standardized to 30-day supplies 19,164 Days of Medication total across all patients in 2023 | |||
| Bumetanide | 185 | $56.93 | ▲ More than typical |
About Bumetanide: Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. Show more ▾ This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. Bumetanide is a water pill (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. A sulfamyl diuretic. In 2023, this provider wrote 185 Medicare prescriptions for Bumetanide, about 4.9 times the volume of the typical Ohio prescriber of this medication (38). Medicare paid an average of $56.93 per fill, versus $53.15 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 387.7 30-Day Fills standardized to 30-day supplies 11,565 Days of Medication total across all patients in 2023 | |||
| Potassium Chloride | 181 | $30.17▼ below OH avg | ▲ More than typical |
About Potassium Chloride: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 181 Medicare prescriptions for Potassium Chloride, about 2.4 times the volume of the typical Ohio prescriber of this medication (76). Medicare paid an average of $30.17 per fill, versus $30.49 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 388.9 30-Day Fills standardized to 30-day supplies 11,634 Days of Medication total across all patients in 2023 | |||
| Amlodipine Besylate | 155 | $8.45 | ≈ Typical |
About Amlodipine Besylate: Amlodipine is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION. In 2023, this provider wrote 155 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Ohio prescriber of this medication (149). Medicare paid an average of $8.45 per fill, versus $6.55 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 383 30-Day Fills standardized to 30-day supplies 11,446 Days of Medication total across all patients in 2023 | |||
| Carvedilol | 146 | $8.03▼ below OH avg | ▲ More than typical |
About Carvedilol: Carvedilol is used to treat high blood pressure and heart failure. Show more ▾ It is also used after a heart attack to improve the chance of survival if your heart is not pumping well. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural substances in your body, such as epinephrine, on the heart and blood vessels. This effect lowers your heart rate, blood pressure, and strain on your heart. Carvedilol belongs to a class of drugs known as alpha and beta blockers. A carbazole and propanol derivative that acts as a non-cardioselective beta blocker and vasodilator. It has blocking activity for ALPHA 1 ADRENERGIC RECEPTORS and, at higher doses, may function as a blocker of CALCIUM CHANNELS; it also has antioxidant properties. Carvedilol is used in the treatment of HYPERTENSION; ANGINA PECTORIS; and HEART FAILURE. It can also reduce the risk of death following MYOCARDIAL INFARCTION. In 2023, this provider wrote 146 Medicare prescriptions for Carvedilol, about 2.1 times the volume of the typical Ohio prescriber of this medication (70). Medicare paid an average of $8.03 per fill, versus $10.60 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 306 30-Day Fills standardized to 30-day supplies 9,145 Days of Medication total across all patients in 2023 | |||
| Lisinopril | 136 | $8.07 | ≈ Typical |
About Lisinopril: Lisinopril is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat heart failure and to improve survival after a heart attack. Lisinopril belongs to a class of drugs known as ACE inhibitors. It works by relaxing blood vessels so blood can flow more easily. One of the ANGIOTENSIN-CONVERTING ENZYME INHIBITORS (ACE inhibitors), orally active, that has been used in the treatment of hypertension and congestive heart failure. In 2023, this provider wrote 136 Medicare prescriptions for Lisinopril, about the same volume as the typical Ohio prescriber of this medication (137). Medicare paid an average of $8.07 per fill, versus $6.59 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 362.7 30-Day Fills standardized to 30-day supplies 10,852 Days of Medication total across all patients in 2023 | |||
| Doxazosin Mesylate | 111 | $21.41▼ below OH avg | ▲ More than typical |
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2023, this provider wrote 111 Medicare prescriptions for Doxazosin Mesylate, about 3.7 times the volume of the typical Ohio prescriber of this medication (30). Medicare paid an average of $21.41 per fill, versus $21.51 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 213 30-Day Fills standardized to 30-day supplies 6,374 Days of Medication total across all patients in 2023 | |||
| Clonidine Hcl | 97 | $13.07 | ▲ More than typical |
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. In 2023, this provider wrote 97 Medicare prescriptions for Clonidine Hcl, about 3.3 times the volume of the typical Ohio prescriber of this medication (29). Medicare paid an average of $13.07 per fill, versus $9.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 156.7 30-Day Fills standardized to 30-day supplies 4,588 Days of Medication total across all patients in 2023 | |||
| Sevelamer Carbonate | 90 | $164.19▼ below OH avg | ▲ More than typical |
About Sevelamer Carbonate: Sevelamer is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Sevelamer works by holding onto phosphate from the diet so that it can pass out of your body. A polymeric amine that binds phosphate and is used to treat HYPERPHOSPHATEMIA in patients with kidney disease. In 2023, this provider wrote 90 Medicare prescriptions for Sevelamer Carbonate, about 2.3 times the volume of the typical Ohio prescriber of this medication (40). Medicare paid an average of $164.19 per fill, versus $353.62 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 108 30-Day Fills standardized to 30-day supplies 3,208 Days of Medication total across all patients in 2023 | |||
| Allopurinol | 67 | $10.25▼ below OH avg | ≈ Typical |
About Allopurinol: Allopurinol is used to treat gout and certain types of kidney stones. Show more ▾ It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have increased uric acid levels due to release of uric acid from the dying cancer cells. Allopurinol works by reducing the amount of uric acid made by the body. Increased uric acid levels can cause gout and kidney problems. A XANTHINE OXIDASE inhibitor that decreases URIC ACID production. It also acts as an antimetabolite on some simpler organisms. In 2023, this provider wrote 67 Medicare prescriptions for Allopurinol, about 1.2 times the volume of the typical Ohio prescriber of this medication (55). Medicare paid an average of $10.25 per fill, versus $14.60 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 166 30-Day Fills standardized to 30-day supplies 4,980 Days of Medication total across all patients in 2023 | |||
| Metolazone | 55 | $19.54▼ below OH avg | ▲ More than typical |
About Metolazone: Metolazone is a water pill (diuretic) that increases the amount of urine you make, which causes your body to get rid of excess water. Show more ▾ This drug is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication also reduces swelling/fluid retention (edema) which can result from conditions such as congestive heart failure or kidney disease. This can help to improve symptoms such as trouble breathing. A quinazoline-sulfonamide derived DIURETIC that functions by inhibiting SODIUM CHLORIDE SYMPORTERS. In 2023, this provider wrote 55 Medicare prescriptions for Metolazone, about 2.2 times the volume of the typical Ohio prescriber of this medication (25). Medicare paid an average of $19.54 per fill, versus $33.58 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 94.5 30-Day Fills standardized to 30-day supplies 2,558 Days of Medication total across all patients in 2023 | |||
| Tamsulosin Hcl | 51 | $14.83▼ below OH avg | ▼ Less than typical |
About Tamsulosin Hcl: Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). Show more ▾ It does not shrink the prostate, but it works by relaxing the muscles in the prostate and the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Tamsulosin belongs to a class of drugs known as alpha blockers. Do not use this medication to treat high blood pressure. In 2023, this provider wrote 51 Medicare prescriptions for Tamsulosin Hcl, about half the volume of the typical Ohio prescriber of this medication (88). Medicare paid an average of $14.83 per fill, versus $20.03 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 127 30-Day Fills standardized to 30-day supplies 3,810 Days of Medication total across all patients in 2023 | |||
| Klor-Con M20Potassium Chloride | 50 | $34.42▼ below OH avg | ▲ More than typical |
About Klor-Con M20: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 50 Medicare prescriptions for Klor-Con M20, about 2.4 times the volume of the typical Ohio prescriber of this medication (21). Medicare paid an average of $34.42 per fill, versus $37.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 134 30-Day Fills standardized to 30-day supplies 4,020 Days of Medication total across all patients in 2023 | |||
| LokelmaSodium Zirconium Cyclosilicate | 49 | $695.44▼ below OH avg | ▲ More than typical |
About Lokelma: This medication is used to treat high levels of potassium in the blood. Show more ▾ It works by binding to potassium in the gut. This medication does not work right away, and should not be used to treat life-threatening high levels of potassium. High potassium levels can cause symptoms such as nausea, muscle weakness/tiredness, irregular heartbeats, or paralysis. In 2023, this provider wrote 49 Medicare prescriptions for Lokelma, about 2.1 times the volume of the typical Ohio prescriber of this medication (23). Medicare paid an average of $695.44 per fill, versus $701.56 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 59.7 30-Day Fills standardized to 30-day supplies 1,598 Days of Medication total across all patients in 2023 | |||
| Hydrochlorothiazide | 47 | $6.12 | ▼ Less than typical |
About Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Hydrochlorothiazide belongs to a class of drugs known as diuretics/water pills. It works by causing you to make more urine. This helps your body get rid of extra salt and water. This medication also reduces extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, or kidney disease. This can lessen symptoms such as shortness of breath or swelling in your ankles or feet. A thiazide diuretic often considered the prototypical member of this class. It reduces the reabsorption of electrolytes from the renal tubules. This results in increased excretion of water and electrolytes, including sodium, potassium, chloride, and magnesium. It is used in the treatment of several disorders including edema, hypertension, diabetes insipidus, and hypoparathyroidism. In 2023, this provider wrote 47 Medicare prescriptions for Hydrochlorothiazide, about half the volume of the typical Ohio prescriber of this medication (80). Medicare paid an average of $6.12 per fill, versus $4.87 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 137 30-Day Fills standardized to 30-day supplies 4,110 Days of Medication total across all patients in 2023 | |||
| Midodrine Hcl | 42 | $83.76▼ below OH avg | ▲ More than typical |
About Midodrine Hcl: This medication is used for certain patients who have symptoms of low blood pressure when standing. Show more ▾ This condition is also known as orthostatic hypotension. Midodrine is used in people whose daily activities are severely affected by this condition, even after other treatments are used (such as support stockings). It is known as a sympathomimetic (alpha receptor agonist) that acts on the blood vessels to raise blood pressure. In 2023, this provider wrote 42 Medicare prescriptions for Midodrine Hcl, about 1.3 times the volume of the typical Ohio prescriber of this medication (32). Medicare paid an average of $83.76 per fill, versus $95.45 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 58 30-Day Fills standardized to 30-day supplies 1,610 Days of Medication total across all patients in 2023 | |||
| Spironolactone | 36 | $12.82 | ≈ Typical |
About Spironolactone: Spironolactone is used to treat high blood pressure and heart failure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. This medication is also used to treat conditions in which the body is making too much of a natural substance (aldosterone). Spironolactone is known as a water pill (potassium-sparing diuretic). A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) In 2023, this provider wrote 36 Medicare prescriptions for Spironolactone, about 77% of the volume of the typical Ohio prescriber of this medication (47). Medicare paid an average of $12.82 per fill, versus $12.77 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 98 30-Day Fills standardized to 30-day supplies 2,940 Days of Medication total across all patients in 2023 | |||
| VelphoroSucroferric Oxyhydroxide | 31 | $3,200.00 | ≈ Typical |
About Velphoro: Sucroferric oxyhydroxide is used to lower high blood phosphate levels in people who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and may decrease the risk of heart disease and strokes that can result from high phosphate levels. Sucroferric oxyhydroxide contains a form of iron which is not absorbed by your body. It works by binding to phosphate in your diet. The phosphate then passes out of your body in your stool. In 2023, this provider wrote 31 Medicare prescriptions for Velphoro, about the same volume as the typical Ohio prescriber of this medication (28). Medicare paid an average of $3,200.00 per fill, versus $2,820.68 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023 | |||
| Calcitriol | 29 | $15.85▼ below OH avg | ▼ Less than typical |
About Calcitriol: Calcitriol is a man-made active form of vitamin D. Show more ▾ Most people get enough vitamin D from exposure to the sun and from fortified food products (such as dairy products, vitamins). Vitamin D helps control parathyroid hormone and the levels of certain minerals (such as calcium, phosphorus) that are needed for building and keeping strong bones. Before regular vitamin D can be used by the body, it needs to be changed to the active form by the liver and kidneys. Calcitriol is used in patients with kidney disease who can't make enough of the active form of Vitamin D. This medication is also used to prevent and treat certain types of calcium/phosphorus/parathyroid problems that can happen with long-term kidney dialysis or hypoparathyroidism. Calcitriol is usually used along with specific diet recommendations and sometimes other medications. The physiologically active form of vitamin D. It is formed primarily in the kidney by enzymatic hydroxylation of 25-hydroxycholecalciferol (CALCIFEDIOL). Its production is stimulated by low blood calcium levels and parathyroid hormone. Calcitriol increases intestinal absorption of calcium and phosphorus, and in concert with parathyroid hormone increases bone resorption. In 2023, this provider wrote 29 Medicare prescriptions for Calcitriol, about 63% of the volume of the typical Ohio prescriber of this medication (46). Medicare paid an average of $15.85 per fill, versus $25.61 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 69.7 30-Day Fills standardized to 30-day supplies 2,090 Days of Medication total across all patients in 2023 | |||
| Metoprolol Tartrate | 28 | $8.31 | ▼ Less than typical |
About Metoprolol Tartrate: Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack. Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 28 Medicare prescriptions for Metoprolol Tartrate, about a third of the volume of the typical Ohio prescriber of this medication (90). Medicare paid an average of $8.31 per fill, versus $7.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 76 30-Day Fills standardized to 30-day supplies 2,280 Days of Medication total across all patients in 2023 | |||
| Chlorthalidone | 26 | $21.59▼ below OH avg | ≈ Typical |
About Chlorthalidone: Chlorthalidone is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to reduce extra salt and water in the body caused by conditions such as heart failure, liver disease, and kidney disease. Decreasing extra salt and water in the body helps to decrease swelling (edema) and breathing problems caused by fluid in the lungs. Chlorthalidone is a water pill (diuretic). It increases the amount of urine you make, especially when you first start the medication. It also helps to relax the blood vessels so that blood can flow more easily. A benzenesulfonamide-phthalimidine that tautomerizes to a BENZOPHENONES form. It is considered a thiazide-like diuretic. In 2023, this provider wrote 26 Medicare prescriptions for Chlorthalidone, about the same volume as the typical Ohio prescriber of this medication (28). Medicare paid an average of $21.59 per fill, versus $28.61 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 78 30-Day Fills standardized to 30-day supplies 2,340 Days of Medication total across all patients in 2023 | |||
| Potassium Citrate ErPotassium Citrate | 26 | $109.32▼ below OH avg | ≈ Typical |
About Potassium Citrate Er: This medication is used to make the urine less acidic. Show more ▾ This effect helps the kidneys get rid of uric acid, thereby helping to prevent gout and kidney stones. This medication can also prevent and treat certain metabolic problems (acidosis) caused by kidney disease. Citric acid and citrate salts (which contain potassium and sodium) belong to a class of drugs known as urinary alkalinizers. If you have a condition that requires you to limit your intake of potassium and sodium, your doctor may direct you to take a product that is lower in potassium and sodium. A powder that dissolves in water, which is administered orally, and is used as a diuretic, expectorant, systemic alkalizer, and electrolyte replenisher. In 2023, this provider wrote 26 Medicare prescriptions for Potassium Citrate Er, about the same volume as the typical Ohio prescriber of this medication (27). Medicare paid an average of $109.32 per fill, versus $152.51 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 49.7 30-Day Fills standardized to 30-day supplies 1,490 Days of Medication total across all patients in 2023 | |||
| Minoxidil | 23 | $17.69 | ≈ Typical |
About Minoxidil: Minoxidil is used with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Minoxidil works by relaxing blood vessels so blood can flow more easily. A potent direct-acting peripheral vasodilator (VASODILATOR AGENTS) that reduces peripheral resistance and produces a fall in BLOOD PRESSURE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p371) In 2023, this provider wrote 23 Medicare prescriptions for Minoxidil, about the same volume as the typical Ohio prescriber of this medication (25). Medicare paid an average of $17.69 per fill, versus $17.65 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 870 Days of Medication total across all patients in 2023 | |||
| Lanthanum Carbonate | 23 | $598.58▼ below OH avg | ≈ Typical |
About Lanthanum Carbonate: Lanthanum is used to lower high blood phosphate levels in people who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and may decrease the risk of heart disease and strokes that can result from high phosphate levels. Lanthanum is a natural mineral that works by binding to phosphate in the foods you eat. The phosphate then passes out of your body in your stool. In 2023, this provider wrote 23 Medicare prescriptions for Lanthanum Carbonate, about the same volume as the typical Ohio prescriber of this medication (21). Medicare paid an average of $598.58 per fill, versus $1,024.67 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2023 | |||
| FosrenolLanthanum Carbonate | 22 | $1,467.94 | ▲ More than typical |
About Fosrenol: Lanthanum is used to lower high blood phosphate levels in people who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and may decrease the risk of heart disease and strokes that can result from high phosphate levels. Lanthanum is a natural mineral that works by binding to phosphate in the foods you eat. The phosphate then passes out of your body in your stool. In 2023, this provider wrote 22 Medicare prescriptions for Fosrenol, about 1.4 times the volume of the typical Ohio prescriber of this medication (16). Medicare paid an average of $1,467.94 per fill, versus $1,398.72 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2023 | |||
| Desmopressin Acetate | 21 | $100.71 | ≈ Typical |
About Desmopressin Acetate: Desmopressin is used to control the amount of urine your kidneys make. Show more ▾ Normally, the amount of urine you make is controlled by a certain substance in the body called vasopressin. In people who have water diabetes (diabetes insipidus) or certain kinds of head injury or brain surgery, the body does not make enough vasopressin. Desmopressin is a man-made form of vasopressin and is used to replace a low level of vasopressin. This medication helps to control increased thirst and too much urination due to these conditions, and helps prevent dehydration. Desmopressin is also used to control bleeding caused by surgery or injuries in people with certain bleeding problems (hemophilia A, type 1 von Willebrand's disease). It works by helping the body with normal blood clotting. A synthetic analog of the pituitary hormone, ARGININE VASOPRESSIN. Its action is mediated by the VASOPRESSIN receptor V2. It has prolonged antidiuretic activity, but little pressor effects. It also modulates levels of circulating FACTOR VIII and VON WILLEBRAND FACTOR. In 2023, this provider wrote 21 Medicare prescriptions for Desmopressin Acetate, about the same volume as the typical Ohio prescriber of this medication (21). Medicare paid an average of $100.71 per fill, versus $89.70 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 41 30-Day Fills standardized to 30-day supplies 1,230 Days of Medication total across all patients in 2023 | |||
| Nifedipine ErNifedipine | 19 | $37.42▼ below OH avg | ▼ Less than typical |
About Nifedipine Er: This medication is used to prevent certain types of chest pain (angina). Show more ▾ It may allow you to exercise more and decrease the frequency of angina attacks. Nifedipine belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. This medication must be taken regularly to be effective. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for details. Older adults should discuss the risks and benefits of this medication with their doctor or pharmacist, as well as other possibly safer forms of nifedipine (such as the long-acting tablets). A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure. In 2023, this provider wrote 19 Medicare prescriptions for Nifedipine Er, about 68% of the volume of the typical Ohio prescriber of this medication (28). Medicare paid an average of $37.42 per fill, versus $49.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023 | |||
| Metoprolol Succinate | 18 | $13.83▼ below OH avg | ▼ Less than typical |
About Metoprolol Succinate: This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS. In 2023, this provider wrote 18 Medicare prescriptions for Metoprolol Succinate, about 16% of the volume of the typical Ohio prescriber of this medication (114). Medicare paid an average of $13.83 per fill, versus $22.92 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2023 | |||
| FarxigaDapagliflozin Propanediol | 17 | $871.69▼ below OH avg | ▼ Less than typical |
About Farxiga: Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. This medication is also used in people with type 2 diabetes and heart disease to lower the risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sugar by your kidneys. Dapagliflozin is also used to treat kidney disease and heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Dapagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 17 Medicare prescriptions for Farxiga, about half the volume of the typical Ohio prescriber of this medication (34). Medicare paid an average of $871.69 per fill, versus $903.94 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2023 | |||
| Calcium Acetate | 16 | $66.44▼ below OH avg | ▼ Less than typical |
About Calcium Acetate: Calcium acetate is used to prevent high blood phosphate levels in patients who are on dialysis due to severe kidney disease. Show more ▾ Dialysis removes some phosphate from your blood, but it is difficult to remove enough to keep your phosphate levels balanced. Decreasing blood phosphate levels can help keep your bones strong, prevent unsafe buildup of minerals in your body, and possibly decrease the risk of heart disease and strokes that can result from high phosphate levels. Calcium acetate is a natural mineral that works by holding onto phosphate from the diet so that it can pass out of your body. In 2023, this provider wrote 16 Medicare prescriptions for Calcium Acetate, about half the volume of the typical Ohio prescriber of this medication (29). Medicare paid an average of $66.44 per fill, versus $92.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2023 | |||
| Valsartan | 15 | $37.36▼ below OH avg | ▼ Less than typical |
About Valsartan: Valsartan is used to treat high blood pressure and heart failure. Show more ▾ It is also used to improve the chance of living longer after a heart attack. In people with heart failure, it may also lower the chance of having to go to the hospital for heart failure. Valsartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. A tetrazole derivative and ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to treat HYPERTENSION. In 2023, this provider wrote 15 Medicare prescriptions for Valsartan, about half the volume of the typical Ohio prescriber of this medication (32). Medicare paid an average of $37.36 per fill, versus $37.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023 | |||
| Olmesartan Medoxomil | 13 | $25.87▼ below OH avg | ▼ Less than typical |
About Olmesartan Medoxomil: Olmesartan is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Olmesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so that blood can flow more easily. An ANGIOTENSIN II TYPE 1 RECEPTOR BLOCKER that is used to manage HYPERTENSION. In 2023, this provider wrote 13 Medicare prescriptions for Olmesartan Medoxomil, about half the volume of the typical Ohio prescriber of this medication (26). Medicare paid an average of $25.87 per fill, versus $36.66 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2023 | |||
| SpsSodium Polystyrene Sulfon/Sorb | 12 | $40.79▼ below OH avg | ▼ Less than typical |
About Sps: This medication is used to treat a high level of potassium in your blood. Show more ▾ Too much potassium in your blood can sometimes cause heart rhythm problems. Sodium polystyrene sulfonate works by helping your body get rid of extra potassium. In 2023, this provider wrote 12 Medicare prescriptions for Sps, about half the volume of the typical Ohio prescriber of this medication (21). Medicare paid an average of $40.79 per fill, versus $79.33 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 12 30-Day Fills standardized to 30-day supplies 13 Days of Medication total across all patients in 2023 | |||
| Klor-Con M10Potassium Chloride | 12 | $19.93▼ below OH avg | ≈ Typical |
About Klor-Con M10: This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. Show more ▾ A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with water pills/diuretics. A white crystal or crystalline powder used in BUFFERS; FERTILIZERS; and EXPLOSIVES. It can be used to replenish ELECTROLYTES and restore WATER-ELECTROLYTE BALANCE in treating HYPOKALEMIA. In 2023, this provider wrote 12 Medicare prescriptions for Klor-Con M10, about 75% of the volume of the typical Ohio prescriber of this medication (16). Medicare paid an average of $19.93 per fill, versus $31.28 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average OH prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the OH average for this medication. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for VIVEK AGARWAL M.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Nephrology prescribing approach at this Lima, OH 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 OH prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
