LILLIANA MARIA RAMIREZ GARCIA M.D.
Prescription History 1982937918
Dermatology in San Juan, PR
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for LILLIANA MARIA RAMIREZ GARCIA M.D., an active Dermatology specialist practicing in San Juan, PR. Our medical registry currently tracks 17 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,003 documented patient claims. Among these therapy options, the most frequently utilized medication is Ketoconazole, which accounts for 168 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 PR PrescribersVs. PR Avg |
|---|---|---|---|
| Ketoconazole | 168 | $23.47▼ below PR avg | ▲ More than typical |
About Ketoconazole: This medication is used to control dandruff. Show more ▾ Use of this medication may help to relieve the flaking, scaling and itching associated with dandruff. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Ketoconazole 2% shampoo is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients. In 2023, this provider wrote 168 Medicare prescriptions for Ketoconazole, about 3.4 times the volume of the typical Puerto Rico prescriber of this medication (50). Medicare paid an average of $23.47 per fill, versus $24.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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 PR average for this medication. 179 30-Day Fills standardized to 30-day supplies 3,794 Days of Medication total across all patients in 2023 | |||
| Ciclopirox | 112 | $31.57 | ▲ More than typical |
About Ciclopirox: This medication is used to treat fungal infections of the fingernails and toenails. Show more ▾ It is used as part of a treatment program that may include the removal of unattached, infected nails by a health care professional. Ciclopirox works by stopping the growth of fungus. A cyclohexane and pyridinone derivative that is used for the treatment of fungal infections of the skin and nails, and for treatment of VAGINAL YEAST INFECTIONS. In 2023, this provider wrote 112 Medicare prescriptions for Ciclopirox, about 2.5 times the volume of the typical Puerto Rico prescriber of this medication (44). Medicare paid an average of $31.57 per fill, versus $31.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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. 112 30-Day Fills standardized to 30-day supplies 3,080 Days of Medication total across all patients in 2023 | |||
| Desonide | 85 | $69.19▼ below PR avg | ▲ More than typical |
About Desonide: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Desonide reduces the swelling, itching and redness that can occur in these types of conditions. Desonide is a mild corticosteroid. A nonfluorinated corticosteroid anti-inflammatory agent used topically for DERMATOSES. In 2023, this provider wrote 85 Medicare prescriptions for Desonide, about 1.8 times the volume of the typical Puerto Rico prescriber of this medication (47). Medicare paid an average of $69.19 per fill, versus $94.02 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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 PR average for this medication. 85 30-Day Fills standardized to 30-day supplies 1,240 Days of Medication total across all patients in 2023 | |||
| Triamcinolone Acetonide | 80 | $11.35▼ below PR avg | ▲ More than typical |
About Triamcinolone Acetonide: This medication is used in a variety of conditions such as allergic disorders, arthritis, gout, blood diseases, breathing problems, certain cancers, eye diseases, intestinal disorders, collagen and skin diseases. Show more ▾ Talk to your doctor about the risks and benefits of triamcinolone, especially if it is to be injected near your spine (epidural). Rare but serious side effects may occur with epidural use. Triamcinolone is known as a corticosteroid hormone (glucocorticoid). It works by decreasing your body's immune response to these diseases and reduces symptoms such as swelling. An esterified form of TRIAMCINOLONE. It is an anti-inflammatory glucocorticoid used topically in the treatment of various skin disorders. Intralesional, intramuscular, and intra-articular injections are also administered under certain conditions. In 2023, this provider wrote 80 Medicare prescriptions for Triamcinolone Acetonide, about 1.9 times the volume of the typical Puerto Rico prescriber of this medication (42). Medicare paid an average of $11.35 per fill, versus $17.87 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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 PR average for this medication. 80 30-Day Fills standardized to 30-day supplies 1,601 Days of Medication total across all patients in 2023 | |||
| Tacrolimus | 68 | $122.38 | ▲ More than typical |
About Tacrolimus: Tacrolimus is used with other medications to prevent rejection of a kidney transplant. Show more ▾ This medication belongs to a class of drugs known as 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. A macrolide isolated from the culture broth of a strain of Streptomyces tsukubaensis that has strong immunosuppressive activity in vivo and prevents the activation of T-lymphocytes in response to antigenic or mitogenic stimulation in vitro. In 2023, this provider wrote 68 Medicare prescriptions for Tacrolimus, about 2 times the volume of the typical Puerto Rico prescriber of this medication (34). Medicare paid an average of $122.38 per fill, versus $103.28 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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. 68 30-Day Fills standardized to 30-day supplies 1,086 Days of Medication total across all patients in 2023 | |||
| Betamethasone Dipropionate | 65 | $48.20▼ below PR avg | ▲ More than typical |
About Betamethasone Dipropionate: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Betamethasone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong corticosteroid. In 2023, this provider wrote 65 Medicare prescriptions for Betamethasone Dipropionate, about 1.9 times the volume of the typical Puerto Rico prescriber of this medication (35). Medicare paid an average of $48.20 per fill, versus $52.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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 PR average for this medication. 67 30-Day Fills standardized to 30-day supplies 1,885 Days of Medication total across all patients in 2023 | |||
| Clobetasol Propionate | 64 | $107.71 | ▲ More than typical |
About Clobetasol Propionate: This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Show more ▾ Clobetasol reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a very strong (super-high-potency) corticosteroid. A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression. In 2023, this provider wrote 64 Medicare prescriptions for Clobetasol Propionate, about 1.9 times the volume of the typical Puerto Rico prescriber of this medication (34). Medicare paid an average of $107.71 per fill, versus $84.34 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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. 68 30-Day Fills standardized to 30-day supplies 1,336 Days of Medication total across all patients in 2023 | |||
| Fluorouracil | 61 | $119.29▼ below PR avg | ≈ Typical |
About Fluorouracil: Fluorouracil is used to treat various types of cancer. Show more ▾ It is a chemotherapy drug that is used to slow or stop cancer cell growth. A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid. In 2023, this provider wrote 61 Medicare prescriptions for Fluorouracil, about the same volume as the typical Puerto Rico prescriber of this medication (54). Medicare paid an average of $119.29 per fill, versus $122.19 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR 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 PR average for this medication. 66.4 30-Day Fills standardized to 30-day supplies 1,732 Days of Medication total across all patients in 2023 | |||
| Betamethasone Valerate | 59 | $48.80 | ▲ More than typical |
About Betamethasone Valerate: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Betamethasone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a medium-strength corticosteroid. The 17-valerate derivative of BETAMETHASONE. It has substantial topical anti-inflammatory activity and relatively low systemic anti-inflammatory activity. In 2023, this provider wrote 59 Medicare prescriptions for Betamethasone Valerate, about 1.6 times the volume of the typical Puerto Rico prescriber of this medication (38). Medicare paid an average of $48.80 per fill, versus $37.97 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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. 59 30-Day Fills standardized to 30-day supplies 1,255 Days of Medication total across all patients in 2023 | |||
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 55 | $51.66▼ below PR avg | ▲ More than typical |
About Betamethasone Diprop Augmented: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾ Betamethasone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong corticosteroid. In 2023, this provider wrote 55 Medicare prescriptions for Betamethasone Diprop Augmented, about 2.4 times the volume of the typical Puerto Rico prescriber of this medication (23). Medicare paid an average of $51.66 per fill, versus $69.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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 PR average for this medication. 55 30-Day Fills standardized to 30-day supplies 844 Days of Medication total across all patients in 2023 | |||
| Mupirocin | 52 | $9.13▼ below PR avg | ▲ More than typical |
About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾ It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing. In 2023, this provider wrote 52 Medicare prescriptions for Mupirocin, about 1.3 times the volume of the typical Puerto Rico prescriber of this medication (41). Medicare paid an average of $9.13 per fill, versus $9.54 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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 PR average for this medication. 52 30-Day Fills standardized to 30-day supplies 522 Days of Medication total across all patients in 2023 | |||
| Metronidazole | 38 | $73.22 | ▲ More than typical |
About Metronidazole: This medication is used on the skin to treat a certain skin disorder known as rosacea, a type of adult acne. Show more ▾ It may help to decrease redness, swelling and the number of pimples caused by rosacea. This medication is an antibiotic. For the treatment of rosacea, metronidazole is believed to work by decreasing swelling (inflammation). Some brands of this medication also contain sunscreens (see also Notes section). A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS. In 2023, this provider wrote 38 Medicare prescriptions for Metronidazole, about 1.5 times the volume of the typical Puerto Rico prescriber of this medication (25). Medicare paid an average of $73.22 per fill, versus $33.05 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average PR 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. 38 30-Day Fills standardized to 30-day supplies 857 Days of Medication total across all patients in 2023 | |||
| Clindamycin Phosphate | 30 | $40.39▼ below PR avg | ≈ Typical |
About Clindamycin Phosphate: This medication is used to treat a certain type of vaginal infection (bacterial vaginosis) in women who are not pregnant. Show more ▾ Clindamycin is an antibiotic which works by stopping the growth of bacteria. In 2023, this provider wrote 30 Medicare prescriptions for Clindamycin Phosphate, about 83% of the volume of the typical Puerto Rico prescriber of this medication (36). Medicare paid an average of $40.39 per fill, versus $61.83 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average PR 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 PR average for this medication. 30 30-Day Fills standardized to 30-day supplies 640 Days of Medication total across all patients in 2023 | |||
| Fluocinolone AcetonideFluocinolone/Shower Cap | 21 | $99.90▼ below PR avg | ▼ Less than typical |
About Fluocinolone Acetonide: This shampoo is used to treat severe dandruff (seborrheic dermatitis). Show more ▾ Fluocinolone reduces the swelling, itching, flaking, and redness that can occur with dandruff. This medication is a low- to medium-strength corticosteroid. A glucocorticoid derivative used topically in the treatment of various skin disorders. It is usually employed as a cream, gel, lotion, or ointment. It has also been used topically in the treatment of inflammatory eye, ear, and nose disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p732) In 2023, this provider wrote 21 Medicare prescriptions for Fluocinolone Acetonide, about half the volume of the typical Puerto Rico prescriber of this medication (37). Medicare paid an average of $99.90 per fill, versus $123.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR 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 PR average for this medication. 21 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| Hydrocortisone | 18 | $7.97▼ below PR avg | ▼ Less than typical |
About Hydrocortisone: Hydrocortisone is a man-made version of a natural substance (cortisol) made by the adrenal gland. Show more ▾ This drug is used to treat low cortisol levels caused by diseases of the adrenal gland (such as Addison's disease, adrenocortical insufficiency). Hydrocortisone belongs to a class of drugs known as corticosteroids. Corticosteroids are needed in many ways for the body to function well. They are important for salt and water balance and keeping blood pressure normal. The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. In 2023, this provider wrote 18 Medicare prescriptions for Hydrocortisone, about 67% of the volume of the typical Puerto Rico prescriber of this medication (27). Medicare paid an average of $7.97 per fill, versus $25.74 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR 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 PR average for this medication. 18 30-Day Fills standardized to 30-day supplies 263 Days of Medication total across all patients in 2023 | |||
| Pimecrolimus | 15 | $194.29▼ below PR avg | ▼ Less than typical |
About Pimecrolimus: Pimecrolimus is used to treat certain skin conditions such as eczema (atopic dermatitis) in people who should not use or have not responded to other eczema medications (such as topical steroids). Show more ▾ Eczema is an allergic-type condition that causes red, irritated, and itchy skin. This drug works by changing the skin's defense (immune) system, thereby decreasing the allergic reaction that causes eczema. Pimecrolimus belongs to a class of drugs known as topical calcineurin inhibitors (TCIs). This medication is not recommended if you have a history of a certain rare genetic disorder (Netherton's syndrome). Also, this medication should not be used by anyone who has a weakened immune system (such as following an organ transplant). In 2023, this provider wrote 15 Medicare prescriptions for Pimecrolimus, about 68% of the volume of the typical Puerto Rico prescriber of this medication (22). Medicare paid an average of $194.29 per fill, versus $234.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR 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 PR average for this medication. 15 30-Day Fills standardized to 30-day supplies 212 Days of Medication total across all patients in 2023 | |||
| Ammonium Lactate | 12 | $27.40 | ▼ Less than typical |
About Ammonium Lactate: This medication is used to treat dry, scaly skin conditions (such as xerosis, ichthyosis vulgaris) and can also help relieve itching from these conditions. Show more ▾ This medication works by increasing the moisture in the skin. A normal intermediate in the fermentation (oxidation, metabolism) of sugar. The concentrated form is used internally to prevent gastrointestinal fermentation. (From Stedman, 26th ed) In 2023, this provider wrote 12 Medicare prescriptions for Ammonium Lactate, about a quarter of the volume of the typical Puerto Rico prescriber of this medication (56). Medicare paid an average of $27.40 per fill, versus $24.41 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average PR 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. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for LILLIANA MARIA RAMIREZ GARCIA 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 Dermatology prescribing approach at this San Juan, PR 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 PR prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
