THERESA N TRAN MD
Prescription History 1992835607
Internal Medicine - Endocrinology, Diabetes & Metabolism in Renton, WA

Name: Medicare Part D prescriptions by Theresa Tran (NPI 1992835607), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment

660 SW 39TH ST, STE 150, RENTON, WA 98057(425) 793-4700(425) 656-4046 Get Directions

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for THERESA N TRAN MD, an active Endocrinology, Diabetes & Metabolism specialist practicing in Renton, WA. Our medical registry currently tracks 84 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 5,642 documented patient claims. Among these therapy options, the most frequently utilized medication is Levothyroxine Sodium, which accounts for 559 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

5,642

Total Claims

14,320

30-Day Fills

Levothyroxine Sodium

Most Prescribed · 559 claims

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Prescription Volume vs WA Average

84 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by THERESA N TRAN MD in 2023, with prescription volumes, average cost per fill, and WA state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other WA PrescribersVs. WA Avg
Levothyroxine Sodium	559	$12.93▼ below WA avg	▲ More than typical
About Levothyroxine Sodium: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 559 Medicare prescriptions for Levothyroxine Sodium, about 5.1 times the volume of the typical Washington prescriber of this medication (110). Medicare paid an average of $12.93 per fill, versus $18.23 statewide. How often this provider prescribes it This provider 559 WA average 110.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.93 WA average $18.23 This provider's average cost per fill is below the WA average for this medication. 1,553 30-Day Fills standardized to 30-day supplies 46,537 Days of Medication total across all patients in 2023
Atorvastatin Calcium	385	$16.47	▲ More than typical
About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors. In 2023, this provider wrote 385 Medicare prescriptions for Atorvastatin Calcium, about 2.6 times the volume of the typical Washington prescriber of this medication (149). Medicare paid an average of $16.47 per fill, versus $13.28 statewide. How often this provider prescribes it This provider 385 WA average 149.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.47 WA average $13.28 Gross Part D cost per fill; not the patient's out-of-pocket price. 1,105.3 30-Day Fills standardized to 30-day supplies 33,132 Days of Medication total across all patients in 2023
JardianceEmpagliflozin	307	$1,361.31	▲ More than typical
About Jardiance: Empagliflozin 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. Empagliflozin is also used in patients with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Empagliflozin works by increasing the removal of sugar by your kidneys. Empagliflozin is also used to treat heart failure. It may help you live longer and lower your risk of going to the hospital for heart failure. Empagliflozin works by increasing the removal of sodium by your kidneys. In 2023, this provider wrote 307 Medicare prescriptions for Jardiance, about 9.6 times the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $1,361.31 per fill, versus $1,066.24 statewide. How often this provider prescribes it This provider 307 WA average 32.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,361.31 WA average $1,066.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 691 30-Day Fills standardized to 30-day supplies 20,666 Days of Medication total across all patients in 2023
Metformin Hcl ErMetformin Hcl	303	$16.51	▲ More than typical
About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. 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. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 303 Medicare prescriptions for Metformin Hcl Er, about 6.7 times the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $16.51 per fill, versus $11.92 statewide. How often this provider prescribes it This provider 303 WA average 45.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.51 WA average $11.92 Gross Part D cost per fill; not the patient's out-of-pocket price. 788 30-Day Fills standardized to 30-day supplies 23,583 Days of Medication total across all patients in 2023
OzempicSemaglutide	300	$1,789.52	▲ More than typical
About Ozempic: Semaglutide 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. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment. In 2023, this provider wrote 300 Medicare prescriptions for Ozempic, about 8.8 times the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $1,789.52 per fill, versus $1,381.42 statewide. How often this provider prescribes it This provider 300 WA average 34.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,789.52 WA average $1,381.42 Gross Part D cost per fill; not the patient's out-of-pocket price. 534 30-Day Fills standardized to 30-day supplies 15,706 Days of Medication total across all patients in 2023
Metformin Hcl	269	$12.06	▲ More than typical
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. 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. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 269 Medicare prescriptions for Metformin Hcl, about 4.1 times the volume of the typical Washington prescriber of this medication (65). Medicare paid an average of $12.06 per fill, versus $9.35 statewide. How often this provider prescribes it This provider 269 WA average 65.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.06 WA average $9.35 Gross Part D cost per fill; not the patient's out-of-pocket price. 759 30-Day Fills standardized to 30-day supplies 22,737 Days of Medication total across all patients in 2023
Lantus SolostarInsulin Glargine,hum.Rec.Anlog	188	$937.83	▲ More than typical
About Lantus Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 188 Medicare prescriptions for Lantus Solostar, about 6.1 times the volume of the typical Washington prescriber of this medication (31). Medicare paid an average of $937.83 per fill, versus $689.25 statewide. How often this provider prescribes it This provider 188 WA average 31.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $937.83 WA average $689.25 Gross Part D cost per fill; not the patient's out-of-pocket price. 537.6 30-Day Fills standardized to 30-day supplies 16,044 Days of Medication total across all patients in 2023
Glipizide	162	$10.48	▲ More than typical
About Glipizide: Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. 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. Glipizide belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. An oral hypoglycemic agent which is rapidly absorbed and completely metabolized. In 2023, this provider wrote 162 Medicare prescriptions for Glipizide, about 5.6 times the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $10.48 per fill, versus $10.36 statewide. How often this provider prescribes it This provider 162 WA average 29.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.48 WA average $10.36 Gross Part D cost per fill; not the patient's out-of-pocket price. 465.6 30-Day Fills standardized to 30-day supplies 13,969 Days of Medication total across all patients in 2023
Methimazole	140	$12.54▼ below WA avg	▲ More than typical
About Methimazole: Methimazole is used to treat overactive thyroid (hyperthyroidism). Show more ▾ It works by stopping the thyroid gland from making too much thyroid hormone. A thioureylene antithyroid agent that inhibits the formation of thyroid hormones by interfering with the incorporation of iodine into tyrosyl residues of thyroglobulin. This is done by interfering with the oxidation of iodide ion and iodotyrosyl groups through inhibition of the peroxidase enzyme. In 2023, this provider wrote 140 Medicare prescriptions for Methimazole, about 3.6 times the volume of the typical Washington prescriber of this medication (39). Medicare paid an average of $12.54 per fill, versus $13.68 statewide. How often this provider prescribes it This provider 140 WA average 39.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.54 WA average $13.68 This provider's average cost per fill is below the WA average for this medication. 347.6 30-Day Fills standardized to 30-day supplies 10,355 Days of Medication total across all patients in 2023
Novolog FlexpenInsulin Aspart	138	$1,364.83	▲ More than typical
About Novolog Flexpen: Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin aspart is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin aspart starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin that has been modified to contain an ASPARTIC ACID instead of a PROLINE at position 38 of the B-chain. In 2023, this provider wrote 138 Medicare prescriptions for Novolog Flexpen, about 5.5 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $1,364.83 per fill, versus $945.49 statewide. How often this provider prescribes it This provider 138 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,364.83 WA average $945.49 Gross Part D cost per fill; not the patient's out-of-pocket price. 303.1 30-Day Fills standardized to 30-day supplies 8,902 Days of Medication total across all patients in 2023
Humalog Kwikpen U-100Insulin Lispro	134	$2,124.80	▲ More than typical
About Humalog Kwikpen U-100: Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 134 Medicare prescriptions for Humalog Kwikpen U-100, about 5.6 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $2,124.80 per fill, versus $1,004.58 statewide. How often this provider prescribes it This provider 134 WA average 24.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,124.80 WA average $1,004.58 Gross Part D cost per fill; not the patient's out-of-pocket price. 376.3 30-Day Fills standardized to 30-day supplies 11,224 Days of Medication total across all patients in 2023
Pioglitazone Hcl	109	$13.47▼ below WA avg	▲ More than typical
About Pioglitazone Hcl: Pioglitazone is a diabetes drug (thiazolidinedione-type, also called glitazones) used along with a proper diet and exercise program to control high blood sugar in patients with type 2 diabetes. Show more ▾ It works by helping to restore your body's proper response to insulin, thereby lowering your blood sugar. 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. Pioglitazone is used either alone or in combination with other diabetes medications (such as metformin or a sulfonylurea such as glyburide). Talk to your doctor about the risks and benefits of pioglitazone. In 2023, this provider wrote 109 Medicare prescriptions for Pioglitazone Hcl, about 3.9 times the volume of the typical Washington prescriber of this medication (28). Medicare paid an average of $13.47 per fill, versus $16.93 statewide. How often this provider prescribes it This provider 109 WA average 28.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.47 WA average $16.93 This provider's average cost per fill is below the WA average for this medication. 288 30-Day Fills standardized to 30-day supplies 8,612 Days of Medication total across all patients in 2023
Losartan Potassium	105	$15.02	≈ 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 105 Medicare prescriptions for Losartan Potassium, about the same volume as the typical Washington prescriber of this medication (93). Medicare paid an average of $15.02 per fill, versus $11.70 statewide. How often this provider prescribes it This provider 105 WA average 93.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.02 WA average $11.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 290 30-Day Fills standardized to 30-day supplies 8,700 Days of Medication total across all patients in 2023
Nano 2nd Gen Pen NeedlePen Needle, Diabetic	101	$121.34	▲ More than typical
In 2023, this provider wrote 101 Medicare prescriptions for Nano 2nd Gen Pen Needle, about 4.6 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $121.34 per fill, versus $102.15 statewide. How often this provider prescribes it This provider 101 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $121.34 WA average $102.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 269.7 30-Day Fills standardized to 30-day supplies 8,013 Days of Medication total across all patients in 2023
Lisinopril	91	$9.88	≈ 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 91 Medicare prescriptions for Lisinopril, about 88% of the volume of the typical Washington prescriber of this medication (104). Medicare paid an average of $9.88 per fill, versus $8.10 statewide. How often this provider prescribes it This provider 91 WA average 104.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.88 WA average $8.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 273.7 30-Day Fills standardized to 30-day supplies 8,210 Days of Medication total across all patients in 2023
Amlodipine Besylate	88	$6.56▼ below WA avg	≈ 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 88 Medicare prescriptions for Amlodipine Besylate, about the same volume as the typical Washington prescriber of this medication (97). Medicare paid an average of $6.56 per fill, versus $8.27 statewide. How often this provider prescribes it This provider 88 WA average 97.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.56 WA average $8.27 This provider's average cost per fill is below the WA average for this medication. 259.3 30-Day Fills standardized to 30-day supplies 7,780 Days of Medication total across all patients in 2023
Rosuvastatin Calcium	87	$21.14▼ below WA avg	▲ More than typical
About Rosuvastatin Calcium: Rosuvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps to prevent strokes and heart attacks. In addition to eating a proper diet (such as a low cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Talk with your doctor for more details. A HYDROXYMETHYLGLUTARYL-COA-REDUCTASE INHIBITOR, or statin, that reduces the plasma concentrations of LDL-CHOLESTEROL; APOLIPOPROTEIN B, and TRIGLYCERIDES while increasing HDL-CHOLESTEROL levels in patients with HYPERCHOLESTEROLEMIA and those at risk for CARDIOVASCULAR DISEASES. In 2023, this provider wrote 87 Medicare prescriptions for Rosuvastatin Calcium, about 1.4 times the volume of the typical Washington prescriber of this medication (64). Medicare paid an average of $21.14 per fill, versus $28.00 statewide. How often this provider prescribes it This provider 87 WA average 64.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.14 WA average $28.00 This provider's average cost per fill is below the WA average for this medication. 262 30-Day Fills standardized to 30-day supplies 7,860 Days of Medication total across all patients in 2023
Simvastatin	80	$16.41	▲ More than typical
About Simvastatin: Simvastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL. In 2023, this provider wrote 80 Medicare prescriptions for Simvastatin, about 1.4 times the volume of the typical Washington prescriber of this medication (56). Medicare paid an average of $16.41 per fill, versus $8.70 statewide. How often this provider prescribes it This provider 80 WA average 56.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $16.41 WA average $8.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 213.7 30-Day Fills standardized to 30-day supplies 6,410 Days of Medication total across all patients in 2023
Alendronate Sodium	77	$13.04▼ below WA avg	▲ More than typical
About Alendronate Sodium: Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time. This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates. A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis. In 2023, this provider wrote 77 Medicare prescriptions for Alendronate Sodium, about 2 times the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $13.04 per fill, versus $13.14 statewide. How often this provider prescribes it This provider 77 WA average 38.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.04 WA average $13.14 This provider's average cost per fill is below the WA average for this medication. 212.2 30-Day Fills standardized to 30-day supplies 6,362 Days of Medication total across all patients in 2023
TrulicityDulaglutide	77	$1,582.31	▲ More than typical
About Trulicity: Dulaglutide 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. This medication is also used to lessen the risk of a major cardiovascular event (such as heart attack or stroke) in people who already have, or are at high risk for heart/blood vessel disease. Dulaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and by decreasing the amount of sugar your liver makes. Dulaglutide is not a substitute for insulin if you need insulin treatment. In 2023, this provider wrote 77 Medicare prescriptions for Trulicity, about 2.6 times the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $1,582.31 per fill, versus $1,396.95 statewide. How often this provider prescribes it This provider 77 WA average 30.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,582.31 WA average $1,396.95 Gross Part D cost per fill; not the patient's out-of-pocket price. 118.4 30-Day Fills standardized to 30-day supplies 3,444 Days of Medication total across all patients in 2023
SynthroidLevothyroxine Sodium	73	$76.48	▲ More than typical
About Synthroid: Levothyroxine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally produced by the thyroid gland. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone is important for maintaining normal mental and physical activity. In children, having enough thyroid hormone is important for normal mental and physical development. This medication is also used to treat other types of thyroid disorders (such as thyroid cancer). This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (MONOIODOTYROSINE) and the coupling of iodotyrosines (DIIODOTYROSINE) in the THYROGLOBULIN. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form TRIIODOTHYRONINE which exerts a broad spectrum of stimulatory effects on cell metabolism. In 2023, this provider wrote 73 Medicare prescriptions for Synthroid, about 3 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $76.48 per fill, versus $74.43 statewide. How often this provider prescribes it This provider 73 WA average 24.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $76.48 WA average $74.43 Gross Part D cost per fill; not the patient's out-of-pocket price. 204.5 30-Day Fills standardized to 30-day supplies 6,134 Days of Medication total across all patients in 2023
Victoza 3-PakLiraglutide	72	$2,287.11	▲ More than typical
About Victoza 3-Pak: This medication is used with a doctor-approved exercise, behavior change, and reduced-calorie diet program to help you lose weight. Show more ▾ It is used by certain overweight people, such as those who are obese or have weight-related medical problems. Losing weight and keeping it off can lessen the many health risks that come with obesity, including heart disease, diabetes, high blood pressure, and a shorter life. Liraglutide is similar to a natural hormone in your body (incretin). It works by controlling your appetite. An analog of GLUCAGON-LIKE PEPTIDE 1 and agonist of the GLUCAGON-LIKE PEPTIDE 1 RECEPTOR that is used as a HYPOGLYCEMIC AGENT and supplemental therapy in the treatment of DIABETES MELLITUS by patients who do not respond to METFORMIN. In 2023, this provider wrote 72 Medicare prescriptions for Victoza 3-Pak, about 3.3 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $2,287.11 per fill, versus $1,624.49 statewide. How often this provider prescribes it This provider 72 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,287.11 WA average $1,624.49 Gross Part D cost per fill; not the patient's out-of-pocket price. 146 30-Day Fills standardized to 30-day supplies 4,380 Days of Medication total across all patients in 2023
Tresiba Flextouch U-100Insulin Degludec	70	$772.51	▲ More than typical
About Tresiba Flextouch U-100: Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin degludec is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. In 2023, this provider wrote 70 Medicare prescriptions for Tresiba Flextouch U-100, about 2.8 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $772.51 per fill, versus $698.89 statewide. How often this provider prescribes it This provider 70 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $772.51 WA average $698.89 Gross Part D cost per fill; not the patient's out-of-pocket price. 195.9 30-Day Fills standardized to 30-day supplies 5,869 Days of Medication total across all patients in 2023
Tresiba Flextouch U-200Insulin Degludec	68	$1,712.15	▲ More than typical
About Tresiba Flextouch U-200: Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin degludec is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin degludec may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. In 2023, this provider wrote 68 Medicare prescriptions for Tresiba Flextouch U-200, about 2.7 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $1,712.15 per fill, versus $1,375.58 statewide. How often this provider prescribes it This provider 68 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,712.15 WA average $1,375.58 Gross Part D cost per fill; not the patient's out-of-pocket price. 161.2 30-Day Fills standardized to 30-day supplies 4,817 Days of Medication total across all patients in 2023
Insulin Lispro Kwikpen U-100Insulin Lispro	63	$619.98	▲ More than typical
About Insulin Lispro Kwikpen U-100: Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 63 Medicare prescriptions for Insulin Lispro Kwikpen U-100, about 2.5 times the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $619.98 per fill, versus $170.80 statewide. How often this provider prescribes it This provider 63 WA average 25.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $619.98 WA average $170.80 Gross Part D cost per fill; not the patient's out-of-pocket price. 138.5 30-Day Fills standardized to 30-day supplies 4,154 Days of Medication total across all patients in 2023
Droplet Pen NeedlePen Needle, Diabetic	63	$120.51	▲ More than typical
In 2023, this provider wrote 63 Medicare prescriptions for Droplet Pen Needle, about 3.3 times the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $120.51 per fill, versus $74.20 statewide. How often this provider prescribes it This provider 63 WA average 19.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $120.51 WA average $74.20 Gross Part D cost per fill; not the patient's out-of-pocket price. 176.7 30-Day Fills standardized to 30-day supplies 5,300 Days of Medication total across all patients in 2023
LantusInsulin Glargine,hum.Rec.Anlog	63	$645.75▼ below WA avg	▲ More than typical
About Lantus: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 63 Medicare prescriptions for Lantus, about 3.2 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $645.75 per fill, versus $715.01 statewide. How often this provider prescribes it This provider 63 WA average 20.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $645.75 WA average $715.01 This provider's average cost per fill is below the WA average for this medication. 102.7 30-Day Fills standardized to 30-day supplies 2,989 Days of Medication total across all patients in 2023
HumalogInsulin Lispro	62	$1,805.13	▲ More than typical
About Humalog: Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 62 Medicare prescriptions for Humalog, about 2.8 times the volume of the typical Washington prescriber of this medication (22). Medicare paid an average of $1,805.13 per fill, versus $855.08 statewide. How often this provider prescribes it This provider 62 WA average 22.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,805.13 WA average $855.08 Gross Part D cost per fill; not the patient's out-of-pocket price. 179.8 30-Day Fills standardized to 30-day supplies 5,375 Days of Medication total across all patients in 2023
NovologInsulin Aspart	54	$1,122.06	▲ More than typical
About Novolog: Insulin aspart is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin aspart is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin aspart starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin that has been modified to contain an ASPARTIC ACID instead of a PROLINE at position 38 of the B-chain. In 2023, this provider wrote 54 Medicare prescriptions for Novolog, about 2.3 times the volume of the typical Washington prescriber of this medication (23). Medicare paid an average of $1,122.06 per fill, versus $969.20 statewide. How often this provider prescribes it This provider 54 WA average 23.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,122.06 WA average $969.20 Gross Part D cost per fill; not the patient's out-of-pocket price. 97.8 30-Day Fills standardized to 30-day supplies 2,845 Days of Medication total across all patients in 2023
Gabapentin	54	$26.66	≈ 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 54 Medicare prescriptions for Gabapentin, about 78% of the volume of the typical Washington prescriber of this medication (69). Medicare paid an average of $26.66 per fill, versus $25.75 statewide. How often this provider prescribes it This provider 54 WA average 69.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.66 WA average $25.75 Gross Part D cost per fill; not the patient's out-of-pocket price. 155.9 30-Day Fills standardized to 30-day supplies 4,676 Days of Medication total across all patients in 2023
Ezetimibe	48	$35.26▼ below WA avg	▲ More than typical
About Ezetimibe: Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood. Show more ▾ Ezetimibe may be used alone or with other drugs (such as statins or fibrates). Ezetimibe works by reducing the amount of cholesterol your body absorbs from your diet. Reducing cholesterol may help prevent strokes and heart attacks. An azetidine derivative and ANTICHOLESTEREMIC AGENT that inhibits intestinal STEROL absorption. It is used to reduce total CHOLESTEROL; LDL CHOLESTEROL, and APOLIPOPROTEINS B in the treatment of HYPERLIPIDEMIAS. In 2023, this provider wrote 48 Medicare prescriptions for Ezetimibe, about 1.5 times the volume of the typical Washington prescriber of this medication (33). Medicare paid an average of $35.26 per fill, versus $55.60 statewide. How often this provider prescribes it This provider 48 WA average 33.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.26 WA average $55.60 This provider's average cost per fill is below the WA average for this medication. 132 30-Day Fills standardized to 30-day supplies 3,960 Days of Medication total across all patients in 2023
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog	45	$1,287.10	▲ More than typical
About Toujeo Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 45 Medicare prescriptions for Toujeo Solostar, about 2.5 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $1,287.10 per fill, versus $997.12 statewide. How often this provider prescribes it This provider 45 WA average 18.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,287.10 WA average $997.12 Gross Part D cost per fill; not the patient's out-of-pocket price. 103 30-Day Fills standardized to 30-day supplies 3,091 Days of Medication total across all patients in 2023
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog	45	$2,860.39	▲ More than typical
About Toujeo Max Solostar: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 45 Medicare prescriptions for Toujeo Max Solostar, about 2.4 times the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $2,860.39 per fill, versus $1,576.05 statewide. How often this provider prescribes it This provider 45 WA average 19.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,860.39 WA average $1,576.05 Gross Part D cost per fill; not the patient's out-of-pocket price. 119.4 30-Day Fills standardized to 30-day supplies 3,582 Days of Medication total across all patients in 2023
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog	45	$679.01	▲ More than typical
About Basaglar Kwikpen U-100: Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin glargine is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin glargine may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs. This monograph is about the following insulin glargine products: insulin glargine, insulin glargine-yfgn. A recombinant LONG ACTING INSULIN and HYPOGLYCEMIC AGENT that is used to manage BLOOD GLUCOSE in patients with DIABETES MELLITUS. In 2023, this provider wrote 45 Medicare prescriptions for Basaglar Kwikpen U-100, about 2.1 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $679.01 per fill, versus $474.14 statewide. How often this provider prescribes it This provider 45 WA average 21.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $679.01 WA average $474.14 Gross Part D cost per fill; not the patient's out-of-pocket price. 106.5 30-Day Fills standardized to 30-day supplies 3,177 Days of Medication total across all patients in 2023
Ultra-Fine Nano Pen NeedlePen Needle, Diabetic	43	$120.72	▲ More than typical
In 2023, this provider wrote 43 Medicare prescriptions for Ultra-Fine Nano Pen Needle, about 2.5 times the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $120.72 per fill, versus $85.87 statewide. How often this provider prescribes it This provider 43 WA average 17.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $120.72 WA average $85.87 Gross Part D cost per fill; not the patient's out-of-pocket price. 126.3 30-Day Fills standardized to 30-day supplies 3,790 Days of Medication total across all patients in 2023
Testosterone	43	$636.20	▲ More than typical
About Testosterone: This medicated patch contains testosterone. Show more ▾ It is used for hormone replacement in men who are not able to produce enough testosterone (for example, due to hypogonadism). This medication is absorbed through the skin, enters your bloodstream, and helps your body reach normal testosterone levels. Testosterone helps the body to develop and maintain the male sexual characteristics (masculinity), such as a deep voice and body hair. It also helps to maintain muscle and prevent bone loss, and is necessary for natural sexual ability/desire. This drug should not be used by women. A potent androgenic steroid and major product secreted by the LEYDIG CELLS of the TESTIS. Its production is stimulated by LUTEINIZING HORMONE from the PITUITARY GLAND. In turn, testosterone exerts feedback control of the pituitary LH and FSH secretion. Depending on the tissues, testosterone can be further converted to DIHYDROTESTOSTERONE or ESTRADIOL. In 2023, this provider wrote 43 Medicare prescriptions for Testosterone, about 2.4 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $636.20 per fill, versus $257.24 statewide. How often this provider prescribes it This provider 43 WA average 18.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $636.20 WA average $257.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 85 30-Day Fills standardized to 30-day supplies 2,536 Days of Medication total across all patients in 2023
Levemir FlexpenInsulin Detemir	39	$1,177.62	– No State Data
About Levemir Flexpen: Insulin detemir is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin detemir is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. It acts longer than regular insulin, providing a low, steady level of insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. Insulin detemir may be used with a shorter-acting insulin product. It may also be used alone or with other diabetes drugs (such as metformin, exenatide). A recombinant long-acting insulin and hypoglycemic agent in which a MYRISTIC ACID is conjugated to a LYSINE at position B29. It is used to manage BLOOD GLUCOSE levels in patients with DIABETES MELLITUS. In 2023, this provider wrote 39 Medicare prescriptions for Levemir Flexpen. Medicare paid an average of $1,177.62 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 $1,177.62 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 120 30-Day Fills standardized to 30-day supplies 3,600 Days of Medication total across all patients in 2023
Alcohol Prep PadsAlcohol Antiseptic Pads	36	$19.59	▲ More than typical
In 2023, this provider wrote 36 Medicare prescriptions for Alcohol Prep Pads, about 1.4 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $19.59 per fill, versus $11.77 statewide. How often this provider prescribes it This provider 36 WA average 26.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.59 WA average $11.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 48.4 30-Day Fills standardized to 30-day supplies 1,373 Days of Medication total across all patients in 2023
Humalog Kwikpen U-200Insulin Lispro	36	$4,697.33	▲ More than typical
About Humalog Kwikpen U-200: Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with 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. Insulin lispro is a man-made product that is similar to human insulin. It replaces the insulin that your body would normally make. Insulin lispro starts working faster and lasts for a shorter time than regular insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This medication is usually used with a medium- or long-acting insulin product. Insulin lispro may also be used with other oral diabetes medications (such as sulfonylureas like glyburide or glipizide). Insulin that has been modified so that the B-chain contains a LYSINE at position 28 instead of a PROLINE and a PROLINE at position 29 instead of a LYSINE. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 36 Medicare prescriptions for Humalog Kwikpen U-200, about 2 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $4,697.33 per fill, versus $2,440.30 statewide. How often this provider prescribes it This provider 36 WA average 18.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4,697.33 WA average $2,440.30 Gross Part D cost per fill; not the patient's out-of-pocket price. 91.4 30-Day Fills standardized to 30-day supplies 2,743 Days of Medication total across all patients in 2023
Ultra-Fine Short Pen NeedlePen Needle, Diabetic	33	$134.24	▲ More than typical
In 2023, this provider wrote 33 Medicare prescriptions for Ultra-Fine Short Pen Needle, about 1.8 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $134.24 per fill, versus $80.02 statewide. How often this provider prescribes it This provider 33 WA average 18.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $134.24 WA average $80.02 Gross Part D cost per fill; not the patient's out-of-pocket price. 89.3 30-Day Fills standardized to 30-day supplies 2,670 Days of Medication total across all patients in 2023
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide	31	$19.20▼ below WA avg	≈ Typical
About Losartan-Hydrochlorothiazide: This drug is used to treat high blood pressure. 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. This product contains two medications: losartan and hydrochlorothiazide. Losartan is an angiotensin receptor blocker (ARB) and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. In 2023, this provider wrote 31 Medicare prescriptions for Losartan-Hydrochlorothiazide, about 1.2 times the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $19.20 per fill, versus $20.15 statewide. How often this provider prescribes it This provider 31 WA average 26.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $19.20 WA average $20.15 This provider's average cost per fill is below the WA average for this medication. 93 30-Day Fills standardized to 30-day supplies 2,790 Days of Medication total across all patients in 2023
Unifine PentipsPen Needle, Diabetic	31	$30.91▼ below WA avg	▲ More than typical
In 2023, this provider wrote 31 Medicare prescriptions for Unifine Pentips, about 1.5 times the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $30.91 per fill, versus $37.23 statewide. How often this provider prescribes it This provider 31 WA average 21.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $30.91 WA average $37.23 This provider's average cost per fill is below the WA average for this medication. 35 30-Day Fills standardized to 30-day supplies 934 Days of Medication total across all patients in 2023
FarxigaDapagliflozin Propanediol	31	$1,347.75	≈ 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 31 Medicare prescriptions for Farxiga, about the same volume as the typical Washington prescriber of this medication (29). Medicare paid an average of $1,347.75 per fill, versus $976.37 statewide. How often this provider prescribes it This provider 31 WA average 29.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,347.75 WA average $976.37 Gross Part D cost per fill; not the patient's out-of-pocket price. 73 30-Day Fills standardized to 30-day supplies 2,190 Days of Medication total across all patients in 2023
Liothyronine Sodium	29	$44.85▼ below WA avg	≈ Typical
About Liothyronine Sodium: Liothyronine is used to treat an underactive thyroid (hypothyroidism). Show more ▾ It replaces or provides more thyroid hormone, which is normally made by the thyroid gland. Liothyronine is a man-made form of thyroid hormone. Low thyroid hormone levels can occur naturally or when the thyroid gland is injured by radiation/medications or removed by surgery. Having enough thyroid hormone helps you stay healthy. For children, having enough thyroid hormone helps them grow and learn normally. This medication is also used to treat other types of thyroid problems (such as certain types of goiters, thyroid cancer). It can also be used to test for certain types of thyroid disease. This medication should not be used to treat infertility unless it is caused by low thyroid hormone levels. A T3 thyroid hormone normally synthesized and secreted by the thyroid gland in much smaller quantities than thyroxine (T4). Most T3 is derived from peripheral monodeiodination of T4 at the 5' position of the outer ring of the iodothyronine nucleus. The hormone finally delivered and used by the tissues is mainly T3. In 2023, this provider wrote 29 Medicare prescriptions for Liothyronine Sodium, about the same volume as the typical Washington prescriber of this medication (28). Medicare paid an average of $44.85 per fill, versus $61.23 statewide. How often this provider prescribes it This provider 29 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $44.85 WA average $61.23 This provider's average cost per fill is below the WA average for this medication. 85 30-Day Fills standardized to 30-day supplies 2,550 Days of Medication total across all patients in 2023
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide	29	$13.38	≈ Typical
About Lisinopril-Hydrochlorothiazide: This medication is used to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product contains two medications: lisinopril and hydrochlorothiazide. Lisinopril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. Hydrochlorothiazide is a water pill (diuretic) that causes you to make more urine, which helps your body get rid of extra salt and water. This product is used when one drug is not controlling your blood pressure. Your doctor may direct you to take the individual medications first, and then switch you to this combination product. Do not continue taking the individual medications (lisinopril and/or hydrochlorothiazide) after you start this medication. In 2023, this provider wrote 29 Medicare prescriptions for Lisinopril-Hydrochlorothiazide, about the same volume as the typical Washington prescriber of this medication (28). Medicare paid an average of $13.38 per fill, versus $9.77 statewide. How often this provider prescribes it This provider 29 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.38 WA average $9.77 Gross Part D cost per fill; not the patient's out-of-pocket price. 77 30-Day Fills standardized to 30-day supplies 2,310 Days of Medication total across all patients in 2023
Carvedilol	29	$11.93▼ below WA avg	▼ Less 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 29 Medicare prescriptions for Carvedilol, about 62% of the volume of the typical Washington prescriber of this medication (47). Medicare paid an average of $11.93 per fill, versus $13.14 statewide. How often this provider prescribes it This provider 29 WA average 47.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.93 WA average $13.14 This provider's average cost per fill is below the WA average for this medication. 86.7 30-Day Fills standardized to 30-day supplies 2,600 Days of Medication total across all patients in 2023
Hydrochlorothiazide	28	$4.79▼ below WA avg	▼ 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 28 Medicare prescriptions for Hydrochlorothiazide, about half the volume of the typical Washington prescriber of this medication (57). Medicare paid an average of $4.79 per fill, versus $5.87 statewide. How often this provider prescribes it This provider 28 WA average 57.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.79 WA average $5.87 This provider's average cost per fill is below the WA average for this medication. 85.3 30-Day Fills standardized to 30-day supplies 2,560 Days of Medication total across all patients in 2023
JanuviaSitagliptin Phosphate	28	$1,509.00	≈ Typical
About Januvia: Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in people with type 2 diabetes. 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. Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes. A pyrazine-derived DIPEPTIDYL-PEPTIDASE IV INHIBITOR and HYPOGLYCEMIC AGENT that increases the levels of the INCRETIN hormones GLUCAGON-LIKE PEPTIDE-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). It is used in the treatment of TYPE 2 DIABETES. In 2023, this provider wrote 28 Medicare prescriptions for Januvia, about 1.2 times the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $1,509.00 per fill, versus $981.85 statewide. How often this provider prescribes it This provider 28 WA average 24.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,509.00 WA average $981.85 Gross Part D cost per fill; not the patient's out-of-pocket price. 77 30-Day Fills standardized to 30-day supplies 2,310 Days of Medication total across all patients in 2023
FenofibrateFenofibrate Nanocrystallized	27	$27.93▼ below WA avg	▲ More than typical
About Fenofibrate: Fenofibrate is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 27 Medicare prescriptions for Fenofibrate, about 1.4 times the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $27.93 per fill, versus $47.74 statewide. How often this provider prescribes it This provider 27 WA average 19.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.93 WA average $47.74 This provider's average cost per fill is below the WA average for this medication. 56 30-Day Fills standardized to 30-day supplies 1,680 Days of Medication total across all patients in 2023
Topiramate	26	$58.20	≈ 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 26 Medicare prescriptions for Topiramate, about the same volume as the typical Washington prescriber of this medication (28). Medicare paid an average of $58.20 per fill, versus $21.47 statewide. How often this provider prescribes it This provider 26 WA average 28.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $58.20 WA average $21.47 Gross Part D cost per fill; not the patient's out-of-pocket price. 77 30-Day Fills standardized to 30-day supplies 2,310 Days of Medication total across all patients in 2023
Bydureon BciseExenatide Microspheres	26	$1,049.30▼ below WA avg	▲ More than typical
About Bydureon Bcise: Exenatide is used either alone or with other medications, and 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. Exenatide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high sugar (such as after a meal) and decreasing the amount of sugar your liver makes. Exenatide is not a substitute for insulin if you require insulin treatment. In 2023, this provider wrote 26 Medicare prescriptions for Bydureon Bcise, about 1.6 times the volume of the typical Washington prescriber of this medication (16). Medicare paid an average of $1,049.30 per fill, versus $1,071.26 statewide. How often this provider prescribes it This provider 26 WA average 16.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,049.30 WA average $1,071.26 This provider's average cost per fill is below the WA average for this medication. 31.4 30-Day Fills standardized to 30-day supplies 908 Days of Medication total across all patients in 2023
Metoprolol Succinate	26	$14.75▼ below WA 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 26 Medicare prescriptions for Metoprolol Succinate, about a third of the volume of the typical Washington prescriber of this medication (82). Medicare paid an average of $14.75 per fill, versus $22.27 statewide. How often this provider prescribes it This provider 26 WA average 82.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.75 WA average $22.27 This provider's average cost per fill is below the WA average for this medication. 74 30-Day Fills standardized to 30-day supplies 2,220 Days of Medication total across all patients in 2023
Ultra-Fine Mini Pen NeedlePen Needle, Diabetic	26	$176.29	▲ More than typical
In 2023, this provider wrote 26 Medicare prescriptions for Ultra-Fine Mini Pen Needle, about 1.4 times the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $176.29 per fill, versus $92.10 statewide. How often this provider prescribes it This provider 26 WA average 18.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $176.29 WA average $92.10 Gross Part D cost per fill; not the patient's out-of-pocket price. 76.6 30-Day Fills standardized to 30-day supplies 2,299 Days of Medication total across all patients in 2023
Benazepril Hcl	25	$10.24▼ below WA avg	▲ More than typical
About Benazepril Hcl: Benazepril is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Benazepril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. In 2023, this provider wrote 25 Medicare prescriptions for Benazepril Hcl, about 1.3 times the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $10.24 per fill, versus $14.20 statewide. How often this provider prescribes it This provider 25 WA average 19.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.24 WA average $14.20 This provider's average cost per fill is below the WA average for this medication. 73 30-Day Fills standardized to 30-day supplies 2,190 Days of Medication total across all patients in 2023
RybelsusSemaglutide	24	$1,738.92	≈ Typical
About Rybelsus: Semaglutide 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. Semaglutide is also used in people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Semaglutide is similar to a natural hormone in your body (incretin). It works by causing insulin release in response to high blood sugar (such as after a meal) and decreasing the amount of sugar your liver makes. If you use insulin, semaglutide is not a substitute for insulin treatment. In 2023, this provider wrote 24 Medicare prescriptions for Rybelsus, about 1.2 times the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $1,738.92 per fill, versus $1,394.53 statewide. How often this provider prescribes it This provider 24 WA average 20.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,738.92 WA average $1,394.53 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023
Ulticare Pen NeedlePen Needle, Diabetic	22	$92.65	▲ More than typical
In 2023, this provider wrote 22 Medicare prescriptions for Ulticare Pen Needle, about 1.3 times the volume of the typical Washington prescriber of this medication (17). Medicare paid an average of $92.65 per fill, versus $74.32 statewide. How often this provider prescribes it This provider 22 WA average 17.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $92.65 WA average $74.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 32.4 30-Day Fills standardized to 30-day supplies 873 Days of Medication total across all patients in 2023
Pravastatin Sodium	22	$13.45▼ below WA avg	▼ Less than typical
About Pravastatin Sodium: Pravastatin is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It belongs to a group of drugs known as statins. It works by reducing the amount of cholesterol made by the liver. Lowering bad cholesterol and triglycerides and raising good cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES). In 2023, this provider wrote 22 Medicare prescriptions for Pravastatin Sodium, about half the volume of the typical Washington prescriber of this medication (38). Medicare paid an average of $13.45 per fill, versus $18.36 statewide. How often this provider prescribes it This provider 22 WA average 38.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.45 WA average $18.36 This provider's average cost per fill is below the WA average for this medication. 66 30-Day Fills standardized to 30-day supplies 1,980 Days of Medication total across all patients in 2023
Testosterone Cypionate	21	$17.16▼ below WA avg	≈ Typical
About Testosterone Cypionate: This medication is used in men who do not make enough of a natural substance called testosterone. Show more ▾ In males, testosterone is responsible for many normal functions, including growth and development of the genitals, muscles, and bones. It also helps cause normal sexual development (puberty) in boys. Testosterone belongs to a class of drugs known as androgens. It works by affecting many body systems so that the body can develop and function normally. Testosterone may also be used in certain adolescent boys to cause puberty in those with delayed puberty. It may also be used to treat certain types of breast cancer in women. In 2023, this provider wrote 21 Medicare prescriptions for Testosterone Cypionate, about the same volume as the typical Washington prescriber of this medication (22). Medicare paid an average of $17.16 per fill, versus $46.40 statewide. How often this provider prescribes it This provider 21 WA average 22.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.16 WA average $46.40 This provider's average cost per fill is below the WA average for this medication. 22.7 30-Day Fills standardized to 30-day supplies 644 Days of Medication total across all patients in 2023
Victoza 2-PakLiraglutide	21	$2,428.51	▲ More than typical
About Victoza 2-Pak: This medication is used with a doctor-approved exercise, behavior change, and reduced-calorie diet program to help you lose weight. Show more ▾ It is used by certain overweight people, such as those who are obese or have weight-related medical problems. Losing weight and keeping it off can lessen the many health risks that come with obesity, including heart disease, diabetes, high blood pressure, and a shorter life. Liraglutide is similar to a natural hormone in your body (incretin). It works by controlling your appetite. An analog of GLUCAGON-LIKE PEPTIDE 1 and agonist of the GLUCAGON-LIKE PEPTIDE 1 RECEPTOR that is used as a HYPOGLYCEMIC AGENT and supplemental therapy in the treatment of DIABETES MELLITUS by patients who do not respond to METFORMIN. In 2023, this provider wrote 21 Medicare prescriptions for Victoza 2-Pak, about 1.3 times the volume of the typical Washington prescriber of this medication (16). Medicare paid an average of $2,428.51 per fill, versus $995.54 statewide. How often this provider prescribes it This provider 21 WA average 16.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,428.51 WA average $995.54 Gross Part D cost per fill; not the patient's out-of-pocket price. 53.7 30-Day Fills standardized to 30-day supplies 1,610 Days of Medication total across all patients in 2023
Duloxetine Hcl	20	$22.27▼ below WA avg	▼ Less 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 20 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Washington prescriber of this medication (41). Medicare paid an average of $22.27 per fill, versus $43.16 statewide. How often this provider prescribes it This provider 20 WA average 41.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.27 WA average $43.16 This provider's average cost per fill is below the WA average for this medication. 61.3 30-Day Fills standardized to 30-day supplies 1,840 Days of Medication total across all patients in 2023
Techlite Pen NeedlePen Needle, Diabetic	19	$35.97	≈ Typical
In 2023, this provider wrote 19 Medicare prescriptions for Techlite Pen Needle, about the same volume as the typical Washington prescriber of this medication (18). Medicare paid an average of $35.97 per fill, versus $26.89 statewide. How often this provider prescribes it This provider 19 WA average 18.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.97 WA average $26.89 Gross Part D cost per fill; not the patient's out-of-pocket price. 44.4 30-Day Fills standardized to 30-day supplies 1,302 Days of Medication total across all patients in 2023
Omnipod 5 G6 Pods (Gen 5)Insulin Pump Cart,automated,bt	19	$962.24▼ below WA avg	≈ Typical
In 2023, this provider wrote 19 Medicare prescriptions for Omnipod 5 G6 Pods (Gen 5), about the same volume as the typical Washington prescriber of this medication (19). Medicare paid an average of $962.24 per fill, versus $1,124.33 statewide. How often this provider prescribes it This provider 19 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $962.24 WA average $1,124.33 This provider's average cost per fill is below the WA average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023
Repaglinide	19	$35.20▼ below WA avg	▼ Less than typical
About Repaglinide: Repaglinide is used alone or with other medications to control high blood sugar along with a proper diet and exercise program. Show more ▾ It is used in people with type 2 diabetes. 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. It works by stimulating the body to produce more insulin. Insulin is a natural substance that allows the body to properly use sugar from the diet. In 2023, this provider wrote 19 Medicare prescriptions for Repaglinide, about half the volume of the typical Washington prescriber of this medication (32). Medicare paid an average of $35.20 per fill, versus $57.57 statewide. How often this provider prescribes it This provider 19 WA average 32.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.20 WA average $57.57 This provider's average cost per fill is below the WA average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2023
Omnipod Dash Pods (Gen 4)Insulin Pump Cart,cont Inf,bt	19	$1,048.19▼ below WA avg	▼ Less than typical
In 2023, this provider wrote 19 Medicare prescriptions for Omnipod Dash Pods (Gen 4), about 63% of the volume of the typical Washington prescriber of this medication (30). Medicare paid an average of $1,048.19 per fill, versus $1,374.17 statewide. How often this provider prescribes it This provider 19 WA average 30.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,048.19 WA average $1,374.17 This provider's average cost per fill is below the WA average for this medication. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2023
Hydrocortisone	18	$64.80	▼ 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 69% of the volume of the typical Washington prescriber of this medication (26). Medicare paid an average of $64.80 per fill, versus $24.38 statewide. How often this provider prescribes it This provider 18 WA average 26.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $64.80 WA average $24.38 Gross Part D cost per fill; not the patient's out-of-pocket price. 42.3 30-Day Fills standardized to 30-day supplies 1,269 Days of Medication total across all patients in 2023
InvokanaCanagliflozin	18	$843.92▼ below WA avg	≈ Typical
About Invokana: Canagliflozin 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. Canagliflozin is also used by people with type 2 diabetes and heart disease to lower the risk of death from heart attack or stroke. Canagliflozin is also used by people with type 2 diabetes and kidney disease to lower the risk of dialysis, death from heart disease, and the need to go to the hospital for heart failure. Canagliflozin works by increasing the removal of sugar by your kidneys. A glucoside-derived SODIUM-GLUCOSE TRANSPORTER 2 inhibitor that stimulates urinary excretion of glucose by suppressing renal glucose reabsorption. It is used to manage BLOOD GLUCOSE levels in patients with TYPE 2 DIABETES. In 2023, this provider wrote 18 Medicare prescriptions for Invokana, about the same volume as the typical Washington prescriber of this medication (16). Medicare paid an average of $843.92 per fill, versus $1,006.44 statewide. How often this provider prescribes it This provider 18 WA average 16.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $843.92 WA average $1,006.44 This provider's average cost per fill is below the WA average for this medication. 26 30-Day Fills standardized to 30-day supplies 752 Days of Medication total across all patients in 2023
Novolin N FlexpenInsulin Nph Human Isophane	18	$587.85	▲ More than typical
In 2023, this provider wrote 18 Medicare prescriptions for Novolin N Flexpen, about 1.4 times the volume of the typical Washington prescriber of this medication (13). Medicare paid an average of $587.85 per fill, versus $418.01 statewide. How often this provider prescribes it This provider 18 WA average 13.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $587.85 WA average $418.01 Gross Part D cost per fill; not the patient's out-of-pocket price. 40.2 30-Day Fills standardized to 30-day supplies 1,205 Days of Medication total across all patients in 2023
Ultra-Fine Micro Pen NeedlePen Needle, Diabetic	17	$200.60	▲ More than typical
In 2023, this provider wrote 17 Medicare prescriptions for Ultra-Fine Micro Pen Needle, about 1.3 times the volume of the typical Washington prescriber of this medication (13). Medicare paid an average of $200.60 per fill, versus $121.24 statewide. How often this provider prescribes it This provider 17 WA average 13.0 This provider prescribes this medication more often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $200.60 WA average $121.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 52 30-Day Fills standardized to 30-day supplies 1,560 Days of Medication total across all patients in 2023
Desmopressin Acetate	16	$98.55▼ below WA avg	≈ 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 16 Medicare prescriptions for Desmopressin Acetate, about the same volume as the typical Washington prescriber of this medication (17). Medicare paid an average of $98.55 per fill, versus $161.05 statewide. How often this provider prescribes it This provider 16 WA average 17.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $98.55 WA average $161.05 This provider's average cost per fill is below the WA average for this medication. 39.8 30-Day Fills standardized to 30-day supplies 1,119 Days of Medication total across all patients in 2023
Fenofibrate	16	$56.43	≈ Typical
About Fenofibrate: Fenofibrate is used along with a proper diet to help lower bad cholesterol and fats (such as LDL, triglycerides) and raise good cholesterol (HDL) in the blood. Show more ▾ It works by increasing the natural substance (enzyme) that breaks down fats in the blood. Fenofibrate belongs to a group of drugs known as fibrates. Lowering triglycerides in people with very high triglyceride blood levels may decrease the risk of pancreas disease (pancreatitis). However, fenofibrate might not lower your risk of a heart attack or stroke. Talk to your doctor about the risks and benefits of fenofibrate. In addition to eating a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. An antilipemic agent which reduces both CHOLESTEROL and TRIGLYCERIDES in the blood. In 2023, this provider wrote 16 Medicare prescriptions for Fenofibrate, about 84% of the volume of the typical Washington prescriber of this medication (19). Medicare paid an average of $56.43 per fill, versus $47.74 statewide. How often this provider prescribes it This provider 16 WA average 19.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $56.43 WA average $47.74 Gross Part D cost per fill; not the patient's out-of-pocket price. 48 30-Day Fills standardized to 30-day supplies 1,440 Days of Medication total across all patients in 2023
Ibandronate Sodium	16	$23.65▼ below WA avg	≈ Typical
About Ibandronate Sodium: Ibandronate is used to prevent and treat certain types of bone loss (osteoporosis). Show more ▾ Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases after menopause, as you age, or if you take corticosteroid medications (such as prednisone) for long periods. This medication works by slowing bone loss to help maintain strong bones and reduce the risk of broken bones (fractures). Ibandronate belongs to a class of medications called bisphosphonates. Aminobisphosphonate that is a potent inhibitor of BONE RESORPTION. It is used in the treatment of HYPERCALCEMIA associated with malignancy, for the prevention of fracture and bone complications in patients with breast cancer and bone metastases, and for the treatment and prevention of POSTMENOPAUSAL OSTEOPOROSIS. In 2023, this provider wrote 16 Medicare prescriptions for Ibandronate Sodium, about 76% of the volume of the typical Washington prescriber of this medication (21). Medicare paid an average of $23.65 per fill, versus $52.06 statewide. How often this provider prescribes it This provider 16 WA average 21.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $23.65 WA average $52.06 This provider's average cost per fill is below the WA average for this medication. 30 30-Day Fills standardized to 30-day supplies 900 Days of Medication total across all patients in 2023
Atenolol	15	$11.81	▼ Less than typical
About Atenolol: Atenolol 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. Atenolol 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 cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect. In 2023, this provider wrote 15 Medicare prescriptions for Atenolol, about half the volume of the typical Washington prescriber of this medication (34). Medicare paid an average of $11.81 per fill, versus $10.71 statewide. How often this provider prescribes it This provider 15 WA average 34.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.81 WA average $10.71 Gross Part D cost per fill; not the patient's out-of-pocket price. 44.7 30-Day Fills standardized to 30-day supplies 1,340 Days of Medication total across all patients in 2023
Glimepiride	15	$10.92▼ below WA avg	▼ Less than typical
About Glimepiride: Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes. Show more ▾ It may also be used with other diabetes medications. 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. Glimepiride belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by causing the release of your body's natural insulin. Alkaloids derived from TYRAMINE combined with 3,4-dihydroxybenzaldehyde via a norbelladine pathway, including GALANTAMINE, lycorine and crinine. They are found in the AMARYLLIDACEAE plant family. In 2023, this provider wrote 15 Medicare prescriptions for Glimepiride, about half the volume of the typical Washington prescriber of this medication (29). Medicare paid an average of $10.92 per fill, versus $12.10 statewide. How often this provider prescribes it This provider 15 WA average 29.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.92 WA average $12.10 This provider's average cost per fill is below the WA average for this medication. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023
Insulin Lispro Protamine MixInsulin Lispro Protamin/Lispro	15	$694.71	≈ Typical
About Insulin Lispro Protamine Mix: Insulin lispro protamine/insulin lispro is used along with a proper diet and exercise program to control high blood sugar in people with diabetes. Show more ▾ This product is a combination of two man-made insulins: intermediate-acting insulin lispro protamine and rapid-acting insulin lispro. This combination starts working faster and lasts for a longer time than regular insulin. Insulin is a natural substance that allows the body to properly use sugar from the diet. It replaces the insulin that your body no longer produces, thereby lowering your blood sugar. 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. In 2023, this provider wrote 15 Medicare prescriptions for Insulin Lispro Protamine Mix, about 1.3 times the volume of the typical Washington prescriber of this medication (12). Medicare paid an average of $694.71 per fill, versus $345.50 statewide. How often this provider prescribes it This provider 15 WA average 12.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $694.71 WA average $345.50 Gross Part D cost per fill; not the patient's out-of-pocket price. 41.1 30-Day Fills standardized to 30-day supplies 1,231 Days of Medication total across all patients in 2023
Spironolactone	15	$25.78	▼ Less than 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 15 Medicare prescriptions for Spironolactone, about a third of the volume of the typical Washington prescriber of this medication (36). Medicare paid an average of $25.78 per fill, versus $14.47 statewide. How often this provider prescribes it This provider 15 WA average 36.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.78 WA average $14.47 Gross Part D cost per fill; not the patient's out-of-pocket price. 45 30-Day Fills standardized to 30-day supplies 1,350 Days of Medication total across all patients in 2023
Novolin 70-30Insulin Nph Hum/Reg Insulin Hm	15	$906.01	≈ Typical
In 2023, this provider wrote 15 Medicare prescriptions for Novolin 70-30, about the same volume as the typical Washington prescriber of this medication (15). Medicare paid an average of $906.01 per fill, versus $439.61 statewide. How often this provider prescribes it This provider 15 WA average 15.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $906.01 WA average $439.61 Gross Part D cost per fill; not the patient's out-of-pocket price. 27.9 30-Day Fills standardized to 30-day supplies 826 Days of Medication total across all patients in 2023
Estradiol Valerate	14	$212.17	▼ Less than typical
About Estradiol Valerate: This medication is a female hormone (estrogen). Show more ▾ It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure) and by men to treat prostate cancer. The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In 2023, this provider wrote 14 Medicare prescriptions for Estradiol Valerate, about 70% of the volume of the typical Washington prescriber of this medication (20). Medicare paid an average of $212.17 per fill, versus $180.15 statewide. How often this provider prescribes it This provider 14 WA average 20.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $212.17 WA average $180.15 Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 392 Days of Medication total across all patients in 2023
Telmisartan	13	$26.04▼ below WA avg	▼ Less than typical
About Telmisartan: This medication is used to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Telmisartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing blood vessels so blood can flow more easily. A biphenyl compound and benzimidazole derivative that acts as an angiotensin II type 1 receptor antagonist. It is used in the management of HYPERTENSION. In 2023, this provider wrote 13 Medicare prescriptions for Telmisartan, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $26.04 per fill, versus $45.84 statewide. How often this provider prescribes it This provider 13 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $26.04 WA average $45.84 This provider's average cost per fill is below the WA average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023
MounjaroTirzepatide	13	$1,932.41	≈ Typical
About Mounjaro: Tirzepatide 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. It lowers blood sugar by causing the release of your body's natural insulin and decreasing the amount of sugar your liver makes. A glucose-dependent insulinotropic polypeptide (GIP) receptor and Glucose-like peptide-1 (GLP-1) receptor agonist to enhance glycemic control in adults with TYPE 2 DIABETES MELLITUS. In 2023, this provider wrote 13 Medicare prescriptions for Mounjaro, about 87% of the volume of the typical Washington prescriber of this medication (15). Medicare paid an average of $1,932.41 per fill, versus $1,263.62 statewide. How often this provider prescribes it This provider 13 WA average 15.0 This provider's prescribing volume for this medication is in line with the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,932.41 WA average $1,263.62 Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 650 Days of Medication total across all patients in 2023
Humulin R U-500 KwikpenInsulin Regular, Human	11	$1,840.21▼ below WA avg	▼ Less than typical
About Humulin R U-500 Kwikpen: Inhaled insulin powder is used with a proper diet and exercise program to control high blood sugar in people with 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 man-made insulin product is the same as human insulin. It replaces the insulin that your body would normally make. It is a short-acting insulin. It works by helping blood sugar (glucose) get into cells so your body can use it for energy. This product is absorbed into the blood through your lungs. It starts working faster and lasts for a shorter time than regular insulin injected under the skin. It is usually used in combination with a medium- or long-acting insulin product. This medication may also be used alone or with other oral diabetes drugs (such as metformin). In 2023, this provider wrote 11 Medicare prescriptions for Humulin R U-500 Kwikpen, about half the volume of the typical Washington prescriber of this medication (24). Medicare paid an average of $1,840.21 per fill, versus $2,046.20 statewide. How often this provider prescribes it This provider 11 WA average 24.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,840.21 WA average $2,046.20 This provider's average cost per fill is below the WA average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Chlorthalidone	11	$55.28	▼ Less than 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 11 Medicare prescriptions for Chlorthalidone, about half the volume of the typical Washington prescriber of this medication (25). Medicare paid an average of $55.28 per fill, versus $26.20 statewide. How often this provider prescribes it This provider 11 WA average 25.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $55.28 WA average $26.20 Gross Part D cost per fill; not the patient's out-of-pocket price. 33 30-Day Fills standardized to 30-day supplies 990 Days of Medication total across all patients in 2023
Comfort Ez Pen NeedlePen Needle, Diabetic	11	$163.50	▼ Less than typical
In 2023, this provider wrote 11 Medicare prescriptions for Comfort Ez Pen Needle, about 61% of the volume of the typical Washington prescriber of this medication (18). Medicare paid an average of $163.50 per fill, versus $140.27 statewide. How often this provider prescribes it This provider 11 WA average 18.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $163.50 WA average $140.27 Gross Part D cost per fill; not the patient's out-of-pocket price. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023
Metoprolol Tartrate	11	$18.05	▼ 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 11 Medicare prescriptions for Metoprolol Tartrate, about a quarter of the volume of the typical Washington prescriber of this medication (45). Medicare paid an average of $18.05 per fill, versus $9.70 statewide. How often this provider prescribes it This provider 11 WA average 45.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.05 WA average $9.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 31.7 30-Day Fills standardized to 30-day supplies 950 Days of Medication total across all patients in 2023
Bromocriptine Mesylate	11	$439.72	▼ Less than typical
About Bromocriptine Mesylate: Bromocriptine is used alone or with other medications (such as levodopa) 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). Bromocriptine is also used to treat high levels of a certain hormone made by the body (prolactin). High levels of prolactin may cause problems such as unwanted breast milk, missed/stopped periods, difficulty becoming pregnant, decreased sperm production, and decreased sexual ability. Bromocriptine may be used to treat a type of tumor which causes the high levels of prolactin (prolactin-secreting adenomas). It can help to reduce the tumor size. Bromocriptine is not recommended for stopping unwanted breast milk after pregnancy, miscarriage, or abortion because of possible serious side effects (such as high blood pressure, seizure, heart attack, stroke). Bromocriptine is also used to treat high levels of growth hormone (acromegaly). Bromocriptine is an ergot medication that works by acting like a certain natural substance (dopamine) in the brain. It also prevents the release of certain hormones (growth hormone, prolactin). Bromocriptine can lower these hormone levels, but it does not cure the causes of the increased levels. A semisynthetic ergotamine alkaloid that is a dopamine D2 agonist. It suppresses prolactin secretion. In 2023, this provider wrote 11 Medicare prescriptions for Bromocriptine Mesylate, about 69% of the volume of the typical Washington prescriber of this medication (16). Medicare paid an average of $439.72 per fill, versus $226.32 statewide. How often this provider prescribes it This provider 11 WA average 16.0 This provider prescribes this medication less often than the average WA prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $439.72 WA average $226.32 Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 245 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 WA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the WA average cost per fill.

About this data. The prescription history for THERESA N TRAN 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 Endocrinology, Diabetes & Metabolism prescribing approach at this Renton, WA 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 WA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.