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Prescriber Checkup

MANUEL MATEO LOPEZ 11772

CALLE LUIS MUNOZ RIVERA NUMERO 16

Toa alta | Puerto Rico | 00954

(787) 870-5025

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At A Glance: This Prescriber in 2011

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

35,894Medicare Part D Prescriptions Filled, Including Refills

Rank: 6 out of 534

$1.25M Total Retail Price of All Prescriptions

Rank: 4 out of 534

1,229 Patients Receiving at Least One Drug in Part D
74%Patients 65 Years and Older
2% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
Average for
this specialty
in Puerto Rico

Narcotics

21% of this provider’s 1,229 patients filled at least one prescription for a narcotic painkiller, compared to an average of 14%.

Antipsychotics to Seniors

2% of this provider’s 907 patients 65 and older filled at least one prescription for an antipsychotic, compared to an average of 1%.

Risky Drugs to Seniors

4% of this provider’s 27,585 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 2%.

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$35 was the average price of a prescription from this provider, compared to $36 among peers.

Prescriptions per Patient

29 is the average number of prescriptions (including refills) per patient, compared to an average of 23.


Another View

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This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state.

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A

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

N

A narcotic drug. More » Misuse and abuse of narcotics led to some 16,000 overdose deaths in 2010.

10

This provider is among the top 10 prescribers of
this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled
Including Refills
Prescriptions
to 65+
Category For this Prescriber For All Prescribers in
This Specialty in Puerto Rico
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Lowers risk of heart attack, stroke, and certain blood vessel problems in people with certain risk factors. This medicine is an HMG-CoA reductase inhibitor, also called a statin. More info »

2,069 1,677 1 1
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Also treats Restless Legs Syndrome (RLS) and pain caused by shingles (postherpetic neuralgia). More info »

1,705 1,322 2 5
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Also helps heal a damaged esophagus, and helps prevent stomach bleeding in patients who have a serious illness. This medicine may be used in combination with antibiotics to treat ulcers. This medicine is a proton pump inhibitor (PPI). More info »

1,134 930 3 6
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Over-the-counter ranitidine is used to prevent and treat symptoms of heartburn associated with acid indigestion and sour stomach. Ranitidine is in a class of medications called H2 blockers. It decreases the amount of acid made in the stomach. More info »

948 727 4 7
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Amlodipine is in a class of medications called calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood to the heart. If taken regularly, amlodipine controls chest pain, but it does not stop chest pain once it starts. Your doctor may prescribe a different medication to take when you have chest pain. More info »

824 693 5 4
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood. Metformin is not used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). More info »

822 573 6 2
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. More info »

809 585 10 7 20
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. More info »

759 600 8 10
PLAVIX

Used alone or together with... +

Used alone or together with aspirin to help prevent stroke, heart attack, and other heart problems. This medicine is a blood thinner. More info »

720 618 9 11
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. It is also used in combination with other medications to treat heart failure. Enalapril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It works by decreasing certain chemicals that tighten the blood vessels, so blood flows more smoothly and the heart can pump blood more efficiently. More info »

688 561 10 3
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Without this hormone, the body cannot function properly, resulting in: poor growth; slow speech; lack of energy; weight gain; hair loss; dry, thick skin; and increased sensitivity to cold. When taken correctly, levothyroxine reverses these symptoms. Levothyroxine is also used to treat congenital hypothyroidism (cretinism) and goiter (enlarged thyroid gland). More info »

687 548 11 9
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Losartan is also used to decrease the risk of stroke in people who have high blood pressure and a heart condition called left ventricular hypertrophy (enlargement of the walls of the left side of the heart). Losartan may not decrease the risk of stroke in African Americans who have these conditions. This medication is also used to treat kidney disease in people who have type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) and high blood pressure. Losartan is in a class of medications called angiotensin II receptor antagonists. It works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood to flow more smoothly and the heart to pump more efficiently. More info »

656 538 12 8
FAMOTIDINE

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Also treats heartburn caused by acid indigestion. More info »

641 523 13 38
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). This medicine is a diuretic (water pill). More info »

625 527 14 15
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. A lower blood pressure will reduce the risk of stroke and heart attack. Also used in the first few days after a heart attack to help reduce the risk of death. This medicine is an angiotensin-converting enzyme (ACE) inhibitor. More info »

595 453 15 16
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). More info »

523 422 16 14
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. It is also used to lower the risk of strokes in patients with high blood pressure and an enlarged heart. More info »

519 451 17 13
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. More info »

476 337 N 18 22
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. Extended-release (long-acting) metoprolol also is used in combination with other medications to treat heart failure. Metoprolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure More info »

474 365 19 17
FEXOFENADINE HCL

Fexofenadine is used to rel... +

Fexofenadine is used to relieve the allergy symptoms of seasonal allergic rhinitis (''hay fever''), including runny nose; sneezing; red, itchy, or watery eyes; or itching of the nose, throat, or roof of the mouth in adults and children 2 years of age and older. It is also used to relieve symptoms of urticaria (hives; red, itchy raised areas of the skin), including itching and rash in adults and children 6 months of age and older. Fexofenadine is in a class of medications called antihistamines. It works by blocking the effects of histamine, a substance in the body that causes allergy symptoms. More info »

456 313 20 80
HUMULIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Insulin injection is in a class of medications called hormones. Insulin injection is used to take the place of insulin that is normally produced by the body. It works by helping move sugar from the blood into other body tissues where it is used for energy. It also stops the liver from producing more sugar. All of the types of insulin that are available work in this way. The types of insulin differ only in how quickly they begin to work and how long they continue to control blood sugar. More info »

447 291 10 21 35
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. This medicine is a macrolide antibiotic. More info »

430 296 22 54
GLYBURIDE-METFORMIN HCL

The combination of glyburid... +

The combination of glyburide and metformin is used to treat type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) in people whose diabetes cannot be controlled by diet and exercise alone. Glyburide belongs to a class of drugs called sulfonylureas, and metformin is in a class of drugs called biguanides. Glyburide lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally. Metformin helps your body control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. It also helps your body use its own insulin more effectively. Glyburide and metformin are not used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood) or diabetic ketoacidosis (a serious condition that may occur if high blood sugar is not treated). More info »

424 346 R 23 40
DICLOFENAC POTASSIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Diclofenac immediate-release (short-acting) tablets are also used to treat painful menstrual periods and pain from other causes. Diclofenac is in a class of medications called NSAIDs. It works by stopping the body's production of a substance that causes pain, fever, and inflammation. More info »

368 282 24 48
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). May also lower the risk of repeated heart attacks. More info »

368 307 24 12
ISOSORBIDE MONONITRATE ER 318 282 26 23
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). It is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

297 266 27 42
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. It is prescribed for people with certain types of irregular heartbeat, people with prosthetic (replacement or mechanical) heart valves, and people who have suffered a heart attack. Warfarin is also used to treat or prevent venous thrombosis (swelling and blood clot in a vein) and pulmonary embolism (a blood clot in the lung). Warfarin is in a class of medications called anticoagulants ('blood thinners'). It works by decreasing the clotting ability of the blood. More info »

281 203 28 41
AVAPRO

Used alone or with other me... +

Used alone or with other medicines to treat high blood pressure. Treats kidney disease in patients with Type 2 diabetes and high blood pressure. More info »

268 203 29 29
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Zolpidem belongs to a class of medications called sedative-hypnotics. It works by slowing activity in the brain to allow sleep. More info »

264 206 30 27
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. It is most effective if taken before symptoms appear. More info »

258 227 31 56
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Also used to treat heart failure, usually in combination with a diuretic (water pill) and an angiotensin-converting enzyme (ACE) inhibitor. This medicine is also called digitalis. More info »

249 215 32 36
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. This medicine is a corticosteroid. More info »

234 146 33 75
RAMIPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure after a heart attack. Reduces risk of heart attack, stroke, and death in people 55 years and older who have heart disease. This medicine is an ACE (angiotensin-converting enzyme) inhibitor. More info »

230 183 34 53
AVELOX

Treats bacterial infections... +

Treats bacterial infections. This medicine is a fluoroquinolone antibiotic. More info »

226 173 10 35 144
GEMFIBROZIL

Lowers high triglyceride an... +

Lowers high triglyceride and cholesterol levels. More info »

225 160 36 61
CILOSTAZOL

Treats a circulation proble... +

Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Helps you walk longer distances with less pain. More info »

224 196 37 68
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Alendronate is also used to treat osteoporosis in men and women who are taking corticosteroids (a type of medication that may cause osteoporosis in some patients). Alendronate is also used to treat Paget's disease of bone (a condition in which the bones are soft and weak and may be deformed, painful, or easily broken). Alendronate is in a class of medications called bisphosphonates. It works by preventing bone breakdown and increasing bone density (thickness). More info »

219 194 38 21
SINGULAIR

Helps prevent and control a... +

Helps prevent and control asthma attacks, including attacks caused by exercise. Also treats seasonal (short-term) and perennial (long-term) allergies. More info »

216 126 39 47
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Ciprofloxacin is also used to treat or prevent anthrax (a serious infection that may be spread on purpose as part of a bioterror attack) in people who may have been exposed to anthrax germs in the air. Ciprofloxacin extended-release (long-acting) tablets are used only to treat certain types of urinary tract infections. Ciprofloxacin is in a class of antibiotics called fluoroquinolones. It works by killing bacteria that cause infections. Antibiotics will not work for colds, flu, or other viral infections. More info »

209 153 40 49
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. Extended-release (long-acting) metoprolol also is used in combination with other medications to treat heart failure. Metoprolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure More info »

205 188 41 26
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Amlodipine is in a class of medications called calcium channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. Benazepril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It works by decreasing certain chemicals that tighten the blood vessels, so blood flows more smoothly. More info »

202 165 42 39
ASPIRIN EC

Prescription aspirin is use... +

Prescription aspirin is used to relieve the symptoms of rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), osteoarthritis (arthritis caused by breakdown of the lining of the joints), systemic lupus erythematosus (condition in which the immune system attacks the joints and organs and causes pain and swelling) and certain other rheumatologic conditions (conditions in which the immune system attacks parts of the body). Nonprescription aspirin is used to reduce fever and to relieve mild to moderate pain from headaches, menstrual periods, arthritis, colds, toothaches, and muscle aches. Nonprescription aspirin is also used to prevent heart attacks in people who have had a heart attack in the past or who have angina (chest pain that occurs when the heart does not get enough oxygen). Nonprescription aspirin is also used to reduce the risk of death in people who are experiencing or who have recently experienced a heart attack. Nonprescription aspirin is also used to prevent ischemic strokes (strokes that occur when a blood clot blocks the flow of blood to the brain) or mini-strokes (strokes that occur when the flow of blood to the brain is blocked for a short time) in people who have had this type of stroke or mini-stroke in the past. Aspirin will not prevent hemorrhagic strokes (strokes caused by bleeding in the brain). Aspirin is in a group of medications called salicylates. It works by stopping the production of certain natural substances that cause fever, pain, swelling, and blood clots. More info »

196 170 43 19
MEGESTROL ACETATE

Megestrol tablets treat bre... +

Megestrol tablets treat breast and uterine cancer. More info »

194 181 R 44 124
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Also reduces the risk of death from a heart attack. This medicine is a beta-blocker. More info »

192 159 45 24
INSULIN SYRINGE 180 100 46 37
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Used together with a proper diet and exercise to help control high blood sugar. This medicine is a sulfonylurea. More info »

172 144 47 18
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. A lower blood pressure will reduce the risk of stroke and heart attack. This medicine is a combination of an angiotensin-converting enzyme (ACE) inhibitor and a diuretic (water pill). More info »

167 87 48 59
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Tramadol extended-release tablets are only used by people who are expected to need medication to relieve pain around-the-clock for a long time. Tramadol is in a class of medications called opiate agonists. It works by changing the way the body senses pain. More info »

166 111 N 49 34
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Pantoprazole is used to treat the symptoms of GERD, allow the esophagus to heal, and prevent further damage to the esophagus. It is also used to treat conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Pantoprazole is in a class of medications called proton-pump inhibitors. It works by decreasing the amount of acid made in the stomach. More info »

165 81 50 44
VERAPAMIL ER

Verapamil is used to treat ... +

Verapamil is used to treat high blood pressure and to control angina (chest pain). The immediate-release tablets are also used alone or with other medications to prevent and treat irregular heartbeats. Verapamil is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart and slows electrical activity in the heart to control the heart rate. More info »

163 136 51 32
HUMULIN N

Treats diabetes mellitus. +

Treats diabetes mellitus. More info »

159 116 52 43
MUPIROCIN

Treats skin infections and... +

Treats skin infections and bacterial infections in your nose. More info »

159 116 52 195
BETAMETHASONE DIPROPIONATE

Treats skin irritation, all... +

Treats skin irritation, allergic reactions, and other types of skin problems. This medicine is a corticosteroid. More info »

159 132 52 140
CEFADROXIL

Treats bacterial infections... +

Treats bacterial infections. This medicine is a cephalosporin antibiotic. More info »

158 120 55 156
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. This is a non-steroidal anti-inflammatory drug (NSAID). More info »

154 97 56 30
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Insulin is a hormone that helps get sugar from the blood to the muscles, where it is used for energy. This type of insulin usually works longer than regular insulin. More info »

150 127 57 31
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. This medicine is a benzodiazepine. More info »

150 132 57 107
CAPTOPRIL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure. A lower blood pressure will reduce the risk of stroke and heart attack. This medicine is also used to increase survival after a heart attack, and it is used to treat kidney problems caused by diabetes. This medicine is an angiotensin-converting enzyme (ACE) inhibitor. More info »

149 128 59 51
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Also treats partial-onset seizures in adults. More info »

147 100 60 76
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Also used to decrease some symptoms of cancer. This medicine is a steroid. More info »

145 98 61 66
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

Amitriptyline is used to treat symptoms of depression. Amitriptyline is in a class of medications called tricyclic antidepressants. It works by increasing the amounts of certain natural substances in the brain that are needed to maintain mental balance. More info »

142 133 R 62 88
DIOVAN HCT

Treats high blood pressure.... +

Treats high blood pressure. A lower blood pressure can reduce the risk of stroke and heart attack. This medicine is a combination of an angiotensin receptor blocker (ARB) and a thiazide diuretic (water pill). More info »

141 111 63 60
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Also prevents wheezing caused by exercise (exercise-induced bronchospasm). This medicine is a bronchodilator. More info »

131 68 64 101
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. More info »

130 101 65 81
LANSOPRAZOLE

Treats stomach ulcers, gast... +

Treats stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome. Also helps heal a damaged esophagus. This medicine is a proton pump inhibitor (PPI). More info »

125 104 66 95
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Tamsulosin is in a class of medications called alpha blockers. It works by relaxing the muscles in the prostate and bladder so that urine can flow easily. More info »

125 106 66 45
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Donepezil is in a class of medications called cholinesterase inhibitors. It improves mental function (such as memory, attention, social interaction, reasoning and language abilities, and ability to perform activities of daily living) by increasing the amount of a certain naturally occurring substance in the brain. Donepezil may improve the ability to think and remember or slow the loss of these abilities in people who have AD. However, donepezil will not cure AD or prevent the loss of mental abilities at some time in the future. More info »

124 113 68 52
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. More info »

120 75 69 50
FOSINOPRIL SODIUM

Fosinopril is used alone or... +

Fosinopril is used alone or in combination with other medications to treat high blood pressure. It is also used in combination with other medications to treat heart failure. Fosinopril is in a class of medications called angiotensin-converting enzyme (ACE) inhibitors. It works by decreasing certain chemicals that tighten the blood vessels, so blood flows more smoothly and the heart can pump blood more efficiently. More info »

119 115 70 82
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Helps keep atherosclerosis (hardening of the arteries) from getting worse. Lowers the risk of stroke and heart attack in people who have certain risk factors. This medicine is an HMG-CoA inhibitor, also called a statin. More info »

115 92 71 63
DIOVAN

Treats high blood pressure ... +

Treats high blood pressure and heart failure. A lower blood pressure can reduce the risk of stroke and heart attack. May also prolong life after a heart attack. This medicine is an angiotensin receptor blocker (ARB). More info »

114 94 72 55
ETODOLAC

Treats pain caused by arthr... +

Treats pain caused by arthritis and other medical problems. This is a non-steroidal anti-inflammatory drug (NSAID). More info »

113 85 73 87
DEXAMETHASONE

Treats inflammation and man... +

Treats inflammation and many other medical problems. More info »

109 79 74 94
CARAFATE

Treats ulcers and other sto... +

Treats ulcers and other stomach problems. More info »

107 65 75 143
PENTOXIFYLLINE

Treats problems from poor b... +

Treats problems from poor blood circulation by improving the flow of blood through blood vessels. More info »

105 75 76 83
CLOTRIMAZOLE

This medicine is an antifun... +

This medicine is an antifungal. More info »

102 76 77 180
CETIRIZINE HCL 102 72 77 161
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Metoclopramide is also used to relieve symptoms caused by slow stomach emptying in people who have diabetes. These symptoms include nausea, vomiting, heartburn, loss of appetite, and feeling of fullness that lasts long after meals. Metoclopramide is in a class of medications called prokinetic agents. It works by speeding the movement of food through the stomach and intestines. More info »

100 67 79 103
GLYBURIDE MICRONIZED

Glyburide is used along wit... +

Glyburide is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Glyburide is in a class of medications called sulfonylureas. Glyburide lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally. Glyburide is not used to treat type 1 diabetes (condition in which the body does not produce insulin and, therefore, cannot control the amount of sugar in the blood) or diabetic ketoacidosis (a serious condition that may occur if high blood sugar is not treated). More info »

98 90 R 80 84
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Phenytoin is in a class of medications called anticonvulsants. It works by decreasing abnormal electrical activity in the brain. More info »

96 75 81 164
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. May be used in combination with another cholesterol-lowering medicine called a "statin." More info »

96 68 81 77
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Doxazosin (Cardura) is also used alone or in combination with other medications to treat high blood pressure. Doxazosin is in a class of medications called alpha-blockers. It relieves the symptoms of BPH by relaxing the muscles of the bladder and prostate. It lowers blood pressure by relaxing the blood vessels so that blood can flow more easily through the body. More info »

95 89 83 25
SURE COMFORT 94 43 84 86
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. This medicine is a combination of a steroid and a bronchodilator. More info »

94 46 84 96
TRILIPIX

Treats high cholesterol and... +

Treats high cholesterol and triglycerides. More info »

92 57 86 127
FOLIC ACID

Treats certain types of ane... +

Treats certain types of anemia (not enough red blood cells). Is also given as a supplement to women who are pregnant or planning on getting pregnant. Folic acid is a B vitamin. More info »

87 79 87 69
TRICOR

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. More info »

86 73 88 74
MOMETASONE FUROATE

Mometasone is used to relie... +

Mometasone is used to relieve the itching and inflammation of numerous skin conditions. More info »

86 65 88 197
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. This medicine is a benzodiazepine. More info »

85 69 90 114
AMOX TR-POTASSIUM CLAVULANATE

The combination of amoxicil... +

The combination of amoxicillin and clavulanic acid is used to treat certain infections caused by bacteria, including infections of the ears, lungs, sinus, skin, and urinary tract. Amoxicillin is in a class of medications called penicillin-like antibiotics. It works by stopping the growth of bacteria. Clavulanic acid is in a class of medications called beta-lactamase inhibitors. It works by preventing bacteria from destroying amoxicillin. Antibiotics will not work for colds, flu, or other viral infections. More info »

84 58 91 112
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. More info »

84 34 N 91 102
ORPHENADRINE CITRATE

Orphenadrine is used with r... +

Orphenadrine is used with rest, physical therapy, and other measures to relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Orphenadrine is in a class of medications called skeletal muscle relaxants. It works by changing the way the body senses muscle pain. More info »

82 41 R 93 113
BUMETANIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure. This medicine is a diuretic (water pill). More info »

81 63 94 109
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Used together with proper diet and exercise to help control high blood sugar. More info »

81 67 94 111
BISOPROLOL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Lowering blood pressure reduces the risk of strokes and heart attacks. This medicine is a combination of a beta blocker and a diuretic (water pill). More info »

81 45 94 122
BONIVA

Treats or prevents weak bon... +

Treats or prevents weak bones (osteoporosis) in women after menopause. More info »

79 79 97 160
HUMALOG MIX 75-25

Insulin lispro is used to t... +

Insulin lispro is used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). It is also used to treat people with type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) who need insulin to control their diabetes. In patients with type 1 diabetes, insulin lispro is always used with another type of insulin, unless it is used in an external insulin pump. In patients with type 2 diabetes, insulin lispro may be used with another type of insulin or with oral medication(s) for diabetes. Insulin lispro is a short-acting, man-made version of human insulin. Insulin lispro works by replacing the insulin that is normally produced by the body and by helping move sugar from the blood into other body tissues where it is used for energy. It also stops the liver from producing more sugar. More info »

77 54 98 110
EVISTA

Treats and prevents osteopo... +

Treats and prevents osteoporosis (weak or thin bones) in women who are past menopause. Also helps decrease the risk of breast cancer in women who are past menopause and who have osteoporosis or a high risk of getting breast cancer. More info »

73 70 99 57
ISOSORBIDE DINITRATE

Treats and prevents angina ... +

Treats and prevents angina (chest pain). This medicine is a nitrate. More info »

72 70 100 67
COUMADIN

Helps to prevent new blood ... +

Helps to prevent new blood clots from forming, and helps to keep existing blood clots from getting worse. This medicine is a blood thinner (anticoagulant). More info »

72 44 100 93
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Paroxetine tablets and suspension are also used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), generalized anxiety disorder (GAD; excessive worrying that is difficult to control), and posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience). Paroxetine extended-release tablets are also used to treat premenstrual dysphoric disorder (PMDD, physical and psychological symptoms that occur before the onset of the menstrual period each month). Paroxetine is in a class of medications called selective serotonin-reuptake inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

72 53 100 72
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. This medicine is an antiepileptic. More info »

70 58 103 227
VERAPAMIL HCL

Verapamil is used to treat ... +

Verapamil is used to treat high blood pressure and to control angina (chest pain). The immediate-release tablets are also used alone or with other medications to prevent and treat irregular heartbeats. Verapamil is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart and slows electrical activity in the heart to control the heart rate. More info »

69 44 104 198
SUCRALFATE

Treats ulcers and other sto... +

Treats ulcers and other stomach problems. More info »

68 38 105 146
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. More info »

67 41 106 119
GLIPIZIDE XL

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Glipizide is in a class of medications called sulfonylureas. Glipizide lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally. Glipizide is not used to treat type 1 diabetes (condition in which the body does not produce insulin and, therefore, cannot control the amount of sugar in the blood) or diabetic ketoacidosis (a serious condition that may occur if high blood sugar is not treated). More info »

67 57 106 85
DILANTIN

Treats seizures. This medic... +

Treats seizures. This medicine is an anticonvulsant. More info »

66 53 108 204
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Albuterol inhalation aerosol is also used to prevent breathing difficulties during exercise. Albuterol is in a class of medications called bronchodilators. It works by relaxing and opening air passages to the lungs to make breathing easier. More info »

66 50 108 158
NEOMYCIN-POLYMYXIN-HYDROCORT 66 48 108 271
LOPERAMIDE

Treats diarrhea and decreas... +

Treats diarrhea and decreases the amount of drainage in patients who have ostomies. More info »

64 40 111 200
PREMARIN

Estrogens are female hormon... +

Estrogens are female hormones. They are produced by the body and are necessary for the normal sexual development of the female and for the regulation?2954 More info »

64 51 R 111 224
MUCINEX DM 62 40 10 113 241
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. More info »

61 50 114 99
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. This medicine is a long-acting insulin. More info »

60 37 115 130
CLONIDINE HCL

Clonidine is used alone or ... +

Clonidine is used alone or in combination with other medications to treat high blood pressure. Clonidine is in a class of medications called centrally acting alpha-agonist hypotensive agents. It works by decreasing your heart rate and relaxing the blood vessels so that blood can flow more easily through the body. More info »

59 35 116 62
INDOMETHACIN

Treats pain caused by arthr... +

Treats pain caused by arthritis, gout, bursitis, and tendonitis. This is a nonsteroidal anti-inflammatory drug (NSAID). More info »

59 22 R 116 193
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. This is a nonsteroidal anti-inflammatory medicine (NSAID). More info »

58 38 118 79
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Lowers the amount of uric acid in blood. More info »

58 22 118 100
URETRON D-S 58 48 10 118 342
DIPHENHYDRAMINE HCL

Diphenhydramine is used to ... +

Diphenhydramine is used to relieve red, irritated, itchy, watery eyes; sneezing; and runny nose caused by hay fever, allergies, or the common cold. Diphenhydramine is also used to relieve cough caused by minor throat or airway irritation. Diphenhydramine is also used to prevent and treat motion sickness, and to treat insomnia (difficulty falling asleep or staying asleep). Diphenhydramine is also used to control abnormal movements in people who have early stage parkinsonian syndrome (a disorder of the nervous system that causes difficulties with movement, muscle control, and balance) or who are experiencing movement problems as a side effect of a medication. More info »

58 44 R 118 196
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Diclofenac immediate-release (short-acting) tablets are also used to treat painful menstrual periods and pain from other causes. Diclofenac is in a class of medications called NSAIDs. It works by stopping the body's production of a substance that causes pain, fever, and inflammation. More info »

57 43 122 97
DILTIAZEM HCL

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Diltiazem is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart. More info »

56 56 123 104
INDAPAMIDE

Treats high blood pressure ... +

Treats high blood pressure and fluid retention (edema). This medicine is a diuretic (water pill). More info »

53 39 124 117
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). This medicine is a bronchodilator. More info »

52 48 125 138
About This Data

ProPublica obtained prescribing data from Medicare’s prescription drug benefit, known as Part D, under the Freedom of Information Act. The data for 2011 includes nearly 1.2 billion prescriptions written by 1.6 million doctors, nurses and other providers. This database lists about 364,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. About three-fourths went to patients 65 and older; the rest were for disabled patients. Methodology »

Caveats
  • No comparisons are shown if 10 or fewer prescribers in the state share this specialty.
  • The list of top drugs includes only those for which this provider wrote 50 or more prescriptions, but all prescriptions are counted in the summary totals at the top.
  • The calculation of “Risky Drugs to Seniors” does not include drugs for which a provider wrote 11 or fewer prescriptions because Medicare redacted the information to protect patient privacy.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on May 20, 2013.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to drugs@propublica.org and we will update your information. If you have other questions about this data, send a note to drugs@propublica.org.