87 / 99
Top 25 Drug by Prevalence
TOP CONDITION
# OF
CLAIMANTS
MEMBER
PAID
PLAN PAID
% OF
CLAIMS TO
TOTAL
# OF FILLS
NDC DESCRIPTION (DRUG
NAME)
Diabetes, wo comp,
wo comorb, wo surg
6
$1,015.00
$3,972.06
0.57 %
30
ONETOUCH ULTRA TEST
STRIPS
Infection vagina exc
monilial
13
$385.99
$18.37
0.55 %
29
Fluconazole
Autoim rheum disease
exc lupus
12
$238.89
$12.63
0.52 %
27
Ibuprofen
Diabetes, wo comp,
wo comorb, wo surg
5
$169.64
$32.56
0.52 %
27
ATORVASTATIN CALCIUM
Hypertension, wo
comp, w comorb
3
$106.44
$8.76
0.50 %
26
Amlodipine Besylate
Hyperlipidemia, other
3
$260.44
$0.00
0.50 %
26
Simvastatin
Jt degen -back, wo
comp, w comorb, wo
surg
5
$142.90
$0.00
0.46 %
24
Tramadol Hydrochloride
Hypertension, wo
comp, w comorb
3
$535.80
$0.00
0.46 %
24
Metoprolol Succinate
Hypertension, wo
comp, w comorb
3
$143.20
$4.34
0.46 %
24
AMLODIPINE BESYLATE
Hyperlipidemia, other
4
$244.56
$3.18
0.46 %
24
ATORVASTATIN CALCIUM
Mood disorder,
depressed, wo comp,
wo comorb
3
$110.32
$95.90
0.46 %
24
Fluoxetine
Late effects & late
complic
8
$99.53
$19.87
0.44 %
23
Ergocalciferol
Diabetes, wo comp, w
comorb, wo surg
2
$224.94
$0.00
0.44 %
23
ATORVASTATIN CALCIUM
unavailable
2
$0.00
$246.91
0.44 %
23
MonoNessa
Hypertension, wo
comp, w comorb
4
$197.30
$0.00
0.44 %
23
Lisinopril
CHF, wo comp, w
comorb, wo surg
2
$142.24
$5.47
0.40 %
21
Losartan Potassium
Diabetes, wo comp, w
comorb, wo surg
3
$735.00
$7,698.26
0.40 %
21
Lantus
Bursitis/tendonitis-
shoulder, wo comp,
wo surg
7
$271.64
$0.00
0.40 %
21
Omeprazole
Diabetes, wo comp, w
comorb, wo surg
5
$225.60
$4.19
0.38 %
20
METFORMIN
HYDROCHLORIDE
1,798
$58,737.38
$0.00
86.41 %
4,527
Remaining NDC Codes
Page 20 of 28
Paid: 7/1/2016 to 6/29/2017
Episode Treatment Groups, third party software included in Design180 ™, is the proprietary and copyrighted
intellectual property of Symmetry ™. Copyright © 2015, NavigatorMD, Inc.
PRESERVATION HOUSING MANAGEMENT
68