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Ruben J Almanza
Family Medicine Physician
Overview Referral Sources Referral Destinations Practice Locations 1 Prescriptions Procedures Same Address Same Phone
No Medical Groups
Affl. Hospitals 1

Prescriptions made by Ruben J Almanza

Data for 2018

9,716

Medicare Part D Prescriptions Filled, Including Refills

Rank: 723 out of 7,968 providers in this state and specialty

$744.9K

Total Retail Price of All Prescriptions

Rank: 677 out of 7,968 providers in this state and specialty

469

Patients Receiving at Least One Drug in Part D

Rank: 525 out of 7,968 providers in this state and specialty

88%

Patients 65 Years and Older

72

Average Age of Patients

Average age of patients for providers in this state and specialty is 70

Drug Categories

O

Opioid

An opioid drug. Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
A

Antibiotic

Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.
P

Antipsychotic

Used to manage psychosis, principally in schizophrenia but also in a range of other psychotic disorders.

Prescription Data

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume. Rank in State ranks all providers that have the self-identified specialty of Family Practice in Texas and ranks the number of prescriptions that have been made for the specific drug.

Drug Name Rank in State Total Prescriptions Filled with Refills Prescript. to 65+ Patients Receiving this Drug Patients 65+ OAP
1 ATORVASTATIN CALCIUM2030
of 5,7530
5850 prescriptions
Less than 1% of all prescriptions
54501610 patients
34% of all patients		1480 patients
32% of all patients
2 LISINOPRIL3350
of 5,7640
3200 prescriptions
Less than 1% of all prescriptions
2970870 patients
19% of all patients		< 11
3 LEVOTHYROXINE SODIUM4330
of 5,5810
3590 prescriptions
Less than 1% of all prescriptions
3420750 patients
16% of all patients		< 11
4 AMLODIPINE BESYLATE3550
of 5,6690
3260 prescriptions
Less than 1% of all prescriptions
3130840 patients
18% of all patients		< 11
5 METFORMIN HCL2890
of 5,3710
2520 prescriptions
Less than 1% of all prescriptions
2260780 patients
17% of all patients		< 11
6 SIMVASTATIN2750
of 4,9440
2270 prescriptions
Less than 1% of all prescriptions
690 patients
15% of all patients		< 11
7 METOPROLOL SUCCINATE1880
of 4,8410
2040 prescriptions
Less than 1% of all prescriptions
1910480 patients
10% of all patients		< 11
8 METOPROLOL TARTRATE1980
of 4,6280
1890 prescriptions
Less than 1% of all prescriptions
1700460 patients
10% of all patients		< 11
9 PANTOPRAZOLE SODIUM1950
of 4,6600
2090 prescriptions
Less than 1% of all prescriptions
1910610 patients
13% of all patients		< 11
10 LOSARTAN-HYDROCHLOROTHIAZIDE
(LOSARTAN/HYDROCHLOROTHIAZIDE)		800
of 3,8330
1740 prescriptions
Less than 1% of all prescriptions
510 patients
11% of all patients		< 11
11 LOSARTAN POTASSIUM2970
of 5,0830
1880 prescriptions
Less than 1% of all prescriptions
1770510 patients
11% of all patients		< 11
12 MELOXICAM530
of 3,9410
2740 prescriptions
Less than 1% of all prescriptions
23801120 patients
24% of all patients		< 11
13 LISINOPRIL-HYDROCHLOROTHIAZIDE
(LISINOPRIL/HYDROCHLOROTHIAZIDE)		1340
of 4,2660
1230 prescriptions
Less than 1% of all prescriptions
1050360 patients
8% of all patients		< 11
14 TAMSULOSIN HCL2130
of 4,3050
1360 prescriptions
Less than 1% of all prescriptions
410 patients
9% of all patients		< 11
15 GLIPIZIDE-METFORMIN
(GLIPIZIDE/METFORMIN HCL)		110
of 4650
1370 prescriptions
Less than 1% of all prescriptions
1110320 patients
7% of all patients		< 11
16 CLOPIDOGREL
(CLOPIDOGREL BISULFATE)		1800
of 3,9990
1390 prescriptions
Less than 1% of all prescriptions
340 patients
7% of all patients		< 11
17 PRAVASTATIN SODIUM2590
of 4,4570
1110 prescriptions
Less than 1% of all prescriptions
900310 patients
7% of all patients		< 11
18 FUROSEMIDE3910
of 4,7790
1500 prescriptions
Less than 1% of all prescriptions
1250390 patients
8% of all patients		< 11
19 GABAPENTIN3610
of 5,1150
1600 prescriptions
Less than 1% of all prescriptions
1480400 patients
9% of all patients		< 11
20 VALSARTAN-HYDROCHLOROTHIAZIDE
(VALSARTAN/HYDROCHLOROTHIAZIDE)		280
of 2,1270
1030 prescriptions
Less than 1% of all prescriptions
360 patients
8% of all patients		< 11
21 GLIPIZIDE ER
(GLIPIZIDE)		430
of 1,8050
1020 prescriptions
Less than 1% of all prescriptions
290 patients
6% of all patients		< 11
22 OMEPRAZOLE3550
of 4,8420
950 prescriptions
Less than 1% of all prescriptions
800230 patients
5% of all patients		< 11
23 VALSARTAN270
of 2,4540
1190 prescriptions
Less than 1% of all prescriptions
1190340 patients
7% of all patients		340 patients
7% of all patients
24 PIOGLITAZONE HCL760
of 2,2520
1110 prescriptions
Less than 1% of all prescriptions
940230 patients
5% of all patients		< 11
25 TRAZODONE HCL1650
of 4,0840
1430 prescriptions
Less than 1% of all prescriptions
330 patients
7% of all patients		< 11
26 MONTELUKAST SODIUM2440
of 4,2950
880 prescriptions
Less than 1% of all prescriptions
320 patients
7% of all patients		< 11
27 HYDROCHLOROTHIAZIDE2720
of 4,9170
590 prescriptions
Less than 1% of all prescriptions
210 patients
4% of all patients		< 11
28 POTASSIUM CHLORIDE3650
of 3,9410
700 prescriptions
Less than 1% of all prescriptions
220 patients
5% of all patients		< 11
29 ROSUVASTATIN CALCIUM2630
of 4,1600
550 prescriptions
Less than 1% of all prescriptions
190 patients
4% of all patients		< 11
30 ALENDRONATE SODIUM2330
of 3,6250
520 prescriptions
Less than 1% of all prescriptions
520210 patients
4% of all patients		210 patients
4% of all patients
31 JANUVIA
(SITAGLIPTIN PHOSPHATE)		1320
of 2,9450
680 prescriptions
Less than 1% of all prescriptions
140 patients
3% of all patients		< 11
32 CITALOPRAM HBR
(CITALOPRAM HYDROBROMIDE)		2080
of 3,6170
570 prescriptions
Less than 1% of all prescriptions
150 patients
3% of all patients		< 11
33 ESOMEPRAZOLE MAGNESIUM1090
of 2,9950
780 prescriptions
Less than 1% of all prescriptions
180 patients
4% of all patients		< 11
34 DONEPEZIL HCL2410
of 2,7030
760 prescriptions
Less than 1% of all prescriptions
760210 patients
4% of all patients		210 patients
4% of all patients
35 SERTRALINE HCL2600
of 4,2150
630 prescriptions
Less than 1% of all prescriptions
450150 patients
3% of all patients		< 11
36 ALPRAZOLAM2370
of 3,5140
1520 prescriptions
Less than 1% of all prescriptions
1270310 patients
7% of all patients		< 11
37 ENALAPRIL MALEATE1190
of 1,7640
480 prescriptions
Less than 1% of all prescriptions
120 patients
3% of all patients		< 11
38 GLIPIZIDE1860
of 2,9320
460 prescriptions
Less than 1% of all prescriptions
160 patients
3% of all patients		< 11
39 ACETAMINOPHEN-CODEINE
(ACETAMINOPHEN WITH CODEINE)		1030
of 2,9610
1750 prescriptions
Less than 1% of all prescriptions
1290400 patients
9% of all patients		< 11O
40 ISOSORBIDE MONONITRATE ER
(ISOSORBIDE MONONITRATE)		1000
of 1,8470
490 prescriptions
Less than 1% of all prescriptions
490< 11< 11
41 LOVASTATIN1610
of 2,5340
330 prescriptions
Less than 1% of all prescriptions
< 11< 11
42 FENOFIBRATE1010
of 1,6270
450 prescriptions
Less than 1% of all prescriptions
140 patients
3% of all patients		< 11
43 TOUJEO SOLOSTAR
(INSULIN GLARGINE,HUM.REC.ANLOG)		630
of 8870
440 prescriptions
Less than 1% of all prescriptions
130 patients
3% of all patients		< 11
44 LANTUS SOLOSTAR
(INSULIN GLARGINE,HUM.REC.ANLOG)		700
of 2,7270
750 prescriptions
Less than 1% of all prescriptions
620120 patients
3% of all patients		< 11
45 METFORMIN HCL ER
(METFORMIN HCL)		2220
of 3,3650
360 prescriptions
Less than 1% of all prescriptions
< 11< 11
46 CLONIDINE HCL1140
of 2,5060
540 prescriptions
Less than 1% of all prescriptions
540120 patients
3% of all patients		120 patients
3% of all patients
47 ALLOPURINOL2080
of 3,7300
370 prescriptions
Less than 1% of all prescriptions
< 11< 11
48 ESCITALOPRAM OXALATE2220
of 3,5640
400 prescriptions
Less than 1% of all prescriptions
< 11< 11
49 FLUOXETINE HCL1260
of 3,1060
500 prescriptions
Less than 1% of all prescriptions
310110 patients
2% of all patients		< 11
50 JANUMET
(SITAGLIPTIN PHOS/METFORMIN HCL)		460
of 9310
400 prescriptions
Less than 1% of all prescriptions
< 11< 11
51 INVOKANA
(CANAGLIFLOZIN)		580
of 8030
270 prescriptions
Less than 1% of all prescriptions
< 11< 11
52 CARVEDILOL2950
of 4,3430
360 prescriptions
Less than 1% of all prescriptions
< 11< 11
53 BENAZEPRIL HCL960
of 1,9380
350 prescriptions
Less than 1% of all prescriptions
350< 11< 11
54 TIZANIDINE HCL1160
of 2,4520
960 prescriptions
Less than 1% of all prescriptions
740500 patients
11% of all patients		< 11
55 DILTIAZEM 24HR ER (CD)
(DILTIAZEM HCL)		490
of 8670
250 prescriptions
Less than 1% of all prescriptions
250< 11< 11
56 FLUTICASONE PROPIONATE2420
of 4,6050
400 prescriptions
Less than 1% of all prescriptions
250 patients
5% of all patients		< 11
57 DULOXETINE HCL2250
of 3,5900
340 prescriptions
Less than 1% of all prescriptions
210110 patients
2% of all patients		< 11
58 FAMOTIDINE1440
of 1,8260
350 prescriptions
Less than 1% of all prescriptions
350< 11< 11
59 TRAMADOL HCL3370
of 4,4920
920 prescriptions
Less than 1% of all prescriptions
400 patients
9% of all patients		< 11O
60 NAPROXEN1250
of 2,1640
430 prescriptions
Less than 1% of all prescriptions
140 patients
3% of all patients		< 11
61 GLIMEPIRIDE2230
of 2,9700
300 prescriptions
Less than 1% of all prescriptions
< 11< 11
62 PROAIR HFA
(ALBUTEROL SULFATE)		950
of 3,1920
660 prescriptions
Less than 1% of all prescriptions
480330 patients
7% of all patients		< 11
63 AZELASTINE HCL470
of 9190
460 prescriptions
Less than 1% of all prescriptions
340 patients
7% of all patients		< 11
64 BUPROPION HCL SR
(BUPROPION HCL)		530
of 1,2010
310 prescriptions
Less than 1% of all prescriptions
160< 11< 11
65 GEMFIBROZIL800
of 1,0240
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
66 SPIRONOLACTONE1420
of 2,4570
310 prescriptions
Less than 1% of all prescriptions
120 patients
3% of all patients		< 11
67 EZETIMIBE1050
of 2,0040
320 prescriptions
Less than 1% of all prescriptions
320< 11< 11
68 CILOSTAZOL470
of 4930
340 prescriptions
Less than 1% of all prescriptions
340< 11< 11
69 LEVETIRACETAM1390
of 1,4230
270 prescriptions
Less than 1% of all prescriptions
120< 11< 11
70 BUPROPION XL
(BUPROPION HCL)		1000
of 2,0020
240 prescriptions
Less than 1% of all prescriptions
< 11< 11
71 VESICARE
(SOLIFENACIN SUCCINATE)		730
of 1,1530
190 prescriptions
Less than 1% of all prescriptions
190< 11< 11
72 MEMANTINE HCL2140
of 1,7250
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
73 CLONAZEPAM1750
of 3,0630
450 prescriptions
Less than 1% of all prescriptions
330< 11< 11
74 FENOFIBRATE
(FENOFIBRATE NANOCRYSTALLIZED)		1070
of 1,6740
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
75 HYDROCODONE-ACETAMINOPHEN
(HYDROCODONE/ACETAMINOPHEN)		4810
of 3,1990
400 prescriptions
Less than 1% of all prescriptions
< 11< 11O
76 TERBINAFINE HCL330
of 4770
300 prescriptions
Less than 1% of all prescriptions
150 patients
3% of all patients		< 11
77 ATENOLOL1570
of 3,3130
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
78 PRAMIPEXOLE DIHYDROCHLORIDE
(PRAMIPEXOLE DI-HCL)		660
of 1,2140
230 prescriptions
Less than 1% of all prescriptions
< 11< 11
79 MOMETASONE FUROATE250
of 5780
380 prescriptions
Less than 1% of all prescriptions
260210 patients
4% of all patients		< 11
80 CELECOXIB1170
of 2,0590
180 prescriptions
Less than 1% of all prescriptions
< 11< 11
81 LYRICA
(PREGABALIN)		1990
of 2,8110
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
82 NEXIUM
(ESOMEPRAZOLE MAGNESIUM)		370
of 2820
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
83 TRAMADOL HCL-ACETAMINOPHEN
(TRAMADOL HCL/ACETAMINOPHEN)		330
of 5110
750 prescriptions
Less than 1% of all prescriptions
290 patients
6% of all patients		< 11O
84 JANUMET XR
(SITAGLIPTIN PHOS/METFORMIN HCL)		470
of 5300
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
85 INSULIN SYRINGE
(SYRINGE AND NEEDLE,INSULIN,1ML)		310
of 3450
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
86 QUETIAPINE FUMARATE1960
of 1,9050
160 prescriptions
Less than 1% of all prescriptions
< 11< 11P
87 DIGOXIN920
of 8720
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
88 ELIQUIS
(APIXABAN)		1700
of 2,1620
290 prescriptions
Less than 1% of all prescriptions
290< 11< 11
89 GLIPIZIDE XL
(GLIPIZIDE)		470
of 3310
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
90 BYSTOLIC
(NEBIVOLOL HCL)		860
of 1,4110
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
91 RAMIPRIL1000
of 1,4990
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
92 ULTRA-FINE MINI PEN NEEDLE
(PEN NEEDLE, DIABETIC)		320
of 4480
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
93 INCONTROL PEN NEEDLE
(PEN NEEDLE, DIABETIC)		420
of 2290
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
94 JANTOVEN
(WARFARIN SODIUM)		380
of 3290
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
95 PREDNISONE1630
of 3,6670
830 prescriptions
Less than 1% of all prescriptions
660570 patients
12% of all patients		460 patients
10% of all patients
96 COLCHICINE270
of 3110
180 prescriptions
Less than 1% of all prescriptions
< 11< 11
97 DUTASTERIDE400
of 4980
240 prescriptions
Less than 1% of all prescriptions
240< 11< 11
98 TRULICITY
(DULAGLUTIDE)		950
of 1,0060
110 prescriptions
Less than 1% of all prescriptions
< 11< 11
99 KLOR-CON 10
(POTASSIUM CHLORIDE)		310
of 1900
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
100 INVOKAMET XR
(CANAGLIFLOZIN/METFORMIN HCL)		110
of 210
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
101 IRBESARTAN1250
of 1,0690
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
102 MYRBETRIQ
(MIRABEGRON)		1060
of 1,1930
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
103 HUMALOG MIX 75-25 KWIKPEN
(INSULIN LISPRO PROTAMIN/LISPRO)		270
of 2280
190 prescriptions
Less than 1% of all prescriptions
< 11< 11
104 XARELTO
(RIVAROXABAN)		1420
of 1,8260
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
105 NITROGLYCERIN410
of 7700
200 prescriptions
Less than 1% of all prescriptions
140 patients
3% of all patients		< 11
106 RIVASTIGMINE
(RIVASTIGMINE TARTRATE)		570
of 2260
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
107 CARTIA XT
(DILTIAZEM HCL)		500
of 7410
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
108 NAMZARIC
(MEMANTINE HCL/DONEPEZIL HCL)		730
of 3630
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
109 PAROXETINE HCL1270
of 2,2430
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
110 METHOTREXATE
(METHOTREXATE SODIUM)		420
of 3410
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
111 LEVEMIR FLEXTOUCH
(INSULIN DETEMIR)		1400
of 2,2050
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
112 SUCRALFATE770
of 8200
180 prescriptions
Less than 1% of all prescriptions
< 11< 11
113 SULFAMETHOXAZOLE-TRIMETHOPRIM
(SULFAMETHOXAZOLE/TRIMETHOPRIM)		1130
of 2,6370
370 prescriptions
Less than 1% of all prescriptions
220 patients
5% of all patients		< 11A
114 AZITHROMYCIN1350
of 3,8960
990 prescriptions
Less than 1% of all prescriptions
870770 patients
16% of all patients		< 11A
115 LORAZEPAM2230
of 2,6480
180 prescriptions
Less than 1% of all prescriptions
180< 11< 11
116 SYMBICORT
(BUDESONIDE/FORMOTEROL FUMARATE)		1060
of 2,3950
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
117 MINOCYCLINE HCL300
of 1700
200 prescriptions
Less than 1% of all prescriptions
< 11< 11A
118 VALACYCLOVIR
(VALACYCLOVIR HCL)		350
of 1,2520
280 prescriptions
Less than 1% of all prescriptions
120150 patients
3% of all patients		< 11
119 CARBIDOPA-LEVODOPA
(CARBIDOPA/LEVODOPA)		1030
of 7610
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
120 AMOXICILLIN-CLAVULANATE POTASS
(AMOXICILLIN/POTASSIUM CLAV)		1100
of 2,6330
500 prescriptions
Less than 1% of all prescriptions
450 patients
10% of all patients		< 11A
121 CIPROFLOXACIN HCL1060
of 2,9360
650 prescriptions
Less than 1% of all prescriptions
580 patients
12% of all patients		< 11A
122 PROAIR RESPICLICK
(ALBUTEROL SULFATE)		70
of 440
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
123 CEPHALEXIN1000
of 1,8850
470 prescriptions
Less than 1% of all prescriptions
390 patients
8% of all patients		< 11A
124 AMITIZA
(LUBIPROSTONE)		700
of 5270
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
125 CARBAMAZEPINE570
of 4680
120 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
126 NADOLOL200
of 1380
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
127 NITROFURANTOIN MONO-MACRO
(NITROFURANTOIN MONOHYD/M-CRYST)		780
of 1,6400
270 prescriptions
Less than 1% of all prescriptions
190 patients
4% of all patients		< 11A
128 ZOLPIDEM TARTRATE2080
of 3,2850
120 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
129 MECLIZINE HCL820
of 1,3320
300 prescriptions
Less than 1% of all prescriptions
230 patients
5% of all patients		< 11
130 DOXAZOSIN MESYLATE1020
of 1,4130
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
131 LEVOFLOXACIN1230
of 2,1900
460 prescriptions
Less than 1% of all prescriptions
430 patients
9% of all patients		< 11A
132 COMBIVENT RESPIMAT
(IPRATROPIUM/ALBUTEROL SULFATE)		500
of 6490
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
133 DICYCLOMINE HCL860
of 1,2700
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
134 SUMATRIPTAN SUCCINATE460
of 8830
120 prescriptions
Less than 1% of all prescriptions
< 11< 11
135 DOXYCYCLINE HYCLATE1000
of 1,5010
200 prescriptions
Less than 1% of all prescriptions
170 patients
4% of all patients		< 11A
136 MUPIROCIN
(MUPIROCIN CALCIUM)		30
of 400
240 prescriptions
Less than 1% of all prescriptions
160 patients
3% of all patients		< 11
137 LEVEMIR
(INSULIN DETEMIR)		940
of 7820
150 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
138 ONDANSETRON HCL810
of 1,2670
310 prescriptions
Less than 1% of all prescriptions
250 patients
5% of all patients		< 11
139 NEOMYCIN-POLYMYXIN-HC
(NEOMYCIN/POLYMYXIN B/HYDROCORT)		130
of 680
190 prescriptions
Less than 1% of all prescriptions
190 patients
4% of all patients		< 11
140 CLINDAMYCIN HCL730
of 7350
140 prescriptions
Less than 1% of all prescriptions
< 11< 11A
141 DIPHENOXYLATE-ATROPINE
(DIPHENOXYLATE HCL/ATROPINE)		420
of 4030
120 prescriptions
Less than 1% of all prescriptions
120 patients
3% of all patients		< 11
142 FLUCONAZOLE850
of 1,6170
110 prescriptions
Less than 1% of all prescriptions
< 11< 11

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