Prescriptions made by Robert N. Hunold

Data for 2018

8,582

Medicare Part D Prescriptions Filled, Including Refills

Rank: 39 out of 834 providers in this state and specialty

$855.3K

Total Retail Price of All Prescriptions

Rank: 18 out of 834 providers in this state and specialty

813

Patients Receiving at Least One Drug in Part D

Rank: 4 out of 834 providers in this state and specialty

89%

Patients 65 Years and Older

74

Average Age of Patients

Average age of patients for providers in this state and specialty is 69

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 Maine 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 CALCIUM280
of 6410
4110 prescriptions
Less than 1% of all prescriptions
37701290 patients
16% of all patients
1180 patients
15% of all patients
2 LISINOPRIL350
of 6360
3220 prescriptions
Less than 1% of all prescriptions
28701020 patients
13% of all patients
< 11
3 HYDROCHLOROTHIAZIDE140
of 5590
2050 prescriptions
Less than 1% of all prescriptions
1900640 patients
8% of all patients
< 11
4 LEVOTHYROXINE SODIUM670
of 6220
2610 prescriptions
Less than 1% of all prescriptions
2370740 patients
9% of all patients
< 11
5 OMEPRAZOLE330
of 5900
2240 prescriptions
Less than 1% of all prescriptions
1970680 patients
8% of all patients
< 11
6 SIMVASTATIN380
of 5580
1950 prescriptions
Less than 1% of all prescriptions
1830660 patients
8% of all patients
< 11
7 AMLODIPINE BESYLATE490
of 5870
1920 prescriptions
Less than 1% of all prescriptions
610 patients
8% of all patients
< 11
8 METOPROLOL SUCCINATE140
of 5250
2120 prescriptions
Less than 1% of all prescriptions
600 patients
7% of all patients
< 11
9 FUROSEMIDE360
of 5480
2230 prescriptions
Less than 1% of all prescriptions
640 patients
8% of all patients
< 11
10 METFORMIN HCL370
of 5690
1560 prescriptions
Less than 1% of all prescriptions
1420500 patients
6% of all patients
< 11
11 TAMSULOSIN HCL90
of 4390
1790 prescriptions
Less than 1% of all prescriptions
480 patients
6% of all patients
< 11
12 METOPROLOL TARTRATE540
of 5480
1630 prescriptions
Less than 1% of all prescriptions
1360470 patients
6% of all patients
< 11
13 ATENOLOL210
of 4600
1190 prescriptions
Less than 1% of all prescriptions
330 patients
4% of all patients
< 11
14 ESCITALOPRAM OXALATE60
of 3680
1510 prescriptions
Less than 1% of all prescriptions
400 patients
5% of all patients
< 11
15 PANTOPRAZOLE SODIUM290
of 5010
1490 prescriptions
Less than 1% of all prescriptions
1140330 patients
4% of all patients
< 11
16 ALLOPURINOL150
of 3970
930 prescriptions
Less than 1% of all prescriptions
930280 patients
3% of all patients
280 patients
3% of all patients
17 LISINOPRIL-HYDROCHLOROTHIAZIDE
(LISINOPRIL/HYDROCHLOROTHIAZIDE)
110
of 2540
860 prescriptions
Less than 1% of all prescriptions
330 patients
4% of all patients
< 11
18 GABAPENTIN540
of 5570
1420 prescriptions
Less than 1% of all prescriptions
960460 patients
6% of all patients
340 patients
4% of all patients
19 LOSARTAN POTASSIUM920
of 5390
870 prescriptions
Less than 1% of all prescriptions
280 patients
3% of all patients
< 11
20 CITALOPRAM HBR
(CITALOPRAM HYDROBROMIDE)
190
of 4180
910 prescriptions
Less than 1% of all prescriptions
910260 patients
3% of all patients
260 patients
3% of all patients
21 FINASTERIDE210
of 2550
600 prescriptions
Less than 1% of all prescriptions
600180 patients
2% of all patients
180 patients
2% of all patients
22 SERTRALINE HCL960
of 5390
630 prescriptions
Less than 1% of all prescriptions
500280 patients
3% of all patients
< 11
23 PRAVASTATIN SODIUM510
of 3960
510 prescriptions
Less than 1% of all prescriptions
170 patients
2% of all patients
< 11
24 POTASSIUM CHLORIDE470
of 4010
750 prescriptions
Less than 1% of all prescriptions
750220 patients
3% of all patients
220 patients
3% of all patients
25 FLUOXETINE HCL330
of 3950
490 prescriptions
Less than 1% of all prescriptions
330240 patients
3% of all patients
< 11
26 FLUTICASONE PROPIONATE120
of 4350
880 prescriptions
Less than 1% of all prescriptions
350 patients
4% of all patients
< 11
27 CARVEDILOL350
of 3220
520 prescriptions
Less than 1% of all prescriptions
180 patients
2% of all patients
< 11
28 CLOPIDOGREL
(CLOPIDOGREL BISULFATE)
330
of 3570
580 prescriptions
Less than 1% of all prescriptions
390190 patients
2% of all patients
< 11
29 RANITIDINE HCL710
of 4580
510 prescriptions
Less than 1% of all prescriptions
120 patients
1% of all patients
< 11
30 GLIPIZIDE350
of 3310
600 prescriptions
Less than 1% of all prescriptions
350150 patients
2% of all patients
< 11
31 ADVAIR DISKUS
(FLUTICASONE PROPION/SALMETEROL)
130
of 3950
780 prescriptions
Less than 1% of all prescriptions
640160 patients
2% of all patients
< 11
32 ROSUVASTATIN CALCIUM640
of 4120
420 prescriptions
Less than 1% of all prescriptions
420140 patients
2% of all patients
140 patients
2% of all patients
33 TORSEMIDE10
of 470
640 prescriptions
Less than 1% of all prescriptions
230 patients
3% of all patients
< 11
34 WARFARIN SODIUM850
of 3830
400 prescriptions
Less than 1% of all prescriptions
400160 patients
2% of all patients
160 patients
2% of all patients
35 DULOXETINE HCL620
of 4210
430 prescriptions
Less than 1% of all prescriptions
190< 11< 11
36 ISOSORBIDE MONONITRATE ER
(ISOSORBIDE MONONITRATE)
420
of 2730
380 prescriptions
Less than 1% of all prescriptions
150 patients
2% of all patients
< 11
37 TRAZODONE HCL520
of 4900
750 prescriptions
Less than 1% of all prescriptions
480140 patients
2% of all patients
< 11
38 ZOLPIDEM TARTRATE130
of 3220
810 prescriptions
Less than 1% of all prescriptions
550240 patients
3% of all patients
< 11
39 GLIPIZIDE ER
(GLIPIZIDE)
190
of 2430
420 prescriptions
Less than 1% of all prescriptions
120 patients
1% of all patients
< 11
40 SYNTHROID
(LEVOTHYROXINE SODIUM)
150
of 2080
330 prescriptions
Less than 1% of all prescriptions
330140 patients
2% of all patients
140 patients
2% of all patients
41 JANTOVEN
(WARFARIN SODIUM)
270
of 1860
340 prescriptions
Less than 1% of all prescriptions
340120 patients
1% of all patients
120 patients
1% of all patients
42 SYMBICORT
(BUDESONIDE/FORMOTEROL FUMARATE)
20
of 2430
700 prescriptions
Less than 1% of all prescriptions
550160 patients
2% of all patients
< 11
43 DONEPEZIL HCL200
of 2100
540 prescriptions
Less than 1% of all prescriptions
420< 11< 11
44 ELIQUIS
(APIXABAN)
380
of 3100
540 prescriptions
Less than 1% of all prescriptions
120 patients
1% of all patients
< 11
45 MONTELUKAST SODIUM520
of 3440
320 prescriptions
Less than 1% of all prescriptions
120 patients
1% of all patients
< 11
46 PREDNISONE250
of 4960
1040 prescriptions
Less than 1% of all prescriptions
850600 patients
7% of all patients
< 11
47 VENTOLIN HFA
(ALBUTEROL SULFATE)
430
of 4820
750 prescriptions
Less than 1% of all prescriptions
520280 patients
3% of all patients
< 11
48 LORAZEPAM250
of 4030
1120 prescriptions
Less than 1% of all prescriptions
300 patients
4% of all patients
< 11
49 CLONAZEPAM210
of 3390
760 prescriptions
Less than 1% of all prescriptions
500180 patients
2% of all patients
< 11
50 TERAZOSIN HCL200
of 1440
230 prescriptions
Less than 1% of all prescriptions
230< 11< 11
51 PROAIR HFA
(ALBUTEROL SULFATE)
60
of 3880
820 prescriptions
Less than 1% of all prescriptions
610200 patients
2% of all patients
< 11
52 XARELTO
(RIVAROXABAN)
100
of 1940
570 prescriptions
Less than 1% of all prescriptions
570< 11< 11
53 RISPERIDONE170
of 1440
550 prescriptions
Less than 1% of all prescriptions
550< 11< 11P
54 AMITRIPTYLINE HCL390
of 3030
290 prescriptions
Less than 1% of all prescriptions
< 11< 11
55 LANTUS SOLOSTAR
(INSULIN GLARGINE,HUM.REC.ANLOG)
210
of 2390
450 prescriptions
Less than 1% of all prescriptions
300140 patients
2% of all patients
< 11
56 FAMOTIDINE560
of 2470
200 prescriptions
Less than 1% of all prescriptions
200< 11< 11
57 SPIRIVA
(TIOTROPIUM BROMIDE)
170
of 2330
350 prescriptions
Less than 1% of all prescriptions
< 11< 11
58 TOPIRAMATE250
of 1180
190 prescriptions
Less than 1% of all prescriptions
< 11< 11O
59 ESOMEPRAZOLE MAGNESIUM200
of 1970
280 prescriptions
Less than 1% of all prescriptions
< 11< 11
60 JANUVIA
(SITAGLIPTIN PHOSPHATE)
440
of 2300
190 prescriptions
Less than 1% of all prescriptions
190< 11< 11
61 METFORMIN HCL ER
(METFORMIN HCL)
670
of 3430
190 prescriptions
Less than 1% of all prescriptions
190< 11< 11
62 DILTIAZEM 24HR ER (CD)
(DILTIAZEM HCL)
350
of 1940
180 prescriptions
Less than 1% of all prescriptions
180< 11< 11
63 ROPINIROLE HCL310
of 2350
350 prescriptions
Less than 1% of all prescriptions
350< 11< 11
64 DOXYCYCLINE HYCLATE150
of 1670
320 prescriptions
Less than 1% of all prescriptions
190 patients
2% of all patients
< 11A
65 LOVASTATIN690
of 3050
220 prescriptions
Less than 1% of all prescriptions
220< 11< 11
66 QUETIAPINE FUMARATE340
of 1940
320 prescriptions
Less than 1% of all prescriptions
170< 11< 11P
67 NAPROXEN190
of 1200
240 prescriptions
Less than 1% of all prescriptions
130< 11< 11
68 BUPROPION HCL SR
(BUPROPION HCL)
220
of 1620
220 prescriptions
Less than 1% of all prescriptions
< 11< 11
69 ALPRAZOLAM410
of 3060
570 prescriptions
Less than 1% of all prescriptions
430150 patients
2% of all patients
< 11
70 GLIPIZIDE XL
(GLIPIZIDE)
180
of 630
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
71 LEVEMIR FLEXTOUCH
(INSULIN DETEMIR)
220
of 1810
280 prescriptions
Less than 1% of all prescriptions
< 11< 11
72 PIOGLITAZONE HCL250
of 760
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
73 BUSPIRONE HCL320
of 1910
330 prescriptions
Less than 1% of all prescriptions
< 11< 11
74 BASAGLAR KWIKPEN U-100
(INSULIN GLARGINE,HUM.REC.ANLOG)
260
of 1480
240 prescriptions
Less than 1% of all prescriptions
< 11< 11
75 ENALAPRIL MALEATE420
of 1950
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
76 PAROXETINE HCL570
of 2700
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
77 OXYBUTYNIN CHLORIDE ER
(OXYBUTYNIN CHLORIDE)
290
of 1550
200 prescriptions
Less than 1% of all prescriptions
< 11< 11
78 TRAMADOL HCL700
of 4350
490 prescriptions
Less than 1% of all prescriptions
350190 patients
2% of all patients
< 11O
79 LOSARTAN-HYDROCHLOROTHIAZIDE
(LOSARTAN/HYDROCHLOROTHIAZIDE)
390
of 1620
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
80 BUPROPION XL
(BUPROPION HCL)
600
of 2860
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
81 ACETAMINOPHEN-CODEINE
(ACETAMINOPHEN WITH CODEINE)
20
of 900
680 prescriptions
Less than 1% of all prescriptions
170< 11< 11O
82 DEXILANT
(DEXLANSOPRAZOLE)
220
of 670
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
83 OLMESARTAN MEDOXOMIL140
of 350
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
84 TOPROL XL
(METOPROLOL SUCCINATE)
50
of 110
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
85 VENLAFAXINE HCL ER
(VENLAFAXINE HCL)
500
of 3080
250 prescriptions
Less than 1% of all prescriptions
< 11< 11
86 SPIRONOLACTONE490
of 2550
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
87 DIVALPROEX SODIUM290
of 900
200 prescriptions
Less than 1% of all prescriptions
200< 11< 11
88 LEVETIRACETAM290
of 1210
260 prescriptions
Less than 1% of all prescriptions
260< 11< 11
89 HEALTHY ACCENTS UNIFINE PENTIP
(PEN NEEDLE, DIABETIC)
90
of 260
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
90 MELOXICAM630
of 2620
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
91 VERAPAMIL ER
(VERAPAMIL HCL)
110
of 720
190 prescriptions
Less than 1% of all prescriptions
190< 11< 11
92 CELECOXIB250
of 1560
180 prescriptions
Less than 1% of all prescriptions
180< 11< 11
93 ESTRADIOL160
of 740
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
94 OXYBUTYNIN CHLORIDE230
of 1380
180 prescriptions
Less than 1% of all prescriptions
180< 11< 11
95 OXYCODONE HCL900
of 3640
400 prescriptions
Less than 1% of all prescriptions
280180 patients
2% of all patients
< 11O
96 COMBIVENT RESPIMAT
(IPRATROPIUM/ALBUTEROL SULFATE)
170
of 1120
210 prescriptions
Less than 1% of all prescriptions
210< 11< 11
97 DOXAZOSIN MESYLATE350
of 1420
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
98 LANTUS
(INSULIN GLARGINE,HUM.REC.ANLOG)
220
of 1470
310 prescriptions
Less than 1% of all prescriptions
310< 11< 11
99 LEVEMIR
(INSULIN DETEMIR)
240
of 800
190 prescriptions
Less than 1% of all prescriptions
190< 11< 11
100 CARBAMAZEPINE100
of 550
230 prescriptions
Less than 1% of all prescriptions
< 11< 11
101 INCRUSE ELLIPTA
(UMECLIDINIUM BROMIDE)
340
of 1620
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
102 CARBIDOPA-LEVODOPA
(CARBIDOPA/LEVODOPA)
220
of 980
250 prescriptions
Less than 1% of all prescriptions
250< 11< 11
103 RALOXIFENE HCL60
of 220
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
104 TRIAMCINOLONE ACETONIDE290
of 2610
370 prescriptions
Less than 1% of all prescriptions
240230 patients
3% of all patients
< 11
105 COUMADIN
(WARFARIN SODIUM)
10
of 20
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
106 HUMULIN R U-500 KWIKPEN
(INSULIN REGULAR, HUMAN)
10
of 50
260 prescriptions
Less than 1% of all prescriptions
260< 11< 11
107 CYCLOBENZAPRINE HCL410
of 3600
500 prescriptions
Less than 1% of all prescriptions
240160 patients
2% of all patients
< 11
108 FLOVENT HFA
(FLUTICASONE PROPIONATE)
280
of 1470
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
109 TRULICITY
(DULAGLUTIDE)
200
of 660
210 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
110 CEPHALEXIN230
of 1540
270 prescriptions
Less than 1% of all prescriptions
270120 patients
1% of all patients
120 patients
1% of all patients
A
111 MIRTAZAPINE690
of 2580
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
112 DUTASTERIDE40
of 150
230 prescriptions
Less than 1% of all prescriptions
230< 11< 11
113 BREO ELLIPTA
(FLUTICASONE/VILANTEROL)
380
of 1510
190 prescriptions
Less than 1% of all prescriptions
< 11< 11
114 IBUPROFEN290
of 1950
230 prescriptions
Less than 1% of all prescriptions
< 11< 11
115 LYRICA
(PREGABALIN)
620
of 2900
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
116 OXYCONTIN
(OXYCODONE HCL)
310
of 1190
180 prescriptions
Less than 1% of all prescriptions
180< 11< 11O
117 TRESIBA FLEXTOUCH U-200
(INSULIN DEGLUDEC)
150
of 270
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
118 HYDRALAZINE HCL410
of 1330
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
119 MEMANTINE HCL270
of 1040
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
120 FLUDROCORTISONE ACETATE50
of 150
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
121 POLYETHYLENE GLYCOL 3350460
of 1840
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
122 DICLOFENAC SODIUM350
of 1760
160 prescriptions
Less than 1% of all prescriptions
160< 11< 11
123 LATANOPROST200
of 460
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
124 METHYLPHENIDATE HCL270
of 770
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
125 SHINGRIX
(VARICELLA-ZOSTER GE/AS01B/PF)
290
of 3370
610 prescriptions
Less than 1% of all prescriptions
610390 patients
5% of all patients
390 patients
5% of all patients
126 ACYCLOVIR130
of 360
110 prescriptions
Less than 1% of all prescriptions
< 11< 11
127 BUTALBITAL-ACETAMINOPHEN-CAFFE
(BUTALB/ACETAMINOPHEN/CAFFEINE)
50
of 460
270 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
128 CLOBETASOL PROPIONATE90
of 340
180 prescriptions
Less than 1% of all prescriptions
< 11< 11
129 ESZOPICLONE80
of 220
130 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
130 ORPHENADRINE CITRATE ER
(ORPHENADRINE CITRATE)
10
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
131 VESICARE
(SOLIFENACIN SUCCINATE)
230
of 760
130 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
132 HUMIRA PEN
(ADALIMUMAB)
20
of 20
130 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
133 ANASTROZOLE50
of 150
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
134 BISOPROLOL FUMARATE40
of 70
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
135 ATROVENT HFA
(IPRATROPIUM BROMIDE)
70
of 160
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
136 TRAVATAN Z
(TRAVOPROST)
80
of 130
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
137 MOMETASONE FUROATE130
of 260
110 prescriptions
Less than 1% of all prescriptions
< 11< 11
138 ROZEREM
(RAMELTEON)
80
of 130
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
139 SUMATRIPTAN SUCCINATE280
of 1190
120 prescriptions
Less than 1% of all prescriptions
< 11< 11
140 HUMULIN R U-500
(INSULIN REGULAR, HUMAN)
10
150 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
141 ALBUTEROL SULFATE180
of 270
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
142 OXYCODONE-ACETAMINOPHEN
(OXYCODONE HCL/ACETAMINOPHEN)
590
of 1950
130 prescriptions
Less than 1% of all prescriptions
< 11< 11O
143 AZITHROMYCIN210
of 2960
490 prescriptions
Less than 1% of all prescriptions
460 patients
6% of all patients
< 11A
144 NYAMYC
(NYSTATIN)
40
of 150
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
145 CLOTRIMAZOLE150
of 420
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
146 HYDROCODONE-ACETAMINOPHEN
(HYDROCODONE/ACETAMINOPHEN)
1270
of 4300
270 prescriptions
Less than 1% of all prescriptions
150 patients
2% of all patients
< 11O
147 NITROGLYCERIN230
of 1470
180 prescriptions
Less than 1% of all prescriptions
140 patients
2% of all patients
< 11
148 HYDROMORPHONE HCL250
of 540
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11O
149 CIPROFLOXACIN HCL180
of 1380
230 prescriptions
Less than 1% of all prescriptions
160 patients
2% of all patients
< 11A
150 NITROFURANTOIN MONO-MACRO
(NITROFURANTOIN MONOHYD/M-CRYST)
90
of 750
200 prescriptions
Less than 1% of all prescriptions
200170 patients
2% of all patients
170 patients
2% of all patients
A
151 CLOTRIMAZOLE-BETAMETHASONE
(CLOTRIMAZOLE/BETAMETHASONE DIP)
130
of 220
120 prescriptions
Less than 1% of all prescriptions
< 11< 11
152 CARAFATE
(SUCRALFATE)
70
of 140
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
153 SULFAMETHOXAZOLE-TRIMETHOPRIM
(SULFAMETHOXAZOLE/TRIMETHOPRIM)
290
of 1960
120 prescriptions
Less than 1% of all prescriptions
< 11< 11A
154 AMOXICILLIN260
of 1170
140 prescriptions
Less than 1% of all prescriptions
< 11< 11A
155 VALACYCLOVIR
(VALACYCLOVIR HCL)
290
of 1520
110 prescriptions
Less than 1% of all prescriptions
< 11< 11