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Julio Silvestre
Internal Medicine Physician (Hospice and Palliative Medicine)
Overview Referral Sources Referral Destinations Practice Locations 5 Prescriptions Procedures Same Address Same Phone Medical Groups 1 Affl. Hospitals 1

Prescriptions made by Julio Silvestre

Data for 2018

1,522

Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 92 providers in this state and specialty

$88.22K

Total Retail Price of All Prescriptions

Rank: 5 out of 92 providers in this state and specialty

186

Patients Receiving at Least One Drug in Part D

Rank: 2 out of 92 providers in this state and specialty

38%

Patients 65 Years and Older

60

Average Age of Patients

Average age of patients for providers in this state and specialty is 75

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 Hospice and Palliative Care in Virginia 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 GABAPENTIN30
of 360
1430 prescriptions
Less than 1% of all prescriptions
740470 patients
25% of all patients		250 patients
13% of all patients
2 OXYCODONE HCL20
of 230
2160 prescriptions
Less than 1% of all prescriptions
840680 patients
37% of all patients		310 patients
17% of all patients		O
3 METHADONE HCL10
of 260
1520 prescriptions
Less than 1% of all prescriptions
660430 patients
23% of all patients		190 patients
10% of all patients		O
4 DULOXETINE HCL10
of 170
680 prescriptions
Less than 1% of all prescriptions
270270 patients
15% of all patients		130 patients
7% of all patients
5 HYDROMORPHONE HCL10
of 190
1410 prescriptions
Less than 1% of all prescriptions
310330 patients
18% of all patients		< 11O
6 FENTANYL30
of 230
540 prescriptions
Less than 1% of all prescriptions
310140 patients
8% of all patients		< 11O
7 OXYCODONE-ACETAMINOPHEN
(OXYCODONE HCL/ACETAMINOPHEN)		20
of 230
690 prescriptions
Less than 1% of all prescriptions
200150 patients
8% of all patients		< 11O
8 OLANZAPINE10
of 100
420 prescriptions
Less than 1% of all prescriptions
140170 patients
9% of all patients		< 11P
9 LYRICA
(PREGABALIN)		20
of 60
380 prescriptions
Less than 1% of all prescriptions
220130 patients
7% of all patients		< 11
10 METHYLPHENIDATE HCL20
of 60
350 prescriptions
Less than 1% of all prescriptions
120 patients
6% of all patients		< 11
11 BACLOFEN10
of 70
350 prescriptions
Less than 1% of all prescriptions
< 11< 11
12 MELOXICAM20
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
13 SERTRALINE HCL40
of 130
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
14 HYDROCODONE-ACETAMINOPHEN
(HYDROCODONE/ACETAMINOPHEN)		30
of 390
350 prescriptions
Less than 1% of all prescriptions
< 11< 11O
15 NORTRIPTYLINE HCL20
of 50
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
16 OMEPRAZOLE30
of 200
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
17 MORPHINE SULFATE ER
(MORPHINE SULFATE)		50
of 300
260 prescriptions
Less than 1% of all prescriptions
< 11< 11O
18 TRAZODONE HCL20
of 140
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
19 METOCLOPRAMIDE HCL10
of 50
220 prescriptions
Less than 1% of all prescriptions
110 patients
6% of all patients		< 11
20 OXYCONTIN
(OXYCODONE HCL)		70
of 120
200 prescriptions
Less than 1% of all prescriptions
< 11< 11O
21 VENLAFAXINE HCL ER
(VENLAFAXINE HCL)		30
of 40
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
22 QUETIAPINE FUMARATE10
of 190
140 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients		P
23 BUPROPION XL
(BUPROPION HCL)		50
of 40
130 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
24 POLYETHYLENE GLYCOL 335020
of 70
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
25 AMITRIPTYLINE HCL30
of 30
130 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
26 DRONABINOL50
110 prescriptions
Less than 1% of all prescriptions
< 11< 11
27 CLONAZEPAM30
of 100
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
28 DICLOFENAC SODIUM10
of 30
150 prescriptions
Less than 1% of all prescriptions
110 patients
6% of all patients		< 11
29 VOLTAREN
(DICLOFENAC SODIUM)		10
110 prescriptions
Less than 1% of all prescriptions
< 11< 11
30 ONDANSETRON HCL30
of 110
120 prescriptions
Less than 1% of all prescriptions
< 11< 11

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