Prescriptions made by Donald Leon Sinden

Data for 2018

8,873

Medicare Part D Prescriptions Filled, Including Refills

Rank: 80 out of 3,602 providers in this state and specialty

$624.4K

Total Retail Price of All Prescriptions

Rank: 75 out of 3,602 providers in this state and specialty

416

Patients Receiving at Least One Drug in Part D

Rank: 186 out of 3,602 providers in this state and specialty

86%

Patients 65 Years and Older

71

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 Washington 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 CALCIUM1280
of 2,6870
3510 prescriptions
Less than 1% of all prescriptions
3350980 patients
24% of all patients
< 11
2 LISINOPRIL1130
of 2,6790
3160 prescriptions
Less than 1% of all prescriptions
2890900 patients
22% of all patients
< 11
3 LEVOTHYROXINE SODIUM1260
of 2,5910
2930 prescriptions
Less than 1% of all prescriptions
2550760 patients
18% of all patients
650 patients
16% of all patients
4 OMEPRAZOLE340
of 2,4090
3150 prescriptions
Less than 1% of all prescriptions
2800860 patients
21% of all patients
710 patients
17% of all patients
5 SIMVASTATIN860
of 2,2210
2030 prescriptions
Less than 1% of all prescriptions
1750610 patients
15% of all patients
< 11
6 METFORMIN HCL540
of 2,3970
2340 prescriptions
Less than 1% of all prescriptions
2010670 patients
16% of all patients
< 11
7 AMLODIPINE BESYLATE1640
of 2,5110
1610 prescriptions
Less than 1% of all prescriptions
1450400 patients
10% of all patients
< 11
8 GABAPENTIN490
of 2,4120
2510 prescriptions
Less than 1% of all prescriptions
1950550 patients
13% of all patients
< 11
9 FUROSEMIDE690
of 2,1040
1840 prescriptions
Less than 1% of all prescriptions
1520500 patients
12% of all patients
< 11
10 FLUOXETINE HCL20
of 1,6280
1650 prescriptions
Less than 1% of all prescriptions
1470420 patients
10% of all patients
< 11
11 LISINOPRIL-HYDROCHLOROTHIAZIDE
(LISINOPRIL/HYDROCHLOROTHIAZIDE)
260
of 1,2380
1090 prescriptions
Less than 1% of all prescriptions
950340 patients
8% of all patients
< 11
12 POTASSIUM CHLORIDE550
of 1,6490
1520 prescriptions
Less than 1% of all prescriptions
1230390 patients
9% of all patients
< 11
13 DICLOFENAC SODIUM20
of 9160
1930 prescriptions
Less than 1% of all prescriptions
1580550 patients
13% of all patients
< 11
14 METOPROLOL TARTRATE720
of 1,9260
1350 prescriptions
Less than 1% of all prescriptions
1220320 patients
8% of all patients
< 11
15 WARFARIN SODIUM400
of 1,4660
1590 prescriptions
Less than 1% of all prescriptions
1350230 patients
6% of all patients
< 11
16 ALLOPURINOL450
of 1,5280
970 prescriptions
Less than 1% of all prescriptions
810240 patients
6% of all patients
< 11
17 HYDROCHLOROTHIAZIDE1510
of 2,2750
850 prescriptions
Less than 1% of all prescriptions
740250 patients
6% of all patients
< 11
18 TAMSULOSIN HCL1170
of 1,8210
880 prescriptions
Less than 1% of all prescriptions
300 patients
7% of all patients
< 11
19 SERTRALINE HCL890
of 1,9530
870 prescriptions
Less than 1% of all prescriptions
440250 patients
6% of all patients
< 11
20 HYDROCODONE-ACETAMINOPHEN
(HYDROCODONE/ACETAMINOPHEN)
1100
of 1,9660
1930 prescriptions
Less than 1% of all prescriptions
1650310 patients
7% of all patients
< 11O
21 BISOPROLOL-HYDROCHLOROTHIAZIDE
(BISOPROLOL/HYDROCHLOROTHIAZIDE)
20
of 510
650 prescriptions
Less than 1% of all prescriptions
220 patients
5% of all patients
< 11
22 ATENOLOL960
of 1,6800
640 prescriptions
Less than 1% of all prescriptions
160 patients
4% of all patients
< 11
23 CLOPIDOGREL
(CLOPIDOGREL BISULFATE)
580
of 1,4250
570 prescriptions
Less than 1% of all prescriptions
220 patients
5% of all patients
< 11
24 ZOLPIDEM TARTRATE270
of 1,1910
960 prescriptions
Less than 1% of all prescriptions
620240 patients
6% of all patients
< 11
25 TRAZODONE HCL1080
of 2,0450
790 prescriptions
Less than 1% of all prescriptions
490180 patients
4% of all patients
< 11
26 CARVEDILOL770
of 1,4650
530 prescriptions
Less than 1% of all prescriptions
170 patients
4% of all patients
< 11
27 LOSARTAN POTASSIUM2340
of 2,3700
560 prescriptions
Less than 1% of all prescriptions
210 patients
5% of all patients
< 11
28 RANITIDINE HCL910
of 1,7750
660 prescriptions
Less than 1% of all prescriptions
520160 patients
4% of all patients
< 11
29 MELOXICAM470
of 1,0560
720 prescriptions
Less than 1% of all prescriptions
250 patients
6% of all patients
< 11
30 BUPROPION HCL SR
(BUPROPION HCL)
80
of 8060
800 prescriptions
Less than 1% of all prescriptions
510180 patients
4% of all patients
< 11
31 TRAMADOL HCL200
of 1,4280
1600 prescriptions
Less than 1% of all prescriptions
1390380 patients
9% of all patients
< 11O
32 ALPRAZOLAM160
of 1,0740
1350 prescriptions
Less than 1% of all prescriptions
1130320 patients
8% of all patients
< 11
33 METOPROLOL SUCCINATE1850
of 2,1330
460 prescriptions
Less than 1% of all prescriptions
140 patients
3% of all patients
< 11
34 ROSUVASTATIN CALCIUM950
of 1,2690
410 prescriptions
Less than 1% of all prescriptions
410140 patients
3% of all patients
140 patients
3% of all patients
35 LANTUS SOLOSTAR
(INSULIN GLARGINE,HUM.REC.ANLOG)
130
of 1,0980
870 prescriptions
Less than 1% of all prescriptions
170 patients
4% of all patients
< 11
36 MIRTAZAPINE440
of 1,0030
640 prescriptions
Less than 1% of all prescriptions
230 patients
6% of all patients
< 11
37 CYCLOBENZAPRINE HCL120
of 1,0370
880 prescriptions
Less than 1% of all prescriptions
660250 patients
6% of all patients
< 11
38 ESTRADIOL250
of 7610
500 prescriptions
Less than 1% of all prescriptions
280110 patients
3% of all patients
< 11
39 PIOGLITAZONE HCL390
of 3600
440 prescriptions
Less than 1% of all prescriptions
130 patients
3% of all patients
< 11
40 DONEPEZIL HCL340
of 9210
690 prescriptions
Less than 1% of all prescriptions
690110 patients
3% of all patients
110 patients
3% of all patients
41 MONTELUKAST SODIUM660
of 1,1640
380 prescriptions
Less than 1% of all prescriptions
110 patients
3% of all patients
< 11
42 PANTOPRAZOLE SODIUM1030
of 1,6670
420 prescriptions
Less than 1% of all prescriptions
110 patients
3% of all patients
< 11
43 VENLAFAXINE HCL ER
(VENLAFAXINE HCL)
650
of 1,1620
340 prescriptions
Less than 1% of all prescriptions
< 11< 11
44 CARTIA XT
(DILTIAZEM HCL)
120
of 3760
380 prescriptions
Less than 1% of all prescriptions
< 11< 11
45 PRAVASTATIN SODIUM1420
of 1,5840
270 prescriptions
Less than 1% of all prescriptions
270< 11< 11
46 LOSARTAN-HYDROCHLOROTHIAZIDE
(LOSARTAN/HYDROCHLOROTHIAZIDE)
630
of 9090
350 prescriptions
Less than 1% of all prescriptions
< 11< 11
47 XARELTO
(RIVAROXABAN)
320
of 6430
500 prescriptions
Less than 1% of all prescriptions
500< 11< 11
48 OXYCODONE-ACETAMINOPHEN
(OXYCODONE HCL/ACETAMINOPHEN)
430
of 1,1770
930 prescriptions
Less than 1% of all prescriptions
420120 patients
3% of all patients
< 11O
49 MORPHINE SULFATE ER
(MORPHINE SULFATE)
400
of 7720
710 prescriptions
Less than 1% of all prescriptions
320< 11< 11O
50 OXYBUTYNIN CHLORIDE410
of 7570
320 prescriptions
Less than 1% of all prescriptions
320< 11< 11
51 BENAZEPRIL HCL380
of 5160
300 prescriptions
Less than 1% of all prescriptions
< 11< 11
52 BUSPIRONE HCL240
of 8030
530 prescriptions
Less than 1% of all prescriptions
340140 patients
3% of all patients
< 11
53 BISOPROLOL FUMARATE40
of 400
340 prescriptions
Less than 1% of all prescriptions
< 11< 11
54 GLIMEPIRIDE770
of 8580
380 prescriptions
Less than 1% of all prescriptions
< 11< 11
55 TRIAMTERENE-HYDROCHLOROTHIAZID
(TRIAMTERENE/HYDROCHLOROTHIAZID)
740
of 9520
270 prescriptions
Less than 1% of all prescriptions
< 11< 11
56 FENOFIBRATE
(FENOFIBRATE,MICRONIZED)
60
of 570
250 prescriptions
Less than 1% of all prescriptions
130< 11< 11
57 TESTOSTERONE CYPIONATE150
of 1570
290 prescriptions
Less than 1% of all prescriptions
< 11< 11
58 HYDRALAZINE HCL230
of 3790
390 prescriptions
Less than 1% of all prescriptions
390< 11< 11
59 OLMESARTAN MEDOXOMIL170
of 1490
220 prescriptions
Less than 1% of all prescriptions
220< 11< 11
60 CITALOPRAM HBR
(CITALOPRAM HYDROBROMIDE)
1270
of 1,7440
220 prescriptions
Less than 1% of all prescriptions
110 patients
3% of all patients
< 11
61 PROPRANOLOL HCL330
of 5490
270 prescriptions
Less than 1% of all prescriptions
150< 11< 11
62 SYMBICORT
(BUDESONIDE/FORMOTEROL FUMARATE)
130
of 5830
550 prescriptions
Less than 1% of all prescriptions
< 11< 11
63 EZETIMIBE300
of 2900
300 prescriptions
Less than 1% of all prescriptions
300< 11< 11
64 LOVASTATIN1050
of 1,4450
380 prescriptions
Less than 1% of all prescriptions
< 11< 11
65 MYRBETRIQ
(MIRABEGRON)
120
of 1530
400 prescriptions
Less than 1% of all prescriptions
400< 11< 11
66 DULOXETINE HCL950
of 1,4440
310 prescriptions
Less than 1% of all prescriptions
120< 11< 11
67 VALSARTAN-HYDROCHLOROTHIAZIDE
(VALSARTAN/HYDROCHLOROTHIAZIDE)
60
of 840
240 prescriptions
Less than 1% of all prescriptions
240< 11< 11
68 FLUTICASONE PROPIONATE1090
of 2,0440
330 prescriptions
Less than 1% of all prescriptions
130 patients
3% of all patients
< 11
69 ESOMEPRAZOLE MAGNESIUM140
of 3090
300 prescriptions
Less than 1% of all prescriptions
180< 11< 11
70 SUMATRIPTAN SUCCINATE40
of 5560
590 prescriptions
Less than 1% of all prescriptions
330< 11< 11
71 ROPINIROLE HCL350
of 6060
380 prescriptions
Less than 1% of all prescriptions
< 11< 11
72 TIZANIDINE HCL710
of 9160
300 prescriptions
Less than 1% of all prescriptions
170< 11< 11
73 NAPROXEN320
of 7010
380 prescriptions
Less than 1% of all prescriptions
230< 11< 11
74 RAMIPRIL330
of 1790
160 prescriptions
Less than 1% of all prescriptions
160< 11< 11
75 OXYCODONE HCL1350
of 1,4030
550 prescriptions
Less than 1% of all prescriptions
380140 patients
3% of all patients
< 11O
76 ESCITALOPRAM OXALATE870
of 1,0970
260 prescriptions
Less than 1% of all prescriptions
< 11< 11
77 FINASTERIDE730
of 8630
230 prescriptions
Less than 1% of all prescriptions
< 11< 11
78 OLANZAPINE490
of 3720
240 prescriptions
Less than 1% of all prescriptions
< 11< 11P
79 MEMANTINE HCL360
of 4270
320 prescriptions
Less than 1% of all prescriptions
320< 11< 11
80 FENOFIBRATE510
of 3670
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
81 ISOSORBIDE MONONITRATE ER
(ISOSORBIDE MONONITRATE)
360
of 5330
270 prescriptions
Less than 1% of all prescriptions
270< 11< 11
82 LAMOTRIGINE390
of 5540
260 prescriptions
Less than 1% of all prescriptions
< 11< 11
83 VENLAFAXINE HCL200
of 2130
220 prescriptions
Less than 1% of all prescriptions
< 11< 11
84 ALENDRONATE SODIUM940
of 1,4330
370 prescriptions
Less than 1% of all prescriptions
370< 11< 11
85 METFORMIN HCL ER
(METFORMIN HCL)
1320
of 1,4060
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
86 NORTRIPTYLINE HCL440
of 5650
200 prescriptions
Less than 1% of all prescriptions
< 11< 11
87 OLMESARTAN-HYDROCHLOROTHIAZIDE
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
70
of 280
160 prescriptions
Less than 1% of all prescriptions
160< 11< 11
88 CLONIDINE HCL450
of 4890
200 prescriptions
Less than 1% of all prescriptions
< 11< 11
89 HUMALOG KWIKPEN U-100
(INSULIN LISPRO)
270
of 3240
190 prescriptions
Less than 1% of all prescriptions
190< 11< 11
90 BACLOFEN720
of 8380
280 prescriptions
Less than 1% of all prescriptions
110< 11< 11
91 FENOFIBRATE
(FENOFIBRATE NANOCRYSTALLIZED)
200
of 1790
200 prescriptions
Less than 1% of all prescriptions
< 11< 11
92 CLONAZEPAM770
of 9990
320 prescriptions
Less than 1% of all prescriptions
< 11< 11
93 PROAIR HFA
(ALBUTEROL SULFATE)
630
of 1,1970
320 prescriptions
Less than 1% of all prescriptions
140 patients
3% of all patients
< 11
94 STIOLTO RESPIMAT
(TIOTROPIUM BR/OLODATEROL HCL)
20
of 270
240 prescriptions
Less than 1% of all prescriptions
240< 11< 11
95 DOXEPIN HCL170
of 2060
240 prescriptions
Less than 1% of all prescriptions
< 11< 11
96 SPIRONOLACTONE730
of 1,0690
200 prescriptions
Less than 1% of all prescriptions
< 11< 11
97 AMITRIPTYLINE HCL590
of 8260
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
98 VICTOZA 2-PAK
(LIRAGLUTIDE)
50
of 640
250 prescriptions
Less than 1% of all prescriptions
< 11< 11
99 ANORO ELLIPTA
(UMECLIDINIUM BRM/VILANTEROL TR)
100
of 950
290 prescriptions
Less than 1% of all prescriptions
290< 11< 11
100 RISPERIDONE620
of 5200
130 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
P
101 HYDROXYZINE HCL410
of 4390
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
102 ISOSORBIDE DINITRATE60
of 610
220 prescriptions
Less than 1% of all prescriptions
< 11< 11
103 VERAPAMIL HCL60
of 360
160 prescriptions
Less than 1% of all prescriptions
160< 11< 11
104 NOVOLOG FLEXPEN
(INSULIN ASPART)
320
of 3030
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
105 TEMAZEPAM340
of 2980
230 prescriptions
Less than 1% of all prescriptions
< 11< 11
106 DIVALPROEX SODIUM480
of 3290
200 prescriptions
Less than 1% of all prescriptions
< 11< 11
107 LITHIUM CARBONATE130
of 680
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
108 SPIRIVA RESPIMAT
(TIOTROPIUM BROMIDE)
310
of 2000
240 prescriptions
Less than 1% of all prescriptions
240< 11< 11
109 SUCRALFATE150
of 1270
220 prescriptions
Less than 1% of all prescriptions
220< 11< 11
110 VESICARE
(SOLIFENACIN SUCCINATE)
100
of 1830
260 prescriptions
Less than 1% of all prescriptions
260< 11< 11
111 JANUVIA
(SITAGLIPTIN PHOSPHATE)
530
of 4660
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
112 TRULICITY
(DULAGLUTIDE)
180
of 1250
230 prescriptions
Less than 1% of all prescriptions
230< 11< 11
113 CELECOXIB400
of 3660
160 prescriptions
Less than 1% of all prescriptions
160< 11< 11
114 TRIAMCINOLONE ACETONIDE590
of 1,1690
240 prescriptions
Less than 1% of all prescriptions
170 patients
4% of all patients
< 11
115 ULTRA-FINE SHORT PEN NEEDLE
(PEN NEEDLE, DIABETIC)
230
of 1880
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
116 NIACIN ER
(NIACIN)
120
of 390
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
117 MORPHINE SULFATE220
of 1910
250 prescriptions
Less than 1% of all prescriptions
< 11< 11O
118 HYDROXYZINE PAMOATE240
of 2180
210 prescriptions
Less than 1% of all prescriptions
< 11< 11
119 CARBIDOPA-LEVODOPA
(CARBIDOPA/LEVODOPA)
330
of 3030
220 prescriptions
Less than 1% of all prescriptions
220< 11< 11
120 DEXTROAMPHETAMINE-AMPHETAMINE
(DEXTROAMPHETAMINE/AMPHETAMINE)
310
of 2580
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
121 PRAMIPEXOLE DIHYDROCHLORIDE
(PRAMIPEXOLE DI-HCL)
480
of 5870
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
122 ACETAMINOPHEN-CODEINE
(ACETAMINOPHEN WITH CODEINE)
410
of 5590
280 prescriptions
Less than 1% of all prescriptions
160< 11< 11O
123 PREMARIN
(ESTROGENS, CONJUGATED)
190
of 1150
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
124 BASAGLAR KWIKPEN U-100
(INSULIN GLARGINE,HUM.REC.ANLOG)
360
of 3220
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
125 DILTIAZEM HCL190
of 770
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
126 LABETALOL HCL200
of 870
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
127 HALOPERIDOL110
of 550
150 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
P
128 IBUPROFEN660
of 7250
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
129 LORAZEPAM1160
of 1,2140
220 prescriptions
Less than 1% of all prescriptions
< 11< 11
130 COMBIVENT RESPIMAT
(IPRATROPIUM/ALBUTEROL SULFATE)
280
of 2700
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
131 DIGOX
(DIGOXIN)
170
of 780
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
132 ONDANSETRON ODT
(ONDANSETRON)
170
of 4630
390 prescriptions
Less than 1% of all prescriptions
< 11< 11
133 ACYCLOVIR360
of 6390
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
134 PREDNISONE1080
of 1,4990
160 prescriptions
Less than 1% of all prescriptions
110 patients
3% of all patients
< 11
135 ARIPIPRAZOLE410
of 3400
150 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
P
136 EMBEDA
(MORPHINE SULFATE/NALTREXONE)
10
of 20
150 prescriptions
Less than 1% of all prescriptions
< 11< 11O
137 DICYCLOMINE HCL310
of 2610
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
138 DILTIAZEM 24HR ER (CD)
(DILTIAZEM HCL)
390
of 2530
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
139 PROCHLORPERAZINE MALEATE30
of 270
230 prescriptions
Less than 1% of all prescriptions
< 11< 11
140 DEXTROAMPHETAMINE SULFATE20
of 100
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
141 RANEXA
(RANOLAZINE)
70
of 180
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
142 DALIRESP
(ROFLUMILAST)
50
of 150
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
143 FAMOTIDINE630
of 4930
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
144 FENTANYL640
of 3310
120 prescriptions
Less than 1% of all prescriptions
< 11< 11O
145 PROAIR RESPICLICK
(ALBUTEROL SULFATE)
10
of 90
210 prescriptions
Less than 1% of all prescriptions
< 11< 11
146 DIAZEPAM610
of 5320
120 prescriptions
Less than 1% of all prescriptions
< 11< 11
147 LATANOPROST300
of 1540
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
148 METOCLOPRAMIDE HCL270
of 1620
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
149 CLOBETASOL PROPIONATE180
of 800
120 prescriptions
Less than 1% of all prescriptions
< 11< 11
150 VENTOLIN HFA
(ALBUTEROL SULFATE)
1260
of 1,8260
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
151 DOXYCYCLINE MONOHYDRATE350
of 2450
140 prescriptions
Less than 1% of all prescriptions
130 patients
3% of all patients
< 11A
152 METHOCARBAMOL380
of 3450
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
153 NITROGLYCERIN300
of 2660
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
154 VALACYCLOVIR
(VALACYCLOVIR HCL)
260
of 2990
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
155 PROMETHAZINE HCL340
of 2230
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
156 CIPROFLOXACIN HCL340
of 4900
230 prescriptions
Less than 1% of all prescriptions
180 patients
4% of all patients
< 11A
157 AZITHROMYCIN720
of 9240
140 prescriptions
Less than 1% of all prescriptions
140 patients
3% of all patients
< 11A
158 FLUCONAZOLE320
of 3470
150 prescriptions
Less than 1% of all prescriptions
< 11< 11