Prescriptions made by John David Hackett

Data for 2018

10.3K

Medicare Part D Prescriptions Filled, Including Refills

Rank: 40 out of 1,654 providers in this state and specialty

$577K

Total Retail Price of All Prescriptions

Rank: 71 out of 1,654 providers in this state and specialty

313

Patients Receiving at Least One Drug in Part D

Rank: 236 out of 1,654 providers in this state and specialty

83%

Patients 65 Years and Older

74

Average Age of Patients

Average age of patients for providers in this state and specialty is 68

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 Massachusetts 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 LEVOTHYROXINE SODIUM390
of 1,1830
4250 prescriptions
Less than 1% of all prescriptions
3870560 patients
18% of all patients
< 11
2 ATORVASTATIN CALCIUM930
of 1,2900
3610 prescriptions
Less than 1% of all prescriptions
3490530 patients
17% of all patients
< 11
3 OMEPRAZOLE430
of 1,2120
3620 prescriptions
Less than 1% of all prescriptions
3310540 patients
17% of all patients
< 11
4 AMLODIPINE BESYLATE690
of 1,2410
2880 prescriptions
Less than 1% of all prescriptions
2720440 patients
14% of all patients
< 11
5 METOPROLOL SUCCINATE240
of 1,1500
3210 prescriptions
Less than 1% of all prescriptions
420 patients
13% of all patients
< 11
6 FUROSEMIDE120
of 1,0070
4870 prescriptions
Less than 1% of all prescriptions
440 patients
14% of all patients
< 11
7 LISINOPRIL1710
of 1,2860
2470 prescriptions
Less than 1% of all prescriptions
390 patients
12% of all patients
< 11
8 TAMSULOSIN HCL120
of 8110
2090 prescriptions
Less than 1% of all prescriptions
1970320 patients
10% of all patients
< 11
9 PRAVASTATIN SODIUM560
of 8520
1300 prescriptions
Less than 1% of all prescriptions
1150250 patients
8% of all patients
< 11
10 ATENOLOL90
of 9290
2370 prescriptions
Less than 1% of all prescriptions
2220270 patients
9% of all patients
< 11
11 LOSARTAN POTASSIUM410
of 1,0850
1910 prescriptions
Less than 1% of all prescriptions
290 patients
9% of all patients
< 11
12 FINASTERIDE70
of 4530
1970 prescriptions
Less than 1% of all prescriptions
260 patients
8% of all patients
< 11
13 PANTOPRAZOLE SODIUM210
of 8570
1720 prescriptions
Less than 1% of all prescriptions
1610250 patients
8% of all patients
< 11
14 SIMVASTATIN1910
of 1,1390
1150 prescriptions
Less than 1% of all prescriptions
250 patients
8% of all patients
< 11
15 WARFARIN SODIUM130
of 7730
3900 prescriptions
Less than 1% of all prescriptions
200 patients
6% of all patients
< 11
16 GABAPENTIN710
of 1,1320
1890 prescriptions
Less than 1% of all prescriptions
1470260 patients
8% of all patients
< 11
17 ALLOPURINOL190
of 7110
1370 prescriptions
Less than 1% of all prescriptions
220 patients
7% of all patients
< 11
18 DONEPEZIL HCL70
of 4490
2410 prescriptions
Less than 1% of all prescriptions
2410210 patients
7% of all patients
210 patients
7% of all patients
19 HYDROCHLOROTHIAZIDE1560
of 1,1600
960 prescriptions
Less than 1% of all prescriptions
220 patients
7% of all patients
< 11
20 TRAZODONE HCL370
of 9530
1890 prescriptions
Less than 1% of all prescriptions
1740190 patients
6% of all patients
< 11
21 METFORMIN HCL1580
of 1,1660
870 prescriptions
Less than 1% of all prescriptions
580220 patients
7% of all patients
< 11
22 SERTRALINE HCL550
of 9300
1230 prescriptions
Less than 1% of all prescriptions
130 patients
4% of all patients
< 11
23 ROSUVASTATIN CALCIUM360
of 7220
960 prescriptions
Less than 1% of all prescriptions
960160 patients
5% of all patients
160 patients
5% of all patients
24 CITALOPRAM HBR
(CITALOPRAM HYDROBROMIDE)
650
of 8460
1020 prescriptions
Less than 1% of all prescriptions
880150 patients
5% of all patients
< 11
25 BUPROPION XL
(BUPROPION HCL)
40
of 3530
730 prescriptions
Less than 1% of all prescriptions
140 patients
4% of all patients
< 11
26 METOPROLOL TARTRATE1310
of 8870
620 prescriptions
Less than 1% of all prescriptions
620140 patients
4% of all patients
140 patients
4% of all patients
27 MONTELUKAST SODIUM390
of 6250
600 prescriptions
Less than 1% of all prescriptions
460130 patients
4% of all patients
< 11
28 ELIQUIS
(APIXABAN)
70
of 4310
1740 prescriptions
Less than 1% of all prescriptions
1740150 patients
5% of all patients
150 patients
5% of all patients
29 GLIMEPIRIDE410
of 3070
460 prescriptions
Less than 1% of all prescriptions
< 11< 11
30 LORAZEPAM1030
of 7720
840 prescriptions
Less than 1% of all prescriptions
660150 patients
5% of all patients
< 11
31 LISINOPRIL-HYDROCHLOROTHIAZIDE
(LISINOPRIL/HYDROCHLOROTHIAZIDE)
830
of 5840
260 prescriptions
Less than 1% of all prescriptions
260< 11< 11
32 JANUVIA
(SITAGLIPTIN PHOSPHATE)
100
of 3920
840 prescriptions
Less than 1% of all prescriptions
840< 11< 11
33 CLOPIDOGREL
(CLOPIDOGREL BISULFATE)
520
of 6410
530 prescriptions
Less than 1% of all prescriptions
120 patients
4% of all patients
< 11
34 MELOXICAM220
of 3040
620 prescriptions
Less than 1% of all prescriptions
420170 patients
5% of all patients
< 11
35 METFORMIN HCL ER
(METFORMIN HCL)
1070
of 6900
280 prescriptions
Less than 1% of all prescriptions
< 11< 11
36 FLUTICASONE PROPIONATE1080
of 1,0260
380 prescriptions
Less than 1% of all prescriptions
110 patients
4% of all patients
< 11
37 MIRTAZAPINE750
of 5880
490 prescriptions
Less than 1% of all prescriptions
110 patients
4% of all patients
< 11
38 ZOLPIDEM TARTRATE460
of 5590
620 prescriptions
Less than 1% of all prescriptions
370120 patients
4% of all patients
< 11
39 ALENDRONATE SODIUM490
of 6690
610 prescriptions
Less than 1% of all prescriptions
490< 11< 11
40 CARVEDILOL280
of 4840
590 prescriptions
Less than 1% of all prescriptions
590< 11< 11
41 TRAMADOL HCL550
of 7400
680 prescriptions
Less than 1% of all prescriptions
520180 patients
6% of all patients
< 11O
42 OLANZAPINE130
of 1490
790 prescriptions
Less than 1% of all prescriptions
790< 11< 11P
43 MEMANTINE HCL190
of 2120
550 prescriptions
Less than 1% of all prescriptions
550< 11< 11
44 QUETIAPINE FUMARATE530
of 4250
430 prescriptions
Less than 1% of all prescriptions
< 11< 11P
45 VENLAFAXINE HCL ER
(VENLAFAXINE HCL)
440
of 4790
380 prescriptions
Less than 1% of all prescriptions
380< 11< 11
46 BUPROPION HCL SR
(BUPROPION HCL)
390
of 4080
320 prescriptions
Less than 1% of all prescriptions
< 11< 11
47 TERAZOSIN HCL370
of 2500
290 prescriptions
Less than 1% of all prescriptions
290< 11< 11
48 POTASSIUM CHLORIDE590
of 5560
560 prescriptions
Less than 1% of all prescriptions
560< 11< 11
49 LAMOTRIGINE100
of 2050
590 prescriptions
Less than 1% of all prescriptions
< 11< 11
50 AMLODIPINE BESYLATE-BENAZEPRIL
(AMLODIPINE BESYLATE/BENAZEPRIL)
140
of 650
310 prescriptions
Less than 1% of all prescriptions
110< 11< 11
51 FLUOXETINE HCL920
of 7520
220 prescriptions
Less than 1% of all prescriptions
< 11< 11
52 TOPIRAMATE310
of 2150
240 prescriptions
Less than 1% of all prescriptions
110< 11< 11O
53 TORSEMIDE70
of 1400
490 prescriptions
Less than 1% of all prescriptions
490< 11< 11
54 SPIRIVA
(TIOTROPIUM BROMIDE)
290
of 4200
400 prescriptions
Less than 1% of all prescriptions
400< 11< 11
55 BACLOFEN280
of 3520
490 prescriptions
Less than 1% of all prescriptions
260< 11< 11
56 HYDROCODONE-ACETAMINOPHEN
(HYDROCODONE/ACETAMINOPHEN)
760
of 5120
450 prescriptions
Less than 1% of all prescriptions
190< 11< 11O
57 OXYCODONE HCL1100
of 6690
490 prescriptions
Less than 1% of all prescriptions
220110 patients
4% of all patients
< 11O
58 LOSARTAN-HYDROCHLOROTHIAZIDE
(LOSARTAN/HYDROCHLOROTHIAZIDE)
520
of 3070
180 prescriptions
Less than 1% of all prescriptions
< 11< 11
59 RANITIDINE HCL1140
of 9500
280 prescriptions
Less than 1% of all prescriptions
< 11< 11
60 CALCITONIN-SALMON
(CALCITONIN,SALMON,SYNTHETIC)
50
of 320
300 prescriptions
Less than 1% of all prescriptions
< 11< 11
61 VESICARE
(SOLIFENACIN SUCCINATE)
10
of 930
890 prescriptions
Less than 1% of all prescriptions
< 11< 11
62 IBUPROFEN930
of 7730
220 prescriptions
Less than 1% of all prescriptions
< 11< 11
63 OXYCODONE-ACETAMINOPHEN
(OXYCODONE HCL/ACETAMINOPHEN)
900
of 5590
440 prescriptions
Less than 1% of all prescriptions
< 11< 11O
64 ALPRAZOLAM870
of 5340
370 prescriptions
Less than 1% of all prescriptions
< 11< 11
65 SPIRONOLACTONE400
of 4340
240 prescriptions
Less than 1% of all prescriptions
240< 11< 11
66 CLONAZEPAM870
of 6570
320 prescriptions
Less than 1% of all prescriptions
190< 11< 11
67 MEMANTINE HCL ER
(MEMANTINE HCL)
60
of 520
600 prescriptions
Less than 1% of all prescriptions
600< 11< 11
68 PREDNISONE440
of 7190
720 prescriptions
Less than 1% of all prescriptions
370 patients
12% of all patients
< 11
69 ESOMEPRAZOLE MAGNESIUM250
of 1790
210 prescriptions
Less than 1% of all prescriptions
< 11< 11
70 ENALAPRIL MALEATE360
of 2610
200 prescriptions
Less than 1% of all prescriptions
200< 11< 11
71 SYNTHROID
(LEVOTHYROXINE SODIUM)
570
of 4270
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
72 XARELTO
(RIVAROXABAN)
360
of 3080
340 prescriptions
Less than 1% of all prescriptions
340< 11< 11
73 DEXTROAMPHETAMINE-AMPHETAMINE
(DEXTROAMPHETAMINE/AMPHETAMINE)
230
of 1620
320 prescriptions
Less than 1% of all prescriptions
210< 11< 11
74 OLMESARTAN MEDOXOMIL40
of 650
410 prescriptions
Less than 1% of all prescriptions
410< 11< 11
75 DIGOXIN90
of 1500
600 prescriptions
Less than 1% of all prescriptions
600< 11< 11
76 DIAZEPAM400
of 3380
300 prescriptions
Less than 1% of all prescriptions
< 11< 11
77 TIZANIDINE HCL470
of 2920
250 prescriptions
Less than 1% of all prescriptions
160 patients
5% of all patients
< 11
78 DULOXETINE HCL880
of 5540
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
79 LATANOPROST190
of 930
360 prescriptions
Less than 1% of all prescriptions
360< 11< 11
80 FLOVENT HFA
(FLUTICASONE PROPIONATE)
450
of 4990
180 prescriptions
Less than 1% of all prescriptions
< 11< 11
81 CREON
(LIPASE/PROTEASE/AMYLASE)
60
of 330
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
82 MOMETASONE FUROATE50
of 410
420 prescriptions
Less than 1% of all prescriptions
160 patients
5% of all patients
< 11
83 NITROGLYCERIN130
of 900
190 prescriptions
Less than 1% of all prescriptions
190110 patients
4% of all patients
110 patients
4% of all patients
84 METOLAZONE20
of 290
530 prescriptions
Less than 1% of all prescriptions
< 11< 11
85 PROPRANOLOL HCL290
of 2480
220 prescriptions
Less than 1% of all prescriptions
< 11< 11
86 SYMBICORT
(BUDESONIDE/FORMOTEROL FUMARATE)
590
of 4950
180 prescriptions
Less than 1% of all prescriptions
< 11< 11
87 CARBIDOPA-LEVODOPA
(CARBIDOPA/LEVODOPA)
280
of 1090
260 prescriptions
Less than 1% of all prescriptions
260< 11< 11
88 VENTOLIN HFA
(ALBUTEROL SULFATE)
870
of 9290
330 prescriptions
Less than 1% of all prescriptions
150< 11< 11
89 AMIODARONE HCL120
of 760
260 prescriptions
Less than 1% of all prescriptions
260< 11< 11
90 MECLIZINE HCL440
of 2820
170 prescriptions
Less than 1% of all prescriptions
< 11< 11
91 ROPINIROLE HCL430
of 2710
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
92 OXYCONTIN
(OXYCODONE HCL)
290
of 2320
360 prescriptions
Less than 1% of all prescriptions
230< 11< 11O
93 LYRICA
(PREGABALIN)
240
of 3760
430 prescriptions
Less than 1% of all prescriptions
< 11< 11
94 ALFUZOSIN HCL ER
(ALFUZOSIN HCL)
40
of 180
180 prescriptions
Less than 1% of all prescriptions
< 11< 11
95 CLONIDINE HCL480
of 3300
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
96 FELODIPINE ER
(FELODIPINE)
110
of 440
190 prescriptions
Less than 1% of all prescriptions
190< 11< 11
97 OXYBUTYNIN CHLORIDE320
of 1960
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
98 TRAMADOL HCL ER
(TRAMADOL HCL)
20
of 50
240 prescriptions
Less than 1% of all prescriptions
240< 11< 11O
99 LUMIGAN
(BIMATOPROST)
10
of 110
310 prescriptions
Less than 1% of all prescriptions
310< 11< 11
100 PRAMIPEXOLE DIHYDROCHLORIDE
(PRAMIPEXOLE DI-HCL)
70
of 1280
420 prescriptions
Less than 1% of all prescriptions
< 11< 11
101 VERAPAMIL ER
(VERAPAMIL HCL)
280
of 1950
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
102 IPRATROPIUM BROMIDE130
of 660
220 prescriptions
Less than 1% of all prescriptions
220130 patients
4% of all patients
130 patients
4% of all patients
103 WELCHOL
(COLESEVELAM HCL)
30
of 70
140 prescriptions
Less than 1% of all prescriptions
< 11< 11
104 AMITIZA
(LUBIPROSTONE)
50
of 190
230 prescriptions
Less than 1% of all prescriptions
< 11< 11
105 PROAIR HFA
(ALBUTEROL SULFATE)
640
of 7840
320 prescriptions
Less than 1% of all prescriptions
160110 patients
4% of all patients
< 11
106 CHLORTHALIDONE630
of 3490
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
107 LANTUS SOLOSTAR
(INSULIN GLARGINE,HUM.REC.ANLOG)
460
of 4070
230 prescriptions
Less than 1% of all prescriptions
230< 11< 11
108 LOVASTATIN710
of 4680
210 prescriptions
Less than 1% of all prescriptions
< 11< 11
109 RASAGILINE MESYLATE20
of 80
380 prescriptions
Less than 1% of all prescriptions
380< 11< 11
110 PAROXETINE HCL760
of 4980
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
111 CARBIDOPA-LEVODOPA ER
(CARBIDOPA/LEVODOPA)
70
of 230
210 prescriptions
Less than 1% of all prescriptions
210< 11< 11
112 RALOXIFENE HCL280
of 850
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
113 GLIPIZIDE ER
(GLIPIZIDE)
720
of 4490
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
114 DOXYCYCLINE MONOHYDRATE150
of 640
160 prescriptions
Less than 1% of all prescriptions
< 11< 11A
115 AMMONIUM LACTATE170
of 390
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
116 ESCITALOPRAM OXALATE940
of 5180
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
117 DORZOLAMIDE-TIMOLOL
(DORZOLAMIDE HCL/TIMOLOL MALEAT)
60
of 120
180 prescriptions
Less than 1% of all prescriptions
180< 11< 11
118 FENOFIBRATE
(FENOFIBRATE NANOCRYSTALLIZED)
310
of 1100
130 prescriptions
Less than 1% of all prescriptions
< 11< 11
119 PHENYTOIN SODIUM EXTENDED220
of 930
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
120 DICLOFENAC SODIUM560
of 3590
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
121 TRAVATAN Z
(TRAVOPROST)
20
of 110
220 prescriptions
Less than 1% of all prescriptions
220< 11< 11
122 FENTANYL310
of 1480
200 prescriptions
Less than 1% of all prescriptions
200< 11< 11O
123 OLOPATADINE HCL50
of 200
200 prescriptions
Less than 1% of all prescriptions
200< 11< 11
124 SULFAMETHOXAZOLE-TRIMETHOPRIM
(SULFAMETHOXAZOLE/TRIMETHOPRIM)
320
of 2930
160 prescriptions
Less than 1% of all prescriptions
< 11< 11A
125 QUETIAPINE FUMARATE ER
(QUETIAPINE FUMARATE)
40
of 120
160 prescriptions
Less than 1% of all prescriptions
< 11< 11P
126 BUPROPION HCL170
of 790
150 prescriptions
Less than 1% of all prescriptions
00< 1100 patients
Less than 1% of all patients
127 MODAFINIL40
of 130
110 prescriptions
Less than 1% of all prescriptions
< 11< 11
128 AZELASTINE HCL260
of 650
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
129 NADOLOL100
of 540
140 prescriptions
Less than 1% of all prescriptions
140< 11< 11
130 BREO ELLIPTA
(FLUTICASONE/VILANTEROL)
310
of 1120
170 prescriptions
Less than 1% of all prescriptions
170< 11< 11
131 AMANTADINE
(AMANTADINE HCL)
60
of 170
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
132 ANORO ELLIPTA
(UMECLIDINIUM BRM/VILANTEROL TR)
190
of 700
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
133 PRIMIDONE160
of 480
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
134 RAMIPRIL150
of 490
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
135 SEREVENT DISKUS
(SALMETEROL XINAFOATE)
30
of 140
130 prescriptions
Less than 1% of all prescriptions
130< 11< 11
136 SUCRALFATE280
of 1040
110 prescriptions
Less than 1% of all prescriptions
< 11< 11
137 DIVALPROEX SODIUM380
of 1560
270 prescriptions
Less than 1% of all prescriptions
270< 11< 11
138 RAPAFLO
(SILODOSIN)
10
230 prescriptions
Less than 1% of all prescriptions
230< 11< 11
139 EASY TOUCH ALCOHOL PREP PADS
(ALCOHOL ANTISEPTIC PADS)
120
of 230
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
140 FLUCONAZOLE190
of 1340
150 prescriptions
Less than 1% of all prescriptions
< 11< 11
141 NAMENDA XR
(MEMANTINE HCL)
60
of 230
240 prescriptions
Less than 1% of all prescriptions
240< 11< 11
142 NIFEDIPINE ER
(NIFEDIPINE)
340
of 3460
350 prescriptions
Less than 1% of all prescriptions
350< 11< 11
143 RIVASTIGMINE
(RIVASTIGMINE TARTRATE)
140
of 260
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
144 RISPERIDONE530
of 1900
110 prescriptions
Less than 1% of all prescriptions
< 11< 11P
145 BRIMONIDINE TARTRATE130
of 300
150 prescriptions
Less than 1% of all prescriptions
150< 11< 11
146 AMOXICILLIN20
of 2200
680 prescriptions
Less than 1% of all prescriptions
290 patients
9% of all patients
< 11A
147 LIDOCAINE HCL VISCOUS
(LIDOCAINE HCL)
60
of 90
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
148 CEPHALEXIN290
of 2490
260 prescriptions
Less than 1% of all prescriptions
150 patients
5% of all patients
< 11A
149 ALPHAGAN P
(BRIMONIDINE TARTRATE)
60
of 100
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
150 MUPIROCIN130
of 780
220 prescriptions
Less than 1% of all prescriptions
150 patients
5% of all patients
< 11
151 TRIAMCINOLONE ACETONIDE520
of 4480
160 prescriptions
Less than 1% of all prescriptions
< 11< 11
152 KLOR-CON 10
(POTASSIUM CHLORIDE)
170
of 570
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
153 LEVEMIR FLEXTOUCH
(INSULIN DETEMIR)
390
of 1510
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
154 AMOXICILLIN-CLAVULANATE POTASS
(AMOXICILLIN/POTASSIUM CLAV)
430
of 2510
150 prescriptions
Less than 1% of all prescriptions
140 patients
4% of all patients
< 11A
155 BETAMETHASONE DIPROPIONATE200
of 540
110 prescriptions
Less than 1% of all prescriptions
< 11< 11
156 AZITHROMYCIN450
of 4540
260 prescriptions
Less than 1% of all prescriptions
220 patients
7% of all patients
< 11A
157 NYSTOP
(NYSTATIN)
170
of 710
120 prescriptions
Less than 1% of all prescriptions
120< 11< 11
158 ETHACRYNIC ACID20
of 20
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11
159 CIPROFLOXACIN HCL440
of 2680
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11A
160 ERYTHROMYCIN
(ERYTHROMYCIN BASE)
160
of 370
110 prescriptions
Less than 1% of all prescriptions
< 11< 11A
161 ENOXAPARIN SODIUM160
of 270
110 prescriptions
Less than 1% of all prescriptions
110< 11< 11