SUSAN LEE KIRKLE ADULT PSYCH MH NP
Prescription History 1003240607
Nurse Practitioner - Psychiatric/Mental Health in Saint Joseph, MO
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SUSAN LEE KIRKLE ADULT PSYCH MH NP, an active Psychiatric/Mental Health specialist practicing in Saint Joseph, MO. Our medical registry currently tracks 53 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,270 documented patient claims. Among these therapy options, the most frequently utilized medication is Trazodone Hcl, which accounts for 139 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other MO PrescribersVs. MO Avg |
|---|---|---|---|
| Trazodone Hcl | 139 | $10.85 | ▲ More than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309) In 2024, this provider wrote 139 Medicare prescriptions for Trazodone Hcl, about 1.5 times the volume of the typical Missouri prescriber of this medication (92.7). Medicare paid an average of $10.85 per fill, versus $7.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 139.7 30-Day Fills standardized to 30-day supplies 3,858 Days of Medication total across all patients in 2024 | |||
| Hydroxyzine Pamoate | 123 | $14.27 | ▲ More than typical |
About Hydroxyzine Pamoate: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2024, this provider wrote 123 Medicare prescriptions for Hydroxyzine Pamoate, about 3.4 times the volume of the typical Missouri prescriber of this medication (36.2). Medicare paid an average of $14.27 per fill, versus $13.09 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 123 30-Day Fills standardized to 30-day supplies 3,439 Days of Medication total across all patients in 2024 | |||
| Buspirone Hcl | 120 | $16.45 | ▲ More than typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 120 Medicare prescriptions for Buspirone Hcl, about 1.9 times the volume of the typical Missouri prescriber of this medication (63.4). Medicare paid an average of $16.45 per fill, versus $13.90 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 121.4 30-Day Fills standardized to 30-day supplies 3,514 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 106 | $18.94▼ below MO avg | ▲ More than typical |
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2024, this provider wrote 106 Medicare prescriptions for Duloxetine Hcl, about 1.4 times the volume of the typical Missouri prescriber of this medication (73.4). Medicare paid an average of $18.94 per fill, versus $21.77 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 110.1 30-Day Fills standardized to 30-day supplies 2,966 Days of Medication total across all patients in 2024 | |||
| Prazosin Hcl | 101 | $20.71 | ▲ More than typical |
About Prazosin Hcl: Prazosin is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Prazosin belongs to a class of medications called alpha blockers. It works by relaxing and widening blood vessels so blood can flow more easily. A selective adrenergic alpha-1 antagonist used in the treatment of HEART FAILURE; HYPERTENSION; PHEOCHROMOCYTOMA; RAYNAUD DISEASE; PROSTATIC HYPERTROPHY; and URINARY RETENTION. In 2024, this provider wrote 101 Medicare prescriptions for Prazosin Hcl, about 2.1 times the volume of the typical Missouri prescriber of this medication (48.2). Medicare paid an average of $20.71 per fill, versus $15.82 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 103.2 30-Day Fills standardized to 30-day supplies 2,833 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 90 | $21.19 | ≈ Typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2024, this provider wrote 90 Medicare prescriptions for Gabapentin, about 78% of the volume of the typical Missouri prescriber of this medication (115.3). Medicare paid an average of $21.19 per fill, versus $15.91 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 90.8 30-Day Fills standardized to 30-day supplies 2,640 Days of Medication total across all patients in 2024 | |||
| Aripiprazole | 87 | $164.77 | ▲ More than typical |
About Aripiprazole: This medication is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2024, this provider wrote 87 Medicare prescriptions for Aripiprazole, about 1.6 times the volume of the typical Missouri prescriber of this medication (53.7). Medicare paid an average of $164.77 per fill, versus $60.37 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 87.5 30-Day Fills standardized to 30-day supplies 2,369 Days of Medication total across all patients in 2024 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 84 | $18.15▼ below MO avg | ▲ More than typical |
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 84 Medicare prescriptions for Venlafaxine Hcl Er, about 1.8 times the volume of the typical Missouri prescriber of this medication (46.7). Medicare paid an average of $18.15 per fill, versus $21.58 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 84.4 30-Day Fills standardized to 30-day supplies 2,416 Days of Medication total across all patients in 2024 | |||
| Lamotrigine | 81 | $14.72 | ▲ More than typical |
About Lamotrigine: Lamotrigine is used alone or with other medications to prevent and control seizures. Show more ▾ It may also be used to help prevent the extreme mood swings of bipolar disorder in adults. Lamotrigine is known as an anticonvulsant or antiepileptic drug. It is thought to work by restoring the balance of certain natural substances in the brain. This drug is not approved for use in children younger than 2 years due to an increased risk of side effects (such as infections). A phenyltriazine compound, sodium and calcium channel blocker that is used for the treatment of SEIZURES and BIPOLAR DISORDER. In 2024, this provider wrote 81 Medicare prescriptions for Lamotrigine, about 1.4 times the volume of the typical Missouri prescriber of this medication (58.8). Medicare paid an average of $14.72 per fill, versus $13.12 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 81 30-Day Fills standardized to 30-day supplies 2,302 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 76 | $15.92▼ below MO avg | ≈ Typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 76 Medicare prescriptions for Quetiapine Fumarate, about the same volume as the typical Missouri prescriber of this medication (69.4). Medicare paid an average of $15.92 per fill, versus $16.57 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 76 30-Day Fills standardized to 30-day supplies 2,139 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 75 | $11.59 | ≈ Typical |
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 75 Medicare prescriptions for Sertraline Hcl, about the same volume as the typical Missouri prescriber of this medication (82.4). Medicare paid an average of $11.59 per fill, versus $7.86 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 79 30-Day Fills standardized to 30-day supplies 2,245 Days of Medication total across all patients in 2024 | |||
| Lurasidone Hcl | 72 | $69.80▼ below MO avg | ▲ More than typical |
About Lurasidone Hcl: This medication is used to treat certain mental/mood disorders (such as schizophrenia, depression associated with bipolar disorder). Show more ▾ Lurasidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A thiazole derivative and atypical ANTIPSYCHOTIC AGENT that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST; SEROTONIN 5-HT2 RECEPTOR ANTAGONIST, serotonin 5-HT7 receptor antagonist, and antagonist of the adrenergic α2A and α2C receptors, as well as a partial SEROTONIN 5-HT1A RECEPTOR AGONIST. It is used in the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER. In 2024, this provider wrote 72 Medicare prescriptions for Lurasidone Hcl, about 1.7 times the volume of the typical Missouri prescriber of this medication (41.6). Medicare paid an average of $69.80 per fill, versus $172.40 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 72.1 30-Day Fills standardized to 30-day supplies 2,049 Days of Medication total across all patients in 2024 | |||
| Olanzapine | 69 | $12.23▼ below MO avg | ≈ Typical |
About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2024, this provider wrote 69 Medicare prescriptions for Olanzapine, about 1.2 times the volume of the typical Missouri prescriber of this medication (60). Medicare paid an average of $12.23 per fill, versus $23.83 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 69 30-Day Fills standardized to 30-day supplies 2,003 Days of Medication total across all patients in 2024 | |||
| Bupropion XlBupropion Hcl | 66 | $18.80▼ below MO avg | ▲ More than typical |
About Bupropion Xl: This medication is used to treat depression. Show more ▾ It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 66 Medicare prescriptions for Bupropion Xl, about 1.3 times the volume of the typical Missouri prescriber of this medication (50.8). Medicare paid an average of $18.80 per fill, versus $21.98 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 66.1 30-Day Fills standardized to 30-day supplies 1,907 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium ErDivalproex Sodium | 56 | $70.02 | ▲ More than typical |
About Divalproex Sodium Er: This medication is used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 56 Medicare prescriptions for Divalproex Sodium Er, about 1.3 times the volume of the typical Missouri prescriber of this medication (41.7). Medicare paid an average of $70.02 per fill, versus $56.43 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 56.5 30-Day Fills standardized to 30-day supplies 1,648 Days of Medication total across all patients in 2024 | |||
| Clozapine | 52 | $68.47▼ below MO avg | ≈ Typical |
About Clozapine: See also Warning section. Show more ▾ This medication is used to treat certain mental/mood disorders (schizophrenia, schizoaffective disorders). Clozapine may also help prevent suicide in people who are likely to try to harm themselves. Clozapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A tricylic dibenzodiazepine, classified as an atypical antipsychotic agent. It binds several types of central nervous system receptors, and displays a unique pharmacological profile. Clozapine is a serotonin antagonist, with strong binding to 5-HT 2A/2C receptor subtype. It also displays strong affinity to several dopaminergic receptors, but shows only weak antagonism at the dopamine D2 receptor, a receptor commonly thought to modulate neuroleptic activity. Agranulocytosis is a major adverse effect associated with administration of this agent. In 2024, this provider wrote 52 Medicare prescriptions for Clozapine, about 82% of the volume of the typical Missouri prescriber of this medication (63.5). Medicare paid an average of $68.47 per fill, versus $69.85 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 52 30-Day Fills standardized to 30-day supplies 1,448 Days of Medication total across all patients in 2024 | |||
| AristadaAripiprazole Lauroxil | 49 | $3,010.86 | ▲ More than typical |
About Aristada: This medication is used to treat a certain mental/mood disorder (schizophrenia). Show more ▾ Some brands of this medication are also used to treat bipolar disorder. Extended-release aripiprazole injection is a long-acting form of aripiprazole. Aripiprazole belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. In 2024, this provider wrote 49 Medicare prescriptions for Aristada, about 1.6 times the volume of the typical Missouri prescriber of this medication (30.2). Medicare paid an average of $3,010.86 per fill, versus $2,987.04 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 51.6 30-Day Fills standardized to 30-day supplies 1,393 Days of Medication total across all patients in 2024 | |||
| Invega SustennaPaliperidone Palmitate | 48 | $3,443.26 | ≈ Typical |
About Invega Sustenna: This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorder). Show more ▾ Paliperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A benzisoxazole derivative and active metabolite of RISPERIDONE that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST and SEROTONIN 5-HT2 RECEPTOR ANTAGONIST. It is an ANTIPSYCHOTIC AGENT used in the treatment of SCHIZOPHRENIA. In 2024, this provider wrote 48 Medicare prescriptions for Invega Sustenna, about the same volume as the typical Missouri prescriber of this medication (48.4). Medicare paid an average of $3,443.26 per fill, versus $3,213.89 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 48 30-Day Fills standardized to 30-day supplies 1,323 Days of Medication total across all patients in 2024 | |||
| Hydroxyzine Hcl | 43 | $21.63 | ≈ Typical |
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2024, this provider wrote 43 Medicare prescriptions for Hydroxyzine Hcl, about the same volume as the typical Missouri prescriber of this medication (40.2). Medicare paid an average of $21.63 per fill, versus $17.74 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 44.1 30-Day Fills standardized to 30-day supplies 1,248 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl | 40 | $17.97 | ▲ More than typical |
About Propranolol Hcl: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. Show more ▾ It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs. In 2024, this provider wrote 40 Medicare prescriptions for Propranolol Hcl, about 1.3 times the volume of the typical Missouri prescriber of this medication (31.6). Medicare paid an average of $17.97 per fill, versus $15.33 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 40 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2024 | |||
| Fluoxetine Hcl | 37 | $6.13▼ below MO avg | ▼ Less than typical |
About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾ It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2024, this provider wrote 37 Medicare prescriptions for Fluoxetine Hcl, about 71% of the volume of the typical Missouri prescriber of this medication (52). Medicare paid an average of $6.13 per fill, versus $9.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 37 30-Day Fills standardized to 30-day supplies 965 Days of Medication total across all patients in 2024 | |||
| Clonazepam | 36 | $9.72 | ▼ Less than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2024, this provider wrote 36 Medicare prescriptions for Clonazepam, about half the volume of the typical Missouri prescriber of this medication (65). Medicare paid an average of $9.72 per fill, versus $8.79 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36.2 30-Day Fills standardized to 30-day supplies 1,014 Days of Medication total across all patients in 2024 | |||
| Paliperidone ErPaliperidone | 36 | $277.67 | ≈ Typical |
About Paliperidone Er: This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorder). Show more ▾ Paliperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A benzisoxazole derivative and active metabolite of RISPERIDONE that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST and SEROTONIN 5-HT2 RECEPTOR ANTAGONIST. It is an ANTIPSYCHOTIC AGENT used in the treatment of SCHIZOPHRENIA. In 2024, this provider wrote 36 Medicare prescriptions for Paliperidone Er, about the same volume as the typical Missouri prescriber of this medication (38.5). Medicare paid an average of $277.67 per fill, versus $189.96 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 36.3 30-Day Fills standardized to 30-day supplies 854 Days of Medication total across all patients in 2024 | |||
| Cyproheptadine Hcl | 35 | $12.14▼ below MO avg | ▲ More than typical |
About Cyproheptadine Hcl: Cyproheptadine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, sneezing, hives, and itching. Show more ▾ It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. This medication also blocks another natural substance in your body (serotonin). This medication should not be used in newborn or premature infants. A serotonin antagonist and a histamine H1 blocker used as antipruritic, appetite stimulant, antiallergic, and for the post-gastrectomy dumping syndrome, etc. In 2024, this provider wrote 35 Medicare prescriptions for Cyproheptadine Hcl, about 1.6 times the volume of the typical Missouri prescriber of this medication (22.3). Medicare paid an average of $12.14 per fill, versus $17.19 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 35 30-Day Fills standardized to 30-day supplies 1,040 Days of Medication total across all patients in 2024 | |||
| Lithium Carbonate ErLithium Carbonate | 30 | $14.97 | ≈ Typical |
About Lithium Carbonate Er: This medication is used to treat manic-depressive disorder (bipolar disorder). Show more ▾ It works to stabilize the mood and reduce extremes in behavior by restoring the balance of certain natural substances (neurotransmitters) in the brain. Some of the benefits of continued use of this medication include decreasing how often manic episodes occur and decreasing the symptoms of manic episodes such as exaggerated feelings of well-being, feelings that others wish to harm you, irritability, anxiousness, rapid/loud speech, and aggressive/hostile behaviors. A lithium salt, classified as a mood-stabilizing agent. Lithium ion alters the metabolism of BIOGENIC MONOAMINES in the CENTRAL NERVOUS SYSTEM, and affects multiple neurotransmission systems. In 2024, this provider wrote 30 Medicare prescriptions for Lithium Carbonate Er, about the same volume as the typical Missouri prescriber of this medication (27.8). Medicare paid an average of $14.97 per fill, versus $14.40 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 30 30-Day Fills standardized to 30-day supplies 696 Days of Medication total across all patients in 2024 | |||
| Varenicline Tartrate | 29 | $283.08 | ▲ More than typical |
About Varenicline Tartrate: Varenicline is used by adults to help stop smoking. Show more ▾ To increase your chance of success, use this medication with a stop-smoking program that includes education, support, and counseling. Quitting smoking lowers your risk of heart and lung disease, as well as cancer. Varenicline works by blocking nicotine's effects in the brain that make you want to smoke. Discuss the risks and benefits of this medication, as well as other ways to quit smoking (such as nicotine replacement treatment), with your doctor. A benzazepine derivative that functions as an ALPHA4-BETA2 NICOTINIC RECEPTOR partial agonist. It is used for SMOKING CESSATION. In 2024, this provider wrote 29 Medicare prescriptions for Varenicline Tartrate, about 1.6 times the volume of the typical Missouri prescriber of this medication (18.7). Medicare paid an average of $283.08 per fill, versus $219.17 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 29 30-Day Fills standardized to 30-day supplies 685 Days of Medication total across all patients in 2024 | |||
| TrintellixVortioxetine Hydrobromide | 27 | $411.60▼ below MO avg | ≈ Typical |
About Trintellix: This medication is used to treat depression. Show more ▾ Vortioxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A piperazine derivative that acts as a serotonin reuptake inhibitor, as a 5-HT3 receptor antagonist, and 5-HT1A receptor agonist. It is used for the treatment of anxiety and depression. In 2024, this provider wrote 27 Medicare prescriptions for Trintellix, about 81% of the volume of the typical Missouri prescriber of this medication (33.3). Medicare paid an average of $411.60 per fill, versus $491.98 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 27 30-Day Fills standardized to 30-day supplies 632 Days of Medication total across all patients in 2024 | |||
| Mirtazapine | 27 | $19.75 | ▼ Less than typical |
About Mirtazapine: This medication is used to treat depression. Show more ▾ Mirtazapine works by helping to restore the balance of certain natural substances in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2024, this provider wrote 27 Medicare prescriptions for Mirtazapine, about half the volume of the typical Missouri prescriber of this medication (60.5). Medicare paid an average of $19.75 per fill, versus $17.80 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 775 Days of Medication total across all patients in 2024 | |||
| Ziprasidone Hcl | 26 | $43.76▼ below MO avg | ≈ Typical |
About Ziprasidone Hcl: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ Ziprasidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A benzisothiazoylpiperazine derivative; has combined dopamine and serotonin receptor antagonist activity; structurally related to tiospirone. In 2024, this provider wrote 26 Medicare prescriptions for Ziprasidone Hcl, about 85% of the volume of the typical Missouri prescriber of this medication (30.6). Medicare paid an average of $43.76 per fill, versus $70.88 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 26 30-Day Fills standardized to 30-day supplies 764 Days of Medication total across all patients in 2024 | |||
| Ropinirole Hcl | 26 | $9.47▼ below MO avg | ▼ Less than typical |
About Ropinirole Hcl: This medication is used alone or with other medications to treat Parkinson's disease. Show more ▾ It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move ("on-off syndrome"). Ropinirole is also used to treat restless legs syndrome (RLS). It may improve your sleep by decreasing the urge to move your legs and decreasing uncomfortable/unpleasant feelings in the legs. This medication works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2024, this provider wrote 26 Medicare prescriptions for Ropinirole Hcl, about half the volume of the typical Missouri prescriber of this medication (44.3). Medicare paid an average of $9.47 per fill, versus $15.58 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 26 30-Day Fills standardized to 30-day supplies 700 Days of Medication total across all patients in 2024 | |||
| Amitriptyline Hcl | 24 | $22.61 | ▼ Less than typical |
About Amitriptyline Hcl: This medication is used to treat depression. Show more ▾ Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines. In 2024, this provider wrote 24 Medicare prescriptions for Amitriptyline Hcl, about 71% of the volume of the typical Missouri prescriber of this medication (34). Medicare paid an average of $22.61 per fill, versus $14.80 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 24.2 30-Day Fills standardized to 30-day supplies 702 Days of Medication total across all patients in 2024 | |||
| BelsomraSuvorexant | 24 | $461.48 | ≈ Typical |
About Belsomra: This medication is used to treat a certain sleep problem (insomnia). Show more ▾ It may help you fall asleep and stay asleep longer, so you can get a better night's rest. Suvorexant belongs to a class of drugs known as sedative-hypnotics. If your insomnia continues for longer than 7 to 10 days after starting treatment, talk to your doctor to see if you need other treatment. An orexin receptor antagonist. In 2024, this provider wrote 24 Medicare prescriptions for Belsomra, about the same volume as the typical Missouri prescriber of this medication (23.4). Medicare paid an average of $461.48 per fill, versus $449.69 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2024 | |||
| Benztropine Mesylate | 23 | $10.06▼ below MO avg | ▼ Less than typical |
About Benztropine Mesylate: Benztropine is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). Show more ▾ Benztropine belongs to a class of medication called anticholinergics that work by blocking a certain natural substance (acetylcholine). This helps decrease muscle stiffness, sweating, and the production of saliva, and helps improve walking ability in people with Parkinson's disease. Anticholinergics can stop severe muscle spasms of the back, neck, and eyes that are sometimes caused by psychiatric drugs. It can also decrease other side effects such as muscle stiffness/rigidity (extrapyramidal signs-EPS). It is not helpful in treating movement problems caused by tardive dyskinesia and may worsen them. Benztropine should not be used by children younger than 3 years. A centrally active muscarinic antagonist that has been used in the symptomatic treatment of PARKINSON DISEASE. Benztropine also inhibits the uptake of dopamine. In 2024, this provider wrote 23 Medicare prescriptions for Benztropine Mesylate, about a third of the volume of the typical Missouri prescriber of this medication (62.9). Medicare paid an average of $10.06 per fill, versus $12.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 23.2 30-Day Fills standardized to 30-day supplies 652 Days of Medication total across all patients in 2024 | |||
| Doxazosin Mesylate | 20 | $4.14▼ below MO avg | ▼ Less than typical |
About Doxazosin Mesylate: Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication works by relaxing blood vessels so blood can flow more easily. Doxazosin is also used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH). It does not shrink the prostate, but it works by relaxing the muscles in the prostate and part of the bladder. This helps to relieve symptoms of BPH such as difficulty in beginning the flow of urine, weak stream, and the need to urinate often or urgently (including during the middle of the night). Doxazosin belongs to a class of drugs known as alpha blockers. A prazosin-related compound that is a selective alpha-1-adrenergic blocker. In 2024, this provider wrote 20 Medicare prescriptions for Doxazosin Mesylate, about 65% of the volume of the typical Missouri prescriber of this medication (30.7). Medicare paid an average of $4.14 per fill, versus $13.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 20 30-Day Fills standardized to 30-day supplies 591 Days of Medication total across all patients in 2024 | |||
| Paroxetine Hcl | 20 | $16.06 | ▼ Less than typical |
About Paroxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, anxiety disorders, post-traumatic stress disorder). Show more ▾ Paroxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is effective in the treatment of depression. In 2024, this provider wrote 20 Medicare prescriptions for Paroxetine Hcl, about 61% of the volume of the typical Missouri prescriber of this medication (32.9). Medicare paid an average of $16.06 per fill, versus $12.81 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20.1 30-Day Fills standardized to 30-day supplies 602 Days of Medication total across all patients in 2024 | |||
| VraylarCariprazine Hcl | 20 | $1,501.56 | ▼ Less than typical |
About Vraylar: This medication is used to treat certain mental/mood disorders (such as bipolar disorder, depression, schizophrenia). Show more ▾ Cariprazine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. In 2024, this provider wrote 20 Medicare prescriptions for Vraylar, about half the volume of the typical Missouri prescriber of this medication (34.4). Medicare paid an average of $1,501.56 per fill, versus $1,383.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 20.2 30-Day Fills standardized to 30-day supplies 606 Days of Medication total across all patients in 2024 | |||
| IngrezzaValbenazine Tosylate | 19 | $8,980.85 | ▼ Less than typical |
About Ingrezza: Valbenazine is used to treat involuntary movements of the face, tongue, or other body parts (tardive dyskinesia). Show more ▾ This medication is also used to decrease the involuntary movements (chorea) caused by Huntington's disease. Reducing involuntary movements will help you take part in more of your normal daily activities. This medication is thought to work by decreasing the amount of certain natural substances in the brain that affect how your nerves and muscles work (monoamines such as dopamine, serotonin, and norepinephrine). Inhibits vesicular monoamine transporter 2 (VMAT2); used to treat tardive dyskinesia. In 2024, this provider wrote 19 Medicare prescriptions for Ingrezza, about 64% of the volume of the typical Missouri prescriber of this medication (29.8). Medicare paid an average of $8,980.85 per fill, versus $7,267.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2024 | |||
| Escitalopram Oxalate | 19 | $10.76 | ▼ Less than typical |
About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2024, this provider wrote 19 Medicare prescriptions for Escitalopram Oxalate, about a quarter of the volume of the typical Missouri prescriber of this medication (68). Medicare paid an average of $10.76 per fill, versus $9.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 541 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium | 19 | $159.76 | ▼ Less than typical |
About Divalproex Sodium: This medication is used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 19 Medicare prescriptions for Divalproex Sodium, about a third of the volume of the typical Missouri prescriber of this medication (64.1). Medicare paid an average of $159.76 per fill, versus $38.12 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 366 Days of Medication total across all patients in 2024 | |||
| Naltrexone Hcl | 18 | $49.28 | ▼ Less than typical |
About Naltrexone Hcl: This medication is used to prevent people who have been addicted to certain drugs (opiates) from taking them again. Show more ▾ It is used as part of a complete treatment program for drug abuse (such as compliance monitoring, counseling, behavioral contract, lifestyle changes). This medication must not be used in people currently taking opiates, including methadone. Doing so can cause sudden withdrawal symptoms. Naltrexone belongs to a class of drugs known as opiate antagonists. It works in the brain to prevent opiate effects (such as feelings of well-being, pain relief). It also decreases the desire to take opiates. Ask your doctor or pharmacist if you should have naloxone available to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it. This medication is also used to treat alcohol abuse. It can help people drink less alcohol or stop drinking altogether. It also decreases the desire to drink alcohol when used with a treatment program that includes counseling, support, and lifestyle changes. Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence. In 2024, this provider wrote 18 Medicare prescriptions for Naltrexone Hcl, about 69% of the volume of the typical Missouri prescriber of this medication (25.9). Medicare paid an average of $49.28 per fill, versus $44.36 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 18 30-Day Fills standardized to 30-day supplies 498 Days of Medication total across all patients in 2024 | |||
| Bupropion Hcl SrBupropion Hcl | 18 | $13.81▼ below MO avg | ▼ Less than typical |
About Bupropion Hcl Sr: This medication is used to treat depression. Show more ▾ Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 18 Medicare prescriptions for Bupropion Hcl Sr, about half the volume of the typical Missouri prescriber of this medication (30.3). Medicare paid an average of $13.81 per fill, versus $19.42 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 18 30-Day Fills standardized to 30-day supplies 514 Days of Medication total across all patients in 2024 | |||
| Risperidone | 18 | $11.51▼ below MO avg | ▼ Less than typical |
About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾ Risperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2024, this provider wrote 18 Medicare prescriptions for Risperidone, about a third of the volume of the typical Missouri prescriber of this medication (56.5). Medicare paid an average of $11.51 per fill, versus $13.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 18 30-Day Fills standardized to 30-day supplies 530 Days of Medication total across all patients in 2024 | |||
| RexultiBrexpiprazole | 16 | $1,627.69 | ▼ Less than typical |
About Rexulti: This medication is used to treat certain mental/mood disorders (such as schizophrenia, depression). Show more ▾ Brexpiprazole is also used to treat agitation that may occur with dementia due to Alzheimer's disease. Brexpiprazole belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A serotonin agent. In 2024, this provider wrote 16 Medicare prescriptions for Rexulti, about half the volume of the typical Missouri prescriber of this medication (34.1). Medicare paid an average of $1,627.69 per fill, versus $1,267.06 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 480 Days of Medication total across all patients in 2024 | |||
| Acamprosate Calcium | 14 | $89.35▼ below MO avg | ▼ Less than typical |
About Acamprosate Calcium: This medication is used along with counseling and support to help people who are alcohol dependent not drink alcohol. Show more ▾ Acamprosate works by restoring the natural balance of chemicals in the brain (neurotransmitters). Before starting this medication, you should no longer be drinking alcohol. Acamprosate has not been shown to work well if you are still drinking alcohol when you start taking it. Structural analog of taurine that is used for the prevention of relapse in individuals with ALCOHOLISM. In 2024, this provider wrote 14 Medicare prescriptions for Acamprosate Calcium, about 73% of the volume of the typical Missouri prescriber of this medication (19.2). Medicare paid an average of $89.35 per fill, versus $90.67 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 14.1 30-Day Fills standardized to 30-day supplies 301 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate ErQuetiapine Fumarate | 14 | $56.39▼ below MO avg | ▼ Less than typical |
About Quetiapine Fumarate Er: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ It is also used with other medications to treat depression. Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 14 Medicare prescriptions for Quetiapine Fumarate Er, about half the volume of the typical Missouri prescriber of this medication (27.6). Medicare paid an average of $56.39 per fill, versus $70.43 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 14.3 30-Day Fills standardized to 30-day supplies 427 Days of Medication total across all patients in 2024 | |||
| Temazepam | 13 | $11.72▼ below MO avg | ▼ Less than typical |
About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾ It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent. In 2024, this provider wrote 13 Medicare prescriptions for Temazepam, about a third of the volume of the typical Missouri prescriber of this medication (32.2). Medicare paid an average of $11.72 per fill, versus $12.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024 | |||
| Olanzapine OdtOlanzapine | 13 | $57.95▼ below MO avg | ▼ Less than typical |
About Olanzapine Odt: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used in teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2024, this provider wrote 13 Medicare prescriptions for Olanzapine Odt, about half the volume of the typical Missouri prescriber of this medication (27.5). Medicare paid an average of $57.95 per fill, versus $92.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 13 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024 | |||
| VivitrolNaltrexone Microspheres | 13 | $1,671.96 | ▼ Less than typical |
About Vivitrol: This medication is used to treat alcohol abuse. Show more ▾ It is used only in people who have been able to stop drinking for some time before starting treatment with naltrexone. You should not be drinking when you start naltrexone. It can help people drink less alcohol or stop drinking altogether. Naltrexone works in the brain to decrease the desire to drink. It does not work like some other treatments for alcohol abuse (such as disulfiram). It will not make you sick when taken with alcohol. This medication is also used to prevent relapse to opioid abuse, after opioid detoxification. It works by blocking the action of opioids. This medication must not be used in people currently taking opiates, including methadone. Doing so can cause sudden withdrawal symptoms. Naltrexone belongs to a class of drugs known as opiate antagonists. It is used as part of a complete treatment program for alcohol or opioid abuse (such as counseling, 12-step program, lifestyle changes). Ask your doctor or pharmacist if you should have naloxone available to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it. Delalayed-action preparation of naltrexon. In 2024, this provider wrote 13 Medicare prescriptions for Vivitrol, about 68% of the volume of the typical Missouri prescriber of this medication (19.1). Medicare paid an average of $1,671.96 per fill, versus $1,654.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2024 | |||
| Lithium Carbonate | 12 | $7.77▼ below MO avg | ▼ Less than typical |
About Lithium Carbonate: This medication is used to treat manic-depressive disorder (bipolar disorder). Show more ▾ It works to stabilize the mood and reduce extremes in behavior by restoring the balance of certain natural substances (neurotransmitters) in the brain. Some of the benefits of continued use of this medication include decreasing how often manic episodes occur and decreasing the symptoms of manic episodes, such as exaggerated feelings of well-being, feelings that others wish to harm you, irritability, anxiousness, rapid/loud speech, and aggressive/hostile behaviors. A lithium salt, classified as a mood-stabilizing agent. Lithium ion alters the metabolism of BIOGENIC MONOAMINES in the CENTRAL NERVOUS SYSTEM, and affects multiple neurotransmission systems. In 2024, this provider wrote 12 Medicare prescriptions for Lithium Carbonate, about a third of the volume of the typical Missouri prescriber of this medication (36.5). Medicare paid an average of $7.77 per fill, versus $8.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 12 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2024 | |||
| Fluvoxamine Maleate | 12 | $44.11 | ▼ Less than typical |
About Fluvoxamine Maleate: This medication is used to treat obsessive-compulsive disorder (OCD). Show more ▾ Fluvoxamine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin reuptake inhibitor that is used in the treatment of DEPRESSION and a variety of ANXIETY DISORDERS. In 2024, this provider wrote 12 Medicare prescriptions for Fluvoxamine Maleate, about a third of the volume of the typical Missouri prescriber of this medication (29.4). Medicare paid an average of $44.11 per fill, versus $37.90 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 12 | $54.21▼ below MO avg | ▼ Less than typical |
About Desvenlafaxine Succinate Er: This medication is used to treat depression. Show more ▾ Desvenlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenol derivative and metabolite of venlafaxine that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 12 Medicare prescriptions for Desvenlafaxine Succinate Er, about a third of the volume of the typical Missouri prescriber of this medication (29). Medicare paid an average of $54.21 per fill, versus $56.99 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Invega TrinzaPaliperidone Palmitate | 12 | $9,495.61 | ▼ Less than typical |
About Invega Trinza: This medication is used to treat a certain mental/mood disorder (schizophrenia). Show more ▾ Paliperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. This long-acting form of paliperidone is used only after you have received treatment with the form that is injected once a month for at least 4 months. A benzisoxazole derivative and active metabolite of RISPERIDONE that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST and SEROTONIN 5-HT2 RECEPTOR ANTAGONIST. It is an ANTIPSYCHOTIC AGENT used in the treatment of SCHIZOPHRENIA. In 2024, this provider wrote 12 Medicare prescriptions for Invega Trinza, about 67% of the volume of the typical Missouri prescriber of this medication (17.8). Medicare paid an average of $9,495.61 per fill, versus $8,719.81 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 32.2 30-Day Fills standardized to 30-day supplies 966 Days of Medication total across all patients in 2024 | |||
| Baclofen | 11 | $14.54▼ below MO avg | ▼ Less than typical |
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2024, this provider wrote 11 Medicare prescriptions for Baclofen, about a quarter of the volume of the typical Missouri prescriber of this medication (49). Medicare paid an average of $14.54 per fill, versus $17.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the MO average for this medication. 11 30-Day Fills standardized to 30-day supplies 329 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for SUSAN LEE KIRKLE ADULT PSYCH MH NP is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Psychiatric/Mental Health prescribing approach at this Saint Joseph, MO practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among MO prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
