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 52 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 2,273 documented patient claims. Among these therapy options, the most frequently utilized medication is Sertraline Hcl, which accounts for 119 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 (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other MO PrescribersVs. MO Avg |
|---|---|---|---|
| Sertraline Hcl | 119 | $17.08 | ▲ More than typical |
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 119 Medicare prescriptions for Sertraline Hcl, about 1.5 times the volume of the typical Missouri prescriber of this medication (80). Medicare paid an average of $17.08 per fill, versus $10.43 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. 123.4 30-Day Fills standardized to 30-day supplies 3,525 Days of Medication total across all patients in 2023 | |||
| Buspirone Hcl | 116 | $31.38 | ▲ 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). In 2023, this provider wrote 116 Medicare prescriptions for Buspirone Hcl, about 2 times the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $31.38 per fill, versus $18.06 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. 118.6 30-Day Fills standardized to 30-day supplies 3,471 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Pamoate | 116 | $16.05 | ▲ 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 2023, this provider wrote 116 Medicare prescriptions for Hydroxyzine Pamoate, about 3.1 times the volume of the typical Missouri prescriber of this medication (38). Medicare paid an average of $16.05 per fill, versus $13.14 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. 117 30-Day Fills standardized to 30-day supplies 3,335 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 111 | $13.88 | ≈ Typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 111 Medicare prescriptions for Trazodone Hcl, about 1.2 times the volume of the typical Missouri prescriber of this medication (89). Medicare paid an average of $13.88 per fill, versus $12.38 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. 116.9 30-Day Fills standardized to 30-day supplies 3,224 Days of Medication total across all patients in 2023 | |||
| Prazosin Hcl | 103 | $27.24▼ below MO avg | ▲ 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 2023, this provider wrote 103 Medicare prescriptions for Prazosin Hcl, about 2.2 times the volume of the typical Missouri prescriber of this medication (47). Medicare paid an average of $27.24 per fill, versus $30.43 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 This provider's average cost per fill is below the MO average for this medication. 103.3 30-Day Fills standardized to 30-day supplies 2,851 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 101 | $32.90 | ▲ More than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) 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. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. 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 2023, this provider wrote 101 Medicare prescriptions for Quetiapine Fumarate, about 1.4 times the volume of the typical Missouri prescriber of this medication (72). Medicare paid an average of $32.90 per fill, versus $28.28 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. 102 30-Day Fills standardized to 30-day supplies 2,887 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 93 | $45.91 | ≈ 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 2023, this provider wrote 93 Medicare prescriptions for Gabapentin, about 81% of the volume of the typical Missouri prescriber of this medication (115). Medicare paid an average of $45.91 per fill, versus $23.39 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. 93.5 30-Day Fills standardized to 30-day supplies 2,602 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 71 | $17.63▼ below MO avg | ≈ Typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is 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 may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication 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 2023, this provider wrote 71 Medicare prescriptions for Duloxetine Hcl, about the same volume as the typical Missouri prescriber of this medication (70). Medicare paid an average of $17.63 per fill, versus $39.56 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. 71.3 30-Day Fills standardized to 30-day supplies 2,097 Days of Medication total across all patients in 2023 | |||
| Lamotrigine | 68 | $20.68 | ≈ 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 2023, this provider wrote 68 Medicare prescriptions for Lamotrigine, about 1.2 times the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $20.68 per fill, versus $16.38 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. 68 30-Day Fills standardized to 30-day supplies 1,952 Days of Medication total across all patients in 2023 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 66 | $22.82▼ below MO avg | ▲ More than typical |
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 66 Medicare prescriptions for Venlafaxine Hcl Er, about 1.4 times the volume of the typical Missouri prescriber of this medication (46). Medicare paid an average of $22.82 per fill, versus $28.37 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 This provider's average cost per fill is below the MO average for this medication. 69.8 30-Day Fills standardized to 30-day supplies 1,971 Days of Medication total across all patients in 2023 | |||
| Aripiprazole | 62 | $172.97 | ≈ Typical |
About Aripiprazole: Aripiprazole 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 is known as an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters). 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 2023, this provider wrote 62 Medicare prescriptions for Aripiprazole, about the same volume as the typical Missouri prescriber of this medication (54). Medicare paid an average of $172.97 per fill, versus $114.13 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. 62.7 30-Day Fills standardized to 30-day supplies 1,770 Days of Medication total across all patients in 2023 | |||
| Clozapine | 61 | $93.57 | ≈ Typical |
About Clozapine: See also Warning section. Show more ▾ This medication is used to treat certain mental/mood disorders (schizophrenia, schizoaffective disorders). Clozapine is a psychiatric medication (anti-psychotic type) that works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. Clozapine decreases hallucinations and helps prevent suicide in people who are likely to try to harm themselves. It helps you to think more clearly and positively about yourself, feel less nervous, and take part in everyday life. 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 2023, this provider wrote 61 Medicare prescriptions for Clozapine, about 79% of the volume of the typical Missouri prescriber of this medication (77). Medicare paid an average of $93.57 per fill, versus $65.09 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. 61 30-Day Fills standardized to 30-day supplies 1,652 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium ErDivalproex Sodium | 58 | $59.39▼ below MO avg | ▲ More than typical |
About Divalproex Sodium Er: 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 2023, this provider wrote 58 Medicare prescriptions for Divalproex Sodium Er, about 1.4 times the volume of the typical Missouri prescriber of this medication (42). Medicare paid an average of $59.39 per fill, versus $94.42 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. 58.3 30-Day Fills standardized to 30-day supplies 1,435 Days of Medication total across all patients in 2023 | |||
| Olanzapine | 57 | $21.26▼ below MO avg | ≈ Typical |
About Olanzapine: Olanzapine is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. This medication can help to decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Olanzapine belongs to a class of drugs called 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 2023, this provider wrote 57 Medicare prescriptions for Olanzapine, about the same volume as the typical Missouri prescriber of this medication (62). Medicare paid an average of $21.26 per fill, versus $33.40 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 This provider's average cost per fill is below the MO average for this medication. 57 30-Day Fills standardized to 30-day supplies 1,558 Days of Medication total across all patients in 2023 | |||
| Propranolol Hcl | 56 | $20.75▼ below MO avg | ▲ More than typical |
About Propranolol Hcl: This formulation of propranolol is used for infants and children to treat a certain benign tumor (proliferating infantile hemangioma). Show more ▾ It helps to shrink the tumor. Propranolol belongs to a class of drugs known as beta blockers. In 2023, this provider wrote 56 Medicare prescriptions for Propranolol Hcl, about 1.9 times the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $20.75 per fill, versus $25.98 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. 56.5 30-Day Fills standardized to 30-day supplies 1,682 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 55 | $24.89 | ≈ Typical |
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) 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 2023, this provider wrote 55 Medicare prescriptions for Mirtazapine, about the same volume as the typical Missouri prescriber of this medication (61). Medicare paid an average of $24.89 per fill, versus $20.80 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. 55.6 30-Day Fills standardized to 30-day supplies 1,524 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 53 | $15.34▼ below MO avg | ≈ Typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 53 Medicare prescriptions for Bupropion Xl, about the same volume as the typical Missouri prescriber of this medication (47). Medicare paid an average of $15.34 per fill, versus $35.48 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. 53 30-Day Fills standardized to 30-day supplies 1,509 Days of Medication total across all patients in 2023 | |||
| Invega SustennaPaliperidone Palmitate | 51 | $3,074.21 | ≈ Typical |
About Invega Sustenna: Paliperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Paliperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This long-acting form of paliperidone is used only after you have received treatment with either the monthly injectable form of this drug for at least 4 months, or the every-3-month injectable form for at least 3 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 2023, this provider wrote 51 Medicare prescriptions for Invega Sustenna, about the same volume as the typical Missouri prescriber of this medication (48). Medicare paid an average of $3,074.21 per fill, versus $2,931.72 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. 51 30-Day Fills standardized to 30-day supplies 1,358 Days of Medication total across all patients in 2023 | |||
| Fluoxetine Hcl | 50 | $12.00▼ below MO avg | ≈ Typical |
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. 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 2023, this provider wrote 50 Medicare prescriptions for Fluoxetine Hcl, about the same volume as the typical Missouri prescriber of this medication (51). Medicare paid an average of $12.00 per fill, versus $14.13 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. 50.1 30-Day Fills standardized to 30-day supplies 1,279 Days of Medication total across all patients in 2023 | |||
| AristadaAripiprazole Lauroxil | 43 | $2,871.80▼ below MO avg | ≈ Typical |
About Aristada: Extended-release aripiprazole injection is used to treat a mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations (hearing/seeing things that are not there) and improve your concentration. It also helps you to think more clearly, feel less nervous, and take a more active part in everyday life. Some brands of this medication are also used to treat bipolar disorder. It can help to decrease extreme changes in mood and help you feel less agitated. Extended-release aripiprazole injection is a long-acting psychiatric medication known as an atypical antipsychotic. It works by helping to restore the balance of certain natural substances in the brain. In 2023, this provider wrote 43 Medicare prescriptions for Aristada, about 1.2 times the volume of the typical Missouri prescriber of this medication (36). Medicare paid an average of $2,871.80 per fill, versus $2,897.85 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. 43 30-Day Fills standardized to 30-day supplies 1,085 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 43 | $7.32▼ below MO avg | ▼ 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 2023, this provider wrote 43 Medicare prescriptions for Clonazepam, about 63% of the volume of the typical Missouri prescriber of this medication (68). Medicare paid an average of $7.32 per fill, versus $9.48 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. 43.2 30-Day Fills standardized to 30-day supplies 1,092 Days of Medication total across all patients in 2023 | |||
| Paliperidone ErPaliperidone | 41 | $586.05 | ▲ More than typical |
About Paliperidone Er: This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorder). Show more ▾ This medication can decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Paliperidone belongs to a class of drugs called 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 2023, this provider wrote 41 Medicare prescriptions for Paliperidone Er, about 1.3 times the volume of the typical Missouri prescriber of this medication (32). Medicare paid an average of $586.05 per fill, versus $397.59 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. 41.3 30-Day Fills standardized to 30-day supplies 1,051 Days of Medication total across all patients in 2023 | |||
| Naltrexone Hcl | 41 | $44.28▼ below MO avg | ▲ More 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. In 2023, this provider wrote 41 Medicare prescriptions for Naltrexone Hcl, about 1.6 times the volume of the typical Missouri prescriber of this medication (25). Medicare paid an average of $44.28 per fill, versus $57.70 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. 41.2 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2023 | |||
| Escitalopram Oxalate | 41 | $18.89 | ▼ Less than typical |
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. 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 2023, this provider wrote 41 Medicare prescriptions for Escitalopram Oxalate, about 63% of the volume of the typical Missouri prescriber of this medication (65). Medicare paid an average of $18.89 per fill, versus $15.30 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. 41.2 30-Day Fills standardized to 30-day supplies 1,108 Days of Medication total across all patients in 2023 | |||
| LatudaLurasidone Hcl | 38 | $1,692.24 | ≈ Typical |
About Latuda: This medication is used to treat certain mental/mood disorders (such as schizophrenia, depression associated with bipolar disorder). Show more ▾ Lurasidone helps you to think more clearly, feel less nervous, and take part in everyday life. It may also help to decrease hallucinations (hearing/seeing things that are not there). In addition, this medication may improve your mood, sleep, appetite, and energy level. Lurasidone is a psychiatric medication that belongs to the class of drugs called 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 2023, this provider wrote 38 Medicare prescriptions for Latuda, about 81% of the volume of the typical Missouri prescriber of this medication (47). Medicare paid an average of $1,692.24 per fill, versus $1,492.51 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. 38 30-Day Fills standardized to 30-day supplies 1,113 Days of Medication total across all patients in 2023 | |||
| Lurasidone Hcl | 38 | $173.64 | – No State Data |
In 2023, this provider wrote 38 Medicare prescriptions for Lurasidone Hcl. Medicare paid an average of $173.64 per fill. No state comparison is available for this medication. How often this provider prescribes it No state benchmark is available for this medication. What Medicare paid per fill $173.64 Cost per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 38.3 30-Day Fills standardized to 30-day supplies 1,084 Days of Medication total across all patients in 2023 | |||
| Ropinirole Hcl | 37 | $20.50 | ≈ 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 works by helping to restore the balance of a certain natural substance (dopamine) in the brain. In 2023, this provider wrote 37 Medicare prescriptions for Ropinirole Hcl, about 88% of the volume of the typical Missouri prescriber of this medication (42). Medicare paid an average of $20.50 per fill, versus $20.10 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. 37 30-Day Fills standardized to 30-day supplies 913 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 37 | $18.97▼ below MO avg | ≈ 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. In 2023, this provider wrote 37 Medicare prescriptions for Hydroxyzine Hcl, about the same volume as the typical Missouri prescriber of this medication (37). Medicare paid an average of $18.97 per fill, versus $20.73 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. 37.1 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2023 | |||
| Cyproheptadine Hcl | 35 | $21.26▼ 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. In 2023, this provider wrote 35 Medicare prescriptions for Cyproheptadine Hcl, about 1.6 times the volume of the typical Missouri prescriber of this medication (22). Medicare paid an average of $21.26 per fill, versus $28.40 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. 35 30-Day Fills standardized to 30-day supplies 895 Days of Medication total across all patients in 2023 | |||
| Benztropine Mesylate | 33 | $9.23▼ 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 2023, this provider wrote 33 Medicare prescriptions for Benztropine Mesylate, about half the volume of the typical Missouri prescriber of this medication (62). Medicare paid an average of $9.23 per fill, versus $13.64 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. 33.2 30-Day Fills standardized to 30-day supplies 838 Days of Medication total across all patients in 2023 | |||
| VraylarCariprazine Hcl | 30 | $1,401.48 | ≈ Typical |
About Vraylar: Cariprazine is used to treat certain mental/mood disorders (such as bipolar disorder, bipolar 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. This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. In 2023, this provider wrote 30 Medicare prescriptions for Vraylar, about 88% of the volume of the typical Missouri prescriber of this medication (34). Medicare paid an average of $1,401.48 per fill, versus $1,301.70 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. 30.2 30-Day Fills standardized to 30-day supplies 877 Days of Medication total across all patients in 2023 | |||
| Risperidone | 29 | $10.07▼ below MO avg | ▼ Less than typical |
About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). 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 2023, this provider wrote 29 Medicare prescriptions for Risperidone, about half the volume of the typical Missouri prescriber of this medication (58). Medicare paid an average of $10.07 per fill, versus $14.07 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. 29.1 30-Day Fills standardized to 30-day supplies 847 Days of Medication total across all patients in 2023 | |||
| Doxazosin Mesylate | 27 | $8.81▼ below MO avg | ≈ 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 frequently 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 2023, this provider wrote 27 Medicare prescriptions for Doxazosin Mesylate, about the same volume as the typical Missouri prescriber of this medication (30). Medicare paid an average of $8.81 per fill, versus $18.61 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 810 Days of Medication total across all patients in 2023 | |||
| BelsomraSuvorexant | 25 | $452.33 | ≈ 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. In 2023, this provider wrote 25 Medicare prescriptions for Belsomra, about the same volume as the typical Missouri prescriber of this medication (22). Medicare paid an average of $452.33 per fill, versus $442.69 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. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2023 | |||
| Lithium Carbonate | 22 | $11.87 | ▼ 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 2023, this provider wrote 22 Medicare prescriptions for Lithium Carbonate, about half the volume of the typical Missouri prescriber of this medication (38). Medicare paid an average of $11.87 per fill, versus $8.47 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. 22 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2023 | |||
| TrintellixVortioxetine Hydrobromide | 21 | $475.44▼ below MO avg | ▼ Less than typical |
About Trintellix: This medication is used to treat depression. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Vortioxetine is an SSRI (selective serotonin reuptake inhibitor) and serotonin receptor modulator. This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. 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 2023, this provider wrote 21 Medicare prescriptions for Trintellix, about 62% of the volume of the typical Missouri prescriber of this medication (34). Medicare paid an average of $475.44 per fill, versus $493.16 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. 21 30-Day Fills standardized to 30-day supplies 604 Days of Medication total across all patients in 2023 | |||
| Varenicline Tartrate | 20 | $366.32▼ below MO avg | ≈ 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 2023, this provider wrote 20 Medicare prescriptions for Varenicline Tartrate, about 1.3 times the volume of the typical Missouri prescriber of this medication (16). Medicare paid an average of $366.32 per fill, versus $406.82 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. 20.2 30-Day Fills standardized to 30-day supplies 578 Days of Medication total across all patients in 2023 | |||
| Baclofen | 18 | $51.80 | ▼ 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 2023, this provider wrote 18 Medicare prescriptions for Baclofen, about a third of the volume of the typical Missouri prescriber of this medication (48). Medicare paid an average of $51.80 per fill, versus $31.05 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. 18.2 30-Day Fills standardized to 30-day supplies 543 Days of Medication total across all patients in 2023 | |||
| RexultiBrexpiprazole | 15 | $1,328.93▼ below MO avg | ▼ Less than typical |
About Rexulti: This medication is used to treat certain mental/mood disorders (such as schizophrenia, depression). Show more ▾ Brexpiprazole helps you to think more clearly, feel less nervous, and take part in everyday life. It may also help to decrease hallucinations (hearing/seeing things that are not there). In addition, this medication may improve your mood, sleep, appetite, and energy level. Brexpiprazole is a psychiatric medication that belongs to the class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. In 2023, this provider wrote 15 Medicare prescriptions for Rexulti, about half the volume of the typical Missouri prescriber of this medication (31). Medicare paid an average of $1,328.93 per fill, versus $1,369.26 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. 15 30-Day Fills standardized to 30-day supplies 396 Days of Medication total across all patients in 2023 | |||
| Ziprasidone Hcl | 15 | $33.17▼ below MO avg | ▼ Less than typical |
About Ziprasidone Hcl: This medication is used to treat certain mental/mood disorders (schizophrenia, bipolar disorder). Show more ▾ This medication can decrease hallucinations and help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Ziprasidone belongs to a class of drugs called atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. In 2023, this provider wrote 15 Medicare prescriptions for Ziprasidone Hcl, about half the volume of the typical Missouri prescriber of this medication (33). Medicare paid an average of $33.17 per fill, versus $98.74 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. 15 30-Day Fills standardized to 30-day supplies 400 Days of Medication total across all patients in 2023 | |||
| Divalproex Sodium | 15 | $253.72 | ▼ 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 2023, this provider wrote 15 Medicare prescriptions for Divalproex Sodium, about a quarter of the volume of the typical Missouri prescriber of this medication (63). Medicare paid an average of $253.72 per fill, versus $44.98 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. 15.2 30-Day Fills standardized to 30-day supplies 409 Days of Medication total across all patients in 2023 | |||
| Lithium Carbonate ErLithium Carbonate | 15 | $14.33▼ below MO avg | ▼ Less than 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 2023, this provider wrote 15 Medicare prescriptions for Lithium Carbonate Er, about half the volume of the typical Missouri prescriber of this medication (29). Medicare paid an average of $14.33 per fill, versus $16.98 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. 15.2 30-Day Fills standardized to 30-day supplies 455 Days of Medication total across all patients in 2023 | |||
| Haloperidol | 14 | $14.26▼ below MO avg | ▼ Less than typical |
About Haloperidol: Haloperidol is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorders). Show more ▾ This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can also help prevent suicide in people who are likely to harm themselves. It also reduces aggression and the desire to hurt others. It can decrease negative thoughts and hallucinations. Haloperidol can also be used to treat uncontrolled movements and outbursts of words/sounds related to Tourette's syndrome. Haloperidol is also used for severe behavior problems in hyperactive children when other treatments or medications have not worked. Haloperidol is a psychiatric medication (antipsychotic-type) that works by helping to restore the balance of certain natural substances in the brain (neurotransmitters). A phenyl-piperidinyl-butyrophenone that is used primarily to treat SCHIZOPHRENIA and other PSYCHOSES. It is also used in schizoaffective disorder, DELUSIONAL DISORDERS, ballism, and TOURETTE SYNDROME (a drug of choice) and occasionally as adjunctive therapy in INTELLECTUAL DISABILITY and the chorea of HUNTINGTON DISEASE. It is a potent antiemetic and is used in the treatment of intractable HICCUPS. (From AMA Drug Evaluations Annual, 1994, p279) In 2023, this provider wrote 14 Medicare prescriptions for Haloperidol, about a third of the volume of the typical Missouri prescriber of this medication (43). Medicare paid an average of $14.26 per fill, versus $38.73 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. 14.2 30-Day Fills standardized to 30-day supplies 380 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 14 | $11.36▼ below MO avg | ▼ Less than typical |
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 14 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical Missouri prescriber of this medication (33). Medicare paid an average of $11.36 per fill, versus $21.10 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 30-Day Fills standardized to 30-day supplies 406 Days of Medication total across all patients in 2023 | |||
| Paroxetine Hcl | 13 | $22.84 | ▼ Less than typical |
About Paroxetine Hcl: Paroxetine is used to treat depression, panic attacks, anxiety disorders, and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Paroxetine is known as a selective serotonin reuptake inhibitor (SSRI). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Paroxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. In 2023, this provider wrote 13 Medicare prescriptions for Paroxetine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (32). Medicare paid an average of $22.84 per fill, versus $14.95 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 390 Days of Medication total across all patients in 2023 | |||
| Tetrabenazine | 13 | $995.86▼ below MO avg | ≈ Typical |
About Tetrabenazine: Tetrabenazine is used to decrease the uncontrollable movements (chorea) caused by Huntington's disease. Show more ▾ However, it is not a cure for the disease. Reducing the chorea 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 (monoamines such as dopamine, serotonin, and norepinephrine), which are involved with nerve and muscle function. Tetrabenazine belongs to a class of drugs called monoamine depletors. A drug formerly used as an antipsychotic and treatment of various movement disorders. Tetrabenazine blocks neurotransmitter uptake into adrenergic storage vesicles and has been used as a high affinity label for the vesicle transport system. In 2023, this provider wrote 13 Medicare prescriptions for Tetrabenazine, about 87% of the volume of the typical Missouri prescriber of this medication (15). Medicare paid an average of $995.86 per fill, versus $3,813.18 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. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023 | |||
| Bupropion Hcl SrBupropion Hcl | 13 | $5.82▼ below MO avg | ▼ Less than typical |
About Bupropion Hcl Sr: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 13 Medicare prescriptions for Bupropion Hcl Sr, about a third of the volume of the typical Missouri prescriber of this medication (31). Medicare paid an average of $5.82 per fill, versus $29.74 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 364 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate ErQuetiapine Fumarate | 12 | $57.29▼ below MO avg | ▼ Less than typical |
About Quetiapine Fumarate Er: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) 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. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. 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 2023, this provider wrote 12 Medicare prescriptions for Quetiapine Fumarate Er, about half the volume of the typical Missouri prescriber of this medication (28). Medicare paid an average of $57.29 per fill, versus $143.26 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. 12.2 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2023 | |||
| IngrezzaValbenazine Tosylate | 12 | $8,495.98 | ▼ 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 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). In 2023, this provider wrote 12 Medicare prescriptions for Ingrezza, about a third of the volume of the typical Missouri prescriber of this medication (30). Medicare paid an average of $8,495.98 per fill, versus $6,984.23 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 2023 | |||
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 12 | $51.39▼ below MO avg | ▼ Less than typical |
About Desvenlafaxine Succinate Er: Desvenlafaxine is used to treat depression. Show more ▾ It may improve your mood, feelings of well-being, and energy level. Desvenlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). 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 2023, 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 $51.39 per fill, versus $93.90 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 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 2023 | |||
| Clomipramine Hcl | 12 | $240.07▼ below MO avg | ▼ Less than typical |
About Clomipramine Hcl: Clomipramine is used to treat obsessive compulsive disorder (OCD). Show more ▾ It helps decrease thoughts that are unwanted or that don't go away (obsessions), and it helps reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, checking) that interfere with daily living. This medication belongs to a class of medications called tricyclic antidepressants. It works by restoring the balance of certain natural substances (serotonin, among others) in the brain. A tricyclic antidepressant similar to IMIPRAMINE that selectively inhibits the uptake of serotonin in the brain. It is readily absorbed from the gastrointestinal tract and demethylated in the liver to form its primary active metabolite, desmethylclomipramine. In 2023, this provider wrote 12 Medicare prescriptions for Clomipramine Hcl, about half the volume of the typical Missouri prescriber of this medication (21). Medicare paid an average of $240.07 per fill, versus $278.43 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. 12.2 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2023 | |||
| VivitrolNaltrexone Microspheres | 12 | $1,648.36 | ▼ 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. In 2023, this provider wrote 12 Medicare prescriptions for Vivitrol, about 63% of the volume of the typical Missouri prescriber of this medication (19). Medicare paid an average of $1,648.36 per fill, versus $1,627.92 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 336 Days of Medication total across all patients in 2023 | |||
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 2023, 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 volume among MO prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
