SANDRA M CAYLER ARNP
Prescription History 1003466921
Nurse Practitioner - Psychiatric/Mental Health in Omaha, NE

Name: Medicare Part D prescriptions by Sandra Cayler (NPI 1003466921), 2023
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Active since September 12, 2019PECOS EnrolledAccepts Medicare Assignment

94.12/100

CMS Quality Rating

2126 N 117TH AVE, OMAHA, NE 68164(402) 934-1617(402) 934-5228 Get Directions

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SANDRA M CAYLER ARNP, an active Psychiatric/Mental Health specialist practicing in Omaha, NE. Our medical registry currently tracks 76 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 6,810 documented patient claims. Among these therapy options, the most frequently utilized medication is Quetiapine Fumarate, which accounts for 423 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.

Medications

6,810

Total Claims

7,206

30-Day Fills

Quetiapine Fumarate

Most Prescribed · 423 claims

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Prescription Volume vs NE Average

76 medications · 2023 Medicare Part D

Medicare Part D medications prescribed by SANDRA M CAYLER ARNP in 2023, with prescription volumes, average cost per fill, and NE state comparisons
Medication	Prescriptions (2023)Rx (2023)	Avg Cost per FillCost / Fill	Vs. Other NE PrescribersVs. NE Avg
Quetiapine Fumarate	423	$18.20▼ below NE avg	▲ 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 423 Medicare prescriptions for Quetiapine Fumarate, about 7.7 times the volume of the typical Nebraska prescriber of this medication (55). Medicare paid an average of $18.20 per fill, versus $29.38 statewide. How often this provider prescribes it This provider 423 NE average 55.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.20 NE average $29.38 This provider's average cost per fill is below the NE average for this medication. 455 30-Day Fills standardized to 30-day supplies 11,267 Days of Medication total across all patients in 2023
Trazodone Hcl	422	$7.14▼ below NE avg	▲ More than 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 422 Medicare prescriptions for Trazodone Hcl, about 7.2 times the volume of the typical Nebraska prescriber of this medication (59). Medicare paid an average of $7.14 per fill, versus $12.33 statewide. How often this provider prescribes it This provider 422 NE average 59.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.14 NE average $12.33 This provider's average cost per fill is below the NE average for this medication. 449.9 30-Day Fills standardized to 30-day supplies 10,263 Days of Medication total across all patients in 2023
Sertraline Hcl	412	$7.20▼ below NE avg	▲ 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 412 Medicare prescriptions for Sertraline Hcl, about 6.1 times the volume of the typical Nebraska prescriber of this medication (68). Medicare paid an average of $7.20 per fill, versus $10.39 statewide. How often this provider prescribes it This provider 412 NE average 68.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.20 NE average $10.39 This provider's average cost per fill is below the NE average for this medication. 452.3 30-Day Fills standardized to 30-day supplies 9,777 Days of Medication total across all patients in 2023
Clonazepam	379	$8.41▼ below NE avg	▲ More 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 379 Medicare prescriptions for Clonazepam, about 8.1 times the volume of the typical Nebraska prescriber of this medication (47). Medicare paid an average of $8.41 per fill, versus $9.62 statewide. How often this provider prescribes it This provider 379 NE average 47.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.41 NE average $9.62 This provider's average cost per fill is below the NE average for this medication. 389.8 30-Day Fills standardized to 30-day supplies 8,609 Days of Medication total across all patients in 2023
Buspirone Hcl	341	$10.64▼ below NE avg	▲ 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 341 Medicare prescriptions for Buspirone Hcl, about 8.3 times the volume of the typical Nebraska prescriber of this medication (41). Medicare paid an average of $10.64 per fill, versus $19.10 statewide. How often this provider prescribes it This provider 341 NE average 41.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.64 NE average $19.10 This provider's average cost per fill is below the NE average for this medication. 361.6 30-Day Fills standardized to 30-day supplies 8,895 Days of Medication total across all patients in 2023
Aripiprazole	292	$132.65	▲ More than 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 292 Medicare prescriptions for Aripiprazole, about 6.8 times the volume of the typical Nebraska prescriber of this medication (43). Medicare paid an average of $132.65 per fill, versus $112.70 statewide. How often this provider prescribes it This provider 292 NE average 43.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $132.65 NE average $112.70 Gross Part D cost per fill; not the patient's out-of-pocket price. 310.1 30-Day Fills standardized to 30-day supplies 6,711 Days of Medication total across all patients in 2023
Risperidone	286	$8.24▼ below NE avg	▲ More 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 286 Medicare prescriptions for Risperidone, about 6.2 times the volume of the typical Nebraska prescriber of this medication (46). Medicare paid an average of $8.24 per fill, versus $14.35 statewide. How often this provider prescribes it This provider 286 NE average 46.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.24 NE average $14.35 This provider's average cost per fill is below the NE average for this medication. 307.2 30-Day Fills standardized to 30-day supplies 7,440 Days of Medication total across all patients in 2023
Duloxetine Hcl	285	$22.52▼ below NE avg	▲ More than 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 285 Medicare prescriptions for Duloxetine Hcl, about 5 times the volume of the typical Nebraska prescriber of this medication (57). Medicare paid an average of $22.52 per fill, versus $38.86 statewide. How often this provider prescribes it This provider 285 NE average 57.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $22.52 NE average $38.86 This provider's average cost per fill is below the NE average for this medication. 331 30-Day Fills standardized to 30-day supplies 9,617 Days of Medication total across all patients in 2023
Lorazepam	253	$4.96▼ below NE avg	▲ More than typical
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 253 Medicare prescriptions for Lorazepam, about 5.1 times the volume of the typical Nebraska prescriber of this medication (50). Medicare paid an average of $4.96 per fill, versus $8.31 statewide. How often this provider prescribes it This provider 253 NE average 50.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.96 NE average $8.31 This provider's average cost per fill is below the NE average for this medication. 253.2 30-Day Fills standardized to 30-day supplies 4,992 Days of Medication total across all patients in 2023
Escitalopram Oxalate	241	$8.07▼ below NE avg	▲ More 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 241 Medicare prescriptions for Escitalopram Oxalate, about 4.3 times the volume of the typical Nebraska prescriber of this medication (56). Medicare paid an average of $8.07 per fill, versus $14.41 statewide. How often this provider prescribes it This provider 241 NE average 56.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.07 NE average $14.41 This provider's average cost per fill is below the NE average for this medication. 251.2 30-Day Fills standardized to 30-day supplies 5,786 Days of Medication total across all patients in 2023
Lamotrigine	239	$7.79▼ below NE avg	▲ 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 2023, this provider wrote 239 Medicare prescriptions for Lamotrigine, about 4.5 times the volume of the typical Nebraska prescriber of this medication (53). Medicare paid an average of $7.79 per fill, versus $15.31 statewide. How often this provider prescribes it This provider 239 NE average 53.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.79 NE average $15.31 This provider's average cost per fill is below the NE average for this medication. 255.4 30-Day Fills standardized to 30-day supplies 6,041 Days of Medication total across all patients in 2023
Venlafaxine Hcl ErVenlafaxine Hcl	219	$11.83▼ below NE 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 219 Medicare prescriptions for Venlafaxine Hcl Er, about 5.5 times the volume of the typical Nebraska prescriber of this medication (40). Medicare paid an average of $11.83 per fill, versus $24.61 statewide. How often this provider prescribes it This provider 219 NE average 40.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.83 NE average $24.61 This provider's average cost per fill is below the NE average for this medication. 243.4 30-Day Fills standardized to 30-day supplies 6,345 Days of Medication total across all patients in 2023
Bupropion XlBupropion Hcl	191	$44.84	▲ More than 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 191 Medicare prescriptions for Bupropion Xl, about 4.9 times the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $44.84 per fill, versus $34.24 statewide. How often this provider prescribes it This provider 191 NE average 39.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $44.84 NE average $34.24 Gross Part D cost per fill; not the patient's out-of-pocket price. 205 30-Day Fills standardized to 30-day supplies 5,736 Days of Medication total across all patients in 2023
Fluoxetine Hcl	163	$9.00▼ below NE avg	▲ More than 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 163 Medicare prescriptions for Fluoxetine Hcl, about 4.5 times the volume of the typical Nebraska prescriber of this medication (36). Medicare paid an average of $9.00 per fill, versus $12.99 statewide. How often this provider prescribes it This provider 163 NE average 36.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.00 NE average $12.99 This provider's average cost per fill is below the NE average for this medication. 165.4 30-Day Fills standardized to 30-day supplies 4,721 Days of Medication total across all patients in 2023
Olanzapine	140	$24.60▼ below NE avg	▲ More than 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 140 Medicare prescriptions for Olanzapine, about 2.9 times the volume of the typical Nebraska prescriber of this medication (49). Medicare paid an average of $24.60 per fill, versus $28.72 statewide. How often this provider prescribes it This provider 140 NE average 49.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.60 NE average $28.72 This provider's average cost per fill is below the NE average for this medication. 140.1 30-Day Fills standardized to 30-day supplies 3,544 Days of Medication total across all patients in 2023
Mirtazapine	134	$14.31▼ below NE avg	▲ More than 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 134 Medicare prescriptions for Mirtazapine, about 3 times the volume of the typical Nebraska prescriber of this medication (44). Medicare paid an average of $14.31 per fill, versus $19.77 statewide. How often this provider prescribes it This provider 134 NE average 44.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.31 NE average $19.77 This provider's average cost per fill is below the NE average for this medication. 148.6 30-Day Fills standardized to 30-day supplies 3,873 Days of Medication total across all patients in 2023
Divalproex Sodium ErDivalproex Sodium	132	$43.34▼ below NE 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 132 Medicare prescriptions for Divalproex Sodium Er, about 3.7 times the volume of the typical Nebraska prescriber of this medication (36). Medicare paid an average of $43.34 per fill, versus $98.35 statewide. How often this provider prescribes it This provider 132 NE average 36.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $43.34 NE average $98.35 This provider's average cost per fill is below the NE average for this medication. 136.7 30-Day Fills standardized to 30-day supplies 2,500 Days of Medication total across all patients in 2023
Gabapentin	126	$5.41▼ below NE avg	▲ More than 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 126 Medicare prescriptions for Gabapentin, about 1.4 times the volume of the typical Nebraska prescriber of this medication (87). Medicare paid an average of $5.41 per fill, versus $22.62 statewide. How often this provider prescribes it This provider 126 NE average 87.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.41 NE average $22.62 This provider's average cost per fill is below the NE average for this medication. 126 30-Day Fills standardized to 30-day supplies 3,060 Days of Medication total across all patients in 2023
Clonidine Hcl	124	$4.65▼ below NE avg	▲ More than typical
About Clonidine Hcl: This medication is used alone or with other medications to treat high blood pressure (hypertension). Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Clonidine belongs to a class of drugs (central alpha agonists) that act in the brain to lower blood pressure. It works by relaxing blood vessels so blood can flow more easily. In 2023, this provider wrote 124 Medicare prescriptions for Clonidine Hcl, about 4.6 times the volume of the typical Nebraska prescriber of this medication (27). Medicare paid an average of $4.65 per fill, versus $9.73 statewide. How often this provider prescribes it This provider 124 NE average 27.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $4.65 NE average $9.73 This provider's average cost per fill is below the NE average for this medication. 132.2 30-Day Fills standardized to 30-day supplies 3,445 Days of Medication total across all patients in 2023
Propranolol Hcl	112	$13.77▼ below NE 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 112 Medicare prescriptions for Propranolol Hcl, about 4.5 times the volume of the typical Nebraska prescriber of this medication (25). Medicare paid an average of $13.77 per fill, versus $24.56 statewide. How often this provider prescribes it This provider 112 NE average 25.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.77 NE average $24.56 This provider's average cost per fill is below the NE average for this medication. 112 30-Day Fills standardized to 30-day supplies 2,729 Days of Medication total across all patients in 2023
Divalproex Sodium	108	$68.09	▲ More 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 108 Medicare prescriptions for Divalproex Sodium, about 3.3 times the volume of the typical Nebraska prescriber of this medication (33). Medicare paid an average of $68.09 per fill, versus $53.69 statewide. How often this provider prescribes it This provider 108 NE average 33.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $68.09 NE average $53.69 Gross Part D cost per fill; not the patient's out-of-pocket price. 108.6 30-Day Fills standardized to 30-day supplies 2,432 Days of Medication total across all patients in 2023
Hydroxyzine Hcl	104	$17.13▼ below NE avg	▲ More than 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 104 Medicare prescriptions for Hydroxyzine Hcl, about 3.7 times the volume of the typical Nebraska prescriber of this medication (28). Medicare paid an average of $17.13 per fill, versus $21.59 statewide. How often this provider prescribes it This provider 104 NE average 28.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.13 NE average $21.59 This provider's average cost per fill is below the NE average for this medication. 107.2 30-Day Fills standardized to 30-day supplies 2,442 Days of Medication total across all patients in 2023
Haloperidol	97	$21.31▼ below NE avg	▲ More 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 97 Medicare prescriptions for Haloperidol, about 2.9 times the volume of the typical Nebraska prescriber of this medication (34). Medicare paid an average of $21.31 per fill, versus $39.12 statewide. How often this provider prescribes it This provider 97 NE average 34.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $21.31 NE average $39.12 This provider's average cost per fill is below the NE average for this medication. 97.6 30-Day Fills standardized to 30-day supplies 2,132 Days of Medication total across all patients in 2023
Benztropine Mesylate	90	$9.97▼ below NE avg	▲ More 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 90 Medicare prescriptions for Benztropine Mesylate, about 2.1 times the volume of the typical Nebraska prescriber of this medication (42). Medicare paid an average of $9.97 per fill, versus $14.63 statewide. How often this provider prescribes it This provider 90 NE average 42.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.97 NE average $14.63 This provider's average cost per fill is below the NE average for this medication. 104 30-Day Fills standardized to 30-day supplies 2,567 Days of Medication total across all patients in 2023
Clozapine	81	$28.99▼ below NE avg	▲ More than 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 81 Medicare prescriptions for Clozapine, about 1.3 times the volume of the typical Nebraska prescriber of this medication (61). Medicare paid an average of $28.99 per fill, versus $78.65 statewide. How often this provider prescribes it This provider 81 NE average 61.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.99 NE average $78.65 This provider's average cost per fill is below the NE average for this medication. 81 30-Day Fills standardized to 30-day supplies 2,155 Days of Medication total across all patients in 2023
Alprazolam	78	$5.91▼ below NE avg	▲ More than typical
About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾ It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238) In 2023, this provider wrote 78 Medicare prescriptions for Alprazolam, about 1.4 times the volume of the typical Nebraska prescriber of this medication (55). Medicare paid an average of $5.91 per fill, versus $9.57 statewide. How often this provider prescribes it This provider 78 NE average 55.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.91 NE average $9.57 This provider's average cost per fill is below the NE average for this medication. 84.1 30-Day Fills standardized to 30-day supplies 2,441 Days of Medication total across all patients in 2023
Lithium Carbonate ErLithium Carbonate	77	$9.90▼ below NE avg	▲ More 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 77 Medicare prescriptions for Lithium Carbonate Er, about 3.2 times the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $9.90 per fill, versus $17.82 statewide. How often this provider prescribes it This provider 77 NE average 24.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.90 NE average $17.82 This provider's average cost per fill is below the NE average for this medication. 77 30-Day Fills standardized to 30-day supplies 1,450 Days of Medication total across all patients in 2023
Eszopiclone	67	$58.22	▲ More than typical
About Eszopiclone: 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. Eszopiclone belongs to a class of drugs called sedative-hypnotics. 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 pyridine, pyrazine, and piperazine derivative that is used as a HYPNOTIC AND SEDATIVE in the treatment of INSOMNIA. In 2023, this provider wrote 67 Medicare prescriptions for Eszopiclone, about 3.9 times the volume of the typical Nebraska prescriber of this medication (17). Medicare paid an average of $58.22 per fill, versus $41.01 statewide. How often this provider prescribes it This provider 67 NE average 17.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $58.22 NE average $41.01 Gross Part D cost per fill; not the patient's out-of-pocket price. 67 30-Day Fills standardized to 30-day supplies 1,786 Days of Medication total across all patients in 2023
Zolpidem Tartrate	66	$14.53	▲ More than typical
About Zolpidem Tartrate: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2023, this provider wrote 66 Medicare prescriptions for Zolpidem Tartrate, about 1.7 times the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $14.53 per fill, versus $9.97 statewide. How often this provider prescribes it This provider 66 NE average 39.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.53 NE average $9.97 Gross Part D cost per fill; not the patient's out-of-pocket price. 72 30-Day Fills standardized to 30-day supplies 2,093 Days of Medication total across all patients in 2023
Topiramate	63	$5.21▼ below NE avg	▲ More than typical
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 63 Medicare prescriptions for Topiramate, about 1.9 times the volume of the typical Nebraska prescriber of this medication (34). Medicare paid an average of $5.21 per fill, versus $18.37 statewide. How often this provider prescribes it This provider 63 NE average 34.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.21 NE average $18.37 This provider's average cost per fill is below the NE average for this medication. 67 30-Day Fills standardized to 30-day supplies 1,677 Days of Medication total across all patients in 2023
Prazosin Hcl	61	$15.40▼ below NE 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 61 Medicare prescriptions for Prazosin Hcl, about 1.7 times the volume of the typical Nebraska prescriber of this medication (35). Medicare paid an average of $15.40 per fill, versus $38.45 statewide. How often this provider prescribes it This provider 61 NE average 35.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $15.40 NE average $38.45 This provider's average cost per fill is below the NE average for this medication. 61 30-Day Fills standardized to 30-day supplies 1,686 Days of Medication total across all patients in 2023
Methylphenidate Hcl	55	$17.40▼ below NE avg	▲ More than typical
About Methylphenidate Hcl: This medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Methylphenidate belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. In 2023, this provider wrote 55 Medicare prescriptions for Methylphenidate Hcl, about 2.5 times the volume of the typical Nebraska prescriber of this medication (22). Medicare paid an average of $17.40 per fill, versus $38.61 statewide. How often this provider prescribes it This provider 55 NE average 22.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $17.40 NE average $38.61 This provider's average cost per fill is below the NE average for this medication. 55 30-Day Fills standardized to 30-day supplies 1,289 Days of Medication total across all patients in 2023
Citalopram HbrCitalopram Hydrobromide	52	$5.09▼ below NE avg	▲ More than typical
About Citalopram Hbr: Citalopram is used to treat depression. Show more ▾ It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A furancarbonitrile that is one of the SELECTIVE SEROTONIN REUPTAKE INHIBITORS used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia. In 2023, this provider wrote 52 Medicare prescriptions for Citalopram Hbr, about 1.3 times the volume of the typical Nebraska prescriber of this medication (39). Medicare paid an average of $5.09 per fill, versus $7.62 statewide. How often this provider prescribes it This provider 52 NE average 39.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.09 NE average $7.62 This provider's average cost per fill is below the NE average for this medication. 52 30-Day Fills standardized to 30-day supplies 718 Days of Medication total across all patients in 2023
Quetiapine Fumarate ErQuetiapine Fumarate	47	$112.72▼ below NE avg	▲ More 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 47 Medicare prescriptions for Quetiapine Fumarate Er, about 2 times the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $112.72 per fill, versus $145.47 statewide. How often this provider prescribes it This provider 47 NE average 24.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $112.72 NE average $145.47 This provider's average cost per fill is below the NE average for this medication. 51.1 30-Day Fills standardized to 30-day supplies 1,501 Days of Medication total across all patients in 2023
Zolpidem Tartrate ErZolpidem Tartrate	44	$12.91▼ below NE avg	▲ More than typical
About Zolpidem Tartrate Er: Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults. Show more ▾ If you have trouble falling asleep, it helps you fall asleep faster, so you can get a better night's rest. Zolpidem belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA. In 2023, this provider wrote 44 Medicare prescriptions for Zolpidem Tartrate Er, about 2.9 times the volume of the typical Nebraska prescriber of this medication (15). Medicare paid an average of $12.91 per fill, versus $57.11 statewide. How often this provider prescribes it This provider 44 NE average 15.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $12.91 NE average $57.11 This provider's average cost per fill is below the NE average for this medication. 44 30-Day Fills standardized to 30-day supplies 986 Days of Medication total across all patients in 2023
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine	37	$66.87	▲ More than typical
About Dextroamphetamine-Amphet Er: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2023, this provider wrote 37 Medicare prescriptions for Dextroamphetamine-Amphet Er, about 1.5 times the volume of the typical Nebraska prescriber of this medication (24). Medicare paid an average of $66.87 per fill, versus $66.01 statewide. How often this provider prescribes it This provider 37 NE average 24.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $66.87 NE average $66.01 Gross Part D cost per fill; not the patient's out-of-pocket price. 37 30-Day Fills standardized to 30-day supplies 1,110 Days of Medication total across all patients in 2023
Haloperidol Decanoate	34	$27.50▼ below NE avg	▲ More than typical
About Haloperidol Decanoate: Haloperidol decanoate is used for long-term treatment of a certain mental/mood disorder (schizophrenia). Show more ▾ It may be used in people who have trouble remembering to take medication every day. This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can also 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 decanoate is a long-acting form of psychiatric medication (antipsychotic-type) that works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 34 Medicare prescriptions for Haloperidol Decanoate, about 1.5 times the volume of the typical Nebraska prescriber of this medication (22). Medicare paid an average of $27.50 per fill, versus $56.05 statewide. How often this provider prescribes it This provider 34 NE average 22.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $27.50 NE average $56.05 This provider's average cost per fill is below the NE average for this medication. 34 30-Day Fills standardized to 30-day supplies 952 Days of Medication total across all patients in 2023
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine	31	$40.31▼ below NE avg	≈ Typical
About Dextroamphetamine-Amphetamine: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2023, this provider wrote 31 Medicare prescriptions for Dextroamphetamine-Amphetamine, about the same volume as the typical Nebraska prescriber of this medication (28). Medicare paid an average of $40.31 per fill, versus $41.48 statewide. How often this provider prescribes it This provider 31 NE average 28.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $40.31 NE average $41.48 This provider's average cost per fill is below the NE average for this medication. 31 30-Day Fills standardized to 30-day supplies 904 Days of Medication total across all patients in 2023
RexultiBrexpiprazole	31	$1,251.01▼ below NE avg	≈ 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 31 Medicare prescriptions for Rexulti, about 1.2 times the volume of the typical Nebraska prescriber of this medication (25). Medicare paid an average of $1,251.01 per fill, versus $1,398.87 statewide. How often this provider prescribes it This provider 31 NE average 25.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,251.01 NE average $1,398.87 This provider's average cost per fill is below the NE average for this medication. 31 30-Day Fills standardized to 30-day supplies 760 Days of Medication total across all patients in 2023
Donepezil Hcl	30	$6.66▼ below NE avg	▼ Less than typical
About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. In 2023, this provider wrote 30 Medicare prescriptions for Donepezil Hcl, about half the volume of the typical Nebraska prescriber of this medication (52). Medicare paid an average of $6.66 per fill, versus $14.66 statewide. How often this provider prescribes it This provider 30 NE average 52.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.66 NE average $14.66 This provider's average cost per fill is below the NE average for this medication. 30 30-Day Fills standardized to 30-day supplies 592 Days of Medication total across all patients in 2023
Lithium Carbonate	29	$7.17▼ below NE avg	≈ 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 29 Medicare prescriptions for Lithium Carbonate, about the same volume as the typical Nebraska prescriber of this medication (27). Medicare paid an average of $7.17 per fill, versus $8.93 statewide. How often this provider prescribes it This provider 29 NE average 27.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.17 NE average $8.93 This provider's average cost per fill is below the NE average for this medication. 29 30-Day Fills standardized to 30-day supplies 447 Days of Medication total across all patients in 2023
Paroxetine Hcl	27	$8.35▼ below NE avg	≈ 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 27 Medicare prescriptions for Paroxetine Hcl, about the same volume as the typical Nebraska prescriber of this medication (26). Medicare paid an average of $8.35 per fill, versus $13.43 statewide. How often this provider prescribes it This provider 27 NE average 26.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.35 NE average $13.43 This provider's average cost per fill is below the NE average for this medication. 27 30-Day Fills standardized to 30-day supplies 784 Days of Medication total across all patients in 2023
Paliperidone ErPaliperidone	27	$624.98	≈ 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 27 Medicare prescriptions for Paliperidone Er, about 84% of the volume of the typical Nebraska prescriber of this medication (32). Medicare paid an average of $624.98 per fill, versus $423.76 statewide. How often this provider prescribes it This provider 27 NE average 32.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $624.98 NE average $423.76 Gross Part D cost per fill; not the patient's out-of-pocket price. 27 30-Day Fills standardized to 30-day supplies 369 Days of Medication total across all patients in 2023
Baclofen	26	$11.37▼ below NE avg	≈ 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 26 Medicare prescriptions for Baclofen, about 76% of the volume of the typical Nebraska prescriber of this medication (34). Medicare paid an average of $11.37 per fill, versus $36.50 statewide. How often this provider prescribes it This provider 26 NE average 34.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $11.37 NE average $36.50 This provider's average cost per fill is below the NE average for this medication. 26 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023
Colestipol Hcl	26	$31.52▼ below NE avg	≈ Typical
About Colestipol Hcl: Colestipol is used along with a proper diet to lower cholesterol in the blood. Show more ▾ Lowering cholesterol helps decrease the risk for strokes and heart attacks. In addition to a proper diet (such as a low-cholesterol/low-fat diet), other lifestyle changes that may help this medication work better include exercising, losing weight if overweight, and stopping smoking. Consult your doctor for more details. This medication is known as a bile acid-binding resin. It works by removing bile acid from the body. In people with high cholesterol, this causes the liver to make more bile acid by using cholesterol in the blood. This helps to lower the cholesterol levels. Highly crosslinked and insoluble basic anion exchange resin used as anticholesteremic. It may also may reduce triglyceride levels. In 2023, this provider wrote 26 Medicare prescriptions for Colestipol Hcl, about the same volume as the typical Nebraska prescriber of this medication (27). Medicare paid an average of $31.52 per fill, versus $94.05 statewide. How often this provider prescribes it This provider 26 NE average 27.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.52 NE average $94.05 This provider's average cost per fill is below the NE average for this medication. 26 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023
Metformin Hcl ErMetformin Hcl	25	$2.58▼ below NE avg	▼ Less than typical
About Metformin Hcl Er: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 25 Medicare prescriptions for Metformin Hcl Er, about half the volume of the typical Nebraska prescriber of this medication (48). Medicare paid an average of $2.58 per fill, versus $9.71 statewide. How often this provider prescribes it This provider 25 NE average 48.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2.58 NE average $9.71 This provider's average cost per fill is below the NE average for this medication. 29.3 30-Day Fills standardized to 30-day supplies 843 Days of Medication total across all patients in 2023
Propranolol Hcl ErPropranolol Hcl	25	$18.02▼ below NE avg	▲ More than typical
About Propranolol Hcl Er: 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 25 Medicare prescriptions for Propranolol Hcl Er, about 1.3 times the volume of the typical Nebraska prescriber of this medication (19). Medicare paid an average of $18.02 per fill, versus $64.08 statewide. How often this provider prescribes it This provider 25 NE average 19.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $18.02 NE average $64.08 This provider's average cost per fill is below the NE average for this medication. 25 30-Day Fills standardized to 30-day supplies 532 Days of Medication total across all patients in 2023
Metformin Hcl	23	$6.10▼ below NE avg	▼ Less than typical
About Metformin Hcl: Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. Show more ▾ It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body's proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb. A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289) In 2023, this provider wrote 23 Medicare prescriptions for Metformin Hcl, about a quarter of the volume of the typical Nebraska prescriber of this medication (86). Medicare paid an average of $6.10 per fill, versus $6.94 statewide. How often this provider prescribes it This provider 23 NE average 86.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $6.10 NE average $6.94 This provider's average cost per fill is below the NE average for this medication. 29.2 30-Day Fills standardized to 30-day supplies 858 Days of Medication total across all patients in 2023
Diazepam	23	$2.92▼ below NE avg	≈ Typical
About Diazepam: This medication is used to treat episodes of increased seizures (such as cluster or breakthrough seizures) in people who are already taking medications to control their seizures. Show more ▾ This product is only recommended for short-term treatment of seizure attacks. It is not for ongoing daily use to prevent seizures. Uncontrolled seizures can turn into serious (possibly fatal) seizures that do not stop (status epilepticus). This medication is not recommended for children younger than 6 months of age because of the risk of serious side effects. Diazepam works by calming the brain and nerves. It belongs to a class of drugs known as benzodiazepines. A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. In 2023, this provider wrote 23 Medicare prescriptions for Diazepam, about the same volume as the typical Nebraska prescriber of this medication (22). Medicare paid an average of $2.92 per fill, versus $8.09 statewide. How often this provider prescribes it This provider 23 NE average 22.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2.92 NE average $8.09 This provider's average cost per fill is below the NE average for this medication. 23 30-Day Fills standardized to 30-day supplies 505 Days of Medication total across all patients in 2023
Amitriptyline Hcl	22	$9.98▼ below NE avg	≈ 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 22 Medicare prescriptions for Amitriptyline Hcl, about 85% of the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $9.98 per fill, versus $21.46 statewide. How often this provider prescribes it This provider 22 NE average 26.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $9.98 NE average $21.46 This provider's average cost per fill is below the NE average for this medication. 30 30-Day Fills standardized to 30-day supplies 881 Days of Medication total across all patients in 2023
LoxapineLoxapine Succinate	21	$28.35▼ below NE avg	▲ More than typical
About Loxapine: Loxapine is used to treat certain mental/mood disorders (such as schizophrenia). Show more ▾ This medicine helps you to think more clearly, feel less nervous, and take part in everyday life. It can reduce aggression and the desire to hurt yourself/others. It may also help to decrease hallucinations (such as hearing/seeing things that are not there). Loxapine is a psychiatric medication (antipsychotic type) that works by helping to restore the balance of certain natural substances (such as dopamine) in the brain. An antipsychotic agent used in SCHIZOPHRENIA. In 2023, this provider wrote 21 Medicare prescriptions for Loxapine, about 1.4 times the volume of the typical Nebraska prescriber of this medication (15). Medicare paid an average of $28.35 per fill, versus $53.85 statewide. How often this provider prescribes it This provider 21 NE average 15.0 This provider prescribes this medication more often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $28.35 NE average $53.85 This provider's average cost per fill is below the NE average for this medication. 21 30-Day Fills standardized to 30-day supplies 294 Days of Medication total across all patients in 2023
Carbamazepine	21	$14.04▼ below NE avg	≈ Typical
About Carbamazepine: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 21 Medicare prescriptions for Carbamazepine, about the same volume as the typical Nebraska prescriber of this medication (19). Medicare paid an average of $14.04 per fill, versus $59.40 statewide. How often this provider prescribes it This provider 21 NE average 19.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $14.04 NE average $59.40 This provider's average cost per fill is below the NE average for this medication. 29 30-Day Fills standardized to 30-day supplies 598 Days of Medication total across all patients in 2023
Oxcarbazepine	20	$24.09▼ below NE avg	▼ Less than typical
About Oxcarbazepine: Oxcarbazepine is used alone or with other medications to treat seizure disorders (epilepsy). Show more ▾ A carbamazepine derivative that acts as a voltage-gated sodium channel blocker. It is used for the treatment of PARTIAL SEIZURES with or without secondary generalization. It is also an inducer of CYTOCHROME P-450 CYP3A4. In 2023, this provider wrote 20 Medicare prescriptions for Oxcarbazepine, about 67% of the volume of the typical Nebraska prescriber of this medication (30). Medicare paid an average of $24.09 per fill, versus $63.15 statewide. How often this provider prescribes it This provider 20 NE average 30.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $24.09 NE average $63.15 This provider's average cost per fill is below the NE average for this medication. 22 30-Day Fills standardized to 30-day supplies 638 Days of Medication total across all patients in 2023
Bupropion Hcl SrBupropion Hcl	19	$8.27▼ below NE avg	≈ 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 19 Medicare prescriptions for Bupropion Hcl Sr, about 83% of the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $8.27 per fill, versus $29.23 statewide. How often this provider prescribes it This provider 19 NE average 23.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8.27 NE average $29.23 This provider's average cost per fill is below the NE average for this medication. 19 30-Day Fills standardized to 30-day supplies 489 Days of Medication total across all patients in 2023
AmantadineAmantadine Hcl	19	$60.42	▼ Less than typical
About Amantadine: Amantadine is used to treat Parkinson's disease, as well as side effects caused by drugs (such as drug-induced extrapyramidal symptoms), chemicals, and other medical conditions. Show more ▾ In these cases, this medication may help to improve your range of motion and ability to exercise. For the treatment of these conditions, amantadine is believed to work by restoring the balance of natural chemicals (neurotransmitters) in the brain. Amantadine is used to prevent or treat a certain type of flu (influenza A). If you have been infected with the flu, this medication may help make your symptoms less severe and shorten the time it will take you to get better. Taking amantadine if you have been or will be exposed to the flu may help to prevent you from getting the flu. This medication is an antiviral that is believed to work by stopping growth of the flu virus. This medication is not a vaccine. To increase the chance that you will not get the flu, it is important to get a flu shot once a year at the beginning of every flu season, if possible. Based on the recommendation from the Centers for Disease Control (CDC) in the US, amantadine should not be used to treat or prevent influenza A because the current influenza A virus in the United States and Canada is resistant to this medication. For more details, talk to your doctor or pharmacist. An antiviral that is used in the prophylactic or symptomatic treatment of influenza A. It is also used as an antiparkinsonian agent, to treat extrapyramidal reactions, and for postherpetic neuralgia. The mechanisms of its effects in movement disorders are not well understood but probably reflect an increase in synthesis and release of dopamine, with perhaps some inhibition of dopamine uptake. In 2023, this provider wrote 19 Medicare prescriptions for Amantadine, about 68% of the volume of the typical Nebraska prescriber of this medication (28). Medicare paid an average of $60.42 per fill, versus $58.91 statewide. How often this provider prescribes it This provider 19 NE average 28.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $60.42 NE average $58.91 Gross Part D cost per fill; not the patient's out-of-pocket price. 19.1 30-Day Fills standardized to 30-day supplies 519 Days of Medication total across all patients in 2023
Lurasidone Hcl	18	$124.42	– No State Data
In 2023, this provider wrote 18 Medicare prescriptions for Lurasidone Hcl. Medicare paid an average of $124.42 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 $124.42 Cost 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 420 Days of Medication total across all patients in 2023
Risperdal ConstaRisperidone Microspheres	17	$945.06▼ below NE avg	▼ Less than typical
About Risperdal Consta: Risperidone is used to treat certain mental/mood disorders (schizophrenia, bipolar disorder). Show more ▾ This medication can help you to think clearly and take part in everyday life. Risperidone 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 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 17 Medicare prescriptions for Risperdal Consta, about 65% of the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $945.06 per fill, versus $1,165.13 statewide. How often this provider prescribes it This provider 17 NE average 26.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $945.06 NE average $1,165.13 This provider's average cost per fill is below the NE average for this medication. 17 30-Day Fills standardized to 30-day supplies 238 Days of Medication total across all patients in 2023
Invega SustennaPaliperidone Palmitate	17	$3,549.96	▼ Less than 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 17 Medicare prescriptions for Invega Sustenna, about half the volume of the typical Nebraska prescriber of this medication (36). Medicare paid an average of $3,549.96 per fill, versus $2,986.20 statewide. How often this provider prescribes it This provider 17 NE average 36.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $3,549.96 NE average $2,986.20 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 484 Days of Medication total across all patients in 2023
AustedoDeutetrabenazine	17	$13,276.19	▼ Less than typical
About Austedo: Deutetrabenazine is used to decrease involuntary movements (chorea) caused by Huntington's disease. Show more ▾ It is also used to treat involuntary movements of the face, tongue, or other body parts (tardive dyskinesia). However, it is not a cure for the Huntington's disease or tardive dyskinesia. 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). In 2023, this provider wrote 17 Medicare prescriptions for Austedo, about 74% of the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $13,276.19 per fill, versus $6,525.74 statewide. How often this provider prescribes it This provider 17 NE average 23.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13,276.19 NE average $6,525.74 Gross Part D cost per fill; not the patient's out-of-pocket price. 17 30-Day Fills standardized to 30-day supplies 495 Days of Medication total across all patients in 2023
Fluvoxamine Maleate	17	$31.50▼ below NE avg	▼ Less than typical
About Fluvoxamine Maleate: Fluvoxamine 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 to reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, checking) that interfere with daily living. Fluvoxamine is known as a selective serotonin reuptake inhibitor (SSRI). This medication 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 2023, this provider wrote 17 Medicare prescriptions for Fluvoxamine Maleate, about 65% of the volume of the typical Nebraska prescriber of this medication (26). Medicare paid an average of $31.50 per fill, versus $52.15 statewide. How often this provider prescribes it This provider 17 NE average 26.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $31.50 NE average $52.15 This provider's average cost per fill is below the NE average for this medication. 17 30-Day Fills standardized to 30-day supplies 436 Days of Medication total across all patients in 2023
Carbamazepine ErCarbamazepine	16	$103.60▼ below NE avg	≈ Typical
About Carbamazepine Er: Carbamazepine is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or anti-epileptic drug. It is also used to relieve certain types of nerve pain (such as trigeminal neuralgia). This medication works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. A dibenzazepine that acts as a sodium channel blocker. It is used as an anticonvulsant for the treatment of grand mal and psychomotor or focal SEIZURES. It may also be used in the management of BIPOLAR DISORDER, and has analgesic properties. In 2023, this provider wrote 16 Medicare prescriptions for Carbamazepine Er, about 80% of the volume of the typical Nebraska prescriber of this medication (20). Medicare paid an average of $103.60 per fill, versus $129.71 statewide. How often this provider prescribes it This provider 16 NE average 20.0 This provider's prescribing volume for this medication is in line with the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $103.60 NE average $129.71 This provider's average cost per fill is below the NE average for this medication. 26 30-Day Fills standardized to 30-day supplies 756 Days of Medication total across all patients in 2023
TrintellixVortioxetine Hydrobromide	16	$500.97	▼ 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 16 Medicare prescriptions for Trintellix, about 73% of the volume of the typical Nebraska prescriber of this medication (22). Medicare paid an average of $500.97 per fill, versus $499.80 statewide. How often this provider prescribes it This provider 16 NE average 22.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $500.97 NE average $499.80 Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 463 Days of Medication total across all patients in 2023
Ziprasidone Hcl	15	$35.66▼ below NE 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 Nebraska prescriber of this medication (33). Medicare paid an average of $35.66 per fill, versus $110.15 statewide. How often this provider prescribes it This provider 15 NE average 33.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $35.66 NE average $110.15 This provider's average cost per fill is below the NE average for this medication. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2023
FanaptIloperidone	15	$2,031.68▼ below NE avg	▼ Less than typical
About Fanapt: This medication is used to treat certain mental/mood disorders (such as schizophrenia). Show more ▾ Iloperidone 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). Iloperidone 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 Fanapt, about 65% of the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $2,031.68 per fill, versus $2,335.90 statewide. How often this provider prescribes it This provider 15 NE average 23.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $2,031.68 NE average $2,335.90 This provider's average cost per fill is below the NE average for this medication. 15 30-Day Fills standardized to 30-day supplies 430 Days of Medication total across all patients in 2023
LybalviOlanzapine/Samidorphan Malate	13	$1,596.81	▼ Less than typical
About Lybalvi: This product is a combination of 2 medications: olanzapine and samidorphan. Show more ▾ It is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder). This product 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. Samidorphan belongs to a class of drugs known as opioid antagonists. It reduces the risk of weight gain caused by olanzapine. In 2023, this provider wrote 13 Medicare prescriptions for Lybalvi, about 68% of the volume of the typical Nebraska prescriber of this medication (19). Medicare paid an average of $1,596.81 per fill, versus $1,580.34 statewide. How often this provider prescribes it This provider 13 NE average 19.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,596.81 NE average $1,580.34 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
VraylarCariprazine Hcl	13	$1,474.41	▼ Less than 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 13 Medicare prescriptions for Vraylar, about a third of the volume of the typical Nebraska prescriber of this medication (32). Medicare paid an average of $1,474.41 per fill, versus $1,374.40 statewide. How often this provider prescribes it This provider 13 NE average 32.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $1,474.41 NE average $1,374.40 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
Atomoxetine Hcl	13	$62.05▼ below NE avg	▼ Less than typical
About Atomoxetine Hcl: Atomoxetine is used to treat attention-deficit hyperactivity disorder (ADHD) as part of a total treatment plan, including psychological, social, and other treatments. Show more ▾ It may help to increase the ability to pay attention, concentrate, stay focused, and stop fidgeting. It is thought to work by restoring the balance of certain natural substances (neurotransmitters) in the brain. A propylamine derivative and selective ADRENERGIC UPTAKE INHIBITOR that is used in the treatment of ATTENTION DEFICIT HYPERACTIVITY DISORDER. In 2023, this provider wrote 13 Medicare prescriptions for Atomoxetine Hcl, about half the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $62.05 per fill, versus $151.22 statewide. How often this provider prescribes it This provider 13 NE average 23.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $62.05 NE average $151.22 This provider's average cost per fill is below the NE average for this medication. 13 30-Day Fills standardized to 30-day supplies 364 Days of Medication total across all patients in 2023
Vilazodone Hcl	12	$182.07▼ below NE avg	▼ Less than typical
About Vilazodone Hcl: Vilazodone is used to treat depression. Show more ▾ It is an SSRI (selective serotonin reuptake inhibitor) and partial serotonin receptor agonist. It works by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. A benzofuran, indole, and piperazine derivative that functions as a SEROTONIN UPTAKE INHIBITOR and partial SEROTONIN 5-HT1 RECEPTOR AGONIST. It is used as an ANTIDEPRESSIVE AGENT. In 2023, this provider wrote 12 Medicare prescriptions for Vilazodone Hcl, about 67% of the volume of the typical Nebraska prescriber of this medication (18). Medicare paid an average of $182.07 per fill, versus $188.28 statewide. How often this provider prescribes it This provider 12 NE average 18.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $182.07 NE average $188.28 This provider's average cost per fill is below the NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 320 Days of Medication total across all patients in 2023
Nortriptyline Hcl	12	$10.50▼ below NE avg	▼ Less than typical
About Nortriptyline 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, 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) in the brain. In 2023, this provider wrote 12 Medicare prescriptions for Nortriptyline Hcl, about half the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $10.50 per fill, versus $12.09 statewide. How often this provider prescribes it This provider 12 NE average 23.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $10.50 NE average $12.09 This provider's average cost per fill is below the NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2023
RivastigmineRivastigmine Tartrate	12	$13.84▼ below NE avg	▼ Less than typical
About Rivastigmine: Rivastigmine is used to treat confusion (dementia) related to Alzheimer's disease and to Parkinson's disease. Show more ▾ Rivastigmine does not cure either of these diseases, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by restoring the balance of natural substances (neurotransmitters) in the brain. A carbamate-derived reversible CHOLINESTERASE INHIBITOR that is selective for the CENTRAL NERVOUS SYSTEM and is used for the treatment of DEMENTIA in ALZHEIMER DISEASE and PARKINSON DISEASE. In 2023, this provider wrote 12 Medicare prescriptions for Rivastigmine, about 67% of the volume of the typical Nebraska prescriber of this medication (18). Medicare paid an average of $13.84 per fill, versus $246.40 statewide. How often this provider prescribes it This provider 12 NE average 18.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $13.84 NE average $246.40 This provider's average cost per fill is below the NE 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	$8,491.83	▼ 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 63% of the volume of the typical Nebraska prescriber of this medication (19). Medicare paid an average of $8,491.83 per fill, versus $7,355.32 statewide. How often this provider prescribes it This provider 12 NE average 19.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $8,491.83 NE average $7,355.32 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
Venlafaxine Hcl	11	$7.98▼ below NE avg	▼ Less than typical
About Venlafaxine Hcl: 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 11 Medicare prescriptions for Venlafaxine Hcl, about 61% of the volume of the typical Nebraska prescriber of this medication (18). Medicare paid an average of $7.98 per fill, versus $30.46 statewide. How often this provider prescribes it This provider 11 NE average 18.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $7.98 NE average $30.46 This provider's average cost per fill is below the NE average for this medication. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2023
Clomipramine Hcl	11	$119.50▼ below NE 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 11 Medicare prescriptions for Clomipramine Hcl, about 61% of the volume of the typical Nebraska prescriber of this medication (18). Medicare paid an average of $119.50 per fill, versus $167.72 statewide. How often this provider prescribes it This provider 11 NE average 18.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $119.50 NE average $167.72 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023
Memantine Hcl	11	$5.43▼ below NE avg	▼ Less than typical
About Memantine Hcl: Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease. Show more ▾ It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to perform daily functions. This medication works by blocking the action of a certain natural substance in the brain (glutamate) that is believed to be linked to symptoms of Alzheimer's disease. In 2023, this provider wrote 11 Medicare prescriptions for Memantine Hcl, about a quarter of the volume of the typical Nebraska prescriber of this medication (43). Medicare paid an average of $5.43 per fill, versus $51.72 statewide. How often this provider prescribes it This provider 11 NE average 43.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $5.43 NE average $51.72 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 325 Days of Medication total across all patients in 2023
Naltrexone Hcl	11	$38.60▼ below NE avg	▼ 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. In 2023, this provider wrote 11 Medicare prescriptions for Naltrexone Hcl, about half the volume of the typical Nebraska prescriber of this medication (23). Medicare paid an average of $38.60 per fill, versus $62.08 statewide. How often this provider prescribes it This provider 11 NE average 23.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $38.60 NE average $62.08 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 308 Days of Medication total across all patients in 2023
Desvenlafaxine Succinate ErDesvenlafaxine Succinate	11	$25.82▼ below NE 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 11 Medicare prescriptions for Desvenlafaxine Succinate Er, about a third of the volume of the typical Nebraska prescriber of this medication (29). Medicare paid an average of $25.82 per fill, versus $86.62 statewide. How often this provider prescribes it This provider 11 NE average 29.0 This provider prescribes this medication less often than the average NE prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider $25.82 NE average $86.62 This provider's average cost per fill is below the NE average for this medication. 11 30-Day Fills standardized to 30-day supplies 254 Days of Medication total across all patients in 2023

No medications match the current filters.

= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average NE prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the NE average cost per fill.

About this data. The prescription history for SANDRA M CAYLER ARNP 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 Omaha, NE 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 NE prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.