SANDRA M CAYLER ARNP
Prescription History 1003466921
Nurse Practitioner - Psychiatric/Mental Health in Omaha, NE
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 30 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,274 documented patient claims. Among these therapy options, the most frequently utilized medication is Trazodone Hcl, which accounts for 113 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2024)Rx (2024) | Avg Cost per FillCost / Fill | Vs. Other NE PrescribersVs. NE Avg |
|---|---|---|---|
| Trazodone Hcl | 113 | $5.74▼ below NE avg | ▲ More than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309) In 2024, this provider wrote 113 Medicare prescriptions for Trazodone Hcl, about 1.8 times the volume of the typical Nebraska prescriber of this medication (63.7). Medicare paid an average of $5.74 per fill, versus $8.39 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 120 30-Day Fills standardized to 30-day supplies 2,260 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 101 | $9.77▼ below NE avg | ▲ More than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2024, this provider wrote 101 Medicare prescriptions for Quetiapine Fumarate, about 1.8 times the volume of the typical Nebraska prescriber of this medication (55.5). Medicare paid an average of $9.77 per fill, versus $17.53 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 109 30-Day Fills standardized to 30-day supplies 2,029 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 89 | $8.59▼ below NE avg | ▲ More than typical |
About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾ It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression. In 2024, this provider wrote 89 Medicare prescriptions for Sertraline Hcl, about 1.3 times the volume of the typical Nebraska prescriber of this medication (68.1). Medicare paid an average of $8.59 per fill, versus $8.76 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 103.1 30-Day Fills standardized to 30-day supplies 1,947 Days of Medication total across all patients in 2024 | |||
| Aripiprazole | 85 | $116.49 | ▲ More than typical |
About Aripiprazole: This medication is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2024, this provider wrote 85 Medicare prescriptions for Aripiprazole, about 2 times the volume of the typical Nebraska prescriber of this medication (42.2). Medicare paid an average of $116.49 per fill, versus $56.99 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 91 30-Day Fills standardized to 30-day supplies 1,897 Days of Medication total across all patients in 2024 | |||
| Lamotrigine | 81 | $6.01▼ 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 2024, this provider wrote 81 Medicare prescriptions for Lamotrigine, about 1.6 times the volume of the typical Nebraska prescriber of this medication (50.7). Medicare paid an average of $6.01 per fill, versus $13.55 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 83 30-Day Fills standardized to 30-day supplies 1,506 Days of Medication total across all patients in 2024 | |||
| Escitalopram Oxalate | 69 | $6.82▼ below NE avg | ≈ Typical |
About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2024, this provider wrote 69 Medicare prescriptions for Escitalopram Oxalate, about 1.2 times the volume of the typical Nebraska prescriber of this medication (56.2). Medicare paid an average of $6.82 per fill, versus $10.77 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 69 30-Day Fills standardized to 30-day supplies 1,265 Days of Medication total across all patients in 2024 | |||
| Risperidone | 57 | $9.20▼ below NE avg | ▲ More than typical |
About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾ Risperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2024, this provider wrote 57 Medicare prescriptions for Risperidone, about 1.3 times the volume of the typical Nebraska prescriber of this medication (44.4). Medicare paid an average of $9.20 per fill, versus $15.39 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 57.1 30-Day Fills standardized to 30-day supplies 936 Days of Medication total across all patients in 2024 | |||
| Buspirone Hcl | 54 | $9.63▼ 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). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 54 Medicare prescriptions for Buspirone Hcl, about 1.3 times the volume of the typical Nebraska prescriber of this medication (41.7). Medicare paid an average of $9.63 per fill, versus $15.36 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 60 30-Day Fills standardized to 30-day supplies 1,253 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium ErDivalproex Sodium | 54 | $55.82▼ below NE avg | ▲ More than typical |
About Divalproex Sodium Er: This medication is used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches. Show more ▾ It works by restoring the balance of certain natural substances (neurotransmitters) in the brain. A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS. In 2024, this provider wrote 54 Medicare prescriptions for Divalproex Sodium Er, about 1.5 times the volume of the typical Nebraska prescriber of this medication (37). Medicare paid an average of $55.82 per fill, versus $57.28 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 54 30-Day Fills standardized to 30-day supplies 820 Days of Medication total across all patients in 2024 | |||
| Lithium Carbonate ErLithium Carbonate | 52 | $11.18▼ 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 2024, this provider wrote 52 Medicare prescriptions for Lithium Carbonate Er, about 2.3 times the volume of the typical Nebraska prescriber of this medication (22.6). Medicare paid an average of $11.18 per fill, versus $14.53 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 52 30-Day Fills standardized to 30-day supplies 728 Days of Medication total across all patients in 2024 | |||
| Citalopram HbrCitalopram Hydrobromide | 44 | $4.81▼ below NE avg | ≈ Typical |
About Citalopram Hbr: This medication is used to treat depression. Show more ▾ Citalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A 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 2024, this provider wrote 44 Medicare prescriptions for Citalopram Hbr, about 1.2 times the volume of the typical Nebraska prescriber of this medication (36.2). Medicare paid an average of $4.81 per fill, versus $6.50 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 44 30-Day Fills standardized to 30-day supplies 616 Days of Medication total across all patients in 2024 | |||
| Olanzapine | 41 | $27.88 | ≈ Typical |
About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy. In 2024, this provider wrote 41 Medicare prescriptions for Olanzapine, about 86% of the volume of the typical Nebraska prescriber of this medication (47.7). Medicare paid an average of $27.88 per fill, versus $22.40 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 41 30-Day Fills standardized to 30-day supplies 712 Days of Medication total across all patients in 2024 | |||
| Clonidine Hcl | 36 | $5.95▼ 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. An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION. In 2024, this provider wrote 36 Medicare prescriptions for Clonidine Hcl, about 1.3 times the volume of the typical Nebraska prescriber of this medication (26.9). Medicare paid an average of $5.95 per fill, versus $6.36 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 36 30-Day Fills standardized to 30-day supplies 650 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 33 | $6.54▼ below NE avg | ▼ Less 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 2024, this provider wrote 33 Medicare prescriptions for Gabapentin, about a third of the volume of the typical Nebraska prescriber of this medication (86.3). Medicare paid an average of $6.54 per fill, versus $16.34 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 33 30-Day Fills standardized to 30-day supplies 604 Days of Medication total across all patients in 2024 | |||
| Topiramate | 32 | $6.14▼ below NE avg | ≈ 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 2024, this provider wrote 32 Medicare prescriptions for Topiramate, about the same volume as the typical Nebraska prescriber of this medication (34). Medicare paid an average of $6.14 per fill, versus $11.29 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 32 30-Day Fills standardized to 30-day supplies 532 Days of Medication total across all patients in 2024 | |||
| Bupropion XlBupropion Hcl | 30 | $23.49 | ▼ Less than typical |
About Bupropion Xl: This medication is used to treat depression. Show more ▾ It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE. In 2024, this provider wrote 30 Medicare prescriptions for Bupropion Xl, about 73% of the volume of the typical Nebraska prescriber of this medication (41.1). Medicare paid an average of $23.49 per fill, versus $22.94 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 32 30-Day Fills standardized to 30-day supplies 960 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 28 | $7.12▼ below NE avg | ▼ Less than typical |
About Duloxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾ It is also used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2024, this provider wrote 28 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Nebraska prescriber of this medication (61.9). Medicare paid an average of $7.12 per fill, versus $22.46 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 30 30-Day Fills standardized to 30-day supplies 870 Days of Medication total across all patients in 2024 | |||
| Benztropine Mesylate | 28 | $9.29▼ below NE avg | ≈ Typical |
About Benztropine Mesylate: Benztropine is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). Show more ▾ Benztropine belongs to a class of medication called anticholinergics that work by blocking a certain natural substance (acetylcholine). This helps decrease muscle stiffness, sweating, and the production of saliva, and helps improve walking ability in people with Parkinson's disease. Anticholinergics can stop severe muscle spasms of the back, neck, and eyes that are sometimes caused by psychiatric drugs. It can also decrease other side effects such as muscle stiffness/rigidity (extrapyramidal signs-EPS). It is not helpful in treating movement problems caused by tardive dyskinesia and may worsen them. Benztropine should not be used by children younger than 3 years. A centrally active muscarinic antagonist that has been used in the symptomatic treatment of PARKINSON DISEASE. Benztropine also inhibits the uptake of dopamine. In 2024, this provider wrote 28 Medicare prescriptions for Benztropine Mesylate, about 77% of the volume of the typical Nebraska prescriber of this medication (36.3). Medicare paid an average of $9.29 per fill, versus $14.06 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 30 30-Day Fills standardized to 30-day supplies 515 Days of Medication total across all patients in 2024 | |||
| RexultiBrexpiprazole | 28 | $774.01▼ below NE avg | ≈ Typical |
About Rexulti: This medication is used to treat certain mental/mood disorders (such as schizophrenia, depression). Show more ▾ Brexpiprazole is also used to treat agitation that may occur with dementia due to Alzheimer's disease. Brexpiprazole belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A serotonin agent. In 2024, this provider wrote 28 Medicare prescriptions for Rexulti, about the same volume as the typical Nebraska prescriber of this medication (26.4). Medicare paid an average of $774.01 per fill, versus $1,317.43 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 28 30-Day Fills standardized to 30-day supplies 424 Days of Medication total across all patients in 2024 | |||
| Venlafaxine Hcl ErVenlafaxine Hcl | 28 | $10.54▼ below NE avg | ▼ Less than typical |
About Venlafaxine Hcl Er: This medication is used to treat certain mental/mood disorders (such as depression, anxiety, panic attacks, and social anxiety disorder). Show more ▾ Venlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenylethylamine derivative that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 28 Medicare prescriptions for Venlafaxine Hcl Er, about 70% of the volume of the typical Nebraska prescriber of this medication (39.9). Medicare paid an average of $10.54 per fill, versus $18.80 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 28.1 30-Day Fills standardized to 30-day supplies 687 Days of Medication total across all patients in 2024 | |||
| Baclofen | 27 | $11.01▼ below NE avg | ▼ Less than typical |
About Baclofen: Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease). Show more ▾ It works by helping to relax the muscles. A GAMMA-AMINOBUTYRIC ACID derivative that is a specific agonist of GABA-B RECEPTORS. It is used in the treatment of MUSCLE SPASTICITY, especially that due to SPINAL CORD INJURIES. Its therapeutic effects result from actions at spinal and supraspinal sites, generally the reduction of excitatory transmission. In 2024, this provider wrote 27 Medicare prescriptions for Baclofen, about 74% of the volume of the typical Nebraska prescriber of this medication (36.7). Medicare paid an average of $11.01 per fill, versus $20.78 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 27 30-Day Fills standardized to 30-day supplies 365 Days of Medication total across all patients in 2024 | |||
| Donepezil Hcl | 26 | $8.97▼ 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. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE. In 2024, this provider wrote 26 Medicare prescriptions for Donepezil Hcl, about half the volume of the typical Nebraska prescriber of this medication (52.5). Medicare paid an average of $8.97 per fill, versus $11.67 statewide. How often this provider prescribes it 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'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 2024 | |||
| Colestipol Hcl | 26 | $47.59▼ 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 2024, this provider wrote 26 Medicare prescriptions for Colestipol Hcl, about 87% of the volume of the typical Nebraska prescriber of this medication (29.8). Medicare paid an average of $47.59 per fill, versus $72.37 statewide. How often this provider prescribes it 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'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 2024 | |||
| Clonazepam | 26 | $6.51▼ below NE avg | ▼ Less than typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2024, this provider wrote 26 Medicare prescriptions for Clonazepam, about half the volume of the typical Nebraska prescriber of this medication (45). Medicare paid an average of $6.51 per fill, versus $9.41 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 27 30-Day Fills standardized to 30-day supplies 604 Days of Medication total across all patients in 2024 | |||
| Haloperidol | 18 | $6.77▼ below NE avg | ▼ Less than typical |
About Haloperidol: This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorders). Show more ▾ Haloperidol is also used to treat uncontrolled movements and outbursts of words/sounds related to Tourette's syndrome. It is also used by hyperactive children for severe behavior problems when other treatments or medication have not worked. Haloperidol belongs to a class of drugs known as antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 2024, this provider wrote 18 Medicare prescriptions for Haloperidol, about half the volume of the typical Nebraska prescriber of this medication (35.9). Medicare paid an average of $6.77 per fill, versus $25.32 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 18.1 30-Day Fills standardized to 30-day supplies 343 Days of Medication total across all patients in 2024 | |||
| Propranolol Hcl | 16 | $8.26▼ below NE avg | ▼ Less than typical |
About Propranolol Hcl: This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. Show more ▾ It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This effect reduces heart rate, blood pressure, and strain on the heart. A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs. In 2024, this provider wrote 16 Medicare prescriptions for Propranolol Hcl, about 63% of the volume of the typical Nebraska prescriber of this medication (25.6). Medicare paid an average of $8.26 per fill, versus $16.71 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 16 30-Day Fills standardized to 30-day supplies 334 Days of Medication total across all patients in 2024 | |||
| TrintellixVortioxetine Hydrobromide | 15 | $645.14 | ▼ Less than typical |
About Trintellix: This medication is used to treat depression. Show more ▾ Vortioxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A piperazine derivative that acts as a serotonin reuptake inhibitor, as a 5-HT3 receptor antagonist, and 5-HT1A receptor agonist. It is used for the treatment of anxiety and depression. In 2024, this provider wrote 15 Medicare prescriptions for Trintellix, about half the volume of the typical Nebraska prescriber of this medication (25.2). Medicare paid an average of $645.14 per fill, versus $514.15 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 20 30-Day Fills standardized to 30-day supplies 600 Days of Medication total across all patients in 2024 | |||
| Prazosin Hcl | 14 | $11.18▼ below NE avg | ▼ Less than typical |
About Prazosin Hcl: Prazosin is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Prazosin belongs to a class of medications called alpha blockers. It works by relaxing and widening blood vessels so blood can flow more easily. A selective adrenergic alpha-1 antagonist used in the treatment of HEART FAILURE; HYPERTENSION; PHEOCHROMOCYTOMA; RAYNAUD DISEASE; PROSTATIC HYPERTROPHY; and URINARY RETENTION. In 2024, this provider wrote 14 Medicare prescriptions for Prazosin Hcl, about a third of the volume of the typical Nebraska prescriber of this medication (35.8). Medicare paid an average of $11.18 per fill, versus $17.67 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 19 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2024 | |||
| Lithium Carbonate | 12 | $6.93▼ below NE avg | ▼ Less than typical |
About Lithium Carbonate: This medication is used to treat manic-depressive disorder (bipolar disorder). Show more ▾ It works to stabilize the mood and reduce extremes in behavior by restoring the balance of certain natural substances (neurotransmitters) in the brain. Some of the benefits of continued use of this medication include decreasing how often manic episodes occur and decreasing the symptoms of manic episodes, such as exaggerated feelings of well-being, feelings that others wish to harm you, irritability, anxiousness, rapid/loud speech, and aggressive/hostile behaviors. A lithium salt, classified as a mood-stabilizing agent. Lithium ion alters the metabolism of BIOGENIC MONOAMINES in the CENTRAL NERVOUS SYSTEM, and affects multiple neurotransmission systems. In 2024, this provider wrote 12 Medicare prescriptions for Lithium Carbonate, about a third of the volume of the typical Nebraska prescriber of this medication (31.3). Medicare paid an average of $6.93 per fill, versus $8.92 statewide. How often this provider prescribes it 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's average cost per fill is below the NE average for this medication. 12 30-Day Fills standardized to 30-day supplies 168 Days of Medication total across all patients in 2024 | |||
| Mirtazapine | 11 | $22.92 | ▼ Less than typical |
About Mirtazapine: This medication is used to treat depression. Show more ▾ Mirtazapine works by helping to restore the balance of certain natural substances in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2024, this provider wrote 11 Medicare prescriptions for Mirtazapine, about a quarter of the volume of the typical Nebraska prescriber of this medication (43.1). Medicare paid an average of $22.92 per fill, versus $17.67 statewide. How often this provider prescribes it 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 Gross Part D cost per fill; not the patient's out-of-pocket price. 13.2 30-Day Fills standardized to 30-day supplies 375 Days of Medication total across all patients in 2024 | |||
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 2024, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Psychiatric/Mental Health prescribing approach at this 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 among NE prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.
About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.
