NATALIE E BREWER APRN
Prescription History 1003590761
Nurse Practitioner - Psychiatric/Mental Health in Nashville, TN
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for NATALIE E BREWER APRN, an active Psychiatric/Mental Health specialist practicing in Nashville, TN. Our medical registry currently tracks 12 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 226 documented patient claims. Among these therapy options, the most frequently utilized medication is Trazodone Hcl, which accounts for 39 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 TN PrescribersVs. TN Avg |
|---|---|---|---|
| Trazodone Hcl | 39 | $3.68▼ below TN avg | ▼ Less 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 39 Medicare prescriptions for Trazodone Hcl, about half the volume of the typical Tennessee prescriber of this medication (80.3). Medicare paid an average of $3.68 per fill, versus $9.21 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 45 30-Day Fills standardized to 30-day supplies 1,328 Days of Medication total across all patients in 2024 | |||
| Risperidone | 27 | $6.84▼ below TN avg | ▼ Less than typical |
About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾ Risperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2024, this provider wrote 27 Medicare prescriptions for Risperidone, about half the volume of the typical Tennessee prescriber of this medication (55.1). Medicare paid an average of $6.84 per fill, versus $13.56 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 31 30-Day Fills standardized to 30-day supplies 923 Days of Medication total across all patients in 2024 | |||
| Hydroxyzine Pamoate | 23 | $13.18 | ▼ Less than typical |
About Hydroxyzine Pamoate: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative. In 2024, this provider wrote 23 Medicare prescriptions for Hydroxyzine Pamoate, about 72% of the volume of the typical Tennessee prescriber of this medication (32). Medicare paid an average of $13.18 per fill, versus $13.05 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 25 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2024 | |||
| Benztropine Mesylate | 20 | $6.78▼ below TN avg | ▼ Less than typical |
About Benztropine Mesylate: Benztropine is used to treat symptoms of Parkinson's disease or involuntary movements due to the side effects of certain psychiatric drugs (antipsychotics such as chlorpromazine/haloperidol). Show more ▾ Benztropine belongs to a class of medication called anticholinergics that work by blocking a certain natural substance (acetylcholine). This helps decrease muscle stiffness, sweating, and the production of saliva, and helps improve walking ability in people with Parkinson's disease. Anticholinergics can stop severe muscle spasms of the back, neck, and eyes that are sometimes caused by psychiatric drugs. It can also decrease other side effects such as muscle stiffness/rigidity (extrapyramidal signs-EPS). It is not helpful in treating movement problems caused by tardive dyskinesia and may worsen them. Benztropine should not be used by children younger than 3 years. A centrally active muscarinic antagonist that has been used in the symptomatic treatment of PARKINSON DISEASE. Benztropine also inhibits the uptake of dopamine. In 2024, this provider wrote 20 Medicare prescriptions for Benztropine Mesylate, about a third of the volume of the typical Tennessee prescriber of this medication (61.4). Medicare paid an average of $6.78 per fill, versus $11.60 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 20 30-Day Fills standardized to 30-day supplies 565 Days of Medication total across all patients in 2024 | |||
| Clozapine | 20 | $38.11▼ below TN avg | ▼ Less than typical |
About Clozapine: See also Warning section. Show more ▾ This medication is used to treat certain mental/mood disorders (schizophrenia, schizoaffective disorders). Clozapine may also help prevent suicide in people who are likely to try to harm themselves. Clozapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A tricylic dibenzodiazepine, classified as an atypical antipsychotic agent. It binds several types of central nervous system receptors, and displays a unique pharmacological profile. Clozapine is a serotonin antagonist, with strong binding to 5-HT 2A/2C receptor subtype. It also displays strong affinity to several dopaminergic receptors, but shows only weak antagonism at the dopamine D2 receptor, a receptor commonly thought to modulate neuroleptic activity. Agranulocytosis is a major adverse effect associated with administration of this agent. In 2024, this provider wrote 20 Medicare prescriptions for Clozapine, about half the volume of the typical Tennessee prescriber of this medication (43.4). Medicare paid an average of $38.11 per fill, versus $72.50 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 20 30-Day Fills standardized to 30-day supplies 560 Days of Medication total across all patients in 2024 | |||
| Bupropion XlBupropion Hcl | 17 | $9.60▼ below TN avg | ▼ 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 17 Medicare prescriptions for Bupropion Xl, about half the volume of the typical Tennessee prescriber of this medication (39.9). Medicare paid an average of $9.60 per fill, versus $27.32 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 16 | $10.85▼ below TN avg | ▼ Less 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 16 Medicare prescriptions for Quetiapine Fumarate, about a quarter of the volume of the typical Tennessee prescriber of this medication (60). Medicare paid an average of $10.85 per fill, versus $15.36 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2024 | |||
| Aripiprazole | 14 | $24.95▼ below TN avg | ▼ Less 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 14 Medicare prescriptions for Aripiprazole, about a third of the volume of the typical Tennessee prescriber of this medication (42.8). Medicare paid an average of $24.95 per fill, versus $50.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2024 | |||
| Buspirone Hcl | 14 | $27.66 | ▼ Less 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 14 Medicare prescriptions for Buspirone Hcl, about a quarter of the volume of the typical Tennessee prescriber of this medication (60.9). Medicare paid an average of $27.66 per fill, versus $15.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 22 30-Day Fills standardized to 30-day supplies 660 Days of Medication total across all patients in 2024 | |||
| Fluoxetine Hcl | 13 | $7.73▼ below TN avg | ▼ Less than typical |
About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾ It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2024, this provider wrote 13 Medicare prescriptions for Fluoxetine Hcl, about a third of the volume of the typical Tennessee prescriber of this medication (42.6). Medicare paid an average of $7.73 per fill, versus $9.20 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 13 30-Day Fills standardized to 30-day supplies 385 Days of Medication total across all patients in 2024 | |||
| Divalproex Sodium ErDivalproex Sodium | 12 | $27.85▼ below TN avg | ▼ Less 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 12 Medicare prescriptions for Divalproex Sodium Er, about a third of the volume of the typical Tennessee prescriber of this medication (38.8). Medicare paid an average of $27.85 per fill, versus $43.96 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 11 | $4.82▼ below TN avg | ▼ Less 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 11 Medicare prescriptions for Sertraline Hcl, about 15% of the volume of the typical Tennessee prescriber of this medication (71.5). Medicare paid an average of $4.82 per fill, versus $8.57 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN 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 TN average for this medication. 17 30-Day Fills standardized to 30-day supplies 502 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for NATALIE E BREWER APRN 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 Nashville, TN 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 TN 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.
