DR. NEFRETITI MER-EN-RA GARRISON-NORTH MD
Prescription History 1023019015
Internal Medicine in Cape Girardeau, MO

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
92.57/100
CMS Quality Rating
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703(573) 331-5770(573) 331-3974 Get Directions

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. NEFRETITI MER-EN-RA GARRISON-NORTH MD, an active Internal Medicine specialist practicing in Cape Girardeau, MO. Our medical registry currently tracks 4 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 61 documented patient claims. Among these therapy options, the most frequently utilized medication is Atorvastatin Calcium, which accounts for 22 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.

4
Medications
61
Total Claims
77
30-Day Fills
Atorvastatin Calcium
Most Prescribed · 22 claims
View details
4 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. NEFRETITI MER-EN-RA GARRISON-NORTH MD in 2024, with prescription volumes, average cost per fill, and MO state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other MO PrescribersVs. MO Avg

About Atorvastatin Calcium: Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood. Show more ▾

It belongs to a group of drugs known as "statins." It works by reducing the amount of cholesterol made by the liver. Lowering "bad" cholesterol and triglycerides and raising "good" cholesterol decreases the risk of heart disease and helps prevent strokes and heart attacks. In addition to eating 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. A pyrrole and heptanoic acid derivative, HYDROXYMETHYLGLUTARYL-COA REDUCTASE INHIBITOR (statin), and ANTICHOLESTEREMIC AGENT that is used to reduce serum levels of LDL-CHOLESTEROL; APOLIPOPROTEIN B; and TRIGLYCERIDES. It is used to increase serum levels of HDL-CHOLESTEROL in the treatment of HYPERLIPIDEMIAS, and for the prevention of CARDIOVASCULAR DISEASES in patients with multiple risk factors.

In 2024, this provider wrote 22 Medicare prescriptions for Atorvastatin Calcium, about 10% of the volume of the typical Missouri prescriber of this medication (225.3). Medicare paid an average of $6.32 per fill, versus $8.36 statewide.

How often this provider prescribes it

This provider
22
MO average
225.3

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.32
MO average
$8.36

This provider's average cost per fill is below the MO average for this medication.

26
30-Day Fills
standardized to 30-day supplies
780
Days of Medication
total across all patients in 2024

About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾

It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER.

In 2024, this provider wrote 15 Medicare prescriptions for Pantoprazole Sodium, about 14% of the volume of the typical Missouri prescriber of this medication (104.6). Medicare paid an average of $4.97 per fill, versus $10.99 statewide.

How often this provider prescribes it

This provider
15
MO average
104.6

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$4.97
MO average
$10.99

This provider's average cost per fill is below the MO average for this medication.

23
30-Day Fills
standardized to 30-day supplies
690
Days of Medication
total across all patients in 2024

About Amlodipine Besylate: Amlodipine 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. Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily. Amlodipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. A long-acting dihydropyridine calcium channel blocker. It is effective in the treatment of ANGINA PECTORIS and HYPERTENSION.

In 2024, this provider wrote 12 Medicare prescriptions for Amlodipine Besylate, about 7% of the volume of the typical Missouri prescriber of this medication (164.3). Medicare paid an average of $3.66 per fill, versus $5.31 statewide.

How often this provider prescribes it

This provider
12
MO average
164.3

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.66
MO average
$5.31

This provider's average cost per fill is below the MO average for this medication.

16
30-Day Fills
standardized to 30-day supplies
480
Days of Medication
total across all patients in 2024

About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾

Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.

In 2024, this provider wrote 12 Medicare prescriptions for Prednisone, about a quarter of the volume of the typical Missouri prescriber of this medication (53). Medicare paid an average of $1.82 per fill, versus $3.63 statewide.

How often this provider prescribes it

This provider
12
MO average
53.0

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1.82
MO average
$3.63

This provider's average cost per fill is below the MO average for this medication.

12
30-Day Fills
standardized to 30-day supplies
42
Days of Medication
total across all patients in 2024
No medications match the current filters.
▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average MO prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MO average cost per fill.

About this data. The prescription history for DR. NEFRETITI MER-EN-RA GARRISON-NORTH MD 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 Internal Medicine prescribing approach at this Cape Girardeau, MO practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average among MO prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.