JANELLE LINN TODD-HESSE DNP
Prescription History 1033941307
Nurse Practitioner - Family in Hilo, HI
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JANELLE LINN TODD-HESSE DNP, an active Family specialist practicing in Hilo, HI. Our medical registry currently tracks 14 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 961 documented patient claims. Among these therapy options, the most frequently utilized medication is Hydrocodone-Acetaminophen, which accounts for 239 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 HI PrescribersVs. HI Avg |
|---|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 239 | $32.32 | ▲ More than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2024, this provider wrote 239 Medicare prescriptions for Hydrocodone-Acetaminophen, about 4.8 times the volume of the typical Hawaii prescriber of this medication (50.2). Medicare paid an average of $32.32 per fill, versus $21.99 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI 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. 239 30-Day Fills standardized to 30-day supplies 6,839 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 134 | $12.23▼ below HI 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 2024, this provider wrote 134 Medicare prescriptions for Gabapentin, about 2.5 times the volume of the typical Hawaii prescriber of this medication (54.2). Medicare paid an average of $12.23 per fill, versus $19.13 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI 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 HI average for this medication. 145.7 30-Day Fills standardized to 30-day supplies 4,191 Days of Medication total across all patients in 2024 | |||
| Pregabalin | 116 | $53.29 | ▲ More than typical |
About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾ This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA. In 2024, this provider wrote 116 Medicare prescriptions for Pregabalin, about 3.4 times the volume of the typical Hawaii prescriber of this medication (34.3). Medicare paid an average of $53.29 per fill, versus $28.57 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 116.2 30-Day Fills standardized to 30-day supplies 3,442 Days of Medication total across all patients in 2024 | |||
| Oxycodone Hcl | 80 | $12.65▼ below HI avg | ▲ More than typical |
About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾ Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE. In 2024, this provider wrote 80 Medicare prescriptions for Oxycodone Hcl, about 2 times the volume of the typical Hawaii prescriber of this medication (40.1). Medicare paid an average of $12.65 per fill, versus $14.69 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI 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 HI average for this medication. 80 30-Day Fills standardized to 30-day supplies 2,228 Days of Medication total across all patients in 2024 | |||
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 72 | $24.45 | ▲ More than typical |
About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2024, this provider wrote 72 Medicare prescriptions for Oxycodone-Acetaminophen, about 2.1 times the volume of the typical Hawaii prescriber of this medication (33.8). Medicare paid an average of $24.45 per fill, versus $19.69 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI 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. 72 30-Day Fills standardized to 30-day supplies 2,075 Days of Medication total across all patients in 2024 | |||
| Tramadol Hcl | 66 | $12.27 | ▲ More than typical |
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2024, this provider wrote 66 Medicare prescriptions for Tramadol Hcl, about 1.9 times the volume of the typical Hawaii prescriber of this medication (35.2). Medicare paid an average of $12.27 per fill, versus $8.15 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI 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. 66 30-Day Fills standardized to 30-day supplies 1,722 Days of Medication total across all patients in 2024 | |||
| Baclofen | 42 | $9.67▼ below HI avg | ▲ More 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 42 Medicare prescriptions for Baclofen, about 1.5 times the volume of the typical Hawaii prescriber of this medication (28.0). Medicare paid an average of $9.67 per fill, versus $22.38 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI 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 HI average for this medication. 46 30-Day Fills standardized to 30-day supplies 1,312 Days of Medication total across all patients in 2024 | |||
| Cyclobenzaprine Hcl | 42 | $13.73 | ▲ More than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. Lisseril is synonymous for HCl; structure. In 2024, this provider wrote 42 Medicare prescriptions for Cyclobenzaprine Hcl, about 1.7 times the volume of the typical Hawaii prescriber of this medication (24.9). Medicare paid an average of $13.73 per fill, versus $10.36 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI 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. 42.2 30-Day Fills standardized to 30-day supplies 1,195 Days of Medication total across all patients in 2024 | |||
| Meloxicam | 41 | $3.39▼ below HI avg | ≈ Typical |
About Meloxicam: Meloxicam is used to treat arthritis. Show more ▾ It reduces pain, swelling, and stiffness of the joints. Meloxicam is known as a nonsteroidal anti-inflammatory drug (NSAID). If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. A benzothiazine and thiazole derivative that acts as a NSAID and cyclooxygenase-2 (COX-2) inhibitor. It is used in the treatment of RHEUMATOID ARTHRITIS; OSTEOARTHRITIS; and ANKYLOSING SPONDYLITIS. In 2024, this provider wrote 41 Medicare prescriptions for Meloxicam, about the same volume as the typical Hawaii prescriber of this medication (40.8). Medicare paid an average of $3.39 per fill, versus $7.18 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average HI 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 HI average for this medication. 45 30-Day Fills standardized to 30-day supplies 1,320 Days of Medication total across all patients in 2024 | |||
| Tizanidine Hcl | 37 | $11.33▼ below HI avg | ▲ More than typical |
About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾ It works by helping to relax the muscles. In 2024, this provider wrote 37 Medicare prescriptions for Tizanidine Hcl, about 1.5 times the volume of the typical Hawaii prescriber of this medication (24.4). Medicare paid an average of $11.33 per fill, versus $16.89 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average HI 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 HI average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2024 | |||
| Morphine Sulfate ErMorphine Sulfate | 29 | $38.03 | ≈ Typical |
About Morphine Sulfate Er: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾ Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (100 milligrams or more per tablet) should be used only if you have been regularly taking moderate to large amounts of opioid pain medications. These strengths may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of morphine to relieve pain that is mild or that will go away in a few days. This medication is not for occasional ("as needed") use. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. In 2024, this provider wrote 29 Medicare prescriptions for Morphine Sulfate Er, about 82% of the volume of the typical Hawaii prescriber of this medication (35.6). Medicare paid an average of $38.03 per fill, versus $33.55 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average HI 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. 29 30-Day Fills standardized to 30-day supplies 819 Days of Medication total across all patients in 2024 | |||
| Ibuprofen | 25 | $7.81▼ below HI avg | ≈ Typical |
About Ibuprofen: Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis. Show more ▾ It is also used to reduce fever and to relieve minor aches and pain due to the common cold or flu. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain. See also Warning section. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar names may contain different ingredients meant for different purposes. Taking the wrong product could harm you. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties In 2024, this provider wrote 25 Medicare prescriptions for Ibuprofen, about 84% of the volume of the typical Hawaii prescriber of this medication (29.8). Medicare paid an average of $7.81 per fill, versus $8.38 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average HI 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 HI average for this medication. 25 30-Day Fills standardized to 30-day supplies 750 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 23 | $14.04▼ below HI avg | ≈ 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 23 Medicare prescriptions for Duloxetine Hcl, about 76% of the volume of the typical Hawaii prescriber of this medication (30.4). Medicare paid an average of $14.04 per fill, versus $38.62 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average HI 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 HI average for this medication. 23 30-Day Fills standardized to 30-day supplies 688 Days of Medication total across all patients in 2024 | |||
| Amitriptyline Hcl | 15 | $6.93▼ below HI avg | ≈ Typical |
About Amitriptyline Hcl: This medication is used to treat depression. Show more ▾ Amitriptyline belongs to a class of drugs known as tricyclic antidepressants. It works by helping to restore the balance of certain natural substances in the brain. Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines. In 2024, this provider wrote 15 Medicare prescriptions for Amitriptyline Hcl, about 78% of the volume of the typical Hawaii prescriber of this medication (19.2). Medicare paid an average of $6.93 per fill, versus $19.35 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average HI 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 HI average for this medication. 15 30-Day Fills standardized to 30-day supplies 430 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for JANELLE LINN TODD-HESSE DNP 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 Family prescribing approach at this Hilo, HI 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 HI 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.
