MS. KAREN L. PULCHER RN, APRN
Prescription History 1124450127
Nurse Practitioner - Psychiatric/Mental Health in Overland Park, KS
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MS. KAREN L. PULCHER RN, APRN, an active Psychiatric/Mental Health specialist practicing in Overland Park, KS. Our medical registry currently tracks 12 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 247 documented patient claims. Among these therapy options, the most frequently utilized medication is Lamotrigine, which accounts for 52 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 KS PrescribersVs. KS Avg |
|---|---|---|---|
| Lamotrigine | 52 | $2.62▼ below KS avg | ≈ 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 52 Medicare prescriptions for Lamotrigine, about the same volume as the typical Kansas prescriber of this medication (51.4). Medicare paid an average of $2.62 per fill, versus $12.61 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average KS 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 KS average for this medication. 62 30-Day Fills standardized to 30-day supplies 1,826 Days of Medication total across all patients in 2024 | |||
| Clonazepam | 25 | $3.55▼ below KS 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 25 Medicare prescriptions for Clonazepam, about half the volume of the typical Kansas prescriber of this medication (46.6). Medicare paid an average of $3.55 per fill, versus $7.81 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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 KS average for this medication. 25 30-Day Fills standardized to 30-day supplies 629 Days of Medication total across all patients in 2024 | |||
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 23 | $17.58▼ below KS avg | ≈ Typical |
About Dextroamphetamine-Amphetamine: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. This drug is also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. In 2024, this provider wrote 23 Medicare prescriptions for Dextroamphetamine-Amphetamine, about 75% of the volume of the typical Kansas prescriber of this medication (30.6). Medicare paid an average of $17.58 per fill, versus $32.47 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average KS 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 KS average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2024 | |||
| Fluoxetine Hcl | 22 | $6.48▼ below KS 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 22 Medicare prescriptions for Fluoxetine Hcl, about half the volume of the typical Kansas prescriber of this medication (40.4). Medicare paid an average of $6.48 per fill, versus $9.52 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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 KS average for this medication. 26 30-Day Fills standardized to 30-day supplies 764 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 20 | $14.04▼ below KS 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 20 Medicare prescriptions for Quetiapine Fumarate, about a third of the volume of the typical Kansas prescriber of this medication (57.7). Medicare paid an average of $14.04 per fill, versus $16.38 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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 KS average for this medication. 22 30-Day Fills standardized to 30-day supplies 645 Days of Medication total across all patients in 2024 | |||
| Bupropion XlBupropion Hcl | 19 | $16.47▼ below KS 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 19 Medicare prescriptions for Bupropion Xl, about half the volume of the typical Kansas prescriber of this medication (43.8). Medicare paid an average of $16.47 per fill, versus $23.00 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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 KS average for this medication. 31 30-Day Fills standardized to 30-day supplies 930 Days of Medication total across all patients in 2024 | |||
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 17 | $74.76 | ≈ Typical |
About Dextroamphetamine-Amphet Er: This combination medication is used to treat attention deficit hyperactivity disorder - ADHD. Show more ▾ It works by changing the amounts of certain natural substances in the brain. Amphetamine/dextroamphetamine belongs to a class of drugs known as stimulants. It can help increase your ability to pay attention, stay focused on an activity, and control behavior problems. It may also help you to organize your tasks and improve listening skills. In 2024, this provider wrote 17 Medicare prescriptions for Dextroamphetamine-Amphet Er, about 79% of the volume of the typical Kansas prescriber of this medication (21.6). Medicare paid an average of $74.76 per fill, versus $61.69 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average KS 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. 27 30-Day Fills standardized to 30-day supplies 795 Days of Medication total across all patients in 2024 | |||
| Gabapentin | 15 | $8.01▼ below KS 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 15 Medicare prescriptions for Gabapentin, about 15% of the volume of the typical Kansas prescriber of this medication (99.2). Medicare paid an average of $8.01 per fill, versus $15.10 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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 KS average for this medication. 17 30-Day Fills standardized to 30-day supplies 510 Days of Medication total across all patients in 2024 | |||
| Mirtazapine | 15 | $1.96▼ below KS avg | ▼ 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 15 Medicare prescriptions for Mirtazapine, about a third of the volume of the typical Kansas prescriber of this medication (48.8). Medicare paid an average of $1.96 per fill, versus $16.02 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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 KS average for this medication. 21 30-Day Fills standardized to 30-day supplies 630 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 14 | $8.80▼ below KS 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 14 Medicare prescriptions for Duloxetine Hcl, about a quarter of the volume of the typical Kansas prescriber of this medication (63). Medicare paid an average of $8.80 per fill, versus $22.46 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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 KS average for this medication. 26 30-Day Fills standardized to 30-day supplies 780 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 14 | $3.79▼ below KS 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 14 Medicare prescriptions for Sertraline Hcl, about 19% of the volume of the typical Kansas prescriber of this medication (73.3). Medicare paid an average of $3.79 per fill, versus $7.34 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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 KS average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2024 | |||
| Escitalopram Oxalate | 11 | $10.17 | ▼ Less than 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 11 Medicare prescriptions for Escitalopram Oxalate, about 18% of the volume of the typical Kansas prescriber of this medication (61.6). Medicare paid an average of $10.17 per fill, versus $10.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KS 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. 15 30-Day Fills standardized to 30-day supplies 450 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for MS. KAREN L. PULCHER RN, 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 Overland Park, KS 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 KS 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.
