DR. NINA RAJINI MANIAN MD
Prescription History 1124703921
General Practice in Saint Louis, MO
What does Dr. Manian prescribe?
In 2024, Dr. Manian wrote 345 Medicare prescriptions for 18 medications. The most prescribed was Amlodipine Besylate, with 48 prescriptions.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Dr. Manian prescribes.
Medications 18 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other Missouri prescribers.
What it is used for
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with Missouri prescribers
Dr. Manian wrote 48 prescriptions for Amlodipine Besylate, about 29% as often as the typical Missouri prescriber of it (164). Medicare paid $3.14 per fill, versus $5.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
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.
Compared with Missouri prescribers
Dr. Manian wrote 47 prescriptions for Atorvastatin Calcium, about 21% as often as the typical Missouri prescriber of it (225). Medicare paid $7.01 per fill, versus $8.36 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed.
Compared with Missouri prescribers
Dr. Manian wrote 30 prescriptions for Famotidine, about half as often as the typical Missouri prescriber of it (63). Medicare paid $18.84 per fill, versus $12.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Missouri prescribers
Dr. Manian wrote 22 prescriptions for Ozempic, about 35% as often as the typical Missouri prescriber of it (63). Medicare paid $891.68 per fill, versus $1,244.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease).
Compared with Missouri prescribers
Dr. Manian wrote 20 prescriptions for Albuterol Sulfate Hfa, about 25% as often as the typical Missouri prescriber of it (81). Medicare paid $21.20 per fill, versus $25.65 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high blood pressure.
Compared with Missouri prescribers
Dr. Manian wrote 18 prescriptions for Hydrochlorothiazide, about 21% as often as the typical Missouri prescriber of it (85). Medicare paid $2.02 per fill, versus $3.84 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Spironolactone is used to treat high blood pressure and heart failure.
Compared with Missouri prescribers
Dr. Manian wrote 18 prescriptions for Spironolactone, about 30% as often as the typical Missouri prescriber of it (61). Medicare paid $10.25 per fill, versus $7.43 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Dulaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Missouri prescribers
Dr. Manian wrote 15 prescriptions for Trulicity, about 39% as often as the typical Missouri prescriber of it (38). Medicare paid $979.53 per fill, versus $1,225.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Missouri prescribers
Dr. Manian wrote 14 prescriptions for Metformin Hcl, about 13% as often as the typical Missouri prescriber of it (105). Medicare paid $4.77 per fill, versus $6.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat depression.
Compared with Missouri prescribers
Dr. Manian wrote 13 prescriptions for Amitriptyline Hcl, about 38% as often as the typical Missouri prescriber of it (34). Medicare paid $11.87 per fill, versus $14.80 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Carvedilol is used to treat high blood pressure and heart failure.
Compared with Missouri prescribers
Dr. Manian wrote 13 prescriptions for Carvedilol, about 14% as often as the typical Missouri prescriber of it (91). Medicare paid $3.97 per fill, versus $7.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Esomeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with Missouri prescribers
Dr. Manian wrote 13 prescriptions for Esomeprazole Magnesium, about half as often as the typical Missouri prescriber of it (29). Medicare paid $14.89 per fill, versus $37.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Missouri prescribers
Dr. Manian wrote 13 prescriptions for Insulin Lispro Kwikpen U-100, about half as often as the typical Missouri prescriber of it (30). Medicare paid $150.50 per fill, versus $206.06 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with Missouri prescribers
Dr. Manian wrote 13 prescriptions for Losartan Potassium, about 10% as often as the typical Missouri prescriber of it (128). Medicare paid $3.51 per fill, versus $7.83 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pravastatin 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.
Compared with Missouri prescribers
Dr. Manian wrote 13 prescriptions for Pravastatin Sodium, about 22% as often as the typical Missouri prescriber of it (59). Medicare paid $4.80 per fill, versus $10.59 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery.
Compared with Missouri prescribers
Dr. Manian wrote 12 prescriptions for Eliquis, about 11% as often as the typical Missouri prescriber of it (110). Medicare paid $598.62 per fill, versus $777.14 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury).
Compared with Missouri prescribers
Dr. Manian wrote 12 prescriptions for Tizanidine Hcl, about 21% as often as the typical Missouri prescriber of it (57). Medicare paid $21.04 per fill, versus $11.54 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with Missouri prescribers
Dr. Manian wrote 11 prescriptions for Omeprazole, about 9% as often as the typical Missouri prescriber of it (122). Medicare paid $31.75 per fill, versus $12.55 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Dr. Manian’s prescriptions
What does Dr. Manian prescribe most?
In 2024 Medicare Part D data, Dr. Manian's most prescribed medications were Amlodipine Besylate (48), Atorvastatin Calcium (47) and Famotidine (30).
How does Dr. Manian's prescribing compare with other Missouri prescribers?
Of the 18 medications with a state comparison, Dr. Manian prescribes 18 less often than the typical Missouri prescriber. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Manian prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the Missouri prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
