HILLARY S. SMITH APRN
Prescription History 1134388564
Nurse Practitioner - Family in Louisville, KY
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for HILLARY S. SMITH APRN, an active Family specialist practicing in Louisville, KY. Our medical registry currently tracks 8 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 153 documented patient claims. Among these therapy options, the most frequently utilized medication is Lamotrigine, which accounts for 48 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 KY PrescribersVs. KY Avg |
|---|---|---|---|
| Lamotrigine | 48 | $5.92▼ below KY 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 48 Medicare prescriptions for Lamotrigine, about the same volume as the typical Kentucky prescriber of this medication (44). Medicare paid an average of $5.92 per fill, versus $9.49 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average KY 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 KY average for this medication. 74 30-Day Fills standardized to 30-day supplies 2,220 Days of Medication total across all patients in 2024 | |||
| Desvenlafaxine Succinate ErDesvenlafaxine Succinate | 19 | $46.72▼ below KY avg | ▼ Less than typical |
About Desvenlafaxine Succinate Er: This medication is used to treat depression. Show more ▾ Desvenlafaxine 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 cyclohexanol and phenol derivative and metabolite of venlafaxine that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. In 2024, this provider wrote 19 Medicare prescriptions for Desvenlafaxine Succinate Er, about 70% of the volume of the typical Kentucky prescriber of this medication (27.2). Medicare paid an average of $46.72 per fill, versus $68.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 17 | $10.55▼ below KY 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 17 Medicare prescriptions for Duloxetine Hcl, about a quarter of the volume of the typical Kentucky prescriber of this medication (63.6). Medicare paid an average of $10.55 per fill, versus $19.33 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 23 30-Day Fills standardized to 30-day supplies 690 Days of Medication total across all patients in 2024 | |||
| Hydroxyzine Hcl | 16 | $9.14▼ below KY avg | ▼ Less than typical |
About Hydroxyzine Hcl: 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 16 Medicare prescriptions for Hydroxyzine Hcl, about half the volume of the typical Kentucky prescriber of this medication (36.9). Medicare paid an average of $9.14 per fill, versus $12.73 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2024 | |||
| Prazosin Hcl | 15 | $20.94 | ▼ Less than typical |
About Prazosin Hcl: Prazosin 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. Prazosin belongs to a class of medications called alpha blockers. It works by relaxing and widening blood vessels so blood can flow more easily. A selective adrenergic alpha-1 antagonist used in the treatment of HEART FAILURE; HYPERTENSION; PHEOCHROMOCYTOMA; RAYNAUD DISEASE; PROSTATIC HYPERTROPHY; and URINARY RETENTION. In 2024, this provider wrote 15 Medicare prescriptions for Prazosin Hcl, about half the volume of the typical Kentucky prescriber of this medication (29). Medicare paid an average of $20.94 per fill, versus $15.54 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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. 15.7 30-Day Fills standardized to 30-day supplies 470 Days of Medication total across all patients in 2024 | |||
| Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine | 13 | $30.13▼ below KY avg | ▼ Less than 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 13 Medicare prescriptions for Dextroamphetamine-Amphet Er, about half the volume of the typical Kentucky prescriber of this medication (23.4). Medicare paid an average of $30.13 per fill, versus $49.93 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 13 30-Day Fills standardized to 30-day supplies 370 Days of Medication total across all patients in 2024 | |||
| Fluoxetine Hcl | 13 | $1.61▼ below KY 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 Kentucky prescriber of this medication (44.6). Medicare paid an average of $1.61 per fill, versus $8.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 27 30-Day Fills standardized to 30-day supplies 810 Days of Medication total across all patients in 2024 | |||
| Trazodone Hcl | 12 | $2.85▼ below KY 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 12 Medicare prescriptions for Trazodone Hcl, about 16% of the volume of the typical Kentucky prescriber of this medication (74.3). Medicare paid an average of $2.85 per fill, versus $7.28 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average KY 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 KY average for this medication. 24 30-Day Fills standardized to 30-day supplies 720 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for HILLARY S. SMITH 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 Family prescribing approach at this Louisville, KY 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 KY 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.
