MRS. BILLIE JOEL RAEL PMHNP
Prescription History 1134712821
Nurse Practitioner - Psychiatric/Mental Health in Waterloo, IA
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MRS. BILLIE JOEL RAEL PMHNP, an active Psychiatric/Mental Health specialist practicing in Waterloo, IA. Our medical registry currently tracks 6 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 97 documented patient claims. Among these therapy options, the most frequently utilized medication is Buspirone Hcl, which accounts for 24 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 IA PrescribersVs. IA Avg |
|---|---|---|---|
| Buspirone Hcl | 24 | $11.44▼ below IA avg | ▼ Less than typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM. In 2024, this provider wrote 24 Medicare prescriptions for Buspirone Hcl, about half the volume of the typical Iowa prescriber of this medication (52). Medicare paid an average of $11.44 per fill, versus $13.15 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA 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 IA average for this medication. 24.9 30-Day Fills standardized to 30-day supplies 638 Days of Medication total across all patients in 2024 | |||
| Sertraline Hcl | 19 | $2.29▼ below IA 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 19 Medicare prescriptions for Sertraline Hcl, about a quarter of the volume of the typical Iowa prescriber of this medication (77.4). Medicare paid an average of $2.29 per fill, versus $7.92 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA 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 IA average for this medication. 24.6 30-Day Fills standardized to 30-day supplies 727 Days of Medication total across all patients in 2024 | |||
| Lorazepam | 18 | $6.51 | ▼ Less than typical |
About Lorazepam: This medication is used to treat anxiety. Show more ▾ Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2024, this provider wrote 18 Medicare prescriptions for Lorazepam, about a third of the volume of the typical Iowa prescriber of this medication (54.1). Medicare paid an average of $6.51 per fill, versus $6.35 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA 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. 18 30-Day Fills standardized to 30-day supplies 459 Days of Medication total across all patients in 2024 | |||
| Duloxetine Hcl | 13 | $17.58▼ below IA 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 13 Medicare prescriptions for Duloxetine Hcl, about a quarter of the volume of the typical Iowa prescriber of this medication (64.2). Medicare paid an average of $17.58 per fill, versus $21.71 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA 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 IA average for this medication. 13.1 30-Day Fills standardized to 30-day supplies 390 Days of Medication total across all patients in 2024 | |||
| Quetiapine Fumarate | 12 | $10.95▼ below IA 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 12 Medicare prescriptions for Quetiapine Fumarate, about 20% of the volume of the typical Iowa prescriber of this medication (60.2). Medicare paid an average of $10.95 per fill, versus $17.35 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA 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 IA average for this medication. 12 30-Day Fills standardized to 30-day supplies 343 Days of Medication total across all patients in 2024 | |||
| Hydroxyzine Hcl | 11 | $23.41 | ▼ 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 11 Medicare prescriptions for Hydroxyzine Hcl, about a third of the volume of the typical Iowa prescriber of this medication (31.4). Medicare paid an average of $23.41 per fill, versus $16.47 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average IA 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. 11 30-Day Fills standardized to 30-day supplies 305 Days of Medication total across all patients in 2024 | |||
About this data. The prescription history for MRS. BILLIE JOEL RAEL PMHNP 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 Waterloo, IA 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 IA 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.
