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 9 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 235 documented patient claims. Among these therapy options, the most frequently utilized medication is Dextroamphetamine Sulfate, which accounts for 51 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 (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other IA PrescribersVs. IA Avg |
|---|---|---|---|
| Dextroamphetamine Sulfate | 51 | $16.40▼ below IA avg | ▲ More than typical |
About Dextroamphetamine Sulfate: This 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. 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. The d-form of AMPHETAMINE. It is a central nervous system stimulant and a sympathomimetic. It has also been used in the treatment of narcolepsy and of attention deficit disorders and hyperactivity in children. Dextroamphetamine has multiple mechanisms of action including blocking uptake of adrenergics and dopamine, stimulating release of monamines, and inhibiting monoamine oxidase. It is also a drug of abuse and a psychotomimetic. In 2023, this provider wrote 51 Medicare prescriptions for Dextroamphetamine Sulfate, about 3.2 times the volume of the typical Iowa prescriber of this medication (16). Medicare paid an average of $16.40 per fill, versus $119.50 statewide. How often this provider prescribes it This provider prescribes this medication more 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. 51 30-Day Fills standardized to 30-day supplies 355 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 36 | $6.01▼ below IA avg | ▼ Less than typical |
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 36 Medicare prescriptions for Sertraline Hcl, about half the volume of the typical Iowa prescriber of this medication (76). Medicare paid an average of $6.01 per fill, versus $10.12 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. 40 30-Day Fills standardized to 30-day supplies 1,138 Days of Medication total across all patients in 2023 | |||
| Buspirone Hcl | 35 | $12.57▼ 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). In 2023, this provider wrote 35 Medicare prescriptions for Buspirone Hcl, about 71% of the volume of the typical Iowa prescriber of this medication (49). Medicare paid an average of $12.57 per fill, versus $17.34 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. 35 30-Day Fills standardized to 30-day supplies 834 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 25 | $20.59▼ below IA avg | ▼ Less than typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is 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 may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication 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 2023, this provider wrote 25 Medicare prescriptions for Duloxetine Hcl, about half the volume of the typical Iowa prescriber of this medication (59). Medicare paid an average of $20.59 per fill, versus $44.81 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. 25.2 30-Day Fills standardized to 30-day supplies 742 Days of Medication total across all patients in 2023 | |||
| VraylarCariprazine Hcl | 24 | $813.31▼ below IA avg | ▼ Less than typical |
About Vraylar: Cariprazine is used to treat certain mental/mood disorders (such as bipolar disorder, bipolar depression, schizophrenia). Show more ▾ Cariprazine 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. This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. In 2023, this provider wrote 24 Medicare prescriptions for Vraylar, about half the volume of the typical Iowa prescriber of this medication (49). Medicare paid an average of $813.31 per fill, versus $1,296.97 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 30-Day Fills standardized to 30-day supplies 394 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 19 | $6.33▼ below IA avg | ▼ Less than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 19 Medicare prescriptions for Trazodone Hcl, about a quarter of the volume of the typical Iowa prescriber of this medication (69). Medicare paid an average of $6.33 per fill, versus $11.31 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. 21 30-Day Fills standardized to 30-day supplies 560 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 17 | $22.62▼ below IA avg | ▼ Less than typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 17 Medicare prescriptions for Bupropion Xl, about a third of the volume of the typical Iowa prescriber of this medication (47). Medicare paid an average of $22.62 per fill, versus $37.56 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. 17 30-Day Fills standardized to 30-day supplies 395 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Pamoate | 16 | $8.02▼ below IA avg | ▼ Less than typical |
About Hydroxyzine Pamoate: 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 2023, this provider wrote 16 Medicare prescriptions for Hydroxyzine Pamoate, about half the volume of the typical Iowa prescriber of this medication (35). Medicare paid an average of $8.02 per fill, versus $13.88 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. 18 30-Day Fills standardized to 30-day supplies 495 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 12 | $15.27▼ below IA avg | ▼ Less than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. 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 2023, this provider wrote 12 Medicare prescriptions for Quetiapine Fumarate, about 19% of the volume of the typical Iowa prescriber of this medication (62). Medicare paid an average of $15.27 per fill, versus $31.66 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 351 Days of Medication total across all patients in 2023 | |||
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 2023, 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 volume among IA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
